Agenda 05/14/2024 Item #16E 1 (To Ratify claim files settled and/or closed by the Risk Management Division Director, pursuant Resolution No. 04-15 for the second quarter of FY24)05/14/2024
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 second
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 second 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 second quarter of FY 24,
43 files were closed with total expenditures of $144,780.81. There are no insurance recoveries recorded for this
quarter. During the same period, 26 subrogation files were closed, and the Risk Management Division recovered
$107,147.29 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. Closed Claims Report FY 2024 Q2 - All Lines (PDF)
16.E.1
Packet Pg. 1226
05/14/2024
2. Closed Claims Report FY 2024 Q2 - Subrogation Files (PDF)
3. Resolution 2004-15 PDF0001 (PDF)
16.E.1
Packet Pg. 1227
05/14/2024
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.1
Doc ID: 28669
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
second quarter of FY 24.
Meeting Date: 05/14/2024
Prepared by:
Title: Manager, Risk Finance – Risk Management
Name: Greily Gonzalez
04/18/2024 12:57 PM
Submitted by:
Title: Risk Management Director – Risk Management
Name: Michael Quigley
04/18/2024 12:57 PM
Approved By:
Review:
Risk Management Michael Quigley Director Review Completed 04/18/2024 4:20 PM
Corporate Business Operations Kenneth Kovensky Corporate Business Operations Review Completed 04/19/2024 12:40 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 04/19/2024 1:09 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 04/19/2024 1:18 PM
Office of Management and Budget Blanca Aquino Luque OMB Reviewer Completed 04/24/2024 11:00 AM
County Manager's Office Amy Patterson Level 4 County Manager Review Completed 04/29/2024 4:20 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 05/14/2024 9:00 AM
16.E.1
Packet Pg. 1228
Med/BI/Comp Expense Ind/PD/Coll Recovery Deductible Legal Other Total Inc
Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Date of Loss Date Report to Risk 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
2/22/2024 2/22/2024 2/29/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1300
36,546.37 1,424.73 12,363.79 0.00 0.00 0.00 0.00 50,334.89
12/27/2022 12/27/2022 3/28/2024 36,546.37 1,424.73 12,363.79 0.00 0.00 0.00 0.00 50,334.89
10 1500
493.46 39.75 0.00 0.00 0.00 0.00 0.00 533.21
12/28/2023 12/28/2023 2/13/2024 493.46 39.75 0.00 0.00 0.00 0.00 0.00 533.21
10 1500
241.80 0.00 0.00 0.00 0.00 0.00 0.00 241.80
2/7/2024 2/7/2024 2/29/2024 241.80 0.00 0.00 0.00 0.00 0.00 0.00 241.80
10 1700
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/29/2024 2/29/2024 3/13/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1300
611.05 31.80 0.00 0.00 0.00 0.00 0.00 642.85
1/3/2024 1/3/2024 3/26/2024 611.05 31.80 0.00 0.00 0.00 0.00 0.00 642.85
10 1500
37,234.93 1,807.43 7,008.72 0.00 0.00 0.00 0.00 46,051.08
11/17/2022 11/18/2022 2/26/2024 37,234.93 1,807.43 7,008.72 0.00 0.00 0.00 0.00 46,051.08
10 1300
382.45 0.00 0.00 0.00 0.00 0.00 0.00 382.45
1/24/2024 1/25/2024 3/31/2024 382.45 0.00 0.00 0.00 0.00 0.00 0.00 382.45
SOWE
Employee was carrying a bucket and stepped wrong and
land on her left elbow arm .
10-01242414748
WATE
Major Coverage: 10 - Workers' Compensation
10-01032414677
CENE
Employee reports she was on private property conducting
inspection and drove vehicle into a trench, when the vehicle
dropped her body did as well cause pain in her lower back,
shoulders and neck areas.
10-11172213425
EMSE
Employee was bitten in the right lower leg by a dog while on
call.
10-02292414884
MHCP
Employee reports that while walking to her desk, there was
a child on the floor and when she stepped around them, she
caught her L-foot on a chair causing her to fall to the floor.
10-12282314666
CMAO
Employee reports he was helping a patient stand, and the
patient began to fall when he tried to catch her and injured
his lower back.
10-02072414812
CCRD
Employee reports he fell in parking lot at Building "F" of the
Government Center and injured himself with his right hand,
injuring his right little finger
10-12272213537
WATE
Employee report while turning off a hydrant, he felt a pull
and pain to right shoulder.
Division
Carrier Description of Loss
Major Coverage: 10 - Workers' Compensation
10-02222414859
Collier County Government
Closed Claim Report- All Lines
2ND QTR FY 2024
Valued as of:4/18/2024
Claim Number Claimant Name
16.E.1.a
Packet Pg. 1229 Attachment: Closed Claims Report FY 2024 Q2 - All Lines (28669 : Ratification of Claims Files Closed By
10 1500
434.08 15.90 0.00 0.00 0.00 0.00 0.00 449.98
1/23/2024 1/30/2024 2/23/2024 434.08 15.90 0.00 0.00 0.00 0.00 0.00 449.98
10 1500
1,212.44 210.00 0.00 0.00 0.00 0.00 0.00 1,422.44
9/30/2023 10/3/2023 1/11/2024 1,212.44 210.00 0.00 0.00 0.00 0.00 0.00 1,422.44
10 1500
303.40 29.87 0.00 0.00 0.00 0.00 0.00 333.27
12/12/2023 12/12/2023 1/16/2024 303.40 29.87 0.00 0.00 0.00 0.00 0.00 333.27
10 1300
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/29/2024 3/1/2024 3/7/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1700
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/14/2024 3/14/2024 3/26/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1200
442.27 32.30 0.00 0.00 0.00 0.00 0.00 474.57
1/9/2024 1/10/2024 1/25/2024 442.27 32.30 0.00 0.00 0.00 0.00 0.00 474.57
10 1500
332.04 45.15 0.00 0.00 0.00 0.00 0.00 377.19
1/30/2024 1/31/2024 2/13/2024 332.04 45.15 0.00 0.00 0.00 0.00 0.00 377.19
10 1700
320.35 13.97 0.00 0.00 0.00 0.00 0.00 334.32
2/12/2024 2/13/2024 2/23/2024 320.35 13.97 0.00 0.00 0.00 0.00 0.00 334.32
10 1500
SOWE
Employee reports while she was lifting/emptying a container
of trash into the back of her truck, she pulled a muscle in
her back causing pain.
While replacing valves on skid 1 on 1-9-24 employee hurt
his right arm between the elbow and shoulder. Due to
awkward positioning while tightening bolts.
10-01312414780
WATE
Employee reports he was digging in a hole and a wall of dirt
collapsed against the front of him, and is having lower
abdomen pain.
10-02122414832
WWTE
Employee reports he was preparing a pump cord to install
the pump in the pump station, and was using a utility knife
to strip the casing off the cord so the wires could be
connected to the control panel, is when he sustained a
laceration to left thumb.
Major Coverage: 10 - Workers' Compensation
10-01092414702
WATE
Employee reports she slipped & fell walking into the
breakroom on kitchen floor on her right side, and banged
her head, right elbow, & right hip. Cleaning personnel had
just mopped the floor and a wet floor sign was posted
outside the breakroom.
10-02292414886
WWTE
Employee reports he stepped out of his work truck to check
on the street post sign that was hit by employee, and when
he pulled on the post causing the damaged metal street
sign to fall landing on top of right arm causing a knot.
10-03142414928
DASE
Employee reports she was taking the dog outside and he
sprinted out leaving his kennel, and felt a sharp pain in left
hand middle finger as he yanked the leash.
Major Coverage: 10 - Workers' Compensation
10-12122314633
RECE
10-01232414776
RMSE
Employee reports he was picking up debris off Port of
Prince road, and stepped into a hole and has right ankle
pain.
10-09302314386
Employee reports, while excavating a hole he felt pain in
low back.16.E.1.a
Packet Pg. 1230 Attachment: Closed Claims Report FY 2024 Q2 - All Lines (28669 : Ratification of Claims Files Closed By
2,400.38 201.66 0.00 0.00 0.00 0.00 0.00 2,602.04
10/26/2023 10/26/2023 2/29/2024 2,400.38 201.66 0.00 0.00 0.00 0.00 0.00 2,602.04
10 1300
745.40 27.90 599.24 0.00 0.00 0.00 0.00 1,372.54
2/2/2024 2/3/2024 2/26/2024 745.40 27.90 599.24 0.00 0.00 0.00 0.00 1,372.54
10 1700
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/23/2024 2/23/2024 2/29/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1500
0.00 17.50 0.00 0.00 0.00 0.00 0.00 17.50
2/14/2024 2/15/2024 2/27/2024 0.00 17.50 0.00 0.00 0.00 0.00 0.00 17.50
10 1800
502.98 35.85 0.00 0.00 0.00 0.00 0.00 538.83
1/19/2024 1/19/2024 1/29/2024 502.98 35.85 0.00 0.00 0.00 0.00 0.00 538.83
10 1700
501.51 74.97 0.00 0.00 0.00 0.00 0.00 576.48
1/10/2024 1/10/2024 2/21/2024 501.51 74.97 0.00 0.00 0.00 0.00 0.00 576.48
10 1200
4,042.90 66.49 1,070.92 0.00 0.00 0.00 0.00 5,180.31
12/6/2023 12/6/2023 2/29/2024 4,042.90 66.49 1,070.92 0.00 0.00 0.00 0.00 5,180.31
10 1300
86,747.81 4,075.27 21,042.67 0.00 0.00 0.00 0.00 111,865.75
86,747.81 4,075.27 21,042.67 0.00 0.00 0.00 0.00 111,865.75
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11/1/2023 11/1/2023 1/4/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
0.00 0.00 4,710.14 0.00 0.00 0.00 0.00 4,710.14
11/1/2023 11/28/2023 2/29/2024 0.00 0.00 4,710.14 0.00 0.00 0.00 0.00 4,710.14
22
Claimant parked a customer's car on the front side of her
business, One Stop Shop 239. There was a grate
underneath the car that was sticking up. While the car was
being parked, the grate hit and damaged the a/c condenser,
radiator and fan.
22-11012314589 OBEY, JOHN
FMGE
Claimant parked at the main government center parking lot.
While backing out, his front bumper was caught on the
rebar that was protruding from the parking block, which
caused the bumper to be pulled off the car.
Employee reports he was removing debris stuck in rear
main broom and lost grip and fell catching himself with his
right arm, resulting in pain from right wrist to right elbow.
Total by Major Coverage 23 Claims
Major Coverage: 20 - General Liability
22-11012314479 BERMUDEZ, ANA
RMSE
DASE
Vet Tech was placing dog into kennel post treatment, upon
closing the kennel door the dog turned around quickly and
bit the right knee.
Major Coverage: 10 - Workers' Compensation
10-12062314617
RMSE
10-01192414737
DASE
Employee reports she was bitten on left/right hand & wrist
by a cat.
10-01102414703
MHCP
Employee reported that while loading a canoe into the back
of his assigned county vehicle, he felt pain in his lower left
back.
10-02142414842
FLME
Employee reports he noticed his right middle toe had pain
and is purple after taking off his boots last night after work.
Major Coverage: 10 - Workers' Compensation
10-02022414794
MHCP
Employee reports, he was picking trash up and when he
went underneath the bleacher area, his head hit the corner
of the bleacher and has a laceration to head.
10-02232414865
10-10262314463
CENE
Employee reports she tripped at the Code Enforcement
Board hearing, when she stood up to greet a citizen and lost
her footing.
16.E.1.a
Packet Pg. 1231 Attachment: Closed Claims Report FY 2024 Q2 - All Lines (28669 : Ratification of Claims Files Closed By
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/18/2023 6/28/2023 1/4/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2050
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2/18/2023 11/29/2023 2/29/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2050
0.00 0.00 366.61 0.00 0.00 0.00 0.00 366.61
12/18/2023 12/19/2023 1/10/2024 0.00 0.00 366.61 0.00 0.00 0.00 0.00 366.61
22
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/10/2023 11/1/2023 3/8/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21
340.91 0.00 0.00 0.00 0.00 0.00 0.00 340.91
10/3/2023 10/3/2023 2/29/2024 340.91 0.00 0.00 0.00 0.00 0.00 0.00 340.91
21
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8/5/2023 8/5/2023 2/26/2024 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
11/13/2023 11/15/2023 1/3/2024 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
9/7/2023 9/7/2023 1/4/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Crew jetting an underground storm pipe, the pipe failed in
some unknown manner resulting in the rodder tracking
outside the pipe without the knowledge of the operator. This
resulted in damage to paver driveway.
WWTE
Claimant stated toilets were not flushing and water backing
up in drains. Called the County and plumber. County stated
it was not on their side. Plumber found a blockage (tree
roots) in the joint that is between the County side and
claimant's side.
Major Coverage: 20 - General Liability
22-09072314307 KRUEGER, DAVID
RMSE
Claimant alleges that while walking with her son on the
sidewalk on Carson Rd heading north and next to
Arrowhead Reserve Apartments, tripped and fell on uneven
sidewalk injuring her right leg, ankle, and right arm is
scratched from the elbow up.
21-08052314227 WALTERS, CARTER
MHCP
Child ran into yellow rope blocking off pavilion for party
rental and fell onto the ground.
22-11132314554 GLASKY, JOEL
COL
Received a Request for Insurance Information and Request
for Preservation of Evidence from an attorney representing
the claimant.
Major Coverage: 20 - General Liability
21-10032314387 MALDONADO, MARGARITA
RMSE
Claimant alleges he was delivering a package and tripped
and fell while walking on a sandy brick sidewalk, resulting in
injuries.
22-12182314647 RICIGLIANO, MARISSA
MHCP
A child from our Winter Camp had broken a staff member's
phone.Tthe child was misbehaving. We tried multiple times
calling the parents on the county phones, but no response.
The child ripped the phone out of the staff member's hand
and shattered it.
21-10102314476 HALL, JASON
RMSE
Claimant was walking with a friend North on Airport Rd on
the East side of the sidewalk. She states her friend was on
a bike and became weak. As she was assisting her friend,
she allegedly tripped on uneven sidewalk, causing her to fall
on a grass.
Major Coverage: 20 - General Liability
21-02182314592 GOLD, JOSEPH
FMGE
Claimant parked at the main government center parking lot. While backing out, his front bumper was caught on the rebar that was protruding from the parking block, which
caused the bumper to be pulled off the car.
21-06182314088 BECKER, LISA ELVIRA
16.E.1.a
Packet Pg. 1232 Attachment: Closed Claims Report FY 2024 Q2 - All Lines (28669 : Ratification of Claims Files Closed By
340.91 0.00 5,076.75 0.00 0.00 0.00 0.00 5,417.66
340.91 0.00 5,076.75 0.00 0.00 0.00 0.00 5,417.66
0.00 0.00 3,539.13 0.00 0.00 0.00 0.00 3,539.13
11/15/2023 11/16/2023 1/9/2024 0.00 0.00 3,539.13 0.00 0.00 0.00 0.00 3,539.13
32 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/23/2023 10/25/2023 2/28/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32
0.00 0.00 5,039.22 0.00 0.00 0.00 0.00 5,039.22
1/4/2024 1/4/2024 3/12/2024 0.00 0.00 5,039.22 0.00 0.00 0.00 0.00 5,039.22
32 3000
0.00 12,312.22 0.00 0.00 0.00 0.00 0.00 12,312.22
5/28/2022 5/28/2022 3/12/2024 0.00 12,312.22 0.00 0.00 0.00 0.00 0.00 12,312.22
32 3000
0.00 12,312.22 8,578.35 0.00 0.00 0.00 0.00 20,890.57
0.00 12,312.22 8,578.35 0.00 0.00 0.00 0.00 20,890.57
906.31 0.00 0.00 0.00 0.00 0.00 0.00 906.31
12/28/2023 1/5/2024 3/12/2024 906.31 0.00 0.00 0.00 0.00 0.00 0.00 906.31
42
0.00 0.00 703.41 0.00 0.00 0.00 0.00 703.41
11/6/2023 11/6/2023 1/10/2024 0.00 0.00 703.41 0.00 0.00 0.00 0.00 703.41
42 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/28/2022 10/4/2022 1/11/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
42 5400
0.00 0.00 3,177.02 0.00 0.00 0.00 0.00 3,177.02
11/14/2023 12/8/2023 3/20/2024 0.00 0.00 3,177.02 0.00 0.00 0.00 0.00 3,177.02
41 3000
PELB
CC2-553 Ford Truck dent on rear right side during
Hurricane IAN.
41-11142314622 Transportation Engineering Division
TECM
Bender Fender- Rear ended.
Pulling up to intersection at Oil Well & Everglades Blvd.
heading West bound @ traffic light outer turning lane.
County vehicle rearends blue Ram 1500 4x4 Pick-up truck
with rear hitch. Damaged county truck front bumper.
(Speculating) the Truck Number CC2-1039 window cracked
while driving down I-75.
42-11062314525 COLLIER COUNTY TAX COLLECTOR
TXCE
DRIVING ON IMMOKALEE ROAS NEAR THE CASINO IN
IMMOKALEE WHEN SOMETHGING STRUCK AND
CRACKED THE WINDSHIELD.
42-09282213123 Pelican Bay Services Division
Second vehicle in line in left turn lane. Driver saw traffic
move in lane to the right and began moving forward before
realizing they still had a red light. The ambulance struck the
vehicle in front of them. No injuries reported.
Total by Major Coverage 4 Claims
Major Coverage: 40 - Auto Physical Damage
42-12282314687 Public Utilities Division
PUAO
WWTE
A non-county vehicle stopped on a green light, heading
South bound in the middle lane, at the intersection of 9-51
and Business Cir. CC2-1655 struck the non county vehicle
in the rear, causing damage to the bumper and tube holder
of CC2-1655.
Major Coverage: 30 - Auto Liability
32-05282212622 GALLEGO, CAROLINA
CMAO
Claimant states she was driving on Golden Gate Blvd W
when she had to stopped because the car in front broke
down when a County car rear ended her vehicle.
32-10232314455 MELE, PAUL
CENE
On Wilson Blvd approaching Golden Gate Blvd a gold
Cadillac DTS in front proceeded to turn right on GG Blvd.
Employee operating a county vehicle looked left to see
oncoming traffic not realizing the gold car had come to a
stop, causing county vehicle to bump into the car. County
vehicle was moving slowly.
32-01042414684 SANTORO, JASON
Crew jetting an underground storm pipe, the pipe failed in some unknown manner resulting in the rodder tracking outside the pipe without the knowledge of the operator. This
resulted in damage to paver driveway.
Total by Major Coverage 10 Claims
Major Coverage: 30 - Auto Liability
32-11152314563 AGUILAR RUIZ, MISAEL
HDPE
16.E.1.a
Packet Pg. 1233 Attachment: Closed Claims Report FY 2024 Q2 - All Lines (28669 : Ratification of Claims Files Closed By
924.85 0.00 0.00 0.00 0.00 0.00 0.00 924.85
12/21/2023 1/3/2024 3/12/2024 924.85 0.00 0.00 0.00 0.00 0.00 0.00 924.85
42
895.24 0.00 0.00 0.00 0.00 0.00 0.00 895.24
12/26/2023 1/2/2024 2/12/2024 895.24 0.00 0.00 0.00 0.00 0.00 0.00 895.24
42
2,726.40 0.00 3,880.43 0.00 0.00 0.00 0.00 6,606.83
2,726.40 0.00 3,880.43 0.00 0.00 0.00 0.00 6,606.83
89,815.12 16,387.49 38,578.20 0.00 0.00 0.00 0.00 144,780.81
89,815.12 16,387.49 38,578.20 0.00 0.00 0.00 0.00 144,780.81
9:02:34 AM
RMSE
Windshield cracked passenger side, operator has been on
vacation for two weeks did not notice until this morning
Total by Major Coverage 6 Claims
Grand Totals: 43 Claims
-15-
4/18/2024
Major Coverage: 40 - Auto Physical Damage
42-12212314675 ROAD MAINTENANCE DIVISION
RMSE
Vehicle found to have a broken windshield while conducting
pre-trip inspection
42-12262314672 ROAD MAINTENANCE DIVISION
Bender Fender- Rear ended.
Pulling up to intersection at Oil Well & Everglades Blvd.
heading West bound @ traffic light outer turning lane.
County vehicle rearends blue Ram 1500 4x4 Pick-up truck
with rear hitch. Damaged county truck front bumper.
16.E.1.a
Packet Pg. 1234 Attachment: Closed Claims Report FY 2024 Q2 - All Lines (28669 : Ratification of Claims Files Closed By
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
6/17/2021 6/17/2021 2/12/2024 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
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
9/6/2022 9/6/2022 1/11/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 334.82 0.00 0.00 0.00 0.00
9/9/2022 9/9/2022 3/20/2024 0.00 0.00 0.00 334.82 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
11/1/2021 11/1/2021 3/20/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 26,113.63 26,610.96 0.00 0.00 0.00 26,113.63
7/15/2022 7/15/2022 3/13/2024 0.00 0.00 26,113.63 26,610.96 0.00 0.00 0.00 26,113.63
41
0.00 0.00 0.00 41,595.04 0.00 0.00 0.00 0.00
9/7/2022 9/9/2022 1/4/2024 0.00 0.00 0.00 41,595.04 0.00 0.00 0.00 0.00
50
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/2/2022 9/6/2022 1/11/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
Collier County Government
Subrogation Closed Claim Report
Subrogation Recovery - Q2 FY 2024
Valued as of:4/18/2024
Claim Number Claimant Name
Division Date Report to Risk
Carrier Description of Loss
Period: 10/ 1/2020 - 9/30/2021 (10/1/2020 - 9/30/2021)
50-06172111548 Road Maintenance Division vs William Knott
RMSE
Traffic Accident Rept TAR #3366 - US 41 East phase C
median #31 at southeast end (northwest of St Andrews Blvd) -
landscape irrigation damages
Total by Period 1 Claim
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-09062212972 Transportation & Engineering Division vs Dean Blocker
627
Found light fixture 2674 knocked down. Costs consist of
removal of pole and cleanup.
50-09092212981 Transportation & Engineering Division vs Bob Bayas
TECM
Staff saw ped pole down on way to work.
50-11012111980 Transportation & Engineering Division vs Tamara Lapointe
TECM
Strain pole for signal hit by car.
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
41-07152212784 Pelican Bay Services Division vs Donald Roll
PELB
County vehicke traveling northbound on Tamiami Trail N was
hit by a vehicle that was attepting ot cross Tamiami Trail to
head northbound.
50-09072212979 Wastewater Collections vs Cruz Cable Inc.
617
Customer report of a sewer blockage received. Multiple
attempts to unclog sewer service lateral were unsuccessful.
Sewer service lateral excavated due to blockage, a black
cable/conduit was found to have gone through and damaged
the sewer lateral.
50-09022212971 Community Redevelopment Agency vs Dean Blocker
CRAE
Knocked Down Street Light Pole #20, SR29 (Main Street)/15th
Street, Immokalee, FL.
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
16.E.1.b
Packet Pg. 1235 Attachment: Closed Claims Report FY 2024 Q2 - Subrogation Files (28669 : Ratification of Claims Files
0.00 0.00 0.00 766.21 0.00 0.00 0.00 0.00
2/18/2022 5/12/2022 1/2/2024 0.00 0.00 0.00 766.21 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 4,241.15 0.00 0.00 0.00 0.00 4,241.15
8/20/2022 8/22/2022 2/28/2024 0.00 0.00 4,241.15 0.00 0.00 0.00 0.00 4,241.15
41 3000
0.00 0.00 30,354.78 69,307.03 0.00 0.00 0.00 30,354.78
0.00 0.00 30,354.78 69,307.03 0.00 0.00 0.00 30,354.78
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/1/2023 2/13/2023 3/20/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/23/2023 1/23/2023 3/20/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 1,260.50 0.00 0.00 0.00 0.00
9/6/2023 9/6/2023 3/13/2024 0.00 0.00 0.00 1,260.50 0.00 0.00 0.00 0.00
50
0.00 0.00 0.00 4,219.60 0.00 0.00 0.00 0.00
2/10/2023 2/10/2023 3/27/2024 0.00 0.00 0.00 4,219.60 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 11,450.00 0.00 0.00 0.00 0.00
12/1/2022 12/5/2022 1/11/2024 0.00 0.00 0.00 11,450.00 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 396.81 0.00 0.00 0.00 0.00
2/10/2023 2/13/2023 1/23/2024 0.00 0.00 0.00 396.81 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/30/2023 6/9/2023 3/25/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 789.06 1,289.06 0.00 0.00 0.00 789.06
50-02182212561 Road Maintenance Division vs Branden Boyle
RMSE
TAR #3484 / Guardrail damages at Oil Well Rd 4321 Ft east of
Pacific Grade Rd
CCSO #22-66811
41-08202212927 Road Maintenance Division vs Neshal Boodram
RMSE
Operator was traveling West on Kent Dr Vehicle #1 was
backing out of driveway and failed to yield to County Vehicle
causing damage to CC2112 right side bed area. Damage to
Vehicle #1 left quarter area was significant damage.
Total by Period 8 Claims
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
50-01012313685 Transportation Engineering Division vs Jeffrey Stanko
TECM
Street light and signs down.
50-01232313618 Transportation Engineering Division vs Christopher Brack
TECM
Street light hit and damaged by a car.
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
50-09062314302 Wastewater Division vs Utilities One Inc.
WWTE
Contractor bored orange cable conduit through customer clay
lateral line.
50-02102313677 Transportation Engineering Division vs Montas Charles
TECM
Car hit power supply that connects to signal cabinet to power.
50-12012213471 ROAD MAINTENANCE DIVISION VS MAXIM IGOREVICH
FOMITCHEVZAMILOV
RMSE
TRAFFIC ACCIDENT REPORT_ Radio Rd at Glen Eagle Blvd
(median 27 at west tip) _one Royal palm involved and other
landscape damages and possible irrigation damages, 5 golden
glory perennial peanut plants, 3 brown county mulch bags
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
50-02102313689 ROAD MAINTENANCE DIVISION VS Lessive Predelus
RMSE
TRAFFIC ACCIDENT REPORT_COLLIER BLVD, BETWEEN
27TH AVE SW & 29TH AVE SW_LANSCAPE DAMAGE-Mulch
grading was disturbed -Irrigation damages (At least 1 irrigation
head nozzle)-There is debris and trash by the gutter and at
median 68.
50-05302314028 Road Maintenance Division vs Yusmain Gutierrez Valladares
RMSE
TAR #29 / Guardrail Damages at Immokalee Rd and Strand
Blvd
41-03192313790 Domestic Animal Services vs Marlane Jerome
16.E.1.b
Packet Pg. 1236 Attachment: Closed Claims Report FY 2024 Q2 - Subrogation Files (28669 : Ratification of Claims Files
3/19/2023 3/19/2023 2/9/2024 0.00 0.00 789.06 1,289.06 0.00 0.00 0.00 789.06
41
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3/4/2023 3/6/2023 3/22/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 4,350.50 0.00 0.00 0.00 0.00
7/12/2023 7/13/2023 3/29/2024 0.00 0.00 0.00 4,350.50 0.00 0.00 0.00 0.00
50
4,147.49 0.00 0.00 10,000.00 0.00 0.00 0.00 4,147.49
12/3/2022 12/6/2022 2/29/2024 4,147.49 0.00 0.00 10,000.00 0.00 0.00 0.00 4,147.49
53 3000
0.00 0.00 0.00 1,465.40 0.00 0.00 0.00 0.00
11/21/2022 11/22/2022 1/22/2024 0.00 0.00 0.00 1,465.40 0.00 0.00 0.00 0.00
53 3000
480.59 0.00 0.00 0.00 0.00 0.00 0.00 480.59
10/24/2022 10/25/2022 1/17/2024 480.59 0.00 0.00 0.00 0.00 0.00 0.00 480.59
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/2/2023 7/3/2023 1/11/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/26/2023 7/27/2023 1/11/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
4,628.08 0.00 789.06 34,431.87 0.00 0.00 0.00 5,417.14
4,628.08 0.00 789.06 34,431.87 0.00 0.00 0.00 5,417.14
0.00 0.00 0.00 1,331.55 0.00 0.00 0.00 0.00
11/5/2023 11/7/2023 2/29/2024 0.00 0.00 0.00 1,331.55 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 2,076.84 0.00 0.00 0.00 0.00
11/11/2023 11/13/2023 3/8/2024 0.00 0.00 0.00 2,076.84 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 3,408.39 0.00 0.00 0.00 0.00
0.00 0.00 0.00 3,408.39 0.00 0.00 0.00 0.00
4,628.08 0.00 31,143.84 107,147.29 0.00 0.00 0.00 35,771.92
4,628.08 0.00 31,143.84 107,147.29 0.00 0.00 0.00 35,771.92
DASE
ACO Jimenez was parked stationary on 8th Ave. SE in 34117
completing a report when a driver attempting to make a U-
Turn struck his vehicle's left rear bumper causing light
damage.
50-03042313753 Transportation Engineering Division vs Bobby Nichols
TECM
Street light down in median.
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
50-07122314144 Wastewater Division vs Utilities One Inc.
WWTE
Contractor bored through Collier County customer lateral line.
Contractor: Utilities One Inc. Phone# 617 480 7482 Right of
way Permit# PRROW2023020782001
50-12032213481 Transportation & Engineering Division vs Jose Jimenez
Mandujano
TECM
Streetlight down, pole 167.
50-11212213438 TRAFFIC OPERATIONS VS SALVATORE IANDIMARINO
TECM
Signal and Ped crossing pole down from accident.
50-10242213291 Transportation & Engineering Division vs Emma Specht
TECM
Ped pole down due to car accident.
50-07022314104 Transportation & Engineering Division vs Sherri Johnson
TECM
Ped pole damage at intersection- signal in Flash
50-07262314197 Transportation & Engineering Division vs Maria Del Carmen
Leon Mendoza
Ped pole knocked down.
TECM
Ped pole hit by car.
Total by Period 15 Claims
Period: 10/1/2023 - 9/30/2024
50-11072314531 Transportation Engineering Division vs Robert Stiles
Total by Period 2 Claims
Grand Totals: 26 Claims
4/18/2024
9:05:09 AM
TECM
Ped pole down.
50-11112314542 Transportation Engineering Division vs Quincy Jimenez Alfaro
TECM
16.E.1.b
Packet Pg. 1237 Attachment: Closed Claims Report FY 2024 Q2 - Subrogation Files (28669 : Ratification of Claims Files
16.E.1.c
Packet Pg. 1238 Attachment: Resolution 2004-15 PDF0001 (28669 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.1.c
Packet Pg. 1239 Attachment: Resolution 2004-15 PDF0001 (28669 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.1.c
Packet Pg. 1240 Attachment: Resolution 2004-15 PDF0001 (28669 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.1.c
Packet Pg. 1241 Attachment: Resolution 2004-15 PDF0001 (28669 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.1.c
Packet Pg. 1242 Attachment: Resolution 2004-15 PDF0001 (28669 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.1.c
Packet Pg. 1243 Attachment: Resolution 2004-15 PDF0001 (28669 : Ratification of Claims Files Closed By The Risk Management Division)