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HomeMy WebLinkAbout2021-07-01 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: 7/1/2021 05:46 AM Policy Begin Date 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 7/1/2020 7/1/2020 7/1/2020 7/1/2020 7/1/2020 Policy End Date 6/30/2020 6/30/2020 6/30/2021 6/30/2021 6/30/2021 6/30/2021 6/30/2021 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 O O O O Claim Closed Date Feature Status R O O O O O O O O O O O O O O Feature Closed Date Location Code 0000PD05CP 0000PD01HR 0000PD03SR 0000PD03SR 0000PD03TL 0000PD03TL 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03TL 0000PD03TL 0000PD03SR 0000PD03SR 0000PD03SR Location Name PD - CAMPS/PROGRAMS PD - HUMAN RESOURCES PD - STREETS/ROADS PD - STREETS/ROADS PD - TREE/LANDSCAPE PD - TREE/LANDSCAPE 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 Claim Number 3000525 3007247 3008337 3010796 3010853 3010853 3012624 3012624 3012652 3012652 3013044 3015740 3015741 3015855 3016082 Client File Code 832 839 846 853 854 854 855 LOB GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY AUTO LIABILITY AUTO LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY Coverage LIABILITY PERSONAL INJURY EMPLOYMENT PRACTICES PROPERTY DAMAGE BODILY INJURY PROPERTY DAMAGE PROPERTY DAMAGE BODILY INJURY LIABILITY PERSONAL INJURY PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE BODILY INJURY BODILY INJURY BODILY INJURY Claimant Number 1 1 1 1 2 1 1 2 1 2 1 1 1 1 1 Claimant Name M.O., a minor CONWAY, JAMES KINNEY, DAN L. UNKNOWN, PAUL ROCHA, REBECCA WESTIN DESERT WILLOW MESA, SHERRY MESA, RICK HOOVER, BRUCE FOREMAN, SYDENY UNKNOWN THE WESTIN DESERT, WILLOW VILLAS KLEIN, BRETT D. PAPAZIAN, VAZGEN DE LA TORRE, DONNA Loss Causation THREAT OF CONTACT/CONTACT EMPLOYMENT TERMINATION POTHOLE DAMAGE VEHICLE ACCIDENT FALLING TREE/LIMB FALLING TREE/LIMB SLIP/TRIP SLIP/TRIP HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE FALLING TREE/LIMB FALLING TREE/LIMB VEHICLE ACCIDENT VEHICLE ACCIDENT FALLS Date Of Loss 11/6/2019 11/17/2019 1/14/2021 3/8/2021 3/9/2021 3/9/2021 3/25/2021 3/25/2021 5/17/2021 5/17/2021 5/27/2021 2/10/2021 12/19/2020 5/6/2021 3/7/2021 Claim Description BOYS ALLEGES HARASSMENT AT SCHOOL MALE EMPLOYEE ALLEGES HE WAS UNLAWFULLY TERMINATED. 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 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 PORT DAMAGED BY FALLING TREE MAN INJURED RIDING BIKE WHEN TIRE LOCKED INTO GROOVE IN ASPHALT LIP TO DRIVEWAY MAN INJURED RIDING MOTORCYCLE HITTING UNEVEN DEPRESSION IN ROAD WOMAN INJURED RIDING BIKE WHEELS FELL INTO A LONG TRENCH Legal Y Y N N N N N N N N N N N N N Claim Date Reported 5/5/2020 12/4/2020 1/21/2021 3/8/2021 3/9/2021 3/9/2021 5/7/2021 5/7/2021 5/17/2021 5/17/2021 6/1/2021 6/17/2021 6/11/2021 6/18/2021 6/24/2021 Driver State CA CA CA CA CA CA CA CA CA CA CA CA CA CA Adjuster Varon, Tim 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 Varon, Tim Loss Reserve 0 75000 2300 1 1 1 50000 10000 1 1 1 5000 100000 1000 7 Expense Reserve 4265.5 59783 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 1544.5 17917 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 5810 152700 2300 1 1 1 50000 10000 1 1 1 5000 100000 1000 7