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Home My WebLink About2022-09-01 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: 18 | Report Run: 9/1/2022 06:17 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 7/1/2021 7/1/2021 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 Policy End Date 6/30/2018 6/30/2020 7/1/2021 7/1/2021 7/1/2021 7/1/2021 7/1/2021 7/1/2022 7/1/2022 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 Claim Register - Feature Level Claim Status R O O O O O R O O O O O O O O O O O Claim Closed Date Feature Status R O O O O O R O O O O O O O O O O O Feature Closed Date Location Code 0000PD05AQ 0000PD01HR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03MA 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD16PW 0000PD16PW Location Name PD - AQUATICS PD - HUMAN RESOURCES PD - STREETS/ROADS 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 - STREETS/ROADS PD - STREETS/ROADS PD - STREETS/ROADS PD - PUBLIC WORKS PD - PUBLIC WORKS Claim Number 1985495 3007247 3012624 3012652 3012652 3015741 3016811 3029280 3031853 3032703 3032704 3033999 3034097 3034159 3034872 3035429 3037542 3037542 Client File Code 808 839 854 856 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 AUTO LIABILITY GENERAL LIABILITY AUTO LIABILITY GENERAL LIABILITY GENERAL LIABILITY AUTO LIABILITY AUTO LIABILITY Coverage LIABILITY PERSONAL INJURY EMPLOYMENT PRACTICES BODILY INJURY 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 BODILY INJURY Claimant Number 1 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 HOOVER, BRUCE E. FOREMAN, SYDENY KLEIN, BRETT D. Martinez, Ruben Sarabia, Wendy Rocio Cracknell, Victoria SoCal Edison SoCal Edison Geico Insurance aso, Carol Padilla Chapman, David J. Klienstuber, Progressive Ins a/s/o Carleyt R. Smith, Holly Ungo, Gustavo Hammons, Michael Hammons, Michael Loss Causation MEDICAL TREATMENT EMPLOYMENT TERMINATION SLIP/TRIP HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE VEHICLE ACCIDENT VEHICLE ACCIDENT EMPLOYMENT TERMINATION SLIP/TRIP EQUIPMENT USE EQUIPMENT USE HIT ANOTHER VEHICLE EQUIPMENT USE HIT ANOTHER VEHICLE EQUIPMENT USE EQUIPMENT USE HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE Date Of Loss 3/18/2018 11/17/2019 3/25/2021 5/17/2021 5/17/2021 12/19/2020 1/21/2021 8/1/2021 3/1/2022 12/1/2021 12/7/2021 1/20/2022 7/1/2021 3/19/2022 2/21/2022 5/1/2021 9/2/2021 9/2/2021 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. Male motorist injured in traffic collision. Allegations that the signals were not functional. Female contractor's employee alleges she was unlawfully terminated. Woman tripped and fell on raised section of 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 City driver. Man alleges loss of business due to construction project. Woman's vehicle damaged in traffic collision with City driver. Woman's vehicle damaged in construction zone. Man's property damaged during construction project. Male driver was stopped at a red light when he was rear ended by the city street sweeper Male driver was stopped at a red light when he was rear ended by the city street sweeper Legal Y Y Y Y Y N Y 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 7/19/2021 1/20/2022 4/11/2022 5/5/2022 5/5/2022 6/20/2022 6/17/2022 6/24/2022 7/19/2022 8/4/2022 8/17/2022 8/17/2022 Claimant Driver Insured Driver Guzman, Jessica State CA 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 Rice, William Varon, Tim Stroud, Laurie Rice, William Rice, William Rice, William Zapf, Mel Stroud, Laurie Baluyut, Janice Rice, William Rice, William Rice, William Loss Reserve 50000 75000 0 25000 10572.53 100000 1000 75000 150000 11000 28000 3500 91000 7400 500 106000 10000 25000 Expense Reserve 10521.7 208094.07 7318.49 0 0 0 0 203927.58 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 0 Gross Expense Paid 11123.3 142580.93 42686.51 0 0 0 0 7872.42 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 0 Recovery Expense Paid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Incurred 71645 425675 150005 25000 10572.53 100000 1000 286800 150000 11000 28000 3500 91000 7400 500 106000 10000 25000