Agenda 09/13/2022 Item #16E 2 (Risk Management Administrative Claims)09/13/2022
EXECUTIVE SUMMARY
OBJECTIVE: To settle routine, administrative and minor claims matters which promotes the efficient
use of resources and the efficient administration of the program; and allows for a timely response to
claimants and/or their representatives.
CONSIDERATIONS: Resolution 04-15 grants limited authority to the Risk Management Division
Director to settle certain damage claims against Collier County and to authorize the payment of
investigation and adjustment expenses as presented to the County’s Risk Management Program.
Authority is delegated as follows:
• Bodily Injury Liability- Premises, Auto, Operations: Non-litigated claims less than $50,000
• Property Damage Liability Claims- Premises, Auto, Operations: Non-litigated claims less than
$75,000
• Errors, Omissions, Professional Liability, Employment Practices Liability: Non-litigated claims
less than $50,000
• Property Losses to County Owned Property: Full authority
• Workers’ Compensation: Full authority subject to the provisions of F.S. 440 and subject to
approval by the Judge of Compensation as needed
• Employer’s Liability: Non-litigated claims less than $50,000
• Subrogation- Bodily Injury and Property Damage: Full authority to pursue non-litigated
subrogation recoveries
• Subrogation- Workers’ Compensation: Full authority to pursue non-litigated subrogation
recoveries.
Pursuant to the Resolution, claims are settled and paid according to the loss verification procedures
contained in the Resolution which include the completion of claim forms, documentation of evidence,
valuation, and the determination of a finding of liability where applicable. Closed claim files are also
subject to review by the external auditor. A listing of claim files closed during the third quarter of FY 22
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 22, 110 files were closed with total expenditures of
$689,859.37. Reinsurance recoveries for the third quarter of FY 22 were $171,166.37. During the same
period, 55 subrogation files were closed, and the Risk Management Division recovered $89,328.15 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.
PREPARED BY: Jeff Walker CPCU, ARM, Division Director, Risk Management Division.
16.E.2
Packet Pg. 2734
09/13/2022
ATTACHMENT(S)
1. All Lines Closed Claim Report 3rd QTR FY 2022 (PDF)
2. Closed Subrogation Claims Report 3rd QTR FY 2022 (PDF)
3. Resolution 2004-15 PDF0001 (PDF)
16.E.2
Packet Pg. 2735
09/13/2022
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.2
Doc ID: 22816
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 22.
Meeting Date: 09/13/2022
Prepared by:
Title: Operations Coordinator – Risk Management
Name: Greily Gonzalez
07/13/2022 11:50 AM
Submitted by:
Title: Division Director - Risk Management – Risk Management
Name: Jeff Walker
07/13/2022 11:50 AM
Approved By:
Review:
Risk Management Jeff Walker Director Review Completed 07/13/2022 1:04 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 07/14/2022 8:27 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 07/21/2022 3:19 PM
Office of Management and Budget Susan Usher Additional Reviewer Completed 08/22/2022 3:03 PM
County Manager's Office Dan Rodriguez Level 4 County Manager Review Completed 08/30/2022 10:04 AM
Board of County Commissioners Geoffrey Willig Meeting Pending 09/13/2022 9:00 AM
16.E.2
Packet Pg. 2736
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 Status Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
Coverage Cause
2,201.47 302.84 0.00 0.00 0.00 0.00 0.00 2,504.31
1/26/2022 1/26/2022 4/27/2022 2,201.47 302.84 0.00 0.00 0.00 0.00 0.00 2,504.31
10 1900
369.14 5.95 0.00 0.00 0.00 0.00 0.00 375.09
4/27/2022 4/27/2022 5/17/2022 369.14 5.95 0.00 0.00 0.00 0.00 0.00 375.09
10 1700
238.85 11.90 0.00 0.00 0.00 0.00 0.00 250.75
4/16/2022 4/16/2022 4/29/2022 238.85 11.90 0.00 0.00 0.00 0.00 0.00 250.75
10 1500
7,694.76 13.21 0.00 0.00 0.00 0.00 0.00 7,707.97
4/9/2022 4/9/2022 4/27/2022 7,694.76 13.21 0.00 0.00 0.00 0.00 0.00 7,707.97
10 1500
406.30 40.45 0.00 0.00 0.00 0.00 0.00 446.75
4/29/2022 5/2/2022 5/10/2022 406.30 40.45 0.00 0.00 0.00 0.00 0.00 446.75
10 1200
2,239.02 63.59 0.00 0.00 0.00 0.00 0.00 2,302.61
10/31/2021 10/31/2021 5/23/2022 2,239.02 63.59 0.00 0.00 0.00 0.00 0.00 2,302.61
10 1200
277.10 0.00 0.00 0.00 0.00 0.00 0.00 277.10
5/25/2022 5/27/2022 5/31/2022 277.10 0.00 0.00 0.00 0.00 0.00 0.00 277.10
10 1200
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/16/2022 6/17/2022 6/27/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1700
300.90 30.72 0.00 0.00 0.00 0.00 0.00 331.62
4/20/2022 4/20/2022 5/5/2022 300.90 30.72 0.00 0.00 0.00 0.00 0.00 331.62
Division Date Report to Risk
Carrier Description of Loss
Major Coverage: 10 - Workers' Compensation
1001262212214
Collier County Government
Closed Claim Report- All Lines
3rd QTR FY 2022
Valued as of:7/12/2022
Claim Number Claimant Name
1004162212482
EMSE
Employee was treating a patient, and was
bent-over, and stood up and felt pain to lower
back.
1004092212460
EMSE
Employee was transporting a patient when
blood and vomit splattered in eye.
1004272212515
WWTE
Employee was bitten by unknown insect in
right forearm, and is starting to itch.
1010312111978
EMSE
Employee had needlestick injury to left 2nd
finger.
1005252212620
EMSE
Employee suddenly moved while on stair
chair, and caused strain in left shoulder and
arm.
1004292212527
FMGE
Employee cut left hand between thumb &
index finger, with box cutter.
Employee was bitten by unknown insect on
left calf, and is experiencing swelling and
redness at the site of the bite.
1004202212493
BPRI
MHCP
Employee was trimming a hedge at South
Park, and as he was trimming up, cut his right
knee.
Major Coverage: 10 - Workers' Compensation
1006162212698
SOWE
16.E.2.a
Packet Pg. 2737 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
10 1400
238.85 5.95 0.00 0.00 0.00 0.00 0.00 244.80
4/19/2022 4/19/2022 5/18/2022 238.85 5.95 0.00 0.00 0.00 0.00 0.00 244.80
10 1200
916.33 42.69 0.00 0.00 0.00 0.00 0.00 959.02
4/8/2022 4/8/2022 5/31/2022 916.33 42.69 0.00 0.00 0.00 0.00 0.00 959.02
10 1300
302.92 14.50 1,159.53 0.00 0.00 0.00 0.00 1,476.95
5/24/2022 5/31/2022 6/27/2022 302.92 14.50 1,159.53 0.00 0.00 0.00 0.00 1,476.95
10 1500
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/14/2022 6/15/2022 6/23/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1200
493.08 20.85 0.00 0.00 0.00 0.00 0.00 513.93
4/2/2022 4/2/2022 4/20/2022 493.08 20.85 0.00 0.00 0.00 0.00 0.00 513.93
10 1200
311.10 11.90 0.00 0.00 0.00 0.00 0.00 323.00
4/4/2022 4/4/2022 4/13/2022 311.10 11.90 0.00 0.00 0.00 0.00 0.00 323.00
10 1400
206.55 5.95 0.00 0.00 0.00 0.00 0.00 212.50
4/3/2022 4/9/2022 4/11/2022 206.55 5.95 0.00 0.00 0.00 0.00 0.00 212.50
10 1500
266.90 11.90 0.00 0.00 0.00 0.00 0.00 278.80
3/21/2022 3/22/2022 4/13/2022 266.90 11.90 0.00 0.00 0.00 0.00 0.00 278.80
10 1900
403.10 0.00 0.00 0.00 0.00 0.00 0.00 403.10
5/11/2022 5/12/2022 6/30/2022 403.10 0.00 0.00 0.00 0.00 0.00 0.00 403.10
10 1500
501.71 54.59 0.00 0.00 0.00 0.00 0.00 556.30
4/8/2022 4/9/2022 4/30/2022 501.71 54.59 0.00 0.00 0.00 0.00 0.00 556.30
10 1500
Employee was rear-ended when he came to
a complete stop and is complaining of pain in
middle upper back and right shoulder.
1004192212489
1005242212628
EMSE
Employee injured right hand and wrist doing
CPR on a patient.
1006142212687
DASE
Employee was scratched by a cat on both
hands, and bitten on left hand.
1004082212462
COCE
Employee fell coming into work through
security entrance, and has sore right wrist,
and shoulder pain.
Employee went to open gate for egg hunt,
and when the gate came down, it cut her right
ring finger.
1004042212440
BPRI
Employee was involved in a motor vehicle
accident, when he was hit broadside in his
county truck by another vehicle that ran a red
light, and is complaining of pain in multiple
body parts.
1004032212458
FMGE
Employee was reinstalling the razor wire on
barbed wire fence, and punctured right wrist.
Major Coverage: 10 - Workers' Compensation
1004022212439
MHCP
1005112212555
RMSE
Employee felt pain in right knee after getting
up from break.
Major Coverage: 10 - Workers' Compensation
1004082212459
EMSE
Employee was carrying a heavy load while on
scene of a call, when she had onset of sharp
pain to left knee while walking.
1003212212399
MHCP
Employee was conducting swim lessons at
the Golden Gate Pool, and felt pain in right
ear
EMSE
Employee felt a pull in mid lower back, while
transferring patient from EMS stretcher to
hospital bed.
16.E.2.a
Packet Pg. 2738 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
679.58 37.80 0.00 0.00 0.00 0.00 0.00 717.38
2/24/2022 2/24/2022 4/13/2022 679.58 37.80 0.00 0.00 0.00 0.00 0.00 717.38
10 1200
289.50 0.00 0.00 0.00 0.00 0.00 0.00 289.50
5/12/2022 5/13/2022 5/23/2022 289.50 0.00 0.00 0.00 0.00 0.00 0.00 289.50
10 1700
13,957.92 739.43 0.00 0.00 0.00 0.00 0.00 14,697.35
3/25/2021 3/25/2021 6/14/2022 13,957.92 739.43 0.00 0.00 0.00 0.00 0.00 14,697.35
10 1300
373.80 17.85 0.00 0.00 0.00 0.00 0.00 391.65
2/25/2022 2/25/2022 4/27/2022 373.80 17.85 0.00 0.00 0.00 0.00 0.00 391.65
10 1200
1,530.66 114.45 4,603.26 0.00 0.00 0.00 0.00 6,248.37
3/21/2022 3/21/2022 6/30/2022 1,530.66 114.45 4,603.26 0.00 0.00 0.00 0.00 6,248.37
10 1500
12,530.34 717.97 4,369.56 0.00 0.00 0.00 0.00 17,617.87
9/9/2020 9/9/2020 6/27/2022 12,530.34 717.97 4,369.56 0.00 0.00 0.00 0.00 17,617.87
10 1500
796.74 54.59 0.00 0.00 0.00 0.00 0.00 851.33
2/11/2022 2/17/2022 4/25/2022 796.74 54.59 0.00 0.00 0.00 0.00 0.00 851.33
10 1600
33,314.12 1,097.11 17,582.78 0.00 0.00 0.00 0.00 51,994.01
5/16/2021 5/16/2021 4/30/2022 33,314.12 1,097.11 17,582.78 0.00 0.00 0.00 0.00 51,994.01
10 1700
2,063.65 772.35 0.00 0.00 0.00 0.00 0.00 2,836.00
1/3/2022 1/4/2022 6/14/2022 2,063.65 772.35 0.00 0.00 0.00 0.00 0.00 2,836.00
10 1300
3,222.32 443.65 0.00 0.00 0.00 0.00 0.00 3,665.97
7/20/2021 7/20/2021 4/17/2022 3,222.32 443.65 0.00 0.00 0.00 0.00 0.00 3,665.97
10 1500
1005122212568
FLME
Employee was putting carboard in the
recycling container and a wasp stung him on
his right side abdomen area.
1003252111290
1002242212319
DASE
Employee was bitten on right hand petting
cat.
Major Coverage: 10 - Workers' Compensation
1003212212396
EMSE
Employee was moving patient from house to
ambulance, when stretcher wheel caught
uneven pavement before coming down,
injuring right wrist.
1009092010603
CMAO
Employee fell down the back stairs (the ones
by the awning, Bldg. F) between floors 3 and
2 injuring her left ankle.
1002252212323
DASE
Employee was attempting to confine loose
cat, and was bitten and/or scratched on left
hand.
1005162111426
EMSE
Employee was performing a procedure while
transporting a patient to the hospital, when
the driver stop short, and collided with two
other Firefighters.
Major Coverage: 10 - Workers' Compensation
1001032212131
DASE
Employee was handling a horse for blood
draw, and the horse reared up and raised
employee up and landed on left hip and knee.
1002112212299
MHCP
Employee reports a program participant was
flailing his arms around, and accidently hit
right pinky finger and is now swollen.
MHCP
Employee was removing garbage can liners,
when he stepped back to gain leverage on a
bag, he lost balance resulting in him falling to
the ground.
1007202111668
RMSE
Employee twisted his elbow while pulling a
Plate Compactor from inside of the Conex
storage building so he could load it on his
truck. They are too heavy to pick up and you
have to drag them across the floor.
16.E.2.a
Packet Pg. 2739 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
556.95 50.35 0.00 0.00 0.00 0.00 0.00 607.30
4/13/2022 4/14/2022 4/27/2022 556.95 50.35 0.00 0.00 0.00 0.00 0.00 607.30
10 1200
427.56 0.00 0.00 0.00 0.00 0.00 0.00 427.56
5/10/2022 5/10/2022 5/31/2022 427.56 0.00 0.00 0.00 0.00 0.00 0.00 427.56
10 1300
256.20 26.71 0.00 0.00 0.00 0.00 0.00 282.91
4/28/2022 4/28/2022 4/30/2022 256.20 26.71 0.00 0.00 0.00 0.00 0.00 282.91
10 1700
0.00 58.50 0.00 0.00 0.00 0.00 0.00 58.50
3/1/2022 3/1/2022 4/6/2022 0.00 58.50 0.00 0.00 0.00 0.00 0.00 58.50
10 1600
1,350.09 79.67 0.00 0.00 0.00 0.00 0.00 1,429.76
2/18/2022 2/24/2022 5/16/2022 1,350.09 79.67 0.00 0.00 0.00 0.00 0.00 1,429.76
10 1500
471.78 10.61 0.00 0.00 0.00 0.00 0.00 482.39
5/17/2022 5/17/2022 6/8/2022 471.78 10.61 0.00 0.00 0.00 0.00 0.00 482.39
10 1500
957.36 20.45 0.00 0.00 0.00 0.00 0.00 977.81
5/2/2022 5/2/2022 5/24/2022 957.36 20.45 0.00 0.00 0.00 0.00 0.00 977.81
10 1700
301.75 0.00 0.00 0.00 0.00 0.00 0.00 301.75
4/28/2022 4/29/2022 5/26/2022 301.75 0.00 0.00 0.00 0.00 0.00 0.00 301.75
10 1700
353.44 0.00 0.00 0.00 0.00 0.00 0.00 353.44
4/27/2022 4/27/2022 5/13/2022 353.44 0.00 0.00 0.00 0.00 0.00 0.00 353.44
10 1700
543.55 32.85 0.00 0.00 0.00 0.00 0.00 576.40
4/1/2022 4/1/2022 4/11/2022 543.55 32.85 0.00 0.00 0.00 0.00 0.00 576.40
10 1200
91,345.39 4,911.33 27,715.13 0.00 0.00 0.00 0.00 123,971.85
91,345.39 4,911.33 27,715.13 0.00 0.00 0.00 0.00 123,971.85
1004132212472
PELB
Employee was trimming hedges, and cut left
index finger with hedge trimmer.
1005102212548
Employee twisted his elbow while pulling a Plate Compactor from inside of the Conex
storage building so he could load it on his
truck. They are too heavy to pick up and you
have to drag them across the floor.
Major Coverage: 10 - Workers' Compensation
1003012212331
VSCE
Employee was sitting at his desk, took a drink
of his beverage, coughed, choked on the
liquid and possibly asperated. As he leaned
over to expel the liquid, he blacked-out/fell
hitting his face.
1002182212315
PUAO
Employee was walking up a flight of steps on
her way from lunch, and tripped.
1004282212517
RMSE
Employee was picking up remains of a dead
animal, and believes he was bitten by an
unknown insect in right wrist.
1005022212528
WATE
Employee was carrying a pipe when a shard
went through his shirt, causing laceration to
chest.
1004282212525
WATE
Employee was obtaining meter reads on
02/18 and felt pain in right knee.
1005172212583
WATE
Employee was digging a hole with a shovel
and is experiencing low back pain.
Employee was stung by bees three times in
left forearm
1004012212437
WATE
Employee was performing backflow test, and
had laceration to right index finger while
isolating device.
Total by Major Coverage 39 Claims
WATE
Employee was involved in a vehicle accident
and was hit from behind causing him to hit his
head on the steering wheel.
Major Coverage: 10 - Workers' Compensation
1004272212514
WATE
Major Coverage: 120 - Pollution Liability
16.E.2.a
Packet Pg. 2740 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/19/2022 2/25/2022 4/19/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
120
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
11/14/2021 1/27/2022 6/23/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
20
0.00 0.00 1,012.93 0.00 0.00 0.00 0.00 1,012.93
3/3/2021 3/3/2021 4/18/2022 0.00 0.00 1,012.93 0.00 0.00 0.00 0.00 1,012.93
22 5900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/7/2021 11/30/2021 5/13/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21
0.00 0.00 452.98 0.00 0.00 0.00 0.00 452.98
12/13/2021 12/13/2021 5/16/2022 0.00 0.00 452.98 0.00 0.00 0.00 0.00 452.98
20
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/24/2022 3/25/2022 5/31/2022 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
3/2/2022 4/13/2022 6/23/2022 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
3/3/2022 3/3/2022 6/7/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21
Major Coverage: 20 - General Liability
2111142112216 RODRIGUEZ, JULIO
MHCP
Claimant was involved in a sporting event at
Eagle Lakes Community Park. He alleges his
foot was caught in a large hole in the soccer
field, which resulted in a hip and knee injury.
2203032111209 Ray Howell
5002192212321 Museum v. Unknown
MUSE
Sheriff or Sheriff's contractor set a generator
on Museum Everglades parking lot which
leaked diesel fuel resulting in damage to the
asphalt. Adjoining grass was killed and there
may be diesel contaminated soil adjacent to
the asphalt
Total by Major Coverage 1 Claim
2012132112091 MONTES, FIDEL
RMSE
While Weed eating and edging sidewalk on
Carson Rd in Immokalee, Claimant states
weed eater kicked up a rock and the rock hit
his windshield and cracked it on the
passenger side of the truck
Major Coverage: 20 - General Liability
2103242212413 PRESCOTT, KAELA
WATE
While driving south bound on I-75 a shovel
from CC2-1661 became dislodged from back
of vehicle striking another car traveling sound
bound.
2010072112056 GUNGER, JUSTIN
RMSE
Received notice that Justin Gunger sustained
personal injuries and damages due to a car
accident, where he crashed into a concrete
sewer cover.
2103032212336 HEYDT, BRENTON
OPRS
Mr. Heydt climbed into the passenger side of
the Marco Airport's passenger transporter,
CC2-1972, and struck the top of his head on
the corner of rearview mirror. EMS was called
and Mr. Heydt was transported to Physicians
Regional.
MHCP
She was walking to the ballfields and tripped
and fell on the concrete pathway.
2103022212470 GAFFNEY, RITA
RMSE
Claimant states she was walking on a
sidewalk and allegedly tripped due to the
sidewalk being uneven.
16.E.2.a
Packet Pg. 2741 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
0.00 0.00 2,119.28 0.00 0.00 0.00 0.00 2,119.28
10/7/2021 10/7/2021 6/23/2022 0.00 0.00 2,119.28 0.00 0.00 0.00 0.00 2,119.28
22
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/3/2022 5/23/2022 6/23/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
0.00 0.00 4,217.78 0.00 0.00 0.00 0.00 4,217.78
10/29/2021 10/29/2021 6/13/2022 0.00 0.00 4,217.78 0.00 0.00 0.00 0.00 4,217.78
22
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/10/2022 6/13/2022 6/30/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/21/2022 5/25/2022 6/16/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/18/2020 11/20/2020 4/8/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5900
22,500.00 38.75 0.00 0.00 0.00 0.00 0.00 22,538.75
2/12/2018 1/23/2019 4/26/2022 22,500.00 38.75 0.00 0.00 0.00 0.00 0.00 22,538.75
23
2210072111903 MCCANNA, CYNTHIA
Property owner called to state that after work
had been done in the ROW an unknown
County vehicle drove over her driveway
damaging it. Numerous staff have met with
customers to show that damage has been
present for considerable time not recent.
2210292111974 Florida Power and Light
WATE
While excavating to replace a saddle an FPL
line was struck that was marked but was
wrapped around an oak tree root. When the
root was being removed the electrical line
was cut as it was wrapped into the root.
2206102212678 BADETTE, CHELET
MHCP
She pulled into a parking space and didn’t
see any rebar sticking out of the parking
stand. The rebar was sticking up and it got
caught underneath her car. She has a
witness that was next to her and said the
rebar was sticking out.
2205032212601 FOCHT, ANNA
WATE
Oncall crew called for a manhole seeping
fluid out corner of Costco and Naples Blvd.
Found gravity blockage in main section on
Naples Blvd, cleared blockage. System
flowing normal again.
2211182010890 JONES, MIKE
WATE
Backflow changed out, crews broke irrigation
sprinkler and notified homeowner of damage
and will repair next day. Sprinkler line was
not crimped or plugged. Community irrigation
went off at night shooting sand, pebbles,
rocks onto vehicle.
2302121808695 Heller, Margaret
WWTE
Claimant stated while his wife was doing
laundry he noticed water filling up in their
bathtub. He called the County and they stated
a palm tree went inside a 6 inch pipe and
blocked their system. The issue was resolved
but claimant states the water overflowed and
he will need to hire someone to clean his
carpets. He would like to be reimbursed for
the carpet cleaning
Major Coverage: 20 - General Liability
2202212212614 Costco
WWTE
EMSE
Claimant intends to initiate litigation alleging
negligence including medical malpractice
against Collier County due to the negligence
of a CC EMS unit.
16.E.2.a
Packet Pg. 2742 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/9/2021 1/11/2021 5/18/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 5900
0.00 0.00 1,048.10 0.00 0.00 0.00 0.00 1,048.10
3/11/2022 3/15/2022 4/30/2022 0.00 0.00 1,048.10 0.00 0.00 0.00 0.00 1,048.10
22
0.00 0.00 2,820.98 0.00 0.00 0.00 0.00 2,820.98
10/5/2021 2/1/2022 6/20/2022 0.00 0.00 2,820.98 0.00 0.00 0.00 0.00 2,820.98
22
22,500.00 38.75 11,672.05 0.00 0.00 0.00 0.00 34,210.80
0.00 0.00 823.26 0.00 0.00 0.00 0.00 823.26
1/24/2022 1/25/2022 5/18/2022 0.00 0.00 823.26 0.00 0.00 0.00 0.00 823.26
32
0.00 0.00 2,674.15 0.00 0.00 0.00 0.00 2,674.15
10/15/2021 10/15/2021 4/30/2022 0.00 0.00 2,674.15 0.00 0.00 0.00 0.00 2,674.15
32
0.00 0.00 2,947.60 0.00 0.00 0.00 0.00 2,947.60
1/12/2022 3/25/2022 6/16/2022 0.00 0.00 2,947.60 0.00 0.00 0.00 0.00 2,947.60
32
0.00 0.00 575.10 0.00 0.00 0.00 0.00 575.10
2/2/2022 2/2/2022 4/30/2022 0.00 0.00 575.10 0.00 0.00 0.00 0.00 575.10
32 3000
0.00 0.00 1,053.34 0.00 0.00 0.00 0.00 1,053.34
2/5/2022 2/5/2022 4/30/2022 0.00 0.00 1,053.34 0.00 0.00 0.00 0.00 1,053.34
32
Major Coverage: 20 - General Liability
2203112212371 Soil Tech
WWTE
Plant staff accidentally was filling trailer with
cake sludge while tarp was in place. Ruining
the tarp and some of the metal brackets on
first trailer. The second trailer was damaged
due to operator error, landing gears had to be
repaired.
2210052112230 Centurylink
Claimant intends to initiate litigation alleging negligence including medical malpractice
against Collier County due to the negligence
of a CC EMS unit.
2201092111043 Moros, Yuri
GMAO
Aircraft has damage to nose wheel pant from
being improperly towed by a Collier County
employee at MKY.
BPRI
Driver of CC2-1221 rolled into back of
claimants vehicle while stopped to make a
right turn exiting development.
3010152111935 COOK, NANCY
BPRI
County vehicle rolled into another person
vehicle.
RMSE
Crew was digging a swale with an excavator
and struck a comm line located in the middle
of the swale. Crews had performed
exploratory digging with shovels but did not
locate the line that was cut. Area had been
marked for utility locations.
Total by Major Coverage 17 Claims
Major Coverage: 30 - Auto Liability
3201242212202 SMITH, STEWART
EMSE
Ambulance tried to drive through gate behind
fire truck. Hit and dislocated gate arm from
its mount.
3202052212249 MATUSKY, BETTY
EMSE
Both vehicles were next to each other in
heavy stopped traffic when the ambulance
crept forward and the front left side of the
patient compartment (box) caught onto the
other vehicle's right side view mirror, bending
it forward and breaking it.
3201122212416 Collier County Sheriff's Office
HDPE
Collier County Vehicle merged into CC
Sheriffs vehicle, and caused damaged to the
rear left side panel.
3202022212239 The Orchards Community Association, Inc.
16.E.2.a
Packet Pg. 2743 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/18/2022 3/18/2022 4/25/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/9/2021 8/9/2021 6/21/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32
0.00 0.00 1,136.33 0.00 0.00 0.00 0.00 1,136.33
5/17/2022 5/17/2022 6/20/2022 0.00 0.00 1,136.33 0.00 0.00 0.00 0.00 1,136.33
32
0.00 0.00 2,508.96 0.00 0.00 0.00 0.00 2,508.96
1/11/2019 2/1/2019 4/28/2022 0.00 0.00 2,508.96 0.00 0.00 0.00 0.00 2,508.96
31 3000
0.00 0.00 1,967.69 0.00 0.00 0.00 0.00 1,967.69
7/29/2021 7/29/2021 4/28/2022 0.00 0.00 1,967.69 0.00 0.00 0.00 0.00 1,967.69
30
155,000.00 0.00 0.00 0.00 0.00 0.00 0.00 155,000.00
9/5/2019 9/5/2019 5/26/2022 155,000.00 0.00 0.00 0.00 0.00 0.00 0.00 155,000.00
31 3000
0.00 0.00 2,482.88 0.00 0.00 0.00 0.00 2,482.88
Both vehicles were next to each other in heavy stopped traffic when the ambulance crept forward and the front left side of the
patient compartment (box) caught onto the
other vehicle's right side view mirror, bending
it forward and breaking it.
WATE
Employee attempted to drive cc2-1537
around the rear of 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.
3205172212581 MORRISON, CHARLES
SOWE
Employee was driving Skid Steer (bobcat)
going east bound to park vehicle. Customer
in his own vehicle came up on the left hand
side of skid steer with no time to react fork of
skid steer hit bottom passenger side bumper.
Major Coverage: 30 - Auto Liability
3203182212383 MADDEN, JENNIFER
EMSE
Jennifer Madden turned appox (1) one foot
into the lane of the ambulance. Confirmed by
City of Naples PD with traffic camera video.
Damage to passenger car side view mirror
and bumper damage to the ambulance. No
physical injuries.
3208092104043 RG Gonzalez Landscape
MHCP
Employee was driving material to be dropped
off at the local dump when a piece fell out of
the trailer. This is when Mrs. Agness swerved
& clipped the piece with her driver side tire,
which caused it to come back on the road
where Paul hit the piece as well.
3109051909571 Wind, Tiffany
RMSE
Employee was driving an F250 super crew
and claimed he stopped at the stop sign on
Stockade Rd, looked both ways and was
turning West onto Immokalee Rd when he
was struck by a Nissan Murano in his left rear
door/truck bed.
Major Coverage: 30 - Auto Liability
3101111904019 Amodeo, Agnes
FLME
County vehicle (White F-150) operated by
employee, rear ended 3rd party claimant
vehicle at the intersection of Countybarn Rd
and Davis Blvd.
3207292111755 Greenway Landscape Supply Inc
Major Coverage: 30 - Auto Liability
3203242212406 Jonathan Diaz Henriquez
16.E.2.a
Packet Pg. 2744 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
3/24/2022 3/24/2022 4/30/2022 0.00 0.00 2,482.88 0.00 0.00 0.00 0.00 2,482.88
32 3000
0.00 0.00 10,370.87 0.00 0.00 0.00 0.00 10,370.87
11/18/2021 11/18/2021 4/22/2022 0.00 0.00 10,370.87 0.00 0.00 0.00 0.00 10,370.87
32
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/29/2021 7/29/2021 4/28/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32
155,000.00 0.00 26,540.18 0.00 0.00 0.00 0.00 181,540.18
155,000.00 0.00 26,540.18 0.00 0.00 0.00 0.00 181,540.18
0.00 0.00 576.02 0.00 0.00 0.00 0.00 576.02
11/9/2021 11/10/2021 6/24/2022 0.00 0.00 576.02 0.00 0.00 0.00 0.00 576.02
41
0.00 0.00 3,810.38 0.00 0.00 0.00 0.00 3,810.38
11/15/2021 11/15/2021 6/24/2022 0.00 0.00 3,810.38 0.00 0.00 0.00 0.00 3,810.38
41
0.00 0.00 241.00 0.00 0.00 0.00 0.00 241.00
11/19/2021 11/19/2021 5/13/2022 0.00 0.00 241.00 0.00 0.00 0.00 0.00 241.00
42
0.00 0.00 636.36 0.00 0.00 0.00 0.00 636.36
10/15/2021 10/20/2021 5/17/2022 0.00 0.00 636.36 0.00 0.00 0.00 0.00 636.36
41
0.00 0.00 980.49 0.00 0.00 0.00 0.00 980.49
2/18/2022 2/18/2022 5/9/2022 0.00 0.00 980.49 0.00 0.00 0.00 0.00 980.49
41
WATE
County vehicle CC2-1551 struck vehicle
driven by Mr. Rowe.
3207292111705 TANNER, AGNESS
MHCP
Employee driving material to be dropped off
at the local dump when a piece fell out of the
trailer. This is when Mrs. Agness swerved &
clipped the piece with her driver side tire,
which caused it to come back on the road
where Paul hit the piece as well.
WATE
County Vehicle CC2-2413 was backing out of
an overnight parking spot and struck a
private vehicle, Damage to front passenger
side panel on private vehicle, slight damage
to front passenger bumper on County vehicle.
3211182112038 ROWE, DAVID
4111152112026 Bureau of Emergency Services
EMSE
With a critical patient in the back, the truck
was backed up into a low-hanging gutter on
scene, scratching the rear right corner of the
truck.
4211192112040 Tourism Division
Total by Major Coverage 14 Claims
Major Coverage: 40 - Auto Physical Damage
4111092112013 Building Review & Permitting
BPRI
Driver noticed damage to his driver side rear
taillight when entering his vehicle after a
morning meeting at GMD. Unaware of where
and how it happened but green paint and a
broken taillight are evident.
Major Coverage: 40 - Auto Physical Damage
4.10218E+12 Bureau of Emergency Services Division
EMSE
An ambulance TK#12 was responding lights
and siren to an emergency call. They were in
heavy traffic at a complete stop when another
vehicle sideswiped the passenger side of
ambulance. The vehicle in question drove off.
TOUR
Asset CC2-844 was parked at the parking lot
of the Tourism office when a heavy palm tree
limb fell and struck the hood of car causing
damages.
4.11015E+12 Building Review & Permitting
BPRI
County vehicle accelerated into vehicle in
front of him.
16.E.2.a
Packet Pg. 2745 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
0.00 0.00 2,908.64 0.00 0.00 0.00 0.00 2,908.64
11/18/2021 11/19/2021 4/13/2022 0.00 0.00 2,908.64 0.00 0.00 0.00 0.00 2,908.64
41
507.48 0.00 0.00 0.00 0.00 0.00 0.00 507.48
1/28/2022 1/31/2022 4/11/2022 507.48 0.00 0.00 0.00 0.00 0.00 0.00 507.48
42
0.00 0.00 1,460.52 0.00 0.00 0.00 0.00 1,460.52
1/6/2022 1/10/2022 4/8/2022 0.00 0.00 1,460.52 0.00 0.00 0.00 0.00 1,460.52
41
0.00 0.00 625.09 0.00 0.00 0.00 0.00 625.09
8/4/2021 8/4/2021 5/31/2022 0.00 0.00 625.09 0.00 0.00 0.00 0.00 625.09
40
0.00 0.00 1,605.86 0.00 0.00 0.00 0.00 1,605.86
10/1/2020 10/7/2020 6/9/2022 0.00 0.00 1,605.86 0.00 0.00 0.00 0.00 1,605.86
41 3000
0.00 0.00 1,049.59 0.00 0.00 0.00 0.00 1,049.59
6/30/2021 7/1/2021 5/20/2022 0.00 0.00 1,049.59 0.00 0.00 0.00 0.00 1,049.59
41
0.00 0.00 107.56 0.00 0.00 0.00 0.00 107.56
11/17/2021 11/17/2021 5/11/2022 0.00 0.00 107.56 0.00 0.00 0.00 0.00 107.56
41
0.00 0.00 706.82 0.00 0.00 0.00 0.00 706.82
12/23/2021 1/5/2022 5/11/2022 0.00 0.00 706.82 0.00 0.00 0.00 0.00 706.82
41
0.00 0.00 1,387.60 0.00 0.00 0.00 0.00 1,387.60
1/10/2022 1/10/2022 4/21/2022 0.00 0.00 1,387.60 0.00 0.00 0.00 0.00 1,387.60
4111182112039 Facilities Management
Major Coverage: 40 - Auto Physical Damage
4101062212162 Utility Planning & Project Management
PAPM
On 1/6/2022 Fleet notified supervisor and
driver of damages to vehicle CC2-1550. The
supervisor and the primary driver were
unaware of any accidents occurring to the
vehicle.
4108042111720 Code Enforcement Division
FMGE
We are working on CC2-1059, we found
physical damages to the unit. The sliding
door handle broke off as well when the
operator came back to get some tools out of
it when initial dropping off.
4201282212225 Building Review & Permitting Inspection
Division
BPRI
Driver noticed a crack in the upper portion of
the windshield when finishing work on Friday,
cause unknown
Major Coverage: 40 - Auto Physical Damage
4106302111609 Bureau of Emergency Services
EMSE
Shelter trailer dislodged from hitch and struck
rear of county vehicle.
4111172112033 Growth Management Department Operations
& Regulatory Management Division
CENE
Employee attempted to park in the empty
space between the two county vehicles in the
garage, unfortunately he did not have
sufficient clearance to park his vehicle in the
empty space and clipped the county vehicle
(CC2-1443). No injuries.
4110012010726 EMS
EMSE
Employee discovered a dent on the
passenger side of his vehicle. He is unware
of how it happened or when it happened. May
have occurred in a parking lot (unknown
location).
Major Coverage: 40 - Auto Physical Damage
4101102212166 Road Maintenance
RMSE
GMAO
During a vehicle inspection at Fleet, a minor
scratch was discovered on the front bumper
of CC2-1452.
4112232112143 Growth Management Division
GMAO
Damaged to vehicle found during PM
Inspection.
16.E.2.a
Packet Pg. 2746 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
41
0.00 0.00 2,909.66 0.00 0.00 0.00 0.00 2,909.66
8/9/2021 8/9/2021 4/7/2022 0.00 0.00 2,909.66 0.00 0.00 0.00 0.00 2,909.66
40
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/30/2021 9/30/2021 4/7/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
42
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/22/2022 3/23/2022 5/27/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41
0.00 0.00 1,144.96 0.00 0.00 0.00 0.00 1,144.96
4/21/2022 4/21/2022 5/13/2022 0.00 0.00 1,144.96 0.00 0.00 0.00 0.00 1,144.96
41
0.00 0.00 4,138.96 0.00 0.00 0.00 0.00 4,138.96
11/18/2021 11/18/2021 4/18/2022 0.00 0.00 4,138.96 0.00 0.00 0.00 0.00 4,138.96
41
0.00 0.00 602.33 0.00 0.00 0.00 0.00 602.33
6/4/2021 6/22/2021 4/30/2022 0.00 0.00 602.33 0.00 0.00 0.00 0.00 602.33
41 3000
0.00 0.00 4,499.28 0.00 0.00 0.00 0.00 4,499.28
3/28/2022 3/29/2022 6/20/2022 0.00 0.00 4,499.28 0.00 0.00 0.00 0.00 4,499.28
41
0.00 0.00 1,507.75 0.00 0.00 0.00 0.00 1,507.75
6/30/2021 7/7/2021 5/18/2022 0.00 0.00 1,507.75 0.00 0.00 0.00 0.00 1,507.75
41 3000
Vehicle CC2-2349 and Vehicle CC2-2351
were parked next to each other with Vehicle
CC2-2351's drivers door open. Vehicle CC2-
2349 started to move Vehicle forward and
caught the door of CC2-2351 and damaged
it.
4108092111743 Facilities Management
Major Coverage: 40 - Auto Physical Damage
4103222212402 Water Division
WATE
While pulling into the garage, parking in a
tight space employee had a spotter and they
were paying attention to the front of the truck
not to hit anything and ended up backing into
a shelving unit damaging a tail light.
4104212212496 Public Utilities
FMGE
Backed county truck into a light pole at north
Collier Regional Park Soccer fields
4209302111875 Road Maintenance
RMSE
Heavy Equipment operator was operating
Long reach CC2-2515 removing vegetation
out of SR-29 Canal on a tight easement area
and as he rotating to load CC2-2549 Dump
truck a rock came off the vegetation landing
and cracking
4106042111557 Parks and Recreation
MHCP
On 6/4 employee and maintenance crew
went to landfill when backing up he ran over
a piece of cement it flipped back and caught
the lower fender
Major Coverage: 40 - Auto Physical Damage
4103282212423 Water Division
WATE
Truck was pulling out of distribution garage
and ran into yellow bollard while getting
around other vehicles
4111182112036 Collier County Water-Sewer District
WATE
County vehicle struck private vehicle in rear.
WATE
Employee exited the vehicle in the median of
Immokalee Road. He did not put the vehicle
into park. It rolled across three lanes of
traffic, down an embankment and was
stopped by a concrete FPL pole.
4106302111625 Water Distribution
WATE
County employee was driving vehicle CC2-
1762 to assist with the main break effort in
Lely Barefoot. On his way he rear-ended
another vehicle on Livingston Rd.
Northbound at Golden Gate Parkway.
16.E.2.a
Packet Pg. 2747 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
319.49 0.00 0.00 0.00 0.00 0.00 0.00 319.49
3/29/2022 3/29/2022 5/9/2022 319.49 0.00 0.00 0.00 0.00 0.00 0.00 319.49
41
0.00 0.00 2,313.46 0.00 0.00 0.00 0.00 2,313.46
1/18/2022 1/21/2022 4/30/2022 0.00 0.00 2,313.46 0.00 0.00 0.00 0.00 2,313.46
41
0.00 0.00 18.78 0.00 0.00 0.00 0.00 18.78
9/28/2021 9/29/2021 5/20/2022 0.00 0.00 18.78 0.00 0.00 0.00 0.00 18.78
41
826.97 0.00 33,231.11 0.00 0.00 0.00 0.00 34,058.08
826.97 0.00 33,231.11 0.00 0.00 0.00 0.00 34,058.08
160.00 0.00 0.00 0.00 0.00 0.00 0.00 160.00
11/30/2021 12/22/2021 6/17/2022 160.00 0.00 0.00 0.00 0.00 0.00 0.00 160.00
50
628.92 0.00 0.00 0.00 0.00 0.00 0.00 628.92
2/1/2022 2/1/2022 6/13/2022 628.92 0.00 0.00 0.00 0.00 0.00 0.00 628.92
53 3000
0.00 0.00 942.67 0.00 0.00 0.00 0.00 942.67
2/18/2022 2/22/2022 5/27/2022 0.00 0.00 942.67 0.00 0.00 0.00 0.00 942.67
50
15,484.03 0.00 0.00 0.00 0.00 0.00 0.00 15,484.03
5/7/2022 5/24/2022 6/20/2022 15,484.03 0.00 0.00 0.00 0.00 0.00 0.00 15,484.03
53 3000
3,373.69 0.00 0.00 0.00 0.00 0.00 0.00 3,373.69
7/30/2021 2/9/2022 6/13/2022 3,373.69 0.00 0.00 0.00 0.00 0.00 0.00 3,373.69
4103292212431 Water Division
WATE
While the vehicle was on a job site team
member went to reload a piece of pipe that
was not going to be needed for the job.
When he went to push it towards the back of
the vehicle is struck the rear window of the
cab causing it to shatter.
Major Coverage: 40 - Auto Physical Damage
4101182212195 Water Division
County employee was driving vehicle CC2-
1762 to assist with the main break effort in
Lely Barefoot. On his way he rear-ended
another vehicle on Livingston Rd.
Northbound at Golden Gate Parkway.
Total by Major Coverage 25 Claims
Major Coverage: 50 - Property
5011302112118 Community Redevelopment Agency
CRAE
Damaged to bird of paradise laminated
graphic logo sign at Zocalo Plaza, 107 N 1st
St, Immokalee FL
WATE
Undetermined damaged to vehicle. Black
plastic marks on left side of vehicle. There is
no indication that the damage to CC2-1006
occurred while in the garage. Drivers of the
vehicle did not notice an event that damaged
vehicle
4109282111866 Wastewater Division
WWTE
While driving the Kabota (CC2-2765) at the
SCWRF my sideview mirror came in contact
with the side view mirror of CC2-655 cracking
the mirror of CC2-655. There is no damage to
the mirror housing, and no damage to CC2-
2765, and no injuries.
MHCP
The operator left the trailer's doors unlocked
and when the dump trailer was lifting up the
doors bended inward.
5005072212610 Community Redevelopment Agency
CRAE
Vehicle knocked down a median streetlight
pole #3B located on S 1st Street near E.
Delaware in Immokalee.
5002012212233 Transportation Engineering Division
TECM
Ped pole down due to car accident.
5.00218E+12 PARKS & RECREATION
Major Coverage: 50 - Property
5007302112262 Community Redevelopment Agency
CRAE
16.E.2.a
Packet Pg. 2748 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
53 3000
8,062.23 0.00 0.00 0.00 0.00 0.00 0.00 8,062.23
3/12/2022 3/16/2022 5/31/2022 8,062.23 0.00 0.00 0.00 0.00 0.00 0.00 8,062.23
53 3000
221,166.37 0.00 0.00 171,166.37 0.00 0.00 0.00 221,166.37
2/9/2021 2/10/2021 6/28/2022 221,166.37 0.00 0.00 171,166.37 0.00 0.00 0.00 221,166.37
50 5000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/13/2022 2/14/2022 6/23/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/24/2021 11/29/2021 6/20/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
3,500.00 0.00 0.00 0.00 0.00 0.00 0.00 3,500.00
9/9/2017 2/5/2019 6/3/2022 3,500.00 0.00 0.00 0.00 0.00 0.00 0.00 3,500.00
53 5400
2,215.71 0.00 0.00 0.00 0.00 0.00 0.00 2,215.71
9/28/2021 10/1/2021 5/5/2022 2,215.71 0.00 0.00 0.00 0.00 0.00 0.00 2,215.71
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/15/2021 6/15/2021 6/20/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
59,400.00 0.00 0.00 0.00 0.00 0.00 0.00 59,400.00
12/31/2020 1/4/2021 6/3/2022 59,400.00 0.00 0.00 0.00 0.00 0.00 0.00 59,400.00
50 5900
1,144.84 0.00 0.00 0.00 0.00 0.00 0.00 1,144.84
CRAE
Car Accident before the entrance of San
Julian's Taqueria light pole 45 hit and broken.
5002092111125 Parks and Recreation (Rhodes End Café)
MHCP
Small fire inside of the Rhodes End Café, the
beach concession, located at Clam Pass
Park and operated by the Naples Grande
Hotel, through a contract with Collier County.
Units from the North Collier Fire District
responded and extinguished the fire.
Driftwood Nursery Box Truck heading into
Windstar Development hit the top of the light
pole and kept on driving. The incident was
witnessed by the gate guard security and
cameras. The Windstar HOA contacted our
Project Manager and notified of the damage.
5003122212377 Community Redevelopment Agency
TECM
Street light down
5309101708752 Facilities Management Div. (Bus Shelters)
FMGE
Hurricane Irma damage to 2 Rural Refuge
Shelter roofs in the Golden Gate Estates
Area.
Major Coverage: 50 - Property
5002132212280 Transportation Engineering Division
TECM
Ped pole damage and possible sign damage
(not sure if CC or FDOT)
5011242112053 Transportation & Engineering Division
RMSE
Traffic Accident Rept TAR # 3362 -
Livingston Rd east ROW, south of Carica Rd
/ Orange Blossom Dr - landscape & irrigation
damages
Major Coverage: 50 - Property
5012312011005 Parks and Recreation (Sugden Park)
MHCP
5009282111881 Road Maintenance Division
RMSE
TAR # 3410 / Landscape irrigation damages
at Pine Ridge Rd Median #20, E of Osceola
Trl
5006152111540 Road Maintenance Division
Small fire discovered at end of pier at Sugden
Regional Park. Upon arrival, Fire Engine #22
on scene (LT Jones) stated fire was
extinguished but minor damage had been
done. No indication as to cause.
5012152112094 Transportation & Engineering Division
16.E.2.a
Packet Pg. 2749 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files Closed
12/15/2021 12/15/2021 5/10/2022 1,144.84 0.00 0.00 0.00 0.00 0.00 0.00 1,144.84
53 3000
315,135.79 0.00 942.67 171,166.37 0.00 0.00 0.00 316,078.46
315,135.79 0.00 942.67 171,166.37 0.00 0.00 0.00 316,078.46
584,808.15 4,950.08 100,101.14 171,166.37 0.00 0.00 0.00 689,859.37
584,808.15 4,950.08 100,101.14 171,166.37 0.00 0.00 0.00 689,859.37Grand Totals: 110 Claims
-31-
7/12/2022
2:28:44 PM
TECM
Blue street light (Belongs to Immokalee
MSTU) was hit. Str. light crew saw the
damage today. They saw it undamage on 12-
10-21 last Friday.
Total by Major Coverage 14 Claims
16.E.2.a
Packet Pg. 2750 Attachment: All Lines Closed Claim Report 3rd QTR FY 2022 (22816 : 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 Status Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
Coverage Cause
8,179.96 0.00 0.00 8,179.96 0.00 0.00 0.00 8,179.96
4/9/2021 4/21/2021 6/8/2022 8,179.96 0.00 0.00 8,179.96 0.00 0.00 0.00 8,179.96
53 3000
3,263.50 0.00 0.00 3,263.50 0.00 0.00 0.00 3,263.50
3/6/2021 3/8/2021 4/29/2022 3,263.50 0.00 0.00 3,263.50 0.00 0.00 0.00 3,263.50
50 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/9/2020 12/30/2020 6/24/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/16/2021 6/17/2021 6/23/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/21/2021 7/22/2021 6/23/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/13/2020 12/23/2020 6/8/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/18/2021 5/19/2021 6/23/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/17/2021 12/21/2021 6/23/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
Collier County Government
Subrogation Closed Claim Report
3rd QTR FY 2022
Valued as of:7/12/2022
Claim Number Claimant Name
CRAE
Single vehicle accident damaged a light a
pole.
5003062111229 Parks and Recreation v. FDOT
MHCP
Sign was found broken and against fence at
CR 951 Boat Ramp. Not sure how sign came
to that location or was broken, but suspect
sign may have been damaged during a state
highway project being completed by
Preferred Materials and not replaced.
Division Date Report to Risk
Carrier Description of Loss
5004092111364 CRA vs. Progressive Insurance
RMSE
Traffic Accident Rept TAR #3364 - Santa
Barbara Blvd Median #3 north end,
intersection Everett St - Landscape irrigation
damages
5007212111674 Road Maintenance Division vs Hector Perez
Pop
RMSE
TAR # 3391 / Landscape & irrigation
damage at Golden Gate Pkwy median #18
near 48th Ter SW
5011092010994 Road Maintenance Division vs Buford Sitzlar
RMSE
Traffic Accident Rept #3269
5006162111546 Road Maintenance Division vs Olga Munoz
RMSE
Traffic accident causing landscape and
irrigation damages.
5012172112113 Road Maintenance Division vs David Hull
RMSE
TAR # 3439 / Landscape damages at
Immokalee Rd Median 6, west of Goodlette
Frank Rd
5010132010971 Road Maintenance Division vs Jessica
Jordan
RMSE
Traffic Accident # 3260
5005182111437 Road Maintenance Division vs Mi Za Lian
16.E.2.b
Packet Pg. 2751 Attachment: Closed Subrogation Claims Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/28/2021 6/29/2021 6/15/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/9/2021 8/10/2021 6/15/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/14/2019 12/31/2021 6/15/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/30/2021 7/2/2021 6/9/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/26/2021 9/3/2021 6/9/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/2/2022 1/6/2022 6/9/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/12/2021 10/15/2021 6/9/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/8/2021 3/9/2021 6/8/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/29/2021 3/30/2021 6/8/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/7/2021 6/7/2021 6/8/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
RMSE
TAR # 3398 / Landscape & Irrigation
damages at Immokalee Rd East median #
465012141912128Road Maintenance Division vs Jebsaint
Joshua Boileau
RMSE
TAR # 3167 / Guardrail damage at
Immokalee Road near Pebblebrooke Dr
CCSO Rept #19-420194
DOMINOES POLICE CHASE
5006282111598 Road Maintenance Division vs Janet Lynn
Lucadello
RMSE
Traffic Accident Rept TAR # 3376 - Airport
Pulling Rd N median #38, north of Coach
House Ln - Irrigation Controller #65 Down
5008092111746 Road Maintenance Division vs Alexandra
Senicola
RMSE
TAR # 3403 \ Landscape irrigation damages
at Immokalee Rd median #17, E of
Winterview Dr
5001022212148 Road Maintenance Division vs Princess
Garcia
RMSE
TAR #3444 / Guardrail damage at Collier
Blvd & City Gate Blvd N
FHP Rept #88543362
5006302111615 Road Maintenance Division vs Kiara
Brightmon
RMSE
TAR # 3379 - Goodlette Frank Rd N, Median
24 north of 22nd Ave N - Landscape &
irrigation damages
5008262111810 Road Maintenance Division vs Alecia Dalton
RMSE
Traffic accident caused damage to
landscape & Irrigation.
5003292111306 Road Maintenance Division v. Paul
Mattausch
RMSE
Traffic accident causing landscape &
irrigation damages.
5010122111928 Road Maintenance Division vs Lorraine
Caterino
RMSE
TAR #3421 / Inlet curb damage at 9000 Lely
Island Cir
CCSO # 21-371385
5003082111240 Road Maintenance Division vs Usli Pinero
Pedroso
5006072111508 Road Maintenance Division vs Gary
Ximiness
RMSE
Traffic Accident Rept TAR #3355 -
Immokalee Rd Rd East median # 60 at east
end (west of Catawba St intersection) -
landscaping and possible irrigation damages
16.E.2.b
Packet Pg. 2752 Attachment: Closed Subrogation Claims Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files
0.00 0.00 0.00 3,453.73 0.00 0.00 0.00 0.00
10/29/2021 10/29/2021 6/7/2022 0.00 0.00 0.00 3,453.73 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/14/2021 6/15/2021 6/1/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/15/2021 7/16/2021 5/17/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/20/2021 5/24/2021 4/29/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/14/2021 6/15/2021 4/29/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/18/2021 3/18/2021 4/28/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/21/2021 4/21/2021 4/28/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/20/2021 7/20/2021 4/28/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/13/2021 10/15/2021 4/28/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 18,965.62 0.00 0.00 0.00 0.00
3/22/2021 3/23/2021 6/15/2022 0.00 0.00 0.00 18,965.62 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE
TAR #3426 / Handrail damages at
Immokalee Rd EB just west of Randall Blvd
5006142111536 Road Maintenance Division vs Troy W LLC
RMSE
Traffic Accident Rept TAR # 3358 - Collier
Blvd South median #2 Just north of the
Jolley Bridge, south of Capri Blvd -
landscape & irrigation damage
Traffic Accident Rept TAR #3355 - Immokalee Rd Rd East median # 60 at east end (west of Catawba St intersection) - landscaping and possible irrigation damages
5010292111976 Road Maintenance Division vs Evans Pierre
RMSE
Traffic accident caused landscape and
irrigation damages.
5006142111538 Road Maintenance Division vs Dorothy Ann
Skogen
RMSE
Traffic Accident Rept TAR # 3360 - Golden
Gate Parkway median #5, east of 68th St
SW - landscape & Irrigation damages
5007152111661 Road Maintenance Division vs Silvia Munoz
RMSE
TAR # 3386 / Landscape & irrigation
damages at Immokalee Rd median #33,
west of Logan Blvd
5005202111453 Road Maintenance vs Alexandra Ramsey
Decker
RMSE
Traffic accident causing landscape and
irrigation damages.
5007202111671 Road Maintenance Division vs Howard
Angus
RMSE
TAR # 3390 / Landscape & irrigation
damages at Golden Gate Pkwy median #6
east of 66th St SW at I-75
5003182111261 Road Maintenance Division v. John Cipolla
RMSE
Traffic accident causing sign, brick paver
and landscape damages.
5004212111365 Road Maintenance Division vs Jennesy
Nicole Reh
TECM
Street light hit by car accident.
5006142111524 Traffic Operations v. Elias Jonathan Frias
Marzan
5010132111929 Road Maintenance Division vs Stephanie
Alcocer
RMSE
TAR # 3422 / Guardrail Damage at
Rattlesnake Hammock Rd & Collier Blvd NE
Corner
CCSO # 21-368099
5003222111277 Traffic Operations v. Third Party Claimant
Carrier
16.E.2.b
Packet Pg. 2753 Attachment: Closed Subrogation Claims Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files
6/14/2021 6/14/2021 6/9/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/23/2021 11/23/2021 6/9/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/12/2021 3/4/2022 6/9/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/19/2021 6/21/2021 6/7/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/22/2021 10/26/2021 6/1/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
1,755.32 0.00 0.00 5,507.72 0.00 0.00 0.00 1,755.32
5/2/2021 5/3/2021 4/30/2022 1,755.32 0.00 0.00 5,507.72 0.00 0.00 0.00 1,755.32
50 3000
0.00 0.00 2,144.36 2,644.36 0.00 0.00 0.00 2,144.36
11/3/2021 11/3/2021 4/28/2022 0.00 0.00 2,144.36 2,644.36 0.00 0.00 0.00 2,144.36
41
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/23/2022 1/24/2022 4/28/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/23/2021 10/25/2021 4/25/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 22,105.53 37,074.14 0.00 0.00 0.00 22,105.53
7/8/2019 7/8/2019 4/25/2022 0.00 0.00 22,105.53 37,074.14 0.00 0.00 0.00 22,105.53
41 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/4/2021 6/7/2021 6/8/2022 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
7/10/2021 7/13/2021 6/7/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
Traffic Operations v. Elias Jonathan Frias
Marzan
TECM
Street light pole down
TECM
Sign down due to vehicle accident.
5006192111552 Traffic Operations vs Terry Joe Cox
TECM
Street light pole down US 41 N by Pelican
Bay pole 43 (County employee called boss
and told him about the pole down) not sure
when the accident happened.
5011232112044 Transportation & Engineering Division vs
Tomasz Skarzynski
TECM
Signal upright NE corner hit by car
5007122112339 Transportation & Engineering Division vs
Yunior Cabrera
TECM
Street light pole knocked down due to car
accident.
4111032111993 Transportation & Engineering Division vs
Lloyd Doerbaum
TECM
CC2-798 rear ended by other vehicle
5010222111964 Transportation & Engineering Division vs
Genessia Hamachek
TECM
Sign down from accident call came in around
4:30 PM on Friday FHP
5005022111394 Traffic Operations v. Progressive
TECM
Signal Cabinet and fiber damage
4107081909341 Road Maintenance v. Geico
RMSE
Sweeper CC2-1633 was rear ended in front
of 2828 county barn road , south boud while
sweeping paved shoulders.
5001232212198 Transportation & Engineering Division vs
Juan Yero Trujillo
TECM
An employee saw the street light on Sunday
one way and on his home ride the street
lights were out. Street light crew went to
investigate and found the load center on
ground. Contractor will need to trouble shoot
repair to county standards.
5010232111955 Transportation & Engineering Division vs
Samuel Evangelis
RMSE
TAR # 3382 - Landscape & irrigation
damages at US 41 North, Median 70, N of
Vanderbilt Beach Road
5006042111507 Road Maintenance vs Richard Grimes
RMSE
Traffic Accident Rept TAR # 3354 - 2025
Brookside Dr (By Oakes farms at Davis Blvd)
-FPL Meter for controller 70 was damaged
5007102111647 Road Maintenance Division vs Thomas
Britton
16.E.2.b
Packet Pg. 2754 Attachment: Closed Subrogation Claims Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/21/2021 12/10/2021 6/7/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/7/2021 11/8/2021 6/8/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/27/2021 7/28/2021 6/1/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/28/2021 12/30/2021 6/1/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 1,695.70 0.00 0.00 0.00 0.00
7/13/2021 7/13/2021 5/31/2022 0.00 0.00 0.00 1,695.70 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 148.26 0.00 0.00 0.00 0.00
12/20/2021 12/21/2021 5/31/2022 0.00 0.00 0.00 148.26 0.00 0.00 0.00 0.00
41
0.00 0.00 0.00 4,500.34 0.00 0.00 0.00 0.00
6/21/2021 6/30/2021 5/10/2022 0.00 0.00 0.00 4,500.34 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 3,894.82 0.00 0.00 0.00 0.00
9/28/2021 10/1/2021 5/9/2022 0.00 0.00 0.00 3,894.82 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/13/2021 5/17/2021 4/4/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/22/2021 10/8/2021 4/4/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 2900
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/25/2021 1/20/2022 4/4/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
TAR # 3382 - Landscape & irrigation
damages at US 41 North, Median 70, N of
Vanderbilt Beach Road
5011212112081 Road Maintenance Division vs Donna Lee
RMSE
TAR # 3434 / Landscape damages at
Immokalee Rd median #12, east of Palm
River Blvd
RMSE
TAR # 3395 / Landscape irrigation damage
at Airport Rd South Rd at N end median 46,
south of Timberwood Cir
5012282112126 Road Maintenance Division vs Monte Lee
Chappell
RMSE
TAR # 3441 / Landscape damages at
Immokalee Rd median # 20 east of "The
Lane"
CCSO Rept # 21-471525
5011072112006 Transportation & Engineering Division vs
Shayla Cheyenne Brill
TECM
Street light down #199
5007272111700 Road Maintenance Division vs Gregory
Davidson Loman
WWTE
Claimant hit rear of County vehicle while
stopped in the turn lane.
5006212111607 Road Maintenance Division vs Michael Black
RMSE
Traffic Accident Rept TAR # 3378 -
Vanderbilt Beach Rd NW of Airport Pulling
Rd - Guardrail Damage
FHP Rept #F1OFF029932
5007132111651 Road Maintenance Division vs Antonio
Ortega Serra
RMSE
TAR # 3385 / Landscape & irrigation
damages at Radio Rd, W end median 14,
east of Livingston Rd
4112202112111 Wastewater Division
RMSE
Traffic accident caused damage to
Landscape and Irrigation.
5009222111907 Road Maintenance Division vs Al & A
Trucking LLC
RMSE
TAR # 3418 / Diesel spill clean up from
accident at Corkscrew Rd & Wildcat Dr
CCSO Rept # 21-345353
5009282111880 Road Maintenance Division vs Patrick Piper
RMSE
TAR #3409 / Landscape irrigation damages
at Santa Barbara Blvd Med #25
5005132111428 Road Maintenance vs Carol Smith
5012252112189 Road Maintenance Division vs EAN Holdings
LLC
RMSE
TAR # 3448 / Guardrail damages at Wilson
Blvd N Bridge over Cypress Canal
16.E.2.b
Packet Pg. 2755 Attachment: Closed Subrogation Claims Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/5/2021 1/28/2022 4/4/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/24/2021 9/3/2021 4/4/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/7/2021 10/11/2021 4/4/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/8/2022 3/2/2022 5/20/2022 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
13,198.78 0.00 24,249.89 89,328.15 0.00 0.00 0.00 37,448.67
13,198.78 0.00 24,249.89 89,328.15 0.00 0.00 0.00 37,448.67
2:36:00 PM
TECM
Sign down
5008242111809 Road Maintenance Division vs Nicholas
Ramirez
RMSE
TAR #3402 / Guardrail damages at
Immokalee Rd & Woodcrest Drive NW
Corner
CSSO Rept # 21-307445
5006052112219 Transportation & Engineering Division vs
Jude Patha
TECM
Sign down
Risk sent e-mail 2-23-22
Grand Totals: 55 Claims
-12-
7/12/2022
5010072111911 Road Maintenance Division vs Zechariah
Myrick
RMSE
TAR #3420 / Handrail damage at Wiggins
Pass Rd W just West of Gulf Harbor Dr
5001082212334 Transportation & Engineering Division vs
Kristin Millet
16.E.2.b
Packet Pg. 2756 Attachment: Closed Subrogation Claims Report 3rd QTR FY 2022 (22816 : Ratification of Claims Files
16.E.2.c
Packet Pg. 2757 Attachment: Resolution 2004-15 PDF0001 (22816 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.c
Packet Pg. 2758 Attachment: Resolution 2004-15 PDF0001 (22816 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.c
Packet Pg. 2759 Attachment: Resolution 2004-15 PDF0001 (22816 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.c
Packet Pg. 2760 Attachment: Resolution 2004-15 PDF0001 (22816 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.c
Packet Pg. 2761 Attachment: Resolution 2004-15 PDF0001 (22816 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.c
Packet Pg. 2762 Attachment: Resolution 2004-15 PDF0001 (22816 : Ratification of Claims Files Closed By The Risk Management Division)