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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Risk Management; 2017-01-24RECORDS DESTRUCTION AUTHORIZATION FORM DATE: 1-3-2017 PAGE 1 OF 6 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 /<no · t. DEPARTMENT HEAD DATE RECORDS MANAGEMENT DATE BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS TAB BARCODE PERIOD (if applicable) RKM36 Christianson, John-Trip/Fall Closed 2007 0745-20 CL+5 RKM36 Ace, May c/o Acclaim Resource Closed 0745-20 CL+ 5 Partners-Vehicle Collision 2010 RKM36 Ackman, Martha-Tree (Other than Closed 0745-20 CL+ 5 sewer/water related) 2010 RKM36 Amorsolo, Frank-Vehicle Closed 0745-20 CL+ 5 Comprehensive/other than collision 2010 RKM36 Anastasi-Gallagher, Karen-Trip/fall Closed 0745-20 CL + 5 2010 RKM36 Appel, Michael-Law enforcement Closed 0745-20 CL+ 5 2010 RKM36 Auto Club of Southern CA Closed 0745'-20 CL+ 5 McMahan-Vehicle Collision 2010 RKM36 Barrantes, Brian-Law Enforcement Closed 0745-20 CL+ 5 2010 RKM36 Biberston, Krista-Trip/fall Closed 0745-20 CL+ 5 2010 RKM36 Bitar, Joyce-Vehicle collision Closed 0745-20 CL+ 5 2010 RKM36 Boyd, Christopher-Personnel action Closed 0745-20 CL+ 5 2010 : RKM36 Brown, Gregory-Law enforcement Closed 9745-20 CL+ 5 2010 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ,<,'>-" " " 0 ' ~ CARLSBAD Revised: 1/3/2017 Page /1 RKM36 RKM36 RKM36 RKM36 RKM36 RKM36 RKM36 RKM36 RKM36 RKM36 RKM37 RKM37 RKM37 RKM37 RKM37 RKM37 RKM37 RKM37 RKM37 RKM37 RKM37 RKM37 RKM37 ~ ((,:'f;, CITY 0 1 ~ CARLSBAD Carlsbad Christian Assembly Church-Closed 0745-20 CL+ 5 Sewer/water (tree related) 2010 Dean, T'onna-Law enforcement Closed 0745-20 CL+ 5 2010 Easton, Michael-Law enforcement Closed 0745-20 CL+ 5 2010 Field, Brian-Sewer/water, tree Closed 0745-20 CL+ 5 related 2010 First La Costa Condo Assoc.-Closed 0745-20 CL+ 5 Sewer/water (tree related) 2010 Gaier, Bryan-Vehicle Closed 0745-20 CL+ 5 comprehensive/other than collision 2010 Ganz, Brian-Vehicle comprehensive Closed 0745-20 CL+ 5 other than collision 2010 Geico (Dreyer)-Vehicle collision Closed 0745-20 CL+ 5 . 2010 Gnazzo, Barbara-Sewer/Water (tree Closed 0745-20 CL+ 5 related 2010 Grace, Timothy-Other (lost persona Closed 0745-20 CL+ 5 property) 2010 Hampton, Alice-Tree (other than Closed 0745-20 CL+ 5 sewer/water related) 2010 Haskell, Nina-Law Enforcement Closed 0745-20 CL+ 5 2010 Henderson, Archie-Vehicle Closed Comprehensive (other than 2010 0745-20 CL+ 5 collision) Hoard, Gordon & Carolyn-Closed 0745-20 CL+ 5 Sewer/Water (tree related) 2010 Huffman, Matthew J.-Vehicle Closed 0745-20 CL+ 5 comprehensive (other than collision) 2010 Jackson, Gale-Law Enforcement Closed 0745-20 CL+ 5 2010 Jam, James & Mary-Law Closed 0745-20 CL+ 5 Enforcement 2010 Kalter, Josef-Trip/Fall Closed 0745-20 CL+ 5 2010 Keiper, William-Tree (other than Closed 0745-20 CL+ 5 sewer/water related) 2010 Kushner, Laurie-Tree (other than Closed 0745-20 CL+ 5 sewer/water related) 2010 Kushner, Laurie-Tree (other than Closed 0745-20 CL+ 5 sewer/water related) 2010 Laszuk, Jean-Vehicle comprehensive Closed 0745-20 CL+ 5 (other than collision) 2010 Leyua, Gilbert-Vehicle Closed 0745-20 CL+ 5 comprehensive (other than collision) 2010 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 1/3/2017 Page /2 RKM37 RKM37 RKM37 RKM37 RKM37 RKM37 RKM37 RKM38 RKM38 RKM38 RKM38 RKM38 RKM38 RKM38 RKM38 RKM38 RKM38 RKM38 RKM38 RKM38 RKM38 RKM38 ~ «-:~', c,n or "!:i CARLSBAD Lopez, Nick-Law Enforcement Closed 0745-20 CL+ 5 2010 Massery, Mary-Sewer/water (tree Closed 0745-20 CL+ 5 related) 2010 Massery, Mary-Tree (other than Closed 0745-20 CL+ 5 sewer/water related) 2010 McGuire, Richard-Law Enforcement Closed 0745-20 CL+ 5 2010 Mercury Ins. Group-Tree (other than Closed 0745-20 CL+ 5 sewer/water related) 2010 Miller, Carl-Tree (other than Closed 0745-20 CL+ 5 sewer/water related) 2010 Moo rel Joel-Sewer/water (tree Closed 0745-20 CL+ 5 related) 2010 Per Se Restaurant and Wine Bar-Closed Sewer/water (other than tree 2010 0745-20 CL+ 5 related) PGP Carlsbad Seniors Ltd-Closed Sewer/water (other than tree 0745-20 CL+ 5 related) 2010 Piro, Jeff & Cindy-Sewer/water (tree Closed 0745-20 CL+ 5 related) 2010 Poueu, Cara-Vehicle Collision Closed 0745-20 CL+ 5 2010 Progressive Choice Insurance, Karen Closed 0745-20 CL+ 5 Kalin-Fry-Vehicle Collision 2010 Progressive Choice Insurance, Closed 0745-20 CL+ 5 Poueu-Vehicle Collision 2010 Raymond, Michael-Law Closed 0745-20 CL+ 5 Enforcement 2010 Richard & Richard Construction, Inc.-Closed Sewer/Water (other than tree 2010 0745-20 CL+ 5 related) Rosenstock, Dale-Law Enforcement Closed 0745-20 CL+ 5 2010 Sittner, David-Law Enforcement Closed 0745-20 CL+ 5 2010 Strem, Timothy-Vehicle collision Closed 0745-20 CL+ 5 2010 Tavarez, Jose-Law Enforcement Closed 2010 0745-20 CL+ 5 Torr, Mark-Vehicle comprehensive Closed 0745-20 CL+ 5 (other than collision) 2010 Vansickle, Raemiel-Vehicle Closed 0745-20 CL+ 5 comprehensive (other than collision) 2010 Vercauteren, Robert-Vehicle Closed 0745-20 CL+ 5 collision 2010 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 1/4/2017 Page /3 RKM38 RKM38 RKM38 RKM38 RKM59 RKM59 RKM59 RKM59 RKM59 RKM59 RKM59 RKM59 RKM75 RKM75 RKM75 RKM75 RKM75 RKM75 RKM75 RKM75 RKM75 RKM75 RKM75 <&~', CITY 01 . 'l!:" CARLSBAD Walsh, Denise-Other (alleged fence Closed 0745-20 CL+ 5 removal by city) 2010 Watts, Gregory-Law Enforcement Closed 0745-20 CL+ 5 2010 Wilcox, Richard-Vehicle Closed 0745-20 CL+ 5 comprehensive (other than collision) 2010 Potential claim files-1-1-10 thru 12-Closed 31-10 2010 01'15-2.0 CL-+5 Duggins, Earl Glenn-Vehicle collision Closed 0745-50 CL+7 2009 Dunn, Havan-Other(negligent design Closed 0745-50 CL+7 of golf course) 2009 Goldstein, Steven C.-Law Closed 0745-50 CL+7 Enforcement 2009 Johnson, Carol-Trip/fall Closed 0745-50 CL+7 2009 Nordin, Trevor-Vehicle collision Closed 0745-50 CL+7 2009 PAR 72 LLC, dba La Costa Fairways-Closed Other (road closure, alleged limiting 2009 0745-50 CL+7 access) Valley Crest Companies-Vehicle Closed 0745-50 CL+7 collision 2009 Vega, Estate of Rodrigo S.-Vehicle Closed 0745-50 CL+7 collision 2009 AT&T Services, Inc., Loss Recovery-Closed 0120-20 CL+ 2 fire hydrant 2014 Allen's New York Pizza, Loss Closed 0120-20 CL+ 2 Recovery-fire hydrant 2014 Bay, Brittany, Loss Recovery-fire Closed 0120-20 CL+ 2 hydrant 2014 Brooks, Vanessa, Loss Recovery-fire Closed 0120-20 CL+ 2 hydrant 2014 Cotter, Bryan M., Loss Recovery-sign Closed 0120-20 CL+ 2 damages 2014 Gomez, Virginia, Loss Recovery-fire Closed 0120-20 CL+ 2 hydrant 2014 Hernandez, Guadalupe, Loss Closed 0120-20 CL+ 2 Recovery-guard rail 2014 Herrera Gijon, Victor, Loss Recovery-Closed 0120-20 CL+ 2 median damages 2014 Kan Di Ki, LLC, Loss Recovery-city Closed 0120-20 CL+ 2 vehicle damages 2014 Ketabian, Armon, Loss Recovery-Closed 0120-20 CL+ 2 traffic signal 2014 Kramarz, Robert S., Loss Recovery-Closed 0120-20 CL+ 2 street light 2014 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 1/4/2017 Page /4 RKM75 MacGibbon, Gisele, Loss Recovery-Closed 0120-20 CL+ 2 angle stop (water meter) 2014 RKM75 Massey, Amy, Loss Recovery-tree Closed 0120-20 CL+ 2 damages 2014 RKM75 McConnell, Stephen J.,Loss Closed 0120-20 CL+ 2 recovery-street light 2014 RKM75 McCullough, Kathryn, Loss Closed 0120-20 CL+ 2 Recovery-guardrail 2014 RKM75 McKay, Colin, Loss Recovery-fire Closed 0120-20 CL+ 2 hydrant 2014 RKM75 McCreary, Sean Patrick, Loss Closed 0120-20 CL+ 2 Recovery-street sign 2014 RKM75 Mendez Petlachi, Saul, Loss Closed 0120-20 CL+ 2 Recovery-street sign 2014 RKM75 Morales, Yolanda, Loss Recovery-Closed 0120-20 CL+ 2 city vehicle damages 2014 RKM75 Morrison, Elaine L., Loss Recovery-Closed 0120-20 CL+ 2 fire hydrant 2014 RKM75 Ordoneztovar, Camilo, Loss Closed 0120-20 CL+ 2 Recovery-dirt and debris cleanup 2014 RKM75 Price, Rodney, Loss Recovery-guard Closed 0120-20 CL+ 2 rail 2014 RKM75 Schaner, Joshua Adam, Loss Closed 0120-20 CL+ 2 Recovery-fire hydrant 2014 RKM75 Seaside Heating & Plumbing, Loss Closed 0120-20 CL+ 2 Recovery-fire hydrant 2014 RKM75 Serpanos, Evan, Loss Recovery-city Closed 0120-20 CL+ 2 vehicle damages 2014 RKM75 Shankaranarayana, Kir, Loss Closed 0120-20 CL+ 2 Recovery-fire hydrant 2014 RKM75 Simpson, Daniel, Loss Recovery-fire Closed 0120-20 CL+ 2 hydrant 2014 RKM75 Talavera, Luis G., Loss Recovery-fire Closed 0120-20 CL+ 2 hydrant 2014 RKM75 Teta, Daniel Joseph, Loss Recovery-Closed 0120-20 CL+ 2 street sign and median irrigation 2014 RKM75 Thompson, Julianne, Loss Recovery-Closed 0120-20 CL+ 2 traffic signal 2014 RKM75 Total Dist. Svcs, Inc., Loss Recovery-Closed 0120-20 CL+ 2 fire hydrant 2014 RKM75 Wright, Becky, Loss Recovery-fire Closed 0120-20 CL+ 2 hydrant 2014 RKM75 Potential Loss Recoveries 2013-Closed 0~1.0-zo eu-r :L unable to pursue 2013 *If more spaces are needed, click in the last box in right hand earner of table and hit "tab". This will create more fields in the table. ~ <._(>:.~ CITY OJ ~ CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 1/4/2017 Page /5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: ____ Con, __ tli_~-----DATE: ~ YES D NO TAB BARCODES DELETED BY: --~.c..__----"-=~--"---",~~---"---"-=----+>,,_/_ 0 CERTIFICATE OF DESTRUCTION? DATE: 1/11/µ17 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. ~ «-='» "" o, ~ CARLSBAD Revised: 1/4/2017 Page /6 City of Carlsbad . Loss Run Report Date of L -·-······-···- 1 AAA, DEROZE 1/19/2006 2 AAA, SPECK 6/7/2006 3 ACOSTA, JOE 9/16/2005 4 ACUNA, JUSTIN AND L 1/15/2007 ·-5 ALLEN, HELENE 9/27/2006 6 ANARAKI , SARAH 3/3/2006 7 ARCHSTONE SEASCAP 7/1/2006 ,_ 8 AT&T, 6/19/2006 9 ATTINGER, WILLIAM C. 1/3/2007 10 BANICH, MIKE 2/22/2005 11 BANK OF AMERICA EX 1/24/2006 -- 12 J.~~K~R & ANNETT, KA 1/17/2005 13 BELANGER, FRANCE 8/12/2006 14 BENNETT, BETTY ANN 9/18/2004 15 BERCHIOLLI, KENT & C 10/17/2006 -· ·--·-16 BERTUCCI, ANTHONY 1/11/2005 17 BLAIR, GILES & DEBRA 9/8/2007 18 BONAS, VVILLIAM 1/18/2006 19 BOSCO FAMILY TRUST, 3/11/2005 20 BOSCO, JEANNE 3/11/2005 21 BOTROS, MORROVV 7/;28/2006 22 BRADLEY-CLICHE, COU 12/12/2005 23 .~~£)DY, JOHN & CHRIS 8/6/2007 24 BROWN, MARILYN 2/11/2006 25 BROVVN, RUSSELL 2/11/2006 26 CAMPBELL, RAMON 10/14/2005 27 ,CHAMBERLAIN, MICHA -/ ,...,_. . -------·---· ---4/19/2006 \ 28 CHRISTIANSON, JOHN \ 2/13/2006 29 CLINNIN, JOHN A. 1/11/2005 30 COLE, SHIRLEY 9/16/2006 31 COONEY, TERESA & B 5/22/2007 32 CRAVVFORD, MICHAEL 9/12/2006 Thursday, September 01 , 2016 Claims Closed between 01/0V2007 and 12/31/2007 Date Received 7/18/2006 8/25/2006 9/16/2005 1/26/2007 10/5/2006 1/26/2007 9/13/2006 9/5/2006 3/13/2007 5/24/2005 7/19/2006 7/7/2005 12/12/2006 3/15/2005 10/24/2006 1/9/2006 9/17/2007 6/14/2006 12/21/2006 12/21/2006 8/18/2006 6/7/2006 8/6/2007 8/9/2006 8/9/2006 2/22/2006 11/9/2006 7/6/2006 1/9/2006 10/23/2006 5/24/2007 10/4/2006 Date Closed 3/30/2007 6/26/2007 8/30/2007 8/30/2007 4/30/2007 4/30/2007 4/30/2007 3/30/2007 4/3/2007 4/3/2007 1/31/2007 1/8/2007 1/8/2007 7/13/2007 5/31/2007 1/31/2007 10/23/2007 1/31/2007 1/8/2007 1/8/2007 3/30/2007 1/31/2007 9/17/2007 3/30/2007 3/30/2007 . 3/30/2007 5/31/2007 1/31/2007 1/31/2007 5/31/2007 Cat, VEHICLE COLLISION VEHICLE COMPREHEN -·· ·---· ·---· SEVVE~ATER(TREE VEHICLE COMPREHEN _ .. ·-·---· VEHICLE COMPREHEN ·--· LAW ENFORCEMENT SEWER/WATER(TREE .~~Y'fER/WATER(TREE ,~':_\'.VERIWATE~ (OTHE ,~':_\'.VERIWATE~ (O:HE OTHER SEWER/WATER(TREE VEHICLE COMPREHEN -·· ·-·---· ... DANGEROUS CONDITI --··---VEHICLE COMPREHEN -.. ,_ ·---· .. OTHER SEWE~ATER(TREE LAW ENFORCEMENT ~':_\'.VERIWATER(OTHE SEVVER/WATER(OTHE · VEHICLE COMPREHEN -·· ·---· -· -- DANGEROUS CONDIT! ---·----- ~REE_ (?_THER_TH~N SE LAVV ENFORCEMENT LAW ENFORCEMENT TRIP/FALL VEHICLE COLLISION TRIP/FALL _,; OTHER TRIP/FALL 6/19/2007 TREE (OTHER THA~ SE 4/30/2007 VEHICLE COMPREHEN _ .. ·-·---· LossRunClosed t~,v( Date Litigate 3/7/2007 9/27/2005 8/10/2006 j 0 / .· Oj "'O l"' r--v'li"\ :', IC' 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 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 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 Loss Payment 0.00 6,496.33 7,436.27 0.00 0.00 0.00 0.00 0.00 201 .16 0.00 0.00 785.00 824.63 0.00 0.00 0.00 65.00 0.00 0.00 0.00 0.00 0.00 6,188.00 0.00 0.00 0.00 0.00 Expense Payment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4,944.99 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 .A'"'" d ···--··-- 0.00 6,496.33 7,436.27 0.00 0.00 0.00 0.00 0.00 201 .16 4,944.99 0.00 785.00 824.63 0.00 0.00 0.00 65.00 0.00 n no ~J Stat -·-·-- CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED · CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED ~ de1fvv~ 6 0.00 0.00 G[OSEu ···-. -·--------·-. 0.00 0.00 0.00 0.00 0.00 CLOSED 8/10/2006 0.00 0.00 0.00 3,734.78 3,734.78 CLOSED 0.00 ', 0.00 0.00 0.00 0.00 CLOSED 0.00 0.00 212.06 0.00 212.06 CLOSED 0.00 0.00 0.00 0.00 0.00 CLOSED /--. ( G l....l·..:...1~ ~1...:.... --0 ......... ~c , ~ L!9---j) +-1 W v-e... 'R'.-<~U- r i . .. 1 f, I Page 1 of 4 ~"--f-~ -" -;;4_./lf'\.5.-(~ ~ '-'y ~.1 ~ il--J.·L ~~ . J . ~w~~ . v v-f cJ..1.-.).,.t~~ 1Jl LL -' // "' . ..., ' " (.' v cfo "IC-...,....-1.r<. r-. vv1 :J t~ ~ A -. ; City of Carlsbad Claims Closed between OVOl/2010 Loss Run Report and 1213112010 D~e of Date Date Claim Name ;l_oss Received Closed Cateqorv 11/6/2009 1/27/2010 3/2/2010 VEHICLE COLLISION 1/21/2010 5/4/2010 717/2010 TREE (OTHER THAN SE / 9/2/2010 917/2010 10/5/2010 VEHICLE COMPREHEN 11/23/2009 3/5/2010 5/3/2010 TRIP/FALL / 7/30/2009 9/21/2009 4/28/2010 LAW ENFORCEMENT t,; -"'6 12/15/2009 3/2/2010 VEHICLE COLLISION ;_ .,,?'' BARRANTES, BRIAN 12/5/2008 7/8/2009 1/27/2010 LAW ENFORCEMENT 1¥'8"1 BIBERSTON, KRISTA \.{ /}/19/2009110/20/20091 4/28/2010ITRIP/FALL W 91 BITAR, JOYCE ,l )0!30/2009112/17/20091 1/12/2010IVEHICLE COLLISION 1,.i,,,1·0l BOYD, CHRISTOPHER ',/ 3/17/20091 1/25/201 DI 9/22/201 DI PERSONNEL ACTION \JJ,1"'i"BROWN, GREGORY \If .,)2/10/20091 1/6/20101 7/13/2010ILAW ENFORCEMENT t.)"2~·.c.;',.,~:~~;:~ ;:~~l~:~AN 1/13/2009 2/9/2010 SEWER/WATER (TREE j,3 DEAN, T'ONNA 2/12/2010 3/15/2010 9/22/2010 LAW ENFORCEMENT \.),4 -EASTON, MICHAEL 1/16/2010 1/22/2010 1/26/2010 LAW ENFORCEMENT / 1u .5,l FIELD, BRIAN J 1 /1122,20101 1127120101 3115120101~~~~~ATER (TREE ,1--161!~~~~ .~,:!!~::!~. 8/26/2010 917/2010 11/9/2010 SEWER/WATER (TREE 17 . FORSBERG, DELINDA lJ 1/29/2010 6/22/20101 9/24/2010 OTHER i,,,f"1'81 GAIER, BRYAN ]Ji 6/26/20091 7/23/20091 1/27/2010IVEHICLE_COMPREHEN :t9-~GANZ, BRIAN 4/16/2010 4/21/2010 8/17/2010 VEHICLE COMPREHEN g_o~0 GEICO (DREYER), 8/31/2009 10/9/2009 12/28/2010 VEHICLE COLLISION tJ,2:i~l·''GNAZZO, BARBARA )'f 8/27/20091 11/9/20091 2/23/20101~~~':_~ATER (TREE ,J2 ' GRACE, TIMOTHY 7/29/2010 8/11/2010 9/14/2010 OTHER !.., 2.a~ HAMPTON, ALICE 3/16/2010 9/22/2010 TREE (OTHER THAN SE L 24• ·HASKELL, NINA 6/8/2010 9/27/2010 10/5/2010 LAW ENFORCEMENT \.,,25~·FiENDERSON, ARCHIE 1/6/2010 1/26/2010 . ,26 ·HOARD, GORDON & C 3/11/2010 3/23/2010 2,7 "RUFFMAN, MATTHEW 5/8/2010 6/9/2010 7/7/2010 VEHICLE COMPREHEN \,_28 .. ·-:l~CKSON, GALE 9/29/2009 10/14/2009 . 5/19/2010 LAW ENFORCEMENT \,, 2!:f' JAM, JAMES & MARY 7jj 4/2009 9/30/2009 4/28/2010 LAW ENFORCEMENT l l,.3..D~j~KALTER, JOSEF J I /3118/20091 7/20/20091 2/18/2010ITRIP/FALL 31 1 _~:rz-HOLLANDER, LILI V 7110120081 115120091 101201201010THER l l,:3J-.I..Kli1PER, WILLIAM 0 1 7/12/20101 8/5/20101 9/8/201Dl~~~E~E-~<;:THER THAN SE Thursday, August 14, 2014 LossRunClosed ,J •c rV\ "J.. -1 _ ~-,! -""' V"--\:;•-I w,,J [: • • '1 Date Litigate Loss Reserve 0.00 0.00 0.00 O.OO, 0.00 0.00 0.00 o.oo,. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 / 0.00 8/2/201e)/ 0.00 0.00 0.00 0.00 . 0.00 0.00 0.00 0.00 ' I 0.00 0.00 0.00 0.00 0.00 /o.oo 6/19/2009v o.oo 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 2,253.31 2,095.00 143.43 756.97 0.00 5,663.71 0.00 0.00 0.00 0.00 150.00 8,056.63 0.00 303.57 250.00 443.98 0.'00 0.00 391.45 2,397.60 3,531.05 86.99 0.00 93.50 0.00 19,304.34 2,093.63 0.00 0.00 0.00 40,000.00 500.00 l.~..t (.~<'-"'-4 ~ ,L 12_ ,~ \ Expense Payment 0.00 370.82 0.00 , 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 535.70 0.00 0.00 0.00 0.00 1,155.00 0.00 0.00 0.00 0.00 7,508.11 0.00 -,-~ ,, .. , ~ !J ;;"-V V-/t' ._.,, t,:,_,,,1-,~1 i "7-, bL<> , , Incurred Status 2,253.31 CLOSED . 2,465.82 CLOSED . 143.43 CLOSED 756.97 CLOSED 0.00 CLOSED 5,663.71 CLOSED 0.00 CLOSED 0.001 CLOSED 0.001 CLOSED 0 .. 001 CLOSED 150.00I CLOSED 8,056.63 CLOSED 0.00 CLOSED 303.57 CLOSED 250.00I CLOSED 443.981 CLOSED 0.001 CLOSED 0.001 .CLOSED .391.45 CLOSED 2,397.60 CLOSED 4,066.751 CLOSED 86.99 CLOSED 0.00 CLOSED 93.50 CLOSED 0.00 1 CLOSED 20,459.341 CLOSED 2,093.63 CLOSED 0.00 CLOSED 0.001 CLOSED 0.001 CLOSED 47,508.11 1 CLOSED 500.00I CLOSED Page 1 of 3 -·' ·~. fk,c ~ t(_ V-tf'I\ 3 -, ,. ~A -· H City of Carlsbad Loss Run Report _ .................... ,. l ,,.33 KUSHNER, LAURIE v 1 / 7/15/2009 1,.;-321 KUSHNER, LAURIE J V 611412010 \., .• 35 LASZUK, JEAN \) V 7/21/2010 "" <f6 LEYUA, GILBERT ,./ _;3130/2010 1_ •. 3T LOPEZ, NICK V /; 38 LOWE, STEPHEN \V /)2126/2007 39 MANTON,MARGRET ~ '/ / 1/18/2009 \.,v '40 MASSERY,MARY V I 512312010 I \... "41 MASSERY,MARY " ; 612412009 1.,A2. MCGUIRE, RICHARD " A' 5/9/2010 l..,.43 MERCURY INSURANCE, V; 81512009 1.., .44'" MILLER, CARL \j I i11112010 -45 I MILLER, JANET 1 /12/17/2009 46 MITCHELL, STEPHANIE\Jf 4/2/2010 I \,. 4,7/ . MOORE, JOEL JI ,,. \.. ,4"8" PER SE RESTAURAN"JV / 1/18/2010 ~ _Q...-1..A.LLA.._'-- -- ~ _PGP CARLSBAD SENIQ., " /6/2/2010 ,.. 50 PHIPPS, MELODY '1 ; 111912008 \.,.5'1 . ·'PIRO, JEFF AND CIND'4, '/' 11/4/2009 .Ii2··'POUEU, CARA J I 10/29/2009 ~-e?-3 ·PRESTON, PATRICK "V /y1812009 \_ .54"' PROGRESSIVE CHOICE; JI 12m2009 .. ,,...., •-A ,.......... I& L,55·· . PROGRESSIVE CHOIC&: ~1,9'/29/2009 ·-· ..... ,. ·------·- \ §,6 ' "RAYMOND, MICHAEL v / 6120/2009 I 57" RICHARD & RICHARD 0. 1 jl/18/2010 " ·-.. - \.,~' •ROSENSTOCK, DALE '-/ 12/22/2008 59 ':~BIN, LOUIS AND Lo/ 12/26/2007 I ,60 SITINER, DAVID v( ;9/30/2009 . .,, l,,,. ~·-STREM, TIMOTHY -J /j/ 6/8/2009 ~ l;Pz'' TALLMAN, KENSINGT~ iJ" 11/18/2009 63 I TARRANT, JANINA I 6/10/2008 6,kTAVAREZ, JOSE l ····' .{ 2/23/2010 Claims Closed between DVDV2D1D and 12/31/2010 --·-:-11-· .. 9/16/2009 8/9/2010 TREE (OTHER THAN SE 9/8/2010 10/12/2010 TREE_ (OTHER THAN SE 8/6/2010 10/19/2010 VEHICLE COMPREHEN _,.,_ ..... _ .... ,,. - 6/28/2010 8/3/2010 VEHICLE COMPREHEN ·--· 9/23/2010 11/1/2010 LAW ENFORCEMENT 12/26/2007 1/26/2010 SEWER/WATER(OTHE --· . ·---· 6/18/2009 8/3/2010 TRIP/FALL . 7/1/2010 11/15/2010 .~E~ER/WATER(TREE 9/21/2009 1/26/2010 TREE (OTHER THAN SE ·--·-, .... 6/7/2010 12/15/2010 LAW ENFORCEMENT 9/3/2009 3/24/2010 TREE (OTHER THAN S~ 8/20/2010 9/14/2010 TREE (OTHER THAN SE 1/27/2009 8/6/2010 VEHICLE COMPREHEN ... , .... ---,.---· -- 5/12/2010 8/4/2010 VEHICLE COMPREHEN ·--· 8/12/2009 2/2/2010 SEWER/WATER(TREE 1/25/2010 4/27/2010 SEWER/WATER(OTHE ; .... -,-, A& ----· .. -- 6/15/2010 10/26/2010 SEWER/WATER(TREE 1/16/2009 12/15/2010 LAW ENFORCEMENT 11/5/2009 5/19/2010 SEWER/WATER(TREE 1/20/2010 8/18/2010 VEHICLE COLLISION 1/29/2010 9/22/2010 PERSONNEL ACTION 2/8/2010 3/9/2010 VEHICLE COLLISION 2/17/2010 9/22/2010 VEHICLE COLLISION 6/14/2010 8/18/2010 LAW ENFORCEMENT 2/1/2010 10/20/2010 SEWER/WATER(OTHE ......... ,. .. 6/22/2009 1/27/2010 LAW ENFORCEMENT 12/26/2007 2/2/2010 SEWER/WATER(OTHE I--· A •r---· A 1/5/2010 7/29/2010 LAW ENFORCEMENT 12/7/2009 6/16/2010 VEHICLE COLLISION 2/25/2010 3/23/2010 OTHER 11/6/2008 7/7/2010 TRIP/FALL 2/26/2010 3/9/2010 LAW ENFORCEMENT Thursday, August 14, 2014 ,... _ . LossRunClos;f' . t ~~-'ef'v..N~ ~~ ~ ,J) " it'·· .. t.t:. riV~, D L - 0.00 0.00 0.00 0.00 / 0.00 7/28/2008 v / 0.00 12/11/2020 V 0.00 0.00 0.00 0.00 0.00 / 0.00 6/23/201Q // 0.00 6/8/2010 i/ 0.00 0.00 0.00 / 0.00 7/20/200~ V 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ./ 7/28/200~ V 0.00 0.00 0.00 0.00 / 6/16l20~ 0.00 0.00 .., C' .;~ il'~;~ E ~ ·t.:_) ~ ~"-" L . 0.00 1,003.00 0.00 800.00 0.00 800.00 0.00 422.89 0.00 0.00 0.00 0.00 0.00 6,828.10 0.00 14,585.00 0.00 1,750.00 0.00 0.00 0.00 0.00 0.00 162.50 0.00 0.00 0,00 0.00 0.00 11,225.00 0.00 0.00 0.00 670.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 764.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355.00 0.00 0.00 0.00 255.00 E . ···--··-- 0.00 1,003.00 0.00 800.00 < 0.00 800.00, 0.00 422.89 0.00 0.00 0.00 0.00 1,726.95 8,555.05 0.00 14,585.00 0.00 1,750.00 0.00 0.00 0.00 0.00 0.00 162.50 0.00 0.00 0.00 0.00 0.00 11,225.00 66.00 66.00 0.00 670~00 9,207.37 9,207.37 0.00 0.00 0.00 0.00 115.50 115.50 0.00 764.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 355.00 3,267.98 3,267.98 0.00 255.00 * I v..t I cu,( .J.. fl,,. <J-9( ~ ~ {..J..s> ....:) ( ~ ~ c.,......_r,.~'-t o~- ------ 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 2 of 3 ... . City of Carlsbad Loss Run Report 1t Claims Closed betw11m 0110112010 and 12/31/2010 ,K .=i:!:-Vcbr-- D if,_ l,l .. :r-vl ~ .r:r ,~ ..,;i I.) C> -2 .. - L E 1,;1a,mName / Lu:;:; l'i.t:u:1v1:u v1u::.1:u 1,;ateaorv Llll!:ICILt: l'i.t:::.1:1 vi: l'i.t:::.i:, vi: re1y1111:m n1y1111:m mcurrea ::>tatus J.,65"J ORR, MARK v V /4/8/2010 4/14/2010 6/1/2010~~~CLE ?.?_M!'.R~HEN 0.00 0.00 225.00 0.00 225.00 CLOSED . .,,6Ef .YANSICKLE, RAEMIEL"' / 8/24/2009 9/2/2009 3/24/2010 ~~~C~§__C_9_M!'.R~H~~ 0.00 0.00 0.00 0.00 0.00 CLOSED ,,~fif VERCAUTEREN, ROB&.)/ .!4121/2009 6/29/2009 1/27/2010 VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 CLOSED : 68 VITALIE, JAMES ~12/24/2009 4/27/2010 12/15/2010 SEWER/WATER (TREE 0.00 0.00 0.00 77.50 77.50 CLOSED _.,69" WALSH, DENISE V I ~1/2009 11/13/2009 1/12/2010 OTHER 0.00 0.00 0.00 0.00 0.00 CLOSED ~-70 WATTS, GREGORY V / 8/2/2010 9/27/2010 11/2/2010 LAWENFORCEMENT 0.00 0.00 399.00 0.00 399.00 CLOSED l)A·~ WILCOX, RICHARD " 1/20/2010 1/29/2010 8/18/2010 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED -~--• --...-1 A.. -- 1 Totals o.oo o.oo 128,760.57 24,030.93 152,791.50 ftv<}"Q 0---.. GL1.::. \ZPl 1 ;;.\ 1ao )<: -4f ~ t'.'.: i/V1 :3 ~ f)__# j .. i r',~. · u~ 1...9-r _,-o...JI ~--.---J.) \ I 1 ~ -3 '' <.:::). r+-\ (."' -lo C >() --rlc~ ~ °i~1 ~ I. 0 \ I.' a .-( cL \ I Q Thursday, August 14, 2014 LossRunClosed Page 3 of 3 City of Carlsbad Loss Run Report ---·--------- 1 ACCLAIM RESOURCE P . 2 ACKMAN, JEFFREY 3 ADEVA, ALVIN 4 AGGSON, VAN 5 ALADITS, JAMES 6 ALBANO, MARK 7 ALI, SAIYED 8 ASBURY, SUZANNE 9 BARNES, JEAN 10 BECKER, DAVID 11 BRUMLEY,ROBERT 12 BUYS, GEORGIA 13 CHILDS, THERESA 14 COLONY AT CALAVERA .. - 15 COX, DEDRIA 16 DA PRATO, TERESA 17 DAVIS, THOMAS 18 DIAZ, ANDRES 19 DIXON, JAMES 20 DUGGINS, EARL GLEN 21 l•DUNN, HAVAN I 22 OURAY, THOMAS 23 EPPERSON,ROBBY 24 ERCAN, ERHAN 25 ERISMANN, FERNANDO 26 ERTEL, PAMILLA 27 FARRIS, ROBYN · 28 FLOYD.STELLA 29 GOLDSTEIN, STEVEN C 30 GOODRICH, DAVID & Al 31 GRAND DESIGN BUILD 1---... - 32 GRAZIANO, ROCKY Monday, January 05, 2015 Date of L 1/30/2009 7/14/2009 11/6/2009 5/31,12009 9/26/2008 1/27/2009 1/30/2009 8/10/2008 5/3/2008 8/22/2006 5/25/2009 12/26/2007 3/11/2009 3/18/2008 12/27/2005 5/6/2007 9/3/2008 4/10/2009 2/11/2009 7/5/2007 8/18/2007 10/28/2008 5/19/2009 2/23/2009 11/28/2007 12/16/2007 4/6/2008 8/20/2007 2/11/2009 1/8/2009 9/27/2009 Claims Closed between 01/01/2009 and 12/31/2009 Date Received 2/23/2009 8/13/2009 11/10/2009 7/28/2009 3/16/2009 4/14/2009 3/13/2009 8/9/2008 6/27/2008 9/3/2008 7/11/2009 12/26/2007 3/25/2009 6/4/2008 6/27/2006 9/21/2007 2/26/2009 . 4/14/2009 2/11/2009 8/3/2007 1/24/2008 11/18/2008 5/28/2009 3/16/2009 5/22/2008 5/11/2009 1/22/2008 9/19/2008 1/3/2008 3/10/2009 1/22/2009 10/14/2009 Date Closed 3/24/2009 9/22/2009 11/18/2009 10/27/2009 VEHICLE COLLISION TREE_ \OTHER _THAN SE VEHICLE COLLISION DANGEROUS CONDITI ,_ ..... ·-· --c..o.n.- 10/26/2009 LAW ENFORCEMENT 5/12/2009 VEHICLE COLLISION 5/19/2009 ,~~yvER/WATER(TREE 3/24/2009 OTHER 2/25/2009 TRIP/FALL 3/24/2009 VEHICLE COMPREHEN -·~ Ir---·---.-1 A 11/18/2009 LAW ENFORCEMENT 10/26/2009 ~':_'0fER/WATER(OTHE 4/14/2009 VEHICLE COMPREHEN _,. __ or-.-.. ...-O A 1/22/2009 SEWER/WATER(TREE ----- 6/4/2009 LAW ENFORCEMENT 4/29/2009 TRIP/FALL 11/18/2009 LAW ENFORCEMENT 10/26/2009 LAW ENFORCEMENT 4/29/2009 ,~':_l.'.\/ERIWAT~~-f>THE 4/29/2009 VEHICLE COLLISION - 4/29/2009 OTHER 6/17/2009 VEHICLE COMPREHEN _,, ·-·---· -- 12/22/2009 VEHICLE COMPREHEN ,_ .. ·--· . 5/19/2009 VEHICLE COMPREHEN -·· ·--· . 1/22/2009 LAW ENFORCEMENT 8/18/2009 OTHER · 4/29/2009 TRIP/FALL 4/29/2009 TRIP/FALL 8/20/2009 LAW ENFORCEMENT 4/7/2009 SEWER/WATER(OTHE ;-...-1 A •r---· A 2/4/2009 VEHICLE COLLISION 12/7/2009 OTHER LossRunClosed Date Litigat1 2/25/2008 9/24/2008 10/14/2008 / V I / I / V 7/8/2008 R Loss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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.oo· 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 --~ 11 --1 -\. J2. L..0 .'\·-'~ C~h~:'.\ ."~>": ~ hr"-'(f o-----~~-'- t'-\ C: • K.. i. .II'\. S-cl tJ...\;l,\\~ Expense R1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 . 0.00 0.00 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 Pavment - 1,461 .51 2,532.86 7,900.00 1,759.90 0.00 1,938.53 2,899.64 0.60 . 0.00 0.00 0.00 0.00 366.00 0.00 0.00 0.00 0.00 0.00 2,935.82 0.00 0.00 0.00 0.00 469.91 3,000.00 8,340.00 0.00 0.00 0.00 6,269.44 430.00 143.65 Expense Pavment . 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43,864.97 0.00 0.00 0.00 0.00 20,252.94 22.75 0.00 0.00 0.00 0.00 0.00 · 0.00 3,162.00 659.11 0.00 0.00 0.00 ------- 1,461 .51 2,532.86 7,900.00 1,759.90 0.00 1,938.53 2,899.64 0.00 0.00 0.00 0.00 0.00 366.00 0.00 43,864.97 0.00 0.00 0.00 2,935.82 20,252.94 22.75 0.00 0.00 469.91 3,000.00 8,340.00 0.00 3,162.00 659.11 6,269.44 430.00 143.65 - - 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 ~ ~Cvi'-' ~l _I. ~ ~ CLOSED v CLOSED CLOSED CLOSED Page 1 of 3 City of Carlsbad Loss Run Report -·-·····~-···- 33 HAFEZI, MATHEW 34 HUMPHREY, KEIR 35 JOHNSON, CAROL 36 LEWIS, CLAUDE 37 LOBERG, ERICK & KAT 38 LOPEZ, CARLOS 39 MAHONEY, PATRICK 40 MARTIN, VERN 41 MAY,HELEN 42 MAY, HELEN 43 MCCARTHY, JUSTIN 44 MILLER, BARBARA 45 MOODY, CLAUDETTE 46 MOREV, PAVEL 47 MUTSCHELLER, VVA YN 48 NICHOLSON, CHRISTO -ca.u r=n.....-.- 49 NORDIN, TREVOR 50 NORTH COUNTY TRAN ·-·--51 O'REILLY, DANIEL 52 PACIFIC BELL TELEPH -,.... .... r,.r"t,. 53 PAR 72 LLC, OBA LA.co --........ ·-- 54 PLUSH, BRUCE AND FR ·-55 ~ROGRESSIVE (CASKE 56 RAIKOGLO, VERNON 57 RICHARDS, DIANA 58 SEA POINT TENNIS CL ·- 59 SEARS, TOM 60 SIZEMORE, MORGAN 61 SMELTZER, PAUL 62 SMELTZER, PAUL 63 SMITH, SUSAN 64 STEPHENS, ALICIA · Monday, January 05, 2015 Date of L 1/21/2008 2/11/2009 6/3/2007 4/13/2009 4/26/2009 9/11/2009 3/14/2009 3/13/2009 12/23/2008 12/17/2008 5/17/2008 2/11/2009 3/11/2009 1/31/2009 -8/31 /2007 1/5/2009 12/5/2008 8/4/2008 2/11/2009 8/2/2009 8/5/2009 12/26/2007 2/9/2009 2/9/2009 11/10/2008 5/23/2008 12/18/2008 11/24/2008 1/5/2009 Claims Closed between 01/01/2009 and 12/31/2009 Date Received 7/21/2008 6/4/2009 11/19/2007 6/10/2009 1/23/2009 5/26/2009 9/19/2009 9/10/2009 3/31/2009 3/31/2009 2/13/2009 2/13/2009 11/5/2008 6/29/2009 3/17/2009 2/12/2009 2/4/2008 5/18/2009 12/22/2008 10/3/2008 11/21/2008 3/10/2009 8/4/2009 8/13/2009 12/26/2007 5/10/2009 7/15/2009 4/25/2009 11/21/2008 12/19/2008 12/10/2008 1/27/2009 Date Closed Cat, 2/24/2009 VEHICLE COMPREHEN -·· ·--· 8/5/2009 SEWER/WATER(OTHE --.-, .. ----.... _,...., .. -- 4/29/2009 TRIP/FALL 7/7/2009 ,~EVVER/WATER(TREE 2/17/2009 OTHER 9/22/2009 VEHICLE COLLISION 10/6/2009 VEHICLE COMPREHEN -·· ·--· 11/18/2009 ,~~WE~ATER (TREE 11/18/2009 VEHICLE COMPREHEN -·· ·-·---· 11/18/2009 VEHICLE COMPREHEN '-·· ·-·---· 9/23/2009 TREE (OTHER THAN SE 9/23/2009 SEVVER/WATER(TREE 6/17/2009 TRIP/FALL 8/28/2009 ~~~~R/WAT_!:~ (O;HE 4/7/2009 LAVV ENFORCEMENT 9/23/2009 SEVVER/WATER(TREE O CLA.:c. 4/29/2009 VEHICLE COLLISION 11/18/2009 VEHICLE COMPREHEN -·· ·-·---· -- 2/17/2009 VEHICLE COLLISION 4/29/2009 TRIP/FALL ~ 12/22/2009 OTHER 5/19/2009 SEVVER/WATER(OTHE ·--· . ----- 1/5/2009 VEHICLE COLLISION 9/15/2009 TREE (OTHER THAN SE ·-------· .. --- 10/26/2009 ~~ER/WAT_!:~ (OTHE 1.2/22/2009 TREE (OTHER THAN SE ....... --· .. 9/29/2009 TREE (OTHER THAN SE . . . --·. 11/18/2009 TRIP/FALL 6/16/2009 LAW ENFORCEMENT 2/17/2009 LAVV ENFORCEMENT 1/20/2009 TREE (OTHER THAN SE .... ..:.._ ·- ·- 9/25/2009 VEHICLE COMPREHEN ·--·. LossRunClosed Date Litigate _/ 6/24/200~ V / 7/24/2008. V 3/27/200~ /;, 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 o.cio 0.00 0.00 0.00 0.00 0.00 Loss Payment 0.00 56,610.01 5,000.00 336.00 488.98 500.00 195.00 7,375.00 0.00 0.00 0.00 0.00 0.00 10,526.00 226.27 0.00 0.00 0.00 2,160.70 0.00 0.00 91,458.64 0.00 2,176.36 0.00 0.00 3,750.00 0.00 0.00 4,944.28 90.00 0.00 Expense Payment 0.00 0.00 1,164.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 166.65 0.00 0.00 0.00 0.00 0.00 0.00 3,707.03 20,895 .. 30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 460.00 0.00 0.00 -------d 0.00 56,610.01 6,164.02 336.00 488.98 500.00 195.00 7,375.00 0.00 0.00 0.00 0.00 0.00 10,692.65 226.27 0.00 0.00 0.00 2,160.70 0.00 3,707.03 112,353.94 0.00 2,176.36 0.00 0.00 3,750.00 0.00 0.00 5,404.28 90.00 0.00 s --- CLOSED CLOSED / CLOSED . CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED V CLOSED "' CLOSED CLOSED CLOSED CLOSED o CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED Page 2 of 3 City of Carlsbad Loss Run Report -·-······-···- 65 TAVUI, MALOTUMAU 66 TELACU CONSTRUCT! -·--67 TOKMAN, ILYA 68 TRINIDAD, ANA 69 TURNER.ROBERT 70 I.VALLEY CREST COMPA 71 , VEGA, ESTATE OF ROD ~· ~ 72 WATSON, HILDA 73 WILLIAMS, ESTATE OF -· ·-· - 74 WILSON, JAQUELINE 75 WRIGHT, SAMUEL 76 ZADA.KARLA 77 ZEIS, JENN 78 ZUNICH, JAY Monday, January 05, 2015 Date of L 3/11/2009 1/5/2009 8/23/2008 12/3/2008 5/29/2008 9/5/2006 1/30/2009 12/27/2005 4/3/2009 6/25/2009 4/27/2008 7/23/2008 Claims Closed between 01/01/2009 and 12/31/2009 Date Received 3/17/2009 6/19/2009 1/22/2009 2/19/2009 1/9/2009 11/25/2008 3/14/2007 2/9/2009 6/27/2006 4/17/2009 7/8/2009 4/1/2009 6/16/2008 7/30/2008 Date Closed 4/7/2009 12/22/2009 9/25/2009 9/23/2009 2/4/2009 10/26/2009 1/22/2009 3/3/2009 6/4/2009 9/29/2009 8/18/2009 9/23/2009 C --------.-· .. VEHICLE COLLISION OTHER VEHICLE COMPREHEN ·-...... .. -- TRIP/FALL VEHICLE COMPREHEN ,~ .. ,-·-·--.......... -- VEHICLE COLLISION VEHICLE COLLISION VEHICLE COLLISION LAW ENFORCEMENT LAW ENFORCEMENT VEHICLE COMPREHEN -·· ·-·---· TREE (OTHER THAN SE '-Al,_D.lVU.A.XC..CL.C 1/22/2009 0 4/29/2009 DANGEROUS CONDIT! ---·-LI.------ LossRunClosed Date Litigat, - 6/8/2009 7/29/2008 I Totals R / v / / Loss 0.00 0.00 0.00 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 0.00 0.00 0.00 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 - 5,593.55 0.00 0.00 0.00 255.00 0.00 0.00 346.28 0.00 0.00 944.20 0.00 0.00 0.00 233,423.53 Expense Payment - 0.00 0.00 0.00 0.00 0.00 0.00 3,293.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 97,648.01 ···--··--_ .. _ .. __ 5,593.55 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 255.00 CLOSED / 0.00 CLOSED , 3,293.24 CLOSED , V 346.28 CLOSED 0.00 CLOSED 0.00 CLOSED 944.20 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 331,071.54 Page 3 of 3 Records Destruction List Page 1 Date 01/11/2017 Time 8:14:05AM Date Inactive Login Name Maria Emery Record External ID Records Description Number PFLD-15-23211 01/11/2017 JOHNSON, CAROLl6/3/07 074520 PHYSICAL RECORDS RM811 MANAGEMENT -Risk Management PFLD-15-23651 01/11/2017 LOSS RECOVERY-SHANKARANARAYANA, 012020 PHYSICAL RECORDS RM1326 KIRANIS/29/2014 MANAGEMENT -Risk Management PFLD-15-23679 01/11/2017 LOSS RECOVERY-SERPANOS, EVANIOS/07/2014 012020 PHYSICAL RECORDS RM1354 MANAGEMENT -Risk Management PFLD-15-23311 01/11/2017 CARLSBAD CHRISTIAN ASSEMBLY CHURCH! 074520 PHYSICAL RECORDS RM982 MANAGEMENT -Risk Management PFLD-15-23384 01/11/2017 KALTER, JOSEFl3/18/2009 074520 PHYSICAL RECORDS RM1056 MANAGEMENT -Risk Management PFLD-15-23408 01/11/2017 MERCURY INSURANCE GROUPIS/5/2009 074520 PHYSICAL RECORDS RM1080 MANAGEMENT -Risk Management PFLD-15-23414 01/11/2017 APPEL, MICHAELl7/30/2009 074520 PHYSICAL RECORDS RM1086 MANAGEMENT -Risk Management PFLD-15-23429 01/11/2017 PIRO, JEFF AND CINDYlll/4/2009 074520 PHYSICAL RECORDS RM1102 MANAGEMENT -Risk Management PFLD-15-23555 01/11/2017 05/16/2013 LOSSRECOVERY..ORDONEZTOVAR, 012020 PHYSICAL RECORDS RM1229 CAMILO!DRIVER-DAGHER, GREGORY MANAGEMENT -Risk Management PFLD-15-23590 01/11/2017 LOSS RECOVERY-SCHANER, JOSHUAADAMl12/07/2013012020 PHYSICAL RECORDS RM1264 MANAGEMENT -Risk Management PFLD-15-23605 01/11/2017 LOSS RECOVERY-KETABIAN, ARMON R.111/27/2013 012020 PHYSICAL RECORDS RM1279 MANAGEMENT -Risk Management PFLD-15-23 621 01/11/2017 LOSS RECOVERY-AT&T SERVICES INC.102/10/2014 012020 PHYSICAL RECORDS RM1295 MANAGEMENT -Risk Management PFLD-15-23630 01/11/2017 LOSS RECOVERY-MCKAY, COLINl03/26/2014 012020 PHYSICAL RECORDS RM1304 MANAGEMENT -Risk Management PFLD-15-23168 01/11/2017 CHRISTIANSON, JOHN M.12113/06 074520 PHYSICAL RECORDS RM613 MANAGEMENT -Risk Management PFLD-15-23225 01/11/2017 GOLDSTEIN, STEVEN C.18/20/07 074520 PHYSICAL RECORDS RM840 MANAGEMENT -Risk Management PFLD-15-23659 01/11/2017 LOSS RECOVERY-MACGIBBON, GISELEl05/06/2014 012020 PHYSICAL RECORDS RM1334 MANAGEMENT -Risk Management Date Inactive Record External ID Number PFLD-15-23683 01/11/2017 RM1358 PFLD-15-23368 01/11/2017 RM1040 PFLD-15-23385 01/11/2017 RM1057 PFLD-15-23410 01/11/2017 RM1082 PFLD-15-23423 01/11/2017 RM1095 PFLD-15-234 31 01/11/2017 RM1104 PFLD-15-23582 01/11/2017 RM1256 PFLD-15-23591 01/11/2017 RM1265 PFLD-15-23607 01/11/2017 RM1281 PFLD-15-23622 01/11/2017 RM1296 PFLD-15-23636 01/11/2017 RM1310 PFLD-15-23185 01/11/2017 RM745 PFLD-15-23236 01/11/2017 RM861 PFLD-15-23673 01/11/2017 RM1348 PFLD-15-23710 01/11/2017 RM1385 PFLD-15-23295 01/11/2017 RM962 Records Destruction List Page 2 Date 01/11/2017 Time 8:14:06AM Login Name Maria Emery Records Description DRIVER-AN! LOSS RECOVERY-KAN DI KI LLCl6/25/14 012020 ROSENSTOCK, DALEI 12/22/2008 074520 GAIER, BRYANl6/26/2009 074520 SCOTT-KUSHNERl7 /15/09 074520 JAM, JAMES AND MARYl7/14/2009 074520 WALSH, DENlSEIS/31/2009 074520 LOSS RECOVERY-MCCULLOUGH, KATHRYNll0/27/2013)12020 LOSS RECOVERY-TOTALDISTRB SVCS 012020 INC,DR1VER-JIMENEZ, MARTINII 2/07/2013 LOSS RECOVERY-MCCONNELL, STEPHEN Jl07/30/2013 012020 LOSS RECOVERY-BROOKS, VANESSAL.103/01/2014 012020 LOSS RECOVERY-MORALES, YOLANDAl03/08/2014 012020 VEGA, ESTATE OF RODRIGO, SAUL, TERESA AND 074520 GUARDIANS FOR JOYCE AND YESEN1Al9/5/06 NORDIN, TREVORIS/31/07 074520 LOSS RECOVERY-WRIGHT, BECKYI07/07/2014 012020 LOSS RECOVERY-SEASIDE 012020 HEATING/PLUMBINGll0/22/2014 VALLEYCREST COMPANIESIS/29/2008 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 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 3 Date 01/11/2017 Time 8:14:07 AM Date Inactive Login Name Maria Emery Record External ID Records Description Number PFLD-15-23376 01/11/2017 VERCAUTEREN, ROBERT RONALDl4/21/2009 074520 PHYSICAL RECORDS RM1048 MANAGEMENT -Risk Management PFLD-15-23404 01/11/2017 MOORE, JOELIS/12/2009 (RECEIVED) 074520 PHYSICAL RECORDS RM1076 MANAGEMENT -Risk Management PFLD-15-23411 01/11/2017 GNAZZO, BARBARAIS/27/09 074520 PHYSICAL RECORDS RM1083 MANAGEMENT -Risk Management PFLD-15-23426 01/11/2017 JACKSON, GALEl9/29/2009 074520 PHYSICAL RECORDS RM1098 MANAGEMENT -Risk Management PFLD-15-23439 01/11/2017 STREM, TIMOTHYl6/8/2009 074520 PHYSICAL RECORDS RMlll2 MANAGEMENT -Risk Management PFLD-15-23588 01/11/2017 LOSS RECOVERY-TETA, DANIEL JOSEPHI 12/09/2013 012020 PHYSICAL RECORDS RM1262 MANAGEMENT -Risk Management PFLD-15-23592 01/11/2017 LOSS RECOVERY-COTTER, BRYAN 012020 PHYSICAL RECORDS RM1266 MATTHEWI09/23/2013 MANAGEMENT -Risk Management PFLD-15-23608 01/11/2017 LOSS RECOVERY-KRAMARZ, ROBERT SI06/02/2013 012020 PHYSICAL RECORDS RM1282 MANAGEMENT -Risk Management PFLD-15-23623 01/11/2017 LOSS RECOVERY-MORRISON, ELAINE L.112/31/2013 012020 PHYSICAL RECORDS RM1297 MANAGEMENT -Risk Management PFLD-15-23637 01/11/2017 LOSS RECOVERY-ALLEN'S NEW YORK PIZZA, 012020 PHYSICAL RECORDS RM1311 INCI04/14/2014 MANAGEMENT -Risk Management PFLD-15-23199 01/11/2017 DUGGINS, EARL GLENNl7/5/07 074520 PHYSICAL RECORDS RM789 MANAGEMENT -Risk Management PFLD-1 5-23237 01/11/2017 DUNN, HAVANIS/18/07 074520 PHYSICAL RECORDS RM865 MANAGEMENT -Risk Management PFLD-1 5-23674 01/11/2017 LOSS RECOVERY-MCCREARY, SEAN 012020 PHYSICAL RECORDS RM1349 PATRICK106/04/2014 MANAGEMENT -Risk Management PFLD-15-23296 01/11/2017 PAR 72 LLC, DBALACOSTAFAIRWAYSlll/21/2008 074520 PHYSICAL RECORDS RM964 (REC'D) MANAGEMENT -Risk Management PFLD-15-23380 01/11/2017 BARRANTES, BRIANI 12/5/2008 074520 PHYSICAL RECORDS RM1052 MANAGEMENT -Risk Management PFLD-15-23407 01/11/2017 VANSICKLE, RAEMIELIS/24/09 074520 PHYSICAL RECORDS RM1079 MANAGEMENT -Risk Management Date Inactive Record External ID Number PFLD-15-23412 01/11/2017 RM1084 PFLD-15-23428 01/11/2017 RM1101 PFLD-15-23512 01/11 /2017 RM1185 PFLD-15-23589 01/11 /2017 RM1263 PFLD-15-23596 01 /11/2017 RM1270 PFLD-15-23613 01/11/2017 RMl287 PFLD-15-23624 01/11 /2017 RMl298 Records Destruction List Page 4 Date 01/11/2017 Time 8:14:08 AM Login Name Maria Emery Records Description MASSERY, MARYj6/24/2009 BIBERSTON, KR1STAl9/19/2009 LOSS RECOVERY-GO!vIBZ, VIRGINIA 104/10/2013 GO!vIBZ, CHASE -DRIVER 074520 074520 012020 LOSS RECOVERY-lvIBNDEZ PETLACHI, SAULjl2/09/2011'12020 LOSS RECOVERY-HARRERA GIJON, VICTOR I.111/19/13 012020 LOSS RECOVERY-SIMPSON, DANIELjOl /20/2014 012020 LOSS RECOVERY-TALAVERA, LUIS G.102/25/2014 012020 [ End of Report ][City of Carlsb~d Dataset ECMMaster ) 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 CERTIFICATE OF DESTRUCTION & RECYCLING This Certificate is presented to: CITY OF CARLSBAD 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 105363 Tuesday, January 31, 2017 5815 EL CAMINO REAL Jan-24-2017 thru Jan-24-2017 369036 4 - 4 64 Gallon Bin * Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s). 1:1 cor odata ~- . ~ "1..,;;g,l :•', . SSAE16 Type II Audlt Completed • HIPAft\ Qnnlllmffl