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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