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Home My WebLink About05.b. (Handout) Updated Loss Control Report, as presented CCCSD 2020-21 Loss Control Report Item 5.b. (Handout) 0 New Incident 0 Ongoing Incident Prior FY Litigated Updated report as presented OVERFLOWS Status # ID# Loss DOL Other Party Address City Reserve Expenses Claim Incident Total Paid to/Ck# Type Paid* Paid** Open A 2019014 SSO 07/26/18 Jane Kappel 25 Arlene Lane Walnut Creek $ 10,000.00 $ $ $ 10,000.00 Denied Closed 1 2022001 SSO 08/15/21 3 Homeowners 4,6,7 Ascot Ct Moraga $ - $ 17,276.33 $ ServiceMaster/100058 la Shampa Chakravarty 4 Ascot Court Moraga $ $ - $ 5,870.01 Claimant/100051 lb Yanshan Li 7 Ascot Court Moraga $ $ $ 17,342.17 Claimant/100068 1c Gabriela Garcia-Sanch 6 Ascot Court Moraga $ $ $ 14,500.00 $ 54,988.51 Claimant/100065 Closed 2 2022003 SSO 09/07/21 Mike Kelly 327 4th Ave S Pleasant Hill $ $ 2,064.11 $ - $ 2,064.11 Ext OF SvcM/100055 Closed 3 2022009 SSO 10/16/21 Lesley Ramos Lee 839 Glen Rd Danville $ $ 13,557.34 $ - ServiceMaster/100062 $ $ - $ 27,160.00 $ 40,717.34 Claimant/100049 Closed 4 2022011 SSO 10/21/21 Michael Manlapeg 2086 P H Road Pleasant Hill $ $ 13,465.25 $ - ServiceMaster/100058 $ $ 2,205.08 $ $ 15,670.33 Laf Park Hotel Open 5 2022012 SSO 10/28/21 John Ebisui 81 Bolla Ave Alamo $ 2,500.00 $ - $ Ext OF $ - $ 2,474.97 $ $ 4,974.97 ServiceMaster/100070 Closed 6 2022019 SSO 10/25-27/21 D.Goldstein/A.Nocen 3474 Tice Creek Dr.#WC $ $ - $ 537.00 $ 537.00 Claimant/100064 Closed 7 2022020 SSO 1/2-3/22 IROC Hospitality 3290 Phillips Rd Lafayette $ $ $ 9,002.80 $ 9,002.80 Claimant/100066 Closed 8 2022023 GL 12/15/21 Bruce Poster 3474 Tice Creek Dr.#Walnut Creek $ $ $ 109.92 $ 109.92 Claimant/100059 Open 9 2022024 SSO 1 2/17/22 J DeLorme 1005 Homestead WC $ 15,000.00 $ $ - $ 15,000.00 OF,Exterior Total-SSO $ 27,500.00 $ 51,043.08 $ 74,521.90 $ 153,064.98 OTHER LIABILITY CLAIMS Status # ID# Loss DOL Other Party Address City Reserve Expenses Claim Incident Total Paid to/Ck# Type Paid* Paid** Open D 2021015 GL 12/14/20 A R Johnson(GAL) M73,205 Alamo View Walnut Creek $ 25,000.00 $ $ $ 25,000.00 PI:In Discovery Open 1 2022002 GL 2/01/2017+ EBMUD 17-29 Chapel Drive Lafayette $ 25,000.00 $ $ $ 25,000.00 Landslide,Tolling Agt Closed 2 2022004 GL 2019 Joan Lindroth 11 Lost Valley Orinda $ - $ $ $ - Denied Open 3 2022005 GL Apr/May 2021 Ali Nikban 4 Lost Valley Orinda $ 5,500.00 $ $ $ 5,500.00 Prop Dam by Contractor Closed 4 2022013 GL 9/16/21 Steve Depper 31 Muth Orinda $ - $ $ 3,040.00 $ 3,040.00 Claimant/100052 Open 5 2022015 GL 5/8/21 Robin Hayden(Rep) Mariposa&Sheri Ln Danville $ 25,000.00 $ $ - $ 25,000.00 PI:Fall/Hip Fracture Open 6 2022016 GL 8/26/21 Robert Redmond Miranda Road Alamo $ 25,000.00 $ $ $ 25,000.00 PI:Teeth/Head Injury Closed 7 2022017 GL 9/16/21 Steve Depper 31 Muth Orinda $ - $ $ $ - Denied Closed 8 2022018 GL 9/24/21 Shawna Walker 7 Lost Valley Orinda $ - $ $ $ - Settled by Contractor Total-Liab $ 105,500.00 $ $ 3,040.00 $ 108,540.00 *Paid per GM Authority " Board approval required to pay claims of$50,000 or more CCCSD 2020-21 Loss Control Report PLUMBING REIMBURSEMENTS Status # ID# Loss DOL Other Party Address City Reserve Expenses Claim Incident Total Paid to 1 Ck# Type PaidPaid** Closed 1 2022006 PL 09/28121 Irving M.Ford 583 Monarch Ridge Walnut Creek $ 179.00 $ 179.00 Claimant 1100048 Total-PL $ - $ $ 179.00 $ 179.00 AUTO INCIDENTS Status # ID# Loss DOL Other Party Location Veh# Reserve Expenses Loss Incident Total Paid to 1 Ck# Type Paid* Paid** Closed 1 2022007 APD 7130121 N/A Concord 281 $ $ $ 5,070.91 $ 5,070.91 CarStar Russo/303864 Closed 2 2022014 APD 10/15/21 N/A Concord 318 $ $ $ 1,747.02 $ 1,747.02 Earl Scheib/304824 Closed 3 2022022 AL 11116121 Ivan Gutierrez Pleasant Hill 313 $ $ $ 670.21 $ 670.21 Claimant 1100061 Total-A to $ - $ $ 7,488.14 $ 7,488.14 CENTRAL SAN'S PROPERTY LOSSES Status # ID# Loss DOL Other Party Address City Subrogation Expenses Loss Cost Incident Total Paid to I Ck# Type Paid* Closed 1 2022008 Prop 8/27/21 Homeless North Border Martinez $ $ 13,377.97 $ $ 13,377.97 SvcM/100054 Closed 2 2022010 Prop 11/1/21 Homeless Anvil Property Martinez $ $ 17,115.26 $ $ 17,115.26 SvcM/Pending Closed 3 2022021 Prop 12/17/21 Homeless Anvil Property Martinez $ $ 1,611.12 $ $ 1,611.12 SvcM/Pending Total-Prop $ - $ 32,104.35 $ - $ 32,104.35 Notes: Prior year closed claims have been removed from report. 3/16/22 Prior year active claims show a letter in the#column to distinguish them from current year claims. *Paid per GM Authority *' Board approval required to pay claims of$50,000 or more