HomeMy WebLinkAbout2021-08-01 PALM_DESERT_-_OPEN_Claim_RegisterReport Criteria: Tier2 Name = PALM DESERT and Feature Status <> C And Tier 1 = CJPIA And As-Of Transaction Begin Date = And As-Of Transaction End Date = And Loss Run? = Yes | Row Count:
15 | Report Run: 8/1/2021 05:39 AM
Policy Begin Date
7/1/2019
7/1/2020
7/1/2020
7/1/2020
7/1/2020
7/1/2020
7/1/2020
7/1/2020
7/1/2020
7/1/2020
7/1/2020
7/1/2020
7/1/2020
7/1/2020
7/1/2020
Policy End Date
6/30/2020
7/1/2021
7/1/2021
7/1/2021
7/1/2021
7/1/2021
7/1/2021
7/1/2021
7/1/2021
7/1/2021
7/1/2021
7/1/2021
7/1/2021
7/1/2021
7/1/2021
Claim Register - Feature Level
Claim Status
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
Claim Closed Date
Feature Status
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
Feature Closed Date
Location Code
0000PD01HR
0000PD03SR
0000PD03TL
0000PD03TL
0000PD03SR
0000PD03SR
0000PD03SR
0000PD03SR
0000PD03SR
0000PD03TL
0000PD03TL
0000PD03SR
0000PD03SR
0000PD03SR
0000PD03SR
Location Name
PD - HUMAN RESOURCES
PD - STREETS/ROADS
PD - TREE/LANDSCAPE
PD - TREE/LANDSCAPE
PD - STREETS/ROADS
PD - STREETS/ROADS
PD - STREETS/ROADS
PD - STREETS/ROADS
PD - STREETS/ROADS
PD - TREE/LANDSCAPE
PD - TREE/LANDSCAPE
PD - STREETS/ROADS
PD - STREETS/ROADS
PD - STREETS/ROADS
PD - STREETS/ROADS
Claim Number
3007247
3010796
3010853
3010853
3012624
3012624
3012652
3012652
3012652
3013044
3015740
3015741
3015855
3016082
3016811
Client File Code
839
853
854
854
855
856
LOB
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
AUTO LIABILITY
AUTO LIABILITY
AUTO LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
Coverage
EMPLOYMENT PRACTICES
BODILY INJURY
PROPERTY DAMAGE
PROPERTY DAMAGE
BODILY INJURY
LIABILITY PERSONAL INJURY
PROPERTY DAMAGE
PROPERTY DAMAGE
PROPERTY DAMAGE
PROPERTY DAMAGE
PROPERTY DAMAGE
BODILY INJURY
BODILY INJURY
BODILY INJURY
BODILY INJURY
Claimant Number
1
1
1
2
1
2
2
3
1
1
1
1
1
1
1
Claimant Name
CONWAY, JAMES
UNKNOWN, PAUL
WESTIN DESERT WILLOW
ROCHA, REBECCA
MESA, SHERRY
MESA, RICK
FOREMAN, SYDENY
TRAVELERS aso, SYDNEY FOREMAN
HOOVER, BRUCE E.
UNKNOWN
THE WESTIN DESERT, WILLOW VILLAS
KLEIN, BRETT D.
PAPAZIAN, VAZGEN
DE LA TORRE, DONNA
Martinez, Ruben
Loss Causation
EMPLOYMENT TERMINATION
VEHICLE ACCIDENT
FALLING TREE/LIMB
FALLING TREE/LIMB
SLIP/TRIP
SLIP/TRIP
HIT ANOTHER VEHICLE
HIT ANOTHER VEHICLE
HIT ANOTHER VEHICLE
FALLING TREE/LIMB
FALLING TREE/LIMB
VEHICLE ACCIDENT
VEHICLE ACCIDENT
VEHICLE ACCIDENT
VEHICLE ACCIDENT
Date Of Loss
11/17/2019
3/8/2021
3/9/2021
3/9/2021
3/25/2021
3/25/2021
5/17/2021
5/17/2021
5/17/2021
5/27/2021
2/10/2021
12/19/2020
5/6/2021
3/7/2021
1/21/2021
Claim Description
MALE EMPLOYEE ALLEGES HE WAS UNLAWFULLY TERMINATED.
MALE CYCLIST INJURED IN COLLISION WITH SIGN POST IN THE BIKE LANE.
COMPANY PROPERTY AND VEHICLES DAMAGED BY FALLING TREE DURING HIGH WINDS.
COMPANY PROPERTY AND VEHICLES DAMAGED BY FALLING TREE DURING HIGH WINDS.
WOMAN TRIPPED AND FELL IN A HOLE IN A PARKING LOT.
WOMAN TRIPPED AND FELL IN A HOLE IN A PARKING LOT.
MAN'S VEHICLE AND WOMAN'S VEHICLE DAMAGED IN COLLISION WITH CITY DRIVER.
MAN'S VEHICLE AND WOMAN'S VEHICLE DAMAGED IN COLLISION WITH CITY DRIVER.
MAN'S VEHICLE AND WOMAN'S VEHICLE DAMAGED IN COLLISION WITH CITY DRIVER.
PEOPLE'S VEHICLES DAMAGED BY FALLING TREE BRANCH.
COMPANY'S PARKING STRUCTURE DAMAGED BY FALLING TREE.
MALE CYCLIST INJURED WHILE RIDING OVER UNEVEN SECTION OF ROADWAY.
MALE MOTORCYCLIST INJURED IN COLLISION WITH DEPRESSION IN THE ROADWAY.
FEMALE CYCLIST INJURED IN COLLISION WITH GAP AROUND MANHOLE IN BIKE LANE.
Mans vehicle hit by another vehicle at an intersection the traffic lights were not working alleges dangerous road conditions
Legal
Y
N
N
N
Y
Y
N
N
N
N
N
N
N
N
N
Claim Date Reported
12/4/2020
3/8/2021
3/9/2021
3/9/2021
5/7/2021
5/7/2021
5/17/2021
5/17/2021
5/17/2021
6/1/2021
6/17/2021
6/11/2021
6/18/2021
6/24/2021
7/19/2021
Claimant Driver
Insured Driver
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
Adjuster
Varon, Tim
Rice, William
Rice, William
Rice, William
Rice, William
Rice, William
Rice, William
Rice, William
Rice, William
Baluyut, Janice
Baluyut, Janice
Rice, William
Rice, William
Rice, William
Rice, William
Loss Reserve
75000
1
1
1
250000
10000
10572.53
11000
1
1
5000
100000
1000
1000
25000
Expense Reserve
51111.5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Gross Loss Paid
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Gross Expense Paid
26588.5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Recovery Loss Paid
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Recovery Expense Paid
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total Incurred
152700
1
1
1
250000
10000
10572.53
11000
1
1
5000
100000
1000
1000
25000