Agenda 11/12/2024 Item #16E 1 (Ratify Property, Casualty, Worker' Compensation and Suborgaion claim filessettled and/or closed by Risk Management)11/12/2024
Item # 16.E.1
ID# 2024-1617
Executive Summary
Recommendation to ratify Property, Casualty, Workers’ Compensation and Subrogation claim files settled and/or closed
by the Risk Management Division Director pursuant to Resolution No. 04-15 for the fourth quarter of FY 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 fourth 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 fourth quarter of FY 24, 120 files
were closed with total expenditures of $665,836.30. Reinsurance recoveries for the fourth quarter of FY 24 were
$953.86. During the same period, 28 subrogation files were closed, and the Risk Management Division recovered
$108,442.05 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
RECOMMENDATIONS: To accept the attached Settlement Report and ratify the actions taken therein.
PREPARED BY: Michael Quigley, RMPE, Division Director, Risk Management Division.
ATTACHMENTS:
1. Q4 FY 2024 Closed Claims Report - All Lines
2. Q4 FY 2024 Closed Claims Report - Subro
3. Resolution 2004-15 PDF0001
Page 3199 of 5419
11/12/2024
Item # 16.E.1
ID# 2024-1617
Page 3200 of 5419
Collier County Government
Closed Claim Report- All Lines
4th QTR FY 2024
Valued as of:10/11/2024
Med/BI/Comp Expense Ind/PD/Coll Recovery Deductible Legal Other
Claim Number Claimant Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Division Date of Loss Date Report to Risk Status Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
Coverage Carrier Cause Description of Loss
Major Coverage: 10 - Workers' Compensation
10-07152415366 353.61 15.90 0.00 0.00 0.00 0.00 0.00
EMSE 7/15/2024 7/15/2024 9/19/2024 353.61 15.90 0.00 0.00 0.00 0.00 0.00
10 1700 Employee reports while attending to combative patient,
she was punched and kicked in the right knee and
scratched.
10-06262415312 555.28 63.90 0.00 0.00 0.00 0.00 0.00
WWTE 6/26/2024 6/26/2024 7/19/2024 555.28 63.90 0.00 0.00 0.00 0.00 0.00
10 1300 Employee fell backwards down the digester stairs in rainy
conditions and landed on the middle of his back and hit
his head. He has a lump on his head and his back is
hurting in the muscle area. Employee does not want
medical attention at this time.
10-06242415295 2,849.17 216.55 0.00 0.00 0.00 0.00 0.00
WATE 6/24/2024 6/26/2024 9/30/2024 2,849.17 216.55 0.00 0.00 0.00 0.00 0.00
10 1300 The employee reported that he slipped & fell on broken
glass while exiting his vehicle to read a meter. He is
experiencing pain in his left shoulder & left hand.
10-08242415514 277.10 0.00 0.00 0.00 0.00 0.00 0.00
WATE 8/24/2024 8/26/2024 9/23/2024 277.10 0.00 0.00 0.00 0.00 0.00 0.00
10 1300 Employee was exiting the building when he slipped on
the stairs and fell on his right side.
Major Coverage: 10 - Workers' Compensation
10-08132415455 1,151.74 41.35 0.00 0.00 0.00 0.00 0.00
WATE 8/13/2024 8/14/2024 9/19/2024 1,151.74 41.35 0.00 0.00 0.00 0.00 0.00
10 1700 Employee reports he was walking across a job site and
struck his head on a track hoe bucket, resulting in a
laceration to his right eyebrow.
Page 3201 of 5419
10-12012314599 74,980.38 1,904.52 8,978.55 0.00 0.00 0.00 0.00
TECM 12/1/2023 12/1/2023 7/23/2024 74,980.38 1,904.52 8,978.55 0.00 0.00 0.00 0.00
10 1700 Employee was stripping a live wire on Goodlette Frank &
Golden Gate, and received an electrical shock.
10-06132415321 1,541.43 90.48 0.00 0.00 0.00 0.00 0.00
EMSE 6/13/2024 6/28/2024 8/27/2024 1,541.43 90.48 0.00 0.00 0.00 0.00 0.00
10 1500 Employee reports she injured her back dealing with a
combative patient.
10-06252415314 779.58 55.77 0.00 0.00 0.00 0.00 0.00
MHCP 6/25/2024 6/26/2024 9/12/2024 779.58 55.77 0.00 0.00 0.00 0.00 0.00
10 1500 Employee reports she is having discomfort in her
shoulder after moving weights in the gym.
10-06172415264 479.04 46.17 0.00 0.00 0.00 0.00 0.00
MHCP 6/17/2024 6/18/2024 9/11/2024 479.04 46.17 0.00 0.00 0.00 0.00 0.00
10 1500 Employee reports he was lifting heavy trash bags from a
can and has low back pain.
10-09062415553 0.00 0.00 0.00 0.00 0.00 0.00 0.00
MHCP 9/6/2024 9/9/2024 9/16/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1700 The employee was trimming a flower bed next to
maintenance building and got poison ivy on his neck and
hands
Major Coverage: 10 - Workers' Compensation
10-06182415270 2,031.79 74.60 0.00 0.00 0.00 0.00 0.00
MHCP 6/18/2024 6/19/2024 8/9/2024 2,031.79 74.60 0.00 0.00 0.00 0.00 0.00
10 1500 Employee reports he was digging through hard dirt to
install a post for a canopy playground, and has pain to his
right shoulder & arm.
10-07262415406 1,343.18 210.54 0.00 0.00 0.00 0.00 0.00
MHCP 7/26/2024 7/26/2024 8/6/2024 1,343.18 210.54 0.00 0.00 0.00 0.00 0.00
10 1300 Employee reported that he was engaged in water skiing
when he experienced a fall, resulting in an impact to his
head and laceration.
10-05302415212 594.01 125.80 0.00 0.00 0.00 0.00 0.00
SOWE 5/30/2024 5/30/2024 7/17/2024 594.01 125.80 0.00 0.00 0.00 0.00 0.00
10 1500 Employee reports that she experienced discomfort in her
upper back while lifting batteries. She describes the
sensation as if her back is spreading.
10-08262415513 251.84 0.00 0.00 0.00 0.00 0.00 0.00
Employee reports he was walking across a job site andstruck his head on a track hoe bucket, resulting in alaceration to his right eyebrow.
Page 3202 of 5419
WATE 8/26/2024 8/26/2024 9/23/2024 251.84 0.00 0.00 0.00 0.00 0.00 0.00
10 1700 While one employee was exiting through a door another
was entering and was struck in the mouth by the door.
10-08202415496 0.00 0.00 0.00 0.00 0.00 0.00 0.00
DASE 8/20/2024 8/20/2024 8/29/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1700 Employee sustained a dog bite in the abdomen while
attempting to remove it from the kennel.
Major Coverage: 10 - Workers' Compensation
10-08052415495 0.00 0.00 0.00 0.00 0.00 0.00 0.00
EMSE 8/5/2024 8/20/2024 9/26/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1500 Employee reports she was going up and down the stairs
during the day and felt that she may have stepped wrong
at some point, causing swelling and some discomfort.
10-09272415621 0.00 0.00 0.00 0.00 0.00 0.00 0.00
EMSE 9/27/2024 9/28/2024 9/30/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1700 Ambulance was parked on a scene treating a patient.
Ambulance was rear ended by a pickup truck.
Ambulance crew injured and seen at hospital then
released.
10-09272415622 0.00 0.00 0.00 0.00 0.00 0.00 0.00
EMSE 9/27/2024 9/28/2024 9/30/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1700 Ambulance was parked on scene. Both crew members in
the back treating a patient when it was rear ended by a
pickup truck. Both crew members injured. Patient
appears uninjured from the crash but was transported by
another EMS unit for his original
Major Coverage: 10 - Workers' Compensation
10-09102415559 258.68 0.00 0.00 0.00 0.00 0.00 0.00
FLME 9/10/2024 9/11/2024 9/19/2024 258.68 0.00 0.00 0.00 0.00 0.00 0.00
10 1700 Employee was assisting another Employee with a
Transmission install. When under the vehicle some
debris fell in his right eye. He flushed his eye and used
eye drops and thought it would clear but overnight he still
has irritation in his right eye like there is something there.
10-09102415560 302.83 0.00 0.00 0.00 0.00 0.00 0.00
MHCP 9/10/2024 9/11/2024 9/25/2024 302.83 0.00 0.00 0.00 0.00 0.00 0.00
10 1700 Employee was mowing the grass with the lawnmower
and was stung by bees.
10-09222415594 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Page 3203 of 5419
WATE 9/22/2024 9/23/2024 9/30/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1000 While working on a main break employee touched hot
muffler on water pump.
10-09162415577 0.00 0.00 0.00 0.00 0.00 0.00 0.00
WATE 9/16/2024 9/16/2024 9/26/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1200 Cut left pointer finger while using a grinder cut a bolt.
10-09282415625 0.00 0.00 0.00 0.00 0.00 0.00 0.00
EMSE 9/28/2024 9/29/2024 9/30/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1300 On arrival of a call, employee slipped on wet steps
causing her to fall and twist her ankle and hurt lower
back.
Major Coverage: 10 - Workers' Compensation
10-09262415610 0.00 0.00 0.00 0.00 0.00 0.00 0.00
WATE 9/26/2024 9/26/2024 9/30/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1700 While opening a meter box lid to obtain a meter read ,
employee was immediately bit by a snake on his left
pinky finger at 5950 hammock isles drive in the
vineyards, employee did take a picture of the snake. He
is being taken to advanced medical.
10-07182415379 383.96 85.11 0.00 0.00 0.00 0.00 0.00
WATE 7/18/2024 7/19/2024 7/30/2024 383.96 85.11 0.00 0.00 0.00 0.00 0.00
10 1500 Employee reports he was gathering up concrete and felt
pain in left forearm and wrist area.
10-08212415497 297.64 0.00 0.00 0.00 0.00 0.00 0.00
WATE 8/21/2024 8/21/2024 9/4/2024 297.64 0.00 0.00 0.00 0.00 0.00 0.00
10 1200 Employee was trying to remove a label from a chemical
bottle and cut his third finger on left hand. Employee left
site and received medical treatment (stiches to finger).
Employee did not notify supervisor before leaving to
receive medical care.
10-06202415276 492.58 23.85 0.00 0.00 0.00 0.00 0.00
MHCP 6/20/2024 6/20/2024 8/16/2024 492.58 23.85 0.00 0.00 0.00 0.00 0.00
10 1300 Employee reports she was on a field trip today to the
movies, and tripped on a step and has pain in right foot.
Major Coverage: 10 - Workers' Compensation
10-07302415419 323.70 0.00 0.00 0.00 0.00 0.00 0.00
TECM 7/30/2024 7/30/2024 8/6/2024 323.70 0.00 0.00 0.00 0.00 0.00 0.00
10 1500 Employee reports he twisted his left ankle while stepping
down from his vehicle.
Page 3204 of 5419
10-01142414719 7,203.54 1,135.93 0.00 0.00 0.00 0.00 0.00
WATE 1/14/2024 1/14/2024 9/5/2024 7,203.54 1,135.93 0.00 0.00 0.00 0.00 0.00
10 1500 Employee reports he woke up at home with low back pain
this Sunday morning and supervisor wasn't aware of it.
He was carrying a heavy light and stepped in the wrong
direction.
10-05302415221 865.40 129.63 0.00 0.00 0.00 0.00 0.00
MHCP 5/30/2024 6/3/2024 7/31/2024 865.40 129.63 0.00 0.00 0.00 0.00 0.00
10 1500 Employee reports while she was pushing a shelf into a
wall, she experienced soreness in her left knee.
10-02152414845 3,719.81 192.15 0.00 0.00 0.00 0.00 0.00
WATE 2/15/2024 2/16/2024 8/19/2024 3,719.81 192.15 0.00 0.00 0.00 0.00 0.00
10 1500 Employee reports he was handling a pipe on 02/15/24
and felt like he use to much force and felt a pain in his left
wrist causing numbness in his left thumb & index finger.
10-07012415336 274.55 15.90 0.00 0.00 0.00 0.00 0.00
WATE 7/1/2024 7/3/2024 7/15/2024 274.55 15.90 0.00 0.00 0.00 0.00 0.00
10 1700 Employee reports he sustained an injury to his left hand
while removing concrete that fell on it.
Major Coverage: 10 - Workers' Compensation
10-08262415515 440.03 0.00 0.00 0.00 0.00 0.00 0.00
WWTE 8/26/2024 8/26/2024 9/24/2024 440.03 0.00 0.00 0.00 0.00 0.00 0.00
10 1600 While working on a pump, employee stepped onto a
cover on a grate and fell through scratching his knee up.
10-07182415377 414.06 39.70 0.00 0.00 0.00 0.00 0.00
WWTE 7/18/2024 7/18/2024 7/25/2024 414.06 39.70 0.00 0.00 0.00 0.00 0.00
10 1700 Employee reports she was closing gate at station 321.31,
and the slide bar latch fell down and pinched her right
hand ring finger and the skin broke off.
10-09042415557 0.00 0.00 0.00 0.00 0.00 0.00 0.00
LDSD 9/4/2024 9/4/2024 9/23/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 1700 Employee was bitten by a dog in the left lower leg and the
area is swollen with a cut
102,164.93 4,467.85 8,978.55 0.00 0.00 0.00 0.00
Total by Major Coverage 35 Claims 102,164.93 4,467.85 8,978.55 0.00 0.00 0.00 0.00
Major Coverage: 20 - General Liability
22-01042414679 BREINING, JENNIFER 0.00 0.00 0.00 0.00 0.00 0.00 0.00
WATE 1/4/2024 1/4/2024 7/23/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 While bringing water back up from performing schedule
work we caused damage to customers water heater
Page 3205 of 5419
22-03062414906 MAHER, WILLIAM 0.00 0.00 0.00 0.00 0.00 0.00 0.00
WWTE 3/6/2024 3/8/2024 7/24/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Claimant states his toilets were not flushing and called a
plumber. The plumber stated the blockage was due to
roots being in the sewer cleanout on the County side. He
is requesting reimbursement for his $1525.00 plumbing
bill.
21-02212013617 LOPEZ AGUILAR, JORGE 0.00 320.00 0.00 0.00 0.00 0.00 0.00
COL 2/21/2020 1/23/2023 8/7/2024 0.00 320.00 0.00 0.00 0.00 0.00 0.00
21 Claimant, who is a minor, was playing in a ditch next to a
private driveway when a vehicle turned right into the
driveway and collided with the claimant causing serious
injury.
22-05012415128 BROOKS, DONNA 0.00 0.00 0.00 0.00 0.00 0.00 0.00
COL 5/1/2024 5/6/2024 8/7/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Claimant, who is a Collier County employee, drove over a
manhole cover that flipped and caused damage to her
personal vehicle. She states the bottom trim on the right
hand side came off and there are dents underneath the
vehicle.
Major Coverage: 20 - General Liability
21-05022313907 MARTINEZ, ZOILA 0.00 0.00 0.00 0.00 0.00 0.00 0.00
MHCP 5/2/2023 5/2/2023 9/19/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2050 Zoila was walking back from iTech to the parking lot at
IMSC when she tripped on the sidewalk.
21-04202415113 MARKOVICH, SARA 0.00 0.00 0.00 0.00 0.00 0.00 0.00
COL 4/20/2024 5/1/2024 7/1/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 Received a Request for Insurance Information and
Request for Preservation of Evidence from an attorney's
office representing the claimant. The listed location of the
incident is the Clam Pass public boardwalk.
22-06172415277 MORRIS, RYAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE 6/17/2024 6/20/2024 8/6/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 3100 Claimant was driving South on Vanderbilt Drive going
towards Bonita Beach Road and hit a pothole. This
caused both passenger side tires to pop and damage the
rims.
22-07172415385 GONZALEZ, JOSUE DANIEL 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE 7/17/2024 7/22/2024 8/1/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
While bringing water back up from performing schedulework we caused damage to customers water heater
Page 3206 of 5419
22 Claimant was driving east on Westclox Street and hit a
pothole before reaching N 15th Street. This caused
damage to the front passenger tire and was irreparable.
Claimant would like to be reimbursed for the new tire he
purchased.
Major Coverage: 20 - General Liability
21-07282213253 PASCAL, LOUIMISE 10,000.00 0.00 0.00 0.00 0.00 0.00 0.00
COL 7/28/2022 10/14/2022 9/26/2024 10,000.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2050 Claimant alleges they sustained severe personal injuries
due to negligence maintenance and/or operation of a
County vehicle.
21-11202213479 ONESKI, LINDA 15,145.10 3,896.85 0.00 0.00 0.00 0.00 0.00
RMSE 11/20/2022 12/6/2022 9/4/2024 15,145.10 3,896.85 0.00 0.00 0.00 0.00 0.00
21 2050 Claimant was allegedly walking and tripped on uneven
sidewalk, causing multiple injuries.
21-06062415238 GERVASI, PAUL 0.00 0.00 0.00 0.00 0.00 0.00 0.00
COL 6/6/2024 6/10/2024 9/19/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2050 Claimant was exiting the Courthouse and tripped on the
stairs, which caused him to fall on his left knee and catch
himself with his left forearm.
21-06112010534 HOTTENSEN, CAMILLE 0.00 0.00 0.00 0.00 0.00 0.00 0.00
COL 6/11/2020 8/11/2020 8/14/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2050 Claimant sustained injuries from a slip and fall that took
place on the sidewalk directly outside of Premier
Sotheby's International Realty, Inc. at 500 5th Ave.
South, Naples, FL.
Major Coverage: 20 - General Liability
21-01192313609 EVANS, DORIS 0.00 0.00 0.00 0.00 0.00 0.00 0.00
LIBE 1/19/2023 1/19/2023 9/23/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2050 Ms. Evans was leaving the library with her husband and
tripped going to her car and fell on her face. She may
have chipped her tooth, she had a swollen lip and had a
lot of bleeding. She also banged her knee.
21-12092314626 MAHONEY, MIKE 0.00 0.00 0.00 0.00 0.00 0.00 0.00
DASE 12/9/2023 12/9/2023 7/26/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 2400 Was bitten by an animal being shown for adoption. Dog
had jumped up and grasped his arm and then knocked
him to the ground.
22-03312415013 SMIDT, MARILYN 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE 3/31/2024 4/8/2024 7/23/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Claimant states on the side of the road there was
pavement missing and no white paint, causing damage to
her tire and rim. She is requesting to be reimbursed for
the new rim and installation.
Page 3207 of 5419
21-10062314437 FARBER, RYAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE 10/6/2023 10/20/2023 7/26/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 Received a Request for Insurance Information and
Request for Preservation of Evidence from an attorney
representing the claimant.
Major Coverage: 20 - General Liability
22-02102414834 SPANGANELLI, STEPHEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE 2/10/2024 2/13/2024 7/23/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Claimant turned left at Curling Ave onto Airport Road and
ran over a pothole. Front right passenger tire blew out.
21-01312212226 CLARK, BEVERLY 0.00 8,933.50 0.00 0.00 0.00 0.00 0.00
LIBE 1/31/2022 1/31/2022 7/11/2024 0.00 8,933.50 0.00 0.00 0.00 0.00 0.00
20 A patron fell after checking out materials at the circulation
desk. Ambulance was called. The patron said her knees
were bleeding and she was hurting as they put her on the
stretcher.
21-05232013845 MARX, ELIZABETH 10,000.00 17.50 0.00 0.00 0.00 0.00 0.00
RMSE 5/23/2020 4/7/2023 8/8/2024 10,000.00 17.50 0.00 0.00 0.00 0.00 0.00
21 2050 Claimant allegedly tripped and fell on an uneven sidewalk
in her neighborhood and sustained injuries.
22-07162415397 VELASQUEZ, MARIELY 0.00 0.00 224.21 0.00 0.00 0.00 0.00
MHCP 7/16/2024 7/25/2024 8/9/2024 0.00 0.00 224.21 0.00 0.00 0.00 0.00
22 Employee is a summer camp counselor for the county.
While working a camper came up behind her and tried
tapping the employee on the head. The camper missed
and hit her eye glasses off and her eye glasses fell to the
floor and broke.
Major Coverage: 20 - General Liability
22-06122415285 HERINGER, GUSTAVO 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE 6/12/2024 6/24/2024 7/18/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 3000 Claimant was driving down Van Buren Ave and ran over
an open manhole, causing damage to his vehicle.
22-02122414831 MONTILVA, MARIA 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE 2/12/2024 2/13/2024 8/30/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Claimant was driving on Airport Pulling Road going
toward US 41 when a sign that was sitting on the median
suddenly fell, hitting and breaking the left side rearview
mirror.
Claimant states on the side of the road there was
pavement missing and no white paint, causing damage to
her tire and rim. She is requesting to be reimbursed for
the new rim and installation.
Page 3208 of 5419
22-02062414806 KARAKOSTA, STEPHEN & OLEYSA 0.00 0.00 1,400.00 0.00 0.00 0.00 0.00
RMSE 2/6/2024 2/7/2024 8/20/2024 0.00 0.00 1,400.00 0.00 0.00 0.00 0.00
22 Operator was vertically cutting brush with a machine
along Vanderbilt Beach Rd Canal East of Oakes Blvd, A
branch he was attempting to cut broke free and fell on a
fence causing damages.
22-02102414850 SOTO, MILTON 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE 2/10/2024 2/20/2024 7/17/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Claimant states that he ran over a pothole on Napa Blvd
as he was going towards Pine Ridge Road. He claims
that it bent his front passenger rim and is causing the tire
to lose air.
Major Coverage: 20 - General Liability
22-03112414958 BUFFUM, KENNETH 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE 3/11/2024 3/21/2024 7/15/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Claimant was crossing the intersection of Rattlesnake
Hammock Road and Collier Blvd. Claimant states that the
County is not properly maintaining the road which caused
him to get two flat tires in this same area on different
occasions.
22-02212414861 CORNELIO, CARLOS 0.00 0.00 0.00 0.00 0.00 0.00 0.00
RMSE 2/21/2024 2/23/2024 7/8/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Claimant states his passenger side tires went flat when
driving over a pothole in Golden Gate City. He is
requesting reimbursement for two new tires he
purchased.
21-05212111478 SIRAVO, VALEGENE 12,500.00 4,303.83 0.00 0.00 0.00 0.00 0.00
RMSE 5/21/2021 5/28/2021 9/12/2024 12,500.00 4,303.83 0.00 0.00 0.00 0.00 0.00
21 2050 Citizen sustained injuries from a trip/fall incident while
walking on the sidewalk at Lely Island Circle.
Major Coverage: 20 - General Liability
22-01212414742 HOGAN, DAVID 0.00 0.00 0.00 0.00 0.00 0.00 0.00
WATE 1/21/2024 1/23/2024 7/15/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Claimant states there was an issue with a water pipe in
his area that the County was fixing, which caused the
water pressure to be extremely low. He states because of
this, it burned out the motor in his washing machine.
22-07122415459 COMCAST 0.00 0.00 6,839.75 0.00 0.00 0.00 0.00
Claimant was driving on Airport Pulling Road goingtoward US 41 when a sign that was sitting on the median
suddenly fell, hitting and breaking the left side rearview
mirror.
Page 3209 of 5419
WWTE 7/12/2024 8/15/2024 8/31/2024 0.00 0.00 6,839.75 0.00 0.00 0.00 0.00
22 Collier County Emergency lateral Repair Crew responded
to customer back up. After exposing Cable conduit
through customer lateral, excavation of location continued
at which time an extra cable conduit was struck by
excavator.
22-07122315359 HUGHES, KARLYN 0.00 0.00 0.00 0.00 0.00 0.00 0.00
WWTE 7/12/2023 7/15/2024 8/1/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Claimant was in the main shower and heard gurgling from
toilet and sink. Water started backing up in the shower
drain. Also was happening in guest bathroom. Water
started overflowing out of toilet. Plumber came out,
snaked the toilet and
Major Coverage: 20 - General Liability
22-06182415267 LIPARI, LORRAINE 0.00 0.00 0.00 0.00 0.00 0.00 0.00
WWTE 6/18/2024 6/18/2024 7/30/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Claimant called stating water/sewage was coming up
under the kitchen island and cabinets.
22-04232415086 TAYLOR, TIFFANY 0.00 0.00 3,991.12 0.00 0.00 0.00 0.00
COL 4/23/2024 4/24/2024 8/31/2024 0.00 0.00 3,991.12 0.00 0.00 0.00 0.00
22 Claimant states a Collier County inspector drove over her
driveway that was freshly paved an hour after it was
completed. She states there was caution tape and stakes
marking off the driveway but he drove over it anyway.
47,645.10 17,471.68 12,455.08 0.00 0.00 0.00 0.00
Total by Major Coverage 32 Claims 47,645.10 17,471.68 12,455.08 0.00 0.00 0.00 0.00
Major Coverage: 30 - Auto Liability
32-10202213280 MILFORT, WILLGUEZ 36,000.00 5,518.37 0.00 0.00 0.00 0.00 0.00
627 10/20/2022 10/20/2022 7/31/2024 36,000.00 5,518.37 0.00 0.00 0.00 0.00 0.00
32 3000 While driving eastbound on Golden Gate Pkwy before
Santa Barbara Blvd, the light turned green and the
vehicle in front took off and out of no ware he stopped.
Joel tried to brake but vehicle (966) started to shake and
didn't want to brake.
32-07292415413 DEMPSEY, JOANNA 0.00 0.00 1,714.02 0.00 0.00 0.00 0.00
BPRI 7/29/2024 7/29/2024 8/29/2024 0.00 0.00 1,714.02 0.00 0.00 0.00 0.00
32 While turning in parking lot our vehicle CC2-2302 grazed
the fender of a vehicle moving in the opposite direction.
Very minor damage to both vehicles
32-08052415437 KOVENSKY, KENNETH 0.00 0.00 164.75 0.00 0.00 0.00 0.00
CMAO 8/5/2024 8/5/2024 8/29/2024 0.00 0.00 164.75 0.00 0.00 0.00 0.00
Page 3210 of 5419
32 When exiting a county car, wind blew the passenger door
open damaging the car parked next to it.
32-04252415092 MENDOZA, ROBERTO 0.00 0.00 3,063.40 0.00 0.00 0.00 0.00
WATE 4/25/2024 4/26/2024 8/27/2024 0.00 0.00 3,063.40 0.00 0.00 0.00 0.00
32 While moving vehicle on site County vehicle struck
vehicle parked in parking lot.
Major Coverage: 30 - Auto Liability
32-03272414982 PEQUIGNOT, PATRICIA ANN 0.00 0.00 1,319.22 0.00 0.00 0.00 0.00
MHCP 3/27/2024 3/27/2024 7/30/2024 0.00 0.00 1,319.22 0.00 0.00 0.00 0.00
32 3100 While attempting to get the attention of a vehicle traveling
the wrong direction in parking lot 3, the employee struck
an unoccupied parked Black Honda CR-V.
32-04172415054 Lumen Technologies (Quest Corporation)0.00 0.00 0.00 0.00 0.00 0.00 0.00
EMSE 4/17/2024 4/17/2024 9/16/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 We were attempting to pass through the intersection of
Airport Road North and Orange Blossom with lights and
sirens when the ambulance passenger side mirror clipped
a driver's side work truck mirror. Minor damage
32-11222213441 JEROME, ROSE 0.00 0.00 1,269.18 0.00 0.00 0.00 0.00
FMGE 11/22/2022 11/23/2022 8/2/2024 0.00 0.00 1,269.18 0.00 0.00 0.00 0.00
32 3000 County employee was behind the gray hyundai waiting
for the vehicle to turn, once the light turned green the
vehicle in front of him suddenly stopped and the
employee lightly rear ended the third party vehicle..
Major Coverage: 30 - Auto Liability
32-09212314419 United Rentals 0.00 0.00 2,848.84 0.00 0.00 0.00 0.00
WATE 9/21/2023 10/17/2023 8/28/2024 0.00 0.00 2,848.84 0.00 0.00 0.00 0.00
32 Driving in Skysail attempted to locate valves on a berm.
When exiting, front end of vehicle struck the berm
causing damage to vehicle.
32-02262414874 BAIRD, RUSSELL 0.00 0.00 3,301.82 0.00 0.00 0.00 0.00
LDSD 2/26/2024 2/27/2024 7/10/2024 0.00 0.00 3,301.82 0.00 0.00 0.00 0.00
32 3000 Light turned green; vehicles started to go, employee
driving a spare truck and not use to it pressed the gas
pedal, the truck jumped forward and hit the rear hitch of
an F150, causing damage to the front bumper of the
County F150.
32-01102414704 MCHUGH, STEPHEN JAMES 0.00 0.00 7,673.60 0.00 0.00 0.00 0.00
Page 3211 of 5419
MHCP 1/10/2024 1/10/2024 8/31/2024 0.00 0.00 7,673.60 0.00 0.00 0.00 0.00
32 Ranger Kurt Klas backed his truck hitch into the other
party's vehicle when leaving a parking spot. No damage
to county vehicle, not bodily harm to any party. CCSO
filled in Driver Exchange of Information (to be attached to
the report).
Major Coverage: 30 - Auto Liability
31-10202314435 FERIOZZI, STEPHEN 0.00 0.00 0.00 0.00 0.00 0.00 0.00
BPRI 10/20/2023 10/20/2023 8/2/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
31 County Driver stated that he was headed north on Logan
Blvd. When fuel truck pulled out in front of him from a
side street without looking causing the accident. GPS
confirms direction of travel of county vehicle
32-09122314328 GONZALEZ, ADRIANA 0.00 0.00 736.06 0.00 0.00 0.00 0.00
EMSE 9/12/2023 9/12/2023 8/20/2024 0.00 0.00 736.06 0.00 0.00 0.00 0.00
32 Vehicle accident involving county vehicle and POV
32-02282414878 ZEDEKER, SCOTT 0.00 0.00 1,416.47 0.00 0.00 0.00 0.00
EMSE 2/28/2024 2/28/2024 7/30/2024 0.00 0.00 1,416.47 0.00 0.00 0.00 0.00
32 3000 While responding to a 911 call. Medic unit struck with
their passenger side mirror the left rear of a pick up truck.
31-04142213543 KLIMA, PATRYK 75,000.00 17,028.55 0.00 0.00 0.00 0.00 0.00
FMGE 4/14/2022 12/28/2022 7/31/2024 75,000.00 17,028.55 0.00 0.00 0.00 0.00 0.00
31 Claimant allegedly suffered bodily injuries from an auto
accident with a County vehicle.
32-06102415291 MORRIS, CASEY 0.00 1,318.02 4,888.67 0.00 0.00 0.00 0.00
TECM 6/10/2024 6/25/2024 9/19/2024 0.00 1,318.02 4,888.67 0.00 0.00 0.00 0.00
32 2450 County employee got hit in the back bumper by another
county employee coming to a light- hydroplaned at Collier
Blvd & Vanderbilt Beach Rd. (N. Bound)
Major Coverage: 30 - Auto Liability
32-01122414718 MORENO, RENATO 0.00 0.00 2,700.03 0.00 0.00 0.00 0.00
TECM 1/12/2024 1/12/2024 7/22/2024 0.00 0.00 2,700.03 0.00 0.00 0.00 0.00
32 County employee in CC2-1280 was 2nd car exiting out of
Kraft Dr. off Pine Ridge Rd. 1st car was in front of him.
The car started to exit onto Pine Ridge Rd when it
stopped suddenly. Not sure if he backed up into the
county truck. No damage
32-04232415081 BODINE REED, CHERYL 0.00 0.00 1,779.89 0.00 0.00 0.00 0.00
Page 3212 of 5419
WWTE 4/23/2024 4/23/2024 8/7/2024 0.00 0.00 1,779.89 0.00 0.00 0.00 0.00
32 Employee was driving county owned Ford F550 Bucket
Truck CC2-2011 and was involved in a rear end vehicle
accident, Employee rear ended a Orange Subaru
Imprezza.
111,000.00 23,864.94 32,875.95 0.00 0.00 0.00 0.00
Total by Major Coverage 17 Claims 111,000.00 23,864.94 32,875.95 0.00 0.00 0.00 0.00
Major Coverage: 40 - Auto Physical Damage
42-08012415431 Fleet Management 0.00 0.00 1,166.75 0.00 0.00 0.00 0.00
FLME 8/1/2024 8/1/2024 8/28/2024 0.00 0.00 1,166.75 0.00 0.00 0.00 0.00
42 Employee was servicing vehicle CC2-2547, replacing
wiper blades . The wiper arm slipped out of his hands and
struck the glass, causing the glass to crack.
41-07172415374 Fleet Management 0.00 0.00 821.67 0.00 0.00 0.00 0.00
FLME 7/17/2024 7/17/2024 9/30/2024 0.00 0.00 821.67 0.00 0.00 0.00 0.00
41 CC2-1347 was moving out of the shop too much
equipment parked around the shop, The suction tubes in
the carrier on the front bumper caught on another piece
of equipment.
41-09202213038 WATER DIVISION 2,364.37 0.00 0.00 0.00 0.00 0.00 0.00
WATE 9/20/2022 9/20/2022 8/31/2024 2,364.37 0.00 0.00 0.00 0.00 0.00 0.00
41 Dan Ervin reported that while stopped at the intersection
of Santa Barbara and Davis a traffic message board
rolled into this front bumper caused by wind during this
afternoons down pour.
42-06212415286 WASTEWATER DIVISION 899.16 0.00 0.00 0.00 0.00 0.00 0.00
WWTE 6/21/2024 6/24/2024 8/7/2024 899.16 0.00 0.00 0.00 0.00 0.00 0.00
42 Collections department personnel driving vehicle when
windshield was struck by small object causing crack to
windshield.
Major Coverage: 40 - Auto Physical Damage
41-09252314361 PARKS & RECREATION 0.00 0.00 7,584.37 0.00 0.00 0.00 0.00
MHCP 9/25/2023 9/25/2023 7/26/2024 0.00 0.00 7,584.37 0.00 0.00 0.00 0.00
41 Backing the truck and hit the Light pole
41-08032314226 PARKS & RECREATION 0.00 0.00 2,674.14 0.00 0.00 0.00 0.00
MHCP 8/3/2023 8/5/2023 8/20/2024 0.00 0.00 2,674.14 0.00 0.00 0.00 0.00
41 While on patrol, employee hit a yellow bollard with her
assigned county vehicle at Bayview Park causing
damage to the passenger side door handle. The door
handle cover has broken off.
41-08302314290 Public Utilities Finance 0.00 0.00 2,257.98 0.00 0.00 0.00 0.00
Page 3213 of 5419
PUAO 8/30/2023 9/1/2023 7/30/2024 0.00 0.00 2,257.98 0.00 0.00 0.00 0.00
41 Operator backed up into a wooden power pole.
41-03232313809 FACILITIES MANAGEMENT DIVISION 0.00 0.00 20,849.57 0.00 0.00 0.00 0.00
FMGE 9/23/2022 9/23/2022 7/17/2024 0.00 0.00 20,849.57 0.00 0.00 0.00 0.00
41 3000 County employee was behind another vehicle getting
ready to go into the intersection right behind the other
vehicle and the vehicle abruptly stopped causing Enrique
to strike and damage the back of the other vehicles
bumper and County vehicle front
Major Coverage: 40 - Auto Physical Damage
41-09152314332 FACILITIES MANAGEMENT DIVISION 0.00 0.00 12,577.75 0.00 0.00 0.00 0.00
FMGE 9/15/2023 9/15/2023 8/27/2024 0.00 0.00 12,577.75 0.00 0.00 0.00 0.00
41 A public motorist pulled out in front of an employee
causing him to stop abruptly. Another employee who was
following behind did not have adequate time to stop and
stuck the rear of the vehicle.
41-04302415111 Utilities Operations Support Division 0.00 0.00 587.50 0.00 0.00 0.00 0.00
UOSD 4/30/2024 4/30/2024 8/26/2024 0.00 0.00 587.50 0.00 0.00 0.00 0.00
41 Found small scrape on drivers' side front bumper next to
fog lamp (yellow paint) possible scrapped a guard pole.
41-02262404049 Development Review Division 0.00 0.00 4,854.57 0.00 0.00 0.00 0.00
LDSD 2/26/2024 2/27/2024 8/7/2024 0.00 0.00 4,854.57 0.00 0.00 0.00 0.00
41 3000 Light turned green; vehicles started to go, employee
driving a spare truck that was not use to it pressed the
gas pedal and the truck jumped forward hitting the rear
hitch of an F150, causing damage to the front bumper of
the County F150.
41-08252314275 Growth Management 0.00 0.00 1,585.16 0.00 0.00 0.00 0.00
CENE 8/25/2023 8/25/2023 7/31/2024 0.00 0.00 1,585.16 0.00 0.00 0.00 0.00
41 County vehicle was struck on the driver's side front
bumper area by a worker on a Bobcat.
Major Coverage: 40 - Auto Physical Damage
41-06052415237 Health Department 0.00 0.00 7,923.67 0.00 0.00 0.00 0.00
HDPE 6/5/2024 6/10/2024 8/9/2024 0.00 0.00 7,923.67 0.00 0.00 0.00 0.00
41 A roll-off dumpster on a job site which blended in with the
background, was not noticed and was accidentally hit as
the employee was backing up. It left a small dent above
the right tail of vehicle cc2-1454.
41-08122415469 Growth Management Administration Offices 0.00 0.00 2,582.72 0.00 0.00 0.00 0.00
Page 3214 of 5419
GMAO 8/12/2024 8/19/2024 9/30/2024 0.00 0.00 2,582.72 0.00 0.00 0.00 0.00
41 We are unsure of what caused the damage to antenna on
the roof of vehicle CC2-2309. Water entering vehicle is
how we became aware of the damage. Possible damage
from car wash or parking garage.
41-10312314473 BUILDING PLAN REVIEW & INSPECTION DIVISION 0.00 0.00 1,020.58 0.00 0.00 0.00 0.00
BPRI 10/31/2023 10/31/2023 8/12/2024 0.00 0.00 1,020.58 0.00 0.00 0.00 0.00
41 While in for service, Fleet mechanics noticed cell phone
booster antenna bent back on roof of truck while in for
service. Driver guesses it probably happened going
through the car wash
Major Coverage: 40 - Auto Physical Damage
41-05152415156 Water Division 2,817.21 0.00 0.00 0.00 0.00 0.00 0.00
WATE 5/15/2024 5/15/2024 8/7/2024 2,817.21 0.00 0.00 0.00 0.00 0.00 0.00
41 Work vehicle parked at the South County Regional Water
Treatment Plant was found to have damage that was not
present at the end of work yesterday.
41-04092415023 BUILDING REVIEW & PERMITTING 0.00 0.00 1,063.31 0.00 0.00 0.00 0.00
BPRI 4/9/2024 4/10/2024 8/28/2024 0.00 0.00 1,063.31 0.00 0.00 0.00 0.00
41 3100 Inspector pulled forward in a debris pile to turn around
and didn't realize there was a chunk of concrete inside
the pile. Did not notice the damage until he arrived at
home that evening.
42-07252415401 Collier County Tax Collector 956.51 0.00 0.00 0.00 0.00 0.00 0.00
TXCE 7/25/2024 7/25/2024 8/27/2024 956.51 0.00 0.00 0.00 0.00 0.00 0.00
42 A rock bounced up on I75 and cracked the windshield of
our vehicle.
42-03102414992 Building Plan Review and Inspection Division 497.41 0.00 0.00 0.00 0.00 0.00 0.00
BPRI 3/10/2024 4/2/2024 8/7/2024 497.41 0.00 0.00 0.00 0.00 0.00 0.00
42 Windsheild cracked from rock
42-06212415284 Building Plan Review and Inspection Division 1,037.64 0.00 0.00 0.00 0.00 0.00 0.00
BPRI 6/21/2024 6/24/2024 8/7/2024 1,037.64 0.00 0.00 0.00 0.00 0.00 0.00
42 Vehicle windshield was hit by rock while driving causing
the windshield to crack.
Major Coverage: 40 - Auto Physical Damage
41-10262314461 FLEET MANAGEMENT 0.00 0.00 3,440.65 0.00 0.00 0.00 0.00
FLME 10/26/2023 10/26/2023 8/13/2024 0.00 0.00 3,440.65 0.00 0.00 0.00 0.00
41 Asset# CC2-3061 was found to have damage where
parked. It is a brand new asset and has been parked
since 9/26 until today 10/26 , Unsure of actual date of
damage.Page 3215 of 5419
41-11152314562 Health Department 0.00 0.00 1,272.41 0.00 0.00 0.00 0.00
HDPE 11/15/2023 11/16/2023 7/30/2024 0.00 0.00 1,272.41 0.00 0.00 0.00 0.00
41 Vehicle hit the back of the car in front of the employee
before reaching a full stop as it approached a stop sign.
41-04092415025 Public Utilities Administration Offices 0.00 0.00 3,949.98 0.00 0.00 0.00 0.00
PUAO 4/9/2024 4/10/2024 8/7/2024 0.00 0.00 3,949.98 0.00 0.00 0.00 0.00
41 While backing in a trailer at the end of the day the county
employee backed into another parked county truck.
41-11152314568 HEALTH DEPARTMENT 0.00 0.00 5,250.53 0.00 0.00 0.00 0.00
HDPE 11/15/2023 11/17/2023 7/30/2024 0.00 0.00 5,250.53 0.00 0.00 0.00 0.00
41 Employee side swiped a make-shift 4x4 wooden gate
when pulling out of a construction site.
This is a separate incident from claim 4011152314562.
Vehicle already assessed by Fleet; employee was
instructed to take it to Collision Repair.
Major Coverage: 40 - Auto Physical Damage
41-12192314648 PARKS AND RECREATION 0.00 0.00 668.71 0.00 0.00 0.00 0.00
MHCP 12/19/2023 12/19/2023 8/6/2024 0.00 0.00 668.71 0.00 0.00 0.00 0.00
41 Today we saw that the back door on the passenger side
was hit, most likely it was a baseball. The truck was
parked inside the maintenance fence.
8,572.30 0.00 82,132.02 0.00 0.00 0.00 0.00
Total by Major Coverage 25 Claims 8,572.30 0.00 82,132.02 0.00 0.00 0.00 0.00
Major Coverage: 50 - Property
50-11292314877 Parks and Recreation 1,580.00 0.00 0.00 0.00 0.00 0.00 0.00
MHCP 11/29/2023 2/28/2024 8/23/2024 1,580.00 0.00 0.00 0.00 0.00 0.00 0.00
50 5300 Damaged (broken) concrete picnic table. Cause for
damage is unknown.
50-04012313848 Wastewater Division 0.00 0.00 17,895.00 0.00 0.00 0.00 0.00
WWTE 4/1/2023 4/10/2023 9/30/2024 0.00 0.00 17,895.00 0.00 0.00 0.00 0.00
50 5500 A burglary occurred on property at 6027 Shirley St. at
approximately 8:30pm on April 1st. A Cues MP+ Push
camera valued at $19,247 and a Multi-frequency Sonde
Locator valued at $2,803 were removed from a County
Camera Truck. No damage to the Vehicle.
50-12022314936 Transportation Engineering Division vs Rickey Guyton 0.00 0.00 0.00 411.29 0.00 0.00 0.00
TECM 12/2/2023 3/14/2024 7/9/2024 0.00 0.00 0.00 411.29 0.00 0.00 0.00
53 Sign down in median
Asset# CC2-3061 was found to have damage whereparked. It is a brand new asset and has been parkedsince 9/26 until today 10/26 , Unsure of actual date of
damage.
Page 3216 of 5419
50-03112415006 MUSEUM 825.55 0.00 0.00 0.00 0.00 0.00 0.00
MUSE 3/11/2024 4/5/2024 9/10/2024 825.55 0.00 0.00 0.00 0.00 0.00 0.00
50 5500 Someone cut into our perimeter fencing by the corner of
an adjacent property and State Road 29 as well as by the
front entrance. This is a security risk. We have reached
out to get a quote to get the fencing fixed.
Major Coverage: 50 - Property
50-08052415443 Water Division vs Ted Guhr 0.00 0.00 0.00 542.57 0.00 0.00 0.00
WATE 8/5/2024 8/9/2024 8/26/2024 0.00 0.00 0.00 542.57 0.00 0.00 0.00
53 3000 A vehicle traveling along Capri Blvd lost control and
struck a fire hydrant causing it to break away from the
water main.
50-06222314069 Transportation & Engineering Division 85.80 0.00 0.00 0.00 0.00 0.00 0.00
TECM 6/22/2023 6/22/2023 7/29/2024 85.80 0.00 0.00 0.00 0.00 0.00 0.00
50 Luis Trujillo Employee for Traffic Ops came to pick up
traffic counter and found it damaged. Saw lawn
maintenance crew down the road. He went to him he said
they hit it. He works for Caribbean Lawn and garden 239-
455-7278
50-02152415458 Public Transit & Neighborhood Enhancement 1,358.68 0.00 0.00 0.00 0.00 0.00 0.00
PTNE 2/15/2024 8/15/2024 9/30/2024 1,358.68 0.00 0.00 0.00 0.00 0.00 0.00
50 5500 Vandalism on signs displaying advertisements at bus
stop 290. Advertisement signs were swapped out with
available stock of impending projects. Broken signage in
storage awaiting approval to be disposed.
Major Coverage: 50 - Property
50-05312415222 PUBLIC SERVICES ADMINISTRATION 3,802.00 0.00 0.00 0.00 0.00 0.00 0.00
PSVE 5/31/2024 6/3/2024 8/28/2024 3,802.00 0.00 0.00 0.00 0.00 0.00 0.00
50 5500 Outside bookdrop damaged. It was either hit by a car or
tipped over by vandals. Top is damaged and it may now
leak, destroying any books returned in it.
50-04172415175 Parks and Recreation 5,283.62 0.00 0.00 0.00 0.00 0.00 0.00
MHCP 4/17/2024 5/20/2024 9/10/2024 5,283.62 0.00 0.00 0.00 0.00 0.00 0.00
50 5900 My staff member found a pipe bust located in the
electrical room that was attached to the water heater.
12,935.65 0.00 17,895.00 953.86 0.00 0.00 0.00
Total by Major Coverage 9 Claims 12,935.65 0.00 17,895.00 953.86 0.00 0.00 0.00
Major Coverage: 60 - Public Officials Errors and Ommissions
66-07012112068 WILSON, CHRISTOPHER 0.00 0.00 0.00 0.00 0.00 183,377.25 0.00
RMSE 7/1/2021 12/7/2021 9/26/2024 0.00 0.00 0.00 0.00 0.00 183,377.25 0.00Page 3217 of 5419
66 5900 Claimant alleges he suffered discrimination based on his
race and was terminated.
67-02092414821 SAITO, KOICHI AND LYNNE'A 0.00 0.00 0.00 0.00 0.00 0.00 0.00
COL 2/9/2024 2/9/2024 9/11/2024 0.00 0.00 0.00 0.00 0.00 0.00 0.00
67 Petitioners allege their private property has been
erroneously maintained in Collier County's public record
as a commercial use property. They are requesting the
removal of all records regarding their property from
"Collier County's public corporate
0.00 0.00 0.00 0.00 0.00 183,377.25 0.00
Total by Major Coverage 2 Claims 0.00 0.00 0.00 0.00 0.00 183,377.25 0.00
282,317.98 45,804.47 154,336.60 953.86 0.00 183,377.25 0.00
Grand Totals: 120 Claims 282,317.98 45,804.47 154,336.60 953.86 0.00 183,377.25 0.00
-34-
1:41:47 PM
Page 3218 of 5419
Total Inc
Incurred Total
Paid Total
369.51
369.51
619.18
619.18
3,065.72
3,065.72
277.10
277.10
1,193.09
1,193.09
Collier County Government
Closed Claim Report- All Lines
4th QTR FY 2024
Page 3219 of 5419
85,863.45
85,863.45
1,631.91
1,631.91
835.35
835.35
525.21
525.21
0.00
0.00
2,106.39
2,106.39
1,553.72
1,553.72
719.81
719.81
251.84
Page 3220 of 5419
251.84
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
258.68
258.68
302.83
302.83
0.00
Page 3221 of 5419
0.00
0.00
0.00
0.00
0.00
0.00
0.00
469.07
469.07
297.64
297.64
516.43
516.43
323.70
323.70
Page 3222 of 5419
8,339.47
8,339.47
995.03
995.03
3,911.96
3,911.96
290.45
290.45
440.03
440.03
453.76
453.76
0.00
0.00
115,611.33
115,611.33
0.00
0.00
Page 3223 of 5419
0.00
0.00
320.00
320.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Page 3224 of 5419
10,000.00
10,000.00
19,041.95
19,041.95
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Page 3225 of 5419
0.00
0.00
0.00
0.00
8,933.50
8,933.50
10,017.50
10,017.50
224.21
224.21
0.00
0.00
0.00
0.00
Page 3226 of 5419
1,400.00
1,400.00
0.00
0.00
0.00
0.00
0.00
0.00
16,803.83
16,803.83
0.00
0.00
6,839.75
Page 3227 of 5419
6,839.75
0.00
0.00
0.00
0.00
3,991.12
3,991.12
77,571.86
77,571.86
41,518.37
41,518.37
1,714.02
1,714.02
164.75
164.75
Page 3228 of 5419
3,063.40
3,063.40
1,319.22
1,319.22
0.00
0.00
1,269.18
1,269.18
2,848.84
2,848.84
3,301.82
3,301.82
7,673.60
Page 3229 of 5419
7,673.60
0.00
0.00
736.06
736.06
1,416.47
1,416.47
92,028.55
92,028.55
6,206.69
6,206.69
2,700.03
2,700.03
1,779.89
Page 3230 of 5419
1,779.89
167,740.89
167,740.89
1,166.75
1,166.75
821.67
821.67
2,364.37
2,364.37
899.16
899.16
7,584.37
7,584.37
2,674.14
2,674.14
2,257.98
Page 3231 of 5419
2,257.98
20,849.57
20,849.57
12,577.75
12,577.75
587.50
587.50
4,854.57
4,854.57
1,585.16
1,585.16
7,923.67
7,923.67
2,582.72
Page 3232 of 5419
2,582.72
1,020.58
1,020.58
2,817.21
2,817.21
1,063.31
1,063.31
956.51
956.51
497.41
497.41
1,037.64
1,037.64
3,440.65
3,440.65
Page 3233 of 5419
1,272.41
1,272.41
3,949.98
3,949.98
5,250.53
5,250.53
668.71
668.71
90,704.32
90,704.32
1,580.00
1,580.00
17,895.00
17,895.00
0.00
0.00
Page 3234 of 5419
825.55
825.55
0.00
0.00
85.80
85.80
1,358.68
1,358.68
3,802.00
3,802.00
5,283.62
5,283.62
30,830.65
30,830.65
183,377.25
183,377.25 Page 3235 of 5419
0.00
0.00
183,377.25
183,377.25
665,836.30
665,836.30
-34-
1:41:47 PM
Page 3236 of 5419
Collier County Government
Subrogation Closed Claim Report
Subrogation Recovery - Q4 FY 2024
Valued as of:10/11/2024
Med/BI/Comp Expense Ind/PD/Coll Recovery Deductible Legal
Claim Number Claimant Name Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total Incurred Total
Division Date of Loss Date Report to Risk Status Paid Total Paid Total Paid Total Paid Total Paid Total Paid Total
Coverage Carrier Cause Description of Loss
Period: 10/ 1/2020 - 9/30/2021 (10/1/2020 - 9/30/2021)
50-07072111624 Transportation & Engineering Division vs Dominique Sineus 0.00 0.00 0.00 0.00 0.00 0.00
TECM 7/7/2021 7/7/2021 7/26/2024 0.00 0.00 0.00 0.00 0.00 0.00
53 3000 Street light down
50-01072111048 Water Division v. Michael Lavery 3,900.00 894.80 0.00 0.00 0.00 0.00
WATE 1/7/2021 1/14/2021 7/29/2024 3,900.00 894.80 0.00 0.00 0.00 0.00
50 3000 Michael Lavery of 4456 Lakewood Blvd had driven onto property
owned by Collier County Water District. When he tried to leave all
gates were locked, so he utilized his vehicle to ram through the gate.
Gate was destroyed.
3,900.00 894.80 0.00 0.00 0.00 0.00
Total by Period 2 Claims 3,900.00 894.80 0.00 0.00 0.00 0.00
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-08052212880 Transportation Engineering Division vs Dulce Aguilera 1,055.13 0.00 0.00 10,000.00 0.00 0.00
TECM 8/5/2022 8/8/2022 7/12/2024 1,055.13 0.00 0.00 10,000.00 0.00 0.00
53 3000 Street light down
50-08172212918 Transportation Engineering Division VS Ronald Doyle 0.00 0.00 0.00 9,410.42 0.00 0.00
TECM 8/17/2022 8/17/2022 9/24/2024 0.00 0.00 0.00 9,410.42 0.00 0.00
53 3000 Street light down pole 236
50-06172212703 PUBLIC TRANSIT & NEIGHBORHOOD ENHANCEMENT 105.00 0.00 0.00 0.00 0.00 0.00
PTNE 6/17/2022 6/20/2022 9/30/2024 105.00 0.00 0.00 0.00 0.00 0.00
53 3000 The black chain link fence was damaged, to our retention pond on
the back side of our property off of Davis Blvd along with some
landscape plants
Period: 10/ 1/2021 - 9/30/2022 (10/1/2021 - 9/30/2022)
50-04122212468 Wastewater Division vs Under City Utility Services 0.00 0.00 0.00 0.00 0.00 0.00
WWTE 4/12/2022 4/13/2022 9/30/2024 0.00 0.00 0.00 0.00 0.00 0.00
50 Wastewater Collections (WWC) received a call of liquid leaking out
of the ground. WWC determined the source to be a 4” PVC
forcemain. The forcemain was damaged during a directional bore
performed by Under City Utility Services.
Page 3237 of 5419
1,160.13 0.00 0.00 19,410.42 0.00 0.00
Total by Period 4 Claims 1,160.13 0.00 0.00 19,410.42 0.00 0.00
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
50-07062314126 Road Maintenance Division vs Elias Gutierrez 10,000.00 0.00 0.00 10,000.00 0.00 0.00
RMSE 7/6/2023 7/10/2023 9/24/2024 10,000.00 0.00 0.00 10,000.00 0.00 0.00
54 3000 TRAFFIC ACCIDENT REPORT_TAR #3603_COLLIER BLVD,
MEDIAN 8 FIELDERS CREEK PKWY & MAINSAIL
DR_LANDSCAPE DAMAGE _1 newly installed royal palm, bridal
veil damaged,1 Bulnesia tree damaged ,10 wild coffee plants
50-09152314331 Transportation Engineering Division vs Ludkencia Jean 11,860.11 0.00 0.00 11,860.11 0.00 0.00
TECM 9/15/2023 9/15/2023 8/7/2024 11,860.11 0.00 0.00 11,860.11 0.00 0.00
53 3000 Street light down in front of Taco Bell
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
50-04042313844 Road Maintenance Division vs Kevin Barnhill 2,469.56 0.00 0.00 2,469.56 0.00 0.00
RMSE 4/4/2023 4/7/2023 7/29/2024 2,469.56 0.00 0.00 2,469.56 0.00 0.00
53 3000 TAR #23 / Guardrail Damage at Immokalee Rd & Regent Cir CCSO
Rept #23-135981
50-09062314300 Transportation Engineering Division vs Joshua Selmyer 1,670.64 0.00 0.00 7,663.16 0.00 0.00
TECM 9/6/2023 9/6/2023 7/22/2024 1,670.64 0.00 0.00 7,663.16 0.00 0.00
53 3000 Street light down
50-01282314981 Transportation Engineering Division vs Pablo Gonzalez 4,394.86 0.00 0.00 4,394.86 0.00 0.00
TECM 1/28/2023 3/27/2024 8/26/2024 4,394.86 0.00 0.00 4,394.86 0.00 0.00
53 3000 Signal ahead sign down
30,395.17 0.00 0.00 36,387.69 0.00 0.00
Total by Period 5 Claims 30,395.17 0.00 0.00 36,387.69 0.00 0.00
Period: 10/1/2023 - 9/30/2024 (10/1/2023 - 9/30/2024)
50-04152415044 Transportation Engineering Division vs James Ward 0.00 0.00 0.00 2,222.16 0.00 0.00
TECM 4/15/2024 4/15/2024 8/22/2024 0.00 0.00 0.00 2,222.16 0.00 0.00
53 3000 Light pole down
50-01242414751 Transportation Engineering Division vs Rosario Chavezapaza 0.00 0.00 0.00 2,507.55 0.00 0.00
TECM 1/24/2024 1/25/2024 8/19/2024 0.00 0.00 0.00 2,507.55 0.00 0.00
53 3000 Mast arm base hit by car
50-12152314744 Transportation Engineering Division vs Claudia Nieves Bauza 0.00 0.00 0.00 384.46 0.00 0.00
TECM 12/15/2023 1/23/2024 8/5/2024 0.00 0.00 0.00 384.46 0.00 0.00
53 3000 Sign down Collier Blvd near Business Circle S
Period: 10/1/2023 - 9/30/2024 (10/1/2023 - 9/30/2024)
Wastewater Collections (WWC) received a call of liquid leaking out
of the ground. WWC determined the source to be a 4” PVC
forcemain. The forcemain was damaged during a directional bore
performed by Under City Utility Services.
Page 3238 of 5419
50-03152415192 Transportation Engineering Division vs Alton Estilien 0.00 0.00 0.00 419.63 0.00 0.00
TECM 3/15/2024 5/23/2024 7/24/2024 0.00 0.00 0.00 419.63 0.00 0.00
53 Sign down in median
50-10292314471 Transportation Engineering Division vs Austen Brown 0.00 0.00 0.00 15,559.66 0.00 0.00
TECM 10/29/2023 10/30/2023 7/9/2024 0.00 0.00 0.00 15,559.66 0.00 0.00
53 3000 Street light Pole 142
50-07162415367 Transportation Engineering Division vs Jose Cintron 0.00 0.00 0.00 1,601.55 0.00 0.00
TECM 7/16/2024 7/16/2024 8/26/2024 0.00 0.00 0.00 1,601.55 0.00 0.00
53 3000 Ped pole down from car accident
50-08282415524 Transportation Engineering Division vs Katherine Kokinda 0.00 0.00 0.00 1,588.79 0.00 0.00
TECM 8/28/2024 8/28/2024 9/18/2024 0.00 0.00 0.00 1,588.79 0.00 0.00
53 3000 Street light down from car accident
50-05182415177 Transportation Engineering Division vs Mark Young 0.00 0.00 0.00 5,100.15 0.00 0.00
TECM 5/18/2024 5/20/2024 9/24/2024 0.00 0.00 0.00 5,100.15 0.00 0.00
53 3000 Mast arm hit NW corner from accident
50-11222314587 Transportation Engineering Division vs Rudolph Wagner 0.00 0.00 0.00 9,708.58 0.00 0.00
TECM 11/22/2023 11/27/2023 9/24/2024 0.00 0.00 0.00 9,708.58 0.00 0.00
53 3000 Upright for traffic signal was hit also a sign
50-12142314638 Transportation Engineering Division vs Emile Petilord 0.00 0.00 0.00 0.00 0.00 0.00
TECM 12/14/2023 12/14/2023 9/30/2024 0.00 0.00 0.00 0.00 0.00 0.00
53 3000 Load center for street lights hit on Davis blvd.
Period: 10/1/2023 - 9/30/2024 (10/1/2023 - 9/30/2024)
50-10092314400 Transportation Engineering Division vs Alexandra Tellez 0.00 0.00 0.00 7,391.21 0.00 0.00
TECM 10/9/2023 10/9/2023 7/15/2024 0.00 0.00 0.00 7,391.21 0.00 0.00
50 3000 Street Light down
50-04162415464 Transportation Engineering Division vs Leidy Iglesias Machado 0.00 0.00 0.00 580.62 0.00 0.00
TECM 4/16/2024 8/16/2024 8/28/2024 0.00 0.00 0.00 580.62 0.00 0.00
50 3000 Sign down from car accident.
41-10302314468 Transportation & Engineering Division vs Neapolitan Car Wash 0.00 0.00 2,677.91 3,177.91 0.00 0.00
TECM 10/30/2023 10/30/2023 9/24/2024 0.00 0.00 2,677.91 3,177.91 0.00 0.00
41 Employee went to the car wash Neapolitan Car wash 6265 Naples
Blvd. He noticed damage when truck was coming out of car wash
the light Bar was moved 1 foot back. Damage to light bar and top of
truck. CC2-1749. He went in car wash to report
50-06042415230 Bureau of Emergency Services Division vs Mainscape 0.00 0.00 0.00 111.96 0.00 0.00
EMSE 6/4/2024 6/6/2024 7/15/2024 0.00 0.00 0.00 111.96 0.00 0.00
Page 3239 of 5419
50 Staff onsite at EMS 24 described that the Landscapers were onsite,
after they left, the bay door had a cracked lexan panel, and a
sprinkler head was visually damaged, causing the area to washout
when the irrigation system came on.
Period: 10/1/2023 - 9/30/2024 (10/1/2023 - 9/30/2024)
50-02212414882 Wastewater Division vs Utilities One Inc 1,709.83 0.00 0.00 1,709.83 0.00 0.00
WWTE 2/21/2024 2/29/2024 7/29/2024 1,709.83 0.00 0.00 1,709.83 0.00 0.00
50 Under ground cable, directional bored through County owned 6in
sewer lateral.
41-05302415215 Building Review & Inspection Division vs James Milhizer 0.00 0.00 0.00 0.00 0.00 0.00
BPRI 5/30/2024 5/31/2024 9/24/2024 0.00 0.00 0.00 0.00 0.00 0.00
41 Vehicle changed lanes without reason and collided with CC2-3006
41-11212314581 Building Plan Review and Inspection Division vs Matthew Krol 0.00 0.00 579.88 579.88 0.00 0.00
BPRI 11/21/2023 11/22/2023 8/23/2024 0.00 0.00 579.88 579.88 0.00 0.00
41 Inspection was sitting off on the side of the road at a construction
site entering notes in his computer and his vehicle was struck by a
contractor vehicle that was passing by.
1,709.83 0.00 3,257.79 52,643.94 0.00 0.00
Total by Period 17 Claims 1,709.83 0.00 3,257.79 52,643.94 0.00 0.00
37,165.13 894.80 3,257.79 108,442.05 0.00 0.00
Grand Totals: 28 Claims 37,165.13 894.80 3,257.79 108,442.05 0.00 0.00
-6-
10/11/2024
1:45:20 PM
Page 3240 of 5419
Other Total Inc
Incurred Total Incurred Total
Paid Total Paid Total
0.00 0.00
0.00 0.00
0.00 4,794.80
0.00 4,794.80
0.00 4,794.80
0.00 4,794.80
0.00 1,055.13
0.00 1,055.13
0.00 0.00
0.00 0.00
0.00 105.00
0.00 105.00
0.00 0.00
0.00 0.00
Collier County Government
Subrogation Closed Claim Report
Subrogation Recovery - Q4 FY 2024
Period: 10/ 1/2020 - 9/30/2021 (10/1/2020 - 9/30/2021)
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)
Page 3241 of 5419
0.00 1,160.13
0.00 1,160.13
0.00 10,000.00
0.00 10,000.00
0.00 11,860.11
0.00 11,860.11
0.00 2,469.56
0.00 2,469.56
0.00 1,670.64
0.00 1,670.64
0.00 4,394.86
0.00 4,394.86
0.00 30,395.17
0.00 30,395.17
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
Period: 10/ 1/2022 - 9/30/2023 (10/1/2022 - 9/30/2023)
Period: 10/1/2023 - 9/30/2024 (10/1/2023 - 9/30/2024)
Period: 10/1/2023 - 9/30/2024 (10/1/2023 - 9/30/2024)
Page 3242 of 5419
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
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 2,677.91
0.00 2,677.91
0.00 0.00
0.00 0.00
Period: 10/1/2023 - 9/30/2024 (10/1/2023 - 9/30/2024)
Page 3243 of 5419
0.00 1,709.83
0.00 1,709.83
0.00 0.00
0.00 0.00
0.00 579.88
0.00 579.88
0.00 4,967.62
0.00 4,967.62
0.00 41,317.72
0.00 41,317.72
Period: 10/1/2023 - 9/30/2024 (10/1/2023 - 9/30/2024)
-6-
10/11/2024
1:45:20 PM
Page 3244 of 5419
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