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HomeMy WebLinkAbout; ; Records Destruction Authorization Form - Risk Management; 2020-01-30RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 12-31-19 ---------- REQUESTING DEPARTMENT: RISK MANAGEMENT . REQUESTER: T R ERIE OWLEY DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, required audits have been completed, and no pending or ongoing litigation or investigation involving these records is known to exist. _ _____.m~~/2....._\ _1_1--_') 1--l i (Jab~~ 1-, ~l) C /ri(2o DEPARTMENT HEAD DATE RECORDS MANAGEMENT DATE CITY ATTORNEY DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) RKM53 Bernard, Glen-Other, compensation Closed 0745-50 CL+7 (? (. ~ att-a1zdJ for extreme impediment 2012 RKM53 RKM53 RKM53 RKM53 RKM53 RKM53 RKM67 RKM67 RKM67 RKM67 RKM67 <<i', CITY OF w CARLSBAD Castaneda, Leonard-Other, alleged Closed fraud 2012 0745-50 CL+7 "'\ Quinn, Evi and Reuben-Trip/Fall Closed 0745-50 CL+7 2012 SDG&E-Other, transmission tower Closed 0745-50 CL+7 compromised 2012 Vitalie, James-Sewer/Water (Tree Closed 0745-50 CL+7 related) 2012 Vita lie, James-Sewer/Water (Tree Closed 0745-20 CL+5 related 2010 I Vitalie, James-Sewer/Water (Tree Closed 0745-20 CL+5 I related 2012 AAA-Garcia, Cynthia-Vehicle Closed 0745-20 CL+5 I Collision 2014 AAA-Green, Karen-Vehicle Collision Closed 0745-20 CL+5 I 2014 Altman, Tim-Vehicle Comprehensive Closed I (Other Than Collision) 2014 0745-20 CL+5 Balakar, Victor-Vehicle Collision Closed 0745-20 CL+5 2014 Barajas, Sal & Julius-Sewer/Water Closed 0745-20 CL+5 \ (Other Than Tree Related) 2014 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program, Revised: 12/30/i019 Page /1 ,, l RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 RKM67 <~~ CITY Of w CARLSBAD Bartley, Barbara-Trip/Fall Closed 0745-20 CL+5 0 et afhcizd,) 2014 USAA Ins., Beck-Vehicle Collision Closed 0745-20 CL+5 2014 ~ Berg, Erin-Law Enforcement Closed 0745-20 CL+5 \ 2014 Blackwell, Lana-Tree (Other Than Closed 0745-20 CL+5 \ Sewer/Water Related) 2014 Blanchard, Bill-Law Enforcement Closed 0745-20 CL+5 \ 2014 Bristol Cove, POA-Other, Sediment Closed 0745-20 CL+5 in Marina 2014 Clerkson, Marion-Trip/Fall Closed 0745-20 CL+5 2014 Cochren, Allstate lns.-Vehicle Closed 0745-20 CL+5 Collision 2014 Coleman, James Adam-Law Closed 0745-20 CL+5 Enforcement 2014 Courtney, Kelli-Law Enforcement Closed 0745-20 CL+5 2014 De Leise, Jenae-Other, Damages to Closed 0745-20 CL+5 I Water Faucet 2014 Dehner, Vicki-Vehicle Closed I Comprehensive (Other Than 2014 0745-20 CL+5 Collision Darnick, Leslie as Guardian of Jake, Closed CL+5 I 0745-20 minor child 2005 past age 18 Doty, Mary E.-Trip/Fall Closed 0745-20 CL+5 I 2014 Dunbar, Michael-Law Enforcement Closed 0745-20 CL+5 I 2014 Edwards, Leticia-Vehicle Closed I Comprehensive (Other Than 2014 0745-20 CL+5 Collision) GC Construction-Sewer/Water Closed 0745-20 CL+5 I (Other Than Tree Related) 2014 Giammarinaro, Marilyn-Tr-ip/Fall Closed 0745-20 CL+5 2014 Grant, Kristine-Vehicle Closed Comprehensive (Other Than 2014 0745-20 CL+5 Collision) Harrelson, Ronald-Sewer/Water Closed 0745-20 CL+5 (Other Than Tree Related) 2014 \ Hartley, Dennis-Sewer/Water (Other Closed 0745-20 CL+5 \ Than Tree Related) 2014 Henchy, Vivian and Steven-Closed \ Sewer/Water (Tree Related) 2014 0745-20 CL+5 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Rev~ed:12/30/2019 Page /2 RKM67 Henderson, Barbara-Trip/Fall Closed 0745-20 CL+5 (5e ~ a;btaduJ.,) 2014 RKM67 Park Juniper HOA-Other, Expenses Closed 0745-20 CL+5 Knox Box 2014 .....__ RKM67 Park Juniper HOA-Other, Expenses Closed 0745-20 CL+5 \ Knox Box 2013 RKM67 It's A Grind Coffee House-Other, Closed 0745-20 CL+5 \ Loss of Business 2014 RKM67 Janke, Heinz-Vehicle Comprehensive Closed 0745-20 CL+5 \ {Other Than Collision 2014 RKM67 Kelsall V, Samuel-Other, Closed 0745-20 CL+5 Discrimination 2014 Keville, Thomas-Vehicle Closed RKM67 Comprehensive {Other Than 2014 0745-20 CL+5 Collision) Koval, Kristen-Vehicle Closed RKM67 Comprehensive {Other Than 0745-20 CL+5 Collision) 2014 I Krekorian, Michael-Vehicle Closed I RKM67 Comprehensive {Other Than 2014 0745-20 CL+5 Collision) RKM67 Krummel, Gilbert-Other, Electrical Closed 0745-20 CL+5 I Repair 2014 RKM67 Labeja, Kenneth-Vehicle Collision Closed 0745-20 CL+5 I 2014 Lapins, Eileen-Vehicle Closed I RKM67 Comprehensive {Other Than 2014 0745-20 CL+5 Collision) RKM67 Lime Grove Apartments-Vehicle Closed 0745-20 CL+5 I Collision 2014 RKM68 Marr, Jared-Law Enforcement Closed 0745-20 CL+5 I 2014 Martinez, Alanna-Vehicle Closed I RKM68 Comprehensive {Other Than 2014 0745-20 CL+5 Collision) Martinez, Susana-Vehicle Closed / RKM68 Comprehensive {Other Than 0745-20 CL+5 Collision) 2014 RKM68 Massery, Mary-Tree {Other Than Closed 0745-20 CL+5 Sewer/Water Related) 2014 RKM68 McKittrick, Martin-Other, Correction Closed 0745~20 CL+5 of Drainage and Retaining Wall 2014 RKM68 Meritt, Cynthia-Sewer/Water {Tree Closed 0745-20 CL+5 Related) 2014 \ Meserole, Pamela-Vehicle Closed \ RKM68 Comprehensive {Other Than 2014 0745-20 CL+5 Collision) This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. \,,_~) CllY Of w CARLSBAD · Revised: 12/30/2019 Page /3 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 «i) CITY Of ~ CARLSBAD Meyers, Carrie-Vehicle Closed (~t(,, a{J!J.dul,) Comprehensive (Other Than 2014 0745-20 CL+5 Collision) Mitchell, Sean-Tree {Other Than Closed 0745-20 CL+5 "\ Sewer/Water Related) 2014 Murphy, Michael-Dangerous Closed 0745-20 CL+5 \ Condition of Public Property 2014 Nans, Crystal-Sewer/Water (Other Closed 0745-20 CL+5 \ Than Tree Related) 2014 Newvine, Danny-Law Enforcement Closed 0745-20 CL+5 \ 2014 Nguyen, Baotam-Vehicle I Closed Comprehensive (Other Than 2014 0745-20 CL+5 Collision) Pack, Norma-Law Enforcement Closed 0745-20 CL+5 2014 Real Property Management-Tree Closed 0745-20 CL+5 {Other Than Sewer/Water Related) 2014 Rempel, Daniel & Barbara-Claim Closed sent in error-occurred in Carlsbad, 2014 0745-20 CL+5 NM Ringdahl,-Amy-Dangerous Condition Closed 0745-20 CL+5 I of Public Property 2014 Ringdahl, Cayman-Dangerous Closed 0745-20 CL+5 I Condition of Public Property 2014 Ringdahl, Cole-Dangerous Condition Closed 0745-20 CL+5 I of Public Property 2014 Ringdahl, Tyra-Dangerous Condition Closed 0745-20 CL+5 I of Public Property 2014 Rossing, John-Law Enforcement Closed 0745-20 CL+5 I 2014 Rossing, John-Law Enforcement Closed 0745-20 CL+5 I 2014 Rusk, Shelley-Other, no reason for Closed 0745-20 CL+5 I claim given 2014 Sabrina Greens HOA-Tree (Other Closed 0745-20 CL+5 I Than Sewer/Water Related) 2014 Salverson, Norman-Vehicle Closed Comprehensive {Other Than 2014 0745-20 CL+5 Collision) Saraiya, Roh it-Tree {Other Than Closed 0745-20 CL+5 Sewer/Water Related) 2014 Schwope, Varia-Other, Fire Dept. Closed 0745-20 CL+5 response expense 2014 Smith, Marva-Other, Variety of Closed 0745-20 CL+5 Alleged Employee Transgressions 2014 \ Smith, Susan M.-Sewer/Water (Tree Closed 0745-20 CL+5 \ Related) 2014 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Rev~ed:12/30/2019 Page /4 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM68 RKM90 RKM90 RKM90 RKM90 RKM90 . <~CARLSBAD Songe, Susan-Vehicle Closed Comprehensive (Other Than 2014 0745-20 CL+5 {t;e_b~) Collision) Spainhower, Toby-Dangerous Closed 0745-20 CL+5 \ Condition of Public Property 2014 Stickler, Pamela-Other, Issue with Closed ' Jack in The Box 2014 0745-20 CL+5 Stickler, Pamela-Other, Wrong Closed 0745-20 CL+5 Directions to Restroom 2014 Stickler, Pamela-Other, Rental Closed 0745-20 CL+5 Assistance Application Issue 2014 Streff, Gerry-Trip/Fall Closed 0745-20 CL+5 2014 Sunset Place Association-Closed Sewer/Water (Other Than Tree 2014 0745-20 CL+5 Related) Taft, Stephen-Vehicle Closed Comprehensive (Other Than 2014 0745-20 CL+5 ) Collision) Thomas, Bruce-Law Enforcement Closed 0745-20 CL+5 2014 Topp, Kathy-Vehicle Comprehensive Closed 0745-20 CL+5 (Other Than Collision) 2014 Trapani, Judith-Vehicle Closed I Comprehensive (Other Than 2014 0745-20 CL+5 Collision) Varano, Guerino-Law Enforcement Closed 0745-20 CL+5 2014 Whisman, Patricia-Dangerous Closed 0745-20 CL+5 I Condition of Public Property 2014 Woods, Dustin-Dangerous Condition Closed 0745-20 CL+5 I of Public Property 2014 Young, David-Vehicle Closed I Comprehensive (Other Than 2014 0745-20 CL+5 Collision) Zada, Nicole-Sewer/Water (Tree Closed 0745-20 CL+5 I Related) 2014 Potential Claim 2014 Loss Recovery-Acosta, Orestes-city Closed 0120-20 CL+2 vehicle damages 2017 Loss Recovery-Agut-Wernsman, Closed 0120-20 CL+2 Noah-street light damages 2017 Loss Recovery-Altman, Joni-city Closed 0120-20 CL+2 \ vehicle damages 2017 Loss Recovery-Arroyo, Martin-Closed 0120-20 CL+2 \ guardrail damages 2017 Loss Recovery-Aztec Magic Closed " Transport-fire hydrant damages 2017 0120-20 CL+2 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program . Revised: 12/30/2019 Page /5 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 Loss Recovery-BJ's Rentals-fire Closed 0120-20 CL+2 (sll, dtadud) hydrant damages 2017 Loss Recovery-Barnett, Kimberley-Closed 0120-20 CL+2 wall damages 2017 "" Loss Recovery-Barranco Linares, Closed 0120-20 CL+2 \ Anna-street sign damages 2017 Loss Recovery-Bartling, Michael-Closed 0120-20 CL+2 \ street light damages 2017 Loss Recovery-Bunmathong, Luxika-Closed 0120-20 CL+2 street sign damages 2017 Loss Recovery-Consolidated Electric-Closed 0120-20 CL+2 fire hydrant damages 2017 Loss Recovery-Davis; Paige-guardrail Closed 0120-20 CL+2 damages 2017 Loss Recovery-Delgado, Dennis-Closed 0120-20 CL+2 street sign damages 2017 Loss Recovery-Diguiseppe, Dominic-Closed 0120-20 CL+2 street light pole 2017 Loss Recovery-Dills, Kevin-street Closed 0120-20 CL+2 light pole and signs 2017 Loss Recovery-Edquist, Erhart-fire Closed 0120-20 CL+2 I hydrant and traffic signal damages 2017 Loss Recovery-Fleet Logic-traffic Closed 0120-20 CL+2 I signal damages 2017 Loss Recovery-Garcia, Aurora-traffic Closed 0120-20 CL+2 I signal damages 2017 Loss Recovery-Garcia, Christina, Closed 0120-20 CL+2 I guardrail damages 2017 Loss Recovery-Gonzalez, Jr., Samuel-Closed 0120-20 CL+2 I . street light pole damages 2017 Loss Recovery-Guerrette, Teri-street Closed 0120-20 CL+2 I sign damages 2017 Loss Recovery-Hanifan, Lisa or Jack-Closed 0120-20 CL+2 I fire hydrant damages 2017 Loss Recovery-Hynes, Timothy-Closed 0120-20 CL+2 I street light pole damages 2017 Loss Recovery-Jones, Leigh-fire Closed 0120-20 CL+2 I hydrant damages 2017 Loss Recovery-Kail, Brandon-fire Closed 0120-20 CL+2 I hydrant damages 2017 Loss Recovery-Kim, Thomas-fire Closed 0120-20 CL+2 hydrant damages 2017 Loss Recovery-King, Marvin-street Closed 0120-20 CL+2 light pole damages 2017 \ Loss Recovery-Larson, Jason-air Closed 0120-20 CL+2 \ release valve damages 2017 Loss Recovery-Lee, Kathy-street light Closed 0120-20 CL+2 \ . pole damages 2017 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Rev~ed:12/30/2019 Page /6 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 RKM90 <~) CIT.Y Of w CARLSBAD Loss Recovery-Manguso, Brandon-Closed 0120-20 CL+2 6t tr ait:acfui) street light pole damages 2017 Loss Recovery-Mar Con Products-Closed , fire hydrant damages 2017 0120-20 CL+2 \ Loss Recovery-Marrs, Richard-fire Closed 0120-20 CL+2 \ hydrant damages 2017 Loss Recovery-Martinez, Maritza-Closed 0120-20 CL+2 median damages 2017 Loss Recovery-McKinney Vehicle Closed 0120-20 CL+2 Services-fire hydrant damages 2017 Loss Recovery-Moran, Bridget-street Closed 0120-20 CL+2 sign damages 2017 Loss Recovery-Mountain Valley Closed 0120-20 CL+2 Express-fire hydrant damages 2017 Loss Recovery-Old Dominion Closed 0120-20 CL+2 Freight-fire hydrant damages 2017 Loss Recovery-Olivero, Francisco-Closed 0120-20 CL+2 city vehicle damages 2017 Loss Recovery-Owens, Patrick-street Closed 0120-20 CL+2 light pole damages 2017 Loss Recovery-Polzin, James-fire Closed 0120-20 CL+2 hydrant damages 2017 Loss Recovery-Rancho Carrillo HOA-Closed I subrogation claim waived per 2017 0120-20 CL+2 agreement Loss Recovery-Romero, Jose or Closed I Maria-street light pole and 2017 0120-20 CL+2 landscape damages Loss Recovery-Rosasramirez, Closed 0120-20 CL+2 I lsachar-street sign damages 2017 Loss Recovery-Said, Najma-city Closed 0120-20 CL+2 I vehicle damages 2017 Loss Recovery-Salvation Army-fire Closed 0120-20 CL+2 I hydrant damages 2017 Loss Recovery-Segovia, Gregorio-Closed 0120-20 CL+2 street sign damages 2017 Loss Recovery-Soto, Guadalupe-Closed 0120-20 CL+2 traffic signal damages 2017 Loss Recovery-Sutton Trees-fire Closed 0120-20 CL+2 hydrant damages 2017 Loss Recovery-Thompson, Mark-Closed 0120-20 CL+2 street sign damages 2017 \ Loss Recovery-Toyota Lease Trust-Closed \ fire hydrant, street signs and tree 2017 0120-20 CL+2 damages Loss Recovery-Traber, Timothy-Closed 0120-20 CL+2 street sign damages 2017 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Rev~ed:12/30/2019 Page /7 RKM90 Loss Recovery-Vose, Paulette-city Closed 0120-20 CL+2 {~it a/iad,utf.,) vehicle damages 2017 Loss Recovery-Waletich ,,, Closed RKM90 Transportation-traffic signal pole 2017 0120-20 CL+2 \ damages RKM90 Loss Recovery-Weeks, Brendan-Closed 0120-20 CL+2 \ stucco wall damages 2017 RKM90 Loss Recovery-Whited, Shay-fire · Closed 0120-20 CL+2 \ hydrant damages 2017 RKM90 Loss Recovery-Zizzo, Paolo-fire Closed 0120-20 CL+2 \ hydrant damages 2017 RKM90 Loss Recoveries, unable to pursue Closed 2015 RKM90 Potential Loss Recoveries Closed 2015 RKM91 RFP Submittal: ADA Transition Plan 0470-45 AU+4 2015-Bids/Quotes/Proposals RKM91 Interview for Safety Consultant 0120-05 CU+2 I Services 1993 RKM91 Proposals for Review of Safety 0470-45 AU+4 l Systems 1999 RKM91 IIPP Audit Correspondence 0470-45 AU+4 I RKM96 ALLIANT Special Event Insurance-0120-13 CL+2 I Policy year 1/1/2016-1/1/2017 RKM96 · ADA Grievance-Brown, Marian Closed 0680-20 CL+5 I 2013 RKM96 ADA Grievance-Foster, Bob Closed 0680-20 CL+5 I 2014 Incident Reports/Citizen Closed I ' RKM96 Injury/Vehicle Incident Reports 2014 2014 0120-23 CL+2 RKM96 Incident Reports/Citizen Closed 0120-23 CL+2 I Injury/Vehicle Incident Reports 2015 2015 RKM96 Vehicle Incident & Citizen Injury Closed 0120-23 CL+2 Reports 2016 2016 RKM96 Incident Reports/Citizen Closed 0120-23 CL+2 Injury/Vehicle Incident Reports 2017 2017 RKM96 Insurance Waiver Requests 2014 approved by the Risk Manager Liability Loss Run Monthly Reports- RKM96 Policy year: 2012-13, 2013-14, 2014-\ 15,2015-16,2016-17 RKM96 Special Events 2017-signed \ participant waivers *If more spaces are needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table. \_~\clTYOf w CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 12/30/2019 Page /8 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: tof?;J~ DATE: CERTIFICATE OF DESTRUCTION? ~ YES O NO TABBARCODESDELETEDBY: ..A/LWtL ~ DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 12/30/2019 Page /9 ' City Of Carlsbad Loss Run Report £lailll CloladblllWIHI 01/0l/20rl 1111 fl/3V28fl l-~ I!.. -)_ Date of Date Date Date. Loss Expense Loss Expense ~ .. im_N_a_m_e _____ L_o_s_s _____ R_e_ce_iv __ ed ____ c,.1o_se_d ___ c __ a_tep.a..o..i;1Y __ ...., ________ u_·t..;:ig:;..a_te ___ R_e_s_erv_e ___ R_es_erv_e ___ Pa.::y_m_en_t __ P_a~y-m_en_t_-=~;.:::.--==~- ,_z __ ru:L~G-U_1L_O_, _RA_F_A_E_L ____ 8_12_9_12_0_12 __ s,_10_,2_0_1_2_10_,1_1_12_0_12_~-:.~E_,.RJW~'A_T_E_R_(TR_E_E______ 0.00 0.00: 7,885.00 o.oo Incurred Status 7,885.00 CLOSED ~LLSTATE, KIM 4/20/2011 8/30/2011 3/28/2012VEHICLE COLLISION 0.00 . 0.00, -0.00 . 0.00: 0AMCOINSURANCECO. 10/1/2012TREE(OTHERTHANSE 0.00 0.00 9,131.94 0.00 \_/"(.,.-AMMON, ART 6/5/2012 SEWER/WATER (TREE 0.00 0.00 529.00 0.00 X ANDERSOt{ BRAD 5/15/2(>1iTREE((ITHE.lfTHANSE .. 0.00 0.00 152.39 0.00 6/10/2012 8/13/2012 3/22/2012 51712012 4/13/2012 4/26/2012 0.00 CLOSED . 9,131.94 CLOSED 529.00 CLOSED --·-·····---~---------·-----152.39 CLOSED vf(ASORO, BRANDON 7/31/201.2VEHICLECOMPREHEN... ... 0.00 0.00 748.77 0.00 0ATWELL, VINCENT&LI' 3/3012010i 4113/2010 3128f2012TREE{OTHE'ffT~1H~,,A~N=0s=e-----o-.o-0--------------·---····· 0.00 0.00 CLOSED 6/1512012 7/17/2012 I 748.77 CLOSED 0.00 0.00 0,-: --,;' _J,A ...... ;r=t,_L_E_R_IN-i,-B-A_R_B_A_RA_-,-1_0_!2_2/_2_0_12~' -1-013-1-,2-0_1_2_1_2_/3_{2_0_12~8 ...... Eo:acw"""0 E·wwATER(OTHE ' 0.00 0.00 110.00 CLOSED ~ BARGAMIAl\i; KRISTA 4/30/201i: 5/29/201i' 12f26/2012{iEHiCLECOMPREHEN .. 0.00 0.00 0.00 CLOSED : 1 ~ERNARD,_-G_i._E_N_N ___ 10_12_1_12_0_05 __ 81_10_,_20_12 _ 1_2~~~~1~~TE~!:•:-::~-~•-u-"'b :·10,111201V __ ' __ o_.o_o ____________ o_.o_o ____ o_.o_o_c_Li_o_s_E_D_ ~OWEN, SHAWNA 4/30/2012; 5129/2012: 12/26/2012.y~~~;.~~~~~~~~ _ 0.00 0.00, 0.00 CLOSED ~ BRISTOL COVE PROPE 12/29/2008 3/9/2009, 6/1412012 SEWERIWATER (TREE . . ·O.OO ______ C_LO_S_E_D_ ~BUVRNEnMICHAELIC>lA. 4/23!20fa° 5/2412012: 12f4i2012:VEHiCLECOMPREI-IEN 0.00 0.00 0.00 CLOSED ~ CARLSBAD BY THE SE . 2/9/2012 -3::-:{2,:---2,--,-/2::-:0-:-12-:-':'--7-/t,-::-0-::,/2..,..01--,2,.,.;S~EW'-=::E:"'R/W~=~:i::,TE'='R:u.o.(O~T'""H""E.__--:-______ o_.O_O ____________ o __ o_o ___ 6_,6_36-.6-3_C_L_O_S_E_D_ ~-~ARLSBAD COMMUNIT 3/6/2012 4/20/2012] -5ti5/2012iSEWER/WATER (TREE O.OD 0.00 463.00 CLOSED 16 CASTANEDA, LEONAR 71212009 12/31/2009 7l17/201-20THERru. si1oi2010 ✓--D.00 o:oo··--·--0.00 CLOSED · /4:-'cHARTIER: KRISTINA 9/15/2012 10/1/201_2: 10/23/2012:VEHICLE COLLISION 0.00 CLOSED ~OWAR, CLARK________ 6/8/2011 6/28/2011 1/31/2012jSEWER/WATER (TREE O.OOi CLOSED 0.00 110.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3,500.00 0.00 0.00 0.00 6,636.63 0.00 463.00 0.00 0.00 -------•· 0.00 3,505.22 o.oo 0.00 0.00 3,505.22 0.00 0.00 9 CORRENTE, DERICK 4/30/2012 5/29/2012 12126/2012jVEHICLECOMPREHEN 0.00 CLOSED 0.00 0.00-0.00 0.00 0,r!f DAVIDSON. CHELSEA s,1 s,2011 121a,20111 1,24,2012!TRw,oo"'"'-=' ....... ""'~----CLOSED ¼· DEVICH, ROB. ·-.. ·---·4/9-12-012· 4/25/2012: 1113/2012 OTHER 0.00 CLOSED ~DOBRUSKIN, GERALD! 1/25/2012 1/30/2012i 8/27/2012iTRIP/FALL 0.00 CLOSED w ROGO, SAM 3/16/2012 4/2/2012; 10/16/2012,SEWER/WATER (OTHE 0.001 CLOSED 0 .. 00 7,254.68 0.00 0.00 0.00 0.00' 0.00 0.00 33.40 0.00 0.00 0.00 0.00 0.00 0.00 4 El CAMINO RENTAL,-· --7/20/2012 8/21/2012' 9/11/2012'VEHICLE COLLISION CLOSED ,;.i<~s-EY,ANDREW .. -4/2312cff2: sisci,2012' 12/26/2012'~~~~~.?.9!'1;.~~~;~ 0.00 CLOSED ~.}ii NVALL, SCOT 4/13/20121 7/2/2012: 7/24/2012iTREE (OTHER THAN SE 0.00. CLOSED 0,00 3,472.39 0.00 0.00 0.00 819.00 0.00 0.00 0.00 0.00 819.00 -----.......,.----------------------..,..FLEMING, PATRICIA 5/11/2011; 1/9/2012i 3/28/2012 ;'.';~9~;.9E_M;,~~~;_~ 0.00 CLOSED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ~ F.lORES, RODOLFO 2/3/2012!' 2/22/2012! 9/20/2012VEHICLE COMPREHEN 0.00 CLOSED ~oRrEiA-Aceveoo. M i 412s12012 --s121,2012! · 1214121i12vEH'ictE1co',,,;PREHEN · o.oo cLosED ~-....,#-J:r• ... R=· 1_._i::_s_EN-.-s-H-EA-LE_E_N __ +-1_0_11_1-,2-o-11+\-11-,-14-,2-0-1-'1 :----61112012 TRE1:1(0Ttti=1'1{-i-i-1Ai-fs1 o.oo CLOSED ' ' ~----------------------.1---·· 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4/30/20121 5/24/2012' 12/26/2012iVEHICLE COMPREHEN 0.00 CLOSED 0.00 0.00 0.00 345.00' 2/5/2012! 3/21/2012 4/24/2012!SEWERNIIATER'ciREE 0.00; CLOSED 0.00 345.00; , -· !D.lr-:1 . .A...T-L....O.\... • Monday, August 18, 2014 LossRunClosed • ~-/'t,,,_::::;: ... _f'~-- Page 1 of3 ,.-._ .• ·:c ,,. &-t=-tJ.. efk..ll'Vl.~'.f -\{4--ti City of Carlsbad Clalns 188111 bltwllll 11/IV2812 t.,l"-~ ~ ( <P-' ·CL - Loss Run Report a 17/31/21112 v.:.v Date of Date Date Date Loss ClaimName Loss Received Closed Cate o Litigate serve 65 QUINN, REUBEN 1214/2009 618/2010 5/1/2012 TRIP/FALL . 12121/201 Ov 0.00 _,,66: RAY, SANDRA 4/27/2012 5/11/2012 5/21/2012 LAW ENFORCEMENT 0.00 ~REYES~ CELIA 4/9/2012 4124/2012 6/14/2012 VEHICLE COMPREHEN 0.00 ,mu ,~ ; ROCKER, JEFFR~Y 12/29/2011 217/2012 3/6/2012 VEHICLE COMPREHEN 0.00 . ---•Cll\lCJO..Tf lr."n.......""r.1-IA ... I_ r.:_o.o_ • V~9_lUIZ, 11712012 517/2012 12/21/2012 OTHER 0.00 J1l'. · NTANA, JAMES 4/1/2012-4/9/2012 10/30/2012 LAW ENFORCEMENT 0.00 11/21/2011 12/23/2011 7/10/2012 OTHER •'••·--~ 0.00 72 S_DG&E. 10122/2009 4/12/2010 11/16/2012 OTHER 11/30/2011 0.00 ~EGURA,OEENA 4/23/2012 5/21/2012 12/4/2012 VEHICLE COMPREHEN )MITH, MARVA 3/27/2012 4/10/2012 10/16/2012 VEHICLE COLLISION ,;15_ T OMAS, BRUCE 7/3/2011 . 10/20/2011 5/1/2012.OTHER ~IMBLE, TONY 4/23/2012 5/8/2012 12/4/2012 VEHICLE COMPREHEN SON, CHARLES & SA' .. r-n.~ lr,t.Tf.lC'r.'.1%1.JA.Ll.~ • 10/1/2011 5/29/2012 817/2012 TREE (OTHER THAN SE ~UDO taccn111u:rr:n nt:t •:rcn ,,-1, RENA, IRMA 4/23/2012 5/21/2012 12/4/2012:VEHICLE COMPREHEN :a11 lC: f0:X:I ICCt :Ct I A •I C'!:Q VINALA Y-MORENO, OR 10/25/2012 11/13/20121 12/18!2012!VEHICLE COLLISION -~-------------VITALIE, JAMES 12/24/2009 11/28/2011 2/21/2012 ,SEWER/WATER (TREE \nr-1 in,-rr-n\ 3/22/2012/ 81 VITALIE, JAMES 12/24/2009 1128/2012 5/2112012SEWERIWATER (TREE ,A'~ WATSON: FRED . -.. .n.r:-. 11/4/2011 5/4/2012 11/21/2012'LAW ENFORCEMENT ~ WHITE, BARBARA 10/2412011' 11/2/2011 5/22/2012 VEHICLE COMPREHEN . % WICKHAM, CLYDE C!:-1' IC tO"T1 ICD Tl I A \1 t"::0 5/1/2012 5/25/2012 12/12/2012VEHICLE COMPREHEN . ~ILKES,_~ANCY ... -. -. nn .. ,r:-_.to.T.LJCl:"I. ':1:U A.LI} ,O.t:'1 • 4/30/2012 5/29/2012 12/26/2012 VEHICLE COMPREHEN n...u::.J.o%U~A I I 00- ILLIAMS, KEVIN & TIN 6/10/2012 6/27/2012 9/4/2012 TREE (OTHER THAN SE tr,1.Jca..a,.Jll:A:::CC:D CCI 11,::CC:IC'!I 1/1/2009 8/8/2011 3/28/2012 OTHER Totals lj:_ l,..l~ ~f.N-:-' (;,-~0v-.;,._ f-...4 -r-1...n.._-J<-J Monday, August 18, 2014 ~ , v,e,.~Q.QI{_ \ V\.. \fo~-•~ .. J ~l lt LossRunClosed 0.00 o.oo· 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00, 0.001 0.001 o.oo: v""' '-{~.,. ,;l.2- Expense Loss Reserve Payment 0.00 o.oo· 0.00 0.00 0.00 2,148.00 0.00 300.00 0.00 0.00 ----· --··---~--·---0.00 0.00 0.00 0.00 0.00 10,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3,898.80 ··-·----·--------0.00 0.00 o.oo·, 1,212.06 0.00 0.00 o.oo, 0.00 o.ooi 0.00 0.00' 0.00 0.00 o.oo 0.00 0.00 0.00 920.00 0.00 0·.00I 0.00 98,140.69 Expense Payment Incurred Status 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 2,148.00 CLOSED 0.00 300.00 CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED/ 150.00 10,150.00 CLOSED ---·-; 0.00 o.oo: CLOSED 0.00 O.OOi CLOSED 0.00 0.00 CLOSED 1----------, 0.00 0.00 CLOSED 0.00 3,898.80 CLOSED 0.00 0.00 CLOSED o.oo) 1,212.06 CLOSED / 0.00! 0.00 CLOSED i 0.00: 0.00 CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 o.oo· CLOSED 0.00 0.00 CLOSED 0.00 920.00 CLOSED 0.00 0.00 CLOSED 10,072.35 93,952.5? Page3of3 4-L ·L . . . rr .• -. . .•1 ·, ... \~~ -~v;...,..,,v-.A City of Carlsbad Loss Run Report Claims Closed between 01/01/2014 and 12/31/2014 ~)C.:1:-~(Y\ le,~ Date of Date Date Loss Expense Loss Expense 4_imName Loss Received Closed Cateaorv Reserve Reserve Payment Payment 1..4 AAA, CYNTHIA GARCIA 4/16/2014 5/22/2014 7/9/2014 VEHICLE COLLISION 0.00 0.00 2,122.95 0.00 1,,,2' AAA, GREEN 10/14/2013 1/7/2014 2/25/2014 VEHICLE COLLISION 0.00 0.00 1,379.43 0.00 ~~---l.~A_L T_M_A_N_,_T_IM ___ --+ __ 4_I3_I_20_1_4+--_4_19_12_0_14+-_9_11_91_2_01_4-t=''~:_,~~~~~ 0.00 0.00 0.00 0.00 d.,4 BALAKER, VICTOR 6/18/2014 7/9/2014 7/28/2014 VEHICLE COLLISION 0.00 0.00 250.00 0.00 111..,S BARAJAS, SAL & JULIU 4/18/2013 10/10/2013 2/11/2014,~~WER/WATER (OTHE 0.00 0.00 433.00 0.00 i!Ai" ~RTLEY, BARBARA 6/5/2013 7/22/2013 3/3/2014 TRIP/FALL 0.00 0.00 0.00 0.00 \.lA" BECK, USAA INSURAN 8/23/2014 9/11/2014 10/21/2014 VEHICLE COLLISION 0.00 0.00 4,518.54 0.00 I • iA E!_ERG, ERIN 8/7/2013 12/3/2013 1/29/2014 LAW ENFORCEMENT 0.00 0.00 664.00 0.00 L.....s" ~LACKWELL, LANA 2/27/2014 3/17/2014 9/19/2014 TREEJQ_THER_THAN SE 0.00 0.00 0.00 0.00 1,.,.Aef ~NCHARD, BILL 4/3/2012 11/27/2013 6/16/2014 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 11-t"'f BRISTOL COVE POA, 4/1/2011 2/22/2012 2/11/2014 OTHER 0.00 0.00 65,000.00 0.00 ,_ l,liiil'2' BORl\111; STATE FARM= _ 5/31/2013 9/23/201.3 7[17/20H S~VV~R/WATE~JqTHE f~~?,913 0.00 0.00 33,407.64 800.81 \i.it's: :CAl::EN0~R;.-~1!"1~§~LY . Si3Q/20_1_3 J?fj3/2013 1~}9/2011IR11;1/F,6;LL --,2ai201~ 0.00 o.oo 1,500.00 1,407.97 ~ CLERKSON, MARION 7/30/2013 12/30/2013 7/8/2014 TRIP/FALL . 0.00 0.00 0.00 0.00 lJ)S' C_QCHREN, ALLSTATE I 8/11/2014 9/22/2014 10/7/2014 VEHICLE COLLISION 609.05 0.00 609.05 0.00 ~ COLEMAN, JAMES ADA 9/3/2013 10/4/2013 4/9/2014 LAW ENFORCEMENT 0.00 0.00 0.00 . 0.00 \l);r COURTNEY, KELLI 4/15/2014 5/22/2014 11/18/2014 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 l2,s>cfE LEISE, JENAE 4/16/2014 5/30/2014 7/24/2014 OTHER 0.00 0.00 0.00 0.00 \j..:1,9•r'DEHNER, VICKI 4/18/2014 5/20/2014 8/19/2014 VEHICLE COMPREHEN 0.00 0.00 0.00 1 0.00 i)g-f--J,f'D=-o-TY-, M_A_R_Y-ED_I_T_H-+----:-9/-:-:-14-,-=-20-1-:-3+--:-3-=17-=,2-:-o-:-14+--=7-=,2-:-8/-=2-=-01-=-4:E',:.RIP/FALr""0 Tl I. I l...0.0. 0.00 0.00 0.00 0.00 1..-~ DUNBAR, MICHAEL 9/13/2013 · 12/3/2013 6/16/2014 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 '1% EDWARDS, LETICIA 3/31/2014 4/7/2014 8/6/2014 Vl=~CLE COM_l:REHE:I\J 0.00 0.00 0.00 0.00 v]£3 1_9c CONSTRUCTION, 7/22/2014 9/11/2014 12/29/2014,~':_~~~ATE~ (O:HE 0.00 0.00 4,000.00 0.00 12( GIAMMARINARO, MARI 6/12/2014 6/25/2014 12/18/2014 TRIP/FALL 0.00 0.00 2,500.00 0.00 Incurred 2,122.95 1,379.43 0.00 250.00 433.00 0.00 4,518.54 664.00 0.00 0.00 65,000.00 34,208.45 2,907.97 0.00 1,218.10 0.00 0.00 0.00 0.00 0.00 Status CLOSED"'' CLOSED..,,.., CLOSED V_/ CLOSEDvV CLOSED ~V CLOSED ~~• CLOSED \I/''/ ~~~::~~~ CLOSED \o~ CLOSED.., CLOSED CLOSED I/: CLOSED\Jv CLOSED V' ;. CLOSED\/V,- CLOSED\,,v / CLOSEDV~ CLOSEDvr / CLOSED ,..V.,. 0.00 CLOSED v 0.00 CLOSED , ,/ 4,000.00 CLOSEDv l/--:;' 2,500.00 CLOSED ,~ 1...l,2'5 G_RANT, KRISTINE 10/14/2014 10/30/2014 12/18/2014 ~~~CLE COM_l:R!=HEN 0.00 0.00 500.00 0.00 CLOSED -..r //'' \1.,26"1-HARRELSON, RONALD 4/17/2014 7/15/2014 9/29/2014,~~ER/WATE~JOT_f:!_E 0.00 0.00 0.00 0.00 0.00 CLOSED ~V / .00 .)..21 HARTLEY, DENNIS 3/27/2014 5/7/2014 6/1.1/2014 SEWER/WATER (OTHE 0.00 0.00 250.00 0.00 250.00 CLOSED 1V,/ =· \c)& .,HENCHY, VIVIAN ANDS 11/25/2013 4/17/2014 6/11/2014 SEWE~ATER (TREE 0.00 0.00 809.00 0.00 809.00 CLOSED \~' ~ J:!ENDERSON, BARBAR 7/1/2013 12/11/2013 7/11/2014 TRIP/FALL 0.00 · 0.00 0.00 0.00 0.00 CLOSED \--,VV/ , \!JO )iOA, PARK JUNIPER 5/31/2014 6/9/2014 8/27/2014 OTHER 0.00 0.00 0.00 0.00 0.00 CLOSED,._, ~ lj.PUSE, IT'S A GRIND C 3/29/2014 4/17/2014 10/21/2014 OTHER 0.00 0.00 0.00 0.00 0.00 CLOSED\ \""w'c..__LJ_A_N_K_E_, H_E_I_Nz ___ _j__6_12_6_12_0_14..J.._7_1_14_12_0_1_4L.._1_2_14_12_0_14_J.Q.lv_~~2.,~!.A.ELJ.H_,CE:LCI\JL..L.. ___ ..__ ___ o_.o_o.1_ ___ 0_.o_o.1_ ___ 0_.o_o.J...._ ___ o_:o_o.J...._ ___ o_.o_o.J._c_L_O_S_E_D_:,'-::,,,:r Monday, December 2.1, 2015 LossRunClosed 1, -,. Page 1 of4 (•; City of Carlsbad Loss Run Report -~Jd_ ~'~• Claims Closed between 01/01/2014 r,r~~ <;.,, . 1 . and 12/3V2014 1 ~j 3 5 ~ Date of Date Date Claim Name Loss Received Closed Cateaorv \~ RI~GDAHL -MI__NOR CHI 4/21/2013 10/17/2013 ,ffer'r{INGDAHL, AMY -I_ 4/~1/2013 10/17/2013 -~~, RIOS LOPEZ, ANDRE---/1/2012 · 8/14/2012 4/28/2014 DANGEROUS CONDIT! --------- 4/28/2014 DANGEROUS CONDIT! 6/11/2014 VEHICLE COLLISION \ j18 13,0SSING, JOHN 10/1/2013 7/28/2014 11/10/2014 LAW ENFORCEMENT i'.~ J3PSSING, JOHN 10/1/2013 7/28/2014 11/10/2014 LAW ENFORCEMENT i.i}ef J-USK, SHELLEY 4/18/2013 4/18/2014 7/14/2014 OTHER 1,,1-l.?'f-,,i,l..§A:....__BR_I_N_A_G_R_E_E_N_S_H_O_A-+--2,_28_/2_0_1_4+--4-/2_8_12_0_14-t--8/_6/_2_01--14 :T~J~.~~.':}HAN SE .._,p71. l.§ALVERSON, NORMAN 10/8/2012 10/3/2013 3/24/2014 ~~~CLE COM!.REHEN ~l,:,5" SARAIVA, ROHIT ,1,J1r SCHAFER, NANCYlllt ;;_'1(i5 SCHWARZ, CRAIG, AM _j 1--------- IJ:6"1,o'SCHWOPE, VARIA i I z.z,1--5-IVIITH, MARVA ti,_-re-'-sMITH, SUSAN M. i...l.:7-g' ~NGE, SUSAN ~ SPAINHOWER, TOBY A ,18"1 STICKLER, PAMELA .J,,8:2 STICKLER, PAMELA a!P• "'SflCKLER, PAMELA 9/10/2013 9/18/2013 4/21/2014 TREE (OTHER THAN SE -------.. 6/12/2013 10/15/2013 12/2/2014 VEHICLE COLLISION 1/8/2014 3/21/2014 5/20/2014 VEHICLE COLLISION 5/17/2014 6/23/2014 12/30/2014 OTHER 5/17/2013 11/18/2013 4/8/2014 OTHER 9/25/2014 10/22/2014 11/4/2014,~E~ER/WATER (TREE 6/13/2014 6/25/2014 8/19/2014 VEHICLE COMPREHEN 3/6/2012 10/4/2012 4/28/2014 DANGEROUS CONDITI 2/10/2014 2/12/2014 3/26/2014 OTHER 11/14/2013 11/14/2013 3/26/2014 OTHER 11/19/2013 11/20/2013 3/26/2014 OTHER 8ite.{'." tl!lti§ate • Loss Expense Loss Expense Reserve Reserve Payment Payment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40,000.00 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 1,536.00 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 8,994.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 160.00 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 c;i..M" STREFF, GERRY 5/18/2013 8/16/2013 3/26/2014 TRIP/FALL 0.00 0.00 0.00 0.00 ~L.85 S_UNSET PLACE ASSOC 1/2/2014 4/24/2014 5/20/2014,~1:Y.'fER/WATER (OTHE 0.00 0.00 328.66 0.00 ~-::1ftFT, STEPHEN 7/22/2013 7/30/2013 1/31/2014,'!l:::l-:!!CLE C~M_!:'REHEN 0.00 0.00 0.00 0.00 J:af THOMAS, BRUCE 6/29/2013 12/4/2013 6/16/2014 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 IA ncurred Status 0.00 CLOSED "'/ . 0.00 CLOSED " / • 40,000.00 CLOSED ~.::,r ~ 0.00 . CLOSED / ,,· 0.00 CLOSED ~~ 0.00 CLOSED ,0r· / 1,536.00 CLOSED\,~ 0.00 CLOSED ..,v 0.00 CLOSED.., 0.00 · CLOSED 8,994.43 0.00 o:oo 160.00 0.00 0.00 0.00 0.00 0.00 0.00 328.66 0.00 0.00 CLOSED V CLOSED·...,v CLOSED i CLOSED '-v / .. CLOSED.,V / CLOSED ,½v,- CLOSED....,f" / CLOSED-.; VV .I CLOSED...,.!/'/ CLOSED l~, CLOSED ,V./' CLOSEDvr/ CLOSEDv ~ f~EY;•[)?:\Nt-lY _ _ _ ~§'/~/2Q:1? 1'1/§/2"012 7/1?/_20_14 T~!P~F.l\~L __ _ 1 4/24/201~\ 0.00 0.00 0.00 0.00 0.00 CLOSED J)wngPP, KATHY 5/12/2014 5/20/2014 7/30/20141~~~~~;..~,_?..,~!;REHEN 0.00 0.00 0.00 0.00 0.00 CLOSED\ ,, j.eef T~PANI, JUDITH 11/27/2013 2/24/2014 8/21/2014,'~~~CLE COM_!:'REH~~ 0.00 0.00 0.00 0.00 0.00 CLOSED._, 1111\..9,:l--l"VARANO, GUERINO 5/26/2014 6/4/2014 12/29/2014 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 0.00 CLOSED.., • : ::::if ~;~:!~:i:~N --:~~~~;!~-~ ! -~~;::;:~~: .. -~;::;!~~: ~::::~t~s c~~-~1~1 , 11a,2013 J ~:~~ ~:~~ ~:~~ ~:~~ ~:~~ ~-~~::~. , //. i_ \Y:.--b..-<---------+-----,,----+--,--t=-u.._o.t..LCUJ.O.l....a..c:u:,.o..o..o.--~% w90DS, DUSTIN 5/1/2013 12/10/2013 2/20/2014 ~AN_9E~~~.~,92~DITI 0.00 0.00 0.00 0.00 0.00 CLOSED / •' _,p I _JWr'f_9UNG, DAVID 12/2/2014 12/17/2014 12/29/2014,~~~CLE 1 ~,_? 0 M!'.~~H~~ 0.00 0.00 0.00 0.00 0.00 CLOSED''('/'' , ~,"''ZADA, NICOLE 8/21/2013 3/6/2014 7/2/2014 ~~~ATER (TREE 0.00 0.00 485.00 0.00 485.00 CLOSED...,/ -•~----~--~-----'------1.-----L---_--.J. ____ _j_ ___ .::J 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 1G1 32 City of Carlsbad Loss Run Report Claims Closed between 01/01/2013 and 12/31/2013 ¥; \I\ 6o~4'-~K"1 ~ 1 ~o:,h ,~ ~~ ~p. ~-CQ/V\. -~C\,'f- Date of Date Date ClaimName L oss R . d ece1ve Cl d C ose ate11orv ASUNCION, JESSIE 7/19/2012 7/30/2012 1/28/2013 TRIP/FALL AUTO & HOME, METLIF 1/14/2013 2/14/2013 4/2/2013 VEHICLE COLLISION -BAIRD, MARY LOU 8/2/2013 10/7/2013 12/16/2013 TRIP/FALL BAK~O,MARSHA 6/25/2012 7/31/2012 1/28/2013 OTHER BANKS, LAMONDA 8/6/2013 8/12/2013 8/21/2013 VEHICLE COMPREHEN -·· ·--· BEDROSIAN, JOYCE 6/26/2013 7/11/2013 12/10/2013 TRIP/FALL BRESSI RANCH OWNE 9/18/2012 10/26/2012 4/1/2013 SEWER/WATER(OTHE ----.. BRISTOW, THOMAS 1/6/2013 1/16/2013 1/29/2013 SEWER/WATER(OTHE --·. --·. BROWN, LURA 11/9/2012 5/8/2013 11/18/2013 TRIP/FALL BRUNN,SCOTT 2/20/2013 3/8/2013 8/23/2013 VEHICLE COMPREHEN , ___ ·--· -· ........... CALABRESE,KAREN 12/11/2012 7/11/2013 10/28/2013 VEHICLE COMPREHEN , _____ -• AO. -- CHESTNUT INTERVIVO 1/6/2013 1/15/2013 3/19/2013 ,~':_~~R/WATER(O:HE 1.-. ----.. ----- CIFUENTES, CHRISTIN 1/18/2013 3/4/2013 7/15/2013 VEHICLE COMPREHEN ,~ .. ---·. CLARK, PAULINE 1/11/2013 10/7/2013 11/18/2013 DANGEROUS CONDIT! -· -· ·-CSE SAFEGUARD INSU 8/6/2012 10/17/2012 4/9/2013 VEHICLE COLLISION --- DIXON, CHARLES 4/24/2012 5/1/2012 1/11/2013 VEHICLE COMPREHEN -·· ·--· DUNNE, MACDARAGH " 7/23/2012 8/6/2012 1/28/2013 VEHICLE COMPREHEN ------------· ELIAS, RODOLFO 4/3/2013 5/9/2013 11/4/2013 VEHICLE COMPREHEN -·· ---· -- ESSA,KAREN 9/27/2012 10/9/2012 3/7/2013 OTHER FAMILY TRUST, SCHAA 1/6/2013 1/15/2013 2/6/2013 SEWER/WATER(OTHE --· . -. FARKAS, LOUIS 7/29/2013 8/26/2013 9/25/2013 ,~':_~~R/WATE~ (O:HE FLANIGAN, LAURENCE 1/6/2013 4/18/2013 4/30/2013 ,~':_~ER/WATER(OTHE ft . - FLOWER, TYRONE 5/23/2013 5/31/2013 9/30/2013 SEWER/WATER(OTHE , ___ . GABRIEL, MICHAEL 3/10/2012 9/5/2012 10/21/2013 DANGEROUS CONDIT! , __ --,_ ----- GIBBIA, BONAVENTUR 12/18/2012 1/11/2013 3/22/2013 ~':_~ER/WATER (OTHE -GUTIERREZ, ANGEL 4/24/2012 8/27/2012 2/25/2013 VEHICLE COLLISION HENG,ALEENA 7/18/2013 8/7/2013 9/11/2013 VEHICLE COLLISION HENRY, CHARLES 1/5/2013 3/19/2013 4/10/2013 ~~~~R/WATE~ (O!HE HICKMAN, ART 1/25/2013 2/27/2013' 6/10/2013 SEWER/WATER(OTHE ,_ --• A•• ll HIRSCH, ROBERT 6/15/2013 7/8/2013 12/16/2013 VEHICLE COMPREHEN -· . HOA, PARK JUNIPER 7/27/2013 8/5/2013 8/21/2013 OTHER _HOLBROOK, MIROSLAV 3/5/2010 9/4/2010 6/26/2013 DANGEROUS CONDIT( 1---· -· ,_ Date LT at 119 e 7/26/2013 4/4/2011 R Loss eserve 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 Expense R eserve 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 Loss p t aymen 0.00 2,796.90 0.00 0.00 0.00 0.00 0.00 553.00 0.00 0.00 0.00 825.00 0.00 0.00 1,055.61 0.00 0.00 0.00 0.00 800.00 216.00 908.19 0.00 77,500.00 0.00 0.00 686.08 895.00 0.00 0.00 110.00 100,000.00 Expense p t aymen 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 6,728.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 177,430.65 Incurred Status 0.00 CLOSED 2,796.90 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 553.00 CLOSED 0.00 CLOSED o.oo CLOSED ·o.oo CLOSED 825.00 CLOSED 0.00 CLOSED 0.00 CLOSED 1,055.61 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 800.00 CLOSED 216.00 CLOSED 908.19. CLOSED 0.00 CLOSED 84,228.96 CLOSED 0.00 CLOSED 0.00 CLOSED 686.08 CLOSED 895.00 CLOSED 0.00 CLOSED 0.00 CLOSED 110.00 CLOSED 277,430.65 CLOSED Wednesday,December30,2015 LossRunClosed Page 1 of 3 City of Carlsbad Loss Run Report Cliiims-Glosed between· 01/0V2005 and -12/311.2005 Date of Date Date Claim Name L oss R ·ved ece1 Closed C t a eaorv 1 ALLEN, BARBARA 1/14/2005 1/31/2005 8/31/2005 VEHICLE COMPREHEN ---·--·. 2 ANGELS ARE FROM HE 1/1/2005 6/20/2005 10/19/2005 OTHER -- 3 ARMSTRONG, THOMAS 12/4/2000 1/2/2001 5/31/2005 OTHER 4 BANTOFT, CHRISTINA 7/1/2003 6/17/2004 1/31/2005 OTHER 5 BELLAVER, JOHN 7/15/2004 8/2/2004 2/28/2005 VEHICLE COMPREHEN ·-···--· -- 6 BENINATTO AND SPACI 1/11/2005 2/16/2005 8/31/2005 ~REE_ (?_THER_TH~N SE ---· . ·-- 7 BENNETT, LINDSAY 3/8/2005 3/17/2005 9/30/2005 VEHICLE COMPREHEN ·--· 8 BERKUTI, MARIE 9/24/2003 11/25/2003 9/30/2005 TRE_E (OTHER THAN S_!: 9 BERNARD,GLENN 5/14/2004 9/10/2004 2/28/2005 TREE (OTHER THAN S~ 10 BERNARD.GLENN 12/1/2003 9/10/2004 2/28/2005 TREE (OTHER THAN SE --.. --· 11 BERNARD,GLENN 8/28/2004 2/9/2005 9/30/2005 TRIP/FALL 12 BESECKER,MEGAN 1/17/2005 2/10/2005 9/13/2005 VEHICLE COMPREHEN -·· ·--· 13 BIO-HYDRATION RESE 9/6/2005 9/15/2005 10/19/2005 SEWER/WATER (TREE. ---1--• A--- 14 BLACIC, HENRIETTA 1/2/2005 1/27/2005 2/28/2005 SEWER/WATER(TREE 15 BRAY,SUZANNE 12/16/2002 1/24/2003 3/3/2005 OTHER 16 BROADWAY, GWEN 7/1/2003 6/29/2004 1/31/2005 OTHER 17 BUDGET RENT A CAR 9/12/2005 10/21/2005 11/30/2005 VEHICLE COLLISION --·--- 18 BUJAS, ANN 6/24/2004 7/14/2004 1/31/2005 LAW ENFORCEMENT 19 C. San Dieguito Water Di 6/10/2005 8/2/2005 8/23/2005 VEHICLE COLLISION 20 CARLSBAD COMMUNIT 11/23/2003 11/24/2003 11/30/2005 SEWE~ATER(TREE -·--21 CLARI5E, CATHERINE & 8/8/2004 8/18/2004 10/27/2005 TREE_ (0"!:._!i~R THAN SE 22 CLUTE, MAVIS 7/1/2003 6/29/2004 1/31/2005 OTHER 23 COLBY, ALDON 3/31/2005 3/31/2005 5/13/2005 VEHICLE COMPREHEN ·--· 24 COOBATIS, CHRISTY 5/7/2005 5/31/2005 8/23/2005 SEWER/WATER (TREE 25 COON, KEVIN 3/3/2005 3/9/2005 9/30/2005 VEHICLE COMPREHEN ,_ u--· --26 DELANEY, ZANITA 4/2/2004 4/23/2004 5/31/2005 VEHICLE COMPREHEN ------ 27 DESAI, PRAGNYA 10/7/2004 11/3/2004 5/31/2005 VEHICLE COMPREHEN ·--· --28 DI LANDRI, GARETT 1/9/2005 1/18/2005 8/31/2005 VEHICLE COMPREHEN -·· ·--·. 29 DILLON, JOSEPH 1/7/2005 1/25/2005 8/31/2005 VEHICLE COMPREHEN -u n: £0:c1 1c:C11 :c1 • 30 DINEEN, KRISTEN 7/5/2005 9/14/2005 10/19/2005 VEHICLE COLLISION - 31 DORNICK-MINOR CHILD 3/25/2005 5/17/2005 12/30/2005 .OTHER . ...: •-"-• 32 ENDO, KRISTINA 4/5/2005 4/27/2005 5/24/2005 VEHICLE COLLISION Monday, December 23, 2019 Loss Run Closed Date Litigate 6/26/2001 11/21/2003 Loss Reserve 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 Expense Reserve 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 Loss Payment 0.00 1,500.00 3,205.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 892.11 180.00 5,130.86 0.00 0.00 2,897.80 0.00 1,389.49 6,911.20 2,300.00 0.00 1,456.02 918.50 0.00 0.00 0.00 0.00 0.00 1,301.17 0.00 837.23 Expense Pa ent ym 0.00 741.40 23,135.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.00 0.00 0.00 0.00 0.00 500.00 246.50 0.00 0.00 418.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ncurre d 0.00 2,241.40 26,340.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 892.11 180.00 5,130.86 25.00 0.00 2,897.80 0.00 1,389.49 7,411.20 2,546.50 0.00 1,456.02 1,337.00 0.00 0.00 0.00 0.00 0.00 1,301.17 0.00 837.23 s tatus CLOSED CLOSED CLOSED CLOSED 'CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED Page 1 of 5 Records Destruction List Page 1 Date 01/08/2020 Time 4:16:02 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-23643 01/08/2020 C14033 AAA-GARCIA, CYNTHIAI04/16/2014 074520 PHYSICAL RECORDS RM1318 MANAGEMENT -Risk Management Risk Management PFLD-15-23594 01/08/2020 · C14001 AAA-KAREN GREENJl0/14/2013 074520 PHYSICAL RECORDS RM1268 MANAGEMENT -Risk Management Risk Management PFLD-16-78 01/08/2020 ADA-BROWN, MARIAN; 10/25/2013; 2013-001 068020 PHYSICAL RECORDS MANAGEMENT -Risk Management Risk Management PFLD-16-81 01/08/2020 ADA-FOSTER, BOB; 08/01/2014; 2014-002 068020 PHYSICAL RECORDS MANAGEMENT -Risk Management Risk Management PFLD-16-332 01/08/2020 ALLIANT-SPECIAL EVENTS INSURANCE; 2016-2017 012013 PHYSICAL RECORDS MANAGEMENT -Risk Management Risk Management PFLD-15-23681 01/08/2020 C14063 ALLSTATE INS., COCHRENJ08/11/2014 074520 PHYSICAL RECORDS RM1356 MANAGEMENT -Risk Management Risk Management PFLD-15-23627 01/08/2020 C14019 ALTMAN, TIMJ04/03/2014 074520 PHYSICAL RECORDS RM1301 MANAGEMENT -Risk Management Risk Management PFLD-15-23664 01/08/2020 C14050 BALAKAR, VICTORI06/18/2014 074520 PHYSICAL RECORDS RM1339 MANAGEMENT -Risk Management Risk Management PFLD-15-23517 01/08/2020 C13050 BARTLEY, BARBARAI06/05/2013 074520 PHYSICAL RECORDS RM1190 MANAGEMENT -Risk Management Risk Management PFLD-15-23575 01/08/2020 C13084 BERG, ERINJ08/07/2013 074520 PHYSICAL RECORDS RM1249 MANAGEMENT -Risk Management Risk Management PFLD-15-23617 01/08/2020 CI4014 BLACKWELL, LANAI02/27/2014 074520 PHYSICAL RECORDS RM1291 MANAGEMENT -Risk Management Risk Management Records Destruction List Page 2 Date 01/08/2020 Time 4:16:03 PM Date Inactive Login Name Maria Emery Record Number External ID . Records Description PFLD-15-23572 01/08/2020 Cl3081 BLANCHARD, BILL FRANK.104/13/2013 074520 PHYSICAL RECORDS RM1246 MANAGEMENT -Risk Management Risk Management PFLD-15-23587 .01/08/2020 C13092 CLERK.SON, MARION!07/30/2013 074520 PHYSICAL RECORDS RM1261 MANAGEMENT -Risk Management Risk Management PFLD-15-23557 01/08/2020 Cl3067 COLEMAN, JAMES ADAMl09/03/2013 074520 PHYSICAL RECORDS RM1231 MANAGEMENT -Risk Management Risk Management PFLD-15-23644 01/08/2020 C14034 COURTNEY, KELLll04/15/2014 074520 PHYSICAL RECORDS RM1319 MANAGEMENT -Risk Management Risk Management PFLD-15-23645 01/08/2020 C14035 DE LEISE, JENAEI 074520 PHYSICAL RECORDS RM1320 MANAGEMENT -Risk Management Risk Management PFLD-15-23640 01/08/2020 C14030 DEHNER, VICKII04/18/2014 074520 PHYSICAL RECORDS RM1315 MANAGEMENT -Risk Management Risk Management PFLD-15-23615 01/08/2020 Cl4012 DOTY, MARYE.109/14/2013 074520 PHYSICAL RECORDS RM1289 MANAGEMENT -Risk Management Risk Management PFLD-15-23576 01/08/2020 C13085 DUNBAR, Iv1ICHAELI09/13/2013 074520 PHYSICAL RECORDS RM1250 MANAGEMENT -Risk Management Risk Management PFLD-15-23625 01/08/2020 Cl4018 EDWARDS, LETICIAI03/31/2014 074520 PHYSICAL RECORDS RM1299 MANAGEMENT -Risk Management Risk Management PFLD-15-23678 01/08/2020 C14061 GC CONSTRUCTIONl07/22/2014 074520 PHYSICAL RECORDS RM1353 MANAGEMENT -Risk Management Risk Management PFLD-15-23658 01/08/2020 Cl4045 GIAMMARINARO, MARILYNI06/12/2014 074520 PHYSICAL RECORDS RM1333 MANAGEMENT -Risk Management Risk Management Records Destruction List Page 3 Date 01/08/2020 Time 4:16:03 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-23700 01/08/2020 Cl4072 GRANT, KRISTINE! 10/14/2014 074520 PHYSICAL RECORDS RM1375 MANAGEMENT -Risk Management Risk Management PFLD-15-23668 01/08/2020 Cl4054 HARRELSON, RONALDI04/17/2014 074520 PHYSICAL RECORDS RM1343 MANAGEMENT -Risk Management· Risk Management PFLD-15-23638 01/08/2020 Cl4027 HARTLEY, DENNIS 103/27/2014 074520 PHYSICAL RECORDS RM1312 MANAGEMENT -Risk Management Risk Management PFLD-15-23628 01/08/2020 Cl4020 HENCHY, VIVIAN AND STEVENlll/25/2013 074520 PHYSICAL RECORDS RM1302 MANAGEMENT -Risk Management Risk Management PFLD-15-23580 01/08/2020 Cl3089 HENDERSON, BARBARAJ07/0l/2013 074520 PHYSICAL RECORDS RM1254 MANAGEMENT -Risk Management Risk Management PFLD-16-774 01/08/2020 INCIDENT REPORTS/CITIZEN INJURY; VEHICLE 012023 PHYSICAL RECORDS ACCIDENT REPORTS; 2017 MANAGEMENT -Risk Management Risk Management PFLD-15-23595. 01/08/2020 INCIDENT REPORTS/CITIZEN INJURYIVEHICLE 012023 PHYSICAL RECORDS RM1269 INCIDENT REPORTS MANAGEMENT -Risk Management • Risk Management PFLD-15-23723 01/08/2020 INCIDENT REPORTS/CITIZEN INJURYIVEHICLE 012023 PHYSICALRECORDS · RM1398 INCIDENT REPORTS MANAGEMENT -Risk Management Risk Management PFLD-15-23631 01/08/2020 Cl4022 IT'S A GRIND COFFEE HOUSE103/29/2014 074520 PHYSICAL RECORDS RM1305 MANAGEMENT -Risk Management Risk Management PFLD-15-23666 01/08/2020 Cl4052 JANKE, HEINZI06/26/2014 074520 PHYSICAL RECORDS RM1341 MANAGEMENT -Risk Management Risk Management PFLD-15-23656 01/08/2020 Cl4043 KELSALL V, SAMUELJ03/12/2014 074520 PHYSICAL RECORDS RM1331 MANAGEMENT -Risk Management Risk Management Date Inactive Record Number External ID PFLD-15-23611 PFLD-15-23667 PFLD-15-23648 PFLD-15-23583 PFLD-15-23662 PFLD-15-23487 PFLD-15-23663 PFLD-17-210 PFLD-17-51 PFLD-17-433 01/08/2020 RM1285 C14010 Risk Management 01/08/2020 RM1342 C14053 Risk Management 01/08/2020 RM1323 C14038 Risk Management 01/08/2020 RM1257 C13091 Risk Management 01/08/2020 RM1337 C14048 Risk Management 01/08/2020 RM1160 C13039 - Risk Management 01/08/2020 RM1338 C14049 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management Records Destruction List Page 4 Date 01/08/2020 Time 4:16:03 PM Login Name Maria Emery Records Description KEVILLE, THOMASI0 1/26/2014 KOVAL, KRISTENl06/l 7/2014 KREKORIAN, MICHAELI05/29/2014 KRUMMEL, GILBERTlll/12/2013 LABEJA, KENNETHI06/03/2014 LAPINS, EILEENI04/0l/2013 LIME GROVE APTS,106/02/2014 LOSS RECOVERY-ACOSTA, ORESTES; 03/21/2017; FLEET LOSS RECOVERY-AGUT-WERNSMAN, NOAH; 10/10/2016; TRANSPORTATION . 074520 074520 074520 074520 074520 074520 074520 012020 012020 LOSS RECOVERY-ALTMAN, JONI; 07/20/2017; FLEET 012020 PFLD-17-349 01/08/2020 06/10/2017 LOSS RECOVERY-ARROYO, MARTIN; DRIVER: 012020 ARROYO, LUIS HUMBERTO; TRANSPORTATION; Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Records Destruction List Page 5 Date 01/08/2020 Time 4:16:03 PM Date Inactive Record Number External ID Login Name Maria Emery Records Description PFLD-17-118 PFLD-15-23753 PFLD-17-467 PFLD-17-354 PFLD-17-417 PFLD-17-364 PFLD-17-38 PFLD-17-127 PFLD-17-299 PFLD-17-246 PFLD-17-152 01/08/2020 02/16/2017 LOSS RECOVERY-AZTEC MAGIC TRANSPORT, 012020 INC/MINUTEMAN; DRIVER: JOSE G. l\1ENDEZ GARCIA; Risk Management 01/08/2020 RM1428 Risk Management 01/08/2020 Risk Management LOSS RECOVERY-BARNETT, KIMBERLEY[03/15/2015 012020 LOSS RECOVERY-BARRANCO LINARES, ANNA B.; 10/27/2017; TRANSPORTATION-STREETS; 012020 01/08/2020 01/14/2017 LOSS RECOVERY-BARTLING, MICHAEL ASHFORD; 012020 DRIVER: TORI BARTLING; Risk Management 01/08/2020 07/31/2017 LOSS RECOVERY-BJ'S RENTALS; DRIVER: AGUIRE, 012020 JAVIER FRANCISCO JR; UTILITIES; 07/31/2017 Risk Management 01/08/2020 Risk Management LOSS RECOVERY-BUNMATHONG, LUXIKA; 06/28/2017; 012020 TRANSPORTATION/STREETS 01/08/2020 01/11/2017 LOSS RECOVERY-CONSOLIDATED ELECTRIC; DRIVERm2020 RUFFO, MARKE.; UTILITIES; 1/11/2017 Risk Ma~agement 01/08/2020 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management LOSS RECOVERY-DAVIS, PAIGE; 02/19/2017; TRANSPORTATION/STREETS 012020 LOSS RECOVERY-DELGADO, DENNIS JOHN; 05/20/2017;012020 TRANSPORTATION/STREETS LOSS RECOVERY-DIGUISEPPE, DOMINIC ANTHONY; 012020 02/06/2017; TRANSPORTATION LOSS RECOVERY-DILLS, KEVIN; 04/25/2016; TRANSPORTATION 012020 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Records Destruction List Page 6 Date 01/08/2020 Time 4:16:03 PM Date Inactive Record Number External ID Login Name Maria Emery Records Description· PFLD-17-119 PFLD-17-3 PFLD-16-351 PFLD-17-180 PFLD-16-529 PFLD-17-7 PFLD-i7-50 PFLD-17-333 PFLD-17-363 PFLD-17-201 PFLD-17-88 01/08/2020 Risk Management 01/08/2020 Risk Management LOSS RECOVERY-EDQUIST, ERHART DAVID; UTILITIES; 02/16/2017 012020 LOSS RECOVERY-FLEET LOGIC, LLC; DRIVER: LUNA, 012020 BENJAMIN; TRANSPORTATION 01/08/2020 04/23/2016 LOSS RECOVERY-GARCIA, AURORA; DRIVER: GARCIAQ12020 MICHAELANTHONY; TRANSPORTATION; 04/23/2016 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management LOSS RECOVERY-GARCIA, CHRISTINA; 03/12/2017; TRANSPORTATION/STREETS ·-' 012020 LOSS RECOVERY-GONZALEZ, JR., SAMUEL; 03/24/2016;012020 TRANSPORTATION LOSS RECOVERY-GUERRETTE, TERI ELIZABETH; 11/16/2016; TRANSPORTATION LOSS RECOVERY-HYNES, TIMOTHY; 09/30/2016; TRANSPORTATION 012020 012020 LOSS RECOVERY-JONES, LEIGH RACHEL; 06/08/2017; 012020 UTILITIES LOSS RECOVERY-KAIL, BRANDON BERKLEY; 07/17/2017; UTILITIES 012020 01/08/2020 03/25/2017 LOSS RECOVERY-KO LEASING, LLC; DRIVER: 012020 Risk Management 01/08/2020 Risk Management VALDOVINOS, WAN CARRANZA; UTILITIES LOSS RECOVERY-KIM, THOMAS TAEKON; 02/02/2017; 012020 UTILITIES PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Records Destruction List Page 7 Date 01/08/2020 Time 4:16:03 PM Date Inactive Record Number External ID Login Name Maria Emery Records Description PFLD-17-305 PFLD-17-52 PFLD-16-758 PFLD-17-149 PFLD-17-461 PFLD-17-200 PFLD-17-53 PFLD-16-558 PFLD-17-483 PFLD-16-663 PFLD-17-353 01/08/2020 Risk Management 01/08/2020 Risk Management LOSS RECOVERY-KING, MARVIN BUNNY; 05/18/2017; 012020 TRANSPORTATION LOSS RECOVERY-LARSON, JASON; 12/20/2016; UTILITIES 012020 01/08/2020 12/04/2016 LOSS RECOVERY-LEE, KATHY; DRIVER: CARINGER, 012020 JACOB MICHAEL; TRANSPORTATION Risk Management 01/08/2020 03/31/2016 LOSS RECOVERY-MANGUSO, BRANDON; DRIVER: 012020 DANIELNOFAL; TRANSPORTATION; 03/31/2016 Risk Management 01/08/2020 LOSS RECOVERY-MAR-CON PRODUCTS; 10/12/2017; 012020 UTILITIES Risk Management 01/08/2020 03/17/2017 LOSS RECOVERY-MARRS, RICHARD W.; DRIVER: 012020 MARRS, JACK CHARLES; UTILITIES Risk Management 01/08/2020 12/10/2016 LOSS RECOVERY-MARTINEZ, MARITZA; DRIVER: 012020 UNKNOWN; PARKS/MEDIAN TREES; 12/10/2016 Risk Management 01/08/2020 07/26/2016 LOSS RECOVERY-MCKINNEY VEHICLE SVCS., INC.; 012020 DRIVER: HERNANDEZ, GERARDO; UTILITIES Risk Management 01/08/2020 Risk Management LOSS RECOVERY-MORAN, BRIDGET; 11/20/2017; TRANSPORTATION/STREETS 01/08/2020 10/13/2016 LOSS RECOVERY-MOUNTAIN VALLEY EXPRESS; DRIVER: SALVADOR VARELA; UTILITIES Risk Management 01/08/2020 06/26/2017 LOSS RECOVERY-OLD DOMINION FREIGHT LINE; DRIVER: DAVID VAZQUEZ; UTILITIES; 06/26/2017 Risk Management 012020 012020 012020 PHYSICAL RECORDS MANAGE1\1ENT -Risk Management PHYSICAL RECORDS MANAGE1\1ENT -Risk Management PHYSICAL RECORDS MANAGE1\1ENT -Risk Management PHYSICAL RECORDS MANAGE1\1ENT -Risk Management . PHYSICAL RECORDS MANAGE1\1ENT -Risk Management PHYSiCAL RECORDS MANAGE1\1ENT -Risk Management PHYSICAL RECORDS MANAGE1\1ENT -Risk Management PHYSICAL RECORDS MANAGE1\1ENT -Risk Management PHYSICAL RECORDS MANAGE1\1ENT -Risk Management PHYSICAL RECORDS MANAGE1\1ENT -Risk Management PHYSICAL RECORDS MANAGE1\1ENT -Risk Management Records Destruction List Page 8 Date 01/08/2020 Time 4:16:04 PM Date Inactive Record Number External ID Login Name Maria Emery Records Description PFLD-16-733 PFLD-17-302 PFLD-17-348 PFLD-17-114 PFLD-16-661 PFLD-16-259 PFLD-17-332 PFLD-17-145 PFLD-16-745 PFLD-17-36 PFLD-17-115 01/08/2020 LOSS RECOVERY-OLIVERO, FRANCISCO ROBERTO; 012020 10/08/2016; POLICE Risk Management 01/08/2020 05/13/2017 LOSS RECOVERY-OWENS, PATRICK; DRIVER: CALEB 012020 OWENS; TRANSPORTATION; 05/13/2017 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management LOSS RECOVERY-POLZEN, JAMES JONATHAN; 05/25/2017; UTILITIES 012020 LOSS RECOVERY-RANCHO CARRILLO HOA; 01/15/2017fH2020 UTILITIES 01/08/2020 10/07/2016 LOSS RECOVERY-ROMERO, JOSE OR MARIA; DRIVER: 012020 CARRASCO, ROBERTO; TRANSPORTATION Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management LOSS RECOVERY-ROSASRAMIREZ, !SACHAR 012020 ABIMAEL; 01/06/2016; TRANSPORTATION/STREETS LOSS RECOVERY-SAID, NAJMA SHAZIRA; 06/08/2017; 012020 POLICE/FLEET 01/08/2020 01/10/2017 LOSS RECOVERY-SALVATION ARMY; DRIVER: DANIEL012020 RODRIGUEZ, JR.; UTILITIES; 01/10/2017 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management LOSS RECOVERY-SEGOVIA, GREGORIO MANUEL; 11/03/2016; TRANSPORTATION LOSS RECOVERY-SOTO, GUADALUPE KARLA; 12/01/2016; TRANSPORTATION 01/08/2020 11/12/2016 LOSS RECOVERY-THOMPSON, MARK; DRIVER: WATSON, CHANCE; TRANSPORTATION; 11/12/2016 Risk Management 012020 012020 012020 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Records Destruction List Page g Date 01/08/2020 Time 4:16:04 PM Date Inactive Record Number External ID Login Name Maria Emery Records Description PFLD-17-5 PFLD-16-530 PFLD-16-752 PFLD-16-480 PFLD-16-765 PFLD-17-89 PFLD-17-54 PFLD-17-39 PFLD-15-23474 PFLD-15-23531 PFLD-15-23642 01/08/2020 LOSS RECOVERY-TOYOTA LEASE TRUST; DRIVER: 012020 Risk Management 01/08/2020 Risk Management 01/08/2020 Risk Management PARDO, BARBARA JANE; 12/24/2016 LOSS RECOVERY-TRABER, TIMOTHY DESMOND; 07/07/2016; TRANSPORTATION LOSS RECOVERY-VOSE, PAULETTE JACKSON; 11/28/2016; POLICE 01/08/2020 DRIVER: BIL LOSS RECOVERY-WALETICH TRANSPORTATION; 06/16/2016; TRANSPORTATION Risk Management 01/08/2020 LOSS RECOVERY-WEEKS, BRENDAN; 12/17/2016; PARKS 012020 012020 012020 012020 Risk Management 01/08/2020 LOSS RECOVERY-WHITED, SHAY MARISA; 02/03/2017; 012020 UTILITIES Risk Management 01/08/2020 12/22/2016 LOSS RECOVERY-ZIZZO, PAOLO; DRIVER: ZIZZO, LUCA GIUSEPPE; UTILITIES; 12/22/2016 Risk Management 012020 01/08/2020 01/12/2017 LOSS RECOVERY: HANIFAN, LISA OR JACK R; DRIVERm2020 JACKSON, KAYE FRANCES; UTILITIES; 01/12/2017 Risk Management 01/08/2020 RMll47 C13030 Risk Management 01/08/2020 RMl204 C13059 Risk Management 01/08/2020 RM1317 C14032 Risk Management LUBAN, JEFF -MINOR CHILD JUSTINII0/04/2012 074520 MARR, JAREDI08/09/2013 074520 MARTINEZ, ALANNAI05/I0/2014 074520 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Date Inactive Record Number External ID PFLD-15-23573 01/08/2020 C13082 PFLD-15-23578 PFLD-15-23494 PFLD-iS-23714 PFLD-15-23649 PFLD-15-23.661 PFLD-15-23219 PFLD-15-23620 PFLD-15-23639 PFLD-15-23629 PFLD-15-23635 RM1247 Risk Management 01/08/2020 RM1252 C13087 Risk Management 01/08/2020 C13042 RM1167 Risk Management 01/08/2020 C14078 RM1389 Risk Management 01/08/2020 C14039 RM1324 Risk Management 01/08/2020 C14047 RM1336 Risk Management 01/08/2020 RM831 Risk Management 01/08/2020 C14017 RM1294 Risk Management 01/08/2020 C14029 RM1314 Risk Management 01/08/2020 C14021 RM1303 Risk Management 01/08/2020 RM1309 C14026 Risk Management Records Destruction List Page 10 Date 01/08/2020 Time 4:16:04 PM Login Name Maria Emery Records Description MARTINEZ, SUSANAJ04/03/2013 MASSERY, MARYJ07/13/2013 MCKITTRICK, MARTINJ0l/03/2013 MERITT, CYNTHIAJll/12/2014 MESEROLE, PAMELAJ04/08/2014 MEYERS, CARR1EJ06/13/2014 MURPHY, MICHAELI 11/28/07 NANS, CRYSTALJ03/22/2014 NEWVINE, DANNYJ06/08/2013 NGUYEN, BAOTAMJ03/24/2014 PACK, NORMAJ04/19/2014 074520 074520 074520 074520 074520 074520 074520 074520 074520 074520 074520 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Records Destruction List Page 11 Date 01/08/2020 Time 4:16:04 PM Date Inactive Login Name Maria Emery Record Number External ID Records Description PFLD-15-23650 01/08/2020 Cl4040 PARK JUNIPER HOA[05/31/2014 074520 PHYSICAL RECORDS RM1325 MANAGEMENT -Risk Management Risk Management PFLD-15-23525 01/08/2020 Cl3055 PARK JUNIPER HOA[07/27/2013 074520 PHYSICAL RECORDS RM1198 MANAGEMENT -Risk Management Risk Management PFLD-15-23665 01/08/2020 C14051 REAL PROPERTY MNGMNT[06/18/2014 074520 PHYSICAL RECORDS RM1340 MANAGEMENT -Risk Management Risk Management PFLD-15-23609 01/08/2020 C1408 RE:MPEL, DANIEL & BARBARA[l0/01/2013 074520 PHYSICAL RECORDS RM1283 MANAGEMENT -Risk Management Risk Management PFLD-15-23562 01/08/2020 Cl3072 RINGDAHL, AMY[04/21/2013 074520 PHYSICAL RECORDS RM1236 MANAGEMENT -Risk Management Risk Management PFLD-15-23565 01/08/2020 Cl3075 RINGDAHL, CAYMAN -MINOR CH1LD[04/21/2013 074520 PHYSICAL RECORDS RM1239 MANAGEMENT -Risk Management Risk Management PFLD-.15-23563 01/08/2020 Cl3073 RINGDAHL, COLE -MINOR CH1LD[04/21/2013 074520 PHYSICAL RECORDS RM1237 MANAGEMENT -Risk Management Risk Management PFLD-15-23564 01/08/2020 C13074 RINGDAHL, TYRA-MINOR CH1LD[04/21/2013 074520 PHYSICAL RECORDS RM1238 MANAGEMENT -Risk Management Risk Management PFLD-15-23670 01/08/2020 C14056 ROSSING, JOHN T.[10/01/2013 074520 PHYSICAL RECORDS RM1345 MANAGEMENT -Risk Management Risk Management PFLD-15-23671 01/08/2020 C14057 ROSSING, JOHN T.[10/01/2013 074520 PHYSICAL RECORDS RM1346 MANAGEMENT -Risk Management Risk Management PFLD-15-23632 01/08/2020 C14023 RUSK, SHELLEY[04/18/2013 074520 PHYSICAL RECORDS RM1306 MANAGEMENT -Risk Management Risk Management Date Inactive Record Number External ID PFLD-15-23634 01/08/2020 C14025 PFLD-15-23556 PFLD-15-23548 PFLD-15-23654 PFLD-15-23570 PFLD-15-23699 PFLD-15-23657 PFLD-15-23606 PFLD-15-23567 PFLD-15-23569 PFLD-15-23178 RM1308 Risk Management 01/08/2020 RM1230 C13066 Risk Management 01/08/2020 Cl3064 RM1222 Risk Management 01/08/2020 C14041 RM1329 Risk l\'Ianagement 01/08/2020 C13079 RM1244 Risk Management 01/08/2020 C14071 RM1374 Risk Management 01/08/2020 C14044 RM1332 Risk Management 01/08/2020 Cf407 RM1280 Risk Management 01/08/2020 RM1241 C13077 Risk Management 01/08/2020 . RM1243 C13080 Risk Management 01/08/2020 RM716 Risk Management Records Destruction List Page 12 Date 01/08/2020 Time 4:16:04 PM Login Name Maria Emery Records Description SABRINA GREENS HOAI02/28/2014 . SALVERSON, NORMANII0/08/2012 SARAIYA, ROHITI09/10/2013 SCHWOPE, VARIAI0S/17/2014 SMITH, MARVAjS/17/13 SMITH, SUSAN M.109/25/2014 SONGE, SUSANI06/13/2014 STICKLER, PAMELAI02/10/2014 · STICKLER, PAMELAlll/14/2013 STICKLER, PAMELAlll/19/13 STREFF, GERRYl12/4/06 074520 074520 074520 074520 074520 074520 074520 074520 074520 074520 074520 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS -MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Date Inactive Record Number External ID PFLD-15-23633 01/08/2020 C14024 PFLD-15-23522 PFLD-15-23577 PFLD-15-23641 PFLD-15-23610 PFLD-15-23677 PFLD-15-23647 PFLD-15-43459 PFLD-15-23574 PFLD-15-23579 PFLD-15-23720 RM1307 Risk Management 01/08/2020 RM1195 C13053 Risk Management 01/08/2020 RM1251 C13086 Risk Management 01/08/2020 RM1316 C14031 Risk Management 01/08/2020 RM1284 C1409 Risk Management 01/08/2020 C14060 RM1352 Risk Management 01/08/2020 C14037 RM1322 Risk Management 01/08/2020 Risk Management 01/08/2020 C13083 RM1248 Risk Management 01/08/2020 C13088 RM1253 Risk Management 01/08/2020 C14083 RM1395 Risk Management Records Destruction List Page 13 Date 01/08/2020 Time 4:16:04 PM Login Name Maria Emery Records Description SUNSET PLACE ASSOCIATION!0l/02/2014 074520 TAFT, STEPHEN!07/22/2013 074520 THOMAS, BRUCEI06/29/2013 074520 TOPP, KATHYl05/12/2014 074520 TRAPANI, JUDITH!ll/27/2013 074520 USAA INS., BECKl8/23/2014 074520 VARANO, GUERIN0!05/26/2014 074520 VEHICLE INCIDENT & CITIZEN INJURY REPORTS; 2016012023 WHISMAN, PATRICIAll0/01/2013 074520 WOODS, DUSTIN!MAY 2013 074520 YOUNG, DAVID!12/02/2014 074520 PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management Date Inactive Record Number External ID PFLD-15-23612 01/08/2020 C14011 RM1286 Risk Management PFLD-15-23523 01/08/2020 C13054 RM1196 Risk Management BOX-16-2 01/08/2020 BOX-16-3 01/08/2020 Records Destruction List Page 14 Date 01/08/2020 Time 4:16:05 PM Login Name Maria Emery Records Description ZADA, NICOLEJ08/20/2013 ZOMORODIAN, ALI-MINOR CHILDJ03/30/2013 RKM67J 13095156 RKM68J 13095157 074520 074520 I End of Report ]['----c_ity_:;__o_f _C_a_rls_b_a_d _________________ ____:_ ______ D_a_t_as_e_t_E_C_M_M_a_s_te_r~ PHYSICAL RECORDS MANAGEMENT -Risk Management PHYSICAL RECORDS MANAGEMENT -Risk Management CERTIFICATE OF DESTRUCTION & RECYCLING This Certific~te is presented to: CITY OF CARLSBAD -RECORDS MANAGEMENT DIVISION Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not inventory, record or track any information contained within or related to the Material. Account #(s) Certificate # Date Issued Service Locations Date Range of Service Work Ticket(s) Quantity/Item SD012455 111346 Thursday, January 30, 2020 5815 EL CAMINO REAL Jan-30-2020 thru Jan-30-2020 666060 * Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s). tJcorodata itSSAE16 Type II Audi! Compleled HIPAA