Agenda 09/14/2021 Item #16E 5 (Ratify Property, casualty, workers' comp and subrogation claim files09/14/2021
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 third quarter of FY 21.
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 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 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 third quarter of FY 21, 89 files were closed with total expenditures of
$220,253.58. There were no reinsurance recoveries. During the same period, 10 subrogation files were
closed, and the Risk Management Division recovered $72,883.46 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 acceptance of the Report. -JAK
RECOMMENDATION: That the Board of County Commissioners accepts the attached Settlement
Report and ratifies the actions taken therein.
16.E.5
Packet Pg. 2669
09/14/2021
PREPARED BY: Jeff Walker CPCU, ARM, Division Director, Risk Management Division.
ATTACHMENT(S)
1. All Lines Closed Claims Report 3rd QTR FY 21 (PDF)
2. Subrogation Closed Claim Report 3rd QTR FY 21 pdf (PDF)
3. Resolution 2004-15 PDF0001 (PDF)
16.E.5
Packet Pg. 2670
09/14/2021
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.5
Doc ID: 17558
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 21.
Meeting Date: 09/14/2021
Prepared by:
Title: – Risk Management
Name: Heidi Dareus
07/20/2021 4:43 PM
Submitted by:
Title: Division Director - Risk Management – Risk Management
Name: Jeff Walker
07/20/2021 4:43 PM
Approved By:
Review:
Agenda Clerk Preview Michael Cox Agenda Clerk Preview Completed 07/20/2021 5:01 PM
Risk Management Jeff Walker Director Review Completed 07/21/2021 8:20 AM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 07/21/2021 8:41 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 07/21/2021 1:18 PM
Office of Management and Budget Laura Wells Additional Reviewer Completed 07/22/2021 9:25 AM
County Manager's Office Sean Callahan Level 4 County Manager Review Completed 09/07/2021 4:15 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 09/14/2021 9:00 AM
16.E.5
Packet Pg. 2671
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
2,247.57 55.40 0.00 0.00 0.00 0.00 0.00 2,302.97
1/20/2021 1/20/2021 4/26/2021 2,247.57 55.40 0.00 0.00 0.00 0.00 0.00 2,302.97
10 1200
555.38 26.90 0.00 0.00 0.00 0.00 0.00 582.28
4/5/2021 4/5/2021 4/26/2021 555.38 26.90 0.00 0.00 0.00 0.00 0.00 582.28
10 1200
319.55 0.00 0.00 0.00 0.00 0.00 0.00 319.55
5/22/2021 5/22/2021 5/28/2021 319.55 0.00 0.00 0.00 0.00 0.00 0.00 319.55
10 1500
1,083.64 25.65 0.00 0.00 0.00 0.00 0.00 1,109.29
4/5/2021 4/5/2021 4/12/2021 1,083.64 25.65 0.00 0.00 0.00 0.00 0.00 1,109.29
10 1300
192.95 0.00 0.00 0.00 0.00 0.00 0.00 192.95
5/18/2021 5/18/2021 5/18/2021 192.95 0.00 0.00 0.00 0.00 0.00 0.00 192.95
10 1200
538.71 0.00 0.00 0.00 0.00 0.00 0.00 538.71
5/28/2021 5/28/2021 5/31/2021 538.71 0.00 0.00 0.00 0.00 0.00 0.00 538.71
10 1200
Collier County Government
Closed Claim Report- All Lines
3rd QTR FY 2021
Valued as of:7/19/2021
Claim Number Claimant Name
Division
Carrier Accident Desc.
Major Coverage: 10 - Workers' Compensation
1001202111063
BPRI
Employee was performing a Site
Inspection, when the garage door
fell and hit his right hand middle
finger.
1004052111316
WWTE
Employee cut left hand fifth digit
finger on the edge of a piece of
polymer, while moving a piece of
equipment.
1005222111451
WWTE
Employee twisted left ankle when
he stepped in a hole.
1004052111319
WATE
Employee tripped and fell on a
metal pipe, and hit his head
working South Reverse Osmosis
Well.
1005182111433
WATE
Employee was picking up a chain
from an equipment trailer when a
small sliver of wood lodged into
the skin under his right index
finger.
1005282111477
WATE
Employee was opening a package
when knife slipped and cut his
finger.
16.E.5.a
Packet Pg. 2672 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
0.00 13.75 0.00 0.00 0.00 0.00 0.00 13.75
6/3/2021 6/3/2021 6/15/2021 0.00 13.75 0.00 0.00 0.00 0.00 0.00 13.75
10 1900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/24/2021 5/24/2021 6/15/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/15/2021 6/16/2021 6/16/2021 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
6/8/2021 6/9/2021 6/16/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/27/2021 6/28/2021 6/30/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1200
238.85 16.10 0.00 0.00 0.00 0.00 0.00 254.95
11/10/2020 11/12/2020 4/28/2021 238.85 16.10 0.00 0.00 0.00 0.00 0.00 254.95
10 1500
414.80 31.60 0.00 0.00 0.00 0.00 0.00 446.40
4/26/2021 4/26/2021 6/16/2021 414.80 31.60 0.00 0.00 0.00 0.00 0.00 446.40
10 1100
1006032111499
WATE
While excavating hole employee
complained of chest pains and
requested medical attention -
EMS responded to the site.
1005242111454
WATE
Employee felt chest pains and
said he needed help as he was
excavating a hole.
1006152111542
WATE
Employee was cleaning out lime
slaker, and received chemical
burns to right elbow and wrist.
1006082111515
WATE
Employee developed rash on
lower left abdomen, and upper
right arm while reading meters.
1006272111581
WATE
Employee tripped and fell on a
contractor fence, and cut finger.
1011102010839
TXCE
Employee was stepping down
from a high desk chair, and used
the bar on the chair for assistance
when her foot slipped and twisted
left ankle.
1004262111381
TXCE
Employee was leaning on a
vehicle speaking to a driver, when
a second vehicle approaching
from the east struck the car
behind him pushing the employee
and temporarily pinning him
between the vehicles causing him
to his his head.
16.E.5.a
Packet Pg. 2673 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
248.60 0.00 0.00 0.00 0.00 0.00 0.00 248.60
6/3/2021 6/3/2021 6/30/2021 248.60 0.00 0.00 0.00 0.00 0.00 0.00 248.60
10 1300
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/21/2021 6/21/2021 6/28/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1000
7.14 0.00 0.00 0.00 0.00 0.00 0.00 7.14
6/15/2021 6/15/2021 6/24/2021 7.14 0.00 0.00 0.00 0.00 0.00 0.00 7.14
10 1200
486.13 17.85 0.00 0.00 0.00 0.00 0.00 503.98
4/22/2021 4/22/2021 4/30/2021 486.13 17.85 0.00 0.00 0.00 0.00 0.00 503.98
10 1200
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/28/2021 6/28/2021 6/30/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1200
0.00 13.75 0.00 0.00 0.00 0.00 0.00 13.75
5/18/2021 6/4/2021 6/15/2021 0.00 13.75 0.00 0.00 0.00 0.00 0.00 13.75
10 1900
3,664.84 49.45 445.07 0.00 0.00 0.00 0.00 4,159.36
3/23/2021 3/24/2021 4/14/2021 3,664.84 49.45 445.07 0.00 0.00 0.00 0.00 4,159.36
10 1700
458.15 33.80 0.00 0.00 0.00 0.00 0.00 491.95
4/19/2021 5/3/2021 5/17/2021 458.15 33.80 0.00 0.00 0.00 0.00 0.00 491.95
10 1200
1006032111500
TXCE
Employee tripped on raised bolts
that attach hurricane shutters at
the employee entrance.
1006212111553
DASE
Employee was restraining a dog
for sterilization surgery, and came
in contact with pepper spray, and
forearms are irritated.
1006152111533
DASE
Employee was moving dog for
surgery and dog jumped out of
top kennel. Employee tried to
catch dog and upon impact dog
bit his left ring finger.
1004222111368
DASE
A cat bit a volunteer on left
forefinger.
1006282111591
EMSE
Employee was standing up from
the toilet stall, when he hit his
head on an open cabinet door.
1005182111502
EMSE
Previous Employee was
diagnosed with a brain tumor May
18th, 2021.
1003232111281
EMSE
Employee was rear ended by a
pick up truck at a traffic light, and
is complaining of back, neck and
knee pain. She was transported to
NCH ER
1004192111396
FLME
Employee was working on a
mower and scraped left ring finger
near edge of fingernail, when
reaching in engine compartment
to loosen oil filter.
16.E.5.a
Packet Pg. 2674 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/18/2021 6/21/2021 6/30/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1900
452.44 63.64 0.00 0.00 0.00 0.00 0.00 516.08
3/23/2021 3/23/2021 4/26/2021 452.44 63.64 0.00 0.00 0.00 0.00 0.00 516.08
10 1200
14,394.04 1,535.74 322.20 0.00 0.00 0.00 0.00 16,251.98
10/30/2020 10/30/2020 4/26/2021 14,394.04 1,535.74 322.20 0.00 0.00 0.00 0.00 16,251.98
10 1300
979.42 0.00 0.00 0.00 0.00 0.00 0.00 979.42
5/13/2021 5/13/2021 6/30/2021 979.42 0.00 0.00 0.00 0.00 0.00 0.00 979.42
10 1300
238.00 13.75 0.00 0.00 0.00 0.00 0.00 251.75
6/1/2021 6/1/2021 6/30/2021 238.00 13.75 0.00 0.00 0.00 0.00 0.00 251.75
10 1500
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/8/2021 6/9/2021 6/24/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/30/2021 6/8/2021 6/14/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1900
1006182111551
FMGE
Employee left eye got irritated,
when he scratched it from a lost
bolt at the bottom of a
compressor.
1003232111276
FMGE
Employee was disposing an AC
unit, and cut left 2nd index finger
on box cutter.
1010302010803
LIBE
Employee fell at the sidewalk
pavers leaving the employee
entrance area and injured left
ankle.
1005132111421
MHCP
Employee fell down from the
bleachers and scuffed both
knees, and complaining of lower
back pain.
1006012111480
MHCP
Haley was attending an LGI
training (lifeguard Instructor) when
she went to do a Rear Passive
rescue. She went to roll victim
onto the rescue tube, and she
Quote " twisted wrong" Once staff
got her out of the pool she stated
she had lower back pains.
1006082111514
MHCP
Employee came in contact with
fire ants and poison ivy while
trimming trees.
1005302111511
MHCP
Employee was gathering trash
and noticed red circles on back
and arm area.
16.E.5.a
Packet Pg. 2675 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
230.35 13.75 0.00 0.00 0.00 0.00 0.00 244.10
6/1/2021 6/2/2021 6/10/2021 230.35 13.75 0.00 0.00 0.00 0.00 0.00 244.10
10 1300
238.85 11.90 0.00 0.00 0.00 0.00 0.00 250.75
4/15/2021 4/15/2021 4/28/2021 238.85 11.90 0.00 0.00 0.00 0.00 0.00 250.75
10 1200
3,142.89 140.45 0.00 0.00 0.00 0.00 0.00 3,283.34
2/4/2021 2/9/2021 6/18/2021 3,142.89 140.45 0.00 0.00 0.00 0.00 0.00 3,283.34
10 1500
162.35 0.00 0.00 0.00 0.00 0.00 0.00 162.35
3/24/2021 3/29/2021 4/30/2021 162.35 0.00 0.00 0.00 0.00 0.00 0.00 162.35
10 1900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/15/2021 6/16/2021 6/28/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1200
1006012111489
MHCP
Employee was sitting on a bean
bag chair in the Immokalee South
Park Preschool room, and when
she got up to ring bell for the kids
to clean, her foot got tangled on
iPad charger, causing her to fall
on her knees and two hands.
1004152111352
MHCP
Vincent was doing maintenance
work , power washing next to dog
park...using water from the dog
park...upon entering the small dog
park area to hook up
hose...Vincent made several trips
in and out the last time on way out
he was attacked by dog.
1002042111122
PELB
Employee was trimming shrubs
and started feeling pain in left
upper arm.
1003242111301
PELB
Employee is complaining about
chest pains, shortness of breath,
and pain in both knees and was
transported to Physicians
Regional for medical treatment.
1006152111541
RMSE
Employee was holding brush with
left hand and struck his left thumb
with machete while cutting the
brush. He was wearing all the
required PPE at the time.
16.E.5.a
Packet Pg. 2676 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
646.11 17.85 0.00 0.00 0.00 0.00 0.00 663.96
3/29/2021 3/29/2021 5/13/2021 646.11 17.85 0.00 0.00 0.00 0.00 0.00 663.96
10 1300
404.92 34.60 0.00 0.00 0.00 0.00 0.00 439.52
4/20/2021 4/20/2021 5/13/2021 404.92 34.60 0.00 0.00 0.00 0.00 0.00 439.52
10 1200
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/15/2021 4/29/2021 4/30/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1700
273.70 11.90 0.00 0.00 0.00 0.00 0.00 285.60
4/22/2021 4/23/2021 4/28/2021 273.70 11.90 0.00 0.00 0.00 0.00 0.00 285.60
10 1700
419.65 5.95 0.00 0.00 0.00 0.00 0.00 425.60
5/8/2021 5/8/2021 5/31/2021 419.65 5.95 0.00 0.00 0.00 0.00 0.00 425.60
10 1100
1003292111303
RMSE
While climbing out of the back of
vehicle, right foot slipped off
bumper causing right knee to hit
against the bumper. Employee
does not request medical
attention at this time.
1004202111361
RMSE
Mr. Martinez was trimming plants
with a gas powered hedge
trimmer when he lost grip of the
hedge trimmer. When he lost grip
with the one hand the hedge
trimmer dropped striking him in
the middle of his left upper thigh.
1003152111392
RMSE
Employee reported to supervisor
on April 25th, he climbed up on
the Roller CC2-788 and hit his
head on the steel top over a
month ago and had brain surgery
to remove blood from his brain.
1004222111372
RMSE
Employees were securing a load
to their truck when one of the
crew members threw a ratchet
strap over the truck, not realizing
he was stepping on the slack. The
buckle of the strap came back
around and struck German H. in
the side of the head.
1005082111412
SOWE
Employee opened the roll off
door, and right hand pinky knuckle
area got pinned between the door
pin and lever.
16.E.5.a
Packet Pg. 2677 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
326.60 0.00 0.00 0.00 0.00 0.00 0.00 326.60
5/25/2021 5/25/2021 5/31/2021 326.60 0.00 0.00 0.00 0.00 0.00 0.00 326.60
10 1500
302.60 5.95 0.00 0.00 0.00 0.00 0.00 308.55
5/7/2021 5/7/2021 6/14/2021 302.60 5.95 0.00 0.00 0.00 0.00 0.00 308.55
10 1400
32,668.23 2,139.73 767.27 0.00 0.00 0.00 0.00 35,575.23
32,668.23 2,139.73 767.27 0.00 0.00 0.00 0.00 35,575.23
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/20/2021 5/20/2021 6/22/2021 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
5/25/2021 5/25/2021 6/30/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5900
0.00 0.00 1,200.87 0.00 0.00 0.00 0.00 1,200.87
3/2/2021 3/2/2021 4/26/2021 0.00 0.00 1,200.87 0.00 0.00 0.00 0.00 1,200.87
22 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/31/2021 4/1/2021 4/18/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5900
1005252111459
SOWE
Employee stepped up into trailer
when left foot came down on right
foot causing the knee to pop.
1005072111409
TECM
Employee was parked at a dead
end road, when another driver
collided with the front driver side
of County vehicle, and injured left
wrist.
Total by Major Coverage 40 Claims
Major Coverage: 20 - General Liability
2205202111441 WENDY, MCKINNEY
RMSE
Citizens vehicle has rubber like
paint damage due to driving over
something on the road.
2205252111462 HMC Helicoper Service
GMAO
"I pulled away from the Bell
Ranger III 206 Helicopter, ID#
N206VL, with the bonding cable
still attached. The cable pulled the
stereo plug grounding port
sideways and partially out of the
right side of the helicopter.
2203022111201 Camden Lakes Homeowners
Association
WWTE
The gate code for the community
didn't work so the employee tried
to follow another car through the
gate and the arm came down on
the truck. The gate arm broke off.
There was no damage to the
truck.
2203312111310 Marshall, Tyrone
RMSE
Turning on 16th place sw going
south and 3rd party vehicle hit a
pot hole.
16.E.5.a
Packet Pg. 2678 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
29,000.00 739.13 0.00 0.00 0.00 14,903.75 0.00 44,642.88
4/15/2018 2/13/2019 6/30/2021 29,000.00 739.13 0.00 0.00 0.00 14,903.75 0.00 44,642.88
21 2050
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/6/2021 5/10/2021 5/20/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 3000
5,000.00 0.00 0.00 0.00 0.00 0.00 0.00 5,000.00
4/29/2020 5/6/2020 4/27/2021 5,000.00 0.00 0.00 0.00 0.00 0.00 0.00 5,000.00
21 2050
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/26/2021 4/27/2021 5/3/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 2150
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/8/2021 6/9/2021 6/30/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 3000
2104151808790 FREY, PATRICIA
RMSE
Citizen took some type of fall on
the sidewalk near the entrance to
the Vanderbilt Gulfside Condos.
2205062111415 COTTO, MARISOL
RMSE
Driving down golden gate
parkway in the left lane and ran
over a tree branch that was in the
road.
2104292010312 TAYLOR, CONNIE
MHCP
While standing on the boat ramp
at Bayview Park, Ms. Taylor
slipped when stepping backward
and fell into the water. She
received 7 stitches in her right
knee, got road rash on her left leg
and bruised inside the left leg.
2204262111384 Shawn Kingston
WWTE
Wastewater received an email
about a backup at 1 Lanai Cir.
County viewed line found roots in
county / customer lateral. Dug up
lateral and removed roots,
installed county cleanout, and
repaired line.
2206082111516 Wyndemere Homeowner's
Association
WATE
On call technician was driving
vehicle CC2-745 to a call inside
the Wyndemere subdivision at
11:15pm on June 8, 2021. The
gate arm struck the county
vehicle. The gate had no
reportable damage caused by our
vehicle and our vehicle had no
damage.
16.E.5.a
Packet Pg. 2679 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/15/2020 12/15/2020 5/10/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5900
34,000.00 739.13 1,200.87 0.00 0.00 14,903.75 0.00 50,843.75
34,000.00 739.13 1,200.87 0.00 0.00 14,903.75 0.00 50,843.75
0.00 0.00 858.68 0.00 0.00 0.00 0.00 858.68
4/13/2021 4/13/2021 6/17/2021 0.00 0.00 858.68 0.00 0.00 0.00 0.00 858.68
32 3000
32,000.00 0.00 0.00 0.00 0.00 0.00 0.00 32,000.00
2/28/2020 5/1/2020 4/18/2021 32,000.00 0.00 0.00 0.00 0.00 0.00 0.00 32,000.00
31 3000
1,966.00 0.00 0.00 0.00 0.00 0.00 0.00 1,966.00
9/22/2020 9/22/2020 4/30/2021 1,966.00 0.00 0.00 0.00 0.00 0.00 0.00 1,966.00
31 3000
0.00 0.00 2,124.88 0.00 0.00 0.00 0.00 2,124.88
11/9/2020 11/9/2020 6/17/2021 0.00 0.00 2,124.88 0.00 0.00 0.00 0.00 2,124.88
32 3000
33,966.00 0.00 2,983.56 0.00 0.00 0.00 0.00 36,949.56
33,966.00 0.00 2,983.56 0.00 0.00 0.00 0.00 36,949.56
2212152010945 CRAINE, NATHANIEL
WWTE
Collier county employee was
driving county truck headed SW
on Davis Blvd to intersection of
Davis and airport pulling Road.
When the vehicle behind him
beeped and informed him that
paint spraying from rear of county
truck sprayed onto his vehicle
hood.
Total by Major Coverage 10 Claims
Major Coverage: 30 - Auto Liability
3204132111341 Osselin, Frantzso
BPRI
Employee was driving between
parking spaces and was
attempting to back into a parking
spot when another driver pulled
beside going opposite direction
stopped. Another vehicle pulled in
behind him and he backed up and
made contact with vehicle.
3102282004027 Bonar, Paula
WATE
Employee was driving a county
vehicle and struck the rear end of
another vehicle.
3109222004037 Schiller, Matt
FLME
Erratic driver in roadway causing
traffic to stop short. CC2-847
could not stop in time and hit the
rear of a county employee's
personal vehicle.
3211092004041 Harris, Christopher
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.
Total by Major Coverage 4 Claims
16.E.5.a
Packet Pg. 2680 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
805.48 0.00 0.00 0.00 0.00 0.00 0.00 805.48
4/9/2021 4/12/2021 6/17/2021 805.48 0.00 0.00 0.00 0.00 0.00 0.00 805.48
42 5900
508.63 0.00 0.00 0.00 0.00 0.00 0.00 508.63
3/29/2021 3/30/2021 4/8/2021 508.63 0.00 0.00 0.00 0.00 0.00 0.00 508.63
42 3200
0.00 0.00 3.96 0.00 0.00 0.00 0.00 3.96
1/16/2021 1/16/2021 5/17/2021 0.00 0.00 3.96 0.00 0.00 0.00 0.00 3.96
41 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/6/2021 1/7/2021 6/22/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 2900
0.00 0.00 1,031.02 0.00 0.00 0.00 0.00 1,031.02
2/25/2021 3/1/2021 4/7/2021 0.00 0.00 1,031.02 0.00 0.00 0.00 0.00 1,031.02
41 3000
0.00 0.00 2,015.91 0.00 0.00 0.00 0.00 2,015.91
1/28/2021 1/29/2021 6/24/2021 0.00 0.00 2,015.91 0.00 0.00 0.00 0.00 2,015.91
41 3000
Major Coverage: 40 - Auto Physical Damage
4204092111328 Building Plan Review And
Inspection Division
BPRI
Vehicle is at fleet now for general
maintenance and notified the
driver about the crack. Driver is
unaware of how it happened.
4203292111304 Building Plan Review And
Inspection Division
BPRI
While in for maintenance at fleet,
we were notified of some small
chips in the windshield that would
eventually become a hazard.
Upon advice of Fleet
management were are requesting
remediation.
4101162111059 EMS
EMSE
Truck was parked too close to the
bay door of the garage and when
the door was closed, it hit the
front of the ambulance breaking 2-
light covers & damaging the track
of the garage door - no one was
in the vehicle at the time of the
incident.
4101062111034 Facilities Management Division
FMGE
When taking a railing out of his
vehicle, Brian Haugrud noted a
"ding" was left on his vehicle.
4102252111191 Coastal Zone Management
GMAO
Vehicle damaged in the Coastal
Zone Management equipment
storage parking area by Tiger Tail
Beach. County staff never
witnessed the vehicle being
damaged. Discovered damage
upon return to vehicle.
4101282111093 Parks and Recreation
MHCP
Backing out of shop and
accidently hit a tree on the right
side.
16.E.5.a
Packet Pg. 2681 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
4,000.00 0.00 0.00 0.00 0.00 0.00 0.00 4,000.00
3/3/2021 3/3/2021 6/24/2021 4,000.00 0.00 0.00 0.00 0.00 0.00 0.00 4,000.00
42 2350
0.00 0.00 2,434.02 0.00 0.00 0.00 0.00 2,434.02
11/13/2020 11/13/2020 5/17/2021 0.00 0.00 2,434.02 0.00 0.00 0.00 0.00 2,434.02
41 3000
0.00 0.00 760.01 0.00 0.00 0.00 0.00 760.01
2/18/2021 2/18/2021 4/7/2021 0.00 0.00 760.01 0.00 0.00 0.00 0.00 760.01
41 3000
0.00 0.00 809.11 0.00 0.00 0.00 0.00 809.11
1/26/2021 1/27/2021 5/6/2021 0.00 0.00 809.11 0.00 0.00 0.00 0.00 809.11
41 3000
0.00 0.00 3,048.11 0.00 0.00 0.00 0.00 3,048.11
5/25/2021 5/26/2021 6/30/2021 0.00 0.00 3,048.11 0.00 0.00 0.00 0.00 3,048.11
41 3000
0.00 0.00 373.80 0.00 0.00 0.00 0.00 373.80
4/15/2021 4/15/2021 6/23/2021 0.00 0.00 373.80 0.00 0.00 0.00 0.00 373.80
41 3000
0.00 0.00 1,657.48 0.00 0.00 0.00 0.00 1,657.48
3/31/2021 3/31/2021 6/17/2021 0.00 0.00 1,657.48 0.00 0.00 0.00 0.00 1,657.48
41 3000
4203032111207 Parks and Recreation
MHCP
A 4 Wheeler was stolen due to an
employee keeping the gate
unlocked by accident.
4111132010866 Parks and Recreation
MHCP
Trailer on rear of vehicle swung
back around as vehicle was
turning and hit rear of vehicle.
4102182111161 Parks and Recreation
MHCP
Passenger side of bumper struck
a gate post on the way out of
maintenance area.
4101262111084 Pelican Bay Services Division
PELB
While loading a UTV on a trailer
the hitch came off the ball and hit
the tail gate of CC2-2059 putting a
small dent in it. Investigated
cause found wrong size ball on
truck.
4105252111465 PUD
PUAO
Collier County Employee Paul
Carbone was traveling east bound
on Radio Road at 2:15pm when
just east of Devonshire Blvd when
Leslie's car stopped abruptly
before merging and Paul Carbone
unable to stop hit the back of her
car.
4104152111349 Public Utilities
PUAO
CC2-864 was discovered
damaged due to an unknown
incident.
4103312111308 Road Maintenance Division
RMSE
Passenger side front bumper of
county vehicle hit the driver side
rear bumper.
16.E.5.a
Packet Pg. 2682 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
0.00 0.00 667.13 0.00 0.00 0.00 0.00 667.13
4/16/2021 4/20/2021 5/31/2021 0.00 0.00 667.13 0.00 0.00 0.00 0.00 667.13
41 2150
0.00 0.00 3,439.14 0.00 0.00 0.00 0.00 3,439.14
4/14/2021 4/15/2021 5/17/2021 0.00 0.00 3,439.14 0.00 0.00 0.00 0.00 3,439.14
41 3000
0.00 0.00 2,544.03 0.00 0.00 0.00 0.00 2,544.03
1/22/2021 1/22/2021 6/17/2021 0.00 0.00 2,544.03 0.00 0.00 0.00 0.00 2,544.03
41 3000
0.00 0.00 833.32 0.00 0.00 0.00 0.00 833.32
5/25/2021 5/25/2021 6/30/2021 0.00 0.00 833.32 0.00 0.00 0.00 0.00 833.32
41 3000
0.00 0.00 5,461.01 0.00 0.00 0.00 0.00 5,461.01
10/12/2020 10/13/2020 6/22/2021 0.00 0.00 5,461.01 0.00 0.00 0.00 0.00 5,461.01
41 3000
0.00 0.00 517.12 0.00 0.00 0.00 0.00 517.12
11/24/2020 12/1/2020 6/17/2021 0.00 0.00 517.12 0.00 0.00 0.00 0.00 517.12
41 3000
0.00 0.00 251.39 0.00 0.00 0.00 0.00 251.39
12/1/2020 12/1/2020 6/17/2021 0.00 0.00 251.39 0.00 0.00 0.00 0.00 251.39
41 3000
4104162111360 Road Maintenance Division
RMSE
Dump truck bed raised while
trailer attached causing damage
to the tow pintle and frame
4104142111348 Road Maintenance Division
RMSE
Operator found a damage to the
front passenger side bumper and
front clip of his truck, but did not
notice it until late in afternoon
when he came back to the Davis
facility. He does not know how it
happened and thinks was at
Airport & Domestic.
4101222111071 Transportation Engineering
Division
TECM
Passenger side of county vehicle
hit a pipe while driving.
4105252111458 Water Division
WATE
Vehicle returned to Fleet with
damage to the rear of vehicle.
4110122010741 Water Division
WATE
Collier County employee
attempted to drive in through a
residents only gate by tailgating a
car. The truck crashed into the
gate damaging the County vehicle
and destroying the gate.
4111242010911 Water Division
WATE
Truck taken to Fleet for normal
maintenance and due to minor
dents on the rear.
4112012010912 Water Division
WATE
Truck taken to Fleet for normal
maintenance and due to minor
dents on front.
16.E.5.a
Packet Pg. 2683 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
0.00 0.00 1,278.59 0.00 0.00 0.00 0.00 1,278.59
4/12/2021 4/12/2021 5/17/2021 0.00 0.00 1,278.59 0.00 0.00 0.00 0.00 1,278.59
41 3000
0.00 0.00 2,242.90 0.00 0.00 0.00 0.00 2,242.90
12/16/2020 12/18/2020 4/7/2021 0.00 0.00 2,242.90 0.00 0.00 0.00 0.00 2,242.90
41 3000
5,314.11 0.00 29,368.05 0.00 0.00 0.00 0.00 34,682.16
5,314.11 0.00 29,368.05 0.00 0.00 0.00 0.00 34,682.16
153.70 0.00 0.00 0.00 0.00 0.00 0.00 153.70
5/26/2021 6/1/2021 6/16/2021 153.70 0.00 0.00 0.00 0.00 0.00 0.00 153.70
50 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/16/2020 12/9/2020 6/7/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 5400
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/12/2020 11/12/2020 4/30/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 5400
720.72 0.00 0.00 0.00 0.00 0.00 0.00 720.72
4/7/2021 4/8/2021 6/24/2021 720.72 0.00 0.00 0.00 0.00 0.00 0.00 720.72
50 3000
564.77 0.00 0.00 0.00 0.00 0.00 0.00 564.77
3/28/2021 3/29/2021 4/30/2021 564.77 0.00 0.00 0.00 0.00 0.00 0.00 564.77
50 2350
4104122111330 Water Division
WATE
As the light turned green the third
party vehicle started to go then
suddenly stopped causing the
County vehicle to rear end it.
4112162010957 Wastewater Division
WWTE
CC2-2492 became wedged
against a bollard while backing
into an oil change bay.
Total by Major Coverage 22 Claims
Major Coverage: 50 - Property
5005262111481 Traffic Operations
EMSE
EMS Truck damaged a stop sign
while trying to avoid making
contact with a motor vehicle.
5011162010932 Library Division (Immokalee
Library)
LIBE
Lost shingles at Immokalee
Library due to TS Eta
5011122010859 Library Division (Headquarter
Library)
LIBE
There is a leak coming from a
light fixture in the back hallway by
the loading dock. A bucket is set
up to catch the drip. It was likely
caused by storm damage.
5004072111324 Parks and Recreation
MHCP
Bollard, fencing, bicycle area
damage from unknown car
accident.
5003282111298 Parks and Recreation (Pelican
Bay)
MHCP
Graffiti on racquetball wall at
Pelican Bay.
16.E.5.a
Packet Pg. 2684 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
5,327.49 0.00 0.00 0.00 0.00 0.00 0.00 5,327.49
11/11/2020 11/12/2020 4/23/2021 5,327.49 0.00 0.00 0.00 0.00 0.00 0.00 5,327.49
50 5400
3,255.00 0.00 0.00 0.00 0.00 0.00 0.00 3,255.00
2/24/2021 3/9/2021 4/23/2021 3,255.00 0.00 0.00 0.00 0.00 0.00 0.00 3,255.00
50 2350
1,245.77 0.00 0.00 0.00 0.00 0.00 0.00 1,245.77
1/13/2021 1/14/2021 6/24/2021 1,245.77 0.00 0.00 0.00 0.00 0.00 0.00 1,245.77
50 3000
0.00 0.00 4,457.51 0.00 0.00 0.00 0.00 4,457.51
9/18/2020 9/23/2020 4/9/2021 0.00 0.00 4,457.51 0.00 0.00 0.00 0.00 4,457.51
50 3000
244.42 0.00 0.00 0.00 0.00 0.00 0.00 244.42
3/9/2021 3/9/2021 4/19/2021 244.42 0.00 0.00 0.00 0.00 0.00 0.00 244.42
50 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/23/2020 5/27/2020 5/19/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 5000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/3/2020 4/3/2020 5/10/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 5900
11,511.87 0.00 4,457.51 0.00 0.00 0.00 0.00 15,969.38
11,511.87 0.00 4,457.51 0.00 0.00 0.00 0.00 15,969.38
5011112010841 Parks & Recreation Division
(Goodland Boat Park)
MHCP
Top of utility post between slips 8
and 9 at Goodland Boat Park was
lost during Tropical Storm Eta.
Exposed loose wires; have been
wrapped up.
5002242111237 Veterans Park
MHCP
Tennis courts were vandalized
from someone hitting golf balls off
the courts ground.
5001132111051 Road Maintenance Division
RMSE
Guardrail damage from unknown
incident.
5009182010659 Solid Waste Division
SOWE
Employee was preparing C&D
material for transportation. A
piece of furniture fell out of the
container while prepping for
transport and struck the
windshield of the Bobcat and
broke it.
5003092111239 Traffic Operations
TECM
Pedestrian pole down from an
accident.
5005232010364 Building H
FMGE
Helmer refrigerator lost power,
containing various
pharmaceuticals and vaccine.
Most of the pharmaceutical and
vaccine products stored in the
refrigerator was substantially
damaged. Possible circuit failure.
5004032010228 Facilities Management Division
FMGE
Broken water line sprayed water
all over local equipment (Building
K main chiller controller, variable
frequency drives, and pumps).
Total by Major Coverage 12 Claims
16.E.5.a
Packet Pg. 2685 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
5,000.00 0.00 0.00 0.00 0.00 41,233.50 0.00 46,233.50
1/6/2020 5/6/2020 5/25/2021 5,000.00 0.00 0.00 0.00 0.00 41,233.50 0.00 46,233.50
65
5,000.00 0.00 0.00 0.00 0.00 41,233.50 0.00 46,233.50
5,000.00 0.00 0.00 0.00 0.00 41,233.50 0.00 46,233.50
122,460.21 2,878.86 38,777.26 0.00 0.00 56,137.25 0.00 220,253.58
122,460.21 2,878.86 38,777.26 0.00 0.00 56,137.25 0.00 220,253.58Grand Totals: 89 Claims
-22-
7/19/2021
12:46:00 PM
Major Coverage: 60 - Public Officials Errors and Ommissions
6501062010311 Petraitis, Michael
RMSE
Whistle Blower case, complaint
filed for wrongful termination.
Total by Major Coverage 1 Claim
16.E.5.a
Packet Pg. 2686 Attachment: All Lines Closed Claims Report 3rd QTR FY 21 (17558 : Ratification of Claim Files Closed by
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2021
Valued as of:7/19/2021
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
34,870.42 0.00 0.00 0.00 10,000.00 34,870.42 0.00 0.00EMS v. State Farm Insurance4105302010375
5/24/20215/30/2020 5/30/2020 0.00 34,870.42 0.00 10,000.00 34,870.42 0.00 0.00 0.00EMSE
41 MVA involving EMS Medic 60
Truck 28 - v/s Dark colored SUV
- Crew was transporting a
patient to the ER, when they
crashed into the SUV. Damage
to the front bumper of the
ambulance with airbag
deployment & driver's side
damage to SUV
3000
1,280.00 0.00 0.00 0.00 0.00 0.00 0.00 1,280.00Facilities Management
Division(Lake Trafford Gate)
5004092111327
5/24/20214/9/2021 4/12/2021 1,280.00 0.00 0.00 0.00 1,280.00 0.00 0.00 0.00FMGE
50 Someone tied open the gates
with zip ties, and has pulled up
the buried wiring from the
ground and cut the connection
from gate arms to motor.
2350
0.00 0.00 0.00 0.00 9,854.60 0.00 0.00 0.00Road Maintenance Division v.
Continental Divide Insurance
5012022011013
4/30/202112/2/2020 1/5/2021 0.00 0.00 0.00 9,854.60 0.00 0.00 0.00 0.00RMSE
50 Traffic accident causing
damage to a Collier County
guardrail.
3000
1,068.12 0.00 0.00 0.00 0.00 0.00 0.00 1,068.12Traffic Operations v.
Progressive Insurance
5012262010980
5/31/202112/26/2020 12/28/2020 1,068.12 0.00 0.00 0.00 1,068.12 0.00 0.00 0.00TECM
50 Traffic Management Center
found a pedestrian signal pole
knocked down.
3000
5,344.74 0.00 0.00 0.00 9,295.20 0.00 0.00 5,344.74Traffic Operations v. Hartford
Insurance
5009252010671
5/13/20219/25/2020 9/25/2020 5,344.74 0.00 0.00 9,295.20 5,344.74 0.00 0.00 0.00TECM
50 Signal cabinet, Ups cabinet hit
due to car accident.
3000
-1-
10:21:01AM
7/19/2021
16.E.5.b
Packet Pg. 2687 Attachment: Subrogation Closed Claim Report 3rd QTR FY 21 pdf (17558 : Ratification of Claim Files
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2021
Valued as of:7/19/2021
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 4,921.88 0.00 0.00 0.00Road Maintenance Division v.
Progressive Insurance
5010071911219
5/24/202110/7/2019 3/5/2021 0.00 0.00 0.00 4,921.88 0.00 0.00 0.00 0.00RMSE
50 Single vehicle accident causing
guardrail damage.
3000
0.00 0.00 0.00 0.00 1,915.90 0.00 0.00 0.00Traffic Operations v. Jose
Degollado
5002182010100
5/26/20212/18/2020 2/18/2020 0.00 0.00 0.00 1,915.90 0.00 0.00 0.00 0.00TECM
50 Street light down from crash.3000
0.00 0.00 0.00 0.00 3,937.18 0.00 0.00 0.00Traffic Operations v.
Progressive Insurance
5004192111358
5/12/20214/19/2021 4/19/2021 0.00 0.00 0.00 3,937.18 0.00 0.00 0.00 0.00TECM
50 Pedestrian pole down due to
single vehicle accident.
3000
0.00 0.00 0.00 0.00 23,121.64 0.00 0.00 0.00Wastewater Division v . Pike
Enterprises
5010142010746
5/25/202110/14/2020 10/14/2020 0.00 0.00 0.00 23,121.64 0.00 0.00 0.00 0.00WWTE
50 While performing gravity line
maintenance in the MPS 308
basin area, the camera crew
located a broken gravity line.
FPL pole went through the 8"
gravity line.
2150
0.00 0.00 0.00 0.00 9,837.06 0.00 0.00 0.00Traffic Operations v. Ocean
Harbor Insurance
5011092010825
5/25/202111/9/2020 11/9/2020 0.00 0.00 0.00 9,837.06 0.00 0.00 0.00 0.00TECM
50 Street light crew found street
light down on Collier Blvd due to
a car accident.
3000
7,692.86
7,692.86
0.00
0.00
34,870.42
34,870.42
72,883.46
72,883.46 0.00
0.00 0.00
0.00
0.00
0.00
42,563.28
42,563.28Grand Totals: 10 Claims
-2-
10:21:01AM
7/19/2021
16.E.5.b
Packet Pg. 2688 Attachment: Subrogation Closed Claim Report 3rd QTR FY 21 pdf (17558 : Ratification of Claim Files
16.E.5.c
Packet Pg. 2689 Attachment: Resolution 2004-15 PDF0001 (17558 : Ratification of Claim Files Closed by the Risk Management Director for Third Quarter FY21)
16.E.5.c
Packet Pg. 2690 Attachment: Resolution 2004-15 PDF0001 (17558 : Ratification of Claim Files Closed by the Risk Management Director for Third Quarter FY21)
16.E.5.c
Packet Pg. 2691 Attachment: Resolution 2004-15 PDF0001 (17558 : Ratification of Claim Files Closed by the Risk Management Director for Third Quarter FY21)
16.E.5.c
Packet Pg. 2692 Attachment: Resolution 2004-15 PDF0001 (17558 : Ratification of Claim Files Closed by the Risk Management Director for Third Quarter FY21)
16.E.5.c
Packet Pg. 2693 Attachment: Resolution 2004-15 PDF0001 (17558 : Ratification of Claim Files Closed by the Risk Management Director for Third Quarter FY21)
16.E.5.c
Packet Pg. 2694 Attachment: Resolution 2004-15 PDF0001 (17558 : Ratification of Claim Files Closed by the Risk Management Director for Third Quarter FY21)