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Home My WebLink About2022-10-01 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: 19 | Report Run: 10/1/2022 05:46 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 7/1/2020 7/1/2021 7/1/2021 7/1/2022 7/1/2022 7/1/2022 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 7/1/2021 7/1/2022 7/1/2022 7/1/2023 7/1/2023 7/1/2023 Claim Register - Feature Level Claim Status R O O O O O R O O O R O O O O O O O O Claim Closed Date Feature Status R O O O O O R O O O R 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 0000PD03RT 0000PD03RT 0000PD05MA 0000PD03CLM 0000PD03SR 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 - REFUSE/TRASH PD - REFUSE/TRASH PD - MAINTENANCE PD - PUBLIC WORKS - Claims PD - STREETS/ROADS Claim Number 1985495 3007247 3012624 3012652 3012652 3015741 3016811 3029280 3031853 3033999 3034097 3034159 3034872 3035429 3037542 3037542 3037894 3038273 3038274 Client File Code 808 839 854 856 22-8822440 887 LOB GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY AUTO LIABILITY AUTO LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY GENERAL LIABILITY AUTO LIABILITY GENERAL LIABILITY AUTO LIABILITY GENERAL LIABILITY GENERAL LIABILITY AUTO LIABILITY AUTO LIABILITY AUTO LIABILITY GENERAL LIABILITY GENERAL 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 BODILY INJURY PROPERTY DAMAGE PROPERTY DAMAGE BODILY INJURY PROPERTY DAMAGE Claimant Number 1 1 1 1 2 1 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 Geico Insurance aso, Carol Padilla Chapman, David J. Klienstuber, Progressive Ins a/s/o Carleyt R. Smith, Holly Ungo, Gustavo Hammons, Michael Hammons, Michael Gonzales, James Buchanan, Mary Trevino, Jose M. Loss Causation MEDICAL TREATMENT EMPLOYMENT TERMINATION SLIP/TRIP HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE VEHICLE ACCIDENT VEHICLE ACCIDENT EMPLOYMENT TERMINATION SLIP/TRIP HIT ANOTHER VEHICLE EQUIPMENT USE HIT ANOTHER VEHICLE EQUIPMENT USE EQUIPMENT USE HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE EQUIPMENT USE Under Review 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 1/20/2022 7/1/2021 3/19/2022 2/21/2022 5/1/2021 9/2/2021 9/2/2021 8/30/2022 7/15/2022 8/26/2022 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. 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. 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 motorist injured and vehicle damaged in traffic collision with street sweeper. Male motorist injured and vehicle damaged in traffic collision with street sweeper. Restaurant's outdoor dining area struck by City driver. Woman alleges city used toxic pesticides causing her to become ill. Male has 2 flat tires right side due to nails from parking lot Legal Y Y Y Y Y N Y Y N 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 6/20/2022 6/17/2022 6/24/2022 7/19/2022 8/4/2022 8/17/2022 8/17/2022 8/30/2022 9/8/2022 9/14/2022 Claimant Driver Insured Driver Guzman, Jessica State CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA Adjuster Varon, Tim Varon, Tim Varon, Tim Rice, William Rice, William Rice, William Rice, William Varon, Tim Stroud, Laurie Rice, William Zapf, Mel Stroud, Laurie Baluyut, Janice Rice, William Rice, William Rice, William Raphael, Glen Varon, Tim Baluyut, Janice Loss Reserve 50000 75000 0 25000 10572.53 100000 1000 75000 150000 3500 91000 7400 500 106000 1000 1000 31000 100 350 Expense Reserve 10521.7 201890.57 7318.49 152236 0 0 9458.5 201944.08 0 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 0 Gross Expense Paid 11123.3 148784.43 42686.51 774 0 0 541.5 9855.92 0 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 0 Recovery Expense Paid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Incurred 71645 425675 150005 178010 10572.53 100000 11000 286800 150000 3500 91000 7400 500 106000 1000 1000 31000 100 350