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Home My WebLink About2022-07-01 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: 7/1/2022 05:45 AM Policy Begin Date 7/1/2017 7/1/2019 7/1/2020 7/1/2020 7/1/2020 7/1/2020 7/1/2021 7/1/2021 7/1/2021 7/1/2021 7/1/2021 7/1/2021 7/1/2020 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 7/1/2022 7/1/2022 7/1/2022 7/1/2022 7/1/2022 7/1/2022 7/1/2021 7/1/2022 7/1/2022 7/1/2022 7/1/2022 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 0000PD03MA 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03CLM 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03MA Location Name PD - AQUATICS PD - HUMAN RESOURCES PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - MAINTENANCE PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - PUBLIC WORKS - Claims PD - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - MAINTENANCE Claim Number 1985495 3007247 3012624 3012652 3012652 3015741 3029280 3031853 3031874 3032703 3032704 3033010 3033997 3033999 3034097 3034159 3034273 Client File Code 808 839 854 875 22-8822440 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 AUTO LIABILITY GENERAL LIABILITY Coverage LIABILITY PERSONAL INJURY EMPLOYMENT PRACTICES BODILY INJURY PROPERTY DAMAGE BODILY INJURY BODILY INJURY EMPLOYMENT PRACTICES BODILY INJURY PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE PROPERTY DAMAGE 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 1 Claimant Name JASKULSKI, HEIRS OF THOMAS CONWAY, JAMES MESA, SHERRY FOREMAN, SYDENY HOOVER, BRUCE E. KLEIN, BRETT D. Sarabia, Wendy Rocio Cracknell, Victoria Wasserkrug, Barbara SoCal Edison SoCal Edison Tams, Sherri Gordon, Steven Geico Insurance aso, Carol Padilla Chapman, David J. Klienstuber, Progressive Ins a/s/o Carleyt R. Pardue, Darrell E. Loss Causation MEDICAL TREATMENT EMPLOYMENT TERMINATION SLIP/TRIP HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE VEHICLE ACCIDENT EMPLOYMENT TERMINATION SLIP/TRIP VEHICLE ACCIDENT EQUIPMENT USE EQUIPMENT USE VEHICLE ACCIDENT Under Review HIT ANOTHER VEHICLE THROWN OBJECT HIT ANOTHER VEHICLE 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 3/1/2022 4/8/2022 12/1/2021 12/7/2021 5/16/2022 6/30/2021 1/20/2022 7/1/2021 3/19/2022 4/24/2022 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 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. Woman's vehicle damaged in collision with can of spray paint in the roadway. Man's property damaged by during construction. Woman's vehicle damaged by city driver. Man's customers allege damage to vehicles due to debris in parking lot. female vehicle was rear ended and sustained damage as a result of an auto collision Female driver backed into a construction trash bin left in the parking by a construction crew it was dark and all lights were non operative Legal Y Y Y N N N Y N 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 4/11/2022 4/12/2022 5/5/2022 5/5/2022 5/17/2022 6/20/2022 6/20/2022 6/17/2022 6/24/2022 6/28/2022 Claimant Driver Insured Driver Guzman, Jessica State CA 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 Stroud, Laurie Baluyut, Janice Rice, William Rice, William Baluyut, Janice Baluyut, Janice Rice, William Varon, Tim Stroud, Laurie Varon, Tim Loss Reserve 50000 75000 0 10572.53 25000 100000 75000 150000 1500 11000 28000 1500 2325 3500 91000 7400 7 Expense Reserve 10882.7 227666.07 15274.99 0 0 0 205131.58 0 0 0 0 0 0 0 0 0 0 Gross Loss Paid 0 0 100000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Gross Expense Paid 10762.3 123008.93 34730.01 0 0 0 6668.42 0 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 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 150005 10572.53 25000 100000 286800 150000 1500 11000 28000 1500 2325 3500 91000 7400 7