Agenda 05/12/2015 Item #16E2EXECUTIVE SUMMARY
Recommendation to ratify Property, Casualty, Workers’ Compensation and
Subrogation claim files settled and/or closed by the Risk Management Division
Director pursuant to Resolution # 2004-15 for the second quarter of FY 15.
OBJECTIVE : To gain approval from the Board of Commissioners for Property, Casualty,
Workers’ Compensation and Subrogation claims settled and/or closed under the authority
of the Risk Management Director during the second quarter of FY 15.
CONSIDERATIONS : Resolution 04-15 grants limited authority to the Risk Management
Director to settle certain damage claims against Collier County and to authorize the
payment of investigation and adjustment expenses as presented to the County’s Risk
Management Program. Authority is delegated as follows:
Claim Type Delegated Authority
Bodily Injury Liability- Premises, Auto,
Operations Non-litigated claims less than $50,000
Property Damage Liability Claims-
Premises, Auto, Operations
Non-litigated claims less than $75,000.
(Note- A $75,000 limit is sought due to high
valued vehicles and the potential for multiple
vehicle accidents.)
Errors, Omissions, Professional Liability,
Employment Practices Liability Non-litigated claims less than $50,000
Property Losses to County Owned
Property Full authority
Workers’ Compensation
Full authority subject to the provisions of F.S.
440 and subject to approval by the Judge of
Compensation as needed
Employer’s Liability Non-litigated claims less than $50,000
Subrogation- Bodily Injury and Property
Damage
Full authority to pursue non-litigated subrogation
recoveries.
Subrogation- Workers’ Compensation Full authority to pursue non-litigated subrogation
recoveries.
Pursuant to the Resolution, claims are settled and paid according to the loss verification
procedures contained in the Resolution which include the completion of claim forms,
documentation of evidence, valuation, and the determination of a finding of liability where
applicable. Closed claim files are also subject to review by the external auditor. A listing
of claim files closed during the second quarter of FY 15 is attached. The report may
include claims and/or settlements previously approved by the Board of Commissioners.
Packet Page -956-
5/12/2015 16.E.2.
A valid public purpose is served through the delegation of settlement authority to the Risk
Management Director to settle routine, administrative and minor claim matters in order to
promote the efficient use of resources; to promote the efficient administration of the
program; and to allow for a timely response to claimants and/or their representatives.
FISCAL IMPACT : Funds are budgeted and available in Fund 516-121650-645920
(Property and Casualty Self Insurance Fund) and 518-121630-645928 (Workers’
Compensation Fund) for the payment of covered claims and settlements. For the second
quarter of FY 2015, 56 files were closed with total expenditures of $73,543.23. During the
same period, 38 subrogation files were closed and the Division recovered $123,270.25.
GROWTH MANAGEMENT IMPACT : There is no growth management impact associated
with this item.
LEGAL CONSIDERATIONS: This item has been approved as to form and legality and
requires majority vote for approval. -CMG
RECOMMENDATION: That the Board of County Commissioners accepts the attached
Settlement Report and ratifies the actions taken therein.
PREPARED BY: Jeff Walker CPCU, ARM, Division Director, Risk Management
Division.
Attachments:
1) All Lines Closed Claim Report 2nd QTR FY 2015
2) Subrogation Closed Claim Report 2nd QTR FY 2015
3) Resolution 2004-15
Packet Page -957-
5/12/2015 16.E.2.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.E.16.E.2.
Item Summary: Recommendation to ratify Property, Casualty, Workers’ Compensation
and Subrogation claim files settled and/or closed by the Risk Management Division Director
pursuant to Resolution # 2004-15 for the second quarter of FY 15.
Meeting Date: 5/12/2015
Prepared By
Name: WalkerJeff
Title: Division Director - Risk Management, Risk Management
4/20/2015 2:55:19 PM
Submitted by
Title: Division Director - Risk Management, Risk Management
Name: WalkerJeff
4/20/2015 2:55:20 PM
Approved By
Name: GreeneColleen
Title: Assistant County Attorney, CAO General Services
Date: 4/21/2015 8:33:35 AM
Name: PriceLen
Title: Department Head - Administrative Svc, Administrative Services Department
Date: 4/24/2015 3:51:35 PM
Name: KimbleSherry
Title: Management/Budget Analyst, Senior, Office of Management & Budget
Date: 4/27/2015 10:25:50 AM
Name: KlatzkowJeff
Title: County Attorney,
Date: 4/30/2015 9:03:22 AM
Packet Page -958-
5/12/2015 16.E.2.
Name: CasalanguidaNick
Title: Deputy County Manager, County Managers Office
Date: 4/30/2015 10:00:38 AM
Packet Page -959-
5/12/2015 16.E.2.
Med/BI/Comp Expense Ind/PD/Coll Recovery Deductible Legal Other Total Inc
Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Date of Loss Date Report to Risk Status Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
Coverage Cause
174.60 0.00 0.00 0.00 0.00 0.00 0.00 174.60
2/4/2015 2/4/2015 2/19/2015 174.60 0.00 0.00 0.00 0.00 0.00 0.00 174.60
10 12001
244.83 27.75 0.00 0.00 0.00 0.00 0.00 272.58
1/30/2015 1/30/2015 2/ 5/2015 244.83 27.75 0.00 0.00 0.00 0.00 0.00 272.58
10 15001
239.92 0.00 0.00 0.00 0.00 0.00 0.00 239.92
2/13/2015 2/13/2015 2/27/2015 239.92 0.00 0.00 0.00 0.00 0.00 0.00 239.92
10 13001
0.00 13.75 0.00 0.00 0.00 0.00 0.00 13.75
12/9/2014 12/11/2014 1/30/2015 0.00 13.75 0.00 0.00 0.00 0.00 0.00 13.75
10 14001
142.20 0.00 0.00 0.00 0.00 0.00 0.00 142.20
2/20/2015 2/23/2015 3/ 9/2015 142.20 0.00 0.00 0.00 0.00 0.00 0.00 142.20
10 14001
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/30/2015 2/2/2015 2/ 2/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 18001
1001301503849
138911
Investigator responded to a grow house to
investigate code violations within the home.
At approximately 1pm he began to
experience itching, redness and white
bumps around the head and back of the
head. Redness and itching continued for
another 24 hours.
122240
Employee was rear ended while stopped in
traffic by 3 seperate vehicles (chain
reaction).
1002201503889
122410
Employee was making a u-turn in Asset
#CC2-710 and was struck by another
vehicle that failed to stop at the red light.
1002131503874
233312
Employee stumbled forward and straight
armed a light pole, injuring his right
shoulder.
1012091403750
155410
Veterinary Technician was restraining a dog
for an injection. After the injection was
administered by the Veterinarian, the dog
became aggitated & was able to break free
of the Vet. Tech's hold & bit her hands.
(puncture wounds right and left hands).
1001301503846
144612
Employee suffered a neck injury when the
stretcher she was moving a patient on
collapsed and she tried to catch it with her
right arm.
Cost Center
Carrier Employer Acc Desc.
Major Coverage: 10 - Workers' Compensation
1002041503855
Collier County Government
Closed Claim Report- All Lines
2nd QTR FY 2015
Valued as of:4/20/2015
Claim Number Employee Name
Page 1
Pa
c
k
e
t
P
a
g
e
-
9
6
0
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
3,103.55 276.15 0.00 0.00 0.00 0.00 0.00 3,379.70
11/5/2014 11/21/2014 3/19/2015 3,103.55 276.15 0.00 0.00 0.00 0.00 0.00 3,379.70
10 15001
961.80 140.00 0.00 0.00 0.00 0.00 0.00 1,101.80
12/16/2014 12/18/2014 1/22/2015 961.80 140.00 0.00 0.00 0.00 0.00 0.00 1,101.80
10 11001
73.71 13.75 0.00 0.00 0.00 0.00 0.00 87.46
2/24/2015 2/25/2015 3/31/2015 73.71 13.75 0.00 0.00 0.00 0.00 0.00 87.46
10 11001
228.60 0.00 0.00 0.00 0.00 0.00 0.00 228.60
1/28/2015 1/28/2015 2/13/2015 228.60 0.00 0.00 0.00 0.00 0.00 0.00 228.60
10 14001
13,664.00 9,014.10 14,012.84 0.00 0.00 0.00 0.00 36,690.94
9/12/2014 9/16/2014 1/21/2015 13,664.00 9,014.10 14,012.84 0.00 0.00 0.00 0.00 36,690.94
10 15001
185.40 14.00 0.00 0.00 0.00 0.00 0.00 199.40
1/17/2015 1/19/2015 1/22/2015 185.40 14.00 0.00 0.00 0.00 0.00 0.00 199.40
10 19001
185.40 14.00 0.00 0.00 0.00 0.00 0.00 199.40
1/17/2015 1/19/2015 1/22/2015 185.40 14.00 0.00 0.00 0.00 0.00 0.00 199.40
10 19001
242.10 0.00 0.00 0.00 0.00 0.00 0.00 242.10
1/30/2015 1/30/2015 2/ 5/2015 242.10 0.00 0.00 0.00 0.00 0.00 0.00 242.10
10 15001
93.60 38.75 0.00 0.00 0.00 0.00 0.00 132.35
2/13/2015 2/13/2015 2/18/2015 93.60 38.75 0.00 0.00 0.00 0.00 0.00 132.35
10 14001
1002131503876
144610
Employee was responding to an emergency
incident in County asset #CC2-901 when it
was struck on the passenger side by a
vehicle driven by Ramona Winger.
144610
NCH Hospital called to advise of possible
pertusis exposure to employee.
1001301503845
144610
Employee sprained her low back when the
stretcher she was moving a patient on
awkwardly moved & tilted.
Employee states his back began to hurt on
scene of a cardiac arrest at medic 22 on the
morning of the 12th
1001171503815
144610
Patient with possible Pertusis coughed while
in presence of EMS crew prior to notification
of patient condition at Urgent Care Center.
1001171503814
156380
Employee was involved in a vehicle accident
and is experiencing back pain.
1009121403575
144610
1002241503896
138931
Employee was pinned between two rolling
files.
1001281503840
157460
Employee was working with another
employee moving the tables and chairs in
the lecture hall when she felt something
"pop" in her right elbow. It felt kind of like a
guitar string being plucked.
1012161403762
138931
Employee's foot became caught in a shelve
that was rolled out by another employee.
1011051403710
Page 2
Pa
c
k
e
t
P
a
g
e
-
9
6
1
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
28.55 0.00 0.00 0.00 0.00 0.00 0.00 28.55
3/9/2015 3/9/2015 3/11/2015 28.55 0.00 0.00 0.00 0.00 0.00 0.00 28.55
10 12001
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/23/2015 3/24/2015 3/25/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 12001
5,955.73 611.39 0.00 0.00 0.00 0.00 0.00 6,567.12
8/29/2014 9/3/2014 1/ 8/2015 5,955.73 611.39 0.00 0.00 0.00 0.00 0.00 6,567.12
10 13001
25,523.99 10,163.64 14,012.84 0.00 0.00 0.00 0.00 49,700.47
25,523.99 10,163.64 14,012.84 0.00 0.00 0.00 0.00 49,700.47
Employee's left index finger was stuck by a
nail from the bottom of a chair he was
moving.
1008291403543
105010
Employee fell while descending an outdoor
stairway and dislocated his left ring finger.
Total by Major Coverage 18 Claims
156343
Employee was accidentally stuck in the left
lower leg with a trash pick by another
employee.
1003231503965
144610
1003091503927
Page 3
Pa
c
k
e
t
P
a
g
e
-
9
6
2
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/26/2014 1/8/2015 2/25/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
0.00 0.00 1,724.95 0.00 0.00 0.00 0.00 1,724.95
11/12/2014 11/13/2014 1/29/2015 0.00 0.00 1,724.95 0.00 0.00 0.00 0.00 1,724.95
22 20001
0.00 0.00 399.00 0.00 0.00 0.00 0.00 399.00
2/3/2015 2/4/2015 3/23/2015 0.00 0.00 399.00 0.00 0.00 0.00 0.00 399.00
22 20001
0.00 0.00 92.73 0.00 0.00 0.00 0.00 92.73
11/10/2014 11/17/2014 1/22/2015 0.00 0.00 92.73 0.00 0.00 0.00 0.00 92.73
22 21501
0.00 0.00 2,618.10 0.00 0.00 0.00 0.00 2,618.10
12/17/2014 12/17/2014 3/ 6/2015 0.00 0.00 2,618.10 0.00 0.00 0.00 0.00 2,618.10
22
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/10/2015 2/23/2015 3/30/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5900 Customer called a plumber first to clear a
blockage. Plumber got his snake stuck in
the County lateral. Plumber unstuck his
snake in the County line and C&V crew
viewed our lateral and found no issues on
our side.
233351
Wastewater Collections responded to a
reported backup at 11190 Health Park Blvd
(North Collier Hospital). The customer
reported that an sewer backup occurred on
the property.
2202101503886 Kinnery, Steve
210116
2211101403698 LICATO, JOAN
LIBE
Claimant parked in a handicapped spot and
the cement bumper rods were sticking up
which damaged the underside of the
vehicle.
2212171403759 North Collier Hospital
121811
On November 12, 2014 at approx. 5:05pm,
the claimant exited the exterior garage
parking (west side) when the garage arm
dropped down onto the hood of her vehicle.
The garage arm did cause dents and
scratches to her vehicle.
2202031503853 KAISER, SANDY
RMSE
While machette mowing in our easement,
debris flew and struck the window of a
manufactured home at 1533 Gulf Coast Dr.
Major Coverage: 20 - General Liability
2208261403791 Wisniewski, John
UOSD
Customer called and stated someone had
run over their backflow device. They
requested someone respond to the location.
2211121403693 Murray, Hollie
Page 4
Pa
c
k
e
t
P
a
g
e
-
9
6
3
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/16/2014 11/18/2014 2/ 5/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5100
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/1/2014 10/1/2014 3/13/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 20501
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/22/2011 1/20/2012 2/ 5/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 20001
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/14/2014 10/14/2014 1/27/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 20001
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/11/2014 10/13/2014 1/23/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
163620
Century Link alleges that Road Maintenance
damaged a 100 pair buried cable & pedestal
while mowing grass in the storm/drainage
swale area of Jung Blvd. 8th St NE.
Claimant (correctional officer) was driving a
County vehicle & towing a chipper when he
stopped for a traffic light and was rear-
ended by another vehicle.
2207141403638 CENTURY LINK
163620
Century Link alleges Road Maintenance
employees damaged a 600 pair copper
cable and a 24 pair fiber optic cable while
placing culverts in the area of Jung Blvd. off
8th and Randall.
2207111403636 CENTURY, LINK
163620
Sheryl Conway alleges that while riding her
bicycle, the tires became caught between
the storm drain and the sidewalk causing
her to fall off the bike.
2112221101145 BRUCH, WALTER
163620
Customer called a plumber first to clear a blockage. Plumber got his snake stuck in the County lateral. Plumber unstuck his snake in the County line and C&V crew
viewed our lateral and found no issues on
our side.
2210161403701 SCHULTZ, EVERETT
182602
Customer had a line break and called a
plumber. Plumber and customer were
unable to find a shut off valve. They called
and requested we come out. Crews
responded and customer requested to
reschedule. *Plumbing charges during our
response time.
2109011403613 CONWAY, SHERYL
Page 5
Pa
c
k
e
t
P
a
g
e
-
9
6
4
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/19/2014 9/24/2014 1/15/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 20501
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/13/2014 11/18/2014 3/25/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 20001
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/12/2014 12/9/2014 1/ 5/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5900
0.00 0.00 678.30 0.00 0.00 0.00 0.00 678.30
1/16/2015 1/16/2015 3/30/2015 0.00 0.00 678.30 0.00 0.00 0.00 0.00 678.30
22 20001
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/21/2013 12/27/2013 3/ 9/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 20001
0.00 0.00 5,513.08 0.00 0.00 0.00 0.00 5,513.08
0.00 0.00 5,513.08 0.00 0.00 0.00 0.00 5,513.08
2112211302925 WALKER, DON
156314
Claimant was holding onto the new grab bar
over the entrance to the slides that was
installed by the company contracted to do
repairs. The bar broke as he was using it
and he hit his head on the ground when he
fell.
Total by Major Coverage 16 Claims
156390
Patron drove his car onto and over entrance
median. Popping driver's side front and rear
tires.
2201161503812 Roman, Samantha
156381
As employee was pulling into a parking
space (in her private vehicle) she struck a
large boulder in the space, scratching her
lower spoiler on the right side.
2104131403702 OLIVER (ANDERSON), KRISTI
156393
Claimant sustained injuries after using a
rope swing to jump into the water and
allegedly struck a large rock under the
water.
2211121403745 MAYER, JOHN
2109191403594 SOLIZ, YADIRA
156398
Claimant states she was walking at Eagle
Lakes Park when she was frightened upon
seeing a snake; tripped and fell, striking her
head on the sidewalk.
Page 6
Pa
c
k
e
t
P
a
g
e
-
9
6
5
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/9/2014 11/5/2014 3/27/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32
0.00 0.00 1,187.36 0.00 0.00 0.00 0.00 1,187.36
12/3/2014 12/3/2014 3/27/2015 0.00 0.00 1,187.36 0.00 0.00 0.00 0.00 1,187.36
32 21501
0.00 0.00 1,476.00 0.00 0.00 0.00 0.00 1,476.00
11/29/2014 11/29/2014 3/19/2015 0.00 0.00 1,476.00 0.00 0.00 0.00 0.00 1,476.00
32 20001
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/27/2014 6/3/2014 1/15/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
31 24501
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/21/2014 12/8/2014 2/17/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 30004
0.00 0.00 2,663.36 0.00 0.00 0.00 0.00 2,663.36
0.00 0.00 2,663.36 0.00 0.00 0.00 0.00 2,663.36
138915
County employee was backing asset #CC2-
094 and the tailpipe scraped the front of the
claimant's vehicle.
Total by Major Coverage 5 Claims
3102271403300 VASQUEZ-ACOSTA, DAVID
144610
Claimant was involved in a multi-vehicle
accident that included EMS Medic 70, Truck
18. Claimant's vehicle with damage to the
rear and passenger side and was pushed
into another vehicle in front. Claims bodily
injury.
3211211403739 CALVERT, ROSELLA
155410
Employee was backing into a parking space
& caught the bumper of asset #CC2-128 on
a parked rental car, ripping off the bumper
from the vehicle.
3211291403721 North Naples Fire Department
144610
While attempting to park the EMS Truck 28,
Medic 46 struck an open compartment door
on NNFD Squad 40. This resulted in
damage to the fiberglass compartment door
on NNFD Squad 40 and a long scratch on
the passenger side of EMS Truck 28.
3210091403675 CHIDSEY, ANNE
253212
Claimant was in the right turn lane at Napa
Blvd. and was rear-ended by a County
vehicle.
3212031403729 ANDERSON, THOMAS
Major Coverage: 30 - Auto Liability
Page 7
Pa
c
k
e
t
P
a
g
e
-
9
6
6
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 503.10 0.00 0.00 0.00 0.00 503.10
12/19/2014 12/19/2014 1/22/2015 0.00 0.00 503.10 0.00 0.00 0.00 0.00 503.10
42 5900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/13/2015 2/13/2015 2/26/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 20001
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/25/2015 3/26/2015 3/27/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41
0.00 0.00 1,452.31 0.00 0.00 0.00 0.00 1,452.31
1/6/2015 1/6/2015 2/10/2015 0.00 0.00 1,452.31 0.00 0.00 0.00 0.00 1,452.31
42 5500
0.00 696.26 0.00 0.00 0.00 0.00 0.00 696.26
11/13/2014 12/9/2014 2/17/2015 0.00 696.26 0.00 0.00 0.00 0.00 0.00 696.26
42 5900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/21/2014 12/24/2014 1/13/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 32001
Minor crack on driver side front windshield.
4112211403771 EMS
EMSE
Tk29 sustained damage to the right-side
passenger step light to the point it fell off.
The driver; Isles of Capri Firefighter Kofsky
ran over unseen debris on the roadway. The
broken equipment was collected and
dropped-off with the truck at Motorpool.
155110
It was discovered today that the mirrors on
the Ford Truck (CC2-304) were missing and
the interior dome lights had been tampered
with as the plastic covers for the lights had
been thrown in the back seat of the truck.
4211131403742 Clerk of Courts
311111
4103251503970 Traffic Operations Division
163630
While attempting to make room for an
incoming vehicle with a trailer to come in the
intersection, employee did not see the
guardrail nose and ended up striking it with
his vehicle passenger side rear door and
side panel.
4201061503784 University Extension Services Department
163630
A chip in a windshield of CC2-910 now has
become a crack
4102131503873 EMS
EMSE
While leaving patient address, the patient
compartment on the drivers side scraped
the garage siding. The reflector, rubber
fender guard, and an emegency light were
damaged.
See AR#17705
Major Coverage: 40 - Auto Physical Damage
4212191403764 Traffic Operations Department
Page 8
Pa
c
k
e
t
P
a
g
e
-
9
6
7
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 523.44 0.00 0.00 0.00 0.00 523.44
1/15/2015 1/15/2015 3/20/2015 0.00 0.00 523.44 0.00 0.00 0.00 0.00 523.44
41 30004
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/20/2015 3/18/2015 3/20/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 30004
0.00 1,446.29 0.00 0.00 0.00 0.00 0.00 1,446.29
10/8/2014 10/9/2014 1/14/2015 0.00 1,446.29 0.00 0.00 0.00 0.00 0.00 1,446.29
42 20001
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/28/2014 10/29/2014 2/17/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 20001
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/9/2015 1/9/2015 1/14/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 30004
0.00 2,142.55 2,478.85 0.00 0.00 0.00 0.00 4,621.40
0.00 2,142.55 2,478.85 0.00 0.00 0.00 0.00 4,621.40 Total by Major Coverage 11 Claims
EMSE
As directed by hotel staff, EMS parked
under an overpass. Firefighters thought the
antenna on the EMS vehicle may have
clipped the structure. No damage was
noted. Sent for assessment.
4101091503793 EMS
EMSE
EMS ambulance #19 driver backed into a
McDonald's sign causing slight damage to
driver's side bumper of ambulance #19. No
damage to sign confirmed by the store
manager.
4210081403630 Parks & Recreation Department
157710
While picking up aluminum barricades, the
driver attempted to turn around. The turn
was too sharp, resulting in the crank on the
trailer making contact with the top of the
tailgate.
4110281403665 EMS
163620
Sweeper truck #CC2-899 struck dump truck
#980032 while dumping debris into it.
Struck the side of truck while backing away
from it.
4102201503949 HEALTH DEPARTMENT
155810
Upon backing asset #CC2-432, the right
rear bumper brushed the site manager's
truck parked just off the drive behind/near
#CC2-432.
Tk29 sustained damage to the right-side passenger step light to the point it fell off. The driver; Isles of Capri Firefighter Kofsky ran over unseen debris on the roadway. The
broken equipment was collected and
dropped-off with the truck at Motorpool.
4101151503805 Road Maintenance Department
Page 9
Pa
c
k
e
t
P
a
g
e
-
9
6
8
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/15/2014 8/15/2014 1/27/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
52 23501
0.00 0.00 1,150.00 0.00 0.00 0.00 0.00 1,150.00
11/17/2014 11/17/2014 1/ 9/2015 0.00 0.00 1,150.00 0.00 0.00 0.00 0.00 1,150.00
52 5500
5,635.46 0.00 0.00 0.00 0.00 0.00 0.00 5,635.46
7/5/2014 7/7/2014 1/26/2015 5,635.46 0.00 0.00 0.00 0.00 0.00 0.00 5,635.46
52 5400
0.00 0.00 4,184.46 0.00 0.00 0.00 0.00 4,184.46
12/11/2014 1/23/2015 3/27/2015 0.00 0.00 4,184.46 0.00 0.00 0.00 0.00 4,184.46
53 30004
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/5/2015 3/10/2015 3/25/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 24001
5,635.46 0.00 5,334.46 0.00 0.00 0.00 0.00 10,969.92
5,635.46 0.00 5,334.46 0.00 0.00 0.00 0.00 10,969.92
5301051503930 Waste Management, Inc.
156332
A Waste Management, Inc. truck oil drain
plug came lose and fell out causing 11
gallons of oil on driveway and parking lot
near maintenance facility.
Total by Major Coverage 5 Claims
122240
Lightening struck the panel, gate and
terminals in the Administration Building. It
now fails to communicate. It appears the
gate board needs replacing.
5312111403826 Traffic Operations Department
163630
Light pole #94 at Golden Gate Parkway and
Freedom Park was leaning heavily to one
side, apparently struck by a vehicle which
had fled the scene.
5211171403699 Solid & Hazardous Waste Management
Department
210130
Employee was performing locates, he left
the Ground Penetrating Radar (GPR) in
front of a house, walked to his truck 4
houses away to get the truck closer to his
work site and when he turned around to
move, the GPR was gone.
5207051403381 Facilities Management
Major Coverage: 50 - Property
5208151403502 Parks & Recreation Department
156313
Person(s) unknown entered the fenced in
parking area on Recreation Lane and broke
into three (3) trailers and a maintenance
shed by cutting locks off of all. Subject(s)
then forcibly entered the west door of the
maintenance building.
Page 10
Pa
c
k
e
t
P
a
g
e
-
9
6
9
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 75.00 0.00 0.00 0.00 0.00 0.00 75.00
5/8/2013 5/9/2013 1/13/2015 0.00 75.00 0.00 0.00 0.00 0.00 0.00 75.00
67
0.00 75.00 0.00 0.00 0.00 0.00 0.00 75.00
0.00 75.00 0.00 0.00 0.00 0.00 0.00 75.00
31,159.45 12,381.19 30,002.59 0.00 0.00 0.00 0.00 73,543.23
31,159.45 12,381.19 30,002.59 0.00 0.00 0.00 0.00 73,543.23 Grand Totals: 56 Claims
4/20/2015
1:11:05 PM
Major Coverage: 60 - Public Officials Errors and Ommissions
6705081302379 The Lamar Company, LLC
163620
The Lamar Company alleges FDOT (as part
of a 6-lane improvement to SR84)
constructed a noise attenuation barrier
within the r-o-w causing a substantial loss of
access to Lamar's property.
Total by Major Coverage 1 Claim
Page 11
Pa
c
k
e
t
P
a
g
e
-
9
7
0
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
Packet Page -971-
5/12/2015 16.E.2.
Packet Page -972-
5/12/2015 16.E.2.
Packet Page -973-
5/12/2015 16.E.2.
Packet Page -974-
5/12/2015 16.E.2.
Packet Page -975-
5/12/2015 16.E.2.
Packet Page -976-
5/12/2015 16.E.2.
Med/BI/Comp Expense Ind/PD/Coll Recovery Deductible Legal Other Total Inc
Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Date of Loss Date Report to Risk Status Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
Coverage Cause
0.00 0.00 0.00 3,700.00 0.00 0.00 0.00 0.00
7/14/2014 2/26/2015 3/18/2015 0.00 0.00 0.00 3,700.00 0.00 0.00 0.00 0.00
59
0.00 12,804.03 0.00 11,400.00 0.00 0.00 0.00 12,804.03
5/9/2014 5/14/2014 1/ 8/2015 0.00 12,804.03 0.00 11,400.00 0.00 0.00 0.00 12,804.03
53 30004
0.00 0.00 45,803.35 10,000.00 0.00 0.00 0.00 45,803.35
6/18/2014 6/19/2014 3/12/2015 0.00 0.00 45,803.35 10,000.00 0.00 0.00 0.00 45,803.35
41 24501
0.00 0.00 1,488.01 1,488.01 0.00 0.00 0.00 1,488.01
1/28/2015 1/28/2015 3/24/2015 0.00 0.00 1,488.01 1,488.01 0.00 0.00 0.00 1,488.01
41 24501
144360
Isles of Capri Engine 91 (asset
#050724) was responding to a
vehicle accident at 11163
Tamiami Trail East. As they
came up on scene and attempted
to pull to left, a vehicle driven by
third party attempted to pass the
fire engine and struck it.
4101281503839 CC v. HIRSCH, JACK
156380
Employee was driving Asset
#010015 west on Vanderbilt
Beach Road when Mr. Hirsch
struck his vehicle on the
passenger side rear quarter
panel. The Collier County
Sheriff's Office was called to
make a report.
The operator of the vessel lost
engine power then subsequently
abandoned the vessel. Due to
strong westerly winds that day,
the vessel beached onto Kice
island. The vessel was eventually
removed by Collier County.
5305091403267 CC v. Seidler, Ashley (CA)
138336
Ashley Seidler was traveling east
on Naples Blvd. and did not stop
for the flashing red light & caused
a collision which resulted in
damage to a CAT bus shelter.
4106181403332 CC v. Orilin Duperrier, Gislaine
(CA)
Cost Center
Carrier Employer Acc Desc.
5907141403899 CC v. Hollenbach, Kenneth
110409
Collier County Government
Subrogation Closed Claim Report
2nd QTR 2015
Valued as of:4/20/2015
Claim Number Employee Name
Page 1
Pa
c
k
e
t
P
a
g
e
-
9
7
7
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 0.00 72.63 0.00 0.00 0.00 0.00
10/17/2014 10/17/2014 1/ 8/2015 0.00 0.00 0.00 72.63 0.00 0.00 0.00 0.00
41 30004
0.00 0.00 0.00 95.68 0.00 0.00 0.00 0.00
5/17/2014 5/27/2014 1/ 8/2015 0.00 0.00 0.00 95.68 0.00 0.00 0.00 0.00
59 30004
0.00 0.00 0.00 3,458.04 0.00 0.00 0.00 0.00
2/17/2012 3/12/2012 1/ 8/2015 0.00 0.00 0.00 3,458.04 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 177.27 0.00 0.00 0.00 0.00
12/18/2014 1/5/2015 1/22/2015 0.00 0.00 0.00 177.27 0.00 0.00 0.00 0.00
59 31001
0.00 0.00 0.00 424.86 0.00 0.00 0.00 0.00
11/9/2014 11/25/2014 1/29/2015 0.00 0.00 0.00 424.86 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 463.12 0.00 0.00 0.00 0.00
9/16/2014 10/3/2014 2/ 6/2015 0.00 0.00 0.00 463.12 0.00 0.00 0.00 0.00
53 32001
0.00 0.00 3,014.22 0.00 0.00 0.00 0.00 3,014.22
2/6/2014 2/19/2014 2/17/2015 0.00 0.00 3,014.22 0.00 0.00 0.00 0.00 3,014.22
53 30004
5302061403043 CC v. Rootes, Evan (PC)
163620
Evan Rootes was traveling north
on Airport Road when he looked
down to text on his phone; the
vehicle left the roadway and
struck a guardrail.
163620
Ernestina Valdes was traveling
east on Vanderbilt Beach Road
and when she turned left onto
Collier Blvd., she lost control of
the vehicle and struck a guardrail.
5309161403618 CC v. Dolan, Shirley
163620
County workers were called to
remove a tree that had fallen from
a residents property and landed
on the road, blocking traffic.
5912181403780 CC v. Preferred Materials, Inc.
163620
An employee working on bahalf of
Preferred Materials, Inc. spilled
rock on the road, requiring clean-
up by County personnel.
5311091403716 CC v. Valdes, Ernestina
163620
County employees cleaned up the
roadway following a vehicle
accident.
5302171201258 CC v. Pineda-Lopez, Viviana
163620
Viviana Pineda-Lopez was
traveling west on Golden Gate
Blvd. when a dog allegedly ran
out in front of her vehicle. She
steered to the left to avoid striking
the dog & lost control of the
vehicle, rotated clockwise &
collided with a guardrail.
4110171403644 CC v. ALDRIGE, WADE
163620
Driver #1 backed out of a parking
space into the side of County
Vehicle #030015 as County
vehicle was driving through
parking lot.
5905171403290 CC v. Eastburn, Gregory
Page 2
Pa
c
k
e
t
P
a
g
e
-
9
7
8
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 0.00 285.71 0.00 0.00 0.00 0.00
1/8/2015 1/22/2015 2/27/2015 0.00 0.00 0.00 285.71 0.00 0.00 0.00 0.00
59 31001
0.00 0.00 0.00 757.61 0.00 0.00 0.00 0.00
1/14/2015 2/25/2015 3/ 4/2015 0.00 0.00 0.00 757.61 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 1,147.20 0.00 0.00 0.00 0.00
1/27/2015 2/19/2015 3/ 4/2015 0.00 0.00 0.00 1,147.20 0.00 0.00 0.00 0.00
59 31001
0.00 0.00 0.00 219.10 0.00 0.00 0.00 0.00
2/2/2015 3/4/2015 3/24/2015 0.00 0.00 0.00 219.10 0.00 0.00 0.00 0.00
59 31001
0.00 0.00 0.00 252.53 0.00 0.00 0.00 0.00
11/7/2014 11/20/2014 1/ 8/2015 0.00 0.00 0.00 252.53 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 210.27 0.00 0.00 0.00 0.00
12/3/2014 12/11/2014 1/ 9/2015 0.00 0.00 0.00 210.27 0.00 0.00 0.00 0.00
53 30004
5312031403751 CC v. Eisenhower, Joseph
163630
Joseph Eisenhower was in the left
hand turn lane to turn from Airport
Road onto Westview Drive &
upon turning left, crossed over 3
lanes of traffic, struck another
vehicle which was forced onto the
sidewalk, striking a stop sign.
163620
Rock was spilled on the northwest
corner of Golden Gate Blvd. and
5th Street NW by a driver working
on behalf of Preferred Materials,
requiring clean-up by County
personnel.
5311071403704 CC v. Chavez, Nory
163630
Karla Chavez was stopped on
westbound 60th Avenue NE
before Everglades Blvd. when
she began to turn left & drove into
the path of an oncoming vehicle,
causing a collision. The other
vehicle left the roadway and
struck a stop sign and post.
5901271503880 CC v. American Farms LTD
163620
County workers were called to
clean up debris in the roadway
following a traffic accident on
Immokalee Road.
5902021503912 CC v. Preferred Materials
163620
An employee working on behalf of
Preferred Materials, Inc. spilled
rock at the corner of Golden Gate
Blvd. and 5th Street NW requiring
clean-up by County personnel.
5301141503895 CC v. Macias, Juan
163620
Martha Macias was traveling
north on Everglades Blvd. N.
when she fell asleep and traveled
off the roadway and struck a
concrete storm drain.
5901081503825 CC v. Preferred Materials, Inc.
Page 3
Pa
c
k
e
t
P
a
g
e
-
9
7
9
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 0.00 103.85 0.00 0.00 0.00 0.00
7/16/2014 8/20/2014 1/29/2015 0.00 0.00 0.00 103.85 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 232.88 0.00 0.00 0.00 0.00
9/14/2014 9/25/2014 2/ 3/2015 0.00 0.00 0.00 232.88 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 4,073.23 0.00 0.00 0.00 0.00
8/26/2014 1/27/2015 2/ 4/2015 0.00 0.00 0.00 4,073.23 0.00 0.00 0.00 0.00
53
0.00 0.00 0.00 74.42 0.00 0.00 0.00 0.00
9/22/2014 9/25/2014 2/20/2015 0.00 0.00 0.00 74.42 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 1,278.64 0.00 0.00 0.00 0.00
6/27/2014 7/2/2014 2/20/2015 0.00 0.00 0.00 1,278.64 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 597.52 0.00 0.00 0.00 0.00
10/10/2014 10/21/2014 2/27/2015 0.00 0.00 0.00 597.52 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 1,619.71 0.00 0.00 0.00 0.00
10/2/2014 10/20/2014 3/ 2/2015 0.00 0.00 0.00 1,619.71 0.00 0.00 0.00 0.00
53 30004
163630
A vehicle owned by Maria Martina
Mateo Antonio was traveling
north on Livingston Road when it
traveled over the curb and
collided with light pole #90.
5310101403651 CC v. Speer, David (CA)
163630
David Speer was making a u-turn
at Tamiami Trail North &
Vanderbilt Beach Road and
struck a traffic signal mast arm.
5310021403648 CC v. Mateo Antonio, Maria
Martina
163630
A Waste Management truck
struck a speed limit sign at
Orchard Lane & Thomasson
Drive.
536271403372 CC v. Bedell, Lisa
163630
Katlyn Bedell was traveling east
on Immokalee Road when she
began to change lanes and lost
control of the vehicle and struck a
light pole.
5308261403834 CC v. Accurate Drilling
163630
Employees working on behalf of
Accurate Drilling damaged a light
pole at Goodlette-Frank Road and
Vanderbilt Beach Road.
5309221403595 CC v. Waste Management
163630
Kaitlin Goldstone was traveling
south on Santa Barbara
approaching Coronado Pakway
when she turned left into the path
of an oncoming vehicle, they
collided, then she struck a traffic
sign.
5309141403600 CC v. Roblero, Isaias
163630
Byron Roblero had just turned
west on Golden Gate Pkwy from
44th Street SW when he lost
control of the vehicle and struck a
street sign, then a tree.
5307161403511 CC v. Goldstone, Howard
Page 4
Pa
c
k
e
t
P
a
g
e
-
9
8
0
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 0.00 80.34 0.00 0.00 0.00 0.00
2/1/2015 3/12/2015 3/16/2015 0.00 0.00 0.00 80.34 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 3,664.13 3,670.71 0.00 0.00 0.00 3,664.13
12/19/2014 12/19/2014 3/16/2015 0.00 0.00 3,664.13 3,670.71 0.00 0.00 0.00 3,664.13
41 30004
0.00 0.00 0.00 68.38 0.00 0.00 0.00 0.00
12/22/2014 1/22/2015 3/17/2015 0.00 0.00 0.00 68.38 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 46.77 0.00 0.00 0.00 0.00
11/27/2014 12/17/2014 3/20/2015 0.00 0.00 0.00 46.77 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 26,800.00 0.00 0.00 0.00 0.00
10/29/2013 11/12/2013 3/24/2015 0.00 0.00 0.00 26,800.00 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 2,592.00 0.00 0.00 0.00 0.00
4/17/2014 6/11/2014 1/ 2/2015 0.00 0.00 0.00 2,592.00 0.00 0.00 0.00 0.00
54 30004
163652
Jean Laguerre was traveling
south on Goodlette Road north
during a rainstorm when her
vehicle allegedly hydroplaned into
the median, damaging
landscaping.
5310291302838 CC v. Vineyards Development
Corp./Sosa (CA)
163630
Debra Gogan was making a u-
turn on Pine Ridge Road at the
intersection of Whipporwill Lane &
collided with another vehicle, then
struck the curb & a traffic control
box.
5404171403318 CC v. Laguerre, Jean
163630
Yamilet Diaz Gonzalez was
stopped at the westbound sign on
23rd Place SW at 43rd Lane SW
when she entered the right-of-way
in front of another vehicle,
causing a collision, then striking a
street sign.
5311271403758 CC v. Kerstein, Jonathan
163630
Jonathan Kerstein was traveling
south on Santa Barbara Blvd. and
alleges an approaching vehicle
had their high beams on & he
reacted by turning to the right to
avoid the light & jumped the curb,
drove across a sidewalk & struck
a traffic sign.
4112191403765 CC v. Basha, Altin
163630
Driving on Balboa Circle E. doing
my rountine sign inspection.
Drove around the cul-de-sac,
driver pulled out in reverse from
his driveway & struck my County
vehicle.
5312221403824 CC v. Gonzalez, Yamilet
5302011503936 CC v. Cricien, Freddy
163630
Freddy Cricien was traveling east
on Oil Well Road before a left
turning curve. He entered the
curve, but failed to negotiate it,
driving onto the grass shoulder
and ditch, then striking a road
sign.
Page 5
Pa
c
k
e
t
P
a
g
e
-
9
8
1
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 0.00 1,050.00 0.00 0.00 0.00 0.00
8/18/2014 9/10/2014 1/26/2015 0.00 0.00 0.00 1,050.00 0.00 0.00 0.00 0.00
54 30004
0.00 0.00 0.00 5,724.00 0.00 0.00 0.00 0.00
12/31/2014 1/20/2015 2/ 4/2015 0.00 0.00 0.00 5,724.00 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 1,050.00 0.00 0.00 0.00 0.00
7/16/2014 8/13/2014 2/20/2015 0.00 0.00 0.00 1,050.00 0.00 0.00 0.00 0.00
54 30004
0.00 0.00 0.00 500.00 0.00 0.00 0.00 0.00
12/12/2014 1/14/2015 2/27/2015 0.00 0.00 0.00 500.00 0.00 0.00 0.00 0.00
54 31001
0.00 0.00 0.00 3,883.00 0.00 0.00 0.00 0.00
11/1/2014 12/3/2014 1/26/2015 0.00 0.00 0.00 3,883.00 0.00 0.00 0.00 0.00
53 30004
0.00 0.00 0.00 33,333.33 0.00 0.00 0.00 0.00
9/21/2012 9/26/2012 1/13/2015 0.00 0.00 0.00 33,333.33 0.00 0.00 0.00 0.00
53 5900
233351
Las Brisas had an irrigation line
break on thier property which let
sand in through the County's
lateral causing our gravity system
to back up. Wastewater had to
hire and emergency contractor to
make emergency repairs to our
lateral and to remove sand.
5311011403728 CC v. Kurkjian, Tiffany
173412
William Harris was traveling north
on South 1st Street when he
struck the median, then a light
pole.
5309211201845 CC v. Las Brisas HOA/Kirk
Family Trust (CA)
163652
Juan Manuel Maciel pulled out of
West Crown Point Blvd. and upon
accelerating, lost control of the
vehicle and struck a Sabal palm
and landscaping.
5412121403802 CC v. Lipinski, Wladyslaw
163652
Geico Insurance reported that a
vehicle driven by Emilia Lipinska
damged landscaping on a median
on Pine Ridge Road east of
Airport Road. The policy holder is
Wladyslaw Lipinski.
5312311403817 CC v. Hopper, Martha
163652
Martha Hopper was traveling
south on Livingston Road when
the front right wheel struck a curb.
She then steered to the left & the
vehicle went out of control &
rotated in a clockwise direction
before striking a water fountain
control box.
5407161403489 CC v. Maciel, Juan
5408181403561 CC v. Herrera, Leeann
163652
Leeann Herrera was traveling
north on CR 851 when she lost
control of the vehicle and traveled
off the roadway, into the median,
striking a palm tree.
Page 6
Pa
c
k
e
t
P
a
g
e
-
9
8
2
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.
0.00 0.00 0.00 552.43 0.00 0.00 0.00 0.00
12/18/2014 1/2/2015 3/24/2015 0.00 0.00 0.00 552.43 0.00 0.00 0.00 0.00
53
0.00 0.00 1,787.01 1,787.01 0.00 0.00 0.00 1,787.01
11/10/2014 11/10/2014 1/ 8/2015 0.00 0.00 1,787.01 1,787.01 0.00 0.00 0.00 1,787.01
41 30004
0.00 12,804.03 55,756.72 123,270.25 0.00 0.00 0.00 68,560.75
0.00 12,804.03 55,756.72 123,270.25 0.00 0.00 0.00 68,560.75
4/20/2015
1:13:10 PM
4111101403687 CC v. White, Paul
DASE
Paul White came out of Market
Street, entered the intersection
and attempted to turn left and
struck a County vehicle.
Grand Totals: 38 Claims
Las Brisas had an irrigation line break on thier property which let sand in through the County's lateral causing our gravity system to back up. Wastewater had to hire and emergency contractor to
make emergency repairs to our
lateral and to remove sand.
5312181403777 CC v. Keolis Transit America, Inc.
ATMS
Keolis employee backed into the
gate controller box.
Page 7
Pa
c
k
e
t
P
a
g
e
-
9
8
3
-
5
/
1
2
/
2
0
1
5
1
6
.
E
.
2
.