BCC Agenda 02/13/2024 Item #16E 2 (Claim files settled and/or closed by Risk Management Division Director for the first quarter of FY24)02/13/2024
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 first
quarter of FY 24.
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 first quarter of FY 24 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 first quarter of FY 24, 80
files were closed with total expenditures of $323,928.57. Reinsurance recoveries for the first quarter of FY 24 were
$3,600.00. During the same period, 26 subrogation files were closed, and the Risk Management Division recovered
$76,310.27 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 Quigley, RMPE Division Director, Risk Management Division.
ATTACHMENT(S)
1. Resolution 2004-15 PDF0001 (PDF)
16.E.2
Packet Pg. 770
02/13/2024
2. Closed Claims All Lines - Q1 FY 24 (PDF)
3. Closed Subro Files - Q1 FY 24 (PDF)
16.E.2
Packet Pg. 771
02/13/2024
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.2
Doc ID: 27753
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 No. 04-15 for the first
quarter of FY 24.
Meeting Date: 02/13/2024
Prepared by:
Title: Manager, Risk Finance – Risk Management
Name: Greily Gonzalez
01/17/2024 1:00 PM
Submitted by:
Title: Risk Management Director – Risk Management
Name: Michael Quigley
01/17/2024 1:00 PM
Approved By:
Review:
Risk Management Michael Quigley Director Review Completed 01/17/2024 4:22 PM
Corporate Business Operations Kenneth Kovensky Corporate Business Operations Review Completed 01/23/2024 4:21 AM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 01/23/2024 8:26 AM
Office of Management and Budget Blanca Aquino Luque Additional Reviewer Completed 01/23/2024 11:51 AM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 01/24/2024 2:26 PM
County Manager's Office Amy Patterson Level 4 County Manager Review Completed 02/05/2024 10:29 AM
Board of County Commissioners Geoffrey Willig Meeting Pending 02/13/2024 9:00 AM
16.E.2
Packet Pg. 772
16.E.2.a
Packet Pg. 773 Attachment: Resolution 2004-15 PDF0001 (27753 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.a
Packet Pg. 774 Attachment: Resolution 2004-15 PDF0001 (27753 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.a
Packet Pg. 775 Attachment: Resolution 2004-15 PDF0001 (27753 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.a
Packet Pg. 776 Attachment: Resolution 2004-15 PDF0001 (27753 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.a
Packet Pg. 777 Attachment: Resolution 2004-15 PDF0001 (27753 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.2.a
Packet Pg. 778 Attachment: Resolution 2004-15 PDF0001 (27753 : Ratification of Claims Files Closed By The Risk Management Division)
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
8,282.00 744.32 0.00 0.00 0.00 0.00 0.00 9,026.32
5/21/2021 5/21/2021 11/8/2023 8,282.00 744.32 0.00 0.00 0.00 0.00 0.00 9,026.32
10 1600
43,663.12 5,173.18 9,650.32 0.00 0.00 0.00 0.00 58,486.62
5/19/2022 5/24/2022 10/31/2023 43,663.12 5,173.18 9,650.32 0.00 0.00 0.00 0.00 58,486.62
10 1500
353.60 23.85 0.00 0.00 0.00 0.00 0.00 377.45
10/20/2023 10/20/2023 10/31/2023 353.60 23.85 0.00 0.00 0.00 0.00 0.00 377.45
10 1500
509.88 26.85 0.00 0.00 0.00 0.00 0.00 536.73
10/18/2023 10/18/2023 10/26/2023 509.88 26.85 0.00 0.00 0.00 0.00 0.00 536.73
10 1700
332.64 52.61 0.00 0.00 0.00 0.00 0.00 385.25
9/28/2023 9/28/2023 10/19/2023 332.64 52.61 0.00 0.00 0.00 0.00 0.00 385.25
10 1700
327.15 53.35 0.00 0.00 0.00 0.00 0.00 380.50
9/26/2023 9/26/2023 10/9/2023 327.15 53.35 0.00 0.00 0.00 0.00 0.00 380.50
10 1700
303.57 30.40 0.00 0.00 0.00 0.00 0.00 333.97
Major Coverage: 10 - Workers' Compensation
10-09262314367
FLME
Employee reports he was working under a car
reaching overhead on asset# CC2-3059 up-fits
and installations, when some debris fell into his
right eye. He attempted to wipe away & flush his
eye multiple times both with the eyewash station
an eye drops.
10-09252314422
DASE
Employee reports she was walking a dog back to
its kennel when another dog from a kennel
attacked the other dog, she was bitten on right
hand and left upper leg.
10-09282314380
DASE
Employee reports while in one of the yards with a
dog, the dog attacked and bit her on the right arm.
10-10202314438
ORMD
Employee was conducting a sign inspection at
4500 Tamiami Trl N and stepped up into a planter
to measure the sign when her knee twisted and
there was a popping sound.
10-10182314426
BPRI
Employee was exiting county pick up truck and
stepped on to loose rock twisting his ankle and
states it feels broken..
10-05192212606
RMSE
Employee was using a wheel barrel with asphalt,
pushing & pulling through ditches, and is having
discomfort in left hip.
Division Date Report to
Risk
Carrier Description of Loss
Major Coverage: 10 - Workers' Compensation
10-05212111448
Collier County Government
Closed Claim Report- All Lines
1ST QTR FY 2024
Valued as of:1/16/2024
Claim Number Claimant Name
16.E.2.b
Packet Pg. 779 Attachment: Closed Claims All Lines - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
9/25/2023 10/17/2023 11/8/2023 303.57 30.40 0.00 0.00 0.00 0.00 0.00 333.97
10 1300
2,396.28 823.76 0.00 0.00 0.00 0.00 0.00 3,220.04
8/18/2023 9/22/2023 11/8/2023 2,396.28 823.76 0.00 0.00 0.00 0.00 0.00 3,220.04
10 1300
458.55 26.85 0.00 0.00 0.00 0.00 0.00 485.40
10/13/2023 10/13/2023 10/27/2023 458.55 26.85 0.00 0.00 0.00 0.00 0.00 485.40
10 1200
393.94 102.26 0.00 0.00 0.00 0.00 0.00 496.20
10/20/2023 10/23/2023 10/31/2023 393.94 102.26 0.00 0.00 0.00 0.00 0.00 496.20
10 1600
672.62 58.61 0.00 0.00 0.00 0.00 0.00 731.23
10/6/2023 10/6/2023 11/8/2023 672.62 58.61 0.00 0.00 0.00 0.00 0.00 731.23
10 1300
1,533.00 104.19 0.00 0.00 0.00 0.00 0.00 1,637.19
9/6/2023 9/6/2023 11/8/2023 1,533.00 104.19 0.00 0.00 0.00 0.00 0.00 1,637.19
10 1300
1,514.06 160.80 0.00 0.00 0.00 0.00 0.00 1,674.86
8/26/2023 8/29/2023 10/12/2023 1,514.06 160.80 0.00 0.00 0.00 0.00 0.00 1,674.86
10 1500
700.29 72.74 0.00 0.00 0.00 0.00 0.00 773.03
9/19/2023 9/19/2023 10/11/2023 700.29 72.74 0.00 0.00 0.00 0.00 0.00 773.03
10 1300
294.75 0.00 0.00 0.00 0.00 0.00 0.00 294.75
11/19/2023 11/19/2023 12/26/2023 294.75 0.00 0.00 0.00 0.00 0.00 0.00 294.75
10 1700
207.64 0.00 0.00 0.00 0.00 0.00 0.00 207.64
Employee tripped and fell on his left knee over a
magnolia pod on the sidewalk when he stepped
out for lunch.
10-11192314569
DASE
Employee was scanning a cat for a microchip, and
was bitten on her right hand.
10-12032314605
SOWE
Employee reports he was sitting down in the
county vehicle, and when he went to turn right to
start typing on the laptop, he felt a pop on upper
left side near the shoulder blade.
Major Coverage: 10 - Workers' Compensation
10-09192314339
TECM
10-09062314298
CPPM
Employee reports she slipped and fell on wet paint
landing on her right knee, and has pain and
swelling.
10-08262314278
ORMD
While sitting at the desk in Everglades City on
0/20/2023, employee was un-crossing the legs
when right foot hit the sharp end of the metal desk
drawer on the corner and piercing big toe on the
side leaving a cut.
10-10062314388
PUAO
Employee walking into work and tripped on the
sidewalk
Major Coverage: 10 - Workers' Compensation
10-10132314408
SOWE
Employee puncture left hand opening a gate at a
cell tower facility in order to perform a tank
inspection on a belly generator tank.
10-10202314444
EMSE
Employee reports he suffered a fall injuring his
lower back and right shoulder while flying the
"joystick" that had vibration. He sought medical
attention not thinking much of it after discomfort
persisted to lower back and right shoulder.
10-08182314353
EMSE
Employee reports on August 18th while getting off
a helicopter, he slipped catching himself with his
left arm, and felt sharp pain to left shoulder.
16.E.2.b
Packet Pg. 780 Attachment: Closed Claims All Lines - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
12/3/2023 12/3/2023 12/11/2023 207.64 0.00 0.00 0.00 0.00 0.00 0.00 207.64
10 1100
873.65 50.54 0.00 0.00 0.00 0.00 0.00 924.19
5/17/2023 5/18/2023 11/8/2023 873.65 50.54 0.00 0.00 0.00 0.00 0.00 924.19
10 1200
234.64 59.16 0.00 0.00 0.00 0.00 0.00 293.80
10/26/2023 10/30/2023 12/26/2023 234.64 59.16 0.00 0.00 0.00 0.00 0.00 293.80
10 1700
380.80 15.90 0.00 0.00 0.00 0.00 0.00 396.70
11/1/2023 11/2/2023 11/8/2023 380.80 15.90 0.00 0.00 0.00 0.00 0.00 396.70
10 1500
602.65 47.70 455.62 0.00 0.00 0.00 0.00 1,105.97
9/15/2023 9/19/2023 10/31/2023 602.65 47.70 455.62 0.00 0.00 0.00 0.00 1,105.97
10 1700
477.50 33.30 0.00 0.00 0.00 0.00 0.00 510.80
9/18/2023 9/20/2023 10/11/2023 477.50 33.30 0.00 0.00 0.00 0.00 0.00 510.80
10 1700
1,454.89 108.26 0.00 0.00 0.00 0.00 0.00 1,563.15
10/20/2023 10/20/2023 11/8/2023 1,454.89 108.26 0.00 0.00 0.00 0.00 0.00 1,563.15
10 1700
21,570.76 280.20 1,173.89 0.00 0.00 0.00 0.00 23,024.85
5/31/2023 5/31/2023 12/18/2023 21,570.76 280.20 1,173.89 0.00 0.00 0.00 0.00 23,024.85
10 1500
805.59 0.00 0.00 0.00 0.00 0.00 0.00 805.59
11/28/2023 11/29/2023 12/19/2023 805.59 0.00 0.00 0.00 0.00 0.00 0.00 805.59
10 1500
Major Coverage: 10 - Workers' Compensation
10-11282314593
MHCP
Employee report he lost his balance getting out of
a truck when he grabbed the door with his right
hand, he heard a pop in right elbow.
WWTE
Employee reports he was working in an excavated
hole repairing a broken pipe and was struck in the
lower part of his back by a 12" hymax coupling
when section opening gave way.
10-05312313995
WATE
Employee lifted himself up on a retaining wall, and
felt a pop and pain in his left shoulder.
10-09182314342
WATE
Employee reports he was cleaning out a chemical
run trough by power washing the bottom, and lime
splatter on his right & left knee area. He was
wearing proper PPE for the task.
10-10202314439
MHCP
Employee reports he was adjusting one of the
lights on a light tower generator and felt his right
thumb popped.
10-09152314338
WATE
Employee reports he hit his head on a pipe and
loss his balance when he was throwing the hose
under pipe.
10-10262314467
MHCP
Employee reports he saw a patron fall to the
ground at a tennis court and when he ran to help
him, a swarm of bees stung him multiple times on
his face, arms, and hand.
Major Coverage: 10 - Workers' Compensation
10-11012314491
EMSE
Employee was attending to a patient and the
oxygen manifold regulator exploded causing
ringing to right and pressure to right ear.
10-05172313961
EMSE
Employee was attending to a patient who was
involved in an MVA and sustained a laceration to
right forearm from a piece of broken windshield
glass.
16.E.2.b
Packet Pg. 781 Attachment: Closed Claims All Lines - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
459.14 37.45 0.00 0.00 0.00 0.00 0.00 496.59
10/26/2023 10/26/2023 12/15/2023 459.14 37.45 0.00 0.00 0.00 0.00 0.00 496.59
10 1300
546.30 39.75 0.00 0.00 0.00 0.00 0.00 586.05
9/20/2023 9/21/2023 12/26/2023 546.30 39.75 0.00 0.00 0.00 0.00 0.00 586.05
10 1500
1,582.45 249.70 0.00 0.00 0.00 0.00 0.00 1,832.15
5/29/2023 5/29/2023 12/15/2023 1,582.45 249.70 0.00 0.00 0.00 0.00 0.00 1,832.15
10 1000
3,235.08 227.97 0.00 0.00 0.00 0.00 0.00 3,463.05
4/10/2023 4/10/2023 10/26/2023 3,235.08 227.97 0.00 0.00 0.00 0.00 0.00 3,463.05
10 1100
315.42 28.18 0.00 0.00 0.00 0.00 0.00 343.60
7/31/2023 8/1/2023 10/31/2023 315.42 28.18 0.00 0.00 0.00 0.00 0.00 343.60
10 1400
1,714.00 107.35 0.00 0.00 0.00 0.00 0.00 1,821.35
5/22/2023 5/25/2023 10/31/2023 1,714.00 107.35 0.00 0.00 0.00 0.00 0.00 1,821.35
10 1500
15,549.61 3,637.92 438.24 0.00 0.00 0.00 0.00 19,625.77
10/13/2021 10/13/2021 12/26/2023 15,549.61 3,637.92 438.24 0.00 0.00 0.00 0.00 19,625.77
10 1500
3,945.87 15.90 0.00 0.00 0.00 0.00 0.00 3,961.77
10/20/2023 10/20/2023 10/25/2023 3,945.87 15.90 0.00 0.00 0.00 0.00 0.00 3,961.77
10 1700
115,691.44 12,393.05 11,718.07 0.00 0.00 0.00 0.00 139,802.56
115,691.44 12,393.05 11,718.07 0.00 0.00 0.00 0.00 139,802.56
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/30/2023 10/9/2023 10/31/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
Total by Major Coverage 32 Claims
Major Coverage: 20 - General Liability
22-08302314398 CHOMIAK, IHOR
COL
Claimant states he has 4 catch basins around his
property. During Hurricane Idalia, water was
coming back out of them and flooded the property.
All vegetation died in the front of property (10
trees). Claimant states he has been contacting the
County.
FLME
Employee felt sharp pain around left heel, while
pushing dolly up an incline.
10-10202314434
BPRI
Employee was driving north on Logan Blvd. and
stated that a fuel truck pulled out in front of him
with out looking before making the turn on to
Logan and is complaining of wrist pain.
10-05222313978
RMSE
Employee reports he has right wrist pain while
using weed eater during mowing operations
10-10132111924
EMSE
Employee reports her arm was smashed in a
patients car door from her left elbow up and is
having pain.
10-07312314216
MHCP
Employee reports he was involved in a minor
vehicle accident and began having a minor
headache.
10-05292313985 GREEN, CADEN
EMSE
Employee was attempting to start an IV on a
patient when blood squirted from the puncture site
and sprayed his face.
Major Coverage: 10 - Workers' Compensation
10-04102313851
ORMD
Employee reports she was existing the office, and
her shoe was caught in the carpet causing her to
fall and injured her right fourth proximal toe
phalanx.
10-09202314345
MHCP
Employee reports he was working on fixing the
bocce ball court and when he started pulling the
carpet, he felt a sharp pain in his lower back area.
10-10262314465 16.E.2.b
Packet Pg. 782 Attachment: Closed Claims All Lines - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/4/2023 10/6/2023 10/23/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
0.00 0.00 5,942.00 0.00 0.00 0.00 0.00 5,942.00
8/11/2023 8/14/2023 12/19/2023 0.00 0.00 5,942.00 0.00 0.00 0.00 0.00 5,942.00
22 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/10/2023 7/13/2023 11/16/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
0.00 0.00 3,521.85 0.00 0.00 0.00 0.00 3,521.85
1/26/2023 1/26/2023 10/10/2023 0.00 0.00 3,521.85 0.00 0.00 0.00 0.00 3,521.85
22
500.00 0.00 0.00 0.00 0.00 0.00 0.00 500.00
1/27/2023 1/27/2023 10/9/2023 500.00 0.00 0.00 0.00 0.00 0.00 0.00 500.00
21 2050
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/26/2023 1/26/2023 10/10/2023 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
8/15/2023 8/15/2023 10/12/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
Major Coverage: 20 - General Liability
22-08152314253 VARGA, CECILIA
FMGE
Employee from Growth Management Engineering
Division claims that when she was parking her
personal vehicle in front of Facilities Management,
there was a rebar stake that was sticking up from
the parking bumper and it damaged the front skirt.
FMGE
Claimant was exiting the main parking garage and
tripped and fell. He stated the curb is higher than
the sidewalk which caused his toe to get stuck
causing him to fall. He is requesting to be
reimbursed for medical bills.
22-01262313631 BOUTCH, RON
OPRS
Employee was driving away in a golf cart from a
departing plane and ran into the wingtip of aircraft
N97TD. This caused damage to both golf cart and
airplane.
Claimant was driving on Santa Barbara Blvd at the
intersection of Prince Andrews Blvd before the
bridge. A vehicle in front of her swerved into the
left lane because of paint spilled in the road. She
stated she was not able to avoid driving through
the paint.
22-01262313632 Gator Golf Carts
COL
Employee was driving away from a departing plane
in a golf cart and ran into the wingtip of another
aircraft causing damage to both.
21-01272313637 STRUNGS, GUNARS
EMSE
When the ambulance was exiting through the gate
it hit the eve of the guard house, damaging the
soffit, clay tiles on the roof, and gutter.
Major Coverage: 20 - General Liability
22-07102314142 GERMAIN, MARION
RMSE
22-10042314391 WILLIAMSON, MARIA ISABEL
RMSE
Citizen states that she was traveling in Price St
and when she turned right unto Barefoot Williams
Rd she was unable to control the wheel and the
car ended up in the canal taking in water. Citizen
states the curve is very narrow and there is no
barrier
22-08112314244 South Seas Club of Marco Island
Claimant states he has 4 catch basins around his property. During Hurricane Idalia, water was coming back out of them and flooded the property. All vegetation died in the front of property (10
trees). Claimant states he has been contacting the
County.16.E.2.b
Packet Pg. 783 Attachment: Closed Claims All Lines - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/2/2023 8/3/2023 10/2/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50
7/25/2022 8/29/2022 10/9/2023 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
7/11/2022 7/12/2022 10/9/2023 0.00 14.50 0.00 0.00 0.00 0.00 0.00 14.50
21 2050
25,000.00 0.00 0.00 0.00 0.00 0.00 0.00 25,000.00
12/30/2019 1/2/2020 11/6/2023 25,000.00 0.00 0.00 0.00 0.00 0.00 0.00 25,000.00
21 2150
0.00 201.80 0.00 0.00 0.00 0.00 0.00 201.80
10/11/2022 10/11/2022 10/12/2023 0.00 201.80 0.00 0.00 0.00 0.00 0.00 201.80
22
10,000.00 0.00 0.00 0.00 0.00 0.00 0.00 10,000.00
3/24/2021 11/8/2021 11/6/2023 10,000.00 0.00 0.00 0.00 0.00 0.00 0.00 10,000.00
21
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/6/2023 11/6/2023 12/14/2023 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
6/10/2023 6/28/2023 11/3/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
WATE
Vehicle CC2-1520 driven by employee rolled over
and damaged a plastic generator tire. This was at
7599 Bay Colony Dr in Pelican Bay. Driving
around vehicle/equipement on narrow road.
22-06102314087 PECHINSKI, LYNN
WATE
Customer had a leak on their side of the property
and it was necessary for a plumber to make a
repair. Customer is requesting to be reimbursed
for the plumbing bill which is not warranted as the
leak was on their side of the property. We can only
offer a credit for the water loss recorded during
that time period.
Major Coverage: 20 - General Liability
21-03242112008 PAPPAS, APRILL
PELB
Demand received in our office stating a resident
sustained injuries while walking over a manhole in
the Pelican Bay Area.
22-11062314516 Bravo's Stone 1, LLC
MHCP
Child walking down the boat ramp, stopped to
looked around and was holding on to the railing.
After that the ramp shifted and railing came
together. The middle finger of his right hand was
crushed and the nail was ripped off. There was
also bone injury.
22-10112213211 VARGA, CECILIA
ORMD
Employee pulled into the employee's parking lot of
2800 North Horseshoe Drive and felt something
under her front bumper. Both metal rebar was
sticking up into her bumper. Facilities reported to
GMCDD and removed the rebar from the bumper.
Major Coverage: 20 - General Liability
21-07112212765 DELGADO, ALDO
RMSE
Claimant was jogging by Immokalee Middle
School, near the bus zone area and tripped on the
sidewalk. He stated two of the slabs are raised.
His injuries consist of scraped knees, bruised
shoulder, and bruise on his cheek.
21-12301909924 NESTARES, FRANCISCO
RMSE
Operator was shifting to edge of roadway to allow
local traffic to pass and clipped mailbox, resulting
in the box being knocked from its mount.
21-07252212949 WARD, THOMAS
FMGE
Claimant alleges he sustained injures when he
tripped and fell on a walkway at the Collier County
Government Center.
Employee from Growth Management Engineering Division claims that when she was parking her personal vehicle in front of Facilities Management, there was a rebar stake that was sticking up from the parking bumper and it damaged the front skirt.
22-08022314221 GARRIDO, ALEX 16.E.2.b
Packet Pg. 784 Attachment: Closed Claims All Lines - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/2/2023 9/19/2023 10/5/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
35,500.00 230.80 9,463.85 0.00 0.00 0.00 0.00 45,194.65
35,500.00 230.80 9,463.85 0.00 0.00 0.00 0.00 45,194.65
0.00 0.00 12,337.16 0.00 0.00 0.00 0.00 12,337.16
6/8/2023 6/9/2023 10/19/2023 0.00 0.00 12,337.16 0.00 0.00 0.00 0.00 12,337.16
32 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/17/2023 10/17/2023 12/18/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 3000
0.00 535.77 1,719.62 0.00 0.00 0.00 0.00 2,255.39
8/29/2023 8/30/2023 11/16/2023 0.00 535.77 1,719.62 0.00 0.00 0.00 0.00 2,255.39
32
0.00 0.00 263.14 0.00 0.00 0.00 0.00 263.14
9/5/2023 9/8/2023 12/13/2023 0.00 0.00 263.14 0.00 0.00 0.00 0.00 263.14
32 3000
0.00 0.00 2,014.84 0.00 0.00 0.00 0.00 2,014.84
8/17/2023 8/17/2023 10/20/2023 0.00 0.00 2,014.84 0.00 0.00 0.00 0.00 2,014.84
30
FMGE
When exiting his county van ( CC2-2396) the
drivers door made contact with the car parked in
the next parking stall. Collier County Sheriffs Office
was dispatched and determined no report was
needed.
Major Coverage: 30 - Auto Liability
32-09052314316 North Collier Fire
EMSE
M46 Tk17 bumped back ladder of En46 while
attempting to get closer to the patient. NCFR crew
advised there was no damage they could see to
their vehicle EN46.
32-08172314258 HERNANDEZ, JORGE
TECM
At the intersection of Oilwell & Everglades and the
light in the outer Lane (two turning lanes) heading
Westbound, a blue Ram 4x4 1500 Pickup truck
with hitch on the back, was stopped at the light.
County truck rear ended pickup truck.
32-08292314286 LEON, MARIO
SOWE
While at the corner of Collier Blvd and Immokalee
Rd, turning right onto Immokalee Rd, employee
rear-ended the vehicle in front of him as the truck
slid on the wet roadway after the other vehicle
started to go but stopped.
Major Coverage: 30 - Auto Liability
32-06082314024 SCHOONOVER, JEFFRERY
WATE
While traveling east of Vanderbilt Beach Road and
executing a left turn going north on Airport Road, a
car went through intersection with a yellow light
and was struck by County vehicle.
32-10172314423 PEREZ GUERRA, JORGE
Major Coverage: 20 - General Liability
22-09022314340 KIEF, MICHELE
WWTE
Claimant states the County was flushing the pipes
on 8/31/23. When Tenant came home from dinner
noticed sand & water came out of the pipes from
the shower drain and toilets and flooded the
bathroom and closet.
Total by Major Coverage 17 Claims
Customer had a leak on their side of the property
and it was necessary for a plumber to make a
repair. Customer is requesting to be reimbursed
for the plumbing bill which is not warranted as the
leak was on their side of the property. We can only
offer a credit for the water loss recorded during
that time period.
16.E.2.b
Packet Pg. 785 Attachment: Closed Claims All Lines - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
0.00 0.00 6,913.33 0.00 0.00 0.00 0.00 6,913.33
7/3/2023 7/3/2023 12/29/2023 0.00 0.00 6,913.33 0.00 0.00 0.00 0.00 6,913.33
32 3000
0.00 0.00 926.39 0.00 0.00 0.00 0.00 926.39
8/30/2023 8/30/2023 11/6/2023 0.00 0.00 926.39 0.00 0.00 0.00 0.00 926.39
32
0.00 0.00 1,856.08 0.00 0.00 0.00 0.00 1,856.08
5/30/2023 5/30/2023 11/2/2023 0.00 0.00 1,856.08 0.00 0.00 0.00 0.00 1,856.08
32 3000
32,000.00 0.00 0.00 0.00 0.00 0.00 0.00 32,000.00
9/22/2022 9/22/2022 12/19/2023 32,000.00 0.00 0.00 0.00 0.00 0.00 0.00 32,000.00
32 3000
32,000.00 535.77 26,030.56 0.00 0.00 0.00 0.00 58,566.33
32,000.00 535.77 26,030.56 0.00 0.00 0.00 0.00 58,566.33
0.00 0.00 3,333.47 0.00 0.00 0.00 0.00 3,333.47
8/29/2023 8/30/2023 12/19/2023 0.00 0.00 3,333.47 0.00 0.00 0.00 0.00 3,333.47
41 3000
0.00 0.00 2,392.28 0.00 0.00 0.00 0.00 2,392.28
12/20/2022 12/27/2022 11/16/2023 0.00 0.00 2,392.28 0.00 0.00 0.00 0.00 2,392.28
41
0.00 0.00 2,674.19 0.00 0.00 0.00 0.00 2,674.19
2/16/2022 2/18/2022 12/7/2023 0.00 0.00 2,674.19 0.00 0.00 0.00 0.00 2,674.19
41
0.00 0.00 10,026.53 0.00 0.00 0.00 0.00 10,026.53
1/23/2023 1/23/2023 12/7/2023 0.00 0.00 10,026.53 0.00 0.00 0.00 0.00 10,026.53
41 3000 Commuting to work employee driving a Collier
County owned vehicle stated that while in traffic on
Immokalee Rd driving west from Pebble Brooke
Dr. traffic abruptly stopped and he rear ended the
person in front of him.
MHCP
Employee was backing the Van out of NCRP and
hit the side of a Yellow bollard which was in her
blind spot. She stopped vehicle immediately and
had maintenance move van safely out of the way.
Major Coverage: 40 - Auto Physical Damage
41-01232313616 Facilities Management
FMGE
41-12202213532 GMD
GMAO
Leaving parking lot, driving down the isle a lifted
jeep wrangler backed out of his spot and hit the left
rear of the county car causing damage to left rear
of the explorer with his bumper mounted spare tire.
41-02162212300 Parks and Recreation
Total by Major Coverage 9 Claims
Major Coverage: 40 - Auto Physical Damage
41-08292314285 Solid Waste Division
SOWE
Employee was behind another driver on Collier
Blvd turning right onto Immokalee Rd. The light
turned green, the other driver started to move
forward but he stopped. Jason attempted to
stopped, he hit the breaks, and the truck slid
instead of stopping.
EMSE
While responding to the hospital EMT rear ended
another vehicle.
32-09222213044 BALDWIN, JAY
WATE
Employee was stopped at intersection of Devon
Cir and Catalina Dr headed North, looked both
ways at intersection and proceeded through
intersection when he struck a moped. First
responders were called and the driver of the
moped was transported.
32-08302314284 WAIN, MELANIE
CENE
The door of Collier County Vehicle #CC2-1729
opened and impacted Mazda (fl tag: RNE738),
causing damage to the passenger side door.
Major Coverage: 30 - Auto Liability
32-05302313994 Excellent, Kervens
32-07032314101 TALHMORA, BOBOTZBIKOWSKI
CENE
County vehicle #CC21446 reversed out of Parking
Spot approximately one foot before making contact
with the right front fender of a Dodge Van minivan
FL #LIBL08 driving by.
16.E.2.b
Packet Pg. 786 Attachment: Closed Claims All Lines - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
14,337.48 326.65 0.00 3,600.00 0.00 0.00 0.00 14,664.13
9/26/2022 10/10/2022 12/27/2023 14,337.48 326.65 0.00 3,600.00 0.00 0.00 0.00 14,664.13
42 5400
0.00 0.00 2,657.36 0.00 0.00 0.00 0.00 2,657.36
10/1/2023 10/2/2023 12/14/2023 0.00 0.00 2,657.36 0.00 0.00 0.00 0.00 2,657.36
41
931.88 0.00 0.00 0.00 0.00 0.00 0.00 931.88
11/7/2023 11/30/2023 12/14/2023 931.88 0.00 0.00 0.00 0.00 0.00 0.00 931.88
42
0.00 0.00 1,820.33 0.00 0.00 0.00 0.00 1,820.33
8/2/2021 8/3/2021 11/6/2023 0.00 0.00 1,820.33 0.00 0.00 0.00 0.00 1,820.33
41 3000
0.00 0.00 1,556.15 0.00 0.00 0.00 0.00 1,556.15
3/7/2023 3/7/2023 12/8/2023 0.00 0.00 1,556.15 0.00 0.00 0.00 0.00 1,556.15
41
0.00 0.00 1,571.45 0.00 0.00 0.00 0.00 1,571.45
11/16/2023 11/27/2023 12/19/2023 0.00 0.00 1,571.45 0.00 0.00 0.00 0.00 1,571.45
42
1,137.18 0.00 0.00 0.00 0.00 0.00 0.00 1,137.18
6/30/2021 6/30/2021 11/6/2023 1,137.18 0.00 0.00 0.00 0.00 0.00 0.00 1,137.18
42
809.17 0.00 0.00 0.00 0.00 0.00 0.00 809.17
9/21/2023 9/22/2023 10/4/2023 809.17 0.00 0.00 0.00 0.00 0.00 0.00 809.17
42
EMSE
While Fleet was preforming the PM service, on
TK#36. They found a chip/crack on the windshield.
42-06302111605 Water Division
WATE
While driving through a high overgrown brush field
to access data from a meter, cc2 2689 hit a big
rock that was unable to be seen while drivin,
causing damage to the running board and a few
other parts of the driver side of the truck.
Major Coverage: 40 - Auto Physical Damage
42-09212314355 BUREAU OF EMERGENCY SERVICES
GMAO
Lower spoiler/grill came off during spot inspection
of Fiddlers Creek country club.
42-11162314585 Water Distribution
WATE
When putting valve key in back of vehicle struck
rear window.
Major Coverage: 40 - Auto Physical Damage
41-08022111716 Wastewater Division
WWTE
Employee backing into a pre assigned parking
spot close to trees did not see indications of an
obstacle not in the windows, camera, back up
sensors or the mirrors. Employee proceeded until
he felt the impact stopped and inspected.
41-03072313759 GROWTH MANAGEMENT ADMINISTRATION
OFFICES
WATE
While pulling ahead of another County vehicle the
vehicle caught the bumper of the vehicle with the
outrigger on the truck.
42-11072314597 BUREAU OF EMERGENECY SERVICES
EMSE
Evening of 11/7/23 while driving home in EM
Vehicle CC2-2706- Class A-assigned vehicle, I
heard what I thought was a rock make contact with
front windshield on passenger side along Collier
Blvd, just north of Lely Cultural Parkway.
Commuting to work employee driving a Collier
County owned vehicle stated that while in traffic on
Immokalee Rd driving west from Pebble Brooke
Dr. traffic abruptly stopped and he rear ended the
person in front of him.
42-09262213195 CODE ENFORCEMENT DIVISION
CENE
Lightning strike to County vehicle #CC2 -1462
41-10012314383 Water Division
16.E.2.b
Packet Pg. 787 Attachment: Closed Claims All Lines - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/16/2023 6/16/2023 10/2/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
40
0.00 0.00 895.24 0.00 0.00 0.00 0.00 895.24
11/6/2023 11/6/2023 11/16/2023 0.00 0.00 895.24 0.00 0.00 0.00 0.00 895.24
42 2000
0.00 0.00 4,872.41 0.00 0.00 0.00 0.00 4,872.41
5/12/2022 5/12/2022 11/6/2023 0.00 0.00 4,872.41 0.00 0.00 0.00 0.00 4,872.41
41 3000
0.00 0.00 16,151.28 0.00 0.00 0.00 0.00 16,151.28
2/16/2023 3/14/2023 10/11/2023 0.00 0.00 16,151.28 0.00 0.00 0.00 0.00 16,151.28
41
0.00 0.00 929.55 0.00 0.00 0.00 0.00 929.55
3/22/2022 3/22/2022 11/2/2023 0.00 0.00 929.55 0.00 0.00 0.00 0.00 929.55
41 3000
0.00 0.00 557.20 0.00 0.00 0.00 0.00 557.20
5/24/2022 5/24/2022 11/6/2023 0.00 0.00 557.20 0.00 0.00 0.00 0.00 557.20
41
0.00 0.00 3,612.68 0.00 0.00 0.00 0.00 3,612.68
5/9/2023 5/9/2023 11/16/2023 0.00 0.00 3,612.68 0.00 0.00 0.00 0.00 3,612.68
41
0.00 0.00 1,014.74 0.00 0.00 0.00 0.00 1,014.74
3/24/2022 3/25/2022 11/6/2023 0.00 0.00 1,014.74 0.00 0.00 0.00 0.00 1,014.74
41 3000
0.00 0.00 2,234.11 0.00 0.00 0.00 0.00 2,234.11
3/28/2022 3/29/2022 12/13/2023 0.00 0.00 2,234.11 0.00 0.00 0.00 0.00 2,234.11WWTE
Major Coverage: 40 - Auto Physical Damage
41-03242212412 Water Division
WATE
County vehicle CC2-2413 backing out of a parking
spot struck with the front passenger side bumper,
a parked private vehicle on its front passenger side
door to front wheel well.
41-03282212427 Wastewater Collections
MHCP
Employee was backing into a parking spot along
side the driver side of the vehicle, when she
backed into the door. She stopped, went forward,
adjusted herself again & reversed into the spot
after hitting the driver side door.
41-05092313932 Water Division
WATE
Employee did not turn wide enough and struck
bollard next to garage bay door at Public Utilities
Ops Center.
M 70 pulled into the station and hit the fence in the
parking lot. Fence is at an L shape. EMT was
cutting the truck into the driveway and turned too
short and hit the rear passenger side of the box.
Damage to rubber and scratches.
41-03222212400 INFORMATION TECHNOLOGY
INTE
County car backed into another non-county car. No
damage to non-county car. Slight damage to
county car.
41-05242212607 Parks & Recreation
EMSE
While responding to a call ambulance struck
overhang of building.
Major Coverage: 40 - Auto Physical Damage
41-02162313775 Bureau of Emergency Services
EMSE
42-11062314511 BUREAU OF EMERGENCY
EMSE
While driving down the road a rock hit the
windshield chipping/cracking it. Contacted fleet.
They have ordered a new windshield and will fix it
in the next couple days.
41-05122212564 Bureau of Emergency Services Division
41-06162314049 SOLID WASTE DIVISION
SOWE
Employee was parked in parking lot while picking
up lunch at the Publix on Davis Blvd. As she
returned to her County Vehicle CC2-1101, she
noticed that someone had hit the vehicle driver
side door when she approached
16.E.2.b
Packet Pg. 788 Attachment: Closed Claims All Lines - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
41 3000
17,215.71 326.65 56,298.97 3,600.00 0.00 0.00 0.00 73,841.33
17,215.71 326.65 56,298.97 3,600.00 0.00 0.00 0.00 73,841.33
6,523.70 0.00 0.00 0.00 0.00 0.00 0.00 6,523.70
9/28/2023 9/28/2023 10/19/2023 6,523.70 0.00 0.00 0.00 0.00 0.00 0.00 6,523.70
53 3000
6,523.70 0.00 0.00 0.00 0.00 0.00 0.00 6,523.70
6,523.70 0.00 0.00 0.00 0.00 0.00 0.00 6,523.70
206,930.85 13,486.27 103,511.45 3,600.00 0.00 0.00 0.00 323,928.57
206,930.85 13,486.27 103,511.45 3,600.00 0.00 0.00 0.00 323,928.57
11:41:07 AM
TECM
School Flasher down from car accident.
Total by Major Coverage 1 Claim
Grand Totals: 80 Claims
-24-
1/16/2024
Collier county vehicle struck rear bumper of
vehicle at intersection when coming to sudden
stop.
Total by Major Coverage 21 Claims
Major Coverage: 50 - Property
50-09282314381 Transportation & Engineering Division
16.E.2.b
Packet Pg. 789 Attachment: Closed Claims All Lines - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
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 2,273.40 0.00 0.00 0.00 0.00
1/15/2021 1/15/2021 10/25/2023 0.00 0.00 0.00 2,273.40 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
7/26/2021 7/26/2021 11/6/2023 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
11/24/2020 12/30/2020 10/11/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 2,273.40 0.00 0.00 0.00 0.00
0.00 0.00 0.00 2,273.40 0.00 0.00 0.00 0.00
0.00 289.08 17,642.67 17,248.30 0.00 0.00 0.00 17,931.75
4/20/2022 4/20/2022 10/23/2023 0.00 289.08 17,642.67 17,248.30 0.00 0.00 0.00 17,931.75
41 3000
0.00 288.59 0.00 20,489.26 0.00 0.00 0.00 288.59
11/12/2021 11/12/2021 11/16/2023 0.00 288.59 0.00 20,489.26 0.00 0.00 0.00 288.59
41
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/24/2022 6/27/2022 10/17/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000 Mast arm damage
WATE
Driver pulled out in front of county
vehicle, county vehicle swerved
and was struck in the rear
spinning and then flipping county
vehicle cc2 1201
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-06242212722 Transportation Engineering
Division vs Alexandre Leprevost
TECM
41-04202212492 Building Review & Permitting vs
Jenna Miller
BPRI
CC2 1192, rear ended at stop
light, no apparent injuries , CC
Sherriff on site , Truck Drivable
41-11122112021 Water Division
50-11242010999 Road Maintenance Division vs
Eduardo Diaz
RMSE
Traffic Accident Rept #3274
Total by Period 3 Claims
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
TECM
Mast arm damage NW corner due
to traffic accident.
50-07262111692 Transportation & Engineering
Division vs Christopher Prasad
TECM
Wavetronic count station pole
down pole 144
Division Date Report to
Risk
Carrier Description of Loss
Period: 10/ 1/2020 - 9/30/2021 (10/1/2020 - 9/30/2021)
50-01152111056 Traffic Operations v. Esurance
Insurance
Collier County Government
Subrogation Closed Claim Report
Subrogation Recovery - Q1 FY 2024
Valued as of:1/16/2024
Claim Number Claimant Name
16.E.2.c
Packet Pg. 790 Attachment: Closed Subro Files - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/28/2022 2/28/2022 10/20/2023 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
6/3/2022 6/3/2022 10/23/2023 0.00 0.00 0.00 0.00 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
5/17/2022 5/17/2022 11/6/2023 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 0.00 0.00 0.00 0.00 0.00 0.00
1/9/2022 1/10/2022 11/6/2023 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
8/6/2022 11/3/2022 11/16/2023 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
4/27/2022 4/27/2022 11/16/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/13/2022 2/14/2022 12/19/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 1,177.40 0.00 0.00 0.00 0.00
9/15/2022 9/19/2022 12/7/2023 0.00 0.00 0.00 1,177.40 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
9/2/2022 9/12/2022 11/6/2023 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 0.0041-07052212745 Public Utilities SHWMD vs
Enrique Cespedes
RMSE
TRAFFIC ACCIDENT
REPORT_TAR #
3535_VANDERBILTH BEACH
RD, MEDIAN 14_ACCIDENT
DAMAGE 15 GRASSES AND
POSSIBLE IRRIGATION
DAMAGES.
50-09022212985 Road Maintenance Division vs
Cleodore Reseau
RMSE
TRAFFIC ACCIDENT
REPORT_US-41 EAST, LELY
RESORT BLVD & HABITAT
DR_DAMAGE 10 MUHLY
GRASSES AND SOME
IRRIGATION DAMAGE
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-02132212279 Transportation & Engineering
Division vs Patty Ann Ross
TECM
Car accident hit streetlight 20
50-09152213022 Road Maintenance Division vs
Elitese Alcius
TECM
Sign down from accident.
50-04272212516 Transportation Engineering
Division V. MC Trucking & Freight
Comp. - Trisura Specialty Ins.
TECM
Ped pole hit by truck
50-01092212161 Transportation & Engineering
Division vs Noel Navarro
TECM
Street light pole 24 Down CCSO
22-4457
50-08062213365 Traffic Operations vs Lissette
Hernandez
TECM
Pedestrian signal knocked down
due to vehicle accident
50-05172212584 Transportation Engineering
Division VS Eneck Louima
TECM
Street light in canal.
50-02282212326 Transportation Engineering
Division vs Third Party Carrier
TECM
Ped and Mast arm damage
50-06032212638 Transportation Engineering
Division vs Erika Alvarez
16.E.2.c
Packet Pg. 791 Attachment: Closed Subro Files - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
7/5/2022 7/5/2022 12/7/2023 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41
10,000.00 577.67 17,642.67 48,914.96 0.00 0.00 0.00 28,220.34
10,000.00 577.67 17,642.67 48,914.96 0.00 0.00 0.00 28,220.34
2,088.19 0.00 0.00 0.00 0.00 0.00 0.00 2,088.19
3/20/2023 3/21/2023 12/27/2023 2,088.19 0.00 0.00 0.00 0.00 0.00 0.00 2,088.19
53 3000
0.00 0.00 0.00 9,016.54 0.00 0.00 0.00 0.00
5/1/2023 5/23/2023 11/6/2023 0.00 0.00 0.00 9,016.54 0.00 0.00 0.00 0.00
50
4,335.58 0.00 0.00 4,335.58 0.00 0.00 0.00 4,335.58
12/28/2022 12/28/2022 10/17/2023 4,335.58 0.00 0.00 4,335.58 0.00 0.00 0.00 4,335.58
53 3000
2,488.47 0.00 0.00 2,488.47 0.00 0.00 0.00 2,488.47
1/5/2023 1/9/2023 10/19/2023 2,488.47 0.00 0.00 2,488.47 0.00 0.00 0.00 2,488.47
54 3000
3,425.90 0.00 0.00 3,425.90 0.00 0.00 0.00 3,425.90
12/29/2022 12/29/2022 10/13/2023 3,425.90 0.00 0.00 3,425.90 0.00 0.00 0.00 3,425.90
53 3000
0.00 0.00 0.00 12.20 0.00 0.00 0.00 0.00
RMSE
TAR 1 #15 - Damage to
Guardrail, traffic accident,
Immokalee E west of Wilson,
across from median 64
50-08102314429 Transportation & Engineering
Division vs Dodie Meister
50-01052313573 ROAD MAINTENANCE DIVISION
VS DEBORA DA SILVA BARROS
NUNES
RMSE
TRAFFIC ACCIDENT
REPORT_TAR
#3561_IMMOKALEE RD, US 41
& RIVERCHASE
BLVD_LANDSCAPE DAMAGE, 1
ALEXANDER PALM, 3 WHITE
AFRICAN IRIS, 1 STUMP
REMOVE_ POSSIBLE
IRRIGATION DAMAGE.
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
50-12292213547 Road Maintenance Division vs
Thelismene Exantus
WWTE
The stated Site has heavy
ongoing construction Collier
County 8" gravity line was
damaged.
50-12282213542 Road Maintenance Division vs
Nicodemus Smith
RMSE
TAR - 14 Damaged Guardrail, car
accident, guardrail located near
1471 San Marcos Blvd.
50-03202313800 Transportation Engineering
Division vs Luis Patino
TECM
Street light down
50-05012313974 Wastewater Division vs Diamond
General Contracting
Public Utilities SHWMD vs
Enrique Cespedes
SOWE
Employee was driving west on
White Lake Blvd taking the
hazmat waste trailer on a routine
pickup at NCRC, when a car
pulled out from Shaw Blvd and
struck the rear passenger side of
the trailer. CCSO # 22-249231
Total by Period 13 Claims
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
16.E.2.c
Packet Pg. 792 Attachment: Closed Subro Files - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk
8/10/2023 10/19/2023 12/19/2023 0.00 0.00 0.00 12.20 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 2,311.75 2,406.75 0.00 0.00 0.00 2,311.75
3/23/2023 3/23/2023 10/31/2023 0.00 0.00 2,311.75 2,406.75 0.00 0.00 0.00 2,311.75
41 3000
605.64 0.00 0.00 0.00 0.00 0.00 0.00 605.64
10/5/2022 10/17/2022 12/8/2023 605.64 0.00 0.00 0.00 0.00 0.00 0.00 605.64
54 3000
2,447.07 0.00 0.00 2,447.07 0.00 0.00 0.00 2,447.07
2/14/2023 2/14/2023 10/13/2023 2,447.07 0.00 0.00 2,447.07 0.00 0.00 0.00 2,447.07
53 3000
989.40 0.00 0.00 989.40 0.00 0.00 0.00 989.40
5/5/2023 5/8/2023 10/23/2023 989.40 0.00 0.00 989.40 0.00 0.00 0.00 989.40
54 3000
16,380.25 0.00 2,311.75 25,121.91 0.00 0.00 0.00 18,692.00
16,380.25 0.00 2,311.75 25,121.91 0.00 0.00 0.00 18,692.00
26,380.25 577.67 19,954.42 76,310.27 0.00 0.00 0.00 46,912.34
26,380.25 577.67 19,954.42 76,310.27 0.00 0.00 0.00 46,912.34Grand Totals: 26 Claims
-6-
11:43:10 AM
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
50-05052313926 Road Maintenance Division vs
Pool & Patio Works LLC
RMSE
TRAFFIC ACCIDENT
REPORT_TAR #3586_RADIO RD
MEDIAN 28_LANDSCAQPE
DAMAGE_1 ROYAL PALM, 20
BOUGAINVILLEA AND
POSSIBLE IRRIGATION
DAMAGE.
Total by Period 10 Claims
RMSE
TRAFFIC ACCIDENT
REPORT_COLLIER BLVD
VERONA WALK (SABAL PALM
RD, MEDIAN 35) DAMAGE_40
FIRE BUSH PLANTS,
•POSSIBLE IRRIGATION
DAMAGE.
50-02142313695 Road Maintenance Division vs
Charles Hayman
RMSE
Car accident damaged guardrail
41-03232313808 Growth Management Community
Development VS FPL
BPRI
While out of his vehicle
performing an inspection, an FPL
vehicle backed into the front of
CC2-1155.
50-10052213256 ROAD MAINTENANCE DIVISION
VS DANIEL CRACIUN
Transportation & Engineering
Division vs Dodie Meister
TECM
Sign down.
16.E.2.c
Packet Pg. 793 Attachment: Closed Subro Files - Q1 FY 24 (27753 : Ratification of Claims Files Closed By The Risk