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HomeMy WebLinkAbout2022-05-01 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: 17 | Report Run: 5/1/2022 06:01 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 7/1/2021 7/1/2021 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 6/30/2022 6/30/2022 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 O Claim Closed Date Feature Status R O O O O O O O O O O O O O O O O Feature Closed Date Location Code 0000PD05AQ 0000PD01HR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03TL 0000PD03SR 0000PD03MA 0000PD03SR 0000PD03SE 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR Location Name PD - AQUATICS PD - HUMAN RESOURCES PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - TREE/LANDSCAPE PD - STREETS/ROADS PD - MAINTENANCE PD - STREETS/ROADS PD - SEWER PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS Claim Number 1985495 3007247 3012624 3012624 3012652 3012652 3015741 3020630 3026055 3029280 3030318 3030783 3030999 3031202 3031281 3031853 3031874 Client File Code 808 839 854 858 868 LOB 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 GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY Coverage LIABILITY PERSONAL INJURY EMPLOYMENT PRACTICES BODILY INJURY LIABILITY PERSONAL INJURY BODILY INJURY PROPERTY DAMAGE BODILY INJURY BODILY INJURY PROPERTY DAMAGE EMPLOYMENT PRACTICES PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE BODILY INJURY PROPERTY DAMAGE BODILY INJURY PROPERTY DAMAGE Claimant Number 1 1 1 2 1 2 1 1 1 1 1 1 1 1 1 1 1 Claimant Name JASKULSKI, HEIRS OF THOMAS CONWAY, JAMES MESA, SHERRY MESA, RICK HOOVER, BRUCE E. FOREMAN, SYDENY KLEIN, BRETT D. Pisarczyk, Walter V. Sandy, Margaret A. Sarabia, Wendy Rocio Hoffmann, Holly Jones, Tena Faraci, Ernie Brooks, Steve Sundahl, James Cracknell, Victoria Wasserkrug, Barbara Loss Causation MEDICAL TREATMENT EMPLOYMENT TERMINATION SLIP/TRIP SLIP/TRIP HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE VEHICLE ACCIDENT FALLING TREE/LIMB FALLING TREE/LIMB EMPLOYMENT TERMINATION EQUIPMENT USE CODE ENACTMENT/CODE ENFORCEMEN POTHOLE DAMAGE SLIP/TRIP VEHICLE ACCIDENT SLIP/TRIP VEHICLE ACCIDENT Date Of Loss 3/18/2018 11/17/2019 3/25/2021 3/25/2021 5/17/2021 5/17/2021 12/19/2020 4/4/2021 5/27/2021 8/1/2021 9/5/2021 7/3/2020 2/23/2022 2/21/2022 3/15/2022 3/1/2022 4/8/2022 Claim Description MAN HAD A HEART ATTACK DURING SCUBA CLASS AND DIED. MALE EMPLOYEE ALLEGES HE WAS UNLAWFULLY TERMINATED. 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. Female contractor's employee alleges she was unlawfully terminated. Woman's vehicle damaged in construction zone. Woman's property damaged by sewer backup. Allegations that the City did not properly inspect/permit. Man's vehicle damaged by pothole. Man tripped and fell in a planter box. Man's vehicle damaged in collision with a wire in parking lot. Woman tripped and fell on raised section of parking lot. Woman's vehicle damaged in collision with light pole base in parking lot. Legal Y Y Y Y N N N Y N Y N N N N N N N Claim Date Reported 9/17/2018 12/4/2020 5/7/2021 5/7/2021 5/17/2021 5/17/2021 6/11/2021 9/22/2021 10/18/2021 1/20/2022 2/17/2022 3/3/2022 3/15/2022 3/17/2022 3/22/2022 4/11/2022 4/12/2022 Claimant Driver Insured Driver State CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA Adjuster Varon, Tim Varon, Tim Varon, Tim Varon, Tim Rice, William Rice, William Rice, William Stroud, Laurie Rice, William Varon, Tim Baluyut, Janice Varon, Tim Rice, William Stroud, Laurie Rice, William Stroud, Laurie Baluyut, Janice Loss Reserve 50000 75000 250000 10000 25000 10572.53 100000 25000 7800 75000 275 100 500 10000 85 150000 1500 Expense Reserve 11487.7 257878.07 23666.49 0 0 0 0 1485 0 205561.58 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 0 0 Gross Expense Paid 10157.3 92796.93 26338.51 0 0 0 0 1015 0 6238.42 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 0 0 Recovery Expense Paid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Incurred 71645 425675 300005 10000 25000 10572.53 100000 27500 7800 286800 275 100 500 10000 85 150000 1500