HomeMy WebLinkAbout2022-02-01 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:
16 | Report Run: 2/1/2022 05:45 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
7/1/2020
7/1/2021
7/1/2021
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
7/1/2021
6/30/2022
6/30/2022
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
O
Claim Closed Date
Feature Status
R
O
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
0000PD03FC
0000PD03MA
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 - FLOOD CONTROL
PD - MAINTENANCE
Claim Number
1985495
3007247
3010853
3010853
3012624
3012624
3012652
3012652
3015741
3020630
3026055
3027092
3027548
3027814
3029267
3029280
Client File Code
808
839
854
858
860
861
862
LOB
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
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
EMPLOYMENT PRACTICES
EMPLOYMENT PRACTICES
Claimant Number
1
1
1
2
2
1
1
2
1
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.
Sandy, Margaret A.
Whitman, Dorene
Haro Jr, George
Saekan, Paris & Cedric
Freeway Lanes, LLC
Sarabia, Wendy Rocio
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
FALLING TREE/LIMB
VEHICLE ACCIDENT
EQUIPMENT USE
EQUIPMENT USE
Under Review
EMPLOYMENT HARASSMENT
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
5/27/2021
10/1/2021
10/27/2021
8/14/2021
9/23/2021
8/1/2021
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.
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.
Entity alleges breach of contract for storm drain project.
Woman alleges sexual harassment by City employee/supervisor.
Legal
Y
Y
N
N
Y
Y
N
N
N
Y
N
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
10/18/2021
11/16/2021
12/1/2021
11/24/2021
1/19/2022
1/20/2022
Claimant Driver
Insured 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
Stroud, Laurie
Stroud, Laurie
Rice, William
Rice, William
Rice, William
Stroud, Laurie
Rice, William
Rice, William
Baluyut, Janice
Baluyut, Janice
Varon, Tim
Varon, Tim
Loss Reserve
50000
75000
9500
1
10000
250000
25000
10572.53
100000
25000
7800
3300
700
340
100
75000
Expense Reserve
0
277041.83
0
0
0
39632
0
0
0
1544.5
0
0
0
0
0
211800
Gross Loss Paid
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Gross Expense Paid
5345.3
73633.17
0
0
0
10373
0
0
0
955.5
0
0
0
0
0
0
Recovery Loss Paid
0
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
0
Total Incurred
55345.3
425675
9500
1
10000
300005
25000
10572.53
100000
27500
7800
3300
700
340
100
286800