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Home My WebLink About2021-10-01 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: 12 | Report Run: 10/1/2021 01:55 PM 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 7/1/2021 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 6/30/2022 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 0000PD03TL 0000PD03TL 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03TL 0000PD03SR 0000PD03TL 0000PD03SR Location Name PD - HUMAN RESOURCES 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 - TREE/LANDSCAPE PD - STREETS/ROADS Claim Number 3007247 3010853 3010853 3012624 3012624 3012652 3012652 3012652 3013044 3015741 3020396 3020630 Client File Code 839 854 857 858 LOB GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY AUTO LIABILITY AUTO LIABILITY AUTO LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY Coverage EMPLOYMENT PRACTICES PROPERTY DAMAGE PROPERTY DAMAGE BODILY INJURY LIABILITY PERSONAL INJURY PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE BODILY INJURY PROPERTY DAMAGE BODILY INJURY Claimant Number 1 2 1 1 2 2 3 1 1 1 1 1 Claimant Name CONWAY, JAMES ROCHA, REBECCA WESTIN DESERT WILLOW MESA, SHERRY MESA, RICK FOREMAN, SYDENY TRAVELERS aso, SYDNEY FOREMAN HOOVER, BRUCE E. UNKNOWN KLEIN, BRETT D. CEBALLOS, Jaime Pisarczyk, Walter V. Loss Causation EMPLOYMENT TERMINATION FALLING TREE/LIMB FALLING TREE/LIMB SLIP/TRIP SLIP/TRIP HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE FALLING TREE/LIMB VEHICLE ACCIDENT FALLING TREE/LIMB SLIP/TRIP Date Of Loss 11/17/2019 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 8/31/2021 4/4/2021 Claim Description MALE EMPLOYEE ALLEGES HE WAS UNLAWFULLY TERMINATED. 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. Woman's vehicle damaged by falling tree Man tripped and fell on sidewalk causing injuries. Legal Y N N Y Y N N N N N N N Claim Date Reported 12/4/2020 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 9/13/2021 9/22/2021 Claimant Driver Insured Driver State CA CA CA CA CA CA CA CA CA CA CA Adjuster Varon, Tim Stroud, Laurie Stroud, Laurie Stroud, Laurie Stroud, Laurie Stroud, Laurie Stroud, Laurie Stroud, Laurie Baluyut, Janice Stroud, Laurie Baluyut, Janice Stroud, Laurie Loss Reserve 75000 1 9500 250000 10000 10572.53 427.67 1 1 100000 3000 25000 Expense Reserve 51111.5 0 0 8279.5 0 0 0 0 0 0 0 0 Gross Loss Paid 0 0 0 0 0 0 10572.33 0 0 0 0 0 Gross Expense Paid 26588.5 0 0 990.5 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 9500 259270 10000 10572.53 11000 1 1 100000 3000 25000