HomeMy WebLinkAbout2021-06-01 Palm Desert-CLAIM REGISTER-OPEN 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:
11 | Report Run: 6/1/2021 05:40 AM
Policy Begin Date
7/1/2019
7/1/2019
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
Policy End Date
6/30/2020
6/30/2020
6/30/2020
6/30/2021
6/30/2021
6/30/2021
6/30/2021
6/30/2021
6/30/2021
6/30/2021
6/30/2021
Claim Register - Feature Level
Claim Status
R
O
O
O
O
O
O
O
O
O
O
Claim Closed Date
Feature Status
R
O
O
O
O
O
O
O
O
O
O
Feature Closed Date
Location Code
0000PD05CP
0000PD01HR
0000PD03SR
0000PD03SR
0000PD03SR
0000PD03TL
0000PD03TL
0000PD03SR
0000PD03SR
0000PD03SR
0000PD03SR
Location Name
PD - CAMPS/PROGRAMS
PD - HUMAN RESOURCES
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
3000525
3007247
3007396
3008337
3010796
3010853
3010853
3012624
3012624
3012652
3012652
Client File Code
832
839
840
846
LOB
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
GENERAL LIABILITY
AUTO LIABILITY
AUTO LIABILITY
Coverage
LIABILITY PERSONAL INJURY
EMPLOYMENT PRACTICES
LIABILITY PERSONAL INJURY
PROPERTY DAMAGE
BODILY INJURY
PROPERTY DAMAGE
PROPERTY DAMAGE
LIABILITY PERSONAL INJURY
BODILY INJURY
PROPERTY DAMAGE
PROPERTY DAMAGE
Claimant Number
1
1
1
1
1
1
2
2
1
1
2
Claimant Name
M.O., a minor
CONWAY, JAMES
REED, HEIRS OF, SANFORD
KINNEY, DAN L.
UNKNOWN, PAUL
WESTIN DESERT WILLOW
ROCHA, REBECCA
MESA, RICK
MESA, SHERRY
HOOVER, BRUCE
FOREMAN, SYDENY
Loss Causation
THREAT OF CONTACT/CONTACT
EMPLOYMENT TERMINATION
VEHICLE ACCIDENT
POTHOLE DAMAGE
VEHICLE ACCIDENT
FALLING TREE/LIMB
FALLING TREE/LIMB
SLIP/TRIP
SLIP/TRIP
HIT ANOTHER VEHICLE
HIT ANOTHER VEHICLE
Date Of Loss
11/6/2019
11/17/2019
6/11/2020
1/14/2021
3/8/2021
3/9/2021
3/9/2021
3/25/2021
3/25/2021
5/17/2021
5/17/2021
Claim Description
BOYS ALLEGES HARASSMENT AT SCHOOL
MALE EMPLOYEE ALLEGES HE WAS UNLAWFULLY TERMINATED.
PEDESTRIAN STRUCK AND KILLED BY MOTORIST. DANGEROUS DESIGN OF THE ROADWAY ALLEGED.
MAN'S VEHICLE DAMAGED BY POTHOLE.
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 DAMAGED IN COLLISION WITH CITY DRIVER.
MAN'S VEHICLE DAMAGED IN COLLISION WITH CITY DRIVER.
Legal
Y
Y
N
N
N
N
N
N
N
N
N
Claim Date Reported
5/5/2020
12/4/2020
12/11/2020
1/21/2021
3/8/2021
3/9/2021
3/9/2021
5/7/2021
5/7/2021
5/17/2021
5/17/2021
Driver
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
Adjuster
Varon, Tim
Varon, Tim
Zapf, Mel
Rice, William
Rice, William
Rice, William
Rice, William
Rice, William
Rice, William
Rice, William
Rice, William
Loss Reserve
0
75000
150000
2300
1
1
1
10000
50000
1
1
Expense Reserve
4265.5
59783
0
0
0
0
0
0
0
0
0
Gross Loss Paid
0
0
0
0
0
0
0
0
0
0
0
Gross Expense Paid
1544.5
17917
0
0
0
0
0
0
0
0
0
Recovery Loss Paid
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
Total Incurred
5810
152700
150000
2300
1
1
1
10000
50000
1
1