Agenda 11/09/2021 Item #16E 3 (Property, Casualty, Worker's Compensation & Subrogation Claims)11/09/2021
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 fourth quarter of FY21.
OBJECTIVE: To settle routine, administrative and minor claims matters which promotes the efficient
use of resources and the efficient administration of the program; and allows for a timely response to
claimants and/or their representatives.
CONSIDERATIONS: Resolution 04-15 grants limited authority to the Risk Management Division
Director to settle certain damage claims against Collier County and to authorize the payment of
investigation and adjustment expenses as presented to the County’s Risk Management Program.
Authority is delegated as follows:
• Bodily Injury Liability- Premises, Auto, Operations: Non-litigated claims less than $50,000
• Property Damage Liability Claims- Premises, Auto, Operations: Non-litigated claims less than
$75,000
• Errors, Omissions, Professional Liability, Employment Practices Liability: Non-litigated claims
less than $50,000
• Property Losses to County Owned Property: Full authority
• Workers’ Compensation: Full authority subject to the provisions of F.S. 440 and subject to
approval by the Judge of Compensation as needed
• Employer’s Liability: Non-litigated claims less than $50,000
• Subrogation- Bodily Injury and Property Damage: Full authority to pursue non-litigated
subrogation recoveries
• Subrogation- Workers’ Compensation: Full authority to pursue non-litigated subrogation
recoveries.
Pursuant to the Resolution, claims are settled and paid according to the loss verification procedures
contained in the Resolution which include the completion of claim forms, documentation of evidence,
valuation, and the determination of a finding of liability where applicable. Closed claim files are also
subject to review by the external auditor. A listing of claim files closed during the fourth 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 fourth quarter of FY21, 67 files were closed with total expenditures of
$245,317.29. Reinsurance recoveries for the fourth quarter of FY21 were $7,204.04. During the same
period, 29 subrogation files were closed and the Risk Management Division recovered $90,163.43 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
16.E.3
Packet Pg. 1178
11/09/2021
RECOMMENDATION: That the Board of County Commissioners accepts the attached Settlement
Report and ratifies the actions taken therein.
PREPARED BY: Jeff Walker CPCU, ARM, Division Director, Risk Management Division.
ATTACHMENT(S)
1. All Lines Closed Claim Report 4th QTR FY 2021 (PDF)
2. Subrogation 4th QTR FY 21 Closed Claim Report (PDF)
3. Resolution 2004-15 PDF0001 (PDF)
16.E.3
Packet Pg. 1179
11/09/2021
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.3
Doc ID: 20422
Item Summary: Recommendation to ratify Property, Casualty, Workers’ Compensation and
Subrogation claim files settled and/or closed by the Risk Management Division Director pursua nt to
Resolution # 2004-15 for the fourth quarter of FY21.
Meeting Date: 11/09/2021
Prepared by:
Title: Operations Coordinator – Risk Management
Name: Greily Gonzalez
10/18/2021 2:05 PM
Submitted by:
Title: Division Director - Risk Management – Risk Management
Name: Jeff Walker
10/18/2021 2:05 PM
Approved By:
Review:
Agenda Clerk Preview Geoffrey Willig Agenda Clerk Preview Completed 10/18/2021 4:15 PM
Risk Management Sonja Sweet Additional Reviewer Completed 10/18/2021 4:17 PM
Office of Management and Budget Laura Wells Level 3 OMB Gatekeeper Review Completed 10/18/2021 4:28 PM
Office of Management and Budget Laura Wells Additional Reviewer Completed 10/18/2021 4:28 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 10/19/2021 8:45 AM
County Manager's Office Sean Callahan Level 4 County Manager Review Completed 11/01/2021 11:22 AM
Board of County Commissioners Geoffrey Willig Meeting Pending 11/09/2021 9:00 AM
16.E.3
Packet Pg. 1180
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
26,978.86 262.90 735.67 0.00 0.00 0.00 0.00 27,977.43
12/4/2020 12/7/2020 8/31/2021 26,978.86 262.90 735.67 0.00 0.00 0.00 0.00 27,977.43
10 1500
551.85 13.75 0.00 0.00 0.00 0.00 0.00 565.60
7/14/2021 8/13/2021 8/26/2021 551.85 13.75 0.00 0.00 0.00 0.00 0.00 565.60
10 1300
413.84 0.00 0.00 0.00 0.00 0.00 0.00 413.84
9/13/2021 9/15/2021 9/30/2021 413.84 0.00 0.00 0.00 0.00 0.00 0.00 413.84
10 1300
468.33 0.00 0.00 0.00 0.00 0.00 0.00 468.33
8/19/2021 8/19/2021 9/30/2021 468.33 0.00 0.00 0.00 0.00 0.00 0.00 468.33
10 1200
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/25/2021 9/25/2021 9/30/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1500
710.14 125.85 0.00 0.00 0.00 0.00 0.00 835.99
Major Coverage: 10 - Workers' Compensation
1003022111204
DASE
Employee was getting dog ready
for surgery, when the dog turned
his head and bit her left hand
pointer finger, towards thumb.
1009252111858
DASE
Employee pulled lower back
while emptying kiddie pool of
water.
1009132111836
CBCE
Employee fell while walking to the
car after work in parking lot, and
had contusion to left foot, and
abrasion to right knee.
1008192111771
BPRI
Employee was doing an
inspection on a two story home,
and he was walking downstairs
and his foot slipped out from
under him but was able to grab
the safety rail and did not fall, but
felt a twinge in his right shoulder.
1007142111760
BPRI
Employee tripped and fell over a
rebar at the permit box, and
injured back, left pinky finger, left
foot & left elbow.
Division
Carrier Accident Desc.
Major Coverage: 10 - Workers' Compensation
1012042010926
Collier County Government
Closed Claim Report- All Lines
4th QTR FY 2021
Valued as of:10/14/2021
Claim Number Claimant Name
16.E.3.a
Packet Pg. 1181 Attachment: All Lines Closed Claim Report 4th QTR FY 2021 [Revision 1] (20422 : Ratification of Claims
3/2/2021 3/3/2021 8/31/2021 710.14 125.85 0.00 0.00 0.00 0.00 0.00 835.99
10 1200
1,673.87 37.74 0.00 0.00 0.00 0.00 0.00 1,711.61
11/18/2020 11/18/2020 7/19/2021 1,673.87 37.74 0.00 0.00 0.00 0.00 0.00 1,711.61
10 1200
1,117.30 23.80 0.00 0.00 0.00 0.00 0.00 1,141.10
6/28/2021 6/28/2021 7/31/2021 1,117.30 23.80 0.00 0.00 0.00 0.00 0.00 1,141.10
10 1500
393.00 46.60 0.00 0.00 0.00 0.00 0.00 439.60
6/25/2021 6/28/2021 7/26/2021 393.00 46.60 0.00 0.00 0.00 0.00 0.00 439.60
10 1500
311.50 11.90 0.00 0.00 0.00 0.00 0.00 323.40
6/15/2021 6/15/2021 7/22/2021 311.50 11.90 0.00 0.00 0.00 0.00 0.00 323.40
10 1500
668.19 0.00 0.00 0.00 0.00 0.00 0.00 668.19
8/24/2021 8/24/2021 8/31/2021 668.19 0.00 0.00 0.00 0.00 0.00 0.00 668.19
10 1200
1,335.99 35.70 0.00 0.00 0.00 0.00 0.00 1,371.69
6/2/2021 6/2/2021 8/27/2021 1,335.99 35.70 0.00 0.00 0.00 0.00 0.00 1,371.69
10 1500
238.85 20.95 0.00 0.00 0.00 0.00 0.00 259.80
8/3/2021 8/4/2021 8/11/2021 238.85 20.95 0.00 0.00 0.00 0.00 0.00 259.80
10 1900
4,220.96 5.95 0.00 0.00 0.00 0.00 0.00 4,226.91
7/22/2021 7/22/2021 7/31/2021 4,220.96 5.95 0.00 0.00 0.00 0.00 0.00 4,226.91
10 1900
162.35 5.95 0.00 0.00 0.00 0.00 0.00 168.30
7/22/2021 7/22/2021 7/30/2021 162.35 5.95 0.00 0.00 0.00 0.00 0.00 168.30
1007222111679
DASE
MHCP
Employee was traveling past a
crew member blowing sand off
the walkway, and caught a piece
of dust in right eye.
1007222111673
MHCP
Employee was working on an
artificial turf fields, and
experience symptoms of heat
exhaustion.
Major Coverage: 10 - Workers' Compensation
1006022111484
DASE
Employee injured her ankle while
walking a dog.
1008032111719
MHCP
Employee was conducting swim
lessons for pre-school, and a
child jumped directly on right
shoulder.
1008242111783
DASE
Employee was boxing a cat up to
have surgery, when it lunged and
bit her on the right wrist, and
back of palm.
1006252111582
MHCP
Employee went to cut a limb with
a machete, and felt a sharp pain
in his right elbow.
1006152111534
EMSE
Needle stick on right hand thumb
after administering medication
1006282111585
MHCP
Employee was lifting trash into
the dumpster, and felt pain in
lower mid back.
EMSE
Employee was scratched by a
patient (Broke the skin) while
transferring her to the hospital
bed. Patient was covered in
urine/feces.
1011182010886
16.E.3.a
Packet Pg. 1182 Attachment: All Lines Closed Claim Report 4th QTR FY 2021 [Revision 1] (20422 : Ratification of Claims
10 1900
231.20 13.75 122.28 0.00 0.00 0.00 0.00 367.23
8/21/2021 8/22/2021 9/28/2021 231.20 13.75 122.28 0.00 0.00 0.00 0.00 367.23
10 1500
162.35 0.00 0.00 0.00 0.00 0.00 0.00 162.35
8/8/2021 8/11/2021 9/2/2021 162.35 0.00 0.00 0.00 0.00 0.00 0.00 162.35
10 1500
412.95 40.05 0.00 0.00 0.00 0.00 0.00 453.00
7/12/2021 7/13/2021 7/29/2021 412.95 40.05 0.00 0.00 0.00 0.00 0.00 453.00
10 1500
433.85 25.65 0.00 0.00 0.00 0.00 0.00 459.50
7/23/2021 7/25/2021 7/28/2021 433.85 25.65 0.00 0.00 0.00 0.00 0.00 459.50
10 1500
581.60 0.00 0.00 0.00 0.00 0.00 0.00 581.60
8/11/2021 8/11/2021 8/31/2021 581.60 0.00 0.00 0.00 0.00 0.00 0.00 581.60
10
1,847.75 167.86 0.00 0.00 0.00 0.00 0.00 2,015.61
7/8/2021 7/12/2021 9/14/2021 1,847.75 167.86 0.00 0.00 0.00 0.00 0.00 2,015.61
10 1500
851.32 11.90 0.00 0.00 0.00 0.00 0.00 863.22
8/3/2021 8/4/2021 8/13/2021 851.32 11.90 0.00 0.00 0.00 0.00 0.00 863.22
10 1500
2,223.51 159.10 0.00 0.00 0.00 0.00 0.00 2,382.61
6/10/2021 6/10/2021 7/23/2021 2,223.51 159.10 0.00 0.00 0.00 0.00 0.00 2,382.61
10 1300
RMSE
Employee twisted her back while
pulling a hose off of the water
truck.
1006102111521
RMSE
Employee stepped and fell
through wooden board on trailer,
and injured his knees, shin, upper
right thigh and lower left leg
abrasion.
1007082111641
PELB
Employee reached down to pick
up a piece of pipe, and felt pop in
right hip and lower back.
1008032111718
EMSE
Employee was lifting a patient,
and suffered back pain.
1008112111750
FMGE
Emploee was working with
another employee moving a saw
table. When placing the saw
table down, the employee's right
arm was cut (near elbow) from
the table corner.
Major Coverage: 10 - Workers' Compensation
1007122111648
MHCP
Employee was lifting up tables
and felt left shoulder pop.
1007232111688
EMSE
Employee tweak his lower back
in the car, while performing CPR
when a woman husband was
having a seizure.
1008082111749
EMSE
Employee was walking down the
stairs at the patients residence,
when stepping down felt a crack
with pain in left ankle.
Employee was helping to contain
a loose cat from a vehicle and a
foreign body made its way into
her right eye.
1008212111777
16.E.3.a
Packet Pg. 1183 Attachment: All Lines Closed Claim Report 4th QTR FY 2021 [Revision 1] (20422 : Ratification of Claims
6,518.07 49.35 819.14 0.00 0.00 0.00 0.00 7,386.56
11/3/2020 4/19/2021 8/31/2021 6,518.07 49.35 819.14 0.00 0.00 0.00 0.00 7,386.56
10
270.30 0.00 0.00 0.00 0.00 0.00 0.00 270.30
8/24/2021 8/24/2021 9/1/2021 270.30 0.00 0.00 0.00 0.00 0.00 0.00 270.30
10 1200
681.57 23.80 0.00 0.00 0.00 0.00 0.00 705.37
7/28/2021 7/29/2021 8/16/2021 681.57 23.80 0.00 0.00 0.00 0.00 0.00 705.37
10 1500
468.10 37.41 0.00 0.00 0.00 0.00 0.00 505.51
7/8/2021 7/8/2021 7/15/2021 468.10 37.41 0.00 0.00 0.00 0.00 0.00 505.51
10 1500
201.00 0.00 0.00 0.00 0.00 0.00 0.00 201.00
9/15/2021 9/16/2021 9/27/2021 201.00 0.00 0.00 0.00 0.00 0.00 0.00 201.00
10 1900
348.50 11.90 0.00 0.00 0.00 0.00 0.00 360.40
8/5/2021 8/6/2021 8/23/2021 348.50 11.90 0.00 0.00 0.00 0.00 0.00 360.40
10 1700
359.75 11.90 0.00 0.00 0.00 0.00 0.00 371.65
7/8/2021 7/8/2021 7/16/2021 359.75 11.90 0.00 0.00 0.00 0.00 0.00 371.65
10 1000
1,257.15 23.80 0.00 0.00 0.00 0.00 0.00 1,280.95
7/13/2021 7/13/2021 9/23/2021 1,257.15 23.80 0.00 0.00 0.00 0.00 0.00 1,280.95
10 1400
RMSE
Employee was driving a county
vehicle, and stopped at light
when he was rear ended by a
private vehicle. No damage was
reported on the vehicle and the
employee suffered minor back
pain.
Employee was struck from
behind by another vehicle, and
banged left knee on metal pole
computer stand.
1007082111630
WWTE
Employee was cleaning a
transducer out of a lift station
when wastewater splashed into
face and left eye.
1007132111653
WWTE
Employee was collecting samples
at the Golden Gate Wastewater
Treatment Plant, and was stung
by a wasp on her left ankle.
Major Coverage: 10 - Workers' Compensation
1008052111728
WWTE
1007082111631
WATE
Employee was cutting a pipe and
removing valve, when he bent
over, a wall of dirt fell on his
neck.
1009152111839
WATE
Employee was cutting a pipe with
a saw, when the blade broke off,
it hit left and right thigh.
1007282111703
WATE
Employee was digging up a
meter box with a shovel, and felt
a strain to lower mid back.
Major Coverage: 10 - Workers' Compensation
1011032011357
VSCE
IEmployee was carrying a box
into the office and hooked his
right foot on a TV stand in full
stride twisting knee.
1008242111785
Employee stepped and fell through wooden board on trailer, and injured his knees, shin, upper right thigh and lower left leg
abrasion.
16.E.3.a
Packet Pg. 1184 Attachment: All Lines Closed Claim Report 4th QTR FY 2021 [Revision 1] (20422 : Ratification of Claims
56,094.00 1,167.56 1,677.09 0.00 0.00 0.00 0.00 58,938.65
56,094.00 1,167.56 1,677.09 0.00 0.00 0.00 0.00 58,938.65
0.00 0.00 649.00 0.00 0.00 0.00 0.00 649.00
7/1/2021 7/8/2021 7/30/2021 0.00 0.00 649.00 0.00 0.00 0.00 0.00 649.00
22
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/11/2021 7/12/2021 7/21/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/14/2019 8/21/2020 9/3/2021 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
4/6/2020 6/14/2021 9/17/2021 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
9/12/2021 9/16/2021 9/21/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
RMSE
Citizen suffered an accident while
riding his bike on Estero
Parkway.
2209122111841 WILL, DYLAN
RMSE
Claimant was exiting parking
area on the West side of
Lakewood Blvd and as he
attempted to turn north he
crossed over the road and hit the
concrete media, which caused
damages to the vehicle tires. The
Claimant's father, Douglas
Smardz
2102141910563 SILBERHORN, MARJEAN
RMSE
Citizen was walking towards Lely
Community Development when
she was walking through the
grass, and stepped in an
unmarked and uncovered
drainage/sprinkler hole that was
covered by overgrown grass.
Citizen broke her right fibula, just
above the ankle
Major Coverage: 20 - General Liability
2104062011527 GENDRON, GEORGE
MHCP
While on a field trip counselor,
Renee Darroux, was dealing with
a child having a tantrum "kicking
and screaming." Her personal
phone that was on her pocket
was damaged.
2107112111640 RAMSDEN, VICKY
RMSE
Claimant was walking along the
sidewalk on Plantation Circle
outside of First Lakes Apartments
when she tripped on an uneven
sidewalk sustaining multiple
injuries that includes: a fractured
right wrist, spasms on her back,
stiffness in right shoulder
Employee was driving a county vehicle, and stopped at light when he was rear ended by a private vehicle. No damage was reported on the vehicle and the employee suffered minor back pain.
Total by Major Coverage 31 Claims
Major Coverage: 20 - General Liability
2207012111632 DARROUX, RENEE
16.E.3.a
Packet Pg. 1185 Attachment: All Lines Closed Claim Report 4th QTR FY 2021 [Revision 1] (20422 : Ratification of Claims
0.00 746.73 0.00 0.00 0.00 22,248.05 0.00 22,994.78
11/7/2017 11/15/2017 8/25/2021 0.00 746.73 0.00 0.00 0.00 22,248.05 0.00 22,994.78
21 2050
0.00 746.73 649.00 0.00 0.00 22,248.05 0.00 23,643.78
0.00 746.73 649.00 0.00 0.00 22,248.05 0.00 23,643.78
60,000.00 689.94 0.00 0.00 0.00 13,696.00 0.00 74,385.94
3/30/2017 4/24/2017 9/16/2021 60,000.00 689.94 0.00 0.00 0.00 13,696.00 0.00 74,385.94
31 2450
0.00 0.00 2,371.34 0.00 0.00 0.00 0.00 2,371.34
6/29/2021 6/29/2021 8/12/2021 0.00 0.00 2,371.34 0.00 0.00 0.00 0.00 2,371.34
32 3000
60,000.00 689.94 2,371.34 0.00 0.00 13,696.00 0.00 76,757.28
60,000.00 689.94 2,371.34 0.00 0.00 13,696.00 0.00 76,757.28
384.96 0.00 0.00 0.00 0.00 0.00 0.00 384.96
9/9/2021 9/10/2021 9/16/2021 384.96 0.00 0.00 0.00 0.00 0.00 0.00 384.96
42
0.00 0.00 5,651.31 0.00 0.00 0.00 0.00 5,651.31
3/5/2021 3/5/2021 9/30/2021 0.00 0.00 5,651.31 0.00 0.00 0.00 0.00 5,651.31
41 3000
665.82 0.00 0.00 0.00 0.00 0.00 0.00 665.82
9/10/2021 9/10/2021 9/30/2021 665.82 0.00 0.00 0.00 0.00 0.00 0.00 665.82
42
4209102111826 Public Services
PSVE
Employee was cleaning back of
the truck and placed 2x6 on tool
box. 2 x6 fell over and hit back
window and broke it.
MHCP
While driving southbound on
Collier Blvd approaching the Shell
Island Preserve a small piece of
gravel hit the windshield. The
gravel left a tiny chip in the glass
on the lower center passenger
side. Employee went directly to
Fleet.
4103052111225 EMS
EMSE
While leaving the scene Collier
County Truck 19 struck Marco
Island Fire Truck 50.
CMAO
Ambulance rolled slowly into the
back of landscape truck while
sitting at traffic light. No damage
found to landscape truck.
Total by Major Coverage 2 Claims
Major Coverage: 40 - Auto Physical Damage
4209092111824 Parks and Recreation Division
3103301706074 Cruz-Tapia, Jose
TECM
Employee was traveling east on
Davis Blvd. when he failed to
observe stopped traffic and
struck the claimants vehicle,
pushing it into the vehicle in front
of the claimants.
4106292111601 Emergency Management
Services
2111071707147 VAGNOZZI, ANITA
RMSE
Claimant was walking by herself
going north along the sidewalk in
the area of the tennis court when
she stepped in a broken sidewalk
and fell, hit her head, left side of
body and broke her left wrist.
Total by Major Coverage 6 Claims
Major Coverage: 30 - Auto Liability
16.E.3.a
Packet Pg. 1186 Attachment: All Lines Closed Claim Report 4th QTR FY 2021 [Revision 1] (20422 : Ratification of Claims
0.00 0.00 1,726.90 0.00 0.00 0.00 0.00 1,726.90
7/15/2020 7/15/2020 8/12/2021 0.00 0.00 1,726.90 0.00 0.00 0.00 0.00 1,726.90
41 3000
0.00 0.00 79.29 0.00 0.00 0.00 0.00 79.29
5/24/2021 5/24/2021 8/22/2021 0.00 0.00 79.29 0.00 0.00 0.00 0.00 79.29
41 3000
0.00 713.80 15,352.58 0.00 0.00 0.00 0.00 16,066.38
1/5/2021 1/5/2021 7/30/2021 0.00 713.80 15,352.58 0.00 0.00 0.00 0.00 16,066.38
41 3000
0.00 0.00 915.36 0.00 0.00 0.00 0.00 915.36
6/21/2021 6/22/2021 9/30/2021 0.00 0.00 915.36 0.00 0.00 0.00 0.00 915.36
41 3000
0.00 0.00 4,337.94 0.00 0.00 0.00 0.00 4,337.94
8/9/2021 8/9/2021 9/15/2021 0.00 0.00 4,337.94 0.00 0.00 0.00 0.00 4,337.94
41
823.58 0.00 0.00 0.00 0.00 0.00 0.00 823.58
9/1/2021 9/7/2021 9/15/2021 823.58 0.00 0.00 0.00 0.00 0.00 0.00 823.58
42
0.00 0.00 962.34 0.00 0.00 0.00 0.00 962.34
7/28/2021 7/28/2021 8/16/2021 0.00 0.00 962.34 0.00 0.00 0.00 0.00 962.34DASE
4209012111820 Pelican Bay Service Division
PELB
On the way back from dropping
off a Bobcat UTV at Bobcat of Ft
Meyers a rock got kicked up off
the road and hit the windshield
cracking it. It was taken strait to
Fleet for inspection.
Major Coverage: 40 - Auto Physical Damage
4207282111702 Domestic Animal Service
WWTE
Vehicle CC2-1324 pulled over in
front of WW PS 181.00 to allow
vehicles behind it to pass from
the adjacent round-about; once
the vehicles passed, CC2-1324
pulled forward to move further off
the roadway and came into
contact with a fire hydrant.
4108092111745 Water Division
WATE
Employee attempted to drive cc2-
1537 around the rear of a
landscaping vehicle near 16767
Prato way. He instead struck the
front right quarter panel of county
vehicle against left rear bumper
of landscaping vehicle removing
the quarter panel from cc2-1537.
Major Coverage: 40 - Auto Physical Damage
4101052111009 Road Maintenance Division
RMSE
CC2-2168 rear ended a Waste
Management Rolloff truck.
4106212111559 Wastewater Division
WATE
Employee was operating Kubota
tractor and struck his assigned
work vehicle with it damaging the
front bumper of the F450.
4105242111456 Water Division
WATE
While moving vehicles on job site
one County vehicle struck a
parked County vehicle.
Employee was cleaning back of the truck and placed 2x6 on tool box. 2 x6 fell over and hit back
window and broke it.
4107152010462 Water Division 16.E.3.a
Packet Pg. 1187 Attachment: All Lines Closed Claim Report 4th QTR FY 2021 [Revision 1] (20422 : Ratification of Claims
40
0.00 0.00 313.68 0.00 0.00 0.00 0.00 313.68
2/24/2021 3/25/2021 8/30/2021 0.00 0.00 313.68 0.00 0.00 0.00 0.00 313.68
41 3000
1,874.36 713.80 29,339.40 0.00 0.00 0.00 0.00 31,927.56
1,874.36 713.80 29,339.40 0.00 0.00 0.00 0.00 31,927.56
355.59 0.00 0.00 0.00 0.00 0.00 0.00 355.59
8/6/2021 8/6/2021 9/17/2021 355.59 0.00 0.00 0.00 0.00 0.00 0.00 355.59
50 2900
1,700.00 0.00 0.00 0.00 0.00 0.00 0.00 1,700.00
3/1/2021 5/17/2021 7/31/2021 1,700.00 0.00 0.00 0.00 0.00 0.00 0.00 1,700.00
50 5900
535.90 0.00 0.00 0.00 0.00 0.00 0.00 535.90
3/3/2021 3/3/2021 7/31/2021 535.90 0.00 0.00 0.00 0.00 0.00 0.00 535.90
53 3000
616.10 0.00 0.00 0.00 0.00 0.00 0.00 616.10
3/8/2021 3/11/2021 7/31/2021 616.10 0.00 0.00 0.00 0.00 0.00 0.00 616.10
53 3000
1,246.46 0.00 0.00 0.00 0.00 0.00 0.00 1,246.46
3/15/2021 3/16/2021 7/31/2021 1,246.46 0.00 0.00 0.00 0.00 0.00 0.00 1,246.46
53 3000
9,955.00 0.00 0.00 0.00 0.00 0.00 0.00 9,955.00
11/11/2020 11/23/2020 7/22/2021 9,955.00 0.00 0.00 0.00 0.00 0.00 0.00 9,955.00
50 5400
0.00 0.00 0.00 7,204.04 0.00 0.00 0.00 0.00
CPPM
Awning over cage was ripped
during Tropical Storm Eta.
5004012111312 Traffic Operations vs Madison
Delgado
5003152111258 Road Maintenance Division
RMSE
Traffic accident causing damage
to a Collier County Guardrail.
5011112010893 Capital Project Planning Division
RMSE
Traffic accident caused damage
to a Collier County guardrail.
5003082111248 Road Maintenance Division
RMSE
Traffic accident causing damages
to a Collier County Guardrail.
5003012111427 Parks and Recreation
MHCP
Broken exterior window on
community center building at
Eagle Lakes Community Park.
Unknown how the window was
broken, suspected vandalism.
5003032111206 Road Maintenance Division
Total by Major Coverage 11 Claims
Major Coverage: 50 - Property
5008062111737 Facilities Management Division
FMGE
Roof leak at SOE. Water pouring
into building. Damaged floors,
drywall, and ceiling tiles.
During a vehicle inspection Fleet
noticed windshiled damage. The
Division that owns the asset is
unsured of when the damage
happened.
4102242111289 DAS
DASE
Employee does not know exact
time or day incident occurred.
Vehicle was parked at approved
parking location over weekend.
When employee returned to work
he noticed the dent in the right
rear back back door on the back
of the vehicle.
16.E.3.a
Packet Pg. 1188 Attachment: All Lines Closed Claim Report 4th QTR FY 2021 [Revision 1] (20422 : Ratification of Claims
4/1/2021 4/1/2021 9/30/2021 0.00 0.00 0.00 7,204.04 0.00 0.00 0.00 0.00
50 3000
1,956.11 0.00 0.00 0.00 0.00 0.00 0.00 1,956.11
6/16/2021 6/17/2021 9/17/2021 1,956.11 0.00 0.00 0.00 0.00 0.00 0.00 1,956.11
50 5900
2,070.39 0.00 0.00 0.00 0.00 0.00 0.00 2,070.39
7/22/2021 8/6/2021 9/17/2021 2,070.39 0.00 0.00 0.00 0.00 0.00 0.00 2,070.39
53 5400
457.34 0.00 0.00 0.00 0.00 0.00 0.00 457.34
6/29/2021 6/29/2021 7/22/2021 457.34 0.00 0.00 0.00 0.00 0.00 0.00 457.34
51 5900
11,263.30 0.00 0.00 0.00 0.00 0.00 0.00 11,263.30
1/28/2021 1/29/2021 8/20/2021 11,263.30 0.00 0.00 0.00 0.00 0.00 0.00 11,263.30
50 3000
0.00 0.00 1,707.24 0.00 0.00 0.00 0.00 1,707.24
6/20/2021 6/21/2021 7/22/2021 0.00 0.00 1,707.24 0.00 0.00 0.00 0.00 1,707.24
52 5500
1,640.00 0.00 0.00 0.00 0.00 0.00 0.00 1,640.00
8/16/2021 8/17/2021 9/23/2021 1,640.00 0.00 0.00 0.00 0.00 0.00 0.00 1,640.00
50 3000
13,629.84 0.00 0.00 0.00 0.00 0.00 0.00 13,629.84
5/12/2021 9/8/2021 9/30/2021 13,629.84 0.00 0.00 0.00 0.00 0.00 0.00 13,629.84
50 5500
A contractor was granted access
into administration building
(building F) secure parking lot.
While pulling through entry the
gate came down on the delivery
truck 2 times bending the pole
twice. Vehicle was not damaged.
5005122111821 Facilities Management Division
FMGE
Landscaping company came to
work and noticed all wires for the
irrigation system were cut.
FMGE
Radio was stolen out of vehicle.
Major Coverage: 50 - Property
5008162111768 Facilities Management Division
FMGE
5001282111088 Traffic Operations
TECM
Street light pole down due to
vehicle accident.
5006202111555 Facilities Management Division
FMGE
Lightning hit a flag pole. Lightning
shot through the ground and blew
out stucco and concrete through
the CCSO sign.
5006292111600 Facilities Management Division
FMGE
Multiple fire alarm trouble signals
were going off. Opened the
module/control box to inspect,
and noticed water dripping on the
smoke evac modules. Water leak
resulted in fried module. Leak is
coming from the awning and roof.
Contractor has been called.
Major Coverage: 50 - Property
5006162111549 University Extension Services
UESE
Due to heavy rain the door and
windows in the north hallway
leaked and water poured into the
building near the ground/window
frames.
5007222111738 Facilities Management Division
TECM
Street light down due to car
accident.
16.E.3.a
Packet Pg. 1189 Attachment: All Lines Closed Claim Report 4th QTR FY 2021 [Revision 1] (20422 : Ratification of Claims
3,073.90 0.00 0.00 0.00 0.00 0.00 0.00 3,073.90
2/24/2021 2/24/2021 7/31/2021 3,073.90 0.00 0.00 0.00 0.00 0.00 0.00 3,073.90
51 3000
1,415.00 0.00 0.00 0.00 0.00 0.00 0.00 1,415.00
4/10/2021 4/12/2021 9/17/2021 1,415.00 0.00 0.00 0.00 0.00 0.00 0.00 1,415.00
50 3000
2,427.85 0.00 0.00 0.00 0.00 0.00 0.00 2,427.85
7/1/2021 7/1/2021 9/28/2021 2,427.85 0.00 0.00 0.00 0.00 0.00 0.00 2,427.85
51 5900
52,342.78 0.00 1,707.24 7,204.04 0.00 0.00 0.00 54,050.02
52,342.78 0.00 1,707.24 7,204.04 0.00 0.00 0.00 54,050.02
170,311.14 3,318.03 35,744.07 7,204.04 0.00 35,944.05 0.00 245,317.29
170,311.14 3,318.03 35,744.07 7,204.04 0.00 35,944.05 0.00 245,317.29Grand Totals: 67 Claims
Major Coverage: 50 - Property
5007012111610 Fleet Management Divison
FLME
Employee was stowing boo on
mower cc2-982 when it jerked
forward and struck the 2 post lift
damaging the hydraulic power
unit. No damage to CC2-982
only the list asset # 20022689
Total by Major Coverage 17 Claims
WATE
The forklift driver was lifting a
pump and was too close to the
overhead awning. The forklift
struck the awning breaking part
of the frame and tore the canvas
awning.
5004102111329 Paradise Coast Sports Complex
COL
Patron in can am spider (3 wheel
vehicle) stroke a decorative fence
and fence broke off the welds.
The fence hit the fire riser
causing damage to it. Valve and
gauge stem broken and water
was released. Sergeant Michael
Chauncey filed report.
Landscaping company came to work and noticed all wires for the
irrigation system were cut.
5002242111180 Water Division 16.E.3.a
Packet Pg. 1190 Attachment: All Lines Closed Claim Report 4th QTR FY 2021 [Revision 1] (20422 : Ratification of Claims
-17-
10/14/2021
9:14:11 AM
16.E.3.a
Packet Pg. 1191 Attachment: All Lines Closed Claim Report 4th QTR FY 2021 [Revision 1] (20422 : Ratification of Claims
Collier County Government
Subrogation Closed Claim Report
4th QTR FY 2021
Valued as of:10/14/2021
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
3,594.25 0.00 0.00 0.00 3,594.25 3,594.25 0.00 0.00Building Plan Review And
Inspection Division v.
Progressive Insurance
4103052111223
7/31/20213/5/2021 3/5/2021 0.00 3,594.25 0.00 3,594.25 3,594.25 0.00 0.00 0.00BPRI
41 3rd party vehicle disregarded
stop sign and hit county vehicle
in process of making a left turn.
3000
8,503.22 0.00 0.00 0.00 8,503.22 0.00 0.00 8,503.22Parks and Recreation v.
Progressive Insurance
5003262111294
7/31/20213/26/2021 3/26/2021 8,503.22 0.00 0.00 8,503.22 8,503.22 0.00 0.00 0.00MHCP
50 Driver struck parking meter
when attempting to maneuver
his vehicle to launch his boat at
Caxambas Boat Ramp.
3000
893.97 0.00 0.00 0.00 893.97 0.00 0.00 893.97Public Transit & Neighborhood
Enhancement Department v.
Liberty Mutual
5002162111151
9/24/20212/16/2021 2/16/2021 893.97 0.00 0.00 893.97 893.97 0.00 0.00 0.00PTNE
50 A black vehicle hit a electricity
pole in front of the Cat Transfer
Station.
3000
0.00 0.00 0.00 0.00 2,131.57 0.00 0.00 0.00Road Maintenance Division v.
Argos
5003032111213
8/16/20213/3/2021 3/4/2021 0.00 0.00 0.00 2,131.57 0.00 0.00 0.00 0.00RMSE
50 Traffic accident, cement truck
spill and clean up response.
3000
24,614.69 0.00 0.00 0.00 24,614.69 0.00 0.00 24,614.69Road Maintenance Division v.
State Farm
5003022111203
7/31/20213/2/2021 3/2/2021 24,614.69 0.00 0.00 24,614.69 24,614.69 0.00 0.00 0.00RMSE
50 Traffic accident caused
Irrigation Controller 20 to be
completely damaged along with
extensive landscape and
irrigation damage.
3000
-1-
9:09:45AM
10/14/2021
16.E.3.b
Packet Pg. 1192 Attachment: Subrogation 4th QTR FY 21 Closed Claim Report (20422 : Ratification of Claims Files Closed
Collier County Government
Subrogation Closed Claim Report
4th QTR FY 2021
Valued as of:10/14/2021
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
1,562.28 0.00 0.00 0.00 1,562.28 0.00 0.00 1,562.28Landscape Operations v. State
Farm Insurance
5012152011017
7/31/202112/15/2020 1/5/2021 1,562.28 0.00 0.00 1,562.28 1,562.28 0.00 0.00 0.00RMSE
50 Traffic accident causing
damage to Collier County
landscape.
3000
5,769.85 0.00 0.00 0.00 5,532.85 0.00 0.00 5,769.85Traffic Operations v.
Progressive Insurance
5011172010882
7/31/202111/17/2020 11/18/2020 5,769.85 0.00 0.00 5,532.85 5,769.85 0.00 0.00 0.00TECM
50 Pole with camera hit by car
accident.
3000
40,219.84 0.00 0.00 0.00 25,000.00 0.00 0.00 40,219.84Traffic Operations v. Geico5004022010220
7/22/20214/2/2020 4/2/2020 40,219.84 0.00 0.00 25,000.00 40,219.84 0.00 0.00 0.00TECM
50 Signal went into flash at 1:05AM
techs were paged at 1:47AM
Mast arm was hit by car. Mast
arm will need to be replaced.
3000
3,694.41 0.00 0.00 0.00 3,013.45 0.00 0.00 3,694.41Traffic Operations v.
Progressive Insurance
5005112010332
7/22/20215/11/2020 5/15/2020 3,694.41 0.00 0.00 3,013.45 3,694.41 0.00 0.00 0.00TECM
50 Street light down due to car
accident.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Wastewater v. Private
Contractor
5004112111432
9/28/20214/11/2021 5/18/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00WWTE
50 It appears that gravity main
(GM10847 - 12"VCP) was
damaged by a directional bore.
5900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Water Division vs Francisco
Gasparrodas
5004242111793
9/28/20214/24/2021 8/27/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00WATE
54 Customer hit/ran over fire
hydrant with vehicle.
3000
-2-
9:09:45AM
10/14/2021
16.E.3.b
Packet Pg. 1193 Attachment: Subrogation 4th QTR FY 21 Closed Claim Report (20422 : Ratification of Claims Files Closed
Collier County Government
Subrogation Closed Claim Report
4th QTR FY 2021
Valued as of:10/14/2021
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 0.00Road Maintenance Division v.
Mark Andrew Flanders
5004202111363
9/24/20214/20/2021 4/21/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00RMSE
50 Traffic accident caused
guardrail damages.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Transportation & Engineering
Division vs Diego Ramirez
Raymundo
5004292111627
9/24/20214/29/2021 7/7/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00TECM
53 Mast arm hit3000
0.00 0.00 0.00 0.00 6,799.98 0.00 0.00 0.00Road Maintenance Division v.
Brinks Inc
5004122111339
8/23/20214/12/2021 4/13/2021 0.00 0.00 0.00 6,799.98 0.00 0.00 0.00 0.00RMSE
53 Traffic accident causing
guardrail damage.
3000
0.00 0.00 0.00 0.00 1,823.54 0.00 0.00 0.00Traffic Operations v.
Progressive Insurance
5005092111414
9/9/20215/9/2021 5/10/2021 0.00 0.00 0.00 1,823.54 0.00 0.00 0.00 0.00TECM
50 Street light pole was down3000
1,668.32 0.00 0.00 0.00 0.00 0.00 0.00 1,668.32Traffic Operations Division5004292111391
7/22/20214/29/2021 4/29/2021 1,668.32 0.00 0.00 0.00 1,668.32 0.00 0.00 0.00TECM
50 Ped pole and pull box damage
due to car accident.
3000
0.00 0.00 0.00 0.00 1,405.35 0.00 0.00 0.00Road Maintenance Division v.
National Liability & Fire
5002052111133
8/31/20212/5/2021 2/11/2021 0.00 0.00 0.00 1,405.35 0.00 0.00 0.00 0.00RMSE
50 Overturned dump truck clean up
due to a traffic accident .
3000
267.46 0.00 0.00 0.00 198.86 0.00 0.00 267.46Traffic Operations v. Direct
General Insurance
5001282111126
7/31/20211/28/2021 2/10/2021 267.46 0.00 0.00 198.86 267.46 0.00 0.00 0.00TECM
50 Sign down due to vehicle
accident.
3000
-3-
9:09:45AM
10/14/2021
16.E.3.b
Packet Pg. 1194 Attachment: Subrogation 4th QTR FY 21 Closed Claim Report (20422 : Ratification of Claims Files Closed
Collier County Government
Subrogation Closed Claim Report
4th QTR FY 2021
Valued as of:10/14/2021
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 0.00Landscape Operations v.
National General
5006242010729
8/12/20216/24/2020 10/8/2020 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00RMSE
54 Vehicle damaged median
plantings in traffic accident .
3000
0.00 0.00 0.00 0.00 189.55 0.00 0.00 0.00Transportation & Engineering
Division vs Cynthia Thibodeau
5007242010728
7/13/20217/24/2020 10/7/2020 0.00 0.00 0.00 189.55 0.00 0.00 0.00 0.00TECM
53 Sign down in median3000
2,364.22 0.00 0.00 0.00 2,364.22 0.00 0.00 2,364.22Road Maintenance Division v.
Permanent General Insurance
5011052010985
7/31/202111/5/2020 12/29/2020 2,364.22 0.00 0.00 2,364.22 2,364.22 0.00 0.00 0.00RMSE
50 TAR #3267 - Police Rept
#20-428778 attached
3000
0.00 0.00 0.00 0.00 1,014.50 0.00 0.00 0.00Marco Island Tax Collector v .
Anthony T Buckun
5011162010877
7/14/202111/16/2020 11/17/2020 0.00 0.00 0.00 1,014.50 0.00 0.00 0.00 0.00TXCE
50 Anthony T Buckun backed out
of his parking spot and hit the
railing on the handicap ramp. He
broke the railing and damaged
the concrete. He took off from
the scene. I contacted MIPD we
looked over video footage and
found out that it was Anthony .
3000
0.00 0.00 0.00 0.00 815.41 0.00 0.00 0.00Marco Island Tax Collector v .
Progressive Insurance
5012152010949
7/13/202112/15/2020 12/16/2020 0.00 0.00 0.00 815.41 0.00 0.00 0.00 0.00TXCE
50 Darlyne Carruthers hit the gas
instead of the break, hopped the
parking stop and hit our fence.
MIPD was contacted. The police
report should be ready in 3-4
days. The fence is on BCC
property.
3000
-4-
9:09:45AM
10/14/2021
16.E.3.b
Packet Pg. 1195 Attachment: Subrogation 4th QTR FY 21 Closed Claim Report (20422 : Ratification of Claims Files Closed
Collier County Government
Subrogation Closed Claim Report
4th QTR FY 2021
Valued as of:10/14/2021
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 77.49 0.00 0.00 0.00Traffic Operations v. USAA5004072111574
8/31/20214/7/2021 6/25/2021 0.00 0.00 0.00 77.49 0.00 0.00 0.00 0.00TECM
50 Sign damage due to vehicle
accident.
3000
0.00 0.00 0.00 0.00 345.43 0.00 0.00 0.00Traffic Operations v. USAA5006122111575
8/11/20216/12/2021 6/25/2021 0.00 0.00 0.00 345.43 0.00 0.00 0.00 0.00TECM
53 Sign damaged due to single
vehicle accident.
3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Traffic Operations v. Federated
Mutual Insurance Company
5009052010594
9/1/20219/5/2020 9/8/2020 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00TECM
50 Car accident hit street light.3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Traffic Operations v. Allstate5009082010596
8/2/20219/8/2020 9/8/2020 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00TECM
50 Sign hit due to single vehicle
accident.
3000
0.00 0.00 0.00 0.00 282.82 0.00 0.00 0.00Transportation & Engineering
Division vs Geico
5006202111701
8/19/20216/20/2021 7/28/2021 0.00 0.00 0.00 282.82 0.00 0.00 0.00 0.00TECM
53 Signs down due to car accident3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00Traffic Operations v. Ally
Insurance
5006012111483
7/26/20216/1/2021 6/2/2021 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00TECM
50 Car accident hit street pole
number 129 also pull box cover
damage.
3000
89,558.26
89,558.26
0.00
0.00
3,594.25
3,594.25
90,163.43
90,163.43 0.00
0.00 0.00
0.00
0.00
0.00
93,152.51
93,152.51Grand Totals: 29 Claims
-5-
9:09:45AM
10/14/2021
16.E.3.b
Packet Pg. 1196 Attachment: Subrogation 4th QTR FY 21 Closed Claim Report (20422 : Ratification of Claims Files Closed
16.E.3.c
Packet Pg. 1197 Attachment: Resolution 2004-15 PDF0001 (20422 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.3.c
Packet Pg. 1198 Attachment: Resolution 2004-15 PDF0001 (20422 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.3.c
Packet Pg. 1199 Attachment: Resolution 2004-15 PDF0001 (20422 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.3.c
Packet Pg. 1200 Attachment: Resolution 2004-15 PDF0001 (20422 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.3.c
Packet Pg. 1201 Attachment: Resolution 2004-15 PDF0001 (20422 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.3.c
Packet Pg. 1202 Attachment: Resolution 2004-15 PDF0001 (20422 : Ratification of Claims Files Closed By The Risk Management Division)