Agenda 08/13/2024 Item #16E 1 (Ratify Property, Casualty, Worker's Compensation and Subrogation claim files settled and/or closed by Risk Management Division Director)08/13/2024
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 third
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 third 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 third quarter of FY 24, 90
files were closed with total expenditures of $331,947.49. Reinsurance recoveries for the third quarter of FY 24 were
$387.97. During the same period, 33 subrogation files were closed, and the Risk Management Division recovered
$159,046.83 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 the acceptance of the Settlement Report. -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.
16.E.1
Packet Pg. 1222
08/13/2024
ATTACHMENT(S)
1. Q3 FY24 Closed Claims Report - All Lines (PDF)
2. Q3 FY24 Closed Claims Report - Subrogation (PDF)
3. Resolution 2004-15 PDF0001 (PDF)
16.E.1
Packet Pg. 1223
08/13/2024
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.E.1
Doc ID: 29415
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 third
quarter of FY 24.
Meeting Date: 08/13/2024
Prepared by:
Title: Manager, Risk Finance – Risk Management
Name: Greily Gonzalez
07/11/2024 4:07 PM
Submitted by:
Title: Risk Management Director – Risk Management
Name: Michael Quigley
07/11/2024 4:07 PM
Approved By:
Review:
Risk Management Michael Quigley Director Review Completed 07/11/2024 4:39 PM
Corporate Business Operations Kenneth Kovensky Corporate Business Operations Review Completed 07/12/2024 2:41 PM
County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 07/12/2024 2:52 PM
Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 07/12/2024 3:50 PM
Office of Management and Budget Blanca Aquino Luque OMB Reviewer Completed 07/19/2024 3:17 PM
County Manager's Office Ed Finn Level 4 County Manager Review Completed 08/06/2024 12:41 PM
Board of County Commissioners Geoffrey Willig Meeting Pending 08/13/2024 9:00 AM
16.E.1
Packet Pg. 1224
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
12/4/2023 12/5/2023 5/10/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1000
16,732.23 1,300.69 11,992.25 0.00 0.00 0.00 0.00 30,025.17
9/5/2023 9/5/2023 5/9/2024 16,732.23 1,300.69 11,992.25 0.00 0.00 0.00 0.00 30,025.17
10 1300
239.70 15.90 0.00 0.00 0.00 0.00 0.00 255.60
1/12/2024 1/12/2024 4/15/2024 239.70 15.90 0.00 0.00 0.00 0.00 0.00 255.60
10 1200
887.75 117.85 0.00 0.00 0.00 0.00 0.00 1,005.60
11/1/2023 11/1/2023 4/22/2024 887.75 117.85 0.00 0.00 0.00 0.00 0.00 1,005.60
10 1700
10,745.85 192.78 825.65 0.00 0.00 0.00 0.00 11,764.28
12/28/2023 12/28/2023 5/28/2024 10,745.85 192.78 825.65 0.00 0.00 0.00 0.00 11,764.28
10 1700
0.00 33.40 0.00 0.00 0.00 0.00 0.00 33.40
4/9/2024 4/10/2024 4/19/2024 0.00 33.40 0.00 0.00 0.00 0.00 0.00 33.40
10 1300
384.86 28.18 0.00 0.00 0.00 0.00 0.00 413.04
3/25/2024 3/25/2024 4/18/2024 384.86 28.18 0.00 0.00 0.00 0.00 0.00 413.04
10 1100
419.00 23.85 0.00 0.00 0.00 0.00 0.00 442.85
4/1/2024 4/2/2024 4/8/2024 419.00 23.85 0.00 0.00 0.00 0.00 0.00 442.85
10 1200
76.50 7.95 0.00 0.00 0.00 0.00 0.00 84.45
4/15/2024 4/15/2024 4/29/2024 76.50 7.95 0.00 0.00 0.00 0.00 0.00 84.45
10 1700
10-04152415042
DASE
Employee reports she was rear-ended by another vehicle and is complaining of
neck pain.
MHCP
Employee reports he was taking out trash to the dumpster and the trash bag
was wrapped around his finger, and twisted his right middle finger.
10-04012414991
WATE
Employee reports while working on a box and meter replacement, he received a
laceration to right ring finger from a rusty buried pipe.
Major Coverage: 10 - Workers' Compensation
10-04092415024
COCE
Employee reports she fell on the 1st floor of Bldg. "F" as she was leaving work,
and injured multiple body parts.
10-03252414968
DASE
Employee reports he was chasing chickens and ran into a brush area, and poke
left eye with sticks.
10-12282314663
SOWE
Employee was standing up as the compactor box was being lifted, and the door
came loose and swung open and struck employee in head.
10-01122414715
DASE
Volunteer was bit by an animal on premises that was unprovoked.
10-11012314477
EMSE
Employee reports she was exposed to a POSITIVE TB patient while rendering
active airway assistance.
10-09052314295
MHCP
EE reports she was standing on the second ring of a ladder putting a screw in a
sign when the drill bit got stuck and she lost balance. She fell backwards to the
ground and now has pain in her knee.
Division
Carrier Description of Loss
Major Coverage: 10 - Workers' Compensation
10-12042314612
Collier County Government
Closed Claim Report- All Lines
3rd QTR FY 2024
Valued as of:7/9/2024
Claim Number Claimant Name
16.E.1.a
Packet Pg. 1225 Attachment: Q3 FY24 Closed Claims Report - All Lines (29415 : Ratification of Claims Files Closed By The
1,651.48 104.95 0.00 0.00 0.00 0.00 0.00 1,756.43
1/18/2024 1/19/2024 4/10/2024 1,651.48 104.95 0.00 0.00 0.00 0.00 0.00 1,756.43
10 1500
317.12 31.68 0.00 0.00 0.00 0.00 0.00 348.80
4/11/2024 4/15/2024 5/29/2024 317.12 31.68 0.00 0.00 0.00 0.00 0.00 348.80
10 1700
341.70 25.45 0.00 0.00 0.00 0.00 0.00 367.15
5/9/2024 5/10/2024 5/29/2024 341.70 25.45 0.00 0.00 0.00 0.00 0.00 367.15
10 1500
1,193.78 17.27 0.00 0.00 0.00 0.00 0.00 1,211.05
9/17/2023 9/29/2023 4/4/2024 1,193.78 17.27 0.00 0.00 0.00 0.00 0.00 1,211.05
10 1200
288.05 33.40 0.00 0.00 0.00 0.00 0.00 321.45
4/4/2024 4/4/2024 4/15/2024 288.05 33.40 0.00 0.00 0.00 0.00 0.00 321.45
10 1300
0.00 7.95 0.00 0.00 0.00 0.00 0.00 7.95
3/13/2024 3/13/2024 4/11/2024 0.00 7.95 0.00 0.00 0.00 0.00 0.00 7.95
10 1300
320.36 29.87 0.00 0.00 0.00 0.00 0.00 350.23
4/23/2024 4/23/2024 4/30/2024 320.36 29.87 0.00 0.00 0.00 0.00 0.00 350.23
10 1500
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6/17/2024 6/17/2024 6/30/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1000
820.49 55.51 0.00 0.00 0.00 0.00 0.00 876.00
3/28/2024 4/2/2024 4/22/2024 820.49 55.51 0.00 0.00 0.00 0.00 0.00 876.00
10 1500
353.15 0.00 0.00 0.00 0.00 0.00 0.00 353.15
5/20/2024 5/21/2024 5/28/2024 353.15 0.00 0.00 0.00 0.00 0.00 0.00 353.15
10 1200
239.22 0.00 0.00 0.00 0.00 0.00 0.00 239.22
6/13/2024 6/13/2024 6/30/2024 239.22 0.00 0.00 0.00 0.00 0.00 0.00 239.22
10 1300
FMGE
Employee was replacing a flag and the rope and metal hooks cut pinky finger.
10-06132415243
FLME
Employee was walking down the west side of the shop and stepped on a small
square piece of packing foam that was on the floor, he slipped on the wet/ oil
shop floor and he caught himself so not to fall, but pulled/ strained something in
his low back.
10-03282414993
WWTE
Employee reports while working in the sand filter, he was having some
discomfort with his left ankle. Employee did not fall or injured himself
Major Coverage: 10 - Workers' Compensation
10-05202415180
FLME
Employee reports he was working on a vehicle and wrenching on a bolt that
came loose and felt a pull in his right low back.
10-06172415260
WWTE
Employee reports he has burning to his left index finger & left thumb while
transferring an item from a furnace.
Employee reports he tripped & fell while moving paint buckets from one location
to another, resulting in an injury to his left ribs.
10-03132414926
RMSE
Employee reports he was trying to start the hand blower and suddenly fell down
on the ground, and hit right elbow.
10-04232415080
EMSE
Employee sustained a puncture to ring finger while manipulating a bloody
airway.
Major Coverage: 10 - Workers' Compensation
10-04042415004
MHCP
10-05092415145
EMSE
Employee reports he was lifting some boxes down off of a shelf and felt pain in
his lower left side abdomen.
10-09172314382
COL
Employee reports she was pulling the Ground Power Unit cord from the
airplane, and felt something pull in her neck. It continually progressed to get
worse and this morning (1/19/24) decided to see a doctor.
10-04112415039
TXCE
Employee reports she hit the back of her right hand on the edge of her cubicle
walking back to her desk.
Employee reports she was rear-ended by another vehicle and is complaining of neck pain.
Major Coverage: 10 - Workers' Compensation
10-01182414731
16.E.1.a
Packet Pg. 1226 Attachment: Q3 FY24 Closed Claims Report - All Lines (29415 : Ratification of Claims Files Closed By The
108.66 0.00 0.00 0.00 0.00 0.00 0.00 108.66
5/29/2024 5/30/2024 5/31/2024 108.66 0.00 0.00 0.00 0.00 0.00 0.00 108.66
10 1700
432.10 17.50 0.00 0.00 0.00 0.00 0.00 449.60
5/17/2024 5/17/2024 5/31/2024 432.10 17.50 0.00 0.00 0.00 0.00 0.00 449.60
10
398.64 0.00 0.00 0.00 0.00 0.00 0.00 398.64
5/24/2024 5/24/2024 5/31/2024 398.64 0.00 0.00 0.00 0.00 0.00 0.00 398.64
10 1400
340.64 0.00 0.00 0.00 0.00 0.00 0.00 340.64
5/24/2024 5/24/2024 5/29/2024 340.64 0.00 0.00 0.00 0.00 0.00 0.00 340.64
10 1400
308.25 46.33 0.00 0.00 0.00 0.00 0.00 354.58
5/6/2024 5/7/2024 5/29/2024 308.25 46.33 0.00 0.00 0.00 0.00 0.00 354.58
10 1500
27,191.05 6,013.68 8,197.95 0.00 0.00 0.00 0.00 41,402.68
2/11/2021 2/17/2021 5/10/2024 27,191.05 6,013.68 8,197.95 0.00 0.00 0.00 0.00 41,402.68
10 1700
2,864.59 229.99 11,014.93 0.00 0.00 0.00 0.00 14,109.51
9/2/2022 9/2/2022 4/4/2024 2,864.59 229.99 11,014.93 0.00 0.00 0.00 0.00 14,109.51
10 1500
394.40 0.00 0.00 0.00 0.00 0.00 0.00 394.40
5/23/2024 5/23/2024 6/3/2024 394.40 0.00 0.00 0.00 0.00 0.00 0.00 394.40
10 1700
1,952.15 73.20 0.00 0.00 0.00 0.00 0.00 2,025.35
10/24/2023 12/7/2023 4/11/2024 1,952.15 73.20 0.00 0.00 0.00 0.00 0.00 2,025.35
10 1500
61,663.19 3,826.61 2,071.55 0.00 0.00 0.00 0.00 67,561.35
10/6/2022 10/6/2022 6/30/2024 61,663.19 3,826.61 2,071.55 0.00 0.00 0.00 0.00 67,561.35
10 1500
2,018.52 68.51 0.00 0.00 0.00 0.00 0.00 2,087.03
4/19/2024 4/19/2024 6/27/2024 2,018.52 68.51 0.00 0.00 0.00 0.00 0.00 2,087.03TXCE
10-10062213150
MHCP
Employee was repairing a fence with a hammer and experienced pain in right
shoulder.
Major Coverage: 10 - Workers' Compensation
10-04192415061
GMAO
Employee was bitten in the nose and cheek by a dog that is being fostered by
another staff member. The staff member that is fostering the dog is doing it in
response to the Adoption Ambassador Program the County's DAS Division
runs.
10-10242314621
PELB
Employee reports he was mowing a steep area on a slope with a standup
mower, when he took his hands off the bars causing the mower to stop and his
thumb bent backwards on the control bar.
10-09022212962
EMSE
Employee injured right shoulder treating a combative seizure patient.
Major Coverage: 10 - Workers' Compensation
10-05232415187
WWTE
Employee reports he has discomfort in left shoulder, upper back and front of
chest after pulling weeds by hand at the Fairgrounds.
10-02112111152
EMSE
Employee was on a call for service, and struck his head on top of the
ambulance rear door opening, while stepping up into the unit and was knocked
to the floor.
Employee sustained injury when truck CC2-2181 was struck by a vehicle
travelling westbound on Vanderbilt-Beach Rd as it was turing north onto Oakes
Blvd from eastbound Vanderbilt-Beach Rd.
10-05242415196
WWTE
Employee was the passenger in a County vehicle that was involved in an
accident.
10-05062415132
WATE
While lifting a piece of equiment at the RWBS to place it on a truck employees
finger got pinched between truck and piece of equipment.
Major Coverage: 10 - Workers' Compensation
10-05242415198
WWTE
10-05292415213
GMAO
Employee reported that she sustained a bite injury to the right palm of her hand
and index finger while attempting to attach a leash to a dog.
10-05172415168
Employee was walking down the west side of the shop and stepped on a small square piece of packing foam that was on the floor, he slipped on the wet/ oil shop floor and he caught himself so not to fall, but pulled/ strained something in
his low back.
16.E.1.a
Packet Pg. 1227 Attachment: Q3 FY24 Closed Claims Report - All Lines (29415 : Ratification of Claims Files Closed By The
10 1700
43.11 44.23 0.00 0.00 0.00 0.00 0.00 87.34
4/17/2024 4/17/2024 5/10/2024 43.11 44.23 0.00 0.00 0.00 0.00 0.00 87.34
10 1000
707.03 17.50 0.00 0.00 0.00 0.00 0.00 724.53
5/24/2024 5/24/2024 5/29/2024 707.03 17.50 0.00 0.00 0.00 0.00 0.00 724.53
10 1300
594.43 23.85 0.00 0.00 0.00 0.00 0.00 618.28
4/5/2024 4/8/2024 5/10/2024 594.43 23.85 0.00 0.00 0.00 0.00 0.00 618.28
10 1300
395.84 162.65 0.00 0.00 0.00 0.00 0.00 558.49
4/24/2024 4/25/2024 4/30/2024 395.84 162.65 0.00 0.00 0.00 0.00 0.00 558.49
10 1100
3,943.52 327.85 0.00 0.00 0.00 0.00 0.00 4,271.37
10/10/2023 10/10/2023 6/10/2024 3,943.52 327.85 0.00 0.00 0.00 0.00 0.00 4,271.37
10 1500
5,563.69 391.43 0.00 0.00 0.00 0.00 0.00 5,955.12
9/16/2023 9/16/2023 5/10/2024 5,563.69 391.43 0.00 0.00 0.00 0.00 0.00 5,955.12
10 1100
1,485.47 117.63 0.00 0.00 0.00 0.00 0.00 1,603.10
1/29/2024 1/30/2024 4/10/2024 1,485.47 117.63 0.00 0.00 0.00 0.00 0.00 1,603.10
10 1500
625.97 77.96 0.00 0.00 0.00 0.00 0.00 703.93
2/20/2024 2/21/2024 4/18/2024 625.97 77.96 0.00 0.00 0.00 0.00 0.00 703.93
10 1500
10,493.90 361.33 1,112.62 0.00 0.00 0.00 0.00 11,967.85
9/25/2023 10/16/2023 6/18/2024 10,493.90 361.33 1,112.62 0.00 0.00 0.00 0.00 11,967.85
10 1500
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/4/2023 12/5/2023 5/1/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1000
156,536.39 13,826.93 35,214.95 0.00 0.00 0.00 0.00 205,578.27
156,536.39 13,826.93 35,214.95 0.00 0.00 0.00 0.00 205,578.27Total by Major Coverage 41 Claims
WATE
Employee states his right knee began to hurt after he walked up and down stairs
of flight passing out flyers.
10-12042314611
EMSE
Employee was exposed to a POSITIVE TB patient while providing active airway
assistance.
10-02202414853
RMSE
Employee reports he was lifting material to be assembled and tweaked his lower
back.
Major Coverage: 10 - Workers' Compensation
10-09252314413
MHCP
Employee report she was a passenger in a golf cart at the Vineyards
Community Park and her right foot got caught and struck between the concrete
and the bench of the golf cart, and has pain and swelling.
10-01292414778
MHCP
Employee reports she was taking a Christmas tree box upstairs to storage, and
while walking up stairs with the box on her shoulder she felt discomfort in her
back. The pain did not go away
Major Coverage: 10 - Workers' Compensation
10-10102314403
FLME
Employee reports he was unloading sheets of plywood on the premises and one
slipped in his hand and he twisted to catch it. EE is experiencing lower back
pain.
10-09162314333
WATE
Employee reports he was pulling a pipe and slipped on the wet grass twisting his
right ankle.
10-04242415087
WATE
Employee sustained an injury to his left index finger after it was caught in a door.
10-05242415195
WATE
While painting inside a well, employee fell from a ladder.
10-04052415012
Employee reported that she was conducting a driving test with a client when the
clinet collided with a guardrail on the driving course. As a result of the impact,
she experienced a jolting motion and is complaining of tightness in back &
tingling in right hand.
10-04172415049
WATE
Employee reports he arrived to work claiming to have blurry vision and eyes
were red.
16.E.1.a
Packet Pg. 1228 Attachment: Q3 FY24 Closed Claims Report - All Lines (29415 : Ratification of Claims Files Closed By The
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/6/2022 9/14/2022 4/17/2024 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
12/30/2023 12/31/2023 5/10/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
0.00 17.50 0.00 0.00 0.00 0.00 0.00 17.50
3/3/2023 3/3/2023 4/24/2024 0.00 17.50 0.00 0.00 0.00 0.00 0.00 17.50
21 2050
250.00 0.00 0.00 0.00 0.00 0.00 0.00 250.00
1/4/2024 1/9/2024 5/30/2024 250.00 0.00 0.00 0.00 0.00 0.00 0.00 250.00
21 2050
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/18/2023 1/18/2023 4/30/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
20 2050
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
1/30/2024 3/7/2024 6/6/2024 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
4/8/2024 4/9/2024 4/19/2024 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
1/25/2024 1/26/2024 4/26/2024 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
10/19/2023 12/13/2023 4/12/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22
RMSE
Claimant stated he ran over a pothole East of Wiggins Pass Road and Gulf
Harbor Drive, which caused damage to his tire on the front right passenger side.
He is requesting reimbursement for repairs.
Major Coverage: 20 - General Liability
22-01252414758 UNKNOWN
RMSE
Collier County Road Maintenance Operator bumped into a residence corner
post their chain link fence and bent it while operating the MowerMax.
22-10192314636 GIACCHINO, GENE
MHCP
Claimant states he was riding a rented bike at Barefoot Beach and hit a speed
bump causing him to go over the handle bars. He states that the speed bumps
are too high and the caution sign should be moved back so people have more
time to see it.
22-04082415017 KHACHATOURIAN, REBEKAH
MHCP
Claimant states that the edge of the boat ramp has broken off and when they
backed their boat trailer down the ramp, the back tire went off the ramp and the
trailer tilted on its side. She says the tire was stuck and it was very difficult to get
it out.
Major Coverage: 20 - General Liability
21-01182313599 STONE, KAREN
LIBE
A patron tripped and fell over a paver that was elevated due to a tree root in the
HQ courtyard. She declined calling 911 and was able to get up. The area was
roped off by staff after.
22-01302414905 COHEN, STEVE
MHCP
A spectator fell and was injured. Possibly hurt her wrist and knees.
21-01042414695 WILCOX, MICHELLE
RMSE
Claimant was walking down the sidewalk on Arbor Blvd towards Vineyards Blvd
and tripped on a raise part of the sidewalk. She hit her head on the concrete and
bruised her hip, leg, and arm. She had to miss work the following day due to her
injuries and
22-12302314671 UNKNOWN
EMSE
While moving a stretcher in the patient's house they struck an interior wall
corner and caused damage.
21-03032313744 STRABLEY, LESLIE
Major Coverage: 20 - General Liability
21-09062213000 GUAJARDO, NICOLAS
500
Nicolas stopped in the Community Center on Monday, September 12th. He
informed me of an accident that occurred on Monday September 6th. He said
he fell off his skateboard. He had hit his head, road rash and hurt his left
shoulder.
16.E.1.a
Packet Pg. 1229 Attachment: Q3 FY24 Closed Claims Report - All Lines (29415 : Ratification of Claims Files Closed By The
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/9/2023 1/11/2024 4/12/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2050
9,500.00 14.50 0.00 0.00 0.00 0.00 0.00 9,514.50
5/30/2022 5/30/2022 4/30/2024 9,500.00 14.50 0.00 0.00 0.00 0.00 0.00 9,514.50
21
9,750.00 32.00 0.00 0.00 0.00 0.00 0.00 9,782.00
9,750.00 32.00 0.00 0.00 0.00 0.00 0.00 9,782.00
0.00 369.05 5,434.08 0.00 0.00 0.00 0.00 5,803.13
12/8/2023 12/8/2023 5/17/2024 0.00 369.05 5,434.08 0.00 0.00 0.00 0.00 5,803.13
32 3000
0.00 0.00 351.78 0.00 0.00 0.00 0.00 351.78
12/26/2023 12/26/2023 4/24/2024 0.00 0.00 351.78 0.00 0.00 0.00 0.00 351.78
32
0.00 0.00 4,528.08 0.00 0.00 0.00 0.00 4,528.08
2/19/2024 2/19/2024 4/24/2024 0.00 0.00 4,528.08 0.00 0.00 0.00 0.00 4,528.08
32 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/16/2020 9/16/2020 4/17/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
31 3000
0.00 0.00 1,515.47 0.00 0.00 0.00 0.00 1,515.47
1/19/2024 1/19/2024 4/26/2024 0.00 0.00 1,515.47 0.00 0.00 0.00 0.00 1,515.47
32
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5/28/2022 1/26/2023 6/10/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
31 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9/27/2023 9/27/2023 4/17/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 3000
0.00 0.00 4,544.28 0.00 0.00 0.00 0.00 4,544.28
4/12/2023 4/12/2023 4/24/2024 0.00 0.00 4,544.28 0.00 0.00 0.00 0.00 4,544.28DASE
Claimant was rear ended by an ambulance, allegedly causing bodily injury.
32-09272314372 HOLLOWAY, ERICH
FMGE
Employee was attempting to switch from the lanes from far left lane to the
middle lane. At the same time Roberto Lewis attempted to switch from the far
right lane to the middle lane. They collided in the middle lane.
32-04122313859 BROWN, ERIC
WWTE
Collier county Truck CC2-1677 was making a left turn into parking lot off 951
when he struck claimants vehicles rear bumper causing minor damage.
Major Coverage: 30 - Auto Liability
31-05282213630 GALLEGO, CAROLINA
EMSE
31-09162004042 Aaron Oldfield
TECM
County vehicle hit vehicle 2 causing that vehicle to hit vehicle 3.
32-01192414732 FOX, JECONIAH
BPRI
Inspector was conducting a building inspection on customer's home, upon
leaving the property he backed up and hit the flag pole.
32-02192414849 WILSON, ALBEIRO
PSVE
While responding to a call, gps led crew to an area where they had to back up
and turn a different direction. In doing so, they clipped the bumper of a parked
vehicle. No occupants. Damage (scratches) to bumper.
Major Coverage: 30 - Auto Liability
32-12082314623 ARAYA, MIRNA
BPRI
As the employee was reversing his truck he hit another vehicle on the front
driver side.
32-12262314659 KLEPPER, MICHAEL
Major Coverage: 20 - General Liability
21-05302212624 CARLA, DAVIS
MHCP
Clara's left leg fell through the grates at baby pool, there was no damage to her
other than a scrape on her ankle which we provided gauze and a band aid for
and she hurt her wrist which we provided ice for.
Total by Major Coverage 11 Claims
Claimant stated he ran over a pothole East of Wiggins Pass Road and Gulf Harbor Drive, which caused damage to his tire on the front right passenger side. He is requesting reimbursement for repairs.
21-12092314713 SPENSIERI, DONNA
RMSE
Claimant was jogging and her foot hit the raised sidewalk. She tripped forward
and left arm braced fall, which caused her to break her shoulder. She did not
need surgery. She would like to be reimbursed for her copayments.
16.E.1.a
Packet Pg. 1230 Attachment: Q3 FY24 Closed Claims Report - All Lines (29415 : Ratification of Claims Files Closed By The
30 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4/22/2024 4/22/2024 5/23/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12/5/2023 12/5/2023 5/24/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32
0.00 369.05 16,373.69 0.00 0.00 0.00 0.00 16,742.74
0.00 369.05 16,373.69 0.00 0.00 0.00 0.00 16,742.74
820.51 0.00 0.00 0.00 0.00 0.00 0.00 820.51
4/22/2024 4/23/2024 5/17/2024 820.51 0.00 0.00 0.00 0.00 0.00 0.00 820.51
42 2000
997.33 0.00 0.00 0.00 0.00 0.00 0.00 997.33
2/13/2024 2/14/2024 4/17/2024 997.33 0.00 0.00 0.00 0.00 0.00 0.00 997.33
42 3000
200.00 0.00 0.00 0.00 0.00 0.00 0.00 200.00
5/15/2024 5/15/2024 5/31/2024 200.00 0.00 0.00 0.00 0.00 0.00 0.00 200.00
41
906.31 0.00 0.00 0.00 0.00 0.00 0.00 906.31
3/9/2024 3/14/2024 5/24/2024 906.31 0.00 0.00 0.00 0.00 0.00 0.00 906.31
42
887.00 0.00 0.00 0.00 0.00 0.00 0.00 887.00
5/14/2024 5/14/2024 5/23/2024 887.00 0.00 0.00 0.00 0.00 0.00 0.00 887.00
42
931.14 0.00 0.00 0.00 0.00 0.00 0.00 931.14
5/4/2024 5/15/2024 5/23/2024 931.14 0.00 0.00 0.00 0.00 0.00 0.00 931.14
42
0.00 0.00 1,026.13 0.00 0.00 0.00 0.00 1,026.13
8/4/2023 8/10/2023 5/31/2024 0.00 0.00 1,026.13 0.00 0.00 0.00 0.00 1,026.13
41
3,844.89 0.00 0.00 0.00 0.00 0.00 0.00 3,844.89
1/5/2024 1/5/2024 5/31/2024 3,844.89 0.00 0.00 0.00 0.00 0.00 0.00 3,844.89
41
FMGE
Driving on US 41 N, another non county work van was driving in front of the
County vehicle when a large pipe fell out and landed on the curb. The County
vehicle drove over it and blew out the passenger side front and back tires.
A rock hit the windshield causing a chip while the car was being driven.
41-08042314238 Facilities Management
FMGE
Backed up into gate arm at Paradise Coast stadium. Right tail light minor
chipping
41-01052414688 FACILITIES MANAGEMENT
FLME
County employee was moving the interior rearview mirror to perform a repair
and when moving the mirror, it broke a chunk out of the windshield and it
cracked.
Major Coverage: 40 - Auto Physical Damage
42-05042415159 PUBLIC TRANSIT & NEIGHBORHOOD ENHANCEMENT DEPARTMENT
PTNE
42-03092414927 WATER DIVISION
WATE
Mirror was adjusted and came off the windshield.
42-05142415153 Fleet Management
TECM
Rock hit windshield in several places and cracked windshield
41-05152415158 Marco Island Executive Airport
COL
Our Line Technician was loading wood in the back of the truck (CC2-2984) and
the wood slid forward and busted the back window of the truck.
Major Coverage: 40 - Auto Physical Damage
42-04222415078 Facilities Management Division
FMGE
Cracked side door window on van #cc2-3073, sent it to Fleet and said it was a
stone that caused it.
42-02132414838 Transportation Engineering Division
Major Coverage: 30 - Auto Liability
32-12052314610 KELLER, PATRICK
CENE
While our employee was traveling eastbound on Golden Gate Parkway prior to
crossing I-75, our vehicle (CC2-1240) hit another vehicle traveling approximately
5 Mph.
Total by Major Coverage 10 Claims
Vehicle was in drive, driver exited the vehicle to run back into the shelter, vehicle
moved forward and hit a staff members vehicle causing minor damage to
passenger side rear bumper.
32-04222415074 The Chalet of San Marco
EMSE
While being guided under a low overhang by the driver's partner, a MIPD officer,
and a bystander, the truck hit the wooden overhang, causing a small piece of
the overhang to break off.
16.E.1.a
Packet Pg. 1231 Attachment: Q3 FY24 Closed Claims Report - All Lines (29415 : Ratification of Claims Files Closed By The
0.00 0.00 9,426.86 0.00 0.00 0.00 0.00 9,426.86
7/25/2023 7/25/2023 5/23/2024 0.00 0.00 9,426.86 0.00 0.00 0.00 0.00 9,426.86
41
0.00 0.00 2,736.81 0.00 0.00 0.00 0.00 2,736.81
12/15/2023 12/18/2023 5/9/2024 0.00 0.00 2,736.81 0.00 0.00 0.00 0.00 2,736.81
41
0.00 0.00 2,537.77 0.00 0.00 0.00 0.00 2,537.77
5/5/2023 5/15/2023 5/31/2024 0.00 0.00 2,537.77 0.00 0.00 0.00 0.00 2,537.77
41
0.00 0.00 898.62 0.00 0.00 0.00 0.00 898.62
4/1/2024 4/2/2024 5/31/2024 0.00 0.00 898.62 0.00 0.00 0.00 0.00 898.62
41
0.00 0.00 2,314.09 0.00 0.00 0.00 0.00 2,314.09
12/19/2022 12/20/2022 4/26/2024 0.00 0.00 2,314.09 0.00 0.00 0.00 0.00 2,314.09
41 3000
0.00 0.00 1,602.26 0.00 0.00 0.00 0.00 1,602.26
2/23/2024 2/23/2024 6/6/2024 0.00 0.00 1,602.26 0.00 0.00 0.00 0.00 1,602.26
41
0.00 0.00 128.10 0.00 0.00 0.00 0.00 128.10
5/6/2024 5/6/2024 5/31/2024 0.00 0.00 128.10 0.00 0.00 0.00 0.00 128.10
41
0.00 0.00 2,263.58 0.00 0.00 0.00 0.00 2,263.58
12/6/2022 12/6/2022 5/15/2024 0.00 0.00 2,263.58 0.00 0.00 0.00 0.00 2,263.58
41
0.00 0.00 22,013.71 0.00 0.00 0.00 0.00 22,013.71
9/8/2023 9/8/2023 4/30/2024 0.00 0.00 22,013.71 0.00 0.00 0.00 0.00 22,013.71
41 3000
0.00 0.00 13,621.25 0.00 0.00 0.00 0.00 13,621.25
9/8/2023 9/8/2023 5/15/2024 0.00 0.00 13,621.25 0.00 0.00 0.00 0.00 13,621.25
41 3000
WATE
Employee was backing up in the garage bay in vehicle CC2-3011, vehicle
accelerated into the side of another county vehicle and a caged shelf. Damage
to CC2-3011 to rear end and front end.
41-09082314314 WATER DIVISION
WATE
Meter services employee was driving vehicle CC2-3011 an F-150 in the
maintenance garage at 4370 Mercantile Ave. While backing the vehicle he
began to accelerate at a high rate of speed. His vehicle struck another truck in
the garage
41-12062213477 Transportation Engineering Division
TECM
While inspecting the clearing progress of the new road construction project
(Vanderbilt Beach Road Extension), CC2-1215 was driven down a sandy
access path in the County Right-of-Way when the tire hit a soft rut and a piece
of wood dented the passenger door.
Major Coverage: 40 - Auto Physical Damage
41-09082314312 WATER DIVISION
UOSD
While traveling northbound in the center lane of Santa Barbara just entering the
Davis and Santa Barbara intersection through a green light, the car in front of
employee slammed on the brakes and he rear-ended it.
41-05062415129 Wastewater Division
WWTE
Collier County vehicle was parked on the side of the road on Mondago Lane off
of Tamiami Trail East when vehicles driver-side mirror was struck by a passing
vehicle. Collier County Sheriff Case# 24-180046 Driver of the passing vehicle
did not stop.
41-12192213520 Parks and Recreation
MHCP
Employee hit the fender (rear, lower driver's side) of the truck (CC2-2065) with
the corner of the tractor bucket while laying clay on the softball fields in Sabal
palm Elementary School.
Major Coverage: 40 - Auto Physical Damage
41-02232414864 PUD ENGINEERING STAKES & LOCATES
WATE
Employee backed into a tree. He did not notice damaged until today.
41-04012414990 BUREAU OF EMERGENCY SERVICES
EMSE
While cutting the turn to drive away from gas pump at 711, the back wheel hub
rubber cover/trim caught on trash can and scraped it. The chrome trim was
bent backward about 1 inch. No damage to can.
Major Coverage: 40 - Auto Physical Damage
41-12152314644 FACILITIES MANAGMENT DIVISION
FMGE
After leasing the boom lift for the truck hitch, the lift rolled forward and struck the
license plate area of the truck.
41-05052313953 WATER DIVISION
Driving on US 41 N, another non county work van was driving in front of the County vehicle when a large pipe fell out and landed on the curb. The County vehicle drove over it and blew out the passenger side front and back tires.
41-07252314187 PARKS & RECREATION
MHCP
Employee thought he hitched the trailer #20010121 right on CC2-1429. When he
drove the mower onto the trailer, the trailer unhitch upward and landed on the
tailgate of CC2-1429 causing damage to the tailgate.
16.E.1.a
Packet Pg. 1232 Attachment: Q3 FY24 Closed Claims Report - All Lines (29415 : Ratification of Claims Files Closed By The
0.00 0.00 20,216.58 0.00 0.00 0.00 0.00 20,216.58
2/17/2023 2/17/2023 4/24/2024 0.00 0.00 20,216.58 0.00 0.00 0.00 0.00 20,216.58
41
981.32 0.00 0.00 0.00 0.00 0.00 0.00 981.32
3/12/2024 3/13/2024 6/3/2024 981.32 0.00 0.00 0.00 0.00 0.00 0.00 981.32
42 2000
9,568.50 0.00 78,785.76 0.00 0.00 0.00 0.00 88,354.26
9,568.50 0.00 78,785.76 0.00 0.00 0.00 0.00 88,354.26
0.00 0.00 0.00 213.70 0.00 0.00 0.00 0.00
3/15/2024 4/4/2024 5/2/2024 0.00 0.00 0.00 213.70 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 174.27 0.00 0.00 0.00 0.00
8/23/2023 3/6/2024 5/22/2024 0.00 0.00 0.00 174.27 0.00 0.00 0.00 0.00
53 3000
8,587.67 0.00 0.00 0.00 0.00 0.00 0.00 8,587.67
3/7/2024 3/13/2024 5/31/2024 8,587.67 0.00 0.00 0.00 0.00 0.00 0.00 8,587.67
50 5500
384.00 0.00 0.00 0.00 0.00 0.00 0.00 384.00
4/4/2024 4/4/2024 5/31/2024 384.00 0.00 0.00 0.00 0.00 0.00 0.00 384.00
53 3000
1,202.94 0.00 0.00 0.00 0.00 0.00 0.00 1,202.94
5/20/2021 5/20/2021 4/26/2024 1,202.94 0.00 0.00 0.00 0.00 0.00 0.00 1,202.94
52 3000
967.00 0.00 0.00 0.00 0.00 0.00 0.00 967.00
1/16/2024 1/17/2024 4/29/2024 967.00 0.00 0.00 0.00 0.00 0.00 0.00 967.00
50 5500
187.77 0.00 0.00 0.00 0.00 0.00 0.00 187.77
9/19/2023 10/17/2023 4/24/2024 187.77 0.00 0.00 0.00 0.00 0.00 0.00 187.77
54 3000
11,329.38 0.00 0.00 387.97 0.00 0.00 0.00 11,329.38
11,329.38 0.00 0.00 387.97 0.00 0.00 0.00 11,329.38
RMSE
• 6 African iris plants Damage ( 4 feet tall estimate )
• 5 Bags Collier Brown Mulch Damage
• Possible Irrigation Damage
Total by Major Coverage 7 Claims
Major Coverage: 60 - Public Officials Errors and Ommissions
CC2-2213 golf cart was stolen from the soccer complex between 9:00pm on
5/19/21 and 6:00am on 5/20/21. The cart was driven to the Juliet Walmart and
damaged in the process. The police report has been filled out and submitted to
CCSO.
50-01162414721 PARKS & RECREATION
MHCP
North Collier Regional Park perimeter fence near soccer complex was cut and
mutilated to allow unauthorized entry into the park. CCSO report #: 24-23747
50-09192314421 ROAD MAINTENANCE DIVISION
MHCP
Vehicle crashed into the entrance sign of the Sugden Regional Park damaging
the left side wood logs that holds an electrical box for lighting of the sign.
Major Coverage: 50 - Property
52-05202111443 Parks and Recreation
MHCP
50-03072414923 MUSEUM
MUSE
Older John Deere Gator was noticed missing from the property on 3/7/2024. It is
usually parked next to the tractor and trailers on the property. Employee went to
inspect it to ensure we could use it for an upcoming event on 3/9. CCSO was
contacted.
50-04042415003 PARKS & RECREATION
TECM
Sign down from accident
50-08232314902 Transportation Engineering Division vs Oscar Posadas
TECM
Sign down by accident
LIBE
While driving southbound on I-75, a small rock or piece of debris nicked the
windshield, causing an X-shaped crack approximately the diameter of a penny
Total by Major Coverage 20 Claims
Major Coverage: 50 - Property
50-03152414998 Transportation Engineering Division vs Anthony Pruchnik
41-02172313704 Emergency Medical Services
EMSE
Medic 02 tk 32 made contact with City of Naples Engine 01 when leaving the
scene of a medical call.
42-03122414916 LIBRARY
Meter services employee was driving vehicle CC2-3011 an F-150 in the
maintenance garage at 4370 Mercantile Ave. While backing the vehicle he
began to accelerate at a high rate of speed. His vehicle struck another truck in
the garage
16.E.1.a
Packet Pg. 1233 Attachment: Q3 FY24 Closed Claims Report - All Lines (29415 : Ratification of Claims Files Closed By The
0.00 160.84 0.00 0.00 0.00 0.00 0.00 160.84
12/16/2020 7/22/2021 4/22/2024 0.00 160.84 0.00 0.00 0.00 0.00 0.00 160.84
65 2300
0.00 160.84 0.00 0.00 0.00 0.00 0.00 160.84
0.00 160.84 0.00 0.00 0.00 0.00 0.00 160.84
187,184.27 14,388.82 130,374.40 387.97 0.00 0.00 0.00 331,947.49
187,184.27 14,388.82 130,374.40 387.97 0.00 0.00 0.00 331,947.49
9:37:28 AM
SOWE
Former employee is alleging that the County terminated her employment and
discriminated her due to her disability.
Total by Major Coverage 1 Claim
Grand Totals: 90 Claims
-27-
7/9/2024
65-12162011676 HENDRICKSON, LISA 16.E.1.a
Packet Pg. 1234 Attachment: Q3 FY24 Closed Claims Report - All Lines (29415 : 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
6,204.47 835.80 0.00 0.00 0.00 0.00 0.00 7,040.27
4/1/2021 4/1/2021 6/10/2024 6,204.47 835.80 0.00 0.00 0.00 0.00 0.00 7,040.27
53 3000
0.00 0.00 0.00 8,947.53 0.00 0.00 0.00 0.00
11/10/2020 12/30/2020 5/9/2024 0.00 0.00 0.00 8,947.53 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 1,052.47 0.00 0.00 0.00 0.00
11/10/2020 11/12/2020 5/9/2024 0.00 0.00 0.00 1,052.47 0.00 0.00 0.00 0.00
50 3000
0.00 264.05 4,208.03 4,208.03 0.00 0.00 0.00 4,472.08
3/23/2021 3/24/2021 6/18/2024 0.00 264.05 4,208.03 4,208.03 0.00 0.00 0.00 4,472.08
41 3000
6,204.47 1,099.85 4,208.03 14,208.03 0.00 0.00 0.00 11,512.35
6,204.47 1,099.85 4,208.03 14,208.03 0.00 0.00 0.00 11,512.35
0.00 0.00 6,423.81 6,565.30 0.00 0.00 0.00 6,423.81
1/19/2022 1/20/2022 4/12/2024 0.00 0.00 6,423.81 6,565.30 0.00 0.00 0.00 6,423.81
41 3000
0.00 0.00 0.00 1,481.51 0.00 0.00 0.00 0.00
9/1/2022 9/12/2022 4/19/2024 0.00 0.00 0.00 1,481.51 0.00 0.00 0.00 0.00
54 3000
9,398.84 0.00 0.00 9,398.84 0.00 0.00 0.00 9,398.84
11/22/2021 11/22/2021 5/31/2024 9,398.84 0.00 0.00 9,398.84 0.00 0.00 0.00 9,398.84
53 3000
50-11222112043 Transportation & Engineering Division vs Evans Pierre (Geico
Indemnity Comp.)
TECM
Street light down (311 called department) Called CCSO
unsuccessful on report number as of yet.
CENE
Nelly Castillo did a u turn on the corner of Airport Road and
Mercantile Avenue, and pulled in front of the County truck
going South on Airport Road. Ms. Castillo was deemed at fault
by the Sheriff's Office Dep.
50-09012212989 Road Maintenance Division vs Kevin Benito
RMSE
TRAFFIC ACCIDENT REPORT_TAR # 3527_IMMOKALEE
RD I-75 & LIVINGSTON RD, TARPON BAY
BLVD_"DAMAGE•5 coontie Plants,• 50 Ornamental Peanut
Grass•10 African Irish Plants & POSSIBLE IRRIGATION
DAMAGE.
ASAE
CC2-1085 was stopped at a traffic light when rear-ended by a
pick-up truck causing damage to the vehicle.
Total by Period 4 Claims
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
41-01192212188 Code Enforcement vs Nelly Castillo
50-11102010840 Traffic Operations vs. James Fortunato
TECM
Ped pole down due to single vehicle accident.
41-03232111282 EMS vs. Geico
TECM
Street light down and possible street sign.
50-11102010996 Road Maintenance Division vs James Fortunato
RMSE
Traffic accident causing damage to a Collier County guardrail.
Division Date Report to Risk
Carrier Description of Loss
Period: 10/ 1/2020 - 9/30/2021 (10/1/2020 - 9/30/2021)
50-04012111311 Traffic Operations v. Marta Hernandez
Collier County Government
Subrogation Closed Claim Report
Subrogation Recovery - Q3 FY 2024
Valued as of:7/9/2024
Claim Number Claimant Name
16.E.1.b
Packet Pg. 1235 Attachment: Q3 FY24 Closed Claims Report - Subrogation (29415 : Ratification of Claims Files Closed By
8.47 8.47 0.00 2,798.28 0.00 0.00 0.00 16.94
9/9/2022 9/20/2022 4/23/2024 8.47 8.47 0.00 2,798.28 0.00 0.00 0.00 16.94
54 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7/1/2022 7/5/2022 5/10/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
7.51 7.51 0.00 15,381.64 0.00 0.00 0.00 15.02
2/20/2022 2/22/2022 5/22/2024 7.51 7.51 0.00 15,381.64 0.00 0.00 0.00 15.02
53 3000
9,414.82 15.98 6,423.81 35,625.57 0.00 0.00 0.00 15,854.61
9,414.82 15.98 6,423.81 35,625.57 0.00 0.00 0.00 15,854.61
10,000.00 0.00 0.00 10,000.00 0.00 0.00 0.00 10,000.00
11/19/2022 11/22/2022 5/31/2024 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 9,569.20 0.00 0.00 0.00 0.00
3/13/2023 3/14/2023 5/22/2024 0.00 0.00 0.00 9,569.20 0.00 0.00 0.00 0.00
50 3000
0.00 537.13 0.00 1,037.13 0.00 0.00 0.00 537.13
10/10/2022 10/10/2022 4/19/2024 0.00 537.13 0.00 1,037.13 0.00 0.00 0.00 537.13
41 3000
0.00 0.00 0.00 5,313.07 0.00 0.00 0.00 0.00
9/5/2023 9/26/2023 4/10/2024 0.00 0.00 0.00 5,313.07 0.00 0.00 0.00 0.00
54 3000
0.00 0.00 0.00 5,596.51 0.00 0.00 0.00 0.00
7/11/2023 7/11/2023 4/23/2024 0.00 0.00 0.00 5,596.51 0.00 0.00 0.00 0.00
54 3000
167.45 0.00 0.00 0.00 0.00 0.00 0.00 167.45
9/6/2023 9/27/2023 4/26/2024 167.45 0.00 0.00 0.00 0.00 0.00 0.00 167.45
54 3000
0.00 0.00 0.00 3,336.47 0.00 0.00 0.00 0.00
5/22/2023 5/22/2023 6/18/2024 0.00 0.00 0.00 3,336.47 0.00 0.00 0.00 0.00
54 3000
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
50-05222313970 Road Maintenance Division vs Obel Espinaco
RMSE
TRAFFIC ACCIDENT REPORT_TAR # 3588_IMMOKALEE
RED BETWEEN MAJESTIC TRAILS BLVD &
CATWBAST_DAMAGE 2 PINE TREES AND POSSIBLE
IRRIGATION DAMAGE.
RMSE
TRAFFIC ACCIDENT REPORT_TAR #3606_GOODLETTE
RD, _LANDSCAPE DAMAGE_1 Alexander Palm Tree 3
Montgomery Palm tree_3000 SQF OF FLORATAM
GRASS_20 MUHLY GRASS, POSSIBLE IRRIGATION
DAMAGE.
50-09062314378 Road Maintenance Division vs Louise Ozinsca
RMSE
TAR #3636 Landscape Damages Located at Rattlesnake
Hammock (Median 12).
County vehicle was rearended by a third party.
50-09052314363 Road Maintenance Division vs Suada Bylyku
RMSE
TAR #3629 Landscape Damages located at Collier Blvd
(Marino to 41E).
50-07112314132 Road Maintenance Division vs Damon Holman
TECM
Street light down
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
41-10102213193 Transportation & Engineering Division vs Thomas Romeo
TECM
50-11192213431 Transportation & Engineering Division vs Edwin Dorvilien
TECM
Street light down and Ped pole from car accident.
50-03132313774 Transportation Engineering Division vs Ethan Kober
50-02202212310 Transportation Engineering Division vs Andrew Avram
TECM
Street light down
Total by Period 6 Claims
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
RMSE
TRAFFIC ACCIDENT REPORT_TAR # 3529_Collier Blvd
(Marino Circle to 41E) at the South end of median
29_ACCIDENT DAMAGE LANDSCAPE_1 Montgomery palm
25' OA, no tree number assigned yet, 1 stump, 25 African Iris,
possible irrigation damage.
50-07012212744 Transportation Engineering Division vs Brandon Richards
TECM
Street light down in median.
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-09092213035 Road Maintenance Division vs Gustavo Gonzalez 16.E.1.b
Packet Pg. 1236 Attachment: Q3 FY24 Closed Claims Report - Subrogation (29415 : Ratification of Claims Files Closed By
0.00 0.00 0.00 2,720.54 0.00 0.00 0.00 0.00
12/13/2022 3/15/2023 4/17/2024 0.00 0.00 0.00 2,720.54 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 2,127.55 0.00 0.00 0.00 0.00
7/18/2023 7/20/2023 4/23/2024 0.00 0.00 0.00 2,127.55 0.00 0.00 0.00 0.00
50
0.00 0.00 0.00 2,795.80 0.00 0.00 0.00 0.00
7/19/2023 7/21/2023 4/23/2024 0.00 0.00 0.00 2,795.80 0.00 0.00 0.00 0.00
50
0.00 0.00 0.00 2,998.43 0.00 0.00 0.00 0.00
7/7/2023 7/7/2023 4/23/2024 0.00 0.00 0.00 2,998.43 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
2/21/2023 2/21/2023 4/8/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 3000
0.00 0.00 0.00 11,137.42 0.00 0.00 0.00 0.00
3/10/2023 3/10/2023 4/19/2024 0.00 0.00 0.00 11,137.42 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 9,855.51 0.00 0.00 0.00 0.00
9/21/2023 9/21/2023 4/23/2024 0.00 0.00 0.00 9,855.51 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 16,404.07 0.00 0.00 0.00 0.00
2/24/2023 2/24/2023 5/17/2024 0.00 0.00 0.00 16,404.07 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 208.89 0.00 0.00 0.00 0.00
4/14/2023 11/2/2023 5/10/2024 0.00 0.00 0.00 208.89 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 12,014.18 0.00 0.00 0.00 0.00
9/16/2023 9/18/2023 5/6/2024 0.00 0.00 0.00 12,014.18 0.00 0.00 0.00 0.00
53 3000
10,167.45 537.13 0.00 95,114.77 0.00 0.00 0.00 10,704.58
10,167.45 537.13 0.00 95,114.77 0.00 0.00 0.00 10,704.58
4,009.56 0.00 0.00 4,009.56 0.00 0.00 0.00 4,009.56
3/26/2024 3/27/2024 6/30/2024 4,009.56 0.00 0.00 4,009.56 0.00 0.00 0.00 4,009.56
50
WWTE
Cable contractor bore through Collier County customer lateral
line.
TECM
Street light down, pole 18.
Total by Period 17 Claims
Period: None
50-03262414980 Wastewater Division vs Perley Cable Construction Inc.
50-04142314498 Transportation Engineering Division vs Aurelio Lacombe
TECM
Car accident at intersection Bridge where pedestrain push
button was hit.
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
50-09162314335 Transportation Engineering Division vs Jonathan Davis
TECM
Street light down from accident.
50-02242313727 Transportation Engineering Division vs Katherine Curcio
TECM
Street light and sign down.
50-03102313766 Transportation Engineering Division vs Jerry Pangaribuan
TECM
Street lighting crew found damaged light pole.
50-09212314347 Transportation Engineering Division vs Andy Malolli
WWTE
The contractor bore a conduit through a 6" lateral line.
Contractor: Utilities One Inc. 617 480-7482 Permit#
171304471.
41-02212313712 WATER DIVISION VS JOSHUA JOSEPH MARS
WATE
While making a U turn CC2 1537 was hit from behind with
very little damage to the county vehicle. Agency case # 23-
75032.
50-07192314170 Wastewater Division vs Utilties One Inc
WWTE
The contractor bore through the Collier County customer
lateral line.
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
50-07072314118 Wastewater Division vs Utilities One Inc.
RMSE
Car accident caused damage to guardrail at corner of
Immokalee and entrance to Dunkin Donuts.
50-07182314163 Wastewater Division vs Utilities One Inc
WWTE
Collier County Customer lateral line damaged by contractor
cable boring. ( P053987) PRROW 2023020782001.
TRAFFIC ACCIDENT REPORT_TAR # 3588_IMMOKALEE RED BETWEEN MAJESTIC TRAILS BLVD & CATWBAST_DAMAGE 2 PINE TREES AND POSSIBLE IRRIGATION DAMAGE.
50-12132213781 Road Maintenance Division vs Monica La Falce 16.E.1.b
Packet Pg. 1237 Attachment: Q3 FY24 Closed Claims Report - Subrogation (29415 : Ratification of Claims Files Closed By
0.00 0.00 0.00 5,917.36 0.00 0.00 0.00 0.00
10/7/2023 10/9/2023 5/10/2024 0.00 0.00 0.00 5,917.36 0.00 0.00 0.00 0.00
53 3000
2,437.16 0.00 0.00 2,437.16 0.00 0.00 0.00 2,437.16
12/21/2023 12/26/2023 5/31/2024 2,437.16 0.00 0.00 2,437.16 0.00 0.00 0.00 2,437.16
53 3000
655.29 0.00 0.00 1,510.32 0.00 0.00 0.00 655.29
11/7/2023 11/7/2023 5/10/2024 655.29 0.00 0.00 1,510.32 0.00 0.00 0.00 655.29
53 3000
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10/14/2023 10/16/2023 5/22/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
53 3000
0.00 0.00 0.00 224.06 0.00 0.00 0.00 0.00
1/27/2024 2/6/2024 5/28/2024 0.00 0.00 0.00 224.06 0.00 0.00 0.00 0.00
53 3000
7,102.01 0.00 0.00 14,098.46 0.00 0.00 0.00 7,102.01
7,102.01 0.00 0.00 14,098.46 0.00 0.00 0.00 7,102.01
32,888.75 1,652.96 10,631.84 159,046.83 0.00 0.00 0.00 45,173.55
32,888.75 1,652.96 10,631.84 159,046.83 0.00 0.00 0.00 45,173.55Grand Totals: 33 Claims
7/9/2024
9:39:27 AM
Period: 10/1/23 - 9/30/2024 (10/1/23 - 9/30/2024)
50-01272414802 Transportation Engineering Division vs Abel Hernandez
Gomez
TECM
Sign down from car accident.
Total by Period 6 Claims
TECM
Flasher with stop hit.
50-10142314414 Transportation & Engineering Division vs Susan Ingham
TECM
Pedestrian pole down.
50-12212314657 Transportation Engineering Division vs The Hertz Corporation
TECM
Signal head and pedestrian signal knocked down.
50-11072314532 Transportation Engineering Division vs Adrian Anglero
50-10072314397 Transportation Engineering Division vs George Foy
TECM
Upright signal at Vanderbilt Bch and Oakes BLVD damaged
by vehicle accident.
16.E.1.b
Packet Pg. 1238 Attachment: Q3 FY24 Closed Claims Report - Subrogation (29415 : Ratification of Claims Files Closed By
16.E.1.c
Packet Pg. 1239 Attachment: Resolution 2004-15 PDF0001 (29415 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.1.c
Packet Pg. 1240 Attachment: Resolution 2004-15 PDF0001 (29415 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.1.c
Packet Pg. 1241 Attachment: Resolution 2004-15 PDF0001 (29415 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.1.c
Packet Pg. 1242 Attachment: Resolution 2004-15 PDF0001 (29415 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.1.c
Packet Pg. 1243 Attachment: Resolution 2004-15 PDF0001 (29415 : Ratification of Claims Files Closed By The Risk Management Division)
16.E.1.c
Packet Pg. 1244 Attachment: Resolution 2004-15 PDF0001 (29415 : Ratification of Claims Files Closed By The Risk Management Division)