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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Risk Management; 2015-04-093 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: a O. ••> '^^Q^^^"^'^^ REQUESTER: ^ , DEPARTMENT: RISK MANAGEMENT TERIE ROWLEY 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 toj^ DEPARTMENT HEAD: ^^j^coRDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (ifapplicable) RKM43 ' Chavira, Robert/Anaraki, Sarah, POA-Litigated claim-Law Enforcement Closed 2006 0745-50 CL+7 RKM43 Join Hands Save a Life-Litigated claim-Breach of contract Closed 2006 0745-50 CL+7 RKM43 Nastase, Tiffany-Litigated claim-Trip and Fall Closed 2006 0745-50 CL+7 RKM43 Wawanesa Insurance-Nguyen- Litigated claim-Vehicle Collision Closed 2006 0745-50 CL+7 RKM30 ' Abbott, Sandra-Claim, Vehicle Comprehensive (other than collision, tree or law enforcement related Closed 2008 0745-20 CL+5 RKM30 Agua Dulce HOA-Claim, Medication priorto litigation Closed 2008 0745-20 CL+5 RKM30 Altamira IV Homeowners Assoc- Claim, Other, Insufficient soil compaction - late claim Closed 2008 0745-20 CL+5 RKM30 Anzil, Lydia-Claim, Law Enforcement Closed 2008 0745-20 CL+5 0\(\.\V RKM30 Armstrong, Lucinda-Claim, Tree (Other than sewer/water related) Closed 2008 0745-20 CL+5 tnv- RKM30 AT&T/Pacific Bell-Claim, Other-city crew damaged Telco conduit Closed 2008 0745-20 CL+5 •.,^.^> < IIV (11 ^ CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 1/5/2015 RKM30 AT&T/Pacific Bell-Claim, Other-city crew damaged Telco cable while removing sidewalk Closed 2008 0745-20 CL+5 RKM30 Beatty, Hana-Claim, Tree (Other than sewer/water related) Closed 2008 0745-20 CL+5 8^5 RKM30 Belanger, Jennifer-Claim, Other, boat launch collapse Closed 2008 0745-20 CL+5 RKM30 Bonas, William-Claim, Other, city manager Closed 2008 0745-20 CL+5 ?^/^ RKM30 Bonas, William Arthur-Claim, Other, Law Enforcement Closed 2008 0745-20 CL+5 ^0 / ^ RKM30 Cagle, Jennifer-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM30 CEI Group, Inc.-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM30 Chacon, Manuel-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM30 Contreras, Manuel-Claim, Sewer/water, (tree related) Closed 2008 0745-20 CL+5 RKM30 Dahan, Sivan-Claim, Law Enforcement Closed 2008 0745-20 CL+5 RKM30 Tomer, Adam aka Dahan, Adam - Claim, Law Enforcement Closed 2008 0745-20 CL+5 RKM30 Defrancesco, Russell-Claim, Sewer/water, (tree related) Closed 2008 0745-20 CL+5 RKM30 Dunne, Jean-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM30 Duran, Carlos-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM30 Enterprise Fleet Services, driver Zamora-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RK.M30 Fauteux, Darryl Patric-Claim, Law Enforcement Closed 2008 0745-20 CL+5 RKM30 Federal Ins. Co.-Claim, Sewer/water (other than tree related) Closed 2008 0745-20 CL+5 RKM30 Friese, Debra-Claim, Vehicle comprehensive, (other than collision, tree or law enforcement related) Closed 2008 0745-20 CL+5 RKM30 Galvan, Luz M.-Claim, Sewer/Water (tree related) Closed 2008 0745-20 CL+5 RKM30 Galvan, Nathan-Claim, Law Enforcement Closed 2008 0745-20 CL+5 RKM30 Gero, Patti-Claim, Personnel Action Closed 2008 0745-20 CL+5 RKM30 Grandberry, Shawnetta-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 _g£2 RKM30 H.G. Fenton Co.-Claim, Sewer/Water (other than tree related) Closed 2008 0745-20 CL+5 CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 1/5/2015 RKM30 Haddad, Patricia-Claim, Law Enforcement Closed 2008 0745-20 CL+5 3il(^ RKM30 Halabuk, Daniel-Claim, Tree (other than sewer/water related) Closed 2008 0745-20 CL+5 ShO^ RKM30 Harris, Donald-Claim, Tree (other than sewer/water related) Closed 2008 0745-20 CL+5 £7fl RKM30 Hiroshige, Phil-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM30 Horak, Jack & Teresa-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 %nk RKM30 Hunt, Paul-Claim, Law Enforcement Closed 2008 0745-20 CL+5 ^ RKM31 Jaramillo, Jorge-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM31 Jeanne McCoy Trust-Claim, Other - damaged door and window Closed 2008 0745-20 CL+5 RKM31 Jennings, Kimberly-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM31 Jimeno, Frank-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 3M RKM31 Kelso, Sandra-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM31 Kostylo, Cindy-Claim, Sewer/Water (tree related) Closed 2008 0745-20 CL+5 i^A2 RKM31 Larosa, Daniel-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 8-57 RKM31 Levy, Jim-Claim, Sewer/Water (tree related) Closed 2008 0745-20 CL+5 RKM31 Lindsay, Cheryl-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 f RKM31 Maldonado, Terri-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM31 Marchi, Andrew-Claim, Tree (other than sewer/water related) Closed 2008 0745-20 CL+5 RKM31 McMahon, Dillon-Claim, Law Enforcement Closed 2008 0745-20 CL+5 RKM31 McMahon Heather-Claim Law Enforcement Closed 2008 0745-20 CL+5 RKM31 McMahon, Lawrence-Claim Law Enforcement Closed 2008 0745-20 CL+5 IS] RKM31 Medina, Arlene & Robert-Claim, Law Enforcement Closed 2008 0745-20 CL+5 RKM31 Melbrod, Barbara-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM31 Melton, Marc-Claim, Law Enforcement Closed 2008 0745-20 CL+5 RKM31 Mercury Ins. Co., Tarman-Claim, Tree (other than sewer/water related Closed 2008 0745-20 CL+5 1 ^ CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 1/5/2015 RKM31 Merry, Scott-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 HS RKM31 Mohnacky, Craig-Claim, Other, Underground pipe failure Closed 2008 0745-20 CL+5 RKM31 Montes, Joe & Jacquelyn-Claim, Tree (other than sewer/water related) Closed 2008 0745-20 CL+5 RKM31 Morales, Lilia-Claim, Trip/Fall Closed 2008 0745-20 CL+5 RKM31 Moreno, Mercedes-Claim, Law Enforcement Closed 2008 0745-20 CL+5 82-2 RKM31 Mortimer, Denise-Claim, Trip/Fall Closed 2008 0745-20 CL+5 RKM31 Murphy, Michael-Claim, Other, Electronic gate left open Closed 2008 0745-20 CL+5 Ml- RKM31 Nielsen, Robert-Claim, Tree (Other than sewer/water related) Closed 2008 0745-20 CL+5 SIS RKM31 Owens, Sue-Claim, Trip and Fall Closed 2008 0745-20 CL+5 RKM32 Packard Dental-Claim, Tree (Other than sewer/water related) Closed 2008 0745-20 CL+5 RKM32 Palmer-Bailey, Amberly-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM32 Patel, Hina-Claim, Vehicle Comprehensive (Other than collision, tree or law enforcement related) Closed 2008 0745-20 CL+5 '6 in RKM32 Pinamonte, Patrick-Claim, Law Enforcement Closed 2008 0745-20 CL+5 RKM32 Plunkett, Brian-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM32 Pritten, Lew & Joanne-Claim, Tree (Other than sewer/water related Closed 2008 0745-20 CL+5 RKM32 Riggin, Richard-Claim Vehicle Collision Closed 2008 0745-20 CL+5 93S RKM32 Riggs, John J.-Claim, Other, Fire Dept. entered office due to gas leak Closed 2008 0745-20 CL+5 RKM32 Rogers, Sharon-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM32 Roycroft, Julianne-Claim, Law Enforcement Closed 2008 0745-20 CL+5 RKM32 Sclawy, Sean-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM32 Shore, Cary-Claim, Sewer/Water (Tree related) Closed 2008 0745-20 CL+5 ISO RKM32 Silvers, Lisa-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM32 Simper, Deborah-Claim, tree (Other than sewer/water related) Closed 2008 0745-20 CL+5 ^ CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 1/5/2015 RKM32 Spano, Joseph-Claim, Sewer/Water (Tree related) Closed 2008 0745-20 CL+5 gio RKM32 Spurgin, Barbara & Lawrence-Claim, Sewer/Water (Tree related) Closed 2008 0745-20 CL+5 RKM32 Step, Michael-Claim, Vehicle collision Closed 2008 0745-20 CL+5 RKM32 Sucov, Joel-Claim, Tree (Other than sewer/water related) Closed 2008 0745-20 CL+5 RKM32 Tarman, Gerald & Mary Jill-Claim, Tree (Other than sewer/water related Closed 2008 0745-20 CL+5 RKM32 The Hartford, Hoffa-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM32 Trang, Richard-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM32 Von Helms, Ulrike-Claim, Tree (Other than sewer/water related) Closed 2008 0745-20 CL+5 m RKM32 Vongxay, Deena-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM32 Walters, Dana-Claim, Vehicle Collision Closed 2008 0745-20 CL+5 RKM32 York, J. Paul-Claim, Other, private property stolen from city vehicle Closed 2008 0745-20 CL+5 m Jo be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: _ CERTIFICATE OF DESTRUCTION? Q YES SMEADSOFT BARCODES DELETED BY: • NO DATE: i-"-^ ^-^0(3 DATE: CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 1/5/2015 city of Carlsbad Loss Run Roport Claims Closed between 01/01/2006 and 12/31/2006 d ClaimName Date of Loss Date Received Date Closed Category Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status 1 AAA, ROBERTS 10/4/2005 1/13/2006 8/30/2006 VEHICLE COLLISION 2 ANDERSON KEITH 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE ' •-. -I-l I « > I -i-ni-i- r-»l-l A -rr- 3 ARENZ, TERI 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE t-\ -Tl lAKi -rr-»i—I- r-»|—I ft Tl-— 4 ARENZ, TERI 5 ^ ARENZ, TERI 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 I In Tl iAh.1 -rr-ii—I— r-ii—i ATI— 3/11/2005 7/11/2005 5/31/2006 0 1/26/2006 6 AT&T/PACIFIC BELL, 1/18/2006 6/9/2006 8/9/2006 VEHICLE COLLISION 7 ATANASOVSKI, MILANO 6/27/2003 2/22/2006 3/31/2006 VEHICLE COLLISION 6/21/2005 8 AYOUB, MATTA & TERE 9 AYOUB, MATTA AND TH 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 [n -TilAM -rt-ii-i- i-ii-i ATI- 3/11/2005 10/26/2006 11/30/2006 SEWER/WATER (OTHE — — • t»i -r r-l I-r- r-> I-1 A-^-- 3/11/2005 7/11/2005 5/31/2006 SEWER/WATER (OTHE 1/26/2006 i-» -Tl lA^i -rr-vi—I— r-»|-| A -rr- 1 10 BANNISTER & BRODER 11 BANNISTER AND BRob" 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE r-k-^iiAklTr-lf—I— l">f~ I A TTT— ,rT^r>/-\rir- I/- A Tl in\/k I 12 BANNISTER, KATHRYN 13 ' BEHAR, SHERRI 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 jll -Ti lAki -rr->i-r- nr-i A -TI— 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE , -l-l I A n T-i-^r-i— ni—I A' 14 BEHAR, SHERRI 3/11/2005 7/11/2005 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 f. -ri I A r • ^— 15 BEHAR, SHERRI 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 i-. -l-l lAti -r r-t I—r- rvf-i A -r|— . 16 BJORSTRAM, PAUL WE 17 BLASI, CLIFF 7/29/2006 9/29/2006 11/7/2006 LAW ENFORCEMENT 2/28/2005 2/28/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 . r-ti-i A -rr- 18 BLASI, CLIFF 19 BLASI, CLIFF AND DEVf 20 BLOOM, KATHERINE 21 I BOHRER, LISA & MARC 22 BOYD, TOM 3/11/2005 5/5/2005 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 rt -l-l IAH -i-i-»r-i— r-t I— I A -rr- 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE rt -l-l I A 11 -r I-t I-r- r-l l-i A -rr- : 4/1/2006 4/5/2006 10/31/2006 VEHICLE COMPREHEN joivyi- //-v-ri ii-r-> -ri IAM r^r\ 7/29/2005^ 1/25/2006 7/31/2006 OTHER 8/14/2004 8/11/2005 2/28/2006 LAW ENFORCEMENT 23 BREEDING, TODD 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE n -ri I ft M -rr»i-i- r-ii-i A -rr- 24 BRINDISI AT AVIARA, 25 ' BRISTOL COVE PROPE rtT-\x i-ti « il—rtr^ A r^r^/-\r^ 11/1/2005 1/31/2006 1/1/2005' 11/8/2005 3/6/2006 SEWERAA/ATER (TREE j|-*r-l AT^TW 8/30/2006 OTHER ^^-^g^gglggSg^^^fl^BV^ 2^/2005 1/27/2006 5/31/2006:SEWERAA/ATER (OTHE 1/26/2006 ' i in -l-l I A ^ I -i-rii—I— I A TC: „ — —| 27 BROOKS, IAN 1/11/2006 1/26/2006 8/30/2006yEHICLE COMPREHEN \r^i\ If- /i~t-ri 11—rt -ri IAM 28 BUITRON, ALEXIS 29 BUNNELL, BRENDA 11/3/2005 11/4/2005 5/31/2006 VEHICLE COMPREHEN j |C»i\<r- //-v-ri ir-i-i -Tl IA M rt/-\ 8/4/2003 7/12/2004 2/24/2006|PEKSONNEL ACTION //12/2004 30 CAIN, MICHAEL 3/11/2005 7/11/2005 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 rt -l-l IA M -rrt l-l- nr-i A -rr- 31 CAIN, MICHELE 1/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE ! r-» Tl lAfci Tni—I— ni~l ATI" 32 CAIN, MICHELE 1/28/2005^ 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 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 o.ooi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CLOSED 0.00 0.00 0.00 0.00 0.00 o.oo! "oooi 0.00 o.oo! 384.84 0.00 0.00 0.00 o.oo! 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.oo! 0.00 0.00 0.00 0.00 0.00 0.00 301.00 0.00 0.00 0.00 0.00 0.00 0.00 o.oo! 0.00 o.oo! 0.00 0.00 0.00 0.00 0.00 o.oo! 12,709.13 o.oo! 0.00 0.00 0.00 0.00 0.00 n nn 0.00 sn nnn nn 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.ooi 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 CLOSED 0.00 CLOSED 0.00 CLOSED o.oo' CLOSED 384.84 CLOSED 0.00 CLOSED 0.00 CLOSED O.oo! CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 301.00 CLOSED 0.00 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED ooo! CLOSED 0.00 CLOSED 0.00 CLOSED 12,709.13! CLOSED O.oo! CLOSED 6.00 CLOSED 0.00 CLOSED 0 00 0.00 CLOSED 1 Q1 R51 75 141 5R1 75 CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 0.00 0.00 0.00 CLOSED Friday, January 09, 2015 LossRunClosed Page 1 of 6 City of Carlsbad Claims Closed between 01/01/2006 and 12/31/2006 Date of Date riaimNamn Loss Recelved Date Closed Cateaon/ Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status 33 ! CARAVANTES, DEREK 4/1/2006 4/5/2006 10/31/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 34 CHAVEZ, ROSA 6/5/2006 8/8/2006 10/17/2006 SEWERAA/ATER (TREE 0.00 0.00 — \— 12,560.95 0.00 12,560.95 CLOSED 35 CHAVIRA & ANARAKI, R 3/3/2006 4/20/2006 9/21/2006 LAW ENFORCEMENT 6/9/2006 0.00 -j 0.00 0.00 0.00 0.00 CLOSED 36 1 37 /•^r-> r— r-i-i- o <-» A n A 1 1 — CHRYSSOVERGIS, CHR 'CLASS, PATRICIA 3/11/2005 3/23/2006! 10/26/2006 4/27/20061 11/30/2006 SEWERAA/ATER (OTHE 10/31/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00' 0.00 0.00 0.00 0.00 0.00 0.00 CLOSED CLOSED 38 DANKO, JAMES 9/2/2005 9/16/2005 3/31/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 39 DENNESON, JAMES 10/28/2005 11/15/2005 5/31/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 40 41 DEPARTMENT OF THE MAV/W r-J!tj 11^1 Il-n-kl i DIAZ, EVA 10/20/2004 3/11/2005 1/27/2006 10/26/2006 3/17/2006 TRIP/FALL 11/30/2006!SEWERAA/ATER (OTHE 0.00 o.oo! 0.00 0.00 225.23 o.oo; 0.00 0.00' :r";::^i— 225.23 0.00! CLOSED CLOSED 42 DIPLOCK, ROBERT 3/11/2005 7/11/2005 5/31/2006 SEWERAA/ATER (OTHE Tl 1 A II 1 Ti~* ^ r*" ^ i * Tr~ 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED 43 DIPLOCK, ROBERT 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED 44 45 DIPLOCK, ROBERT DOBEK, CHRISTOPHER 3/11/2005 1/19/2006 10/26/2006 2/13/2006 11/30/2006 SEWERAA/ATER (OTHE n -Tl IAM -rrt r-r- rtr-i A -rr- 2/28/2006yEHICLE COLLISION 0.00 0.00 0.00 o.oo! 0.00 4,750.85! 0.00 0.00! 0.00 4,750.85 CLOSED CLOSED 46 DUNN, PAULA 4/1/2006 4/14/2006 11/30/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 47 EGUIGUREN, ANGELA 10/20/2004 3/28/2005 10/25/2006 TRIP/FALL 0.00 0.00 1,000.00 339.68 1,339.68 CLOSED 48 49 ELOVITZ, JONATHAN ELOVITZ, MIKE 10/1/2004 10/1/2004 11/10/2004 11/10/2004: 9/28/2006yEHICLE COMPREHEN r^i\ir~ /r\T'i ir-_n TI I A rr>r\ 9/28/2006 VEHICLE COMPREHEN 0.00 o.oo! 0.00 o.oo! 0.00 0.00 0.00 0.00! 0.00 0.00' CLOSED CLOSED ! 48 49 ELOVITZ, JONATHAN ELOVITZ, MIKE i-*n II— /r^-rt If—1-* Tl 1 A kl r^r^k . 0.00 0.00 0.00 0.00 0.00 CLOSED 50 FARMERS, ROTHSCHIL 10/20/2005 1/11/2006 8/30/2006 VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 CLOSED 51 FIEDLER, STEVEN 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED 52 53 FIEDLER, STEVEN ! FIEDLER, STEVEN 3/11/2005 3/11/2005 7/11/2005 10/26/2006 5/31/2006 SEWERAA/ATER (OTHE 11/30/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 o.oo! 0.00 o.oo! 0.00 0.00 0.00 0.00! 0.00 0.00 CLOSED CLOSED 54 • FOUDY, JEFF AND TINA 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE 0.00 0.00 0.00 0.00 0.00 CLOSED 55 FRENCH, ESTHER 5/29/2005 11/17/2005 6/30/2006 TRIP/FALL 0.00 0.00 0.00 0.00 0.00 CLOSED 56 57 GAMBOA, ZOILA GARDNER, JEFF 10/18/2005 2/6/2004 12/19/2005 2/6/2004 4/5/2006 VEHICLE COLLISION 2/28/2006 SEWERAA/ATER (TREE 0.00 o.oo! 0.00 o.oo! 650.00 3,051.40 0.00 0.00! 650.00 3,051.40 CLOSED CLOSED 58 GASPERIAN, DAIZEL 4/1/2006 4/17/2006 10/31/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 59 GATES, JAMES 3/1/2004 6/29/2004 4/4/2006 LAW ENFORCEMENT 0.00 0.00 75.00 0.00 75.00 CLOSED 60 61 GEICO SUBROGEE FO r-* 1 1* a r-l r-v/ i A ixo rf^k. 1 GEICO, OJEDA 10/14/2006 6/22/2005 12/5/2006 8/22/2005 6/29/2006 VEHICLE COMPREHEN |Oi\Ji— //-v-ri ir-j-i T-I IAM r>t-\ 3/31/2006 VEHICLE COMPREHEN 1 0.00 0.00 0.00 U.UU| 0.00 0 00 0.00 O.OQ! 0.00 Q.oo! CLOSED CLOSED 62 GIBBS, MICHAEL & LAR 3/11/2005 8/10/2005 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED 63 GIBBS, MICHAEL & LAR 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED 64 GIBBS, MICHAEL AND L A r-» A 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE 1-4 Tl iAk.1 Tr-»i—1~ nm ATI— i 0.00 0.00 0.00 1 0.00 0.00 CLOSED Friday, January 09, 2015 LossRunClosed Page 2 of 6 City of Carlsbad Cbhis Closed between 01/01/2006 and 12/31/2806 Date of Date Loss Received Date Closed Cateqory Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred status 65 ! ulClllllliCllllC GORAK, JOSEPH 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED 66 GORAK, JOSEPH 3/11/2005 7/11/2005 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED »1 /->v o t~\ 67 GORAK, JOSEPH 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE 0.00 0.00 0.00 0.00 0.00 CLOSED 68 69 ! GRAFF, PAULA & WILLI "HARARI, TORPAKAI 2/21/2005 2/28/2005^ 8/24/2005 1/27/2006 5/31/2006 DANGEROUS CONDITI 5/31/2006!SEWER/WATER (OTHE 1/26/2006 0.00 o.oo! 0.00 0.00 0.00 0.00 0.00 O.OQ! 0.00 0.00 CLOSED CLOSED /-N1 /~\ o |— n 70 HARARI, TORPAKAI AN 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE 0.00 0.00 0.00 0.00 0.00 CLOSED 70 HARARI, TORPAKAI AN It -l-l IAM -rrti—1- ni-i ATI- u 0.00 0.00 2,734.24 0.00 2,734.24 CLOSED 1 f-* r— r-\ 71 HERTZ CORPORATION, 4/30/2006 11/7/2006 12/19/2006 VEHICLE COLLISION 0.00 0.00 2,734.24 0.00 2,734.24 CLOSED 1 f-* r— r-\ 72 73 HOLLINS, SANDRA HOLMLUND, CANDISE 7/21/2006 9/18/2005 8/25/2006 1/17/2006 12/29/2006 TRIP/FALL 8/30/2006 LAW ENFORCEMENT 1 0.00 o.oo! 0.00 0.00 2,180.00 0.00 409.95 0.00 2,589.95 0.00 CLOSED CLOSED y^l OI~ l~\ 74 JOIN HANDS SAVE A Ll 5/6/2003 10/1/2003 8/16/2006 OTHER 4/22/2004 0.00 0.00 0.00 209,728.73 209,728.73 CLOSED /-\ 1 /—\ /-\ f— r-\ 75 I-r- i-rt A ^iix <t/~>rtlM/-> , KEITH, SHARON 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE 0.00 0.00 0.00 0.00 0.00 CLOSED 76 77 KEITH, SHARON KEN GRODY FORD, 2/28/2005 9/18/2006 1/27/2006 9/25/2006 5/31/2006 SEWERAA/ATER (OTHE 10/17/2006 VEHICLE COMPREHEN 1/26/2006 0.00 0.00 0.00 0.00 0.00 248.00' 0.00 0.00 0.00 248.00 CLOSED CLOSED /"*i /-\i~ 78 KENNEY, JOHN AND Y 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE 0.00 0.00 0.00 0.00 0.00 CLOSED 79 /•M A k m A — KING, JOHN 2/9/2006 2/17/2006 4/5/2006 VEHICLE COMPREHEN 0.00 0.00 32.33 0.00 32.33 CLOSED /~\r~i~\ 80 81 KINTO, TROY KIRKENDALL, KEVIN 2/23/2005 11/10/2005! 5/19/2005 11/30/2005 5/31/2006 SEWERAA/ATER (OTHE in Tl IAM Trtf—1— r-l 1—1 ATI- 5/31/2006 VEHICLE COMPREHEN 6/28/2005 0.00 0.00: 0.00 o.oo! 0.00 0.00 0.00 o.oo! 0.00 0.00 CLOSED CLOSED I /~\ ^ t— r-\ 82 KOBO, 6/27/2005 7/7/2005 1/31/2006 OTHER 0.00 0.00 0.00 0.00 0.00 CLOSED 83 KOPP, ELISA 3/11/2005 11/9/2006 11/30/2006 SEWERAA/ATER (OTHE 0.00 0.00 0.00 0.00 0.00 CLOSED 84 85 KOPP, LAWRENCE ! KOPP, LAWRENCE 3/11/2005 10/26/2006 2/28/2005' 1/27/2006 11/30/2006 SEWERAA/ATER (OTHE 5/31/2006 SEWER/WATER (OTHE 1/26/2006 0.00 o.oo! 0.00 0.00 0.00 0.00 0.00 o.oo! 0.00 0.00 CLOSED CLOSED 86 KOPP, M. LAWRENCE 3/11/2005 7/11/2005 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 —r- 0.00 0.00 CLOSED 87 KYLE, DANIEL 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 \— 0.00 0.00 CLOSED 88 89 KYLE, DANIEL ! KYLE, DANIEL AND ELI 3/11/2005 7/11/2005 3/11/2005^ 10/26/2006 5/31/2006 SEWERAA/ATER (OTHE ,1-1 Tl 1AM Tl-irrj- r->|-i ATI- 11/30/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 o.oo! 0.00 o.oo! 0.00 o.oo; 0.00 o.oo! CLOSED CLOSED 90 LA CASA DEL SOL HOA 10/27/2004 5/16/2005 1/31/2006 OTHER 0.00 0.00 0.00 0.00 0.00 CLOSED 91 LA COSTA DE MARBEL 2/28/2005 4/5/2005 5/31/2006 SEWERAA/ATER (OTHE 7/11/2005 0.00 0.00 0.00 h- 0.00 0.00 CLOSED 92 93 LA COSTA DE MARBEL ii A 1 ir>k Jll—nikir-nr* Ar»r* LA COSTA DE MARBEL 2/28/2005 \ 2/1/2003 10/26/2006 10/4/2005 11/30/2006 SEWERAA/ATER (OTHE [n Tl iAfc.1 Tnii—r- nr-i ATI— 10/31/2006 SEWER/WATER (TREE 0.00 o.oo! 0.00 n nn u.uu 0.00 O.QO 0.00 4,035.95 0.00 4,035 95 CLOSED CLOSED 94 1 A 1 i/tii •!—^1 A IHI—rtr« ^/-M-i LABANI, BEVERLEY 3/16/2006 3/24/2006 11/30/2006 TRIP/FALL 0.00 0.00 0.00 0.00 0.00 CLOSED 95 LEWIS, JASON 3/11/2005 7/11/2005 5/31/2006 SEWERAA/ATER (OTHE 11—» Tl lA^i Tnr~r- nr~i A TP— 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED 96 LEWIS, JASON 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED Friday, January 09, 2015 LossRunClosed Page 3 of 6 City of Carlsbad Loss Run Roport Claims Closed between 01/01/2006 and 12/31/2006 ClaimName 97 LEWIS, JASON Date of Date Date Date Loss Received Closed Category Litigate^ 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE 98 LOLI, VICTORIA ^99 MAJESKA, ALEX \ 8^19/2005 8/30/2005 9/14/2005 3/31/2006 VEHICLE COMPREHEN I fl- /^Tl II—Ft Tl IAM 4/20/2006 LAW ENFORCEMENT 100 MATA, MARISSA NOEL 101 ' MCBRIDE, KIMBERLEE 7/29/2006 9/29/2006 1/19/2006 2/21/2006 11/7/2006 LAW ENFORCEMENT 8/30/2006 VEHICLE COMPREHEN rM» »i— //tTl 11—r 102 MILLS, SUZIE 2/8/2006 2/24/2006 9/29/2006 VEHICLE COMPREHEN rM> >i- /^Ti ir-rt Tl I ft M r^r\. 103 MOLNAR, BETTY 104 MORENO, MINEKO 105 ' MOURITZEN, RYAN 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE rt Tl I A tl Trt I-1- l-l I-1 ft Tl- 1/9/2005 5/16/2005; 1/31/2006 OTHER 2/28/2005! 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 106 MOURITZEN, RYAN 3^1/2005 7/11/2005 ' 5/31/2006 SEJA/EFymjER^ I07"MOURITZEN RYAN 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE t\JI IVI^V./ , -l-l IAM Tl-ll-l— I-II-I ftTfT^ 108 MURDOCK, TOM & LIND 10/27/2005 109 ! NASTASE, TIFFANY AL 3/14/2005! 5/8/2006 7/31/2006 OTHER 7/5/2005 11/17/2006 TRIP/FALL 9/12/2005 110 NAZARI, FERESHTECH 12/9/2005 12/30/2005 4/4/2006 OTHER 111 NEVILLE, STEPHEN 3/11 /2005 10/26/2006 11^30/2006 SEWEFymjERjOTH^ 112 NEVILLE, STEPHEN 113 NEVILLE, STEPHEN 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE in TiiAfc-i Tnj—r- nr-i ATI— 3/11/2005! 7/11/2005 5/31/2006 SEWERAA/ATER (OTHE 1/27/2006 rt Tl lAti Trt r-r- rtl 114 NGUYEN, ANDREW-HU 10/20/2005 11/1/2005 6/30/2006 VEHICLE COMPREHEN r^ii IW- //-^Ti ir-rt Tl IAM r^r^ 115 NICHOLAS TANIA 3/11/2005 7/1l72005 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 ' n -rt lAfci Tnr~i— nr~i—ATI——j_ —— —p 116 NICHOLAS, TANIA 117 NICHOLAS, TANIA AND 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 3/11/2005; 10/26/2006! 11/30/2006!SEWERAA/ATER(OTHE 1/26/2006 rt Tl I A t 1 Trt I—I 118 ORTH, GREGORY 119 ! PARKS, APRIL 1/6/2006 1/17/2006 8/30/2006 VEHICLE COMPREHEN ytn /I- //tTl il—rt Tl I ft M <—/t 3/11/2005 10/26/2006 11/30/2006:SEWERAA/ATER (OTHE rt Tl I A M Trt I-I— rtl—1 ft Tl— 120 PARKS, APRIL 121 PARKS, APRIL 3/11/2005 7/11/2005! 5/31/2006 SEWERAA/ATER (OTHE ii-i T±JAM Trti-i- ni-i ATI- 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 1/26/2006 -Tl I A M Trt I-I- rtl-1 122 PEDDY, MARY 8/9/2005; 8/9/2005 3/31/2006 DANGEROUS CONDITI Ifci rtl ir-ii 1/^ nnz-^nr" 123 PEDROTTA, CHARLES 8/20/2005 10/21/2005 5/31/2006 VEHICLE COMPREHEN /I— II—rt Tl 1 ft M /t/t 124 PILOT III, WILLIAM HAM 125 PINNOW, RONDA SMIT 2/19/2005 12/15/2005 8/21/2006 LAW ENFORCEMENT 11/8/2005 4/19/2006' 12/29/2006 TRIP/FALL 126^01 NCENOT LIONEL 9/26/2005 10/3/2005 4/28/2006!VEHICLE COMPREHEN ' ! r>t\ 1^ /i^Tl l|—n Tl I A M /^/^- 127 POWERS, JEFFREY 2/22/2005 5/24/2005 1/31/2006 OTHER 128 REITER, MILTON 10/21/2005 10/21/2005 3/1/2006 TRIP/FALL 12/9/2005 Loss Resen/e 0.00 0.00 0.00 0.00 O.OQ! 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 Loss Payment 0.00 Expense Payment 0.00 Incurred 0.00 status CLOSED 0.00 0.00 0.00 0.00 CLOSED 0.00! 150,000.00 10,067.15 160,067.15 CLOSED 0.00 0.00 0.00 0.00 0.00 0.00: 0.00 0.00 0.00 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 0.00 0.00 0.00 n nn 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00! 0.00 0.00 315.25 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! CLOSED CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 0.00! 0.00 0.00! CLOSED CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 0.00 0.00 CLOSED 0.00 11,971.36 11,971.36' CLOSED 0.00 315.25 CLOSED 0.00 0.00 CLOSED 0.00 0.00^ 0.00 0.00! CLOSED CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 0.00 0.00 O.OQ! CLOSED CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 0.00' 0.00 0.00! CLOSED CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 13,990.00 13,990.00! CLOSED n nn' 0 00' 0.00! CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED Friday, January 09, 2015 LossRunClosed Page 4 of 6 Claims Closed between 01/01/2000 and 12/31/2006 ClaimName 129 RHEAD, MORGAN Date of Loss Date Received Date Closed Categor 4/11/2000 9/28/2000 4/24/2006 LAW ENFORCEMENT Date Litigate 4/9/2001 130 ROBERTS, CAITLYN SU 10/4/2005 12/14/2005 8/30/2006 VEHICLE COLLISION 131 ROBINSON & AUSTIN 2/28/2005 4/20/2005 5/31/2006 SEWERAA/ATER (OTHE 6/28/2005 I . ^ ' rt Tl lAKi Trt I-r- rtl-l ATI- . " rtl-Mir^ 132 SAFARIK, CHRISTINE C 133 ! SBC/PACIFIC BELL, 134 SCHAEFFER, KARL 135 SCHUMACHER AND FO rtrN II irt ITI i AMrt l-rtAM/t 136 SELWITZ, MARBY 137 SHEEHAN, HELENE 10/21/2005 10/26/2005 5/31/2006 VEHICLE COMPREHEN r*iv /I— /r\T-i 11—n Tl IAM r*/^ 10/18/2005 3/6/2006 4/4/2006 SEWERAA/ATER (TREE rtl—I ATI—rt\ 11/1/2005 11/8/2005 5/31/2006 VEHICLE COMPREHEN /ti» /I- /^Ti ii-rt 2/14/2006 4/24/2006 5/23/2006 VEHICLE COMPREHEN t //tTl II—rt Tl I A Kl /t/t 8/30/2003 3/1/2004 1/31/2006 VEHICLE COLLISION 9/22/2004 11/16/2005 11/29/2005 5/31/2006fVEHICLE COMPREHEN /-Ml 11- /^Ti II—rt Tl IAM rt/t 138 SHIPPEN, ERIC 139 SOMMERVILLE, GRACE 2/23/2005 5/19/2005 5/31/2006 SEWERAA/ATER (OTHE 6/28/2005 rtl—1- rtr-i A Tr 3/1/2006 4/24/2006 10/31/2006 VEHICLE COMPREHEN t.l /•- /^Ti ir-rt Tl IAM it/t i40 SOTO, JORGE LUIS Ul SPECK, ROSS 5/19/2006 6/6/2006 12/29/2006 VEHICLE COMPREHEN oi\/f~ //^Ti II—J~» TiiAfc.i r^r^k 6/7/2006 6/20/2006! 9/13/2006 VEHICLE COMPREHEN /til IW- //tTl ll-r-l Tl 1 ft M ^/t U2 STANDRING, ERNEST 5/12/2005 6/30/2005 2/28/2006 SEWERAA/ATER (TREE 143 STEINHAUER, BONNIE^ 3/11 /2005 10/26/2006 11 /30/2006 gEWER/m^^ 144 STRONG, ROBERT MIC 145 SULLIVAN, ROBERT AN ; rt ly A -i-l 2/23/2005 5/19/2005 5/31/2006 SEWERAA/ATER (OTHE 6/28/2005 It TLlAM Trt r-f- rtl-l A Tl— 3/17/2006 5/27/2006 6/20/2006 LAW ENFORCEMENT 146 SWARTWOOD, ROD 2/18/2005 8/3/2005 3/31/2006 VEHICLE COMPREHEN rt 11 /I— /^Ti II—rt Tl I ft M /t/t 147 SYNESlOU, JOHN 7/13/2005 8/3/2005 2/28/2006 TRIP/FALL 148 TATE, STEPHEN 149 ! TAVAKOLI, SABIHE 4/1/2006 4/10/2006 10/31/2006 VEHICLE COMPREHEN OIV /I— //^Tl II—r-1 Tl I A k.1 /^/^ 3/11/2005! 10/26/2006! 11/30/2006 SEWERAA/ATER (OTHE 150 TAVAKOLI, SABINHE 2/28/2005 1/27/2006 5/31/2006 SEWERAA/ATER (OTHE r~ ni—I A-l-i— 1/26/2006 151 TAVAKOLI, SAIHE 3/11/2005 7/11/2005 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 rt Tl IAM Trt I-r- rtl—I A Tr- . 152 THEOTILOPOULOS, EL 153 'THOMAS, BRUCE [54 THOMAS, BRUCE 1/9/2005 5/16/2005 10/6/2005! 10/7/2005 5/31/2006 OTHER 4/28/2006!oTHER 6/1/2005 11/16/2005 5/31/2006 LAW ENFORCEMENT ^55 TILLOTSON, LINDA 3/11/2005 10/26/2006 11/30/2006 SEWERAA^TER^ 156 TIMMONS, JEROME 3/11/2005 157 TIMMONS, MARILYN 3/11/2005 9/9/2005 5/31/2006;SEWERAA/ATER (OTHE [rt Tl lA k^i Titt-i- ni—1 A Tl— 9/9/2005 5/31/2006 SEWERA/VATER (OTHE 158 TRAN, HONG 2/3/2006 2/21/2006 9/29/2006 VEHICLE COMPREHEN \r^t\ #1— //"XTI li—rt Tl I A kl r^r\ 159 TRASK, N.JUNE 3/11/2004 5/14/2004; 3/31/2006 TRIP/FALL 160njLDRICKS MARIAN 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE ' !n Tl iAk.1 Tni—I— i~»i—I ATI- 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; n nn 0.00 0.00 "om 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 O.OQ! 0.00 0.00 0.00 n nn 0.00 0.00 0.00 Loss Payment 0.00 Expense Payment 273,526.14 Incurred Status 273,526.14 CLOSED 0.00 1,010.01 1,010.01 CLOSED 0.00 0.00 535.24 0.00 293.88 0.00 0.00 0.00 0.00 0.00 100.00 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 0.00 108.00 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 CLOSED 0.00 0.00 CLOSED 0.00 535.24 CLOSED 0.00 CLOSED 293.88 CLOSED 108.00 0.00 CLOSED CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 100.00^ CLOSED CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 0.00 O.OQ CLOSED 1,139.09 0.00 1,139.09 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 O.OQ! CLOSED CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 0.00! CLOSED CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 0.00! CLOSED CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 0.00 CLOSED Friday, January 09, 2015 LossRunClosed Page 5 of 6 City of Carlsbad Clatais Closed between 61/01/2006 and 12/31/2006 rijtimNAinp Date of Loss Date Received Date Closed Cateqorv Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred status 161" wICIIIIIIvCIIIIC ULDRICKS, MARIAN 3/11/2005 9/9/2005 5/31/2006 SEWERAA/ATER (OTHE 0.00 0.00 0.00 0.00 0.00 CLOSED /t 1 /^o c" n 162 USAA, GRAY 4/1/2006 5/24/2006 12/29/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 163 VAN DE WIEL, MICK 9/9/2006 10/12/2006 11/7/2006 SEWERAA/ATER (TREE 0.00 0.00 753.00 0.00 753.00 CLOobU ^1 /~\c*d i64 165 VERESPEJ, JAMES VILLANUEVA, JUAN MA 4/11/2006 6/30/2004 4/25/2006 7/28/2004 10/31/2006 VEHICLE COMPREHEN :oi\ /I- //tTl 11—rt Tl IAM /t/t 6/30/2006 VEHICLE COLLISION 0.00 0.00 0.00 o.oo! 0.00 o.oo' 0.00 o.oo! 0.00 0.00 CLOSED CLOSED /-\ 1 /^or"n |66 WALTERS, VIRGINIA 2/28/2005 2/28/2006 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED /tl /~\r~rt 167 WALTERS, VIRGINIA 3/11/2005 7/11/2005 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED }68 169 WALTERS, VIRGINIA WATSON, AUDREY 3/11/2005 2/23/2005 10/26/2006 8/29/2005 11/30/2006 SEWERAA/ATER (OTHE 5/31/2006 SEWER/WATER (OTHE 6/28/2005 o.oo; 0.00 0.00 o.oo! 0.00 0.00 0.00 o.oo! 0.00 o.oo' CLOSED CLOSED }70 WAWANESA INSURAN 10/20/2005 11/17/2005 11/17/2006 VEHICLE COMPREHEN 6/30/2006 0.00 0.00 0.00 0.00 0.00 CLOSED 171 WELL, BUFORD 2/28/2006 1/26/2006 5/31/2006 SEWERAA/ATER (TREE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED 172 173 WELLS, BUFORD WHITEHEAD, ROBERT 3/11/2005 2/28/2005 10/26/2006 1/27/2006! 11/30/2006 SEWERAA/ATER (OTHE 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CLOSED CLOSED /tl /t/>r~i~\ 174 WHITEHEAD, ROBERT 3/11/2005 4/5/2005 5/31/2006 SEWERAA/ATER (OTHE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED 175 WHITEHEAD, ROBERT 3/11/2005 10/26/2006 11/30/2006 SEWERAA/ATER (OTHE 0.00 0.00 0.00 0.00 0.00 CLOSED 176 177 Atirt Tl ir-rti—rtA WILLIAMS, RENEE WILSON, JEFFREY THO 8/1/2006 2/23/2005 9/15/2006 5/19/2005 9/25/2006 OTHER 5/31/2006 SEWERAA/ATER (OTHE 6/28/2005 0.00 0.00 0.00 o.oo' 1— 95.00 0.00 0.00 0.00 95.00 o.oo' CLOSED CLOSED /tl /•\*t^rt 178 WIR HOLDINGS, 2/8/2005 8/4/2005 5/31/2006 SEWERAA/ATER (TREE 7/29/2005 0.00 0.00 0.00 8,015.70 8,015.70 CLOSED /-^ 1 r— r-v 179 WRIGHT, STACY 5/31/2006 6/7/2006 12/29/2006yEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED rf^i /^^^r~rt 00 00 —>• o ZHANG, BEIHUA ZIMMER DENTAL, 5/30/2006 5/18/2005 6/1/2006 12/29/2006 VEHICLE COMPREHEN 6/7/2005! 1 /31 /2006 SEWERAA/ATER (TREE 0.00 o.ooi 0.00 o.oo! 0.00 0.00 0.00 o.oo! 0.00 o.oo! CLOSED CLOSED ' 182 ZINCAVAGE, BIANGA 4/1/2004 4/8/2004 3/31/2006 TREE (OTHER THAN SE 0.00 o.oo; 0.00 0.00 0.00 CLOSED ZINCAVAGE, BIANGA :iA/r-nAA/A TI—n ncu—A Tf~r^— Totals 0.00 0.00 244,134.43 624,754.42 868,888.85 Friday, January 09, 2015 LossRunClosed Page 6 of 6 Gity of Carlsbad Loss Run Roport OakiB Cliisad betwatn Q1/I1/2BI8 and Q/svzoga 3o - ClaimName Date of Loss Date Received Date Closed Category Date Litigate 3 CTL Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status 1 ABBOTT, SANDRA 2 ! AGUA DULCE HOA, 3 ALTAMIRA IV HOMEOW 4/16/2008 5/19/2008 6/2/2008 VEHICLE COMPREHEN r«n /f- /^Ti II—rt Tl IAM <t/t 8/15/2008 OTHER 3/27/2008 3/27/2008 9/23/2008 OTHER 4 ANZIL, LYDIA 5 ! ARMSTRONG, LUCINDA' 8/19/2008 9/24/2008 11/5/2008jLAW ENFORCEMENT 2/22/2008! 3/4/2008j 10/28/2008ITREE (OTHER THAN SE « Ti-rt rtr-l A • 6 AT&T/PACIFIC BELL, 10/16/2007r 3/24/2008 4/23/2008 OTHER 7 AT&T/PACIFIC BELL, 8 BEATTY, HANA 9 i BELANGER, JENNIFER 9/17/2007 2/27/2008 9/23/2008 OTHER 4/30/2008 5/5/2008 11/24/2008|TREE (OTHER THAN SE !lAl|—nAAl/ 9/1/2007 2/29/2008 9/23/2008 OTHER - n n_r-i A TI— r\ 10 BILLICK, REBASUE 8/15/2006 12/27/2006 10/28/2008 VEHICLE COLLISION 3/1/2007 11 BONAS, WILLIAM 1/4/2008 1/4/2008 7/28/2008 OTHER 12 BONAS, WILLIAM ARTH 13 'BONN, ZXELAN 5/1/2008 5/9/2008 11/24/2008 LAW ENFORCEMENT 10/7/2007! 11/8/2007 8/25/2008 TREE (OTHER THAN SE 5/30/2008 jl A II—rt n A 1A Ti—n ni—i A" 14 BORG, JOHN 4/30/2008 6/2/2008 9/16/2008 TRIP/FALL 9/16/2008 15 CAGLE, JENNIFER _i 16 CEI GROUP INC, 17 CHACON, MANUEL 12/17/2007 1/9/2008 8/29/2008 VEHICLE COMPREHEN rtii ir- //tTl II—rt Tl IAM <t/t 7/16/2007 12/28/2007 1/28/2008 VEHICLE COLLISION 11/10/2007! 4/15/2008! 6/2/2008!vEHICLE COLLISION 18 CONTRERAS, MANUEL 11/13/2007 1/31/2008 2/5/2008 SEWERAA/ATER (TREE rtl—I AT|-rt\ 19 DAHAN, SIVAN 8/16/2006 1/24/2007^ 2/29/2008 LAW ENFORCEMENT !20 DAHAN, TOMER ADAM " 8/16/2006 1/24/2007 2/29/2008 LAW ENFORCEMENT ! 21 DEFRANCESCO, RUSS 10/16/2007'10/31/2007! 1/16/2008ISEWERAA/ATER (TREE 22 DUNNE, JEAN 23 DURAN, CARLOS 10/13/2008 10/27/2008 12/26/2008 VEHICLE COLLISION 12/2/2007 2/14/2008 8/29/2008 VEHICLE COMPREHEN /-«il II- //-\TI II—rt Tl IAM f^r\ 24 ; ENTERPRISE FLEET SE jn\#irf^-i-o nTii\/i—n. -7Ak_a/^ 25 ! FAUTEUX, DARRYL PAT 26 'FEDERAL INS. CO. AS rtl irtrt/tAti-i- /t|- r>r-/t 27 FRIESE, DEBRA T8 GALVAN, LUZ M 29 GALVAN, NATHAN 5/27/2008 8/13/2008 9/23/2008 VEHICLE COLLISION 7/3/2008 7/7/2008 7/22/2008!LAW ENFORCEMENT 12/4/2006 9/12/2007 3/25/2008 SEWERAA/ATER (OTHE i ' rt Tl I A k I -i"rti—r- rtr-l A Tr~ 8/28/2008 9/2/2008 9/23/2008 VEHICLE COMPREHEN li—rt Tl I A k I 10/15/2006 10/9/2007 6/24/2008 SEWERAA/ATER (TREE j iitr-i ATj-r-i\ 12/1/2007; 12/17/2007 7/28/2008:LAvV ENFORCEMENT ^O^GERO, PATTI 8/23/2007 2/22/2008 8/29/2008 PERSONNEL ACTION ST^GRANDBERRY, SHAWN^ 1/23/2008 1/28/2008! 2/5/2008 VEHICLE COLLISION ^ TTG FENTON CO! 12/4/2006 ~ 3/9/2007 2/13/2008 SEWERAA/ATER (OTHE ' i r« Tl lA M Tnr-i- Jti-i A Tr- 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 n nn 0.00 0.00 0.00; 0.00 612.44 2,838.00 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 2,838.00 CLOSED 0.00 0.00 0.00 CLOSED 0.00 0.00 1,514.00 1,514.00 CLOSED 0.00' 0.00' CLOSED 309.45 0.00 309.45 CLOSED 401.35 0.00 401.35 CLOSED 0.00 0.00 0.00 0.00' 0.00 CLOSED 0.00' CLOSED 9,999.00 2,322.25 12,321.25 CLOSED OOO 0.00 CLOSED 0.00 0.00 0.00 0.00 0.00 0.00; CLOSED 0.00 CLOSED 0.00 0.00 0.00 CLOSED 0.00 0.00 0.00 CLOSED 99.88 2,258.38! 0.00 99.88 CLOSED 0.00! 2,258.38! CLOSED 2,101.60 673.70 2,775.30 CLOSED 0.00 0.00 0.00 CLOSED 0.00 5,040.00 0.00 0.00 CLOSED 0.00 5,040.00' CLOSED 1,300.00 450.00: 1,750.00 CLOSED 0.00 0.00 0.00 CLOSED 2,463.34 0.00 2,463.34 CLOSED 275.00' 0.00! 275.00 CLOSED 0.00 48,889.71 991.90 49,881.61 CLOSED ^OOO 242.81 0.00 242.81 CLOSED ^ioO^ 18,780.58 995.50 19,776.08 CLOSED^ nnn! nnn! 000' 0.00 CLOSED 0.00 0.00 0.00 CLOSED 2,901.47 0.00 2,901.47 CLOSED 0.00 141,336.97 5,059.20 146,396.17 CLOSED Friday, January 09, 2015 LossRunClosed Page 1 of 4 City of Carlsbad Loss Run Roport Cbhis Closed between 01/01/2000 and 12/31/2000 ClaimName 33 ! HADDAD, PATRICIA Date of Date Date Loss Received Closed Categor 12/4/2007 12/4/2007! 8/28/2008iLAW ENFORCEMENT Date Litigate 34 HALABUK, DANIEL T2/7/2OO7 2/12/2008 8/28/2008 VEHICLE COMPREHEN ' r^i\ tf- //t-ri li—rt TI I A k I r^r\ 35 HARRIS DONALD 2/22/2008 3/11/2008 10/28/2008 TREE (OTHER THAN SE ' I 1 A 11—rt A A I A Tr-rt rt|-| ftT|—It 36 HIROSHIGE, PHIL 37 I HORAK, JACK & TERES 7/1/2008! 7/18/2008 9/23/2008 VEHICLE COMPREHEN j jr^iv/i— ir\Trv_ij-r\ TiiAk.1 r^r\ 12/18/2007 3/26/2008 10/28/2008!DANGEROUS CONDITI ^M /tM rtl irti l/t riri/tni- 38 HULSEY, MICHAEL 6/17/2006 8/30/2006 11/24/2008 LAW ENFORCEMENT 4/10/2007 39 HUNT, PAUL 6/30/2007 11/29/2007 7/28/2008!LAW ENFORCEMENT 40 JARAMILLO, JORGE ! 41 ! JEANNE MCCOY TRUS 6/14/2007 6/20/2007 10/27/2007 1/7/2008 2/13/2008 VEHICLE COLLISION 7/28/2008OTHER 42 1 JENNINGS, KIMBERLY 11/24/2007 12/24/2007 7/28/2008 VEHICLE COMPREHEN t /r- //tTl 11—rt Tl I A kl /t/t 43 JIMENO, FRANK 2/13/2008 8/26/2008 9/12/2008 VEHICLE COLLISION 44 KELSO, SANDRA 45 ! KORNESCUK, ROBERT 46 KOSTYLO, CINDY 47 LAROSA, DANIEL 12/16/2007 1/23/2008; 1/21/2007 7/20/2007 2/12/2008 VEHICLE COLLISION 9/23/2008 OTHER 1/25/2008 11/14/2007 12/3/2007 2/13/2008ISEWERAA/ATER (TREE 1/1/2008 1/31/2008! 2/26/2008!VEHICLE COLLISION 48 LEVY, JIM 49 'LINDLEY, LAURIE 50 LINDSAY, CHERYL 51 MALDONADO, TERRF 3/25/2007; 3/27/2007 1/8/2008!SEWERAA/ATER (TREE i ! jnr^i ATi-r^v 2/23/2005 5/19/2005 2/28/2008 SEWERAA(ATERpTHE 6/28/2005 ^/16/2008 5/23/2008 3/17/2008 4/9/2008 52 MARCHI, ANDREW ! 53 ' MclNTOSH, DOUGLAS 54 MCMAHON, DILLON 9/13/2007 12/10/2007 1/2/2006! 5/18/2006 6/23/2008 VEHICLE COLLISION 8/25/2008 VEHICLE COMPREHEN I tl—rt Tl IAM 6/24/2008 TREE (OTHER THAN SE iAir-rtnAiATi-rt itr-i ATi-r-i 6/17/2008 OTHER 3/7/2008 5/2/2007 7/2/2007 2/13/2008 LAW ENFORCEMENT 55 MCMAHON, HEATHER 5/2/2007 7/2/2007; 2/13/2008!LAW ENFORCEMENT 56 MCMAHON, LAWRENC 5/2/2007 7/2/2007 ' 57 i MEDINA, ARLENE & RO ! 11/16/2006! 3/28/2008 2/13/2008!LAW ENFORCEMENT 5/1/2008 LAW ENFORCEMENT 58 MELBROD, BARBARA 59 MELTON, MARC ^0 MERCURY INS COMPAT lk.i\/ TAn»*Afc.l 61 MERRY, SCOTT 3/4/2008 3/13/2008 10/28/2008 VEHICLE COMPREHEN rtii /r- //-vTi II—rt TI I A I 3/1/2008 3/19/2008 9/23/2008 LAW ENFORCEMENT 4/30/2008 6/10/2008 12/16/2008 TREE (OTHER THAN SE )\Aii-r>ftAiATr-n nr-i A TI—rt 12/1/2007! 1/14/2008! 7/28/2008 VEHICLE COMPREHEN /-.ll IW- i^-wi 11—rt -1-1 I A kl /t/t 1/28/2008 2/13/2008 8/28/2008 ;OTHER 62 MOHNACKY, CRAIG ^ "esHviONTEST JOE & JACQU 9^30/2008 9/30/2008 1/14/2008 TF^(CmjER^ 64 MORALES, LILIA 9/20/2007 1/24/2008 10/28/2008 ;TRIP/FALL 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 n nn 0.00 0.00; 0.00; Expense Reserve 0.00 Loss Payment 0.00 0.00 0.00 0.00 0.00 0.00 0.00! 1,000.00 0.00! 0.00 0.00 0.00 0.00 0.00 0.00! 0.00 0.00! 0.00 0.00 0.00 171.49 0.00 0.00' 764.94 0.00 0.00 1,000.00 0.00 2,326.36 0.00 47,127.60 0 00! 10,695,979.20 0.00 275.00 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 Payment 0.00 Incurred 0.00 status CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 1,000.00 CLOSED 0.00 0.00! CLOSED 3,973.41 3,973.41 CLOSED 0.00 0.00 CLOSED 0.00 0.00! 0.00 0.00! CLOSED CLOSED 0.00 0.00 CLOSED 0.00 171.49 CLOSED 0.00 764.94 CLOSED 70.00 70.00! CLOSED 125.00 1,125.00 CLOSED 0.00 2,326.36 CLOSED 3,659.60 50,787.20 CLOSED 724,763.78! 11,420,742.98 CLOSED 0.00 275.00 CLOSED 0.00 0.00 CLOSED 0.00 0.00! 0.00 0.00 CLOSED CLOSED 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00; 0.00! 0.00 0.00' CLOSED CLOSED 0.00 0.00 CLOSED 0.00 0.00! CLOSED 0.00 n nn 0.00 0 00! 0.00 0.00' 0.00 0.00! CLOSED CLOSED 0.00 0.00 0.00 0.00 CLOSED 0.00 31,725.00 0.00 31,725.00 CLOSED 0.00 0.00 0.00 0.00 CLOSED Friday, January 09, 2015 LossRunClosed Page 2 of 4 City of Carlsbad Loss Rufl Report Claims Closed between 01/01/2006 and 12/31/2006 ClaimName ! 65 MORENO, MERCEDES Date of Date Date Date Loss Received Closed Category Litigate 10/22/2007 12/18/2007 1/22/2008 LAW ENFORCEMENT 66 MORTIMER, DENISE 12/20/2006 5/14/2007 2/13/2008 TRIP/FALL 67 MULLANIX-MINOR, SID 12/10/2007 12/21/2007 7/28/2008 OTHER 68 MURPHY, MICHAEL ! 11/28/2007 12/24/2007 7/28/2008 OTHER" ! 69 ! NIELSEN, ROBERT 10/22/2007 11/30/2007 6/30/2008 TREE (OTHER THAN SE - ii-rt A Al A Tr-rt rtl—I ATr-|t 70 OWENS, SUE 5/3/2008 5/3/2008 12/16/2008;TRIP/FALL 71 PACKARD DENTAU 2/22/20081 3/3/2008 10/28/2008!TREE (OTHER THAN SE : i I A fr~n A AIA Tf—n rt r~ i A TrT\— 72 PALMER-BAILEY, AMBE 11 /25/2008 73 PATEL, HINA 11/30/2007 12/5/2008 12/15/2008 VEHICLE COLLISION 12/7/2007 6/26/2008 VEHICLE COMPREHEN //tTl ir-rt Tl IAM /t/t 74 PINAMONTI, PATRICK T/11/2008' 4/9/2008 10/28/2008 LAW ENFORCEMENT 75 PITTA, GREGORY 76 PLUNKETT, BRIAN 77 ! PRITTEN, LEW & JOAN 78 REES, LILIAN !79 REES, ROBERT 9/16/2006 3/13/2007 9/23/2008 TRIP/FALL 10/1/2007 7/17/2007 7/18/2007 10/24/2007! 12/19/2007 2/13/2008 VEHICLE COMPREHEN 4/9/2008 !TREE'(OTHERTh^ SE • « ir-rt A « I A • 12/2/2006 5/15/2007 6/16/2008 LAW ENFORCEMENT 7/24/2007 12/2/2006 5/15/2007 6/16/2008 LAW ENFORCEMENT 7/24/2007 80 RIGGIN, RICHARD 81 ! RIGGS, JOHN J. 7/17/2008 8/26/2008 9/12/2008 VEHICLE COLLISION 4/24/2008! 4/28/2008' 11/24/2008 OTHER 82 ROGERS, SHARON 10/22/2007 11/20/2007 6/26/2008 VEHICLE COMPREHEN /til /I— //tTl II—rt Tl IAM /t/t 83 ROYCROFT, JULIANNE " 11/6/2008 12/12/2008 1/13/2008 LAW ENFORCEMENT 84 SBC/PACIFIC BELL, 4/29/2005 ! 85 ! SCLAWY, SEAN ! 12/2/2007 3/6/2006 2/12/2008 SEWERAA(ATERpTHE 10/20/2006 1/9/2008 7/28/2008 86 i SHORE, CARY 3/25/2007! 3/26/2007 1/8/2008 87 SILVERS, LISA 4/27/2008 5/23/2008 7/22/2008 . . iM Titi-i- rtt-i ATr- VEHICLE COMPREHEN ^11 /I— /^Tl II—rt Tl IAM |t/t SEWERAA/ATER (TREE VEHICLE COMPREHEN I -l-l I A k I /t/t 88 SIMPER, DEBORAH 89 ! SPANO, JOSEPH ^2/22/2008 5/13/2008 11/24/2008!TREE (OTHER THAN SE j I Ail-rt AM ATr-It itr-i ATr-it 11/5/2007 11/15/2007 1/8/2008 SEWERAA/ATER (TREE ^90 SPURGIN, BARBARA A 3/1/2008! 12/18/20081 1/6/2008 SEWERAA/ATER (TREE 91 STEP, MICHAEL 12/2/2007 12/10/2007 6/26/2008 VEHICLE COMPREHEN rtii ir- //tTl II—rt Tl I A kl /t/t 92 SUCOV, JOEL 93 ' SULLIVAN, TIMOTHY 7/24/2008 11/26/2008 12/9/2008 TREE (OTHER THAN SE 1 jiAU—r-»AftiATi-rt r»i-i ATI—it 10/22/2007 10/26/2007 7/28/2008iTREE (OTHER THAN SE 94 TARMAN, GERALD & M A rt\/ lli 4/30/2008 5/5/2008 11/24/2008 TREE (OTHER THAN SE • « ..-rt A A I A Ti-rt rtl-l ATl-rt.^ ^5^^,^ff|^^^;i^f^5^57Pl5^^^ 2/19/2008 7/T4/2008 12/3/2008 VEHICLE COLLISION 96 TRANG, RICHARD 12/1/2007 12/10/2007 6/30/2008 VEHICLE COMPREHEN i01\/I- //tTl ll-It Tl 1AM /t/t Loss Reserve 0.00 0.00 0.00 0.00 o.oo! 0.00 0.00 ~aoo^ o.oo! 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.oo! 0.00 0.00 0.00 0.00 0.00 "om 0.00 0.00 0.00 0.00 o.oo; ! n nn 0.00 0.00 0.00 Expense Reserve 0.00 Friday, January 09, 2015 LossRunClosed Loss Payment 640.00 Expense Payment 0.00 Incurred Status 640.00 CLOSED 0.00 0.00 0.00 0.00 CLOSED 0.00 0.00 0.00 0.00 CLOSED 0.00 0.00 0.00 o.oo' 0.00 o.oo! 0.00 o.oo' CLOSED CLOSED 0.00 0.00 0.00 0.00 CLOSED 0.00 0.00 0.00 0.00 CLOSED 0.00 O.oo' 4,442.18 O.oo! 0.00 4,442.18 CLOSED 0.00 0.00 CLOSED 0.00 0.00 0.00 0.00 CLOSED 0.00 7,500.00 3,432.41 10,932.41 CLOSED 0.00 0.00 0.00 2,744.70 0.00 0.00 CLOSED O.oo' 2,744.70! CLOSED 0.00 0.00 0.00 0.00 CLOSED 0.00 105,000.00 14,415.50 119,415.50 CLOSED 0.00 O.oo! 790.50 0.00 0.00 790.50 CLOSED O.oo! O.oo! CLOSED 0.00 0.00 0.00 0.00 CLOSED 0.00 139.00 0.00 139.00 CLOSED 0.00 O.oo' 99,000.00 10,807.59 109,807.59 CLOSED O.oo! 0.00 O.oo! CLOSED O.oo; 97,647.02 1,073.80 98,720.82 CLOSED 0.00 830.17 0.00 830.17 CLOSED 0.00 0.00 0.00 4,255.00 0.00 550.00 0.00 0.00 CLOSED O.oo! 4,255.0o! CLOSED O.ooi 550.00; CLOSED 0.00 0.00 0.00 0.00 CLOSED 0.00 n nn! 270.00 ooo! 0.00 270.00 CLOSED 0.00 O.oo! CLOSED 0.00 0.00 0.00 0.00 CLOSED 0.00 0.00 12,482.21 12,482.21 CLOSED 0.00 0.00 0.00 0.00 CLOSED Page 3 of 4 city of Carlsbad Loss Run Roport OakiB aoMd Intwaiifl Ol/Ot/Zin and 12/3I/200S ClaimName Date of Loss Date Received Date Closed Category Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status 97 VON HELMS, ULRIKE 10/24/2007 4/1/2008 6/16/2008 TREE (OTHER THAN SE lAi^nAAiA T'I— n n r~ 1 A TI— rt 0.00 0.00 2,060.82 0.00 2,060.82 CLOSED 98 VONGXAY, DEENA 8/23/2008 10/2/2008 11/5/2008 VEHICLE COLLISION 0.00 0.00 0.00 697.04 697.04 CLOSED 99 WALTERS, DANA 4/26/2008 5/6/2008 11/24/2008 VEHICLE COMPREHEN /t i\ if— //-\TI II— i~» -i-l 1 A k 1 0.00 0.00 0.00 0.00 0.00 CLOSED 100 WIGHT, BRUCE 4/30/2008 5/2/2008 6/22/2008 TREE (OTHER THAN SE 6/5/2008 0.00 0.00 3,985.20 0.00 3,985.20 CLOSED 101 YORK, J. PAUL 12/7/20071 1/2/2008 A A/r"n n A1A Tf—n nf—i ATI—i^ 1/29/2008 OTHER 0.00 0.00 165.00 0.00 165.00 CLOSED Totals 0.00 2,838.00 11,347,401.16 787,506.89 12,137,746.05 Friday, January 09, 2015 LossRunClosed Page 4 of 4 Xhred-H] Shred-it 3801 Ocean Ranch Blvd Suite 101 Oceanside CA 92056 Phone: 760- 598- 5700 SERVICE RECORD SUMMARY CERTIFICATE OF DESTRUCTION PLEASE KEEP THIS FOR YOUR RECORDS (THIS IS NOT AN INVOICE) Customer: 0013185878 CITY OF CARLSBAD 5816 EL CAMINO REAL CARLSBAD CA 92008- 8816 Order #: 8015065327 Order Date: 04.09.2015 Service Type: ON- SITE PURGE Contact: PAT DOWNIE Time In: 07:30 AM Material Collected BANKERS/ARCHIVE BOX 163 LARGE ARCHIVE BOX 7 Total: 170 Customer Signature: PAT CSR Signature: BRIAN SHEPLEY Shred- it is committed to the secure destruction of its customers' confidential information. This certification will affirm that Shred- it destroys the customer confidential material, pursuant to our customers request and instructions. 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