The URL can be used to link to this page

Home My WebLink About2022-06-01 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: 6/1/2022 07:52 AM Policy Begin Date 7/1/2017 7/1/2019 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 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 6/30/2022 7/1/2021 6/30/2022 6/30/2022 6/30/2022 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 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03MA 0000PD03SE 0000PD03SR 0000PD03SR 0000PD03SR 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 - MAINTENANCE PD - SEWER PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS Claim Number 1985495 3007247 3012624 3012652 3012652 3015741 3029280 3030783 3030999 3031202 3031853 3031874 3032703 3032704 3033010 3033043 Client File Code 808 839 854 868 875 876 LOB 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 PROPERTY DAMAGE BODILY INJURY BODILY INJURY EMPLOYMENT PRACTICES PROPERTY DAMAGE PROPERTY DAMAGE BODILY INJURY BODILY INJURY PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE Claimant Number 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 Claimant Name JASKULSKI, HEIRS OF THOMAS CONWAY, JAMES MESA, SHERRY FOREMAN, SYDENY HOOVER, BRUCE E. KLEIN, BRETT D. Sarabia, Wendy Rocio Jones, Tena Faraci, Ernie Brooks, Steve Cracknell, Victoria Wasserkrug, Barbara SoCal Edison SoCal Edison Tams, Sherri George, Torres Loss Causation MEDICAL TREATMENT EMPLOYMENT TERMINATION SLIP/TRIP HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE VEHICLE ACCIDENT EMPLOYMENT TERMINATION CODE ENACTMENT/CODE ENFORCEMEN POTHOLE DAMAGE SLIP/TRIP SLIP/TRIP VEHICLE ACCIDENT EQUIPMENT USE EQUIPMENT USE CHEMICAL/HAZARDOUS SUBSTANCE S Under Review Date Of Loss 3/18/2018 11/17/2019 3/25/2021 5/17/2021 5/17/2021 12/19/2020 8/1/2021 7/3/2020 2/23/2022 2/21/2022 3/1/2022 4/8/2022 12/1/2021 12/7/2021 5/16/2022 5/5/2022 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. 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. Female contractor's employee alleges she was unlawfully terminated. 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. Woman tripped and fell on raised section of parking lot. Woman's vehicle damaged in collision with light pole base in parking lot. Company's underground electrical facilities damaged by City contractor. Company's underground electrical facilities damaged by City contractor. Man & Woman driving east on Portola Ave and hit a can of spray paint left in the road paint sprayed on left side of SUV Man's vehicle tire damaged by construction debris left on street Legal Y Y Y N N N Y N N N N N N N N N Claim Date Reported 9/17/2018 12/4/2020 5/7/2021 5/17/2021 5/17/2021 6/11/2021 1/20/2022 3/3/2022 3/15/2022 3/17/2022 4/11/2022 4/12/2022 5/5/2022 5/5/2022 5/17/2022 5/17/2022 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 Varon, Tim Rice, William Rice, William Rice, William Varon, Tim Zapf, Mel Rice, William Stroud, Laurie Stroud, Laurie Baluyut, Janice Rice, William Rice, William Baluyut, Janice Baluyut, Janice Loss Reserve 50000 75000 100000 10572.53 25000 100000 75000 100 500 10000 150000 1500 11000 11000 1500 850 Expense Reserve 11487.7 240936.07 23666.49 0 0 0 205389.58 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 0 Gross Expense Paid 10157.3 109738.93 26338.51 0 0 0 6410.42 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 0 Recovery Expense Paid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Incurred 71645 425675 150005 10572.53 25000 100000 286800 100 500 10000 150000 1500 11000 11000 1500 850