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