Agenda 05/11/2021 Item #16E 1 (Risk Management Division Settled Claims)05/11/2021
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 second quarter of Fiscal Year 2021.
OBJECTIVE: To settle routine, administrative and minor claims matter 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 Pr ogram.
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 second quarter of FY
21 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 second quarter of FY 21, 106 files were closed with total expenditures
of $3,988,393.85. Reinsurance recoveries for the second quarter of FY 21 were $3,636,262.40. During the
same period, 31 subrogation files were closed, and the Risk Management Division recovered $234,266.61
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.1
Packet Pg. 654
05/11/2021
Prepared by: Jeff Walker CPCU, ARM, Division Director, Risk Management Division.
ATTACHMENT(S)
1. Subrogation Closed Claim Report 2nd QTR FY 21 (PDF)
2. All Lines Closed Claim Report 2nd QTR FY 2021 (PDF)
3. Resolution 2004-15 PDF0001 (PDF)
16.E.1
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05/11/2021
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.1
Doc ID: 15627
Item Summary: Recommendation to ratify Property, Casualty, Workers' Compensation, and
Subrogation claim files settled and/or closed by the Risk Management Division Director pursuant to
Resolution 2004-15 for the second quarter of Fiscal Year 2021
Meeting Date: 05/11/2021
Prepared by:
Title: Operations Coordinator – Risk Management
Name: Greily Gonzalez
04/15/2021 3:00 PM
Submitted by:
Title: Division Director - Risk Management – Risk Management
Name: Jeff Walker
04/15/2021 3:00 PM
Approved By:
Review:
Risk Management Jeff Walker Additional Reviewer Completed 04/15/2021 3:07 PM
Administrative Services Department Paula Brethauer Level 1 Department Reviewer Completed 04/19/2021 11:22 AM
Administrative Services Department Len Price Level 2 Department Head Review Completed 04/19/2021 12:07 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 04/19/2021 12:51 PM
Office of Management and Budget Laura Wells Additional Reviewer Completed 04/19/2021 12:56 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 04/19/2021 3:08 PM
County Manager's Office Sean Callahan Level 4 County Manager Review Completed 05/02/2021 1:18 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 05/11/2021 9:00 AM
16.E.1
Packet Pg. 656
Collier County Government
Subrogation Recovery Report 2nd QTR FY 2021
By Department (Division)
Valued as of:4/15/2021
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Claimant Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Division
Cause
Date of Loss
Accident 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 0.00Marco Island Executive Airport
v. FPL
5005152010447
2/2/20215/15/2020 7/6/2020 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00COL
50 FPL Power surge, damage to
airfield lighting beacon.
5900
20,152.86 0.00 0.00 0.00 41,278.72 0.00 0.00 20,152.86CRA v. Star Insurance5010112010739
3/30/202110/11/2020 10/12/2020 20,152.86 0.00 0.00 41,278.72 20,152.86 0.00 0.00 0.00CRAE
50 Light pole knockdown,
landscaping damage, which
includes trees, plants, irrigation,
etc.
3000
3,586.31 0.00 0.00 0.00 8,661.42 3,586.31 0.00 0.00Public Utilities v. Progressive
Insurance
4110022010700
2/8/202110/2/2020 10/2/2020 0.00 3,586.31 0.00 8,661.42 3,586.31 0.00 0.00 0.00FMGE
41 First car at stopped at red light,
when the light turned green
employee pulled forward, and a
car ran a red light causing
damage to the county vehicle.
3000
280.63 0.00 0.00 0.00 1,561.26 280.63 0.00 0.00Facilities Management Division v.
Geico
4112162011040
1/31/202112/16/2020 1/11/2021 0.00 280.63 0.00 1,561.26 280.63 0.00 0.00 0.00FMGE
41 Employee was turning right on
Santa Barbara and Davis, when
a vehicle also turning in the
second lane, hit his county
vehicle.
3000
16,748.00 0.00 0.00 0.00 16,748.00 0.00 0.00 16,748.00Facilities Management Division v.
Geico
5005112010320
3/31/20215/11/2020 5/11/2020 16,748.00 0.00 0.00 16,748.00 16,748.00 0.00 0.00 0.00FMGE
50 Third party vehicle hit gate at
Lake Trafford memorial garden .
3000
0.00 0.00 0.00 0.00 5,000.00 0.00 0.00 0.00PUD v. Contractor5008122010580
2/19/20218/12/2020 8/28/2020 0.00 0.00 0.00 5,000.00 0.00 0.00 0.00 0.00PUAO
50 Collier County PUD contractor hit
a fiber optic line.
2900
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16.E.1.a
Packet Pg. 657 Attachment: Subrogation Closed Claim Report 2nd QTR FY 21 (15627 : Ratification of Claims Files Closed
Collier County Government
Subrogation Recovery Report 2nd QTR FY 2021
By Department (Division)
Valued as of:4/15/2021
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Claimant Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Division
Cause
Date of Loss
Accident Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
905.00 0.00 0.00 0.00 1,810.00 0.00 0.00 905.00Road Maintenance Division v.
National General Insurance
5011042010812
1/25/202111/4/2020 11/4/2020 905.00 0.00 0.00 1,810.00 905.00 0.00 0.00 0.00RMSE
50 The temp employee pulled into
the front gate on arrival to work.
His phone and other items fell to
the floor, he thought the vehicle
was in park, he bet down to
pick up the items. The truck
was in reverse and hit the front
fence damaging the gate.
3000
0.00 0.00 0.00 0.00 6,155.32 0.00 0.00 0.00Road Maintenance Division v.
Progressive Insurance
5011101911232
3/23/202111/10/2019 3/8/2021 0.00 0.00 0.00 6,155.32 0.00 0.00 0.00 0.00RMSE
50 Single vehicle accident causing
damage to a Collier County
Guardrail.
3000
0.00 0.00 0.00 0.00 10,295.47 0.00 0.00 0.00Landscape Operations v. Geico5010151910754
1/25/202110/15/2019 10/15/2020 0.00 0.00 0.00 10,295.47 0.00 0.00 0.00 0.00RMSE
50 Traffic accident damaging
median landscaping and
irrigation.
3000
1,599.19 0.00 0.00 0.00 3,198.38 0.00 0.00 1,599.19Road Maintenance Division v.
Progressive Insurance
5008022010916
1/31/20218/2/2020 12/2/2020 1,599.19 0.00 0.00 3,198.38 1,599.19 0.00 0.00 0.00RMSE
50 Vehicle accident involving
damage to County landscape
and Irrigation.
3000
10,648.37 0.00 0.00 0.00 21,296.74 0.00 0.00 10,648.37Road Maintenance Division v.
Hartford Insurance
5001251911173
2/28/20211/25/2019 2/23/2021 10,648.37 0.00 0.00 21,296.74 10,648.37 0.00 0.00 0.00RMSE
50 Car accident caused damaged
to a Collier County Irrigation
Controller.
3000
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16.E.1.a
Packet Pg. 658 Attachment: Subrogation Closed Claim Report 2nd QTR FY 21 (15627 : Ratification of Claims Files Closed
Collier County Government
Subrogation Recovery Report 2nd QTR FY 2021
By Department (Division)
Valued as of:4/15/2021
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Claimant Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Division
Cause
Date of Loss
Accident Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
5,664.87 0.00 0.00 0.00 11,329.74 0.00 0.00 5,664.87Road Maintenance Division v.
Amica Mutual Insurance
5010232010900
2/25/202110/23/2020 11/24/2020 5,664.87 0.00 0.00 11,329.74 5,664.87 0.00 0.00 0.00RMSE
50 Guardrail Damage due to car
accident.
3000
8,506.85 0.00 0.00 0.00 17,013.70 0.00 0.00 8,506.85Road Maintenance Division v.
Security National Insurance
5011062010995
2/25/202111/6/2020 12/30/2020 8,506.85 0.00 0.00 17,013.70 8,506.85 0.00 0.00 0.00RMSE
50 Traffic accident causing
damage to a Collier County
guardrail.
3000
1,376.72 0.00 0.00 0.00 2,753.44 0.00 0.00 1,376.72Landscape Operations v. Geico5009292010743
1/19/20219/29/2020 10/13/2020 1,376.72 0.00 0.00 2,753.44 1,376.72 0.00 0.00 0.00RMSE
50 Traffic accident causing
damage to median landscaping.
3000
1,831.18 0.00 0.00 0.00 3,184.66 0.00 0.00 1,831.18Landscape operations v.
Progressive Insurance
5012281910874
1/25/202112/28/2019 11/16/2020 1,831.18 0.00 0.00 3,184.66 1,831.18 0.00 0.00 0.00RMSE
50 Landscape damage due to
single vehicle accident.
3000
0.00 0.00 0.00 0.00 13,859.00 0.00 0.00 0.00Transportation Engineering
Division v. Alert Auto Insurance
4109182010643
3/26/20219/18/2020 9/18/2020 0.00 0.00 0.00 13,859.00 0.00 0.00 0.00 0.00TECM
41 Employee was involved in a car
accident at Goodlette rd and
Fleishman.
3000
0.00 0.00 0.00 0.00 10,552.46 0.00 0.00 0.00Traffic Operations v. Geico5007302010530
3/17/20217/30/2020 8/10/2020 0.00 0.00 0.00 10,552.46 0.00 0.00 0.00 0.00TECM
50 Street light down.3000
1,768.75 0.00 0.00 0.00 3,537.50 0.00 0.00 1,768.75Traffic Operations v. Geico5002112111137
3/17/20212/11/2021 2/12/2021 1,768.75 0.00 0.00 3,537.50 1,768.75 0.00 0.00 0.00TECM
50 Pedestrian pole down due to
vehicle accident.
3000
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16.E.1.a
Packet Pg. 659 Attachment: Subrogation Closed Claim Report 2nd QTR FY 21 (15627 : Ratification of Claims Files Closed
Collier County Government
Subrogation Recovery Report 2nd QTR FY 2021
By Department (Division)
Valued as of:4/15/2021
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Claimant Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Division
Cause
Date of Loss
Accident 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 2,036.07 0.00 0.00 0.00Traffic Operations v. Florinda
Lopez Rocha
5011142010989
3/4/202111/14/2020 12/30/2020 0.00 0.00 0.00 2,036.07 0.00 0.00 0.00 0.00TECM
50 Signal pole paint damage due to
car crash.
3000
2,075.23 0.00 0.00 0.00 4,150.46 0.00 0.00 2,075.23Traffic Operations v. Allstate5012202010959
2/23/202112/20/2020 12/21/2020 2,075.23 0.00 0.00 4,150.46 2,075.23 0.00 0.00 0.00TECM
50 Pedestrian pole down from
accident
3000
366.07 0.00 0.00 0.00 366.07 0.00 0.00 366.07Traffic Operations v. Direct
General Insurance
5011182010887
2/22/202111/18/2020 11/19/2020 366.07 0.00 0.00 366.07 366.07 0.00 0.00 0.00TECM
50 Sign down due to accident.3000
7,474.15 0.00 0.00 0.00 15,314.37 0.00 0.00 7,474.15Traffic Operations v. Ocean
Harbor Insurance
5012151910950
2/22/202112/15/2019 12/16/2020 7,474.15 0.00 0.00 15,314.37 7,474.15 0.00 0.00 0.00TECM
50 Single vehicle accident damaged
a school radar sign.
3000
0.00 0.00 0.00 0.00 223.73 0.00 0.00 0.00Traffic Operations v. Ocean
Harbor Insurance
5006062010768
1/4/20216/6/2020 10/21/2020 0.00 0.00 0.00 223.73 0.00 0.00 0.00 0.00TECM
50 Sign down due to single vehicle
accident.
3000
0.00 0.00 0.00 0.00 57.05 0.00 0.00 0.00Traffic Operations v. Fedex5001082111082
2/2/20211/8/2021 1/27/2021 0.00 0.00 0.00 57.05 0.00 0.00 0.00 0.00TECM
50 Sign down due to car accident.3000
1,071.63 0.00 0.00 0.00 1,071.63 0.00 0.00 1,071.63Traffic Operations v. Geico5008052010525
1/31/20218/5/2020 8/6/2020 1,071.63 0.00 0.00 1,071.63 1,071.63 0.00 0.00 0.00TECM
50 Street Light down pole 61.3000
1,956.36 0.00 0.00 0.00 3,912.72 0.00 0.00 1,956.36Traffic Operations v. JC and DM
Company Inc
5011232010892
1/25/202111/23/2020 11/23/2020 1,956.36 0.00 0.00 3,912.72 1,956.36 0.00 0.00 0.00TECM
50 Truck going under signal hit arm
of Mast. Back of truck was in
Lift position
3000
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16.E.1.a
Packet Pg. 660 Attachment: Subrogation Closed Claim Report 2nd QTR FY 21 (15627 : Ratification of Claims Files Closed
Collier County Government
Subrogation Recovery Report 2nd QTR FY 2021
By Department (Division)
Valued as of:4/15/2021
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Claimant Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Division
Cause
Date of Loss
Accident Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
1,605.15 0.00 0.00 0.00 3,210.30 0.00 0.00 1,605.15Traffic Operations v. Geico5011172010881
1/11/202111/17/2020 11/18/2020 1,605.15 0.00 0.00 3,210.30 1,605.15 0.00 0.00 0.00TECM
50 Street light down due to car
accident.
3000
0.00 0.00 0.00 0.00 17,191.93 0.00 0.00 0.00Water Division v . Horace Mann
Insurance
5007202010474
3/17/20217/20/2020 7/21/2020 0.00 0.00 0.00 17,191.93 0.00 0.00 0.00 0.00WATE
50 Single vehicle accident
damaging a fire hydrant that
was sheared off. There was
also damage to the water main
underground.
3000
0.00 0.00 0.00 0.00 367.50 0.00 0.00 0.00Wastewater Division v .
Hurricane Transport
5010012010694
3/17/202110/1/2020 10/1/2020 0.00 0.00 0.00 367.50 0.00 0.00 0.00 0.00WWTE
50 Lazaro Luis Estevez, a delivery
driver for Hurricane Transport
hit a bollard pole and broke a 2"
sample line running from the 24"
Clarifier line. The line was broke
creating a spill. Emergency
Contractor was called.
3000
0.00 0.00 0.00 0.00 6,856.97 0.00 0.00 0.00Wastewater Division v . Ocean
Harbor Insurance
5007312010505
2/25/20217/31/2020 7/31/2020 0.00 0.00 0.00 6,856.97 0.00 0.00 0.00 0.00WWTE
50 Vehicle Struck Control Cabinet at
PS 104.23 damaging cabinet and
causing loss of FPL power to
area.
3000
0.00 0.00 0.00 0.00 1,272.00 0.00 0.00 0.00Wastewater Division v .
BlueWater Inc
5007272010491
1/11/20217/27/2020 7/27/2020 0.00 0.00 0.00 1,272.00 0.00 0.00 0.00 0.00WWTE
50 Lift station 301.02 8" FM was hit
by Bluewater inc. when they
were installing storm drains.
3000
83,750.38 0.00 3,866.94 234,266.61 0.00 0.00 0.00 87,617.32
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16.E.1.a
Packet Pg. 661 Attachment: Subrogation Closed Claim Report 2nd QTR FY 21 (15627 : Ratification of Claims Files Closed
Collier County Government
Subrogation Recovery Report 2nd QTR FY 2021
By Department (Division)
Valued as of:4/15/2021
Total Inc Ind/PD/CollExpense RecoveryMed/BI/Comp Deductible Legal Other
Claim Number Claimant Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Coverage Carrier
Division
Cause
Date of Loss
Accident Desc.
Date Report to RiskStatus Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
83,750.38 0.00 3,866.94 234,266.61 0.00 0.00 0.00 87,617.32Grand Totals: 31 Claims
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Packet Pg. 662 Attachment: Subrogation Closed Claim Report 2nd QTR FY 21 (15627 : Ratification of Claims Files Closed
Med/BI/Comp Expense Ind/PD/Coll Recovery Deductible Legal Other Total Inc
Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred
Total
Incurred
Total
Incurred Total
Date of Loss Date Report to Risk Status Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
Coverage Cause
253.42 0.00 0.00 0.00 0.00 0.00 0.00 253.42
2/24/2021 2/24/2021 2/28/2021 253.42 0.00 0.00 0.00 0.00 0.00 0.00 253.42
10 1200
90.00 0.00 0.00 0.00 0.00 0.00 0.00 90.00
3/4/2021 3/5/2021 3/9/2021 90.00 0.00 0.00 0.00 0.00 0.00 0.00 90.00
10 1500
2,475.80 13.75 0.00 0.00 0.00 0.00 0.00 2,489.55
10/25/2020 12/15/2020 1/28/2021 2,475.80 13.75 0.00 0.00 0.00 0.00 0.00 2,489.55
10 1300
782.21 41.10 0.00 0.00 0.00 0.00 0.00 823.31
9/21/2020 9/22/2020 3/31/2021 782.21 41.10 0.00 0.00 0.00 0.00 0.00 823.31
10 1100
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/23/2021 3/24/2021 3/31/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1600
1,331.98 60.54 0.00 0.00 0.00 0.00 0.00 1,392.52
12/18/2020 1/8/2021 3/19/2021 1,331.98 60.54 0.00 0.00 0.00 0.00 0.00 1,392.52
10 1500
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/1/2021 3/18/2021 3/31/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1500
3,988.67 253.79 0.00 0.00 0.00 0.00 0.00 4,242.46
9/29/2020 9/30/2020 3/30/2021 3,988.67 253.79 0.00 0.00 0.00 0.00 0.00 4,242.46
10 1300
Collier County Government
Closed Claim Report- All Lines
2nd QTR FY 2021
Valued as of:4/15/2021
Claim Number Claimant Name
DASE
Employee was in the play yard with a dog, and as she
bent down to move one of the dog toy, the dog began
to attack her in the face and had severe dog bite to left
forehead and nose.
1003042111220
EMSE
Employee injured left knee while lifting and moving a
patient.
Division
Carrier Accident Desc.
Major Coverage: 10 - Workers' Compensation
1002242111181
MHCP
Employee was changing a flat tire on County vehicle
and caught left third finger between the tire and hub.
1003232111280
LIBE
Employee was shelving books and hit her right wrist on
a corner of a book on the shelf.
1010252010944
SOEE
Employee tripped and fell on the front steps at the
Norris Center and chipped a tooth and hurt his wrist.
1009212010655
MHCP
Employee injured left shoulder and neck while lifting five
gallons of disinfectant containers into a vehicle.
1009292010689
HHVS
Employee fell and skinned right knee and left hand
coming out of the parking garage to Human Resources
when she stepped off a curb.
1012182011042
MUSE
Employee was working a Santa Claus event at Roberts
Ranch, and when he went to lift a box from the floor, felt
a pop in his right wrist and right hand.
1003012111264
16.E.1.b
Packet Pg. 663 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
5,633.24 2,184.56 2,004.84 0.00 0.00 0.00 0.00 9,822.64
6/18/2020 6/23/2020 2/22/2021 5,633.24 2,184.56 2,004.84 0.00 0.00 0.00 0.00 9,822.64
10 1500
870.67 70.58 0.00 0.00 0.00 0.00 0.00 941.25
9/22/2020 9/23/2020 3/31/2021 870.67 70.58 0.00 0.00 0.00 0.00 0.00 941.25
10 1200
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/5/2021 3/5/2021 3/12/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1500
342.68 11.90 0.00 0.00 0.00 0.00 0.00 354.58
1/5/2021 1/5/2021 1/21/2021 342.68 11.90 0.00 0.00 0.00 0.00 0.00 354.58
10 1200
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/30/2021 3/30/2021 3/30/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/9/2021 3/9/2021 3/31/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1300
1,014.30 0.00 0.00 0.00 0.00 0.00 0.00 1,014.30
2/3/2021 2/3/2021 2/28/2021 1,014.30 0.00 0.00 0.00 0.00 0.00 0.00 1,014.30
10 1700
703.00 17.85 0.00 0.00 0.00 0.00 0.00 720.85
12/23/2020 12/29/2020 1/31/2021 703.00 17.85 0.00 0.00 0.00 0.00 0.00 720.85
10 1500
614.13 0.00 0.00 0.00 0.00 0.00 0.00 614.13
3/2/2021 3/2/2021 3/10/2021 614.13 0.00 0.00 0.00 0.00 0.00 0.00 614.13
10 1500
366.47 0.00 0.00 0.00 0.00 0.00 0.00 366.47
2/10/2021 2/10/2021 2/22/2021 366.47 0.00 0.00 0.00 0.00 0.00 0.00 366.47
10 1100
340.00 11.90 0.00 0.00 0.00 0.00 0.00 351.90
1/19/2021 1/19/2021 2/22/2021 340.00 11.90 0.00 0.00 0.00 0.00 0.00 351.90
10 1200
EMSE
Employee was stuck by used needle when he went to
transport patient from stretcher to hospital bed.
1003052111222
WATE
1006182010421
FMGE
Employee knelt down and pulled on a door without a
handle, and pinched a nerve in lower back and
buttocks.
1009222010658
RMSE
Employee received a rope burn on his left wrist while
attempting to start a chainsaw.
1003092111235
PURE
Employee slipped and fell up the stairs/steps, falling flat
on the concrete on both knees.
Employee was stepping up onto a concrete pad, and
felt pain to lower back.
1001052111023
TECM
Employee was filling dirt around a pull box, when a wire
poked thru his work glove into his left hand and broke
the skin.
1003302111305
DASE
Employee was tending to an animal in the shelter.
When the animal slipped from her hand, she lost her
balance twisting right ankle.
1003022111199
GMAO
Employee was replacing 4 bolts on a 120ft sign, and
was realigning the sign when he felt a stabbing pain in
spine.
1002032111108
MHCP
Employee was at Caracara Prairie Preserve in a
swamp buggy in a rear seat, the driver hit a bump and
she went flying forward. Employee is complaining of
sore neck and right shoulder, and has a bruise on hip.
1012232010983
DASE
Employee was sedating a dog prior to surgery, when
the dog bit him on the right hand across the thumb.
1002102111124
DASE
Employee was walking a dog, and after attempting to
put the dog back in it's cage, she caught her right foot
in the cage and rolled her right ankle.
1001192111062
16.E.1.b
Packet Pg. 664 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
442.98 28.47 0.00 0.00 0.00 0.00 0.00 471.45
12/30/2020 12/30/2020 1/25/2021 442.98 28.47 0.00 0.00 0.00 0.00 0.00 471.45
10 1300
1,285.86 0.00 0.00 0.00 0.00 0.00 0.00 1,285.86
1/21/2021 2/3/2021 3/31/2021 1,285.86 0.00 0.00 0.00 0.00 0.00 0.00 1,285.86
10 1500
311.50 13.75 153.46 0.00 0.00 0.00 0.00 478.71
2/12/2021 2/12/2021 2/22/2021 311.50 13.75 153.46 0.00 0.00 0.00 0.00 478.71
10 1500
20,846.91 2,708.19 2,158.30 0.00 0.00 0.00 0.00 25,713.40
20,846.91 2,708.19 2,158.30 0.00 0.00 0.00 0.00 25,713.40
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/15/2021 2/16/2021 2/17/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
100
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/15/2021 2/16/2021 2/17/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
100 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/7/2020 1/5/2021 1/12/2021 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
1/10/2021 1/12/2021 1/13/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2050
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/1/2021 2/1/2021 3/24/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5900
1012302010992
EMSE
Employee tripped and fell over ECG monitor, hitting tree
on way to ground while on a call, and suffered abrasion
and pain to right elbow.
EMSE
Employee was lifting a patient when he heard a pop in
his left upper back, followed by pain.
Total by Major Coverage 22 Claims
Major Coverage: 100 - Airport Liability
10002152111148 VEZINA, MARTIN
1001212111110
DASE
Employee potentially injured her lower left back when
she had to pull a large dog off the play yard fence,
when the dog was attempting to climb out to get a hold
of a smaller dog.
1002122111147
Total by Major Coverage 2 Claims
Major Coverage: 20 - General Liability
2208072011008 Century Link
WATE
A Century Link 72 strand buried fiber optic cable was hit
and damaged.
GMAO
While key staff was towing this aircraft to reposition for
parking, the linesman inadvertently came into contact
with another aircraft (N55WP) which resulted in
damage on this claim and damage to the other aircraft
which will be on another claim.
10002152111149 55WP, LLC
GMAO
This a/c was parked and another a/c (claim
200215211148 - N840M) was under tow. The linesman-
(key staff) inadvertently made contact with the wings of
both planes while towing N840M.
FMGE
Employee noticed that there was paint missing on the
back of his personal car where it appears that the man
pressure washing the station pressure washed some
dirt off of his car.
2101102111045 PETERSON, BURTON
RMSE
A citizen walked over to have pizza at the Crust with his
family, they walked back in the dark to their home, and
he tripped over a hose that was on the side walk, and
broke his hip. There were cones on the street, but no
markers on the side walk.
2202012111102 PACTER, GREG
16.E.1.b
Packet Pg. 665 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/24/2020 10/2/2020 1/20/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2050
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/7/2021 3/8/2021 3/31/2021 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
5/3/2018 7/9/2020 3/24/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 3200
0.00 0.00 239.25 0.00 0.00 0.00 0.00 239.25
1/16/2021 1/16/2021 3/24/2021 0.00 0.00 239.25 0.00 0.00 0.00 0.00 239.25
22 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/12/2020 10/13/2020 3/3/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 3000
0.00 0.00 1,109.48 0.00 0.00 0.00 0.00 1,109.48
1/5/2021 1/7/2021 2/28/2021 0.00 0.00 1,109.48 0.00 0.00 0.00 0.00 1,109.48
22 3000
0.00 27.50 0.00 0.00 0.00 0.00 0.00 27.50
11/10/2018 5/10/2019 2/8/2021 0.00 27.50 0.00 0.00 0.00 0.00 0.00 27.50
21 2050
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/31/2019 4/8/2019 1/7/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2150
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/17/2020 12/11/2020 1/5/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2300
2107242010697 LYNCH, MIKAYLA-(MINOR)
MHCP
Child was walking around the fountain area by the
Eagle statue and fell hurting her tailbone.
WWTE
Citizen was westbound on County Road 886 when a
water pipe/manhole cover on the street impacted the
undercarriage of her car causing airbags to deploy and
other damage. Ms. Reynolds is making a claim for
personal injuries from this incident.
2201162111060 City of Naples Fire Station 2
EMSE
The ambulance was parked too close to the front of the
garage bay door and when the door was closed it hit
the front of the ambulance - the track and metal arm of
the bay door were bent and damaged. No damage to
the actual door.
2203072111226 Garcia, Miguel
WWTE
Citizen called in the Wastewater division stating his car
ran over a man hole that was out of place and
damaged his transmission, front/back bumpers,
suspension, and air bags deployed.
2105031810452 REYNOLDS, MERCEDEH
RMSE
While employee was trimming a palm tree in the
median, palm frond fell and rolled partially in road, the
claimant ran it over and dislodged the front bumper.
2111101809127 RILEY, MARK
RMSE
Mark Riley was walking on the grass along Gulf Shore
Drive when he stepped into a hole and fell causing him
injuries.
2210122010742 Palazzo Homeowners Association
WATE
Employee driving a County owned vehicle attempted to
enter through an exit only gate for residents and
destroyed the gate and did significant damage to the
F450.
2201052111036 Fourina, Jessie
RMSE
Citizen was riding his bicycle on Vanderbilt Beach Road
and his path was obstructed by a contractors trailer
causing a bicycle crash and injuries to the citizen.
2103311909003 DELL-COLLI, MICHELLE
RMSE
Wife walking the dog, on 99th avenue, stepped up on
storm drain due to heavy traffic, stepped in the middle
of it, & it gave way, 1 leg fell through and she fell back,
grades snapped back & compressed her right ankle,
injured right shoulder & ankle.
2111172010938 ROSENBERG, STEVEN
16.E.1.b
Packet Pg. 666 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
50.00 0.00 0.00 0.00 0.00 0.00 0.00 50.00
1/26/2021 1/26/2021 3/10/2021 50.00 0.00 0.00 0.00 0.00 0.00 0.00 50.00
21 2050
50.00 27.50 1,348.73 0.00 0.00 0.00 0.00 1,426.23
50.00 27.50 1,348.73 0.00 0.00 0.00 0.00 1,426.23
19,000.00 0.00 0.00 0.00 0.00 0.00 0.00 19,000.00
1/24/2020 1/24/2020 1/20/2021 19,000.00 0.00 0.00 0.00 0.00 0.00 0.00 19,000.00
31 3000
0.00 0.00 2,075.65 0.00 0.00 0.00 0.00 2,075.65
11/12/2020 11/16/2020 1/20/2021 0.00 0.00 2,075.65 0.00 0.00 0.00 0.00 2,075.65
32 3000
3,062.61 0.00 0.00 0.00 0.00 0.00 0.00 3,062.61
5/30/2020 5/30/2020 1/15/2021 3,062.61 0.00 0.00 0.00 0.00 0.00 0.00 3,062.61
31 3000
22,062.61 0.00 2,075.65 0.00 0.00 0.00 0.00 24,138.26
22,062.61 0.00 2,075.65 0.00 0.00 0.00 0.00 24,138.26
805.48 0.00 0.00 0.00 0.00 0.00 0.00 805.48
2/17/2021 2/18/2021 2/23/2021 805.48 0.00 0.00 0.00 0.00 0.00 0.00 805.48
42 3200
0.00 0.00 306.23 0.00 0.00 0.00 0.00 306.23
10/28/2020 10/28/2020 1/26/2021 0.00 0.00 306.23 0.00 0.00 0.00 0.00 306.23
41 3000
805.48 0.00 0.00 0.00 0.00 0.00 0.00 805.48
2/8/2021 2/8/2021 2/19/2021 805.48 0.00 0.00 0.00 0.00 0.00 0.00 805.48
42 5900
0.00 0.00 9,278.19 0.00 0.00 0.00 0.00 9,278.19
11/13/2020 11/13/2020 1/19/2021 0.00 0.00 9,278.19 0.00 0.00 0.00 0.00 9,278.19
41 3000
2101262111079 WASSERMAN, ROBERT
MHCP
Mr. Wasserman was waiting to play Pickleball by the
3.5 courts. He tripped over a 2 foot water connector.
There was exposed rebar from broken concrete around
the fixture. When Mr. Wasserman tripped he cut his
knee on the exposed rebar.
3211122010869 O'Connell, Denis
TECM
Employee backing up a county vehicle struck the
passenger door of another car that was doing a U turn
behind him.
3105302010373 Kelly-Nalbach, Valerie
Total by Major Coverage 13 Claims
Major Coverage: 30 - Auto Liability
3101242004022 Rivadeneira, Jesus
ASAE
While stopped at a stop light, employees foot slipped off
the brake pedal and before the brake could be
reapplied, Truck CC2-1630 drifted into the vehicle
stopped in front. Minor damage to the citizen's rear
bumper and to the county vehicle.
BPRI
Upon getting into this vehicle at his home, he noticed a
crack in the windshield with no obvious explanation as
to how it happened.
4110282010788 Water Division
WATE
While backing up to the dumpster in vehicle CC2-1012
employee struck the gate post of the dumpster causing
damage to the right fender.
EMSE
Person was a patient of EMS Medic 60 being
transported to the hospital for a medical condition.
While en route to hospital, Medic 60 was involved in an
MVA, with patient sustaining injuries as result of
accident.
Total by Major Coverage 3 Claims
Major Coverage: 40 - Auto Physical Damage
4202172111160 Building Plan Review And Inspection Division
FMGE
Employee was involved in a car accident- hit another
vehicle.
4202082111118 Building Plan Review And Inspection Division
BPRI
Driver brought vehicle to fleet for service and noticed a
crack in the windshield which was hidden from his view
by the rearview mirror.
4111132010864 Facilities Management Division
16.E.1.b
Packet Pg. 667 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
0.00 0.00 2,139.38 0.00 0.00 0.00 0.00 2,139.38
1/29/2021 1/29/2021 2/26/2021 0.00 0.00 2,139.38 0.00 0.00 0.00 0.00 2,139.38
41 3000
0.00 0.00 824.54 0.00 0.00 0.00 0.00 824.54
10/28/2020 10/28/2020 1/26/2021 0.00 0.00 824.54 0.00 0.00 0.00 0.00 824.54
41 3000
0.00 0.00 233.20 0.00 0.00 0.00 0.00 233.20
11/6/2020 11/17/2020 1/26/2021 0.00 0.00 233.20 0.00 0.00 0.00 0.00 233.20
41 3000
5,167.50 0.00 0.00 0.00 0.00 0.00 0.00 5,167.50
9/14/2020 9/14/2020 3/17/2021 5,167.50 0.00 0.00 0.00 0.00 0.00 0.00 5,167.50
42 5500
0.00 0.00 700.66 0.00 0.00 0.00 0.00 700.66
12/11/2020 1/25/2021 3/17/2021 0.00 0.00 700.66 0.00 0.00 0.00 0.00 700.66
41 2900
810.80 0.00 0.00 0.00 0.00 0.00 0.00 810.80
2/26/2021 3/1/2021 3/17/2021 810.80 0.00 0.00 0.00 0.00 0.00 0.00 810.80
42 2000
0.00 0.00 321.17 0.00 0.00 0.00 0.00 321.17
11/17/2020 11/18/2020 2/28/2021 0.00 0.00 321.17 0.00 0.00 0.00 0.00 321.17
41 3000
0.00 0.00 459.64 0.00 0.00 0.00 0.00 459.64
11/15/2020 11/16/2020 2/12/2021 0.00 0.00 459.64 0.00 0.00 0.00 0.00 459.64
41 3000
0.00 0.00 2,031.62 0.00 0.00 0.00 0.00 2,031.62
2/26/2021 3/2/2021 3/24/2021 0.00 0.00 2,031.62 0.00 0.00 0.00 0.00 2,031.62
41 3000
0.00 0.00 2,495.00 0.00 0.00 0.00 0.00 2,495.00
9/25/2020 9/25/2020 3/26/2021 0.00 0.00 2,495.00 0.00 0.00 0.00 0.00 2,495.00
41 3000
4101292111097 EMS
EMSE
Damage to passenger rear ground light and muffler of
ambulance #11. EMT Allen drove ambulance over
sidewalk curve.
BPRI
This vehicle has been parked on the roof of the parking
garage as it is currently unassigned. When I went to fill
it with gas last week before Tropical Storm Eta, I
noticed a dent in the tailgate that wasn't there
previously.
4209142010621 Parks and Recreation
MHCP
Dump trailer stolen from veterans maintenance
building.
4110282010794 Building Plan Review And Inspection Division
BPRI
Employee was backing up navigating through a gate
and damaged the county vehicles rear bumper and tail
light.
4111062010875 Building Plan Review And Inspection Division
RMSE
Employee was driving CC2-2549 Dump truck on SR-29
heading south when a Vulture flying low hit the front
windshield shattering it, immediately slowed down to
check the damages and called Supervisor .
4111172010880 Transportation Engineering Division
TECM
Damage to right rear Bumper, driver says she does not
know what happened we found damage during our
inhouse quarterly truck inspections.
4112112011075 Pelican Bay Services Division
PELB
While washing out bed of truck Enrique Perez hit a
branch of a Mahoe tree knocking the bed cover off.
4202262111187 Road Maintenance Division
MHCP
Employee side swiped an unknown object causing
damage to the right side of the vehicle.
4109252010670 Facilities Management Division
FMGE
Backed truck into parking space at 3335 Tamiami Trail
East, and hit low hanging branch, damaging ladder
rack.
4111152010872 Wastewater Division
WWTE
Employee drove a Kubota UTV into the front of a F-450
Plant Work Truck.
4102262111200 Parks and Recreation
16.E.1.b
Packet Pg. 668 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
0.00 0.00 195.62 0.00 0.00 0.00 0.00 195.62
10/6/2020 10/6/2020 2/10/2021 0.00 0.00 195.62 0.00 0.00 0.00 0.00 195.62
41 3000
805.48 0.00 0.00 0.00 0.00 0.00 0.00 805.48
3/16/2021 3/16/2021 3/26/2021 805.48 0.00 0.00 0.00 0.00 0.00 0.00 805.48
42 5900
0.00 0.00 980.08 0.00 0.00 0.00 0.00 980.08
12/2/2020 12/3/2020 3/26/2021 0.00 0.00 980.08 0.00 0.00 0.00 0.00 980.08
41 3000
0.00 0.00 7,898.11 0.00 0.00 0.00 0.00 7,898.11
8/12/2020 8/12/2020 3/18/2021 0.00 0.00 7,898.11 0.00 0.00 0.00 0.00 7,898.11
41 3000
0.00 0.00 1,159.41 0.00 0.00 0.00 0.00 1,159.41
11/9/2020 11/9/2020 3/23/2021 0.00 0.00 1,159.41 0.00 0.00 0.00 0.00 1,159.41
41 3000
0.00 0.00 436.96 0.00 0.00 0.00 0.00 436.96
12/11/2020 12/11/2020 1/7/2021 0.00 0.00 436.96 0.00 0.00 0.00 0.00 436.96
41 3000
0.00 0.00 266.80 0.00 0.00 0.00 0.00 266.80
2/18/2021 2/19/2021 3/11/2021 0.00 0.00 266.80 0.00 0.00 0.00 0.00 266.80
41 3000
8,394.74 0.00 29,726.61 0.00 0.00 0.00 0.00 38,121.35
8,394.74 0.00 29,726.61 0.00 0.00 0.00 0.00 38,121.35
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/9/2021 2/10/2021 2/17/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/31/2020 4/2/2020 3/31/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 5500
LDSD
Employee driving South on 951 in CC2-1226. A truck in
front of him kicked up road debris(metal bar) that hit the
front of the hood causing a dent and then hit the
windshield causing it to chip.
4112022010918 Parks and Recreation
MHCP
While towing a new VERMAC Variable Message Board
sign, CC2-2575, the coupler locking lever on the trailer
tongue failed, causing the sign to hit the truck tailgate of
CC2-1801, and resulting in damage to the tailgate and
potential electronic damage.
4110062010719 Facilities Management Division
FMGE
Picked up vehicle at Staging Site (NCRP) and noticed a
dent in the right front bumper.
4203162111255 Development Review Division
WATE
Vehicle 3 stopped in traffic, vehicle 2 did the same, 1
could not. Vehicle 1-(County Vehicle) rear ended
vehicle 2, causing it to rear end vehicle 3.
4112112010939 Water Division
WATE
While accessing a monitoring well off road, vehicle ran
over a log with a branch pointed upwards. The branch
penetrated the front passenger side bumper/fender
causing body damage.
4108122004030 Transportation Engineering Division
TECM
I was driving into the parking garage for this location.
The frame on the MOT truck is too high to fit and it hit
the concrete ceiling.
4111092010824 Water Division
5002092111128 Paradise Coast Sports Complex
CMAO
Contractor Staff crashed Toro CC2-2513 into the
Cushman CC2-2508 and tore up front of Toro vehicle.
5003312010224 Water Division
4102182111164 Building Plan Review And Inspection Division
BPRI
Metal debris fell out of a third party pickup truck striking
a Collier County vehicle that was behind the third party
on the highway.
Total by Major Coverage 21 Claims
Major Coverage: 50 - Property
WATE
Trailer full of equipment was stolen in a neighborhood
clubhouse parking lot.
16.E.1.b
Packet Pg. 669 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/12/2020 11/12/2020 1/13/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 5400
763.56 0.00 0.00 0.00 0.00 0.00 0.00 763.56
10/23/2020 11/9/2020 2/26/2021 763.56 0.00 0.00 0.00 0.00 0.00 0.00 763.56
50 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/11/2020 11/12/2020 1/13/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 5400
4,340.00 0.00 0.00 0.00 0.00 0.00 0.00 4,340.00
12/29/2020 12/29/2020 3/26/2021 4,340.00 0.00 0.00 0.00 0.00 0.00 0.00 4,340.00
50 2350
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/16/2020 12/16/2020 3/31/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 2350
1,614.69 0.00 0.00 0.00 0.00 0.00 0.00 1,614.69
11/11/2020 11/12/2020 1/31/2021 1,614.69 0.00 0.00 0.00 0.00 0.00 0.00 1,614.69
50 5400
62,800.60 60.00 0.00 50,229.09 0.00 0.00 0.00 62,860.60
9/10/2017 9/28/2017 1/31/2021 62,800.60 60.00 0.00 50,229.09 0.00 0.00 0.00 62,860.60
51 5400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/10/2017 9/29/2017 2/9/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
55 5400
1,327.00 60.00 0.00 1,327.00 0.00 0.00 0.00 1,387.00
9/10/2017 9/28/2017 1/31/2021 1,327.00 60.00 0.00 1,327.00 0.00 0.00 0.00 1,387.00
55 5400
5010232010826 CRA
CRAE
Light Pole struck and broken in 3 places and cracked
top of light head.
5011112010855 Facilities Management (Procurement Bldg.)
5011122010854 Library Division (East Naples Branch)
LIBE
Staff noticed a palm tree broken in half, with the stump
leaning into the library’s protective golf net, after heavy
rains and winds. A staff member felt water drip from
slanted ceiling vent/tile late afternoon on Tuesday,
11/10/20 after heavy
From gate contractor "Good Afternoon, We passed by
the gates today to make sure they were working
properly and someone vandalized the entrance and
tore off the magnetic lock. I am attaching a picture so
you guys can investigate"
5012162010951 Immokalee Branch Library
LIBE
Lettering on building, Fire Safety Sign, outside paper
signage on book drop and glass doors removed and
destroyed. Covid-19 yard signs torn apart and scattered
across property. AC gates open, outside trash can
moved to remove lettering on building.
5011112010843 Parks & Recreation Division (Barefoot Beach)
FMGE
Storm damage- tree knocked over by C2 Loading dock
5012292010984 Lake Trafford Cemetery
FMGE
Roof damage, water leaks in several areas of the
building, front entrance doors and outside doors in
conference room require weather stripping.
5509101706696 IFAS - University Extension
UESE
Removal of trees, plants and debris caused by
Hurricane Irma
5509101706681 Emergency Management Services (Station 75)
MHCP
Damage to stairs at end of beach access # 1 and stairs
that customers use to go to the Concession Chiki have
separated from the Chiki and need to be re-attached.
5109101706691 Domestic Animal Services (Admin. Bldg 1)
DASE
EMSE
Trees fell during Hurricane Irma.
16.E.1.b
Packet Pg. 670 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
0.00 60.00 0.00 0.00 0.00 0.00 0.00 60.00
9/12/2017 9/18/2017 2/28/2021 0.00 60.00 0.00 0.00 0.00 0.00 0.00 60.00
52 5400
29,826.46 0.00 0.00 1,657.08 0.00 0.00 0.00 29,826.46
9/10/2017 11/17/2017 1/31/2021 29,826.46 0.00 0.00 1,657.08 0.00 0.00 0.00 29,826.46
51 5400
17,298.96 60.00 0.00 16,860.95 0.00 0.00 0.00 17,358.96
9/10/2017 11/17/2017 1/31/2021 17,298.96 60.00 0.00 16,860.95 0.00 0.00 0.00 17,358.96
51 5400
16,718.00 60.00 0.00 16,718.00 0.00 0.00 0.00 16,778.00
9/10/2017 11/17/2017 1/31/2021 16,718.00 60.00 0.00 16,718.00 0.00 0.00 0.00 16,778.00
53 5400
0.00 248,408.91 0.00 242,839.45 0.00 0.00 0.00 248,408.91
9/10/2017 8/20/2018 1/31/2021 0.00 248,408.91 0.00 242,839.45 0.00 0.00 0.00 248,408.91
131 5400
0.00 60.00 0.00 0.00 0.00 0.00 0.00 60.00
9/10/2017 9/21/2017 2/8/2021 0.00 60.00 0.00 0.00 0.00 0.00 0.00 60.00
54 5400
20,050.00 60.00 0.00 20,050.00 0.00 0.00 0.00 20,110.00
9/10/2017 9/21/2017 1/31/2021 20,050.00 60.00 0.00 20,050.00 0.00 0.00 0.00 20,110.00
53 5400
89,502.11 60.00 0.00 0.00 0.00 0.00 0.00 89,562.11
9/10/2017 9/27/2017 2/9/2021 89,502.11 60.00 0.00 0.00 0.00 0.00 0.00 89,562.11
51 5400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/20/2020 9/21/2020 3/8/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/10/2017 8/10/2018 2/9/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 5400
47,992.80 60.00 0.00 49,009.66 0.00 0.00 0.00 48,052.80
9/10/2017 10/9/2017 1/31/2021 47,992.80 60.00 0.00 49,009.66 0.00 0.00 0.00 48,052.80
51 5400
5109101707163 Naples Jail Center
FMGE
Numerous roof leaks in the Naples Jail Center due to
Hurricane Irma.
5109101707164 Immokalee Jail Center
5209121706486 Emergency Management Services (Station 44)
EMSE
Power surges appear to have caused electrical
damage to clothes washing maching and it does not
work post Irma.
Damage occurred at the Immokalee Jail due to
Hurricane Irma.
1319101708229 Facilities Management Division (Contracted Labor -
Professional Fees)
FMGE
Temporary labor hired to assist with hurricane related
repair projects. Employee assisted with damage
assessments, takeoffs, measurements, investigation
into damaged elements, temporary repairs, etc.
5509101706532 Health Department (Immokalee)
FMGE
Damage occurred at the Immokalee Jail due to
Hurricane Irma.
5309101707165 Immokalee Jail Center
FMGE
5109101706445 Library Division (Marco Island Branch)
LIBE
Hurricane Irma caused roof damage and water
intrusion.
5009202010648 Traffic Operations
HDPE
Hurricane Irma winds knocked down multiple trees on
throughout property.
5309101706533 Health Department (Immokalee)
HDPE
Hurricane Irma winds knocked down trees causing the
irrigation system to be damaged. Fence damaged.
5109101706841 South Wastewater Plant Lab Maintenance Bldg
WWTE
Hurricane Irma winds caused roof damage; rain
entered through damaging ceiling tile; carpet wet.
TECM
Light pole #1 down due to vehicle accident.
5509101708203 Public Transit & Neighborhood Enhance Div. (MSTUs
Debris Cleanup)
PTNE
Hurricane Irma Damages (Trees,Shrubs,sod,sidewalk
debris) within the MSTU's -
16.E.1.b
Packet Pg. 671 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
4,484.00 60.00 0.00 646.00 0.00 0.00 0.00 4,544.00
9/10/2017 2/16/2018 1/31/2021 4,484.00 60.00 0.00 646.00 0.00 0.00 0.00 4,544.00
51 5400
23,979.73 60.00 0.00 22,372.23 0.00 0.00 0.00 24,039.73
9/10/2017 10/17/2017 1/31/2021 23,979.73 60.00 0.00 22,372.23 0.00 0.00 0.00 24,039.73
53 5400
31,475.00 60.00 0.00 44,850.00 0.00 0.00 0.00 31,535.00
9/10/2017 10/25/2017 1/31/2021 31,475.00 60.00 0.00 44,850.00 0.00 0.00 0.00 31,535.00
51 5400
8,000.00 60.00 0.00 8,000.00 0.00 0.00 0.00 8,060.00
9/10/2017 12/11/2017 1/31/2021 8,000.00 60.00 0.00 8,000.00 0.00 0.00 0.00 8,060.00
53 5400
1,500.00 60.00 0.00 1,500.00 0.00 0.00 0.00 1,560.00
9/10/2017 11/29/2017 1/31/2021 1,500.00 60.00 0.00 1,500.00 0.00 0.00 0.00 1,560.00
53 5400
6,360.00 60.00 0.00 3,400.00 0.00 0.00 0.00 6,420.00
9/10/2017 11/29/2017 1/31/2021 6,360.00 60.00 0.00 3,400.00 0.00 0.00 0.00 6,420.00
53 5400
46,855.00 60.00 0.00 46,855.00 0.00 0.00 0.00 46,915.00
9/10/2017 12/5/2017 1/31/2021 46,855.00 60.00 0.00 46,855.00 0.00 0.00 0.00 46,915.00
53 5400
153,784.37 60.00 0.00 121,752.75 0.00 0.00 0.00 153,844.37
9/10/2017 12/15/2017 1/31/2021 153,784.37 60.00 0.00 121,752.75 0.00 0.00 0.00 153,844.37
55 5400
32,745.72 60.00 0.00 31,857.03 0.00 0.00 0.00 32,805.72
9/10/2017 10/24/2017 1/31/2021 32,745.72 60.00 0.00 31,857.03 0.00 0.00 0.00 32,805.72
50 5400
59,477.44 0.00 0.00 9,477.00 0.00 0.00 0.00 59,477.44
6/25/2019 6/26/2019 1/27/2021 59,477.44 0.00 0.00 9,477.00 0.00 0.00 0.00 59,477.44
50 5900
5109101707710 Public Utilities Department, Wastewater Collections
Facility, Location #612
5109101707058 Cocohatchee River Park
MHCP
Soffits missing from cupola in the park restrooms after
Hurricane Irma.
5309101707263 Parks & Recreation (S Marco Access)
WWTE
Mold remediation, indoor air quality test, rehabilitation,
and heavy water intrusion, weatherproofing of facility is
needed.
5309101706980 Caxambas Park
MHCP
Damaged occurred at Caxambas Park from Hurricane
Irma.
5309101707202 Parks & Recreation (Margood Harbor Park)
MHCP
Hurricane Irma damaged the dumpster enclosure doors
and several park signs.
5309101707219 Pelican Bay Services (9 Lake Aeration System)
MHCP
Hurricane Irma Incident:
Trash can tops missing; damaged life jacket stand;
fence (access walkway);three (3) benches buried in
sand.
5309101707200 Parks & Recreation (Isle of Capri)
MHCP
During Hurricane Irma the housing for gate motors
came apart exposing to elements. Signage throughout
the park down or missing.
Hurricane Irma uprooted several trees and scattered
tree debris throughout the park property.
5309101707038 Parks & Recreation Div. (Corkscrew Elem. School)
MHCP
Fences, lights, and bleachers CC10000056 &
CC10000057 were damaged from wind borne debris
during hurricane Irma.
5006251909307 Eagle Lakes Community Park
PELB
9 lake aeration systems damaged by Hurricane IRMA
5509101707296 Parks & Recreation (Vineyards Community Park)
MHCP
MHCP
Sometime after 7pm on 6/25/19 Eagle Lakes
Community Park experienced some severe weather.
There is damage to the softball field backstop and
bleachers. Field house soffit, Soccer bleachers where
blown against the soccer fence. Aquatics has fence
damag
16.E.1.b
Packet Pg. 672 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/15/2017 12/4/2018 3/10/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
56 5400
0.00 0.00 6,683.09 6,683.09 0.00 0.00 0.00 6,683.09
9/10/2017 11/15/2018 1/31/2021 0.00 0.00 6,683.09 6,683.09 0.00 0.00 0.00 6,683.09
56 5400
0.00 60.00 0.00 0.00 0.00 0.00 0.00 60.00
11/7/2017 11/7/2017 2/28/2021 0.00 60.00 0.00 0.00 0.00 0.00 0.00 60.00
135 5400
50,162.99 60.00 0.00 50,162.99 0.00 0.00 0.00 50,222.99
9/10/2017 10/11/2017 1/31/2021 50,162.99 60.00 0.00 50,162.99 0.00 0.00 0.00 50,222.99
53 5400
884,459.35 60.00 0.00 884,459.35 0.00 0.00 0.00 884,519.35
9/10/2017 10/11/2017 1/5/2021 884,459.35 60.00 0.00 884,459.35 0.00 0.00 0.00 884,519.35
54 5400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/10/2017 10/2/2017 2/9/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 5400
13,223.91 60.00 0.00 540.03 0.00 0.00 0.00 13,283.91
9/10/2017 10/3/2017 1/31/2021 13,223.91 60.00 0.00 540.03 0.00 0.00 0.00 13,283.91
53 5400
658,355.91 0.00 0.00 642,357.05 0.00 0.00 0.00 658,355.91
9/10/2017 10/9/2017 1/31/2021 658,355.91 0.00 0.00 642,357.05 0.00 0.00 0.00 658,355.91
53 5400
22,048.00 60.00 0.00 22,048.00 0.00 0.00 0.00 22,108.00
9/10/2017 9/22/2017 1/31/2021 22,048.00 60.00 0.00 22,048.00 0.00 0.00 0.00 22,108.00
53 5400
5609101708479 Airport Authority (Everglades Airpark Equipment)
OPRS
Hurricane Irma - Bobcat (asset CC2-483) attachment
damaged from saltwater submersion due to storm
surge.
1351171707108 Airport Authority (Marco Island Airport)
5609151708523 Airport Authority Division
OPRS
Asset CC2-483 was transported to the Everglades
Airpark from Immokalee to assit with runway clean-up
and debris removal from Irma. Storm surge saltwater,
mud, and debris caused significant corrosion to CC2-
483. Estimated repair cost $7,000.00.
5409101706896 Road Maintenance Division (Medians Landscape &
Irrigation)
RMSE
Hurricane Irma winds caused damages to the County's
landscaping and irrigation in the road medians and
shoulders.
5309101706726 Costal Zone Management
OPRS
Non-structural damage to hangar affecting the tenant's
use of the space resulted in a 20% reduction of the rent
income.
5309101706881 Airport Authority Div. (Everglades Airpark - Fuel Tank
System)
OPRS
During Hurricane Irma the strom surge caused damage
to the fuel tank system.
Hurricane Irma winds damaged both the entry and exit
gates, injection well #2 cover, Top Dome & Screen off
North Ground storage tank, marker for fiber line, degas
sunshield cover, and ground storage tank sample line
broken.
5309101706834 Pelican Bay Services (Traffic Signs)
PELB
IRMA damaged 220 traffic signs, light poles, and
sidewalk bollard lights - see spreadsheet and photos.
5309101706577 Growth Management Division (Road Maintenance
Davis Blvd Yard)
PELB
Clam Bay Canoe Marker #12 damaged/displaced
during hurricane IRMA
5309101706733 Public Utilities Dept. (N Water Plant)
WATE
RMSE
Fencing damaged, downed areas in multiple locations
16.E.1.b
Packet Pg. 673 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
5,443.65 60.00 0.00 70.00 0.00 0.00 0.00 5,503.65
9/10/2017 10/6/2017 1/31/2021 5,443.65 60.00 0.00 70.00 0.00 0.00 0.00 5,503.65
51 5400
1,340,540.65 0.00 0.00 1,340,540.65 0.00 0.00 0.00 1,340,540.65
9/10/2017 7/19/2018 1/5/2021 1,340,540.65 0.00 0.00 1,340,540.65 0.00 0.00 0.00 1,340,540.65
55 5400
596.98 0.00 0.00 0.00 0.00 0.00 0.00 596.98
1/25/2021 2/8/2021 3/31/2021 596.98 0.00 0.00 0.00 0.00 0.00 0.00 596.98
50 3000
3,635,726.88 249,848.91 6,683.09 3,636,262.40 0.00 0.00 0.00 3,892,258.88
3,635,726.88 249,848.91 6,683.09 3,636,262.40 0.00 0.00 0.00 3,892,258.88
0.00 0.00 0.00 0.00 0.00 6,735.73 0.00 6,735.73
8/11/2020 8/12/2020 3/25/2021 0.00 0.00 0.00 0.00 0.00 6,735.73 0.00 6,735.73
67
0.00 0.00 0.00 0.00 0.00 6,735.73 0.00 6,735.73
0.00 0.00 0.00 0.00 0.00 6,735.73 0.00 6,735.73
3,687,081.14 252,584.60 41,992.38 3,636,262.40 0.00 6,735.73 0.00 3,988,393.85
3,687,081.14 252,584.60 41,992.38 3,636,262.40 0.00 6,735.73 0.00 3,988,393.85
5509101708135 Solid Waste Division (Debris Cleanup Countywide)
SOWE
Debris cleanup in the county roadways and right-of-
ways.
5001252111119 CRA
5109101706809 Collier County Sheriff Office (Special Op. Facility)
SHEE
Hurricane Irma caused slight structural damage, water
damage-wind driven rain & leaks; and water intrusion
through structural damage.
COL
Plaintiffs bring this against Collier County and three
County Commissioners for violating local and state law
to enact Emergency/Executive Order-2020-05, which
holds limited types of businesses liable for both
employees and patrons not wearing face
Total by Major Coverage 1 Claim
Grand Totals: 106 Claims
CRAE
Damage to light pole 45 due to an unknown accident.
Total by Major Coverage 44 Claims
Major Coverage: 60 - Public Officials Errors and Ommissions
6708112004029 Francis A. Oakes, lll, Oakes Farms, Inc. d/b/a Seed to
Table and Seed to Table, LLC v. Collier County, a
political subdivsion, et al
16.E.1.b
Packet Pg. 674 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
7:26:29 AM
-28-
4/15/2021
16.E.1.b
Packet Pg. 675 Attachment: All Lines Closed Claim Report 2nd QTR FY 2021 (15627 : Ratification of Claims Files Closed
16.E.1.c
Packet Pg. 676 Attachment: Resolution 2004-15 PDF0001 (15627 : Ratification of Claims Files Closed by The Risk Management Director for 2nd Quarter FY 2021)
16.E.1.c
Packet Pg. 677 Attachment: Resolution 2004-15 PDF0001 (15627 : Ratification of Claims Files Closed by The Risk Management Director for 2nd Quarter FY 2021)
16.E.1.c
Packet Pg. 678 Attachment: Resolution 2004-15 PDF0001 (15627 : Ratification of Claims Files Closed by The Risk Management Director for 2nd Quarter FY 2021)
16.E.1.c
Packet Pg. 679 Attachment: Resolution 2004-15 PDF0001 (15627 : Ratification of Claims Files Closed by The Risk Management Director for 2nd Quarter FY 2021)
16.E.1.c
Packet Pg. 680 Attachment: Resolution 2004-15 PDF0001 (15627 : Ratification of Claims Files Closed by The Risk Management Director for 2nd Quarter FY 2021)
16.E.1.c
Packet Pg. 681 Attachment: Resolution 2004-15 PDF0001 (15627 : Ratification of Claims Files Closed by The Risk Management Director for 2nd Quarter FY 2021)