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Home My WebLink About2022-11-01 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: 15 | Report Run: 11/1/2022 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 7/1/2020 7/1/2021 7/1/2021 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 7/1/2021 7/1/2022 7/1/2022 7/1/2023 7/1/2023 Claim Register - Feature Level Claim Status R O O O O O R O O R O O O O O Claim Closed Date Feature Status R O O O O O R O O R O O O O O Feature Closed Date Location Code 0000PD05AQ 0000PD01HR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03MA 0000PD03SR 0000PD03SR 0000PD03SR 0000PD03RT 0000PD03RT 0000PD05MA 0000PD03MA 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 - REFUSE/TRASH PD - REFUSE/TRASH PD - MAINTENANCE PD - MAINTENANCE Claim Number 1985495 3007247 3012624 3012652 3012652 3015741 3016811 3029280 3031853 3034097 3035429 3037542 3037542 3037894 3038273 Client File Code 808 839 854 856 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 AUTO LIABILITY AUTO LIABILITY GENERAL LIABILITY Coverage LIABILITY PERSONAL INJURY EMPLOYMENT PRACTICES BODILY INJURY PROPERTY DAMAGE BODILY INJURY BODILY INJURY BODILY INJURY EMPLOYMENT PRACTICES BODILY INJURY PROPERTY DAMAGE PROPERTY DAMAGE BODILY INJURY PROPERTY DAMAGE PROPERTY DAMAGE BODILY INJURY Claimant Number 1 1 1 2 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. Martinez, Ruben Sarabia, Wendy Rocio Cracknell, Victoria Chapman, David J. Ungo, Gustavo Hammons, Michael Hammons, Michael Gonzales, James Buchanan, Mary 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 HIT ANOTHER VEHICLE HIT ANOTHER VEHICLE EQUIPMENT USE 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 7/1/2021 5/1/2021 9/2/2021 9/2/2021 8/30/2022 7/15/2022 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. Man alleges loss of business due to construction project. 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 she was sickened by pesticide application. Legal Y Y Y Y Y N Y Y 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 6/17/2022 8/4/2022 8/17/2022 8/17/2022 8/30/2022 9/8/2022 Claimant Driver Insured Driver State 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 Zapf, Mel Rice, William Rice, William Rice, William Raphael, Glen Zapf, Mel Loss Reserve 50000 75000 0 10572.53 25000 100000 1000 75000 150000 91000 106000 1000 1000 22100 1000 Expense Reserve 10221.2 198555.57 7318.49 0 150308.5 0 9458.5 198351.83 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 Gross Expense Paid 11423.8 152119.43 42686.51 0 2701.5 0 541.5 13448.17 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 Recovery Expense Paid 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total Incurred 71645 425675 150005 10572.53 178010 100000 11000 286800 150000 91000 106000 1000 1000 22100 1000