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Home My WebLink About2022-01-01 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: 1/1/2022 05:40 AM Policy Begin Date 7/1/2017 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 7/1/2021 7/1/2020 7/1/2021 7/1/2021 7/1/2021 Policy End Date 6/30/2018 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 6/30/2022 7/1/2021 6/30/2022 6/30/2022 6/30/2022 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 0000PD05AQ 0000PD01HR 0000PD03TL 0000PD03TL 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03TL 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR Location Name PD - AQUATICS 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 - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS Claim Number 1985495 3007247 3010853 3010853 3012624 3012624 3012652 3012652 3015741 3020630 3020923 3026055 3027092 3027548 3027814 Client File Code 808 839 852 852 850 849 841 841B 853 858 859 860 861 862 LOB GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY AUTO LIABILITY AUTO LIABILITY GENERAL LIABILITY GENERAL LIABILITY AUTO LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY Coverage LIABILITY PERSONAL INJURY EMPLOYMENT PRACTICES PROPERTY DAMAGE PROPERTY DAMAGE LIABILITY PERSONAL INJURY BODILY INJURY BODILY INJURY PROPERTY DAMAGE BODILY INJURY BODILY INJURY PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE Claimant Number 1 1 1 2 2 1 1 2 1 1 1 1 1 1 1 Claimant Name JASKULSKI, HEIRS OF THOMAS CONWAY, JAMES WESTIN DESERT WILLOW ROCHA, REBECCA MESA, RICK MESA, SHERRY HOOVER, BRUCE E. FOREMAN, SYDENY KLEIN, BRETT D. Pisarczyk, Walter V. Buelna, Alejandro Sandy, Margaret A. Whitman, Dorene Haro Jr, George Saekan, Paris & Cedric Loss Causation MEDICAL TREATMENT EMPLOYMENT TERMINATION FALLING TREE/LIMB FALLING TREE/LIMB SLIP/TRIP SLIP/TRIP HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE VEHICLE ACCIDENT FALLING TREE/LIMB HIT ANOTHER VEHICLE FALLING TREE/LIMB VEHICLE ACCIDENT EQUIPMENT USE EQUIPMENT USE Date Of Loss 3/18/2018 11/17/2019 3/9/2021 3/9/2021 3/25/2021 3/25/2021 5/17/2021 5/17/2021 12/19/2020 4/4/2021 10/4/2021 5/27/2021 10/1/2021 10/27/2021 8/14/2021 Claim Description MAN HAD A HEART ATTACK DURING SCUBA CLASS AND DIED. 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. Male motorist injured and vehicle damaged in collision with City driver. Male motorist injured and vehicle damaged in collision with City driver. MALE CYCLIST INJURED WHILE RIDING OVER UNEVEN SECTION OF ROADWAY. Man injured when he walked into a tree branch at the park. Man's vehicle damaged by rock from dump truck. Woman's vehicle damaged by falling tree branch. Woman's vehicle damaged in collision with post in parking lot. Man's vehicle damaged in construction zone. Couple's vehicle damaged in construction zone. Legal Y Y N N Y Y N N N Y N N N N N Claim Date Reported 9/17/2018 12/4/2020 3/9/2021 3/9/2021 5/7/2021 5/7/2021 5/17/2021 5/17/2021 6/11/2021 9/22/2021 10/4/2021 10/18/2021 11/16/2021 12/1/2021 11/24/2021 Claimant Driver Insured Driver State CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA Adjuster Varon, Tim Varon, Tim Rice, William Rice, William Stroud, Laurie Stroud, Laurie Rice, William Rice, William Rice, William Stroud, Laurie Baluyut, Janice Rice, William Rice, William Baluyut, Janice Baluyut, Janice Loss Reserve 50000 75000 9500 1 10000 250000 25000 10572.53 100000 25000 1 7800 3300 700 340 Expense Reserve 0 283202.8 0 0 0 40024 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 5345.3 67472.2 0 0 0 9981 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 55345.3 425675 9500 1 10000 300005 25000 10572.53 100000 25000 1 7800 3300 700 340