The URL can be used to link to this page

Home My WebLink About2021-09-01 PAKN_DESERT_-_OPEN Claims 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: 12 | Report Run: 9/1/2021 05:45 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 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 Claim Register - Feature Level Claim Status 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 Feature Closed Date Location Code 0000PD01HR 0000PD03SR 0000PD03TL 0000PD03TL 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03TL 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 - STREETS/ROADS PD - STREETS/ROADS Claim Number 3007247 3010796 3010853 3010853 3012624 3012624 3012652 3012652 3012652 3013044 3015741 3016811 Client File Code 839 854 856 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 Coverage EMPLOYMENT PRACTICES BODILY INJURY PROPERTY DAMAGE PROPERTY DAMAGE LIABILITY PERSONAL INJURY BODILY INJURY PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE BODILY INJURY BODILY INJURY Claimant Number 1 1 2 1 2 1 1 2 3 1 1 1 Claimant Name CONWAY, JAMES UNKNOWN, PAUL ROCHA, REBECCA WESTIN DESERT WILLOW MESA, RICK MESA, SHERRY HOOVER, BRUCE E. FOREMAN, SYDENY TRAVELERS aso, SYDNEY FOREMAN UNKNOWN KLEIN, BRETT D. 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 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 12/19/2020 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. MALE CYCLIST INJURED WHILE RIDING OVER UNEVEN SECTION OF ROADWAY. Male motorist injured in traffic collision. Allegations that the signals were not functional. Legal Y N N N Y Y 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 6/11/2021 7/19/2021 Claimant Driver Insured Driver State 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 Rice, William Rice, William Loss Reserve 75000 1 1 9500 10000 250000 1 10572.53 11000 1 100000 25000 Expense Reserve 51111.5 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 Gross Expense Paid 26588.5 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 Recovery Expense Paid 0 0 0 0 0 0 0 0 0 0 0 0 Total Incurred 152700 1 1 9500 10000 250000 1 10572.53 11000 1 100000 25000