Agenda 11/14/2023 Item #16E 2 (Workers' Compensation and Subrogation claims filed and settled)11/14/2023
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 No. 04-15 for the fourth
quarter of FY 23.
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 No. 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 that do not exceed $50,000
• Property Damage Liability Claims - Premises, Auto, Operations: Non-litigated claims that do not exceed
$75,000
• Errors, Omissions, Professional Liability, Employment Practices Liability: Non-litigated claims that do not
exceed $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 that do not exceed $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 23 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 5016 (Property & Casualty Insurance Fund) and
5018 (Workers’ Compensation Fund) for the payment of claims and settlements. For the fourth quarter of FY 23,
77 files were closed with total expenditures of $424,496.01. Reinsurance recoveries for the fourth quarter of F Y 23
were $379,785.39. During the same period, 43 subrogation files were closed, and the Risk Management Division
recovered $129,510.97 in funds owed to the County.
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this item.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to form and
legality and requires majority vote for approval. -JAK
RECOMMENDATION: That the Board of County Commissioners accepts the attached Settlement Report and
ratifies the actions taken therein.
PREPARED BY: Michael K. Quigley, RMPE, Division Director, Risk Management Division.
ATTACHMENT(S)
1. 4th QTR Closed Claims Report All Lines (PDF)
16.E.2
Packet Pg. 1353
11/14/2023
2. 4th QTR Closed Subrogation Claims (PDF)
3. Resolution 2004-15 PDF0001 (PDF)
16.E.2
Packet Pg. 1354
11/14/2023
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.2
Doc ID: 27002
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
fourth quarter of FY 23.
Meeting Date: 11/14/2023
Prepared by:
Title: Manager, Risk Finance – Risk Management
Name: Greily Gonzalez
10/17/2023 12:04 PM
Submitted by:
Title: Risk Management Director – Risk Management
Name: Michael Quigley
10/17/2023 12:04 PM
Approved By:
Review:
Risk Management Michael Quigley Director Review Completed 10/17/2023 2:13 PM
Corporate Business Operations Kenneth Kovensky Corporate Business Operations Review Completed 10/31/2023 3:08 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 10/31/2023 3:14 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 11/01/2023 11:00 AM
Office of Management and Budget Blanca Aquino Luque Additional Reviewer Completed 11/01/2023 4:32 PM
County Manager's Office Amy Patterson Level 4 County Manager Review Completed 11/02/2023 3:38 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 11/14/2023 9:00 AM
16.E.2
Packet Pg. 1355
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
392.60 23.85 0.00 0.00 0.00 0.00 0.00 416.45
6/22/2023 6/27/2023 7/27/2023 392.60 23.85 0.00 0.00 0.00 0.00 0.00 416.45
10 1300
17,982.28 791.04 2,956.82 0.00 0.00 0.00 0.00 21,730.14
1/13/2023 1/13/2023 8/11/2023 17,982.28 791.04 2,956.82 0.00 0.00 0.00 0.00 21,730.14
10 1300
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/5/2023 9/5/2023 9/13/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1500
297.64 15.90 0.00 0.00 0.00 0.00 0.00 313.54
7/12/2023 7/12/2023 7/17/2023 297.64 15.90 0.00 0.00 0.00 0.00 0.00 313.54
10 1000
379.80 7.95 0.00 0.00 0.00 0.00 0.00 387.75
6/16/2023 6/20/2023 8/7/2023 379.80 7.95 0.00 0.00 0.00 0.00 0.00 387.75
10 1000
239.70 0.00 0.00 0.00 0.00 0.00 0.00 239.70
8/11/2023 8/11/2023 8/23/2023 239.70 0.00 0.00 0.00 0.00 0.00 0.00 239.70
10 1300
409.20 60.56 0.00 0.00 0.00 0.00 0.00 469.76
7/31/2023 8/1/2023 8/11/2023 409.20 60.56 0.00 0.00 0.00 0.00 0.00 469.76
10 1500
EMSE
Employee reports he was loading cinder blocks
into a cart at Home Depot, and felt mild discomfort
on left -side lower back.
Major Coverage: 10 - Workers' Compensation
10-08112314239
MHCP
Employee reports he tripped over branch/pine
sticks and has scratches to left lower extremity.
10-07312314219
FMGE
Employee reports the liquid hand pump he was
using blew out of the hose, and chemicals
splashed in left eye.
10-06162314057
WWTE
Employee reports on 06/16/23 he was picking up
palm fronds and lawn debris and had irritation to
right eye.
10-09052314297
EMSE
Employee reported he rolled his left ankle getting
out of the ambulance.
10-07122314138
COAE
Employee report she fell while walking to the
parking garage and is complaining of right knee &
shoulder pain.
10-01132313590
MHCP
Supervisor reports employee went to fix a loose
soffit, and fell off ladder on face and left wrist.
Division Date Report to Risk
Carrier Description of Loss
Major Coverage: 10 - Workers' Compensation
10-06222314085
Collier County Government
Closed Claim Report- All Lines
4th QTR FY 2023
Valued as of:10/13/2023
Claim Number Claimant Name
16.E.2.a
Packet Pg. 1356 Attachment: 4th QTR Closed Claims Report All Lines (27002 : Ratification of Claims Files Closed By The
419.45 47.47 0.00 0.00 0.00 0.00 0.00 466.92
8/3/2023 8/4/2023 9/20/2023 419.45 47.47 0.00 0.00 0.00 0.00 0.00 466.92
10 1500
0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50
9/8/2023 9/8/2023 9/14/2023 0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50
10 1400
1,560.44 157.03 0.00 0.00 0.00 0.00 0.00 1,717.47
6/1/2023 6/1/2023 7/10/2023 1,560.44 157.03 0.00 0.00 0.00 0.00 0.00 1,717.47
10 1500
225.45 0.00 0.00 0.00 0.00 0.00 0.00 225.45
8/30/2023 8/30/2023 9/19/2023 225.45 0.00 0.00 0.00 0.00 0.00 0.00 225.45
10 1300
1,442.31 77.57 0.00 0.00 0.00 0.00 0.00 1,519.88
6/21/2023 6/22/2023 8/11/2023 1,442.31 77.57 0.00 0.00 0.00 0.00 0.00 1,519.88
10 1500
337.89 38.45 0.00 0.00 0.00 0.00 0.00 376.34
7/2/2023 7/2/2023 7/21/2023 337.89 38.45 0.00 0.00 0.00 0.00 0.00 376.34
10 1600
3,316.81 572.02 0.00 0.00 0.00 0.00 0.00 3,888.83
2/26/2023 2/27/2023 8/11/2023 3,316.81 572.02 0.00 0.00 0.00 0.00 0.00 3,888.83
10 1700
3,470.37 144.48 0.00 0.00 0.00 0.00 0.00 3,614.85
3/30/2023 4/3/2023 8/22/2023 3,470.37 144.48 0.00 0.00 0.00 0.00 0.00 3,614.85
10 1700
10,182.96 229.65 5,685.80 0.00 0.00 0.00 0.00 16,098.41
3/25/2023 3/27/2023 9/28/2023 10,182.96 229.65 5,685.80 0.00 0.00 0.00 0.00 16,098.41
10 1500
28,923.73 196.50 5,424.08 0.00 0.00 0.00 0.00 34,544.31
10/26/2022 10/26/2022 9/21/2023 28,923.73 196.50 5,424.08 0.00 0.00 0.00 0.00 34,544.31
10 1300
EMSE
Employee stepped out of the Ambulance and felt
pain in her right knee.
10-10252213298
MHCP
Employee tripped on a golf cart charger and fell.
He has right shoulder pain.
10-03302313834
LIBE
Employee was shelving books and got called at the
desk to assist with a Spanish speaking patron,
when she hit her right knee on metal book cart.
Major Coverage: 10 - Workers' Compensation
10-03252313818
MHCP
While mopping she shifted her weight to the left &
felt a sharp pain in her lower back.
10-02262313730
DASE
Employee reports she was attempting to leash a
stray dog, and at the site the dog bit her multiple
times on right forearm.
Employee reports while inspecting a roadway for
flooding, the ground gave out in front of him, and
he fell down into a hole and his back hit the road,
and has pain in low back.
10-06212314068
CPPM
Employee reports he was moving several boxes
around and felt pain in back
10-07022314097
RMSE
Employee was applying fertilizer to plants in
median and advised his crew leader that he had
pain in his right forearm and elbow.
Major Coverage: 10 - Workers' Compensation
10-08302314283
RMSE
10-09082314313
WATE
Supervisor reports employee was backing up in a
county vehicle in the garage bay, the vehicle
accelerated in reverse hitting the side of another
county vehicle, and then a caged shelf.
10-06012314000
10-08032314225
WATE
Employee reports he was mixing/pouring concrete
and felt a sharp pain in his lower back.
16.E.2.a
Packet Pg. 1357 Attachment: 4th QTR Closed Claims Report All Lines (27002 : Ratification of Claims Files Closed By The
542.50 38.35 0.00 0.00 0.00 0.00 0.00 580.85
6/15/2023 6/15/2023 8/21/2023 542.50 38.35 0.00 0.00 0.00 0.00 0.00 580.85
10 1600
312.19 52.64 0.00 0.00 0.00 0.00 0.00 364.83
6/30/2023 6/30/2023 7/26/2023 312.19 52.64 0.00 0.00 0.00 0.00 0.00 364.83
10 1700
1,293.33 90.99 0.00 0.00 0.00 0.00 0.00 1,384.32
5/16/2023 5/17/2023 7/21/2023 1,293.33 90.99 0.00 0.00 0.00 0.00 0.00 1,384.32
10 1600
321.14 54.74 0.00 0.00 0.00 0.00 0.00 375.88
7/10/2023 7/10/2023 7/25/2023 321.14 54.74 0.00 0.00 0.00 0.00 0.00 375.88
10 1700
919.42 76.55 0.00 0.00 0.00 0.00 0.00 995.97
12/15/2022 12/16/2022 7/6/2023 919.42 76.55 0.00 0.00 0.00 0.00 0.00 995.97
10 1700
14,617.65 987.18 5,000.50 0.00 0.00 0.00 0.00 20,605.33
3/9/2022 3/9/2022 8/11/2023 14,617.65 987.18 5,000.50 0.00 0.00 0.00 0.00 20,605.33
10 1300
858.02 62.40 0.00 0.00 0.00 0.00 0.00 920.42
8/7/2023 8/7/2023 8/21/2023 858.02 62.40 0.00 0.00 0.00 0.00 0.00 920.42
10 1300
660.09 23.85 0.00 0.00 0.00 0.00 0.00 683.94
5/31/2023 6/15/2023 8/21/2023 660.09 23.85 0.00 0.00 0.00 0.00 0.00 683.94
10 1700
89,104.97 3,763.67 19,067.20 0.00 0.00 0.00 0.00 111,935.84
89,104.97 3,763.67 19,067.20 0.00 0.00 0.00 0.00 111,935.84
0.00 0.00 0.00 12,247.00 0.00 0.00 0.00 0.00
10/26/2021 10/27/2021 8/11/2023 0.00 0.00 0.00 12,247.00 0.00 0.00 0.00 0.00
120
OPRS
Aircraft N305JD landed short on approach to
Runway 27 while performing simulated engine out
landing. Aircraft airspeed and altitude became too
slow and low to properly recover from a rapid
descent.
MHCP
Employee was hit in the back of the head with a
soccer ball.
Total by Major Coverage 25 Claims
Major Coverage: 120 - Pollution Liability
50-10262111969 Operation Support Division Immokalee Airport
10-08072314232
MHCP
Employee was helping maintenance crew refill
chlorine tank, and when he slipped off the tank,
sustained laceration to right leg from piece of
metal.
10-05312314044
EMSE
Employee had needle stick to left second digit
finger while administering medication.
10-03092212358
FMGE
Employee tripped and fell coming out of Facilities,
and has abrasion to left knee.
10-07102314124
MHCP
Employee reports she was getting a table out of
the storage closet and the table fell on top of her
right foot.
Major Coverage: 10 - Workers' Compensation
10-12152213515
PELB
Employee reports he was unhooking a trailer and
he hit his right foot with the ball part, and is
complaining of swelling and bruised.
10-05162313959
EMSE
Employee reports he heard a pop in his right knee
using a foot pump on stretcher.
10-06152314045
EMSE
Employee was loading up boats, and stepped off
the back of a trailer and felt his right knee pop and
give out.
10-06302314096
Employee tripped on a golf cart charger and fell. He has right shoulder pain.
16.E.2.a
Packet Pg. 1358 Attachment: 4th QTR Closed Claims Report All Lines (27002 : Ratification of Claims Files Closed By The
0.00 0.00 0.00 12,247.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 12,247.00 0.00 0.00 0.00 0.00
0.00 0.00 5,890.00 0.00 0.00 0.00 0.00 5,890.00
6/23/2023 6/23/2023 9/29/2023 0.00 0.00 5,890.00 0.00 0.00 0.00 0.00 5,890.00
22 3000
0.00 0.00 1,092.46 0.00 0.00 0.00 0.00 1,092.46
5/12/2023 5/15/2023 8/14/2023 0.00 0.00 1,092.46 0.00 0.00 0.00 0.00 1,092.46
22 2150
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/25/2023 5/31/2023 8/29/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 2000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/21/2023 8/23/2023 8/28/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
0.00 0.00 575.00 0.00 0.00 0.00 0.00 575.00
6/21/2023 6/21/2023 7/31/2023 0.00 0.00 575.00 0.00 0.00 0.00 0.00 575.00
20
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/6/2022 6/19/2023 7/26/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
20
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/24/2023 4/26/2023 9/30/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
WATE
Citizen claims that the water department was at
their complex working on the water. Water was
shut off and when the water was turned back on
the neighbor above her unit had a leak that run into
her livingroom, master bedroom & bath,& kitchen
area.
22-09062214050 Century Link
RMSE
Century Link claims that the Collier County Road
Maintenance Division damaged 100 pair buried
cable
Major Coverage: 20 - General Liability
22-04242313893 ROTHWEILER, BETH
WWTE
Received subrogation demand from Cypress
Property & Casualty Insurance Company for
damages to their insured's property due to a sewer
backup.
22-06212314063 JOYCE, MELANIE
COL
Employee was machete mowing vacant lots on
Andrews Ave. He was taking a look around and
saw across the street that a house had a shattered
window and went to take a look. He saw a piece of
wood the size of hist fist next to the shattered
window.
22-05252313996 ALVAREZ, VILMA
RMSE
Staff using a Menzi Muck with machete head
attachment was clearing vegetation from the canal
across from claimant's address. 2007 BMW 750I
FL tag CIQB82 R/F window was broken from
possible flying debris.
Major Coverage: 20 - General Liability
22-04212314268 CYPRESS PROPERTY & CASUALTY
INSURANCE COMPANY
EMSE
EMS Medic 46 truck 17 driven by employee hit the
NCFR NW Bay door
22-05122313951 WEEKS, DAVID
GMAO
As I pulled forward into the parking space, I heard
the unmistakable scraping sound of the front
bottom hitting what I assumed was the wheel stop.
I backed up and the sound got worse. Detached
bumper is visible as is the rebar protruding up.
Total by Major Coverage 1 Claim
Major Coverage: 20 - General Liability
22-06232314075 North Collier Fire Rescue Department
16.E.2.a
Packet Pg. 1359 Attachment: 4th QTR Closed Claims Report All Lines (27002 : Ratification of Claims Files Closed By The
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/24/2023 4/26/2023 9/30/2023 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
6/5/2022 12/1/2022 8/31/2023 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
4/19/2023 4/21/2023 8/31/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21
0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50
9/13/2020 9/13/2020 8/31/2023 0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50
21
0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50
1/5/2022 1/6/2022 8/30/2023 0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50
21
0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50
8/2/2022 8/3/2022 8/30/2023 0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50
21 2050
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/30/2023 7/21/2023 9/19/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
MHCP
Abigail was going through the obstacle course and
fell within the obstacle course landing on her left
arm
22-06302314166 LANE, JEFF
TECM
Claimant was driving North on Santa Barbara Blvd
approaching the intersection of Golden Gate
Parkway. He stated there was a left hand turn lane
prior to the intersection and he thought it was the
lane to turn onto GG Pkwy. He hit the curb and his
vehicle sustained damages.
21-01052212151 HENRY, JOHN
MHCP
Was walking around a barrier and tripped and fell
on the ground. His wife called 911 and he ended
up having a dislocated shoulder
Major Coverage: 20 - General Liability
21-08022212854 BEATTY, ABIGAIL
MHCP
Father came in at 4:20p and approached the front
desk. After being greeted by me staff member, he
proceeded to mention that his daughter fell from
the monkey bars and broke her arm on the way
down hitting on the wooden platform used to
access
21-09132010615 ANTOINE, NADINE
MHCP
Nadine was walking down the steps from the top
bleachers down to the gymnasium floor when she
slipped on the bottom step and landed on the
gymnasium floor. Nadine injured her right ankle,
left hip, and left shoulder. Ice was administered by
staff.
21-06052213466 ANDRADE, DAGOBERTO
MHCP
Received notice that the claimant, who is a minor,
visited the Immokalee Community Park with his
mother on 6/5/22 and sustained injuries. Claimant
allegedly went down a slide and hit a nail, which
caused a laceration to the left buttock cheek.
Major Coverage: 20 - General Liability
21-04192313883 MCKESSON, KAYA
Citizen claims that the water department was at their complex working on the water. Water was
shut off and when the water was turned back on
the neighbor above her unit had a leak that run into
her livingroom, master bedroom & bath,& kitchen
area.
22-04242313892 SHEAHAN, JUDITH
WATE
Water Distribution performed work on the backflow
that services 3979 Bishopwood Ct West. One day
later a customer reported that she felt due to our
work she had damage to her internal plumbing.
16.E.2.a
Packet Pg. 1360 Attachment: 4th QTR Closed Claims Report All Lines (27002 : Ratification of Claims Files Closed By The
0.00 0.00 866.97 0.00 0.00 0.00 0.00 866.97
7/31/2023 8/16/2023 9/25/2023 0.00 0.00 866.97 0.00 0.00 0.00 0.00 866.97
22
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/23/2023 3/28/2023 7/6/2023 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
5/12/2023 6/13/2023 7/6/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21
0.00 0.00 467.54 0.00 0.00 0.00 0.00 467.54
4/13/2023 4/13/2023 8/15/2023 0.00 0.00 467.54 0.00 0.00 0.00 0.00 467.54
22
0.00 0.00 766.00 0.00 0.00 0.00 0.00 766.00
6/19/2023 6/23/2023 7/31/2023 0.00 0.00 766.00 0.00 0.00 0.00 0.00 766.00
22
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/21/2022 8/22/2022 8/25/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
25,000.00 14.50 0.00 0.00 0.00 0.00 0.00 25,014.50
6/12/2021 12/8/2021 8/2/2023 25,000.00 14.50 0.00 0.00 0.00 0.00 0.00 25,014.50
21
25,000.00 58.00 9,657.97 0.00 0.00 0.00 0.00 34,715.97
25,000.00 58.00 9,657.97 0.00 0.00 0.00 0.00 34,715.97
At Marco Island Executive Airport (KMKY) around
0900 on 8/21/2022, while mowing grass with the
zero-turn riding mower the operator mistakenly got
too close to the tail end of the aircraft and struck
the trailing-edge horizontal st
20-06122112070 PANASUK, REGINA
RMSE
Claimant was walking on the sidewalk on
Ridegwood Road and stumbled on hole on the
sidewalk and fell on her right hand and whole right
side. Claimant alleges she is suffering pain, loss of
use of her right hand, lack of sleep and is claiming
paid
Total by Major Coverage 21 Claims
WATE
When restoring water after scheduled work in the
air entered the customers line and caused a failure
of their plumbing line.
Major Coverage: 20 - General Liability
22-08212212929 Subgup, LLC.
OPRS
22-04132313865 SHEA, JOHN
WATE
While flushing Chamonix Court a customer
reported a pressure spike in her home caused
damage to her washing machine.
22-06192314070 ALLEN, RICHARD
MHCP
Complainant reported that, while exiting a parking
space at Veterans Community Park, she struck a
concrete median marker/parking stop with exposed
re-bar which caused damage to her vehicle's tire.
No injuries reported.
21-05122314036 MONTALVO MENDEZ, YUDIER
RMSE
Claimants allege that dirt in the road due to a
construction project being performed by Collier
County caused their vehicle to flip.
22-07312314254 PARTRIDGE, SHEREE
WATE
Citizen states that as she was driving east on Pine
Ridge Rd she got a phone call and pulled to the
side of the road right in front of the Jewish Youth
Center and fell into an unmarked hole. The citizen
described it as a square concrete main
Major Coverage: 20 - General Liability
22-03232313822 LISICA, ANNA
Claimant was driving North on Santa Barbara Blvd approaching the intersection of Golden Gate Parkway. He stated there was a left hand turn lane
prior to the intersection and he thought it was the
lane to turn onto GG Pkwy. He hit the curb and his
vehicle sustained damages. 16.E.2.a
Packet Pg. 1361 Attachment: 4th QTR Closed Claims Report All Lines (27002 : Ratification of Claims Files Closed By The
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/22/2022 11/22/2022 7/5/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/14/2022 12/14/2022 7/25/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 3000
0.00 0.00 37,777.75 0.00 0.00 0.00 0.00 37,777.75
10/28/2022 11/8/2022 8/17/2023 0.00 0.00 37,777.75 0.00 0.00 0.00 0.00 37,777.75
32 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/31/2023 1/31/2023 7/18/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 3000
0.00 0.00 1,578.21 0.00 0.00 0.00 0.00 1,578.21
5/3/2023 5/5/2023 7/31/2023 0.00 0.00 1,578.21 0.00 0.00 0.00 0.00 1,578.21
32 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/28/2022 11/8/2022 8/15/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
31
0.00 0.00 2,319.26 0.00 0.00 0.00 0.00 2,319.26
11/16/2022 11/16/2022 8/22/2023 0.00 0.00 2,319.26 0.00 0.00 0.00 0.00 2,319.26
32 3000
0.00 0.00 41,675.22 0.00 0.00 0.00 0.00 41,675.22
0.00 0.00 41,675.22 0.00 0.00 0.00 0.00 41,675.22
0.00 0.00 809.17 0.00 0.00 0.00 0.00 809.17
9/5/2023 9/5/2023 9/20/2023 0.00 0.00 809.17 0.00 0.00 0.00 0.00 809.17
42
Major Coverage: 40 - Auto Physical Damage
42-09052314292 Water Division
WATE
Cc2-1074 windshield was hit by a rock from the
back of a dump truck this morning at 700am by the
7-11 and 951 south of Green Blvd.
Claimant is a Collier County Sheriff's employee
that allegedly sustained injuries due to an accident
with a Collier County vehicle.
32-11162213417 CASADEMUNT, ALAIN LUIS
WATE
While headed North on Santa Barbara, employee
in vehicle CC2-1559 had to braked hard due to a
vehicle breaking hard in front of him. Employee
struck the vehicle pictured. A third vehicle that
initiated the hard braking event left the scene.
Total by Major Coverage 7 Claims
FMGE
As employee was driving the rental vehicle to
NCRP around 3:15pm the truck in front of him had
debris flying off of it and hit the windshield causing
damage.
Major Coverage: 30 - Auto Liability
31-10282213388 BLAKE, KEITH
TECM
32-01312313647 ISLAND RIDES
WATE
While trying to pull out of Treviso bay, employee
noticed she was sticking out too far and backed up
and did not see the other vehicle behind her
causing a minor collision.
32-05032313919 United Rentals
WATE
Large semi Truck infront got cut off by another car
causing them to stop instantly and employee could
not stop in time causing a rear end collision.
32-10282213387 Collier County Sheriff's Office
TECM
County driver was found at fault for for this crash
by violating the right of way of the Sheriff's vehicle.
Major Coverage: 30 - Auto Liability
32-11222213437 VAUGHN, NICHOLAS
BPRI
driver of county vehicle CC2-1083 backed up to
Mr. Vaghn's Dodge Ram truck
32-12142213508 UPS
16.E.2.a
Packet Pg. 1362 Attachment: 4th QTR Closed Claims Report All Lines (27002 : Ratification of Claims Files Closed By The
0.00 0.00 809.17 0.00 0.00 0.00 0.00 809.17
9/8/2023 9/8/2023 9/20/2023 0.00 0.00 809.17 0.00 0.00 0.00 0.00 809.17
42
0.00 0.00 1,952.94 0.00 0.00 0.00 0.00 1,952.94
5/2/2022 5/4/2022 9/14/2023 0.00 0.00 1,952.94 0.00 0.00 0.00 0.00 1,952.94
41
0.00 0.00 0.00 86.76 0.00 0.00 0.00 0.00
2/3/2022 2/3/2022 9/19/2023 0.00 0.00 0.00 86.76 0.00 0.00 0.00 0.00
41
0.00 0.00 9,799.42 0.00 0.00 0.00 0.00 9,799.42
3/20/2023 3/20/2023 9/13/2023 0.00 0.00 9,799.42 0.00 0.00 0.00 0.00 9,799.42
41
0.00 0.00 937.89 0.00 0.00 0.00 0.00 937.89
9/6/2023 9/7/2023 9/20/2023 0.00 0.00 937.89 0.00 0.00 0.00 0.00 937.89
42
0.00 0.00 412.49 0.00 0.00 0.00 0.00 412.49
8/14/2023 8/14/2023 8/25/2023 0.00 0.00 412.49 0.00 0.00 0.00 0.00 412.49
41
0.00 0.00 3,434.10 0.00 0.00 0.00 0.00 3,434.10
7/18/2023 7/19/2023 9/20/2023 0.00 0.00 3,434.10 0.00 0.00 0.00 0.00 3,434.10
41
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/25/2022 11/26/2022 9/30/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 3000
0.00 0.00 7,215.91 0.00 0.00 0.00 0.00 7,215.91
6/8/2023 6/9/2023 9/30/2023 0.00 0.00 7,215.91 0.00 0.00 0.00 0.00 7,215.91
AT approximately 11:40pm on Nov 25th, CC2-2558
was heading south on Cypress Way East and
attempting to make a left turn onto Piper Blvd
eastbound when it was struck in the front driver
side bumper by a black Toyota Sedan.
41-06082314025 Water Division
WATE
BPRI
Vehicle crossed in front of county vehicle catching
the bumper on the other drivers rear wheel
Major Coverage: 40 - Auto Physical Damage
41-11252213449 Wastewater Collections
WWTE
41-08142314242 Bureau of Emergency Services Division
EMSE
Trainee was driving truck #7. Pulled too close to
fuel pump and struck the concrete/steel barrier
pole.
Ripped fender off, broke turn signal and
emergency marker light
41-07182314156 Building Review & Permitting
EMSE
BC80 was responding to an emergency. BC 80
was driving through the intersection (following the
fire truck) when she was struck in the rear
passanger side of her SUV.
42-09062314306 Building Plan Review & Inspection Division
BPRI
Fleet notified me that CC2-2331 had a large chip in
windshield while it was in for maintenance.
41-02032212242 Bureau of Emergency Services vs Charlene Diaz
Granados
EMSE
Subject was driving vehicle that rear ended an
EMS ambulance while ambulance was at a
complete stop.
Major Coverage: 40 - Auto Physical Damage
41-03202313796 EMS
BPRI
Driver got in his truck this morning and noticed a
12 inch crack in the windshield had developed
overnight.
41-05022212531 Domestic Animal Services
DASE
Officer vehicle became stuck in sugar sand. He
was able to free the vehicle but due to heavy
downpours, the sugar sand became sloppy
causing the vehicle to slide into a square metal
pole penetrating the rear door (driver's side).
42-09082314310 BUILDING REVIEW & INSPECTIONS 16.E.2.a
Packet Pg. 1363 Attachment: 4th QTR Closed Claims Report All Lines (27002 : Ratification of Claims Files Closed By The
41
0.00 0.00 879.41 0.00 0.00 0.00 0.00 879.41
5/13/2023 5/19/2023 8/21/2023 0.00 0.00 879.41 0.00 0.00 0.00 0.00 879.41
42 3000
0.00 0.00 896.80 0.00 0.00 0.00 0.00 896.80
5/24/2023 7/10/2023 9/20/2023 0.00 0.00 896.80 0.00 0.00 0.00 0.00 896.80
42
0.00 0.00 16,256.56 0.00 0.00 0.00 0.00 16,256.56
10/28/2022 10/28/2022 9/30/2023 0.00 0.00 16,256.56 0.00 0.00 0.00 0.00 16,256.56
41 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/16/2022 11/17/2022 9/30/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 3000
0.00 0.00 2,254.39 0.00 0.00 0.00 0.00 2,254.39
3/7/2023 3/7/2023 7/13/2023 0.00 0.00 2,254.39 0.00 0.00 0.00 0.00 2,254.39
41 3000
2,534.94 0.00 0.00 0.00 0.00 0.00 0.00 2,534.94
2/12/2022 3/9/2022 7/13/2023 2,534.94 0.00 0.00 0.00 0.00 0.00 0.00 2,534.94
41 3000
2,534.94 0.00 45,658.25 86.76 0.00 0.00 0.00 48,193.19
2,534.94 0.00 45,658.25 86.76 0.00 0.00 0.00 48,193.19
50,000.00 0.00 0.00 219,260.51 0.00 0.00 0.00 50,000.00
12/8/2021 12/13/2021 8/18/2023 50,000.00 0.00 0.00 219,260.51 0.00 0.00 0.00 50,000.00
56 5300
7,167.63 0.00 0.00 0.00 0.00 0.00 0.00 7,167.63
3/6/2021 3/8/2021 8/31/2023 7,167.63 0.00 0.00 0.00 0.00 0.00 0.00 7,167.63
50 3000
TECM
Street light down from car accident.
56-12082112089 Road Maintenance Division
RMSE
While performing a canal maintenance at SR-29 2-
3 mile north of I-75 Around 2:52 pm the operator
informed supervisor he drove the long reach in to
the canal area and equipment sank in deep section
of water causing the equipment to stall.
50-03062111228 Traffic Operations v. Rene Alberto Alvarez
41-02122212356 Parks & Recreation
MHCP
While backing up vehicle to a trailer, the vehicle
bumped the trailer tongue.
Total by Major Coverage 16 Claims
Major Coverage: 50 - Property
WATE
While headed North on Santa Barbra, employee in
vehicle CC2-1559 had to braked hard due to a
vehicle breaking hard in front of him. Employee
struck the vehicle pictured. A third vehicle that
initiated the hard braking event left the scene.
41-03072313760 WATER DIVISION
WATE
Operator turned CC2-1343 too sharp into garage
while parking and hit the right side of the flat bed
into the parked vehicle CC2-1759 in the left rear
tail light.
Major Coverage: 40 - Auto Physical Damage
41-10282213331 Traffic Operations
627
County driver was found at fault for for this crash
by violating the right of way of the Sheriff's vehicle.
41-11162213422 Collier County Public Utilities Meter Services
EMSE
chip in the windshield, unknown what hit the glass
to cause it
42-05242314129 Bureau of Emergency Services
EMSE
While driving to Motor pool to get a door handle
fixed on one of the inside drawers, the windshield
cracked and started to spider. This was reported
upon arrival to MP and BC80.
While executing a turn from Vanderbilt Beach
Road going east onto Airport Road going north a
vehicle ran a red light striking the County vehicle.
42-05132313966 Bureau of Emergency Services Division
16.E.2.a
Packet Pg. 1364 Attachment: 4th QTR Closed Claims Report All Lines (27002 : Ratification of Claims Files Closed By The
54,495.00 0.00 0.00 142,978.60 0.00 0.00 0.00 54,495.00
10/9/2022 10/12/2022 8/31/2023 54,495.00 0.00 0.00 142,978.60 0.00 0.00 0.00 54,495.00
50 5100
1,313.16 0.00 0.00 0.00 0.00 0.00 0.00 1,313.16
6/26/2023 6/26/2023 8/10/2023 1,313.16 0.00 0.00 0.00 0.00 0.00 0.00 1,313.16
50 5900
50,000.00 0.00 0.00 5,212.52 0.00 0.00 0.00 50,000.00
4/30/2022 4/30/2022 7/31/2023 50,000.00 0.00 0.00 5,212.52 0.00 0.00 0.00 50,000.00
50 5400
162,975.79 0.00 0.00 367,451.63 0.00 0.00 0.00 162,975.79
162,975.79 0.00 0.00 367,451.63 0.00 0.00 0.00 162,975.79
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/2/2021 8/22/2023 8/31/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
67 2550
25,000.00 0.00 0.00 0.00 0.00 0.00 0.00 25,000.00
2/19/2021 5/12/2022 9/21/2023 25,000.00 0.00 0.00 0.00 0.00 0.00 0.00 25,000.00
66
25,000.00 0.00 0.00 0.00 0.00 0.00 0.00 25,000.00
304,615.70 3,821.67 116,058.64 379,785.39 0.00 0.00 0.00 424,496.01
304,615.70 3,821.67 116,058.64 379,785.39 0.00 0.00 0.00 424,496.01
Total by Major Coverage 2 Claims
Grand Totals: 77 Claims
-23-
10/13/2023
2:42:03 PM
FMGE
Claimant is alleging that Collier County breached
their contract by failing to pay invoices timely and
suspended maintenance services.
66-02192112563 MEYER, MARIA
SOEE
Claimant alleges she was terminated by her
employer because of her national origin.
MHCP
Lightning strike to Concession building
Total by Major Coverage 5 Claims
Major Coverage: 60 - Public Officials Errors and Ommissions
67-06022114266 COMMERCIAL LANDSCAPE PROFESSIONALS
INC.
50-06262314083 Facilities Management Division
CMAO
This morning I was notified that a toilet in the
Women’s restroom 2nd floor F bldg.. was running
and flooded the restroom and the hallway. Water
was shut off.
Major Coverage: 50 - Property
50-04302212526 PARKS & RECREATION
Street light down from car accident.
50-10092213226 PUBLIC WORKS
600
Power fail at the WW Lift station, sewer backed up
into RO building and Annex
16.E.2.a
Packet Pg. 1365 Attachment: 4th QTR Closed Claims Report All Lines (27002 : Ratification of Claims Files Closed By The
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
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/20/2020 7/27/2022 7/18/2023 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
3/12/2020 3/12/2020 9/25/2023 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
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 3,565.40 2,032.70 0.00 0.00 0.00 3,565.40
8/5/2021 8/5/2021 8/31/2023 0.00 0.00 3,565.40 2,032.70 0.00 0.00 0.00 3,565.40
40
0.00 0.00 3,565.40 2,032.70 0.00 0.00 0.00 3,565.40
0.00 0.00 3,565.40 2,032.70 0.00 0.00 0.00 3,565.40
9,646.83 0.00 0.00 9,646.83 0.00 0.00 0.00 9,646.83
1/4/2022 1/4/2022 7/18/2023 9,646.83 0.00 0.00 9,646.83 0.00 0.00 0.00 9,646.83
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/8/2022 5/9/2022 8/15/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
1,055.83 0.00 0.00 1,055.83 0.00 0.00 0.00 1,055.83
4/14/2022 4/18/2022 8/15/2023 1,055.83 0.00 0.00 1,055.83 0.00 0.00 0.00 1,055.83
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/25/2022 6/27/2022 8/7/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE
TRAFFIC ACCIDENT REPORT, TAR #3475_US 41 East phase D
median # 43 at east end (west of Williams Barefoot Rd)
Landscape Damage, one Ligustrum tree involved) and possible irrigation
damages
50-06252212724 Transportation Engineering Division vs Daniel Horrigan
TECM
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-05082212544 Road Maintenance Division vs Hugo Crespo
RMSE
TRAFFIC ACCIDENT REPORT TAR #3482_Livingston Rd median
Phases
From Exchange Ave Naples, FL _tall estimate ) Tree Asset # 19468
*** 2 Virginia Live Oak Tree damaged, 20 Firebush Grass, Floratam
Grass 1000square feet
50-04142212484 Road Maintenance Division vs Roxana Rueda
Total by Period 1 Claim
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-01042212132 Transportation & Engineering Division vs Tyler Matias
TECM
Staff found Street light and stop down
Total by Period 2 Claims
Period: 10/ 1/2020 - 9/30/2021 (10/1/2020 - 9/30/2021)
41-08052111726 Wastewater Collections vs Roger Richard
WWTE
Vehicle 1911 was stopped. The vehicle behind them was hit and pushed
it into the bumper and tailgate of the county truck.
RMSE
TRAFFIC ACCIDENT REPORT_TAR# 3196_RADIO RD &
SANCTUARY DR_DAMAGE, 25 LIRIOPE, 5 ORNAMENT GRASS
(BROMELIAD)_POSSIBLE IRRIGATION DAMAGE.
50-03122010174 Wastewater Division vs Fiddlers Creek Community Development
WWTE
4" FM hit by private contractor that was installing guide rails.
Division Date Report to Risk
Carrier Description of Loss
Period: 10/ 1/2019 - 9/30/2020 (10/1/2019 - 9/30/2020)
50-03202012828 Road Maintenance Division vs Irish Electrical
Collier County Government
Subrogation Closed Claim Report
Subrogation Recovery - Q4 FY 2023
Valued as of:10/13/2023
Claim Number Claimant Name
16.E.2.b
Packet Pg. 1366 Attachment: 4th QTR Closed Subrogation Claims (27002 : Ratification of Claims Files Closed By The Risk
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/23/2022 3/23/2022 7/24/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 3000
3,894.92 0.00 0.00 3,894.92 0.00 0.00 0.00 3,894.92
7/25/2022 8/5/2022 8/7/2023 3,894.92 0.00 0.00 3,894.92 0.00 0.00 0.00 3,894.92
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/4/2022 4/5/2022 8/18/2023 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
10/21/2021 10/25/2021 9/8/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
10,796.80 0.00 0.00 10,796.80 0.00 0.00 0.00 10,796.80
5/21/2022 5/23/2022 9/29/2023 10,796.80 0.00 0.00 10,796.80 0.00 0.00 0.00 10,796.80
53 3000
3,469.76 0.00 0.00 3,469.76 0.00 0.00 0.00 3,469.76
4/24/2022 4/25/2023 9/21/2023 3,469.76 0.00 0.00 3,469.76 0.00 0.00 0.00 3,469.76
54 3000
2,200.00 0.00 0.00 2,200.00 0.00 0.00 0.00 2,200.00
6/15/2022 6/16/2022 9/21/2023 2,200.00 0.00 0.00 2,200.00 0.00 0.00 0.00 2,200.00
54 3000
1,684.88 0.00 0.00 1,684.88 0.00 0.00 0.00 1,684.88
9/16/2022 9/20/2022 7/18/2023 1,684.88 0.00 0.00 1,684.88 0.00 0.00 0.00 1,684.88
54 3000
1,473.51 0.00 0.00 1,473.51 0.00 0.00 0.00 1,473.51
4/12/2022 4/12/2022 7/18/2023 1,473.51 0.00 0.00 1,473.51 0.00 0.00 0.00 1,473.51
54 3000
21,945.78 15.08 0.00 21,930.70 0.00 0.00 0.00 21,960.86
5/15/2022 5/23/2022 7/31/2023 21,945.78 15.08 0.00 21,930.70 0.00 0.00 0.00 21,960.86
53 3000
Traffic Accident Rept. TAR # 3471 Immokalee Rd East at median # 55,
Collier Blvd to Wilson Blvd
20 burned silver saw palmetto plants - 8 partially burned Florida pines -
20 bags of brown collier county mulch burned
50-05152212600 Community Redevelopment Agency vs Grayson Barry
CRAE
Car accident reported to Road Maintenance with Police Report Number
for claim on county property damage
RMSE
TRAFFIC ACCIDENT REPORT_IMMOKALEE RD, GOODLAND BAY
DR WEST OF BELLAIRE BAY_4’ OA bridal veil tree involved and other
landscape damages, there also possible irrigation damages.
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-04122212466 Road Maintenance Division vs Raudel Reyes
RMSE
50-06152212693 Community Redevelopment Agency vs Gerardo Gutierrez
CRAE
Vehicle ran through Median 6 uprooting all plants, irrigation and head on
collision with Royal Palm splitting the Palm.
50-09192213034 ROAD MAINTENANCE DIVISION vs Gustavo Munoz Venegas
TECM
Heidi from Risk called about a street light down on Livingston Rd near
Veteran's Memorial Blvd
50-04242213888 Road Maintenance Division vs Brian McGuinness
RMSE
TRAFFIC ACCIDENT REPORT_AIRPORT RD N, MEDIAN 54
BETWEEN NAPLES BLVD & COUGAR LN, DAMAGE TO
LANDSCAPE, 2 MONTGOMERY PALMS & 1 SABAL PALM ALSO
POSSIBLE IRRIGATION DAMAGE.
50-10212111954 Road Maintenance Division vs Aydanis Viquillon Roig
RMSE
TAR # 3424/ Landscape irrigation damages at Santa Barbara Blvd S
end median #25, N of Devonshire Blvd
CCSO Rept #21-283711
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-05212212598 Transportation Engineering Division vs James Kane
RMSE
TAR #1 / Handrail damage at Pine Ridge Rd at Naples YMCA Entrance
(5450 YMCA Rd)
Police Rept #22-274260
50-04042212452 Transportation Engineering Division vs Maryanne Clough
TECM
Street light down
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-03232212404 Road Maintenance Division vs Jill Furman
RMSE
Traffic Accident Report-TAR #3464 -Livingston Rd & gray Oaks to
Eatonwood Ln, Landscape & Irrigation Damage, 1 Florida thatch palm
Tree , 10 Bag Collier Brown Mulch Damage, 5 Cocoplum plants, & 5
Muhly Grass
50-07252212871 Road Maintenance Division vs Naples Towing and Recovery
Ped poles damage and mast arm 16.E.2.b
Packet Pg. 1367 Attachment: 4th QTR Closed Subrogation Claims (27002 : Ratification of Claims Files Closed By The Risk
8,000.00 0.00 0.00 8,000.00 0.00 0.00 0.00 8,000.00
9/2/2022 9/6/2022 9/21/2023 8,000.00 0.00 0.00 8,000.00 0.00 0.00 0.00 8,000.00
53 3000
0.00 0.00 0.00 1,209.66 0.00 0.00 0.00 0.00
9/14/2022 9/14/2022 8/11/2023 0.00 0.00 0.00 1,209.66 0.00 0.00 0.00 0.00
54 3000
891.46 0.00 0.00 891.46 0.00 0.00 0.00 891.46
12/7/2021 12/10/2021 7/18/2023 891.46 0.00 0.00 891.46 0.00 0.00 0.00 891.46
50 3000
0.00 241.40 1,360.79 2,102.29 0.00 0.00 0.00 1,602.19
2/23/2022 2/24/2022 7/31/2023 0.00 241.40 1,360.79 2,102.29 0.00 0.00 0.00 1,602.19
41
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/28/2021 10/29/2021 9/21/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 2900
65,059.77 256.48 1,360.79 68,356.64 0.00 0.00 0.00 66,677.04
65,059.77 256.48 1,360.79 68,356.64 0.00 0.00 0.00 66,677.04
0.00 0.00 0.00 120.33 0.00 0.00 0.00 0.00
4/28/2023 6/12/2023 7/11/2023 0.00 0.00 0.00 120.33 0.00 0.00 0.00 0.00
53 3000
1,706.45 0.00 0.00 1,706.45 0.00 0.00 0.00 1,706.45
2/10/2023 2/13/2023 7/18/2023 1,706.45 0.00 0.00 1,706.45 0.00 0.00 0.00 1,706.45
53 3000
0.00 0.00 0.00 4,463.71 0.00 0.00 0.00 0.00
12/6/2022 12/6/2022 7/21/2023 0.00 0.00 0.00 4,463.71 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
1/30/2023 1/31/2023 8/7/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
505.98 0.00 0.00 505.98 0.00 0.00 0.00 505.98
12/16/2022 6/26/2023 8/18/2023 505.98 0.00 0.00 505.98 0.00 0.00 0.00 505.98
53 3000
3,944.66 0.00 0.00 3,944.66 0.00 0.00 0.00 3,944.66
3/13/2023 3/15/2023 8/18/2023 3,944.66 0.00 0.00 3,944.66 0.00 0.00 0.00 3,944.66
53 3000
2,866.26 0.00 0.00 2,866.26 0.00 0.00 0.00 2,866.26
5/8/2023 5/8/2023 9/21/2023 2,866.26 0.00 0.00 2,866.26 0.00 0.00 0.00 2,866.26
TECM
Traffic signal upright damage
50-05082313929 Transportation Engineering Division vs Alonso Esteban Valor
TECM
50-12162214080 Transportation & Engineering Division vs Valerie Fischer Hafely
TECM
Signs down
50-03132313779 Transportation Engineering Division vs Kyle Kennedy
TECM
Upright for signal damage
50-01302313645 Transportation Engineering Division vs Victoria Bosch
TECM
FPL connection to signal damaged (Lollipop) due to vehicle accident.
50-02102313686 Transportation Engineering Division vs Gina Carriere
TECM
Signal stand alone hit by car CCSO 23-59716
Period: None
50-12062213482 Transportation & Engineering Division vs Bryan Carritte
Total by Period 19 Claims
Period: None
50-04282314032 Transportation Engineering Division vs Louis Rivelli
TECM
Geico Insurance called about a sign down on Triangle Blvd
WATE
While employee was waiting for traffic on Livingston Road a car turned
from Golden Gate Parkway onto Livingston striking the County vehicle.
50-10282111975 Wastewater Division vs. Pike
WWTE
A private contractor (Pike) working for FPL installing power poles drilled
into a 14” FM at 7791 Davis Blvd.
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-12072112083 Road Maintenance Division vs Cruz & B Inc
RMSE
TAR # 3436 / Accident Remediation / spill clean up at Immokalee Rd at
Bellaire Bay Dr
CCSO #21-445558
41-02232212314 Water Division vs Elizabeth Mcguire
627
County Light Fixture 4174 knocked down due to accident /
50-09142213002 Road Maintenance Division vs Summer Ferge
RMSE
TRAFFIC ACCIDENT REPORT_TAR # 3531_Golden Gate Blvd at the
West end of median 4,_20 Walter Viburnums, possible irrigation
damages
Car accident reported to Road Maintenance with Police Report Number for claim on county property damage
50-09022212970 Transportation & Engineering Division vs Charles Benton 16.E.2.b
Packet Pg. 1368 Attachment: 4th QTR Closed Subrogation Claims (27002 : Ratification of Claims Files Closed By The Risk
53 3000
1,821.23 0.00 0.00 1,821.23 0.00 0.00 0.00 1,821.23
2/10/2023 2/13/2023 7/18/2023 1,821.23 0.00 0.00 1,821.23 0.00 0.00 0.00 1,821.23
54 3000
1,275.21 0.00 0.00 1,275.21 0.00 0.00 0.00 1,275.21
12/2/2022 12/5/2022 7/18/2023 1,275.21 0.00 0.00 1,275.21 0.00 0.00 0.00 1,275.21
54 3000
2,514.22 0.00 0.00 2,514.22 0.00 0.00 0.00 2,514.22
12/19/2022 12/19/2022 7/31/2023 2,514.22 0.00 0.00 2,514.22 0.00 0.00 0.00 2,514.22
54 3000
2,516.86 0.00 0.00 2,516.86 0.00 0.00 0.00 2,516.86
11/30/2022 11/30/2022 7/31/2023 2,516.86 0.00 0.00 2,516.86 0.00 0.00 0.00 2,516.86
54 3000
1,745.07 0.00 0.00 1,745.07 0.00 0.00 0.00 1,745.07
10/21/2022 10/24/2022 7/31/2023 1,745.07 0.00 0.00 1,745.07 0.00 0.00 0.00 1,745.07
54 3000
2,431.49 0.00 0.00 2,431.49 0.00 0.00 0.00 2,431.49
1/24/2023 1/25/2023 8/3/2023 2,431.49 0.00 0.00 2,431.49 0.00 0.00 0.00 2,431.49
54 3000
991.14 0.00 0.00 991.14 0.00 0.00 0.00 991.14
4/17/2023 4/17/2023 8/31/2023 991.14 0.00 0.00 991.14 0.00 0.00 0.00 991.14
54 3000
2,158.09 0.00 0.00 2,158.09 0.00 0.00 0.00 2,158.09
3/16/2023 3/20/2023 8/31/2023 2,158.09 0.00 0.00 2,158.09 0.00 0.00 0.00 2,158.09
54 3000
3,500.06 0.00 0.00 3,500.06 0.00 0.00 0.00 3,500.06
1/24/2023 1/24/2023 9/21/2023 3,500.06 0.00 0.00 3,500.06 0.00 0.00 0.00 3,500.06
54 3000
RMSE
TRAFFIC ACCIDENT REPORT_GOLDEN GATE PKWY, AIRPORT
PULLING RD & GOLDEN GATE PKWY_LANDSCAPE DAMAGE, 50
DWARF LILYTURF, 50 PERENIAL PEANUTS AND POSSIBLE
IRRIGATION DAMAGE
50-01242313624 ROAD MAINTENANCE DIVISION vs Camille Dimuccio
RMSE
TRAFFIC ACCIDENT REPORT_TAR # 3566_IMMOKALEE RD,
SATURNIA GRANDE DE & DANCING WIND LN_LANDSCAPE
DAMAGE_3 MANILA PLANTS,80 LIRIOPE PLANDS AND POSSIBLE
IRRIGATION DAMAGE.
Period: None
50-04172313875 Road Maintenance Division vs Robert Waring
RMSE
TRAFFIC ACCIDENT REPORT_CHAMPIONSHIP DR, NORTH OF
MAINSAIL DR (MEDIAN 10) LANDSCAPE DAMAGE_15 Bougainvillea
plant ( 3 feet tall estimate) •20 Bags Collier Brown Mulch Damage,•
Possible Irrigation Damage
50-03162313791 Road Maintenance Division vs Rosa Valdez Alvarez
RMSE
TRAFFIC ACCIDENT REPORT_TAR #3542_US 41 NORTH AND OLD
41 INTERSECTION_DAMAGE, ONE ALEXANDER PALM AND
POSSIBLE IRRIGATION DAMAGE.
50-01242313627 ROAD MAINTENANCE DIVISION VS Priscilla Rangel
RMSE
TRAFFIC ACCIDENT REPORT_TAR #3568_ IMMOKALEE RD,
MEDIAN 65 BETWEEN WILSON BLVD & MAVERICK
LN_LANDSCAPE DAMAGE, 40 LIRIOPE & POSSIBLE IRRIGATION
DAMAGE.
Period: None
50-11302213464 Road Maintenance Division VS JENNIFER EMILY HERNANDEZ
RMSE
TRAFFIC ACCIDENT REPORT_IMMOKALEE RD, SATURNA
GRANDE DR & LOGAN BLVD_LANDSCAPE DAMAGE_ 2 crape myrtle
Tree, 30 flex lily,50 jasmine plants & possible irrigation damage
50-10212213289 Road Maintenance Division vs Clean Up Group Inc
RMSE
TRAFFIC ACCIDENT REPORT_AIRPORT RD SOUT, MEDIAN 48_32
Green Island Ficus -20 sf of peanut grass-8 bags of Collier County
Brown mulch
-Irrigation damages (at least 2 heads)
50-12192213519 ROAD MAINTENANCE DIVISION VS Samuel Bonilla Escalera
RMSE
TRAFFIC ACCIDENT REPORT_TAR # 3554_Immokalee Rd East,
median #47_Landscape damages as follow, 2 sabal palms, 1 bridal veil
tree (15'OA)25 Pink muhly grass plants,12 mimosas plants.
Period: None
50-02102313691 Road Maintenance Division vs Odalis Diaz Ramirez
RMSE
TRAFFIC ACCIDENT REPORT_TAR # 3572_RADIO RD, BETWEEN
AIRPORT RD & DONNA ST_LANDSCAPE DAMAGE_1 Royal with
scratches to the trunk (tree 19302)-8 Bougainvillea-Possible irrigation
damages -5 brown county mulch bags.
50-12022213473 Road Maintenance Division vs David Doebler
Street light down #63 16.E.2.b
Packet Pg. 1369 Attachment: 4th QTR Closed Subrogation Claims (27002 : Ratification of Claims Files Closed By The Risk
0.00 0.00 0.00 8,790.03 0.00 0.00 0.00 0.00
4/12/2023 4/13/2023 8/2/2023 0.00 0.00 0.00 8,790.03 0.00 0.00 0.00 0.00
53 3000
10,000.00 0.00 0.00 10,000.00 0.00 0.00 0.00 10,000.00
2/4/2023 2/6/2023 8/28/2023 10,000.00 0.00 0.00 10,000.00 0.00 0.00 0.00 10,000.00
53 3000
0.00 0.00 584.05 584.05 0.00 0.00 0.00 584.05
5/6/2023 5/6/2023 7/18/2023 0.00 0.00 584.05 584.05 0.00 0.00 0.00 584.05
41 3000
0.00 0.00 2,631.81 3,131.81 0.00 0.00 0.00 2,631.81
10/10/2022 10/10/2022 8/18/2023 0.00 0.00 2,631.81 3,131.81 0.00 0.00 0.00 2,631.81
41 3000
0.00 0.00 3,554.98 4,054.98 0.00 0.00 0.00 3,554.98
12/30/2022 12/30/2022 7/21/2023 0.00 0.00 3,554.98 4,054.98 0.00 0.00 0.00 3,554.98
41 3000
37,976.72 0.00 6,770.84 59,121.63 0.00 0.00 0.00 44,747.56
37,976.72 0.00 6,770.84 59,121.63 0.00 0.00 0.00 44,747.56
103,036.49 256.48 11,697.03 129,510.97 0.00 0.00 0.00 114,990.00
103,036.49 256.48 11,697.03 129,510.97 0.00 0.00 0.00 114,990.00
2:44:26 PM
CENE
On 12/30/2022 at approximately 10:15am, Investigator Ryan Cathey
(SAP #13664) was traveling North-bound on Airport Pulling Road in
vehicle #CC2-1436 when a vehicle (2014 Ford F150 - FL Tag #IVVM56)
driven by Darren Keith Chaney began merging over to
Total by Period 21 Claims
Grand Totals: 43 Claims
-12-
10/13/2023
Period: None
41-10102213191 PUBLIC UTILITIES VS Fidel Pileta Leyet
COL
Car collision. Daniela Mercado was Traveling north on Collier Blvd when
a vehicle turning north off of Golden Gate Bvld failed to come to a
complete stop in the turn lane hitting Daniela Mercado while she was
driving through her green light.
41-12302213552 Code Enforcement Division vs Mary Chaney
RMSE
Intersection of Immokalee Rd & Everglades Blvd N, vehicle accident
caused damage to guard rail.
41-05062313924 Bureau of Emergency Services vs Jackson De Jesus Prazeres
EMSE
Medic 1 (truck 6) was responding to a call, heading East on 41 at
Goodlette. As they were turning North onto Goodlette, the Jeep in the
lane to their left, which was also turning North, took the turn too wide and
bumped into the driver's side
Period: None
50-04122313864 Road Maintenance Division vs Jennifer Daily
RMSE
TAR #24 / Guardrail Damages at Collier Blvd northbound just south of
7th Ave NW
CCSO Rept #23-147614
50-02042313662 Road Maintenance Division vs Top Hat Imports LLC
TRAFFIC ACCIDENT REPORT_TAR # 3566_IMMOKALEE RD, SATURNIA GRANDE DE & DANCING WIND LN_LANDSCAPE
DAMAGE_3 MANILA PLANTS,80 LIRIOPE PLANDS AND POSSIBLE
IRRIGATION DAMAGE.16.E.2.b
Packet Pg. 1370 Attachment: 4th QTR Closed Subrogation Claims (27002 : Ratification of Claims Files Closed By The Risk
16.E.2.c
Packet Pg. 1371 Attachment: Resolution 2004-15 PDF0001 (27002 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.c
Packet Pg. 1372 Attachment: Resolution 2004-15 PDF0001 (27002 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.c
Packet Pg. 1373 Attachment: Resolution 2004-15 PDF0001 (27002 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.c
Packet Pg. 1374 Attachment: Resolution 2004-15 PDF0001 (27002 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.c
Packet Pg. 1375 Attachment: Resolution 2004-15 PDF0001 (27002 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.c
Packet Pg. 1376 Attachment: Resolution 2004-15 PDF0001 (27002 : Ratification of Claims Files Closed By The Risk Management Division)