HomeMy WebLinkAbout05.a. (Handout) Loss Control Report as of 12-18-19 CCCSD 2019-20 Loss Control Report
Item 5.a.
0 New Incident 0 Ongoing Incident 0 Prior FY 0 Litigated (Handout)
OVERFLOWS
Status # ID# Loss DOL Other Party Address City Reserve Expenses Claim Incident Total Paid to
Type Paid* Paid**
Open B 2019014 SSO 07/26/18 Jane Kappel 25 Arlene Lane Walnut Creek $ 10,000.00 $ $ $ 10,000.00 Denied
Closed 1 2020001 SSO 07/24/19 Jason Gardner 116 Wilderness Lane Lafayette $ - $ 1,246.23 $ $ 1,246.23 Servicemaster
Closed 2 2020004 SSO 09/03/19 Janet and Bobby Seibe 1971 Pine Street Martinez $ 151.93 Claimant
$ 7,033.10 $ 7,185.03 Servicemaster
Closed 3 2020009 SSO 12/06/19 Dan Finnane 321 Bedford Place Moraga $ 7,000.00 $ - $ - $ 7,000.00
Total-SSO $ 17,000.00 $ 8,279.33 $ 151.93 $ 25,431.26
LIABILITY INCIDENTS-OTHER
Status # ID# Loss DOL Other Party Address City Reserve Expenses Claim Incident Total Paid to
Type Paid* Paid**
Open E 2019020 GL Fall 2016 P Hill Park&Rec Dist Murderer's Creek Pleasant Hill $ $ $ - $ - Denied-Tolling Agt
Closed 1 2020008 GL 10/29/19 Mingxian Liu 1572 Siskiyou Dr. Walnut Creek $ $ $ 5,425.00 $ 5,425.00 Hamill Construction
Total-Liab $ $ $ 5,425.00 $ 59425.00
AUTO INCIDENTS
Status # ID# Loss DOL Other Party Location Veh# Reserve Expenses Claim Incident Total Paid to
Type Paid* Paid**
Closed 1 2020006 AL 9/12/19 David Katkov 161 Tracy Lane N/A $ $ $ 650.00 $ 650.00 Claimant
Total-Auto $ $ $ 650.00 $ 650.00
PROPERTY INCIDENTS
Status # ID# Loss DOL Other Party Address City Subrogation Expenses Loss Cost Incident Total Comments
Type Paid*
Closed 1 2020002 Prop 07/10/19 State Farm for 0/P Imhoff Drive Fence $ (2,724.32) $ 1,998.90 $ 725.42 $ - Recovered from SF
Closed 2 2020003 Prop 07/07/19 CostULess Insurance Marsh Dr.REW Hydrant $ (1,000.00) $ 195.93 $ - $ (1,000.00) Accepted$1k
Closed 3 2020005 GL 9/17/19 Deanna Sloup Alvarado Avenue Walnut Creek $ (2,392.59) $ 2,392.59 $ - $ - Recovered from AAA
Total-Prop $ (6,116.91) $ 2,194.83 $ 725.42 $ (1,000.00)
PLUMBING REIMBURSEMENTS
Status # ID# Loss DOL Other Party Address City Reserve Expenses Claim Incident Total Paid to
Type Paid* Paid**
Closed 1 2020007 PL 11/04/19 Kathleen Decius 1031 Pleasant Valley F Pleasant Hill $ $ $ 224.40 $ 224.40 Claimant
Total-PL $ $ $ 224.40 $ 224.40
Note: Prior fiscal year closed claims have been removed from report. 12118/19
*Paid per GM Authority
" Board approval required to pay claims of$50,000 or more