Agenda 09/25/2018 Item #16E 209/25/2018
EXECUTIVE 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 third quarter of FY18.
OBJECTIVE: To settle routine, administrative and minor claims matters which promotes the efficient
use of resources and the efficient administration of the program; and allows for a timely response to
claimants and/or their representatives.
CONSIDERATIONS: Resolution 04-15 grants limited authority to the Risk Management Division
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:
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
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 third quarter of FY18
is attached. The report may include claims and/or settlements previously approved by the Board of
Commissioners as well as litigated files with a final court determination.
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 claims and settlements. For the third quarter of FY18, 88 files were closed with total expenditures of
$213,541.38. During the same period, 134 subrogation files were closed, and the Risk Management
Division recovered $27,935.36 in funds owed the County.
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this
item.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to
form and legality, and requires majority vote for approval. -JAK
RECOMMENDATION: To accept the attached Settlement Report and ratify the actions taken therein.
16.E.2
Packet Pg. 2016
09/25/2018
Prepared by: Jeff Walker CPCU, ARM, Division Director, Risk Management Division
ATTACHMENT(S)
1. All Lines Closed Claim Report 3rd QTR 2018 (PDF)
2. Subrogation Closed Claim Report 3rd QTR 2018 (PDF)
3. Resolution 2004-15 PDF0001 (PDF)
16.E.2
Packet Pg. 2017
09/25/2018
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.2
Doc ID: 6525
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 third quarter of FY 18.
Meeting Date: 09/25/2018
Prepared by:
Title: Division Director - Risk Management – Risk Management
Name: Jeff Walker
08/24/2018 11:24 AM
Submitted by:
Title: Division Director - Risk Management – Risk Management
Name: Jeff Walker
08/24/2018 11:24 AM
Approved By:
Review:
Administrative Services Department Paula Brethauer Level 1 Division Reviewer Completed 08/24/2018 1:33 PM
Administrative Services Department Len Price Level 2 Division Administrator Review Completed 09/11/2018 4:42 PM
Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 09/11/2018 4:51 PM
Office of Management and Budget Laura Wells Additional Reviewer Completed 09/11/2018 5:06 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 09/12/2018 7:35 AM
County Manager's Office Leo E. Ochs Level 4 County Manager Review Completed 09/17/2018 2:00 PM
Board of County Commissioners MaryJo Brock Meeting Pending 09/25/2018 9:00 AM
16.E.2
Packet Pg. 2018
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 RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
Coverage Cause
396.38 79.77 0.00 0.00 0.00 0.00 0.00 476.15
3/26/2018 3/27/2018 4/19/2018 396.38 79.77 0.00 0.00 0.00 0.00 0.00 476.15
10 1500
19,443.02 297.75 2,266.32 0.00 0.00 0.00 0.00 22,007.09
8/10/2017 8/10/2017 4/19/2018 19,443.02 297.75 2,266.32 0.00 0.00 0.00 0.00 22,007.09
10 1500
5,289.48 404.13 431.99 0.00 0.00 0.00 0.00 6,125.60
1/31/2018 1/31/2018 4/27/2018 5,289.48 404.13 431.99 0.00 0.00 0.00 0.00 6,125.60
10
303.10 34.12 0.00 0.00 0.00 0.00 0.00 337.22
4/4/2018 4/4/2018 4/11/2018 303.10 34.12 0.00 0.00 0.00 0.00 0.00 337.22
10 1700
12,467.82 3,111.97 0.00 0.00 0.00 0.00 0.00 15,579.79
9/26/2017 9/26/2017 5/21/2018 12,467.82 3,111.97 0.00 0.00 0.00 0.00 0.00 15,579.79
10 1400
1,625.82 13.75 0.00 0.00 0.00 0.00 0.00 1,639.57
5/26/2018 5/29/2018 6/12/2018 1,625.82 13.75 0.00 0.00 0.00 0.00 0.00 1,639.57
10
259.58 29.84 0.00 0.00 0.00 0.00 0.00 289.42
3/1/2018 3/1/2018 6/12/2018 259.58 29.84 0.00 0.00 0.00 0.00 0.00 289.42
10 1100
2,724.28 329.41 2,382.34 0.00 0.00 0.00 0.00 5,436.03
3/2/2018 3/2/2018 6/8/2018 2,724.28 329.41 2,382.34 0.00 0.00 0.00 0.00 5,436.03
10 1300
590.02 81.61 938.09 0.00 0.00 0.00 0.00 1,609.72
4/9/2018 4/9/2018 5/24/2018 590.02 81.61 938.09 0.00 0.00 0.00 0.00 1,609.72
10 1500
144610
Employee felt right shoulder pain while helping
lift the stretcher back into the Ambulance
Employee hand was caught between the rear of
the stretcher and the wall of an elevator
1003021807740
144610
Employee was knocked down the stairs while
Collier County Sheriff's Officer was restraining a
patient
1004091807865
1005261807998
144610
1003011807738
144610
Allergic Reaction
122410
Employee had debris blew in right eye while
woking on County boat trailer
1009261706623
138912
Employee was involved in a motor vehicle
accident where he was struck from behind.
1001311807419
122410
EE injured left pinky and thigh area while
inflating a tire.
1004041807854
122240
Employee felt a pinch in his lower back while
working and laying down troubleshooting a
condensor unit.
1008101706357
122240
Employee felt a pull in his left shoulder while
hanging a fan.
Cost Center
Carrier Employer Acc Desc.
Major Coverage: 10 - Workers' Compensation
1003261807805
Collier County Government
Closed Claim Report- All Lines
3rd QTR FY 2018
Valued as of:8/3/2018
Claim Number Employee Name
1
16.E.2.a
Packet Pg. 2019 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
7,150.02 276.66 7,764.60 0.00 0.00 0.00 0.00 15,191.28
3/28/2017 3/29/2017 5/24/2018 7,150.02 276.66 7,764.60 0.00 0.00 0.00 0.00 15,191.28
10 1500
21,019.71 255.59 5,595.20 0.00 0.00 0.00 0.00 26,870.50
2/13/2018 2/13/2018 5/11/2018 21,019.71 255.59 5,595.20 0.00 0.00 0.00 0.00 26,870.50
10 1500
533.48 86.13 0.00 0.00 0.00 0.00 0.00 619.61
2/7/2018 2/7/2018 5/11/2018 533.48 86.13 0.00 0.00 0.00 0.00 0.00 619.61
10 1500
136.43 5.95 0.00 0.00 0.00 0.00 0.00 142.38
4/5/2018 4/5/2018 4/11/2018 136.43 5.95 0.00 0.00 0.00 0.00 0.00 142.38
10 1900
136.43 5.95 0.00 0.00 0.00 0.00 0.00 142.38
4/5/2018 4/5/2018 4/11/2018 136.43 5.95 0.00 0.00 0.00 0.00 0.00 142.38
10 1900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/23/2018 5/31/2018 6/8/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10
593.06 0.00 0.00 0.00 0.00 0.00 0.00 593.06
5/8/2018 5/8/2018 5/23/2018 593.06 0.00 0.00 0.00 0.00 0.00 0.00 593.06
10 1200
645.03 45.80 0.00 0.00 0.00 0.00 0.00 690.83
5/5/2018 5/5/2018 5/18/2018 645.03 45.80 0.00 0.00 0.00 0.00 0.00 690.83
10 1200
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/25/2018 6/25/2018 6/30/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1300
320.83 34.99 0.00 0.00 0.00 0.00 0.00 355.82
4/2/2018 4/2/2018 4/20/2018 320.83 34.99 0.00 0.00 0.00 0.00 0.00 355.82
10 1500
9,559.05 140.24 2,648.65 0.00 0.00 0.00 0.00 12,347.94
4/11/2018 4/12/2018 6/7/2018 9,559.05 140.24 2,648.65 0.00 0.00 0.00 0.00 12,347.94
10 1500
163620
Employee felt pain in right groin area while
pulling on root stump in drainage pipe.
1004021807843
156332
Employee pulled a muscle on right side of rib
cage while pulling heavy trash bags.
1004111807874
156313
Employee gash right hand when he jumped off
the guard stand at Golden Gate Community
Park
1006251808077
156315
Employee slipped on wet floor and injured his
left wrist.
155410
1005081807950
156310
Employee had laceration to left thigh trimming
hedges.
1005051807947
Employee had cat bite on right side of forearm
while picking up cat
1004051807860
144612
Employee transported a patient and may have
come in contact with Menigitis
1005231808006
144610
Employee injured elbow while attending to an
unconsious unresponsive patient
1004051807859
144610
Employee may have been exposed to
meningitis from patient
1002131807636
144610
Employee stepped out of the ambulance truck
on uneven ground and felt a "pop" to his foot.
1002071807542
1003281706006
144610
Employees left knee buckled as he was entering
an ambulance cab.
2
16.E.2.a
Packet Pg. 2020 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
565.40 72.26 0.00 0.00 0.00 0.00 0.00 637.66
4/10/2018 4/10/2018 4/27/2018 565.40 72.26 0.00 0.00 0.00 0.00 0.00 637.66
10 1500
133.98 0.00 0.00 0.00 0.00 0.00 0.00 133.98
5/30/2018 5/30/2018 6/14/2018 133.98 0.00 0.00 0.00 0.00 0.00 0.00 133.98
10
367.20 50.80 0.00 0.00 0.00 0.00 0.00 418.00
5/3/2018 5/4/2018 5/24/2018 367.20 50.80 0.00 0.00 0.00 0.00 0.00 418.00
10 1500
5,196.80 146.12 0.00 0.00 0.00 0.00 0.00 5,342.92
12/14/2017 12/20/2017 6/12/2018 5,196.80 146.12 0.00 0.00 0.00 0.00 0.00 5,342.92
10 1500
618.31 84.92 0.00 0.00 0.00 0.00 0.00 703.23
3/16/2018 3/16/2018 4/19/2018 618.31 84.92 0.00 0.00 0.00 0.00 0.00 703.23
10 1400
154.94 0.00 0.00 0.00 0.00 0.00 0.00 154.94
5/25/2018 5/29/2018 6/14/2018 154.94 0.00 0.00 0.00 0.00 0.00 0.00 154.94
10
11,282.24 174.33 4,020.35 0.00 0.00 0.00 0.00 15,476.92
1/2/2018 1/2/2018 4/30/2018 11,282.24 174.33 4,020.35 0.00 0.00 0.00 0.00 15,476.92
10 1700
182.14 0.00 0.00 0.00 0.00 0.00 0.00 182.14
5/4/2018 5/4/2018 6/8/2018 182.14 0.00 0.00 0.00 0.00 0.00 0.00 182.14
10 1700
126.09 0.00 0.00 0.00 0.00 0.00 0.00 126.09
6/5/2018 6/6/2018 6/27/2018 126.09 0.00 0.00 0.00 0.00 0.00 0.00 126.09
10 1500
1,992.84 85.65 0.00 0.00 0.00 0.00 0.00 2,078.49
4/3/2018 4/3/2018 4/30/2018 1,992.84 85.65 0.00 0.00 0.00 0.00 0.00 2,078.49
10 1300
0.00 13.75 0.00 0.00 0.00 0.00 0.00 13.75
6/25/2018 6/25/2018 6/30/2018 0.00 13.75 0.00 0.00 0.00 0.00 0.00 13.75
10 1900
253214
Employee became overheated while working
outside in the sun.
1004031807849
253212
Employee tripped in a small hole and has mild
pain in left knee.
1006251808079
253211
Employee was struck by another Toro utility cart
while sitting in vehicle
1006051808021
253212
Employee injured left foot when the tongue of
the trailer vactor fell.
1001021807342
233351
EE struck groin area while lifting the pipleline
camera out of manhole
1005041807944
182901
Employee felt pain to back, shoulder and left
wrist when Kubota truck CC2-984 back into
CC2-1364 truck
1005251807997
233351
Employee injured his left groin when picking
containers up.
Employee felt sharp pain in lower back while
closing the tailgate of County vehicle
1012141707319
182901
EE twisted his right shoulder while using an
auger for digging holes
1003161807779
1005301808000
163630
1005031807943
163651
Employee felt pain on left ankle when he
stepped out of the county vehicle
1004101807869
163620
Employee injured neck while opening a stuck
storm drain lid
3
16.E.2.a
Packet Pg. 2021 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
1,040.47 19.70 0.00 0.00 0.00 0.00 0.00 1,060.17
5/1/2018 5/1/2018 6/8/2018 1,040.47 19.70 0.00 0.00 0.00 0.00 0.00 1,060.17
10 1300
396.48 0.00 0.00 0.00 0.00 0.00 0.00 396.48
5/25/2018 5/25/2018 6/6/2018 396.48 0.00 0.00 0.00 0.00 0.00 0.00 396.48
10 1500
105,250.43 5,881.19 26,047.54 0.00 0.00 0.00 0.00 137,179.16
105,250.43 5,881.19 26,047.54 0.00 0.00 0.00 0.00 137,179.16
5,433.56 0.00 0.00 0.00 0.00 0.00 0.00 5,433.56
11/13/2017 12/13/2017 6/12/2018 5,433.56 0.00 0.00 0.00 0.00 0.00 0.00 5,433.56
21 2050
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/29/2018 3/29/2018 6/22/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 2000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/3/2017 5/5/2017 6/14/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5300
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/24/2018 3/28/2018 6/14/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
20
2102241807815 SIMON, IRENE
RMGE
Received letter from Morgan and Morgan stating-
This firm has been retained to represent the
above client in a claim for damages against you
resulting from an accident that occurred on the
above-captioned date.--2-24-18. No other
information provided.
163613
Claimant notice two holes on his PVC fence;
went out to speak to a county employee
operating a dump truck picking up tree debris.
The employee contacted his supervisor who
instructed the claimant to contact our office.
Claimant is alleging that the
2205031706102 McGaughey, Susan
163615
Property Owner is claiming that Collier County's
construction of the new road in front of their
home is a direct cause for needed septic
drainfield repairs and is requesting $1800 to pay
for a new lift station he is having to install.
2111131707285 SHANGOLD, MAXINE
163620
Claimant was riding her bike on the bike path
that runs paralleled to Immokalee Rd on the
north side when she hit an area of sidewalk that
was torned up and has no signage. The asphalt
brought claimant to a stop and throw her off her
bike.
2203291807820 KARAKOSTA, STEPHEN
1005251807992
SOWE
Employee ran into bollard and hit middle of
chest while dusting off generator.
Total by Major Coverage 33 Claims
Major Coverage: 20 - General Liability
1005011807929
253214
Emplooyee was pulling on a bar trying to
remove a motor/pump and it came loose
causing him to fall backwards.
4
16.E.2.a
Packet Pg. 2022 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
0.00 0.00 1,808.50 0.00 0.00 0.00 0.00 1,808.50
12/28/2016 3/31/2017 4/23/2018 0.00 0.00 1,808.50 0.00 0.00 0.00 0.00 1,808.50
22 5900
0.00 0.00 1,100.00 0.00 0.00 0.00 0.00 1,100.00
11/27/2017 11/29/2017 5/21/2018 0.00 0.00 1,100.00 0.00 0.00 0.00 0.00 1,100.00
22 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/25/2017 4/26/2017 6/12/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5900
0.00 1,285.00 0.00 0.00 0.00 0.00 0.00 1,285.00
2/1/2016 11/16/2016 4/3/2018 0.00 1,285.00 0.00 0.00 0.00 0.00 0.00 1,285.00
21
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/4/2018 3/7/2018 5/31/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/5/2018 3/5/2018 5/1/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/12/2017 5/22/2017 4/20/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5300
210155
Homeowner Mario Ventresca contacted the
Project Manager Diana Dueri to report water/
sewage damage inside his residence located at
128 Heron Avenue.
2103051807749 PINTO, JAMES
155410
Mr. Pinto was sticking his fingers through the
kennel door to 'pet the dog', when she
supposedly nipped his left forefinger and middle
finger. Mr. Pinto's statement on bite card:
"petting dog from outside of cage".
2205121706137 Ventresa, Mario
253212
Claimant alleges he lost control of his bicycle
while riding on the sidewalk in Saturnia Lakes
and struck his head on a concrete/metal
structure.
2203041807754 QUARRY GULF CLUB, CLUB HOUSE
233351
According to the club house facilities manager
the sewer main of the club house backup on
3/4/18. Hecalled Rotter Rooter who brought a
drain jetting machine and unclogged the system.
Rotter Rooter told the claimant that the lift
station was not working.
2204251706081 STAPLETON, LORI
253215
Meter Operations team members completed a
large meter change-out at Grand Bay in Pelican
Bay on 4-25-17. Work was scheduled and
written notice provided on 4-21-17. Customer
claims that her hot water tank stopped working
due to the work completed.
2102011605613 DEL SORDO, JAMES
233351
Wastewater Collections received a call of
ongoing sewer related issues and a sinkhole at
518 -108th Ave N (Naples Park). A CCTV
inspection was completed of the sewer service
lateral and a shifted pipe joint was found within
the County owned section.
2211271707731 The Community Association for Mill Run Inc
233351
While pulling into the entrance to Mill Run, the
driver pulled too close to the key pad building
and hit the corner of the roof damaging the tiles.
Vehicle #CC2-1567
2212281606010 DeLong, Michael
5
16.E.2.a
Packet Pg. 2023 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
0.00 0.00 862.99 0.00 0.00 0.00 0.00 862.99
9/20/2017 9/21/2017 6/12/2018 0.00 0.00 862.99 0.00 0.00 0.00 0.00 862.99
22 5400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/10/2017 11/9/2017 5/11/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5400
0.00 0.00 463.75 0.00 0.00 0.00 0.00 463.75
4/11/2018 4/20/2018 6/12/2018 0.00 0.00 463.75 0.00 0.00 0.00 0.00 463.75
22
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/4/2017 10/10/2017 6/18/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5300
0.00 0.00 899.34 0.00 0.00 0.00 0.00 899.34
10/20/2016 11/22/2016 6/25/2018 0.00 0.00 899.34 0.00 0.00 0.00 0.00 899.34
22 2000
5,433.56 1,285.00 5,134.58 0.00 0.00 0.00 0.00 11,853.14
5,433.56 1,285.00 5,134.58 0.00 0.00 0.00 0.00 11,853.14
0.00 144.00 9,627.76 0.00 0.00 0.00 0.00 9,771.76
12/11/2017 12/11/2017 6/18/2018 0.00 144.00 9,627.76 0.00 0.00 0.00 0.00 9,771.76
32 2450
0.00 0.00 1,516.30 0.00 0.00 0.00 0.00 1,516.30
12/14/2017 12/14/2017 6/30/2018 0.00 0.00 1,516.30 0.00 0.00 0.00 0.00 1,516.30
32 2000
144610
An Ambulance was parked at the Tuscany Villa
entrance, claimant saw the driver get out to pull
the stretcher from the back. As the claimant
drove by to park a person inside the ambulance
open the passenger door ripping the driver side
mirror and
3212111707268 TOSLLUKU, JULIAN
144610
Motor vehicle accident; Property damage
without injury. Driver's vehicle was struck Driver
side rear quarter panel.
3212141707287 BLACK, SHAWN
2210201605634 CENTURY LINK
163620
Century Link alleges a 50 pair buried cable was
damaged by County employees during a street
excavation.
Total by Major Coverage 16 Claims
Major Coverage: 30 - Auto Liability
210116
After inputting the code for entry into Bucks Run
truck #CC2-733 made contact with the security
keypad.
2209041706869 FRAUMENI, LYNETTE
210116
Resident is complaining about pool pavers
shifting after vibration for the road
reconstruction. Also, new homeowner said the
seawall has cracks because of the construction.
2209101707120 CHAPMAN, SYLVIA
156332
During Hurricane Irma claimant stayed at the
North Collier Regional Park shelter from 9/8/17
until 9/13/17. After the hurricane passed and the
people were allow to go outside the claimant
saw that a tree had fallen on her car.
2204111807976 Bucks Run Reserve
2209201706534 John Catalano
210120
Resident alleges sewer back up in dishwasher
due to county error in reversing flow.
6
16.E.2.a
Packet Pg. 2024 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
0.00 120.40 2,064.30 0.00 0.00 0.00 0.00 2,184.70
2/14/2017 2/14/2017 6/20/2018 0.00 120.40 2,064.30 0.00 0.00 0.00 0.00 2,184.70
32 3000
0.00 0.00 1,214.74 0.00 0.00 0.00 0.00 1,214.74
12/4/2017 12/4/2017 6/30/2018 0.00 0.00 1,214.74 0.00 0.00 0.00 0.00 1,214.74
32 2450
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/25/2018 4/2/2018 4/27/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 L105
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/10/2018 5/10/2018 6/19/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/10/2018 5/10/2018 6/20/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32
0.00 125.36 4,513.75 0.00 0.00 0.00 0.00 4,639.11
2/6/2018 2/7/2018 4/30/2018 0.00 125.36 4,513.75 0.00 0.00 0.00 0.00 4,639.11
32 3000
0.00 389.76 18,936.85 0.00 0.00 0.00 0.00 19,326.61
0.00 389.76 18,936.85 0.00 0.00 0.00 0.00 19,326.61
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/3/2018 4/3/2018 5/7/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 3000
172960
Employee took CC2-147 to our contracted
carwash Neapolitan Carwash, where the vehicle
was damaged during the wash.
253212
While driving down Bonita Beach Road going
east near Imperial Blvd. Claimant was rear
ended by a county vehicle.
Total by Major Coverage 8 Claims
Major Coverage: 40 - Auto Physical Damage
4104031807851 CC V. Neapolitan Carwash
320510180795702 Salazar Popo, Christian
CENE
While driving northbound on Livingston Rd,
employee had a rear end collision with a Nissan
that was slowing down due to a broken down
vehicle (Chevrolet). The collision caused the
Nissan to rear end the Chevrolet.
3202061807541 O'CONNOR, HARRY
RMSE
Ronald Russo-(Non government employee) was
driving the proper speed in the right hand lane
on Livingston, when his car hit a man-made pot
hole hazard in front of the existing construction
at the Luxury Storage Buildings by Kensington
development.
320510180795701 Friend, John
CENE
While driving northbound on Livingston Rd,
employee had a rear end collision with a Nissan
that was slowing down due to a broken down
vehicle (Chevrolet). The collision caused the
Nissan to rear end the Chevrolet.
3212041707215 Elite Electrical Contractors, LLC
138915
County employee while crossing US 41 had a
low impact collision with another truck. No
injuries, CCSO called and arrived on-scene.
3203251807846 RUSSO, RONALD
3202141705858 SWANK, STEPHANIE
138915
Inspector backed up in driveway and hit citizen's
driver's side passenger door.
7
16.E.2.a
Packet Pg. 2025 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
1,035.84 0.00 0.00 0.00 0.00 0.00 0.00 1,035.84
4/23/2018 4/23/2018 6/11/2018 1,035.84 0.00 0.00 0.00 0.00 0.00 0.00 1,035.84
41 2900
0.00 0.00 1,665.41 0.00 0.00 0.00 0.00 1,665.41
3/16/2018 3/16/2018 6/30/2018 0.00 0.00 1,665.41 0.00 0.00 0.00 0.00 1,665.41
41
0.00 0.00 159.22 0.00 0.00 0.00 0.00 159.22
5/24/2018 5/24/2018 6/22/2018 0.00 0.00 159.22 0.00 0.00 0.00 0.00 159.22
41 3000
0.00 0.00 820.57 0.00 0.00 0.00 0.00 820.57
3/16/2018 3/16/2018 5/17/2018 0.00 0.00 820.57 0.00 0.00 0.00 0.00 820.57
41
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/30/2018 5/30/2018 6/12/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 3000
0.00 0.00 1,610.00 0.00 0.00 0.00 0.00 1,610.00
11/13/2017 11/13/2017 6/12/2018 0.00 0.00 1,610.00 0.00 0.00 0.00 0.00 1,610.00
41
2,828.27 0.00 0.00 0.00 0.00 0.00 0.00 2,828.27
9/10/2017 9/15/2017 6/21/2018 2,828.27 0.00 0.00 0.00 0.00 0.00 0.00 2,828.27
42 5400
700.50 0.00 0.00 0.00 0.00 0.00 0.00 700.50
9/10/2017 9/22/2017 4/30/2018 700.50 0.00 0.00 0.00 0.00 0.00 0.00 700.50
42 5400
4209101706572 Solid & Hazardous Waste Management Division
173441
Hurricane IRMA Damage to CC2-1332 torn tarp
and damage to the right rear fender.
253215
While pulling vehicle #CC2-1537 forward, Jacob
Rivera struck the right front bumper of vehicle
CC2-1201. This caused a dent in the left side of
vehicle CC2-1537.
4209101706457 Building Review & Permitting Division
138915
Tree branch came down during the hurricane
and hit on the passenger side on the cab behind
the door.
410530180800301 Solid Waste
SOWE
Mackenzie Pierre was turning right (north
bound) on U.S.41 from Collier BLVD (south
bound). The driver in front of Mackenzie
stopped to yield to on coming traffic and
Mackenzie hit the left rear bumper of driver.
4111131707131 Water Distribution Division
FMGE
Loading Materials into truck bumped the edge of
the window with material and the window
shattered.
4103161807780 Pelican Bay Services
PBSE
Utility vehicle/Kubota CC2-1364 hit the back of
Utility vehicle/Kubota CC2-984. Jeovany
Caraballo was driving CC2-1364. Abraham
Hernandez was driving CC2-984. Jeovany
states that he hit the accelerator instead of the
break & hit CC2-984.
4103161804003 Pelican Bay Services
PBSE
Utility vehicle/Kubota CC2-1364 hit the back of
Utility vehicle/Kubota CC2-984. Jeovany
Caraballo was driving CC2-1364. Abraham
Hernandez was driving CC2-984. Jeovany
states that he hit the accelerator instead of the
break & hit CC2-984.
4105241807987 Facilities Management
4104231807910 Traffic Operations
163630
Right quarter panel has a dent. I noticed the
damage while washing my vehicle at the Collier
County Car Wash around 2:00 PM on 4/23/2018
8
16.E.2.a
Packet Pg. 2026 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
0.00 0.00 6,187.57 0.00 0.00 0.00 0.00 6,187.57
12/11/2017 12/12/2017 4/30/2018 0.00 0.00 6,187.57 0.00 0.00 0.00 0.00 6,187.57
41 3000
627.06 0.00 0.00 0.00 0.00 0.00 0.00 627.06
8/9/2017 8/11/2017 6/12/2018 627.06 0.00 0.00 0.00 0.00 0.00 0.00 627.06
41 2150
2,110.96 0.00 0.00 0.00 0.00 0.00 0.00 2,110.96
1/26/2018 2/1/2018 4/30/2018 2,110.96 0.00 0.00 0.00 0.00 0.00 0.00 2,110.96
42
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/17/2018 4/19/2018 4/30/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
42 2900
1,746.20 0.00 0.00 0.00 0.00 0.00 0.00 1,746.20
9/10/2017 11/27/2017 6/30/2018 1,746.20 0.00 0.00 0.00 0.00 0.00 0.00 1,746.20
42 5400
0.00 0.00 7,219.18 0.00 0.00 0.00 0.00 7,219.18
12/7/2017 12/7/2017 6/12/2018 0.00 0.00 7,219.18 0.00 0.00 0.00 0.00 7,219.18
41 3000
0.00 0.00 1,634.22 0.00 0.00 0.00 0.00 1,634.22
2/20/2018 2/24/2018 6/11/2018 0.00 0.00 1,634.22 0.00 0.00 0.00 0.00 1,634.22
41 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/15/2018 3/16/2018 4/27/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 3000
144610
EMS Tk16 struck a Red Kia in the front driver
side while responding to a call from the
shopping plaza at Vinyards and Paine Ridge. no
injuries reported.
4103151807778 Building Review & Permitting
138915
Inspector heard a noise while driving. He got
out of his truck and noticed a chunk out of the
passenger side mirror.
4112071707234 Wastewater Division
233313
While pulling out of the parking garage, the
driver contacted one of the balasts, causing
damage to the left side of the utility bed.
4102201807726 Emergency Medical Services
156363
County vehicle CC2-902 was struck by a
baseball, breaking the glass on the passenger
side mirror.
4209101707182 Parks & Recreation Division
156310
Damage to the left rear door. The staff believes
this happened during the hurricane.
4201261807450 Mary Topoleski
156381
On January 26th staff member Ronishia Moxam
found damage to the passenger side door of the
van. Ronisha left her supervisor a note to inform
her of the damage she found.
4204171807903 Beach and Water
182901
Pickup truck (CC2-553) was backing up - the
trailer (15F040) that was attached to it -
"jackknifed" resulting in it hitting the truck &
denting the rear left side of it.
4108091706358 Water Division
210113
A long valve key was transported from the weld
shop to the plant. The key was transported with
the handle tied off in the bed and the shaft held
between the door and the mirror. The shaft
rubbed on the paint and scraped the paint.
4112111707282 Pelican Bay Services Division
9
16.E.2.a
Packet Pg. 2027 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
574.45 0.00 0.00 0.00 0.00 0.00 0.00 574.45
12/18/2017 12/19/2017 4/30/2018 574.45 0.00 0.00 0.00 0.00 0.00 0.00 574.45
42 5900
0.00 0.00 1,186.71 0.00 0.00 0.00 0.00 1,186.71
8/30/2017 8/30/2017 6/30/2018 0.00 0.00 1,186.71 0.00 0.00 0.00 0.00 1,186.71
41 2150
0.00 0.00 2,474.94 0.00 0.00 0.00 0.00 2,474.94
2/6/2018 2/6/2018 5/21/2018 0.00 0.00 2,474.94 0.00 0.00 0.00 0.00 2,474.94
41 3000
0.00 0.00 1,431.80 0.00 0.00 0.00 0.00 1,431.80
1/5/2018 1/9/2018 5/21/2018 0.00 0.00 1,431.80 0.00 0.00 0.00 0.00 1,431.80
41 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/8/2018 5/8/2018 5/10/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41
0.00 0.00 664.33 0.00 0.00 0.00 0.00 664.33
3/23/2018 3/23/2018 6/30/2018 0.00 0.00 664.33 0.00 0.00 0.00 0.00 664.33
41 3000
9,623.28 0.00 25,053.95 0.00 0.00 0.00 0.00 34,677.23
9,623.28 0.00 25,053.95 0.00 0.00 0.00 0.00 34,677.23Total by Major Coverage 23 Claims
253212
Michael Haight Utility Tech for the meter team
was driving into the Bay Front subdivision when
the gate at the entrance came down and struck
his vehicle.
4103231807792 JAIMES, ROGELIO
PBSE
A silver Cadillac SUV gently tapped/hit the rear
bumper of our PBSD Pick-up truck CC2-1167.
The driver of the SUV got out of his vehicle,
looked at the rear of our truck, stated "there's no
damage" and then got back in his SUV and
drove off.
4101051807357 Water Division
253212
While backing trailer to dump load, vice
mounted on bumper of utility truck hit the box
mounted onto the tounge of the trailer.
4105081807952 Water
253212
While at the landfill attempting to get to the
location designated by the staff on site, truck
and trailer got stuck and pulled out by the bull
dozer, damaging the trailer.
4102061807511 Water Division
253212
While driving down Bonita Beach Road going
east struck back of vehicle near Imperial Blvd.
4212181707317 Building Review & Permitting Division
138915
Inspector came back to his truck after
completing an inspection and noticed a hole in
the side of his truck. He did not see anyone
near the truck and did not witness how this hole
got to be there.
4108301706398 Water Distribution Division
10
16.E.2.a
Packet Pg. 2028 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
381.02 0.00 0.00 0.00 0.00 0.00 0.00 381.02
12/19/2017 4/26/2018 5/17/2018 381.02 0.00 0.00 0.00 0.00 0.00 0.00 381.02
53
2,505.00 0.00 0.00 0.00 0.00 0.00 0.00 2,505.00
2/1/2018 2/7/2018 6/11/2018 2,505.00 0.00 0.00 0.00 0.00 0.00 0.00 2,505.00
53 2000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/12/2017 11/8/2017 5/16/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
56
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/10/2017 9/25/2017 4/24/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
52 5400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/9/2017 4/11/2018 5/29/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50
0.00 0.00 2,572.72 0.00 0.00 0.00 0.00 2,572.72
4/28/2018 4/28/2018 6/11/2018 0.00 0.00 2,572.72 0.00 0.00 0.00 0.00 2,572.72
56
5,046.50 0.00 0.00 0.00 0.00 0.00 0.00 5,046.50
11/8/2017 5/18/2018 6/11/2018 5,046.50 0.00 0.00 0.00 0.00 0.00 0.00 5,046.50
53
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/17/2018 6/12/2018 6/26/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54
5405171808044 CC V. Allstate
163646
Vehicle 1 was traveling eastbound on Vanderbilt
Beach Rd. in the middle lane.Driver 1 stated
while driving he hydroplane and lost control of
V1. V1 started turning in a counter clockwise
direction and the right front door hit a tree in the
median.
173441
Team member Bob Best was operating Bobcat
skid steer loader when the windshield shattered.
5311081707975 Traffic Operations Division
163630
Street light pole G116 down on the ground. I
was unsuccessfull on finding a crash report.
5308091707872 CC v. City of Naples
163630
City of Naples called and said they were working
out on Davis blvd and hit a roadway lighting
conduit.
5604281807926 Collier County
163630
Variable Message Board (VMB) CC2-458 was
placed on Immokalee Rd at Oil Well
approximatly 9/8/17 advising that the Shelter
was open before Hurricane Irma. It was last
seen on 9/12/2017. We are unable to locate
VMB. Board was located on 11/14/17.
5209101706592 Library Division (Naples Regional Branch)
156100
Hurricane Irma winds caused roof damage
thereby creating leaks in the ceiling. The ceiling
leaks damaged multiple contents: bookcase,
desk, phone, check depositor, microwave,
printer, refrigerator, four chairs, calculator,
storage cabinet, computer.
5302011807540 Collier Area Transit
138336
Shelter side anchors broken; it appears to have
been hit.
5609121707111 Traffic Operations (VMB CC2-458)
Major Coverage: 50 - Property
5312191707921 Traffic Operations Division
163630
Staff was working in area and noticed the
pedestrian signal down at the intersection
Tamiami Trail and Manatee Rd. I was
unsuccessful in finding an accident report for
this damage. We do not know when it
happened.
11
16.E.2.a
Packet Pg. 2029 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
7,932.52 0.00 2,572.72 0.00 0.00 0.00 0.00 10,505.24
7,932.52 0.00 2,572.72 0.00 0.00 0.00 0.00 10,505.24
128,239.79 7,555.95 77,745.64 0.00 0.00 0.00 0.00 213,541.38
128,239.79 7,555.95 77,745.64 0.00 0.00 0.00 0.00 213,541.38
10:19:23 AM
Total by Major Coverage 8 Claims
Grand Totals: 88 Claims
8/3/2018
12
16.E.2.a
Packet Pg. 2030 Attachment: All Lines Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
833.10 0.00 0.00 0.00 500.00 833.10 0.00 0.00CC v. Gonzalez Pena, Marielle
($833.10) (CA) (PC)
4110241403668
5/22/201810/24/2014 10/30/2014 0.00 833.10 0.00 500.00 833.10 0.00 0.00 0.00105010
41 Marielle Gonzalez Pena
attempted to make it through a
yellow light before it turned red
while traveling south on Airport
Road and didn't notice traffic had
come to a stop. She struck a
vehicle assigned to the Property
Appraiser's office from behind.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Seminole Petroleum4108231706387
5/29/20188/23/2017 8/24/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00122240
41 Fuel truck (Seminole Petroleum)
backed into my vehicle
(CC2-1067) while I was
refueling.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Scott Powerline & Utility4109221706558
6/15/20189/22/2017 9/22/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00253212
41 While parked at 347 Benson
Street, a tree trimming company
vehicle backed into Asset
#CC2-1551.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Planes, Anthony Gene5408081706353
6/15/20188/8/2017 8/9/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00156140
54 An elderly man in a sedan hit a
parked suv and pushed it up into
the shrubs at the Golden Gate
Library.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Toledo, Jacqueline5406031706330
6/14/20186/3/2017 8/1/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Rene Fernandez Rodriguez was
traveling east on Rine Ridge
Road when the vehicle started to
hydroplane. The vehicle drove
into the median and struck
landscaping and irrigation.
3000
-1-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2031 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Sylla, Rosita5407011706371
6/14/20187/1/2017 8/15/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00162507
54 Rosita Sylla was traveling south
on Hunter Blvd. She veered to
the left and struck the curb, then
a tree.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Kee, Gregory5308061706352
6/22/20188/6/2017 8/9/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Gregory Kee was traveling north
on Tamiami Trail North when he
made a late, wide turn to head
west on Wiggins Pass Road. He
drove onto the north shoulder,
then off the road and into a
pedestrian crosswalk pole.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Robinson, Kellie5306011706374
6/14/20186/1/2017 8/17/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
53 Claimant was traveling south on
Collier Blvd. when another
vehicle allegedly pulled up next
to her and sideswiped her
vehicle. She then lost control of
the vehicle and drove over the
median.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Emergency Medical Services4101201705772
6/13/20181/20/2017 1/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00144610
41 Medic 46/Truck 22 was enroute
to a call in Bridgewater Bay
community. Security gates were
opened using County supplied
EVAC remote. While driving
trhough the gates, the right side
gate arm came down and struck
the truck in the passenger side
mirror
2000
-2-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2032 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC V. Bobby Williams4103201807791
5/29/20183/20/2018 3/23/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00155810
41 While stopped in traffic, I was
rear-ended by a Toyota Corolla,
which had been rear-ended by a
construction truck from Southern
Gulf Construction.
3000
1,785.87 0.00 0.00 0.00 9.68 1,785.87 0.00 0.00CC v. Veliz, Jesse ($1,785.87)5205181504109
5/22/20185/18/2015 5/18/2015 0.00 1,785.87 0.00 9.68 1,785.87 0.00 0.00 0.00156100
52 During some unknown time
between Friday, May 15, 2015 7
pm and Monday, May 18, 2015
10 am, our library was
burglarized and vandalized.
5500
0.00 0.00 0.00 0.00 583.68 0.00 0.00 0.00CC v. Baptiste, Garry Jean (PC)5401100902654
5/4/20181/10/2009 2/4/2009 0.00 0.00 0.00 583.68 0.00 0.00 0.00 0.00163647
54 JE Garry Baptiste was traveling
eastbound on US41 @ 93 MPH
and struck the edge of the
median curb, lost control of the
vehicle & struck a palm tree.
1400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Bald Eagle Towing4107061605279
5/22/20187/6/2016 7/6/2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00122240
41 Vehicle was mounted on the tow
truck. Tow truck driver (Benjamin
Young) was inside the vehicle
driving it on the bed of the tow
truck but, drove it too far and hit
the stopper on the loading
mechanism.
3100
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Bowman, Shae (PC)5105100801925
5/3/20185/10/2008 6/10/2008 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00122240
51 JE While Shae Bowman was being
escorted out of the sub-station,
he lunged forward and
"headbutted" the glass panel in
the front door, breaking the
glass.
-3-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2033 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Wilkerson, Rayburn Lee
(PC)
5310120802464
5/3/201810/12/2008 10/14/2008 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 JE Rayburn Wilkerson was traveling
along 8th Street heading south
when another vehicle ran a stop
sign causing Rayburn to swerve,
striking a stop sign.
1400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Bayshore CRA vs. Southern
Motor Sports (PC)
6712221003884
5/4/201812/22/2010 1/4/2011 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00138318
67 JE Claim against Southern Motor
Sports for non payment of rent
for the months of October,
November & December 2009.
2900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Sanchez & Martinez (SAO)5303241003600
5/4/20183/24/2010 5/7/2010 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00156381
53 JE An informational sign was spray
painted with graffiti.
2350
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Hamilton, Brian5301091003611
5/4/20181/9/2010 6/1/2010 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 JE Jo Dee Hamilton was traveling
north on SR29 when she
dropped her cigarette & bent
over to pick it up & lost control of
the vehicle, striking 3 sections of
guardrail.
1400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Dorce, Roberson (PC)5304251103993
5/4/20184/25/2011 4/26/2011 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 Roberson Dorce's vehicle caught
fire when he turned on his air
conditioner, causing damage to
curbing and the roadway.
5000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Roder, Christopher (PC)5412181101284
5/11/201812/18/2011 3/9/2012 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00138325
54 Christopher Roder was traveling
west on US41 & had a collision
with a person driving a moped &
damaged a palm tree.
3000
-4-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2034 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Simon, Philippe (PC)5312171101102
5/11/201812/17/2011 1/17/2012 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00156363
53 Philippe Simon was on the north
side of Vanderbilt Beach Road
attempting to travel south
through a grass field & exit onto
VBR when he struck a coin
meter, beding it to the ground.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Chaidee, Arkom5305011201601
5/11/20185/1/2012 6/25/2012 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 Noophan Saneydee was
traveling east on Immokalee
Road & for unknown reasons,
traveled into the path of an
ocoming vehicle causing a
collision. A fuel spill caused the
road to deteriorate.
2450
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Jeanry, Mark (PC)5305131201581
5/11/20185/13/2012 6/11/2012 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 Mark Jeanry was traveling west
on Tamiami Trail E when he
became confused as to which
lane another vehicle was in &
struck the rear of that vehicle &
caused it to collide with a
guardrail.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Walker, Antoine
($1,157.40)
5311071605602
6/13/201811/7/2016 11/10/2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00138336
53 Waste container and bus shelter
struck by a vehicle.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Gregory, Allen (PC)5308211104001
5/10/20188/21/2011 9/23/2011 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 Kenneth Thompson took part in
digging up the sidewalk at 2854
Becca Ave. along with another
individual (Allen Gregory)
2350
-5-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2035 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Hyppolite, Brunette (PC)5305301100732
5/10/20185/30/2011 8/5/2011 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 Fadson Thermidor was nearing
the exit of a gas station &
pressed the gas pedal instead of
the brake & drove onto the road,
losing control of the vehicle &
struck a pedestrian sign.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Fox, Frank (PC)4204131003531
5/4/20184/13/2010 4/15/2010 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00138911
42 JE The driveway the County vehicle
was stopped on gave way,
damaging the undercarriage.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Arnold, Joshua (SAO)5310180903411
5/4/201810/18/2009 12/17/2009 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00156361
53 JE Joshua Arnold was detained
after being caught spraypainting
graffiti on the park amphitheater.
2350
2,201.06 0.00 0.00 0.00 0.00 2,201.06 0.00 0.00CC V. US Water4103131807764
6/11/20183/13/2018 3/13/2018 0.00 2,201.06 0.00 0.00 2,201.06 0.00 0.00 0.00233350
41 Van # CC2- 1624 was side
swiped by a golf cart while
parked at the Golden Gate
WWTP.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. NASA Holdings
($14,257.77) (CA)
5204011504031
5/14/20184/1/2015 4/23/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00156314
52 Outsourced vendor (NASA
Holdings) received items for their
use during the term of the
contract. Multiple pieces of
equipment returned in a lesser
manner. Also, 3 months of
compensation not received. 3
concession complexes needed
to be cleaned.
-6-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2036 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Nantz, Nakia ($1,618.71)
(CA)
5307161504321
5/14/20187/16/2015 7/24/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 Jo Ann Perkins was traveling
east on Randall Blvd. when a
deer allegedly ran in front of the
vehicle. She swerved, trying to
miss the deer and struck a
section of guardrail.
3000
7,780.00 0.00 0.00 0.00 6,298.64 0.00 0.00 7,780.00CC v. Joseph Boney/Michael
Reyna (SAO)
7004041203640
5/23/20184/4/2012 10/15/2014 7,780.00 0.00 0.00 6,298.64 7,780.00 0.00 0.00 0.00156349
70 2 Employees were caught
submitting false time sheets
containing unworked hours for
another employee, then forging
that employee's signature on the
checks created, and cashing
them.
L204
1,000.00 0.00 0.00 0.00 0.00 0.00 0.00 1,000.00CC v. Barbaro, Dylan5303021705912
6/14/20183/2/2017 3/2/2017 1,000.00 0.00 0.00 0.00 1,000.00 0.00 0.00 0.00157410
53 Vandalism of 1920's baggage
car, 1909 caboose & little train
fence equiptment. 1920's
baggage double glass doors
broken (both door frame & glass
panels) by huge rock, 1909
caboose door panel (bottom
section) kicked in & little train
fence broken.
5500
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Munguia, Mary (CA)5306181201728
5/11/20186/18/2012 8/16/2012 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00162524
53 Joshua Crump was traveling
west on CR846 in the area of
Colorado Ave., entered the turn
lane & continued west through
the intersection where he
impacted the median curbing,
then a light pole.
3000
-7-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2037 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Walsh Trucking, Inc.
(306.99) (PC)
5912301302955
5/14/201812/30/2013 1/6/2014 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
59 Kenneth Miller, a driver for
Walsh Trucking spilled hydraulic
fluid on the roadway, requiring
clean-up by County personnel.
3100
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Brown, Joyce (PC)5308201201793
5/11/20188/20/2012 9/6/2012 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 Tyrone Brown was traveling east
on Tamiami Trail when he
changed lanes & discovered
there was a vehicle stopped in
front of him for unknown
reasons. He quickly changed
lanes again & sideswiped
another vehicle causing it to
strike a street sign.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Telfort, Enise (PC)5406061201820
5/11/20186/6/2012 9/18/2012 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163652
54 Enise Telfort was traveling west
on Rattlesnake-Hammock when
she attempted to change lanes &
struck another vehicle. This
caused her vehicle to spin out of
control, then up onto a median,
damaging landscaping.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Thompson, Karen5912191101073
5/11/201812/19/2011 12/19/2011 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
59 Christopher Thompson was
traveling east on US 41 &
purposely swerved into the path
of an oncoming Semi Tractor
Trailer causing a collision and
diesel fuel to spill.
2450
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Immokalee CRA5311051707169
6/15/201811/5/2017 11/20/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00162524
53 A car/truck ran into the
decorative light pole on the
median in front of the casino.
3000
-8-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2038 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. ESP Waste Disposal
Service
5311281707192
6/15/201811/28/2017 11/28/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00173435
53 ESP Roll off truck 3000
approached the scale #3 at
CCLF. Driver did not realize the
door was still open and the
dumpster door hit the stop light
and pole near scale.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Thompson, Kenneth (PC)5308211100856
5/11/20188/21/2011 9/23/2011 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 Ken Thompson requested the
sidewalk at 2854 Becca Ave. be
removed & when the County
refused, he took part in digging it
up, along with another individual
(Allen Gregory).
2350
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Curcio, Nickolas (PC)5910010903372
5/4/201810/1/2009 10/30/2009 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
59 JE Nickolas Curcio was traveling
south on 13th Street SW when
he fell asleep at the wheel & ran
a stop sign. The vehicle vaulted
off of an earth berm, became
airborne and landed on its side.
3100
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Breedlove, Kathleen (PC)5304270903269
5/4/20184/27/2009 9/15/2009 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 JE An unknown driver was traveling
about 80 MPH westbound on
Tamiami Trail when a tire blew
out causing the vehicle to
swerve off the road and strike a
guardrail.
1400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Lahmann,Raymond (PC)4102170902714
5/4/20182/17/2009 2/18/2009 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
41 JE A County vehicle was traveling
southbound on Airport Road
when Raymond Lahmann Jr.
pulled out of Trade Center Way
and struck the County vehicle.
OTH
-9-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2039 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Bonard, Rodney (CA)5312270802658
5/4/201812/27/2008 1/29/2009 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 JE Rodney Bonard was traveling
west on US41 and became
fatigued, as he had been up for
21 hours, and failed to negotiate
a curve to the left and struck a
guardrail.
1400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Saint-Macary, Idalia (PC)5305170802100
5/3/20185/17/2008 6/11/2008 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 JE Orlando Scott, who was driving a
vehicle owned by Idalia
Saint-MaCary, fell asleep while
traveling south on State Road 29
and struck a guardrail.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Auer, Michael (PC)5305130802390
5/3/20185/13/2008 10/8/2008 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 JE Michael Auer was fleeing from
deputies after a traffic infraction
& attempted to make a right turn
onto Goodlette Road to head
northbound, but the vehicle
continued westbound, striking an
aluminum hand rail.
1400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Benavidez, Rolando (PC)5306210802407
5/3/20186/21/2008 10/21/2008 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 JE Rolando Benavidez was
traveling southbound on 846
East towards East Main Street
and failed to maintain control of
his vehicle on the bend, striking
2 signs & 2 posts.
1400
-10-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2040 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Calow, Michael (PC)5912080802643
5/3/201812/8/2008 1/29/2009 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
59 JE James Calow was traveling
westbound on US
41approaching a traffic signal &
looked away momentarily &
upon looking back realized it was
too late to avoid a collision with
the vehicle in front of him; this
caused a 6 car chain reaction.
2450
0.00 0.00 0.00 0.00 250.00 0.00 0.00 0.00CC v. Isme, Simelant (PC)5312080802642
5/3/201812/8/2008 1/29/2009 0.00 0.00 0.00 250.00 0.00 0.00 0.00 0.00163620
53 JE Simelant Isme was traveling
west on US41 while another
vehicle was traveling east on
US41. He alleges that the glare
from the high beams of the
oncoming vehicle obstructed his
view & caused him to cross the
center line & enter the other
vehicles path.
1400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Artola, Yansiel (PC)5305070701106
5/1/20185/7/2007 6/4/2007 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 JE Yansiel Artola's vehicle
experienced transmission failure
& leaked oil on the roadway,
requiring clean-up by County
personnel.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Lyons Lawn and Tree
Service (PC)
5904230700938
5/1/20184/23/2007 5/17/2007 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
59 JE Clean-up and set up of MOT for
equipment malfunction which
caused a landscape trailer to
overturn.
-11-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2041 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Cisneros, Jose5307071706264
6/15/20187/7/2017 7/10/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Cristian Cisneros was traveling
south on Collier Blvd. when the
vehicle's rear slid out (due to
bald tires), traveled over the
median and struck a "do not
enter" sign.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Webster, Jason
($6,786.06)
5302111705893
6/13/20182/11/2017 2/24/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Jason Webster was traveling
south on Bayshore Drive when
he alleges one of his tires blew
out causing him to lose control of
the vehicle striking a light pole, a
fence, and landscaping.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Chiriguayo, Christopher5301151705885
6/13/20181/15/2017 2/23/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163652
53 Christopher Chiriguayo was
traveling west on Vanderbilt
Beach Road when he ran a stop
sign, drove through a fence and
struck a tree.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC V. Blackburn, John5305051807973
5/30/20185/5/2018 5/18/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Street light pole 256 damaged
from a car accident
68.00 0.00 0.00 0.00 4,767.10 0.00 0.00 68.00CC v. Johnson, James
($7,209.64) (CA)
5303281504007
5/23/20183/28/2015 4/17/2015 68.00 0.00 0.00 4,767.10 68.00 0.00 0.00 0.00163630
53 James Johnson was crossing
between Bayshore Drive,
westbound, from the Gulfgate
Plaza when he failed to yield to
traffic and struck a vehicle
traveling south on Bayshore.
The impact caused the other
vehicle to go into a spin and
strike a light pole.
3000
-12-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2042 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Marciano, Michael
($2,330.31) (CA)
5306211605264
5/22/20186/21/2016 6/28/2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Michael Marciano was traveling
east on Estey Avenue when he
failed to stop at the flashing red
light and struck another vehicle.
He then drove over a curb and
into a pedestrian pole.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Smashey, Nicholas5305241605232
5/17/20185/24/2016 6/20/2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Amy Lowell was driving north on
Goodlette Road N. when she felt
something wrong with the
vehicle. She heard a bang and
the vehicle made an abrupt
change in direction. She alleges
she had no control of the vehicle
and struck a light pole and a
tree.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Hilts, Amy5403121605238
5/14/20183/12/2016 6/22/2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163652
54 Amy Hilts was traveling east on
Golden Gate Blvd. when she
failed to maintain control of her
vehicle and struck a concrete
median and landscaping.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Dreamscapes Speciality,
Inc. ($1,043.76) (PC)
5311041302867
5/14/201811/4/2013 11/27/2013 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Bruce Squarebrigs was traveling
south on Collier Blvd. when he
veered to the right, drove over
the curbed island & struck a
traffic signal pole.
3000
-13-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2043 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 100.00 0.00 0.00 0.00CC v. Merring, Mark ($4,498.92)
(CA)
5308271302678
5/14/20188/27/2013 9/3/2013 0.00 0.00 0.00 100.00 0.00 0.00 0.00 0.00163630
53 Mark Merring was traveling west
on Davis Blvd. when his tire
allegedly blew out, causing him
to lose control of the vehicle &
collide with a street light.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Gonzalez, Pablo (PC)5306261202018
5/11/20186/26/2012 11/26/2012 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Yasiel Rodriguez was traveling
east on CR886 when the vehicle
began skidding & struck a sign
post.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Deroy, Albert (SAO)5304181103980
5/4/20184/18/2011 4/21/2011 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Richard Deroy was traveling
west on Recreation Lane. When
he turned south onto Santa
Barbara Blvd., he lost control of
the vehicle, crossed over the
median & northbound lanes,
then struck a light pole.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CCv. Tait, Heather (SAO) (CA)5310071003822
5/4/201810/7/2010 11/24/2010 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Heather Tait was traveling north
on Collier Blvd. & as she
approached slower traffic, she
made an abrupt move into the
right lane, then overcorrected to
the left & lost control of the
vehicle. She struck another
vehicle & it collided with a light
pole.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Morales, Antonio Vazquez
(SAO)
5305100801865
5/2/20185/10/2008 5/15/2008 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 JE Antonio Morales was traveling
southbound on Carson Road
when his vehicle left the roadway
and struck a bus shelter.
-14-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2044 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Jeanty, Frantzy (PC)5305150700983
5/1/20185/15/2007 6/12/2007 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 JE Frantzy Jeanty suffered a
possible seisure/blackout and
ran his vehicle off the road,
sideswiping several vehicles and
striking a utility pole, street sign,
and curbing.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Southwest Disposal5312121707327
6/18/201812/12/2017 12/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Jesse Hough was driving a
dump truck and while coming
through the emergency exit for
the Greater Naples Fire Dept.,
the arm struck the emergency
traffic signal.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. JW Craft, Inc.5305101707139
6/14/20185/10/2017 11/14/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Kenneth Paul was traveling north
on US41 approaching Pelican
Bay Blvd. N. He tried to stop the
vehicle for a yellow light, but his
brakes failed and he struck
another vehicle then drove up
onto the median.
2450
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Beltran, Alicia5304291707136
6/14/20184/29/2017 11/14/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Vanessa Beltran was traveling
west on Tamiami Trail when she
lost control of the vehicle and the
vehicle began to spin and struck
a median.
3100
-15-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2045 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Tovar Campos, Eloy5405021707138
6/14/20185/2/2017 11/14/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Eloy Tovar Campos was stopped
at a traffic light eastbound on
Tamiami Trail East. When the
light changed, he accelerated
and lost control of the vehicle on
the wet roadway, driving over the
median and striking 2 trees.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Drew Transport5311081707117
6/15/201811/8/2017 11/9/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00173435
53 At about 7:26 AM, a transport
truck #T1229 working for Drew
Transport struck and knocked
down sections of the front fence
and gate at ITS. Site is now not
securable. Security has been
notified.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Alfaro, Guadalupe5305311706194
6/14/20185/31/2017 6/12/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Karina Estrada was stopped at a
stop sign facing North on
Jackson Street. She moved
north on Jackson Street into the
path of another vehicle causing a
collision and her vehicle
overturned. The other vehicle
continued to travel and struck a
stop sign.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Lang, Joseph5405181706213
6/14/20185/18/2017 6/15/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Joseph Lang was traveling west
on Vanderbilt Beach Road.
Traffic ahead was stopped and
he failed to stop his vehicle in
time, striking the vehicle in front
of his. After the impact, the
other vehicle was pushed into
the median, striking a palm tree.
3000
-16-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2046 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Lanphear, Jacob5306121706199
6/14/20186/12/2017 6/14/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00182901
53 Jordan Lanphear was turning
onto Laurel Oak Drive heading
west from Tamiami Trail when
the vehicle lost traction on the
wet roadway. He drove over the
median and struck a "one way"
sign.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Balzarini III, William5411271606068
6/13/201811/27/2016 4/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 William Balzarini III was traveling
north on Collier Blvd. when the
vehicle drifted to the left, entered
the median and collided with a
palm tree.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Loredo-Armendariz,
Sandra
5409071606063
5/24/20189/7/2016 4/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Ezequiel Loredo was traveling
east on US41 when he pulled
the wheel hard to the right then
steered back to the left causing
the vehicle to spin out of control
striking the curb, then a tree.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Belen Resto, Yolanda5409051606062
5/24/20189/5/2016 4/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
50 Yolanda Belen Resto was
traveling south on US41 when
she looked down at her cell
phone, veered left and traveled
over the raised median colliding
with a traffic sign, a palm tree
and landscaping.
3000
-17-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2047 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Santiago, Brandon5408261606060
5/22/20188/26/2016 4/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Brandon Santiago was traveling
south on Airport Road and made
a -turn at Orange Blossom Drive.
He went to accelerate, lost
traction in his tires and slid all
over the road. He then drove
into the median and struck 2
palm trees & several shrubs.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Flood, Mark5408161605407
5/22/20188/16/2016 8/18/2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163647
54 Jacob Flood was traveling east
on Immokalee Road when he
attempted to stop, but the
vehicle continued forward on the
wet roadway and struck
landscaping & irrigation.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Salter, Thomas E.4101101807367
6/14/20181/10/2018 1/11/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00RMGE
41 CC2-1100 rear ended at traffic
light on the intersection of Airpot
Road and Estey Avenue
(CC2-1100 at complete stop)
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Palomino Vargas, Martha
($1,093.80) (PC)
5406031504559
5/14/20186/3/2015 10/29/2015 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163652
54 Ernesto Salvador Huerta Chairez
was traveling north on US 41
when he changed lanes to avoid
a collision with a phantom
vehicle & began to fishtail. His
vehicle collided with another
vehicle & that vehicle struck
landscaping.
3000
-18-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2048 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 500.00 0.00 0.00 0.00CC v. Nunez, Chad ($784.26)
(PC)
5409131302842
5/14/20189/13/2013 11/14/2013 0.00 0.00 0.00 500.00 0.00 0.00 0.00 0.00163652
54 Jeff Ramos was on a high speed
chase with deputies when they
performed a P.I.T. maneuver &
Jeff went over a median and
struck a tree, landscaping, and
irrigation.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Prentice, Renee (PC)5411081101218
5/11/201811/8/2011 3/6/2012 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163652
54 Richard Marabel was traveling
west on Pine Ridge Road when
he swerved to the right to avoid
a collision with the vehicle in
front of him. The right side tires
collided with the north curbed
shoulder, damaging landscaping.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Vazquez, Moises (SAO)5404261100634
5/10/20184/26/2011 6/13/2011 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163652
54 Moises Vazquez was traveling
south in the northbound lane of
S. 1st Street when he jumped
the the curb and struck a palm
tree.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Schroeder, Lauren5409071605532
5/25/20189/7/2016 10/13/2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Ryan Hafenbrack was making a
left turn from Naples Blvd. to
Airport Road when he lost
control of the vehicle on wet
pavement, entered the median
and struck landscaping.
3000
-19-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2049 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Sandoval Salinas, Jose5409061605520
5/22/20189/6/2016 10/6/2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Jose Sandoval Salinas was
traveling east on Golden Gate
Blvd. when he swerved suddenly
to avoid striking the CAT bus
that was stopped ahead. When
he did so, he side swiped
another vehicle, sending it into
the median and damaging
landscaping.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Brown, Ashley
($2,350.00)
5407241605463
5/22/20187/24/2016 9/8/2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Ashley Brown was traveling east
on Golden Gate Parkway then
drifted or swerved to the right
striking the curb, then a bicycle
path sign and a tree.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Mansolilli, Deborah5406111605465
5/22/20186/11/2016 9/9/2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Deborah Mansolilli was traveling
north on Airport Road when a
phantom vehicle allegedly pulled
out from the Audi Dealership
causing her to swerve to avoid a
collision. She drove up onto the
median and struck a City water
meter box and a tree.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Obidiegwu, George5412291506057
5/14/201812/29/2015 4/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 George Obidiegwu fell asleep at
the wheel and drifted off the
roadway. He struck the curb and
drove onto the grassy median,
damaging landscaping.
3000
-20-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2050 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Augenstein, Sherry5408091606058
5/22/20188/9/2016 4/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Keith Baasch was traveling at a
high rate of speed on Collier
Blvd. when he struck the median
curb, left the roadway and struck
several palm trees.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Signature Tree Care5308301706404
6/15/20188/30/2017 8/31/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00172960
53 Contractor - Signature Tree Care
- Ven #104528 - was doing a job
at the Otter Mound Preserve and
accidentally backed equipment
into and damamged a bench.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC vs. Ashbritt5310181706988
6/15/201810/18/2017 10/18/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00233351
53 Customer Beth Mcnichols called
in a broken manhole lid cover at
2182 Jackson Ave. She said that
the tree/ debris contractor was
using the claw on the truck and
damaged the manhole while
doing so.
5900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Gilreath, Richard (PC)5402141302266
5/14/20182/14/2013 3/21/2013 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163652
54 Richard Gilreath was traveling
south on Weber Blvd. & lost
control of the vehicle while
making a left turn onto Golden
Gate Blvd, striking a tree.
3000
-21-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2051 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Moss, Lauren (PC)5307280701201
5/1/20187/28/2007 8/1/2007 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 JE Zachery Jones (who was driving
a car owned by Lauren Moss)
was traveling north on
Corkscrew Road at a high rate of
speed. He was unable to stop
for the stop sign at the
intersection due to the rate of
speed & he struck a yellow
warning sign, then a tree
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Abarca, Juan5303310801800
5/1/20183/31/2008 4/18/2008 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
53 JE Juan Abarca was traveling south
on Camp Keais Road & as he
approached the stop sign at the
intersection, an unknown driver
failed to stop. Juan crossed
over County Line Road & struck
the guardrail.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Goebel, Kenneth (SAO)5304030801866
5/1/20184/3/2008 5/15/2008 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 JE Kenneth Goebel was traveling
west on US41 in the westbound
lane approaching the
intersection of Rattlesnake
Road. He failed to brake for
stopped traffic at the
inter-section due to intoxication
striking 2 vehicles, a light pole,
then another vehicle.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Castro, Alejandro (PC)5310200701709
5/1/201810/20/2007 2/21/2008 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 JE Alejandro Castro was traveling
southbound on 42nd Terrace
SW at a high rate of speed. He
was unable to navigate a right
turn onto 18th Avenue SW and
struck a stop sign located at that
intersection. Driver & all
passengers fled the scene.
-22-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2052 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Reyes, Ramiro (PC)5306080701903
5/1/20186/8/2007 5/30/2008 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 JE Ramiro Reyes fell asleep at the
wheel, his vehicle left the
roadway and struck a street sign.
0.00 0.00 0.00 0.00 200.00 0.00 0.00 0.00CC v. Fane, Elionardo/Almeida
(PC)
5408010703058
5/1/20188/1/2007 7/1/2009 0.00 0.00 0.00 200.00 0.00 0.00 0.00 0.00163647
54 JE Julio Almeida was traveling north
on Livingston Road when the
vehicle blew a tire. The driver
lost control of the vehicle &
drove into the path of another
vehicle which drove over the
median to avoid a collision,
damaging landscaping &
irrigation.
1400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Rolando, Giovani (SAO)5303020701108
5/1/20183/2/2007 7/23/2007 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163647
53 JE Giovani Rolando was traveling
west on Main Street when he
veered left, entering the median,
and struck a light pole.
0.00 0.00 0.00 0.00 2,466.58 0.00 0.00 0.00CC v. Cervantez, Jessie (CA)5303030700931
5/1/20183/3/2007 5/25/2007 0.00 0.00 0.00 2,466.58 0.00 0.00 0.00 0.00163620
53 JE Hizarith Torres was traveling
east on Immokalee Road & kept
looking back to speak to the rear
passengers when his vehicle
traveled into the eastbound lane.
He swerved to the right avoid
oncoming traffic and struck a
section of guardrail.
-23-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2053 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Nadvit, Robert J. (PC)5303150700960
5/1/20183/15/2007 6/5/2007 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 JE (Driver Unknown) was traveling
eastbound on 103rd Ave., N.
approaching 6th Street. The
vehicle traveled through the
intersection and struck a stop
sign, then went into a ditch,
striking the concrete culvert.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Johnson, Christina (PC)5412090501589
4/30/201812/9/2005 1/28/2008 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163647
54 JE Christina Johnson was traveling
westbound on US41 when she
suffered a medical emergency
causing her to lose control of her
vehicle, she traveled into the
median and struck a tree.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Duntz, Christopher M.
(PC)
5307110600829
4/24/20187/11/2006 4/13/2007 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 JE Christopher Duntz was making a
left-hand turn from Collier Blvd.
onto Green Blvd., he failed to
yield the right-of-way to
oncoming traffic, collided with
another vehicle, which spun into
a lightpole.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Rodriguez, Eric (PC)5111230600359
4/24/201811/23/2006 11/23/2006 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
51 JE Eric Rodriguez was traveling SB
on SR29, lost control of his
vehicle, and struck a guardrail.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Garcia, Diosteres E. (PC)5304150600828
4/24/20184/15/2006 4/13/2007 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 JE Mr. Garcia alleges a small
animal ran out in front of his
vehicle and he swerved to avoid
hitting it and struck a street sign.
-24-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2054 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Huerta, Jose (PC)5308290600864
4/24/20188/29/2006 4/13/2007 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 JE Jose Huerta's vehicle skidded to
right shoulder off the roadway
and struck a street sign.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Frazier, Mark (PC)5105290600152
4/24/20185/29/2006 8/16/2006 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
51 JE Mark Frazier, who was driving
too fast for wet conditions,
swerved to avoid hitting traffic in
front of him that was slowing and
he struck the guardrail.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Vargas, Sofia M. (PC)5104130600351
4/23/20184/13/2006 6/7/2006 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
51 JE Because she was driving too
fast, Sofia M. Vargas lost control
of her vehicle while making a
right turn off US41 onto Turner
River Road, and struck a
guardrail.
0.00 0.00 0.00 0.00 1,859.68 0.00 0.00 0.00CC v. Martinez Hernandez,
Gervasio
5311191707265
4/27/201811/19/2017 12/11/2017 0.00 0.00 0.00 1,859.68 0.00 0.00 0.00 0.00163630
53 Gervasio Martinez Hernandez
was traveling west on Golden
Gate Parkway when he crashed
into a vehicle that was stopped
for a red light then struck a traffic
light pole.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Walsh Trucking, Inc.
($19,657.50) (CA)
5912271202083
4/23/201812/27/2012 12/31/2012 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163620
59 A truck owned by Walsh
Trucking was traveling south on
Collier Blvd. when the driver
failed to see 2 stopped vehicles
stopped in front of his &
attempted to drive in between
them. His vehicle overturned,
spilling it's load of sand onto the
roadway.
2450
-25-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2055 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Santiago, Rogelio5303201706016
6/14/20183/20/2017 4/3/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163624
53 Hector Lopez Bautista was
traveling west on Immokalee
Road when he allegedly swerved
in order to avoid a collision,
entered a grassy area
overturned and struck a panther
fence.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Hoy, Paul ($1,929.94)5307121706293
6/15/20187/12/2017 7/19/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Paul Hoy was traveling south on
Pine Ridge Road and ran a red
light at the intersection of Napa
Blvd., striking another vehicle.
The 2nd vehicle lost a tire which
struck a pedestrian crosswalk
signal and the vehcle damaged
some landscaping.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Sanchez, Ambrosia
($1,830.11)
5312221605715
6/13/201812/22/2016 12/30/2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Gabriel Hernandez was traveling
west on Pine Ridge Road when
he ran off the road and struck a
light pole.
3000
343.70 0.00 0.00 0.00 0.00 343.70 0.00 0.00CC v. Balance Professionals
($343.70)
4112301605716
6/28/201812/30/2016 12/30/2016 0.00 343.70 0.00 0.00 343.70 0.00 0.00 0.00253212
41 While a Balance Professional
employee was putting tools in
Asset #CC2-511, accidently
struck side window, shattering it.
2000
-26-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2056 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
1,305.00 0.00 0.00 0.00 0.00 0.00 0.00 1,305.00CC v. Eglaus, Dieunie
($1,405.00) (PC)
5303111504004
5/22/20183/11/2015 4/16/2015 1,305.00 0.00 0.00 0.00 1,305.00 0.00 0.00 0.00163652
53 Dieunie Eglaus was stopped on
Bear Creek Drive & made a right
turn onto Airport Road, crossing
all 3 southbound lanes of traffic
& striking another vehicle,
causing it to travel onto the
median and strike a Palm tree &
other landscaping.
3000
170.00 0.00 0.00 0.00 10,400.00 0.00 0.00 170.00CC v. Pericles, Perius (CA)5305101302411
5/14/20185/10/2013 5/23/2013 170.00 0.00 0.00 10,400.00 170.00 0.00 0.00 0.00163630
53 Marie Guerda Pericles Cadet
was traveling north on Santa
Barbara in the right lane &
attempted to change lanes, but
did not see the vehicle in that
lane. She moved quickly back
into the right lane, but kept going
& drove onto the sidewalk &
struck a tra
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Devose, Reginald (CA)5305241100575
5/10/20185/24/2011 5/27/2011 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Reginald Devose was traveling
north on Goodlette Road & for
an unknown reason, drifted to
the right and struck a light pole.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Amador, Mary Jane (PC)5405071100574
5/10/20185/7/2011 6/9/2011 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163652
50 Mary Jane Amador failed to slow
safely to make a u-turn to go
southbound on CR31 and drove
up on the median, striking
landscaping.
3000
-27-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2057 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Dehnz, Richard (PC)5104060600307
4/24/20184/6/2006 11/6/2006 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
51 JE A tire blew out on Richard
Dehnz's vehicle causing him to
leave the roadway and strike a
street sign.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Beach, Austin5402151707134
6/14/20182/15/2017 11/13/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Austin Beach was traveling east
on Pine Ridge Road when his
vehicle hit standing water
causing him to lose control of the
vehicle. He swerved into the
median and struck a palm tree.
3100
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Geter, William5304181706105
6/14/20184/18/2017 5/8/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Damian Rivera was traveling NW
on New Market Road when he
entered a curve too fast for
conditions. The vehicle traveled
off the toadway and struck a
tree, it then rotated and collided
with a light pole.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Byrne, Jerome5412131606069
6/13/201812/13/2016 4/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Janice Byrne was leaving a
shopping plaza when she struck
an oncoming vehicle while trying
to enter Rattlesnake-Hammock
Road causing that vehicle to
enter the median and damage
landscaping.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Morton, Robert5410101606067
6/13/201810/10/2016 4/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Aurica Tulbure was traveling
south on Goodlette-Frank Road
when she allegedly blacked out,
entered the median and struck a
palm tree.
3000
-28-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2058 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Townsend, Michael5409241606066
6/13/20189/24/2016 4/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Michael Townsend was traveling
south on Livingston Road when
he failed to maintain his lane,
exited to the left into a curbed
median and collided into a tree.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Bartis, Gregory5409261606065
6/13/20189/26/2016 4/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Gregory Bartis was traveling
north on Livingston Road and
drifted to the right where he
struck a curbed edge of the
roadway and damaged
landscaping.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Sealy, Cynthia5410191606070
6/13/201810/19/2016 4/21/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163801
54 Anthony Sealy was traveling
east on Orange Blossom Drive
turning onto Airport Road when
he lost control of the vehicle and
stuck the curb then collided with
a tree.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Gonzalez,
Rayza/Claudelle Philistin
5301181705793
6/13/20181/18/2017 1/26/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163630
53 Claudelle Philistin was fleeing
from police and eventually lost
control of the vehicle and struck
a pedestrian signal.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Brockwell, Russell5512291605859
6/13/201812/29/2016 2/15/2017 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163647
55 Russell Brockwell was turning
right onto Tamiami Trail from
Lely Resort Blvd. and lost control
of the vehicle. He ran off the
roadway and struck a palm tree.
3000
-29-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2059 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2018
Valued as of:8/3/2018
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Employee Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Cost Center
Cause
Date of Loss
Employer Acc Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
1,000.00 0.00 0.00 0.00 0.00 1,000.00 0.00 0.00CC v. Genesis Aviation
Enterprises, Inc. ($1,593.86)
1002141705860
6/14/20182/14/2017 2/15/2017 0.00 1,000.00 0.00 0.00 1,000.00 0.00 0.00 0.00AAUD
102 At approximately 6:55pm, a
Beechcraft Baron (twin-engine, 5
passenger aircraft) landed
“gear-up” on the runway at the
Marco Airport with 5 persons
onboard. 9-1-1 was called and
Greater Naples Fire, EMS and
CCSO responded. No injuries
were sustained
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Addorisio, Lisa (PC)5411220602867
4/30/201811/22/2006 5/5/2009 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163647
54 JE Vehicle was traveling
southbound on CR951 &
swerved, thinking another
vehicle was entering her lane,
lost control of the vehicle &
began to spin, striking
landscaping in the median.
3100
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. American Lighting &
Signalization Inc.
5301111807386
6/18/20181/11/2018 1/17/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00163647
53 On above date, county employee
discovered that an electrical line
that provides power to a county
owned irrigation controller was
cut by contractor work on US 41
North.
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00CC v. Accurate Drilling Systems,
Inc.
5301281807418
6/19/20181/28/2018 1/30/2018 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00233351
53 6" clay service lateral at 665 101
ave north naples Park was
damaged by ADS contractor
while installing a service line.
2000
10,323.00
10,323.00
0.00
0.00
6,163.73
6,163.73
27,935.36
27,935.36 0.00
0.00 0.00
0.00
0.00
0.00
16,486.73
16,486.73Grand Totals: 134 Claims
-30-
10:16:25AM
8/3/2018
16.E.2.b
Packet Pg. 2060 Attachment: Subrogation Closed Claim Report 3rd QTR 2018 (6525 : Ratification of Closed Claims by the
16.E.2.c
Packet Pg. 2061 Attachment: Resolution 2004-15 PDF0001 (6525 : Ratification of Closed Claims by the Risk Maangement Director)
16.E.2.c
Packet Pg. 2062 Attachment: Resolution 2004-15 PDF0001 (6525 : Ratification of Closed Claims by the Risk Maangement Director)
16.E.2.c
Packet Pg. 2063 Attachment: Resolution 2004-15 PDF0001 (6525 : Ratification of Closed Claims by the Risk Maangement Director)
16.E.2.c
Packet Pg. 2064 Attachment: Resolution 2004-15 PDF0001 (6525 : Ratification of Closed Claims by the Risk Maangement Director)
16.E.2.c
Packet Pg. 2065 Attachment: Resolution 2004-15 PDF0001 (6525 : Ratification of Closed Claims by the Risk Maangement Director)
16.E.2.c
Packet Pg. 2066 Attachment: Resolution 2004-15 PDF0001 (6525 : Ratification of Closed Claims by the Risk Maangement Director)