HomeMy WebLinkAbout2023-11-01 Palm Desert Open Claims RegisterReport Criteria: Claim Status <> C and Tier2 Name = PALM DESERT And As-Of Transaction Begin Date = 01/01/1900 And As-Of Transaction End Date = 10/31/2023 And Loss Run? = Yes | Row Count:
17 | Report Run: 11/1/2023 03:43 PM
Tier 1 Name
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
CJPIA
Claim Register - Feature Level
Tier 2 Name
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
PALM DESERT
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
7/1/2022
7/1/2022
7/1/2022
7/1/2023
7/1/2023
7/1/2022
7/1/2022
7/1/2023
Policy End Date
6/30/2018
6/30/2020
6/30/2021
6/30/2021
6/30/2021
6/30/2021
6/30/2022
6/30/2022
6/30/2022
6/30/2023
6/30/2023
6/30/2023
6/30/2024
6/30/2024
6/30/2023
6/30/2023
6/30/2024
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
C
C
C
O
O
O
C
O
O
O
O
O
O
O
O
Feature Closed Date
10/12/2021
10/28/2021
6/8/2023
4/12/2022
Location Code
0000PD05AQ
0000PD01HR
0000PD03SR
0000PD03SR
0000PD03SR
0000PD03SR
0000PD03MA
0000PD03SR
0000PD03SR
0000PD03SR
0000PD03SR
0000PD01FB
0000PD03FC
0000PD03FC
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 - STREETS/ROADS
PD - STREETS/ROADS
PD - STREETS/ROADS
PD - STREETS/ROADS
PD - FINANCE AND BUDGET
PD - FLOOD CONTROL
PD - FLOOD CONTROL
PD - STREETS/ROADS
PD - STREETS/ROADS
PD - STREETS/ROADS
Claim Number
1985495
3007247
3012652
3012652
3012652
3012652
3029280
3031853
3031853
3047317
3047481
3047943
CJP-3049718
CJP-3049828
CJP-3049926
CJP-3050044
CJP-3050061
Client File Code
808
839
897
902
904
905
906
LOB
GENERAL LIABILITY
GENERAL LIABILITY
AUTO LIABILITY
AUTO 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
PROPERTY DAMAGE
PROPERTY DAMAGE
PROPERTY DAMAGE
BODILY INJURY
EMPLOYMENT PRACTICES
BODILY INJURY
PROPERTY DAMAGE
PROPERTY DAMAGE
BODILY INJURY
EMPLOYMENT PRACTICES
PROPERTY DAMAGE
PROPERTY DAMAGE
LIABILITY PERSONAL INJURY
PROPERTY DAMAGE
PROPERTY DAMAGE
Claimant Number
1
1
3
1
2
1
1
1
1
1
1
1
1
1
1
1
1
Claimant Name
JASKULSKI, HEIRS OF THOMAS
CONWAY, JAMES
TRAVELERS aso, SYDNEY FOREMAN
HOOVER, BRUCE E.
FOREMAN, SYDENY
HOOVER, BRUCE E.
Sarabia, Wendy Rocio
Cracknell, Victoria
Cracknell, Victoria
Bennett, Tammy
De Anda, Elena
Long, Sabrina
Nadig, Brent
Broyles, Jacob
Dodge, Heirs of Jaime M.
Bateman, Michelle
Torres, Carlina
Loss Causation
MEDICAL TREATMENT
EMPLOYMENT TERMINATION
HIT ANOTHER VEHICLE
HIT ANOTHER VEHICLE
HIT ANOTHER VEHICLE
HIT ANOTHER VEHICLE
EMPLOYMENT TERMINATION
SLIP/TRIP
SLIP/TRIP
EQUIPMENT USE
SLIP/TRIP
EMPLOYMENT RETALIATION
FLOODING
FLOODING
VEHICLE ACCIDENT
VEHICLE ACCIDENT
EQUIPMENT USE
Date Of Loss
3/18/2018
11/17/2019
5/17/2021
5/17/2021
5/17/2021
5/17/2021
8/1/2021
3/1/2022
3/1/2022
4/25/2023
1/21/2023
1/25/2023
8/21/2023
8/20/2023
4/10/2023
2/23/2023
10/27/2023
Claim Description
MAN HAD A HEART ATTACK DURING SCUBA CLASS AND DIED.
MALE EMPLOYEE ALLEGES HE WAS UNLAWFULLY TERMINATED.
Male motorist injured and vehicle damaged in collision with City driver.
Male motorist injured and vehicle damaged in collision with City driver.
Male motorist injured and vehicle damaged in collision with City driver.
Male motorist injured and vehicle damaged in collision with City driver.
Female contractor's employee alleges she was unlawfully terminated.
Woman tripped and fell on raised section of parking lot.
Woman tripped and fell on raised section of parking lot.
Woman's house damaged during construction project.
Woman tripped and fell on uneven sidewalk.
Female City employee alleges retaliation, discrimination and harassment based on disability.
Man's business flooded during City drainage project.
Man's house flooded allegedly due to inadequate drainage system.
Male motorist killed in traffic collision. Dangerous design of the roadway alleged.
Woman's vehicle damaged in collision with stop sign. Dangerous placement of sign alleged.
Woman's vehicle damaged in construction zone.
Legal
Y
Y
Y
Y
Y
Y
Y
Y
Y
N
N
Y
N
Y
N
N
N
Excess
Claim Date Reported
9/17/2018
12/4/2020
5/17/2021
5/17/2021
5/17/2021
5/17/2021
1/20/2022
4/11/2022
4/11/2022
5/31/2023
6/2/2023
6/20/2023
9/11/2023
9/25/2023
10/10/2023
10/26/2023
10/30/2023
Claimant Driver
Insured Driver
Adjuster
Varon, Tim
Varon, Tim
Rice, William
Rice, William
Stroud, Laurie
Stroud, Laurie
Varon, Tim
Stroud, Laurie
Stroud, Laurie
Mullen, Larry
Stroud, Laurie
Varon, Tim
Mullen, Larry
Bray, Claudia
Raphael, Glen
Baluyut, Janice
Varon, Tim
Claim Handler
Varon, Tim
Varon, Tim
Stroud, Laurie
Stroud, Laurie
Stroud, Laurie
Stroud, Laurie
Varon, Tim
Stroud, Laurie
Stroud, Laurie
Mullen, Larry
Stroud, Laurie
Varon, Tim
Mullen, Larry
Bray, Claudia
Raphael, Glen
Baluyut, Janice
Varon, Tim
State
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
CA
Loss Reserve
50000
75000
0
0
0
750000
0
25000
0
50000
100000
1
42000
25000
1000
5000
7
Expense Reserve
8084.2
135902.62
0
0
0
120208.06
11590.5
25000
0
0
0
8133
0
0
0
0
0
Gross Loss Paid
0
0
10572.33
13889.93
0
0
0
0
0
0
0
0
0
0
0
0
0
Gross Expense Paid
13560.8
214772.38
0
135
0
32801.94
35672.17
10823.25
0
0
0
1357
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
-10832.25
0
0
0
0
0
0
0
0
0
Total Incurred
71645
425675
10572.33
14024.93
0
903010
47262.67
49991
0
50000
100000
9491
42000
25000
1000
5000
7