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HomeMy WebLinkAbout; ; Records Destruction Authorization Form-Risk Management; 2013-10-24Sbred- it . 3801 Ocean Ranch Blvd Suite 101 Oceanside CA 920S6 Phone: 760- 598- 5700 SERVICE RECORD SUMMARY CKRTIFICATE OF DKSTRUCTION PLEASE KEEP THIS FOR YOUR RECORDS (THIS IS NOT AN INVOICE) Customer: 0011889293 CITY OF CARLSBAD- RECORDS .MANAGEMENT 5815 EL CAMINO REAL CARLSBAD CA 92008- SSOl Order #: 8009700753 Order Date: 24.10.2013 Service Type; SHRED - ON- SITE PURGE Contact: PAT DOWNIE Time In: 07:52 AM Time Out: 10:49 AM Material Collected HANKERS/ARCHIVE BOX 141 FILE DRAWER 2 Total: 143 Service Time: 176 Min Customer Signature: PAT DOWNIE CSR Signature: RUBEN JACOBO RECORDS DESTRUCTION AUTHORIZATION FORM DATE: APRIL 5,2013 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: 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 to exist. DEPARTMENT HEAD: RECORDS MANAGEMENT: CiTrAfroRNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) =^^17 Bitner, Sallie - Claim, Law Enforcement Closed 2002 0745-20 CL+5 \j ,^IWI17 Gonzalez, Ricardo-Claim, Law Enforcement Closed 2002 0745-20 CL+5 RM17 Bratton-McNeeley - Claim, Engineering Closed 2003 0745-20 CL+5 RM17 Czvik, Joseph-Claim, Utilities Closed 2003 0745-20 CL+5 RM17 Feldman, Cheryl - Claim, Streets Closed 2003 0745-20 CL+5 RM17 Kieft, Mark & Heidi - Claim, Parks Closed 2003 0745-20 CL+5 RM17 Mendes, Leroy-Claim, Law Enforcement Closed 2003 0745-20 CL+5 RM17 Orlik, Michael - Claim, Engineering Closed 2003 0745-20 CL+5 RM17 Radogna, Michael & Beverly - Claim, Engineering Closed 2003 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: DATE: CERTIFICATE OF DESTRUCTION? Q YES • NO SMEADSOFT BARCODES DELETED BY: DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records.Management Program. CARLSBAD Revised: 4/5/2013 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: APRIL 5,2013 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: TERIE ROWLEY DESTRUCTION APPROVALS: We certify that the records listed belo w 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. DEPARTMENT HEAD: RECORDS MANAGEMENT: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RM17 Santino, Deborah - Claim, Law Enforcement Closed 2003 0745-20 CL+5 Alcoser, Nancy-Claim, Parks , Closed 2004 0745-20 CL+5 RM18 Gebhardt, John - Claim, Parks Closed 2004 0745-20 CL+5 RM18 Lazarus, Giselle-Claim, Law Enforcement Closed 2004 0745-20 CL+5 RM18 . Alvernaz, Linzy - Minor Child, 18 in 2004 - Claim, Law Enforcement - dog bite Closed i997 0745-20 CL+5 RM18 Bricker, Barbara & April - Minor Child, 18 in 2002-Claim, Engineering Closed 1984 0745-20 CL+5 RM18 Hatcher - Claim ,Homeless issue Closed 2002 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: • YES • NO DATE: DATE: •a Thisforhi documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 4/5/2013 CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: APRIL 5,2013 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: 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 to exist. DEPARTMENT HEAD: RECORDS MANAGEMENT: FORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RM18. Johnston, Paige - Minor Child, 18 in 2005 - Claim, Recreation Closed 1997 0745-20 CL+5 RM18 Ponce, Robert - Minor Child Jason. 18 in 2007-Claim, Parks Closed 1995 0745-20 CL+5 RM18 Schahn, Kiana-Claim, Engineering Closed 2002 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? • YES SMEADSOFT BARCODES DELETED BY: • NO DATE: DATE: This form documents the destruction of City records in accordance with tbe City of Carlsbad Records Management Program. Revised: 4/5/2013 ^ CARLSBAD city of Carlsbad Loss RuD Roport Claiins eiosed bstween Q V01/1^ and 12/31/^85 ClaimName Date of Loss Date Received Date Closed Category Date Loss Expense Loss Expense Litigate Reserve Resen/e Payment Payment Incurred Status 65 LINDSEY-STAP, PENNE * * 06/28/1994 01/03/1995 07/25/1995 SEWERA/VATER (TREE 0.00 0,00 0,00 22.50 22,50 CLOSED 66 LITTLE, REX J. 03/27/1994 09/22/1994 11/03/1995 TRIP/FALL 03/22/1995 0.00 0,00 0.00 49.50 49,50 CLOSED 67 LOPEZ, PETER 10/16/1995 10/26/1995 11/09/1995 VEHICLE COLLISION 0.00 0.00 387.05 22.50 409,55 CLOSED 68 IVIADRON, STEVE 02/22/1994 10/03/1994 04/15/1995 VEHICLE COMPREHEN 0.00 0.00 0.00 22,50 22.50 CLOSED 69 MARTINEZ, DIEGO 09/30/1994 11/23/1994 03/17/1995 LAW ENFORCEMENT 02/08/1995 0.00 0.00 0.00 22,50 22,50 CLOSED 70 MELZER, HELMUT 01/04/1995 03/01/1995 03/31/1995|TREE (OTHER THAN SE 0.00 0.00 165.00 22,50 187.50 CLOSED 71 MESSENGER, JAMES 01/01/1988 03/27/1995 10/31/1995 PERSONNEL ACTION 0.00 0.00 0.00 22,50 22,50 CLOSED 72 MONTENEGRO, JOSE 03/30/1995 07/07/1995 07/11/1995 LAW ENFORCEMENT 07/03/1995 . 0.00 0.00 0.00 0,00 0,00 CLOSED 73 NYGAARD, JULIANNE 06/13/1995 06/22/1995 07/17/1995 OTHER 0.00 0.00 174.37 22,50 196,87 CLOSED 74 ORCHEN, MELVIN 09/21/1994 09/27/1994 04/25/1995 VEHICLE COLLISION 0.00 0.00 0.00 22.50 22,50 CLOSED 75 OSTROWSKI, WALLAC 11/18/1993 01/25/1994 06/29/1995 TRIP/FALL 05/04/1994 0.00 0.00 5,000.00 19,257,61 •24,257,61 CLOSED 76 OTTE, CLAIRE 06/02/1994 07/14/1994 02/28/1995 VEHICLE COMPREHEN 0.00 0.00 0.00 22,50 22,50 CLOSED 77 PACIFIC BELL, 12/23/1992 04/23/1993 07/26/1995 SEWERA/VATER (TREE 08/06/1993 0.00 0.00 0.00 14,716,35 14,716,35 CLOSED 78 PACIFIC BELL, W, 0. B 05/04/1994 05/24/1994 02/28/1995 OTHER 0,00 0.00 0.00 22,50 22,50 CLOSED 79 PARRISH, THOMAS & N r—1 I r— 03/13/1994 05/25/1994 02/28/1995 VEHICLE COMPREHEN 0,00 0.00 0.00 22.50 22,50 CLOSED 80 PATTERSON, LORN & J 09/02/1993 10/12/1993 01/09/1995 VEHICLE COLLISION 0,00 0,00 0.00 22.50 22,50 CLOSED 81 PATTERSON, SARA . 09/02/1993 10/12/1993 01/09/1995 VEHICLE COLLISION 04/01/1994 0,00 0.00 4,000.00 2,371,70 6,371,70 CLOSED 82 PENNA, HENRY WILLIA 04/24/1991 05/29/1991 03/29/1995 LAW ENFORCEMENT 0,00 0,00 0,00 - 0,00 0,00 CLOSED 83 PETERSEN; LINDA L 07/05/1994 09/19/1994 01/27/1995 VEHICLE COLLISION 0,00 0,00 1,000,00 337,92 1,337,92 CLOSED 84 PETERSON, JERRY 12/09/1993 01/03/1994 01/27/1995 VEHICLE COMPREHEN 0,00 0,00 0,00 22.50 22.50 CLOSED 85 PHILLIPS, JACK 01/04/1995 05/30/1995 09/12/1995 SEWERAWATER (TREE wtr-i A Tl— r-1 \ • 0,00 0,00 538,50 22.50 561,00 CLOSED 86 PINNEGAR, DAVID 02/03/1994 02/10/1994 01/27/1995 VEHICLE COMPREHEN 0,00 0,00 0,00 22.50 22.50 CLOSED :P0NeEf=JAS0N'MICHA.1 <-"10/06/1990 '"02726/1991 r06/06/1995 OTHER" , ^-^ r ' lD8/21/199,1j •• - ' 0.00 0.00 am -::^i 6^241^09 7^^16:241:09 -CLOSED'" 15 -88- 89 PRETZ, DENNIS 10/06/-1990 01/31/1995 -02/26/1991 02/08/1995 06/06/.1995 08/31/1995 OTHER LAW ENFORCEMENT 08/21/1991 rL-—^ % n nn 0.00 - 0.00 0,00 ~^o:oo 0,00 -~-r- ' --0:00 22.50 — 'OiOO 22,50 —CLOSED^ CLOSED 90 QUIJADA, BERNARDIN 06/23/1995 06/26/1995 07/17/1995 LAW ENFORCEMENT 0.00 0,00 10.00 22.50 32,50 CLOSED 91 RASKIN, NEIL 02/14/1995 02/28/1995 05/05/1995 TREE (OTHER THAN SE TRIP/FALL 0.00 0.00 34,35 22,50 56,85 CLOSED 92 REILLY, MARIE 01/02/1995 01/09/1995 08/31/1995 TREE (OTHER THAN SE TRIP/FALL 0.00 0.00 0.00 22,50 22,50 CLOSED 93 RELIANCE, PETERSEN 07/05/1994 10/24/1994 01/27/1995 VEHICLE COLLISION 0.00 0,00 10,574.77 22,50 10,597.27 CLOSED 94 RICHARDSON, DAVID 01/16/1995 01/16/1995 02/10/1995 VEHICLE COMPREHEN I-* II il- /j-\-ri II—n -Tl 1 A k 1 /^/-\ 0.00 0.00 . 125.00 22,50 147,50 CLOSED 95 "96^ RITCHIE, GARY 11/19/1993 05/09/1994 04/25/1995 LAW ENFORCEMENT 07/21/1994 0.00 0.00 0.00 1,464,32 1,464,32 CLOSED 95 "96^ RIVERA, P. C. 08/01/1991 03/30/1994 02/28/1995 TREE (OTHER THAN SE 0.00 0.00 0.00 22,50 22,50 CLOSED Tuesday, April 09, 2013 LossRunCiosed Page 3 of 4 City of Carlsbad Loss Run Report Uns CteSBd Imtwesn 01/01/087 and 12/31/W7 ClaimName Date of Loss Date Date Date Litigate Loss Resen/e Expense Reserve Loss Payment Expense Payment Incurred Status 1 20TH CENTURY, MCDE 04/09/1997 05/07/1997 05/13/1997[VEHICLE COLLISION 0,00 0,00 4,077.58 22,50 4,100,08 CLOSED 2 AKHAVAN, JOSEPH & M fl ow 1-/- 06/01/1994 05/26/1995 10/01/1997 TRIP/FALL 11/30/1995 0,00 0,00 0.00 42,657,91 42,657,91 CLOSED 2 •ALVERNAZrLINZY-Z^ —06/10/1996 •07/17/1996 1=^10/01/1997 LAW-ENFORCEMENT-—^—o:oo u,uu 2;500:00 548:23 3r048:23 -CLOSED^ 4 ARUGON, JOEL 10/25/1996 10/29/1996 05/27/1997 VEHICLE COMPREHEN 0,00 0,00 0,00 22.50 22.50 CLOSED 5 AUTO CLUB, BOSS 05/13/1992 10/15/1992 08/25/1997[VEHICLE COLLISION • 11/13/1992 0,00 0,00 835,47 396.50 1,231,97 CLOSED 6 AUTO CLUB, PATRICIA 05/24/1997 12/01/1997 12/17/1997 OTHER 0,00 0.00 0,00 22,50 22.50 CLOSED 7 BAIRD, WILLIAM 07/31/1997 08/13/1997 10/01/1997 OTHER 0,00 0,00 125,00 22,50 147,50 CLOSED 8 BALTIERRA, ANDREE 10/24/1997 11/10/1997 12/09/1997 VEHICLE COLLISION 0,00 0,00 1,042.85 22,50 1,065,35 CLOSED 9 BEAINY, STANLEY 07/22/1996 01/15/1997 08/26/1997|VEHICLE COLLISION 0,00 0,00 0,00 22,50 22.50 CLOSED 10 BECKMAN INDUSTRIES 02/16/1996 05/07/1996 01/31/1997 VEHICLE COLLISION 0,00 0,00 0,00 22,50 22.50 CLOSED 11 BENHARROSH, MICHEL 01/03/1997 03/10/1997 10/28/1997 TRIP/FALL 0,00 0,00 0,00 607.27 607,27 CLOSED 12 BENTON, STACY 06/29/1996 07/24/1996 01/31/1997 OTHER 0,00 0.00 0,00 22,50 22.50 CLOSED 13 BLYTH, PETER 04/27/1996 05/13/1996 12/30/1997|VEHICLE COLLISION 10/03/1996 0,00 0.00 17,250.00 15,663,80 32,913.80 CLOSED 14 BRACKEN,STUART 12/13/1996 02/04/1997 07/29/1997 VEHICLE COMPREHEN VEHICLE COLLISION 0.00 0,00 0,00 22,50 22,50 CLOSED 15 BRAKA, JOSEPHINE 04/22/1996 10/17/1996 04/29/1997 VEHICLE COMPREHEN VEHICLE COLLISION 0.00 0,00 0,00 0,00 0,00 CLOSED 16 BRAKA, SOPHIE 04/22/1996 10/17/1996 04/29/1997|VEHICLE COLLISION 0.00 0,00 0.00 359,05 359.05 CLOSED 17 BROOKS, MR S MRS SH f—1 i-s » 1 10/21/1996 04/21/1997 12/09/1997|OTHER 07/29/1997 0.00 0,00 0.00 1,749,00 1,749.00 CLOSED 18 BURNETT, BRIAN 06/09/1997 06/11/1997 12/19/1997 VEHICLE COLLISION 0.00 0.00 0,00 22,50 22,50 CLOSED 19 C, W, MCGRATH, 02/22/1994 07/01/1996 12/17/1997 OTHER 08/14/1996 0.00 0,00 0,00 0.00 0,00 CLOSED 20 CAPE AT CALAVERA, 08/22/1997 10/31/1997 12/30/1997 SEWER/WATER (TREE 0.00 0,00 84,50 0,00 84.50 CLOSED 21 CHRIST, THOMAS 10/21/1996 04/21/1997 12/19/1997 OTHER 0.00 0.00 • 0,00 22.50 22,50 CLOSED 22 CLARKE, HAROLD 08/01/1996 08/10/1996 02/26/1997 TREE (OTHER THAN SE 0.00 0,00 0,00 477,31 477,31 CLOSED 23 CLARK-RYLL, CATHERI 12/04/1992 10/12/1993 12/01/1997 PERSONNEL ACTION 10/12/1993 0.00 0.00 0,00 85-50 85,50 CLOSED 24 CNA INSURANCE, HALL 01/09/1991 01/28/1991 04/18/1997 VEHICLE COLLISION 09/17/1991 0,00 0.00 597.92 349.50 947,42 CLOSED 25 COHEN, ROBERT 08/19/1996 08/27/1996 03/31/1997 VEHICLE COMPREHEN OTHER 0.00 0.00 0.00 22.50 22,50 CLOSED 26 DAVIES, DONALD 05/15/1996 03/03/1997 10/01/1997 VEHICLE COMPREHEN OTHER 04/22/1997 0.00 0.00 0,00 829.69 829.69 CLOSED 27 DEFAGO, RONALD , 12/28/1996 01/08/1997 02/06/1997 VEHICLE COLLISION 0,00 0.00 888.17 175.13 1,063,30 CLOSED 28 DENNIS, DEBORAH 12/15/1996 01/30/1997 07/29/1997 VEHICLE COLLISION 0.00 0.00 0.00 22,50 22.50 CLOSED 29 EKU\ND, ARNOLD & AN 06/20/1996 12/10/1996 06/27/1997 VEHICLE COMPREHEN //rv-T-i_ii—n -ri_iA 0.00 0.00 0-00 22,50 22.50 CLOSED 30 ERBSEN, LORETTA & J 11/30/1996 04/11/1997 12/19/1997 TRIP/FALL 0.00 0,00 0-00 153.75 153,75 CLOSED 31 FAIRWAY SOUTH HOA, 03/14/1997 06/11/1997 07/17/1997 SEWERAVATER (TREE 0.00 0,00 796,41 22,50 818,91 CLOSED 32 FARNUM, MELISSA 01/29/1997 03/13/1997 04/18/1997 VEHICLE COLLISION 0.00 0.00 1,131,62 22,50 1,154.12 CLOSED Tuesday, April 09, 2013 LossRunCiosed Page 1 of 4 City of Carlsbad Qvoi/na7 ClaimName Date of Loss Date Received Date Closed Cateqorv Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status 33 FOSTER, CORY 06/17/1997 09/10/1997 12/30/1997|VEHICLE COLLISION 0,00 0.00 67,99 22,50 90.49 CLOSED 34 FULLMER, ORVIS 12/01/1996 05/08/1997 12/19/1997 OTHER 0,00 0.00 0,00 22,50 22.50 CLOSED 35 GAITAUD, RENEE 10/25/1997 10/25/1997 12/09/1997 VEHICLE COLLISION 0,00 0.00 108,70 22,50 131.20 CLOSED 36 GALAVIZ, MELISSA 08/23/1994 02/01/1995 04/29/1997 LAW ENFORCEMENT 07/25/1995 0.00 0,00 0,00 17,861,14 17,861.14 CLOSED 37 GALINDO, CHRIS 08/12/1996 08/19/1996 03/31/1997jVEHICLE COMPREHEN 0.00 0,00 0,00 0.00 0,00 CLOSED 38 HALLSTROM, RALPH 11/03/1997 .11/24/1997 12/30/1997 TRIP/FALL 0,00 0,00 836.00 505,51 1,341.51 CLOSED 39 HANDS, CAMILLE 06/17/1996 07/15/1996 01/31/1997 VEHICLE COMPREHEN 0,00 0,00 . 0.00 22,50 22,50 CLOSED 40 HA2ELT0N, JOHN 09/24/1996 09/24/1996 04/29/1997 VEHICLE COMPREHEN 0,00 0,00 0.00 22,50 22,50 CLOSED 41 HENSON, JAMES 08/05/1996 08/19/1996 04/29/1997 LAW ENFORCEMENT 0.00 0,00 0.00 22,50 22,50 CLOSED 42 HERMAN, TAMMY 02/26/1997 04/29/1997 12/19/1997 VEHICLE COMPREHEN 0.00 0.00 0,00 22,50 22,50 CLOSED 43 HOEFER, DON 03/17/1997 03/18/1997 04/29/1997 SEWERA/VATER (TREE 0.00 0,00 55.00 0,00 55,00 CLOSED 44 HOLMQUIST, MICHELLE 04/21/1997 04/22/1997 06/11/1997 OTHER 0.00 0,00 531.69 22.50 554,19 CLOSED 45 HOOVER, CHARLES 04/27/1996 09/25/1996 04/29/1997 TRIP/FALL 0.00 0,00 0-00 205.73 205,73 CLOSED 46 HOWARD, JENNIFER 09/26/1997 10/03/1997 11/03/1997 VEHICLE COLLISION 0,00 0,00 513.37 22,50 535,87 CLOSED 47 HUGGINS, CATALINA 11/15/1996 11/22/1996 05/27/1997 VEHICLE COMPREHEN 0,00 0.00 0.00 22,50 22,50 CLOSED 48 HUNTINGTON, SANDRA 08/08/1997 08/08/1997 10/02/1997 VEHICLE COLLISION 0,00 0.00 1,978-34 22.50 2,000,84 CLOSED 49 JACOBSEN, KATHLEEN 03/07/1997 03/14/1997 03/31/1997 VEHICLE COLLISION 0,00 . 0.00 201.32 22.50 223,82 CLOSED 50 JENKINS, ANDREW •-— . • xi-r^ 03/01/1997 08/05/1997 10/02/1997 VEHICLE COLLISION 0,00 0,00 250.65 22,50 273,15 CLOSED •5V JOHNSTON..f?AIGE_^ L 03/09/.1,996 '08/30/1996 -04/23/1997. OTHER. — —0.00 - -(rnn - o:oo bb8.b8 ^658:68 -CLOSED- 52 KEATING, NANCY 07/21/1995 12/01/1995 02/26/1997|VEHICLE COLLISION 01/05/1996 0.00 0,00 • 84,535,18 18,456,26 102,991.44 CLOSED 53 KNOX, RICHARD 09/12/1996 10/08/1996 03/31/1997jVEHICLE COLLISION 01/23/1997 0.00 0,00 0,00 913.20 913,20 CLOSED 54 LAMA, BUMTSO 05/18/1997 07/01/1997 08/19/1997jVEHICLE COLLISION 0,00 0,00 870,25 22.50 892,75 CLOSED 55 LATINO, ROC 06/10/1996 07/16/1996 01/31/1997|VEHICLE COMPREHEN 0,00 0,00 0,00 22.50 22.50 CLOSED 56 LEE, JONATHAN 12/31/1996 01/16/1997 02/06/1997|VEHICLE COLLISION 0.00 0.00 375.87 22.50 398.37 CLOSED 57 MACDOUGALL, JOSEP 1 1 f> ^1—1 n 1 rt 1 06/01/1996 10/28/1996 01/31/1997|TREE (OTHER THAN SE 0.00 0,00 0,00 607-58 607,58 CLOSED 58 MALINSKI, EDWARD 08/13/1996 08/19/1996 03/03/1997|VEHICLE COMPREHEN 0,00 0,00 0,00 22.50 22.50 CLOSED 59 MANTOR, SHERIDAN 08/20/1996 01/27/1997 07/29/1997|VEHICLE COMPREHEN |rtii II— /rtnri 11— I-l • M . • ^ ^ 0,00 0,00 0,00 22.50 • 22.50 CLOSED 60 MARINEZ, JOHN 12/01/1996 05/12/1997 09/10/1997|TREE (OTHER THAN SE 0,00 0,00 2,200,00 1,271,61 3,471.61 CLOSED 61 MARTINEZ, ELIAS 09/11/1997 09/18/1997 12/01/1997 OTHER 0,00 0,00 573,44 0,00 573.44 CLOSED 62 MAY, CAROLE 12/10/1996 01/16/1997 06/27/1997 VEHICLE COMPREHEN t~*i\ ir^ir^-rt 11— i—t -j-j \ fr.h.i.rt^_ 0.00 0.00 0,00 605,03 605.03 CLOSED 63 MC COMAS, AUDREY 06/20/1997 08/21/1997 10/07/1997 TREE (OTHER THAN SE 0.00 0.00 220,00 22,50 242.50 CLOSED 64 MCDERMED, PAUL 04/09/1997 04/10/1997 06/11/1997[VEHICLE COLLISION 0.00 0.00 625,14 242,88 868.02 CLOSED Tuesday, April 09, 2013 LossRunCiosed Page 2 of 4 city of Carlsbad Loss Run Report «vfa/im and 12/31/2002 Date of Date Date Date Loss Expense Loss Expense 1 1ST KLASS PET SALON 05/02/2002 07/17/2002 08/30/2002jSEWERAVATER (OTHE 1—I -I-l 1 A h 1 -T-rti—I— ni—1 n T"r~ 0,00 0,00 8,725,19 0.00 8,725,19 CLOSED 2 AAA, WADSWORTH 09/30/2002 11/22/2002 12/17/2002 VEHICLE COLLISION 0,00 0.00 - 944.63 0.00 944,63 CLOSED 3 ANDERSON, W. THOMA rt 03/22/2002 04/08/2002 05/03/2002 VEHICLE COLLISION > 0,00 0.00 801,40 0.00 801,40 CLOSED 4 BAUR, ZACHARY PAUL 03/24/2002 04/08/2002 10/31/2002|TRIP/FALL 0.00 0.00 0,00 0.00 0.00 CLOSED 5 BENKLE, ILENE '02/16/2002 -04/02/2002 12/02/2002 TRIP/FALL 0.00 0,00 0.00 0,00 0.00 CLOSED 6 ^7- BERTNESS, PAT • BITNER tSALLIE—ttUf*'^^ 10/13/2001 '^(ift/i fi/7nni 01/03/2002 -1-1/21/2001 02/27/2002 -02/28/2002 VEHICLE COLLISION liAW" ENFORCEMENT 0.00 . " 0 00 0.00 ' u.ou 65.00 - u;uu 0,00 ^o:oo 65.00 ""^ n nn CLOSED LCTOSED:::: 8 LJ 111L1V \, ^ L_ i_ 11_ — - \r^— BOLLERUD, MICHAEL 03/07/2001 09/05/2001 05/03/2002 LAW ENFORCEMENT 0.00 0,00 0,00 0,00 0,00 CLOSED 9 BONNER, SONSARAY 04/17/2002 04/23/2002 12/02/2002 VEHICLE COMPREHEN rt i\ #1— ;rt-i-i ir-rt nri t A A \ rtrt 0,00 0.00 0,00 0,00 0,00 CLOSED 10 BRACKEN, ELAINE 01/18/2002 05/08/2002 12/02/2002 LAW ENFORCEMENT 0.00 0,00 0,00 0,00 0.00 CLOSED 11 BRENNAN, MICHAEL 04/27/2002 05/22/2002 12/30/2002 VEHICLE COLLISION 0.00 0,00 0.00 - 0,00 0,00 CLOSED 12 BRUHN, JORDAN 12/04/1999 05/22/2000 02/27/2002 LAW ENFORCEMENT 0,00 0.00 0,00 0.00 0,00 CLOSED 13 BRUHN, LISA 12/04/1999 05/22/2000 02/27/2002 LAW ENFORCEMENT 07/24/2000 0,00 0.00 0,00 0.00 0,00 CLOSED 14 BRUHN, RUSSELL 12/04/1999 05/22/2000 02/27/2002 LAW ENFORCEMENT 07/24/2000 0,00 0,00 75,000.00 48,869.63 123,869,63 CLOSED 15 BRUHN, TYLER 12/04/1999 05/22/2000 02/27/2002 LAW ENFORCEMENT 0.00 0,00 0.00 0.00 0,00 CLOSED 16 BRYNIE, STEVEN 08/28/2000 02/27/2001 05/03/2002 LAW ENFORCEMENT 09/28/2001 0.00 0.00 0.00 2,284,60 2,284.60 CLOSED 17 CLAIM JUMPER RESTA iii-^ufci-i-rt 1 lklr^A i i—• • rt 11/21/2001 12/04/2001 06/28/2002 SEWER/WATER (TREE 0.00 0,00 0.00 0,00 0.00 CLOSED 18 DEDIMINICANTANIO, JO 06/20/2001 10/04/2001 05/03/2002 OTHER 0.00 0.00 0,00 0.00 0.00 CLOSED 19 DEMND, SUSAN 01/12/2002 03/29/2002 10/31/2002|VEHICLE COMPREHEN 0,00 0,00 0,00 0,00 0.00 CLOSED 20 DONNALLY, MARK 03/11/2000 09/08/2000 05/03/2002|VEHICLE COLLfSfON 03/09/2001 " 0,00 0,00 0,00 23,056,75 23,056.75 CLOSED 21 DOUGLAS, PATRICIA 04/27/2002 05/14/2002 12/30/2002 VEHICLE COLLISION 0.00 0,00 0.00 0,00 0.00 CLOSED 22 DOWNING, JUNG 11/13/2001 12/05/2001 01/10/2002 OTHER 0,00 0.00 . 959,00 0,00 959.00 CLOSED 23 DRABEK, THOMAS 03/01/2002 03/06/2002 10/31/2002 VEHICLE COLLISION 0,00 0.00 0,00 0.00 0,00 CLOSED 24 DURBEC, MARTIN 03/10/2001 04/05/2001 01/31/2002|VEHICLE COLLISION 0.00 . 0.00 0,00 0.00 0,00 CLOSED 25 ENTERPRISE RENT-A-C Art iHr-^rtfei rtrt 1—1 n t 02/28/2002 03/29/2002 05/03/2002 VEHICLE COLLISION 0.00 0.00 1,166,65 0.00 1,166,65 CLOSED 26 EPPLER, KENNETH 10/17/2002 10/24/2002 12/18/2002 VEHICLE COMPREHEN 0.00 0.00 47,89 0,00 47,89 CLOSED 27 FAN, PIN 02/21/2002 03/18/2002 09/27/2002 VEHICLE COLLISION 0.00 0.00 0.00 0.00 0,00 CLOSED 28 FERGUSON, DOUGLAS 03/25/2002 04/10/2002 06/04/2002 VEHICLE COLLISION 0,00 0,00 195,46 0.00 ' 195.46 CLOSED 29 FITZGERALD, FLORABE 06/14/2002 07/11/2002 08/19/2002 TRIP/FALL 0,00 0,00 847,00 0.00 847.00 CLOSED 30 FLOWER FIELDS COND 01/04/2002 01/14/2002 03/15/2002 VEHICLE COLLISION 0.00 0,00 4,900.00 0.00 4,900,00 CLOSED 31 GALLEGOS, LORENZO 10/20/2000 12/13/2000 04/08/2002 LAW ENFORCEMENT 06/22/2001 0.00 0,00 0,00 372.50 372,50 CLOSED 32 GALLOWAY, THOMAS 02/28/2002 03/07/2002 03/15/2002 VEHICLE COLLISION 0.00 0.00 2,544.04 0,00 2,544,04 CLOSED Tuesday, April 09, 2013 LossRunCiosed Page 1 of 3 City of Carlsbad Loss Run Report OV01/2002 and 12/31/2002 ClaimName Date of U>ss Date Received Date Closed Cateqon/ Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status Of GONZALEZ. RICARDOf. '^06/27/2000 -12/20/2000 ~02/12/2002 LAW ENFORCEMENT .06/01/2001 ~rrnn 0.00 '42:500:00 •1:352; 02 7^43:852:02 CLOSED 34 GORELL, LISEL • 07/04/2000 12/22/2000 06/28/2002 TRIP/FALL 07/03/2001 0,00 0.00 5,000.00 9,923,61 14,923.61 CLOSED 35 GREEN, SHERRY 11/08/2002 11/18/2002 12/17/2002 LAW ENFORCEMENT 0.00 0.00 1,700,00 0,00 1,700.00 CLOSED 36 HALL, RUTHANNE 06/26/2002 07/19/2002 10/03/2002 VEHICLE COLLISION 0,00 0.00 747,28 0,00 747.28 CLOSED 37 HEARING AID DISPENS 05/02/2002 06/24/2002 07/17/2002 SEWER/WATER (OTHE 0,00 0.00 6,640,21 29,938,97 36,579.18 CLOSED 38 HEINRICH, TOM 10/07/2001 04/09/2002 10/31/2002 LAW ENFORCEMENT 0,00 0.00 0,00 0,00 0.00 CLOSED 39 HUTCHINS, FRANK 03/08/2002 03/12/2002 05/03/2002 VEHICLE COLLISION 0.00 0.00 260,50 0.00 260.50 CLOSED 40 HYSONG, ANNE 11/10/2001 11/27/2001 08/30/2002 TRIP/FALL 0.00 0.00 0,00 0,00 0,00 CLOSED 41 JOY, ANDRE 02/05/2002 02/13/2002 09/27/2002 VEHICLE COLLISION 0.00 0.00 0,00 0-00 0,00 CLOSED 42 LA COSTA DE MARBEL 05/05/2001 06/13/2001 02/27/2002 SEWER/WATER (TREE 0.00 0.00 162,00 0.00 162,00 CLOSED 43 LAUER, CALVIN 11/24/2001 01/08/2001 08/30/2002 VEHICLE COLLISION 0.00 0,00 0.00 0,00 0,00 CLOSED 44 LENOCI, BARBARA 03/11/2002 06/28/2002 12/30/2002 VEHICLE COMPREHEN 0.00 0.00 0,00 0.00 0.00 CLOSED 45 LEPP, BRIAN & PENNY 04/30/2002 05/07/2002 12/30/2002 SEWER/WATER (OTHE 0.00 0.00 0.00 0,00 0.00 CLOSED 46 LONGO, SUZANNE 11/15/2001 11/30/2001 06/28/2002 LAW ENFORCEMENT 0.00 0,00 0.00 0.00 0.00 CLOSED 47 LOVE, LUCY 09/07/2001 09/10/2001 03/28/2002 VEHICLE COMPREHEN 0,00 0,00 • 0.00 • 0,00 0.00 CLOSED 48 LYNN, PATRICIA 08/28/2000 02/27/2001 05/03/2002 LAW ENFORCEMENT 09/28/2001 .0,00 0.00 0.00 22,50 22.50 CLOSED 49 MAGIC RAZOR, 02/07/2001 06/12/2001 01/31/2002[SEWERAfl/ATER (TREE 0,00 0.00 0.00 0,00 0.00 CLOSED 50 MARQUAND, GUY 09/01/2001 09/26/2001 05/24/2002[TREE (OTHER THAN SE 0.00 0.00 0,00 0,00 0.00 CLOSED 51 MARX, GARY 04/05/2002 05/14/2002 12/30/2002|VEHICLE COLLISION •0.00 0.00 0,00 0.00 0,00 CLOSED 52 MERRILL, JOHN 07/01/2001 10/02/2001 05/03/2002|VEHICLE COLLISION 0,00 0.00 0,00 0,00 0,00 CLOSED 53 MISCALL, KIMBERLY 04/29/2002 05/06/2002 12/30/2002|VEHICLE COLLISION 0,00 0.00 0,00 0,00 0.00 CLOSED 54 NATIONS, SUZANNE 07/08/2001 01/09/2002 07/31/2002jTRIP/FALL 0.00 0.00 0,00 0.00 0,00 CLOSED 55 PACIFIC BELL, RICK RO 08/22/2002 10/15/2002 12/17/2002jSEWERAA/ATER (TREE 0.00 0.00 528,15 0.00 528,15 CLOSED 56 PALMER, FRANK 12/23/2000 01/04/2001 12/30/2002|TREE (OTHER THAN SE 0.00 0.00 .0.00 22.50 22.50 CLOSED 57 PRESNALL, MICHELLE 01/26/2002 02/11/2002 03/28/2002 TRIP/FALL 0.00 0,00 318,56 0.00 318,56 CLOSED 58-PRESTON, PATRICK 11/08/2000 04/01/2001 05/24/2002 PERSONNEL ACTION 11/01/2001 .0.00 0,00 0.00 29,437.21 29,437,21 CLOSED 59 PRUITT, MICHAEL &TH 06/29/2002 06/29/2002 07/17/2002 SEWERA/VATER (TREE, 1-11-1 Hl-r-i-.. 0,00 0.00 8,091.30 3,484.00 11,575,30 CLOSED 60 RODRIGUEZ, ISABEL 03/19/2002 04/02/2002 05/24/2002 VEHICLE COLLISION 0,00 0.00 3,047.51 0,00 3,047,51 CLOSED 61 SANCHEZ, MONICA 10/22/2001 01/16/2002 02/12/2002|VEHICLE COLLISION 0.00 0,00 712.95 0,00 712,95 CLOSED 62 SANCHEZ, ROY 11/23/2001 05/21/2002 12/05/2002|TRIP/FALL 0,00 0.00 10,000.00 270,00 10,270.00 CLOSED :B3: :SCiHAHNrKIANA-jL.V^^ ^Z07/2pi1999 :01'/03/2000 -09/27/2002 VEHICLEGOLLISION 07/10/2000 .0,00 0:00 _r ~ n'nn ^i..„._^roo 0:00 -CLOSED 64 SHEPP, RICHARD 04/13/2002 06/12/2002 01/23/2002 TRIP/FALL 0.00 0.00 0.00 0.00 0,00 CLOSED Tuesday, April 09, 2013 LossRunCiosed Page 2 of 3 City of Carlsbad Loss Run Report Clslnis Cboed between 01/01/2002 and 12/31/2002 ClaimName Date of Loss Date Received Date Closed Category Date Litigate Loss Reserve Expense Resen/e Loss Payment Expense Payment Incurred Status 65 SPIEKER PROPERTIES, 12/29/2000 01/18/2001 12/30/2002 SEWERA^fATER (TREE r-» r— 1 A T^rs ^ 0.00 0,00 0,00 22,50 22,50 CLOSED 66 STATE FARM,HERNAN ni—7 09/05/2001 11/16/2001 01/23/2002 VEHICLE COLLISION 0,00 0,00 464,43 0.00 464,43 CLOSED 67 STATE FARM, MICHAEL 10/12/2001 12/31/2001 02/27/2002 VEHICLE COLLISION 0.00 0,00 98,79 0.00 98,79 CLOSED 68 STEGEHUIS. AMELIA 03/11/2000 09/08/2000 05/03/2002 VEHICLE COLLISION 03/09/2001 0.00 0,00 0,00 0.00 0,00 CLOSED 69 STROUP, MARY 09/24/2001 09/27/2001 06/28/2002 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 0,00 CLOSED 70 SZABO, THOMAS 03/02/2002 05/31/2002 12/30/2002 VEHICLE COLLISION 0.00 0,00 0,00 0.00 0.00 CLOSED 71 TORRES, RUBEN 06/27/2000 06/27/2000 06/28/2002jTREE (OTHER THAN SE 0.00 0.00 0,00 521.26 521.26 CLOSED 72 TRAN, LAN 12/19/2001 02/13/2002 08/30/2002 VEHICLE COLLISION 0.00 0.00 0,00 0,00 0.00 CLOSED 73 UNITRIN, POLLERO 07/18/2001 12/03/2001 03/15/2002|VEHICLE COLLISION 0,00 0.00 2,300,03 0.00 2,300,03 CLOSED 74 US/\A, JADOVITZ 12/21/2001 02/25/2002 05/16/2002 VEHICLE COLLISION 0,00 0.00 6,045,56 0,00 6,045,56 CLOSED 75 VASQUEZ, BENJAMIN 04/19/2001 07/26/2001 02/28/2002 LAW ENFORCEMENT 0,00 0.00 0,00 0.00 0.00 CLOSED .76 VERKLEEREN, JOHN 06/15/2002 06/15/2002 12/18/2002 SEWER/WATER (TREE 0,00 0.00 16,211.81 6,598,97 22,810.78 CLOSED 77 WARREN, DANIEL 04/17/2001 08/30/2001 03/28/2002 LAW ENFORCEMENT 0,00 0.00 0.00 0,00 0,00 CLOSED 78 WEBSTER, LORI 12/23/2001 02/08/2002 09/27/2002|VEHICLE COLLISION 0.00 0.00 0.00 0,00 0.00 CLOSED 79 WORKMEN'S AUTO INS, rtrt rtAT- rti—A(-*i 10/27/2001 05/13/2002 06/25/2002|VEHICLE COLLISION 0,00 0.00 2,312.29 0.00 2,312.29 CLOSED 80 WRIGHT, KELLEY 02/01/2002 02/25/2002 09/27/2002|VEHICLE COLLISION 0,00 0.00 0,00 0,00 0,00 CLOSED Totals " 0,00 0,00 203,337.63 156,177,02 359,514,65 Tuesday, April 09, 2013 LossRunCiosed Page 3 of 3 City of Carlsbad Loss Run Report Qatms Gtosed betwe^i 01/01/2003 and 12/31/2003 ClaimName Date of Loss Date Received Date Closed Category Date Litigate Loss Reserve Expense Resenre Loss Payment Expense Payment Incurred Status AAA, JONES EDERA 10/28/2002 12/20/2002 01/28/2003 VEHICLE COLLISION 0,00 0.00 0,00 7,143,34 7,143,34 CLOSED AHLFORS, KATHLEEN 09/04/2002 10/22/2002 02/11/2003 TRIP/FALL 0,00 0.00 929.83 0.00 929.83 CLOSED ANSON, ELAINE 11/26/2000 01/29/2003 03/31/2003 ATKINS, YVONNE 09/25/2002 03/20/2003 10/28/2003 SEWERAA/ATER (TREE TR IP/FALL 0,00 0.00 0,00 0.00 0.00 CLOSED 0.00 0,00 0,00 0.00 0,00 CLOSED AYALA, ANDREW 07/02/2002 07/15/2002 02/28/2003 SEWER/WATER (TREE 0.00 0.00 0,00 0,00 0.00 CLOSED BARKER, ROBERT S. 08/28/2002 01/24/2003 08/29/2003 TRIP/FALL 0.00 0,00 0,00 0.00 0.00 CLOSED BEIMER, SHARON 10/11/2002 02/18/2003 05/05/2003 VEHICLE COLLISION 0,00 0,00 198,68 0.00 198,68 CLOSED BERRY, SHANEN 09/24/2002 10/16/2002 04/30/2003 VE^HICLE^COMPR^HEN^ 0,00 0,00 0.00 0.00 0,00 CLOSED f.94;BRATTON-MGN EE LE Y-;- 10^ TT 12" 13" 14" -04/24/2002 ^10/21/2002 -1.1/.19/2003 VEHICLECOLLISION" 05/22/2003 0,00 0,00 "0,00 47437:00 -47437:00 -CLOSED^ CARGILE, JASON 01/25/2003 04/23/2003 11/30/2003 VEHICLE COLLISION 0,00 0,00 0,00 0.00 0.00 CLOSED CARPENTER, JOHN 10/09/2003 10/22/2003 11/10/2003 CARTER, AGGIE 09/18/2002 10/02/2002 04/30/2003 VEHICLE COMPREHEN ir^//^'r.i.ir^rtJTi.i VEHICLE COMPREHEN 0.00 0,00 506,24 - 0.00 506,24 CLOSED 0,00 0,00 0,00 0.00 0.00 CLOSED COPELAND, RACHEL 08/06/2003 09/09/2003 10/17/2003 VEHICLE COLLISION 0.00 0,00 3,468,66 0.00 3,468.66 CLOSED CRUZ-GOMEZ, DAVID 02/18/2003 03/20/2003 10/28/2003 LAW ENFORCEMENT 0,00 0,00 0,00 0,00 0.00 CLOSED CZVIK.JOSEPH 08/24/2000.09/15/2000 ,01/31/2003 SEWERAA/ATER.iTREE' 08/16/2001 •0:00 •0:00 '0:00 -0:00 -0:00 -CLOSED- 16 r? '^& '^9 20 2? 22 23 24 26 27 28 29 30 31" 32 DIXON, DIANE 10/17/2003 10/31/2003 12/30/2003 VEHICLE COLLISION 0.00 0,00 2,249,73 0,00 2,249,73 CLOSED DOMINGUEZ, ALEXAND 01/03/2003 02/18/2003 08/29/2003 OTHER 0,00 0.00 0.00 0.00 0.00 CLOSED DUKE, CLESSON AND L 12/16/2002 01/29/2003 08/29/2003 TREE (OTHER THAN SE DUNN, LOWELL 12/07/2002 03/31/2003 0,00 0,00 0.00 0,00 0.00 CLOSED 10/28/2003iVEHICLE COLLISION 0,00 0,00 0.00 0,00 0.00 CLOSED EL CAMINO ESTATES, I 12/06/2002 02/21/2003 03/17/2003 OTHER 0,00 0,00 68.00 0,00 68.00 CLOSED ESPINOZA, EILEEN 05/26/2003 06/02/2003 06/25/2003 VEHICLE COLLISION 0,00 0,00 3,708.01 0.00 3,708.01 CLOSED FARKAS, RITA 10/11/2002 10/16/2002 04/30/2003JVEHICLE COLLISION 0,00 0,00 0.00 0,00 0,00 CLOSED FARMERS, R & V MANA 03/25/2003 04/23/2003 11/30/2003 TRIP/FALL FARMERS, SCHIPKE 01/09/2003 04/01/2003 05/15/2003|VEHICLE COLLISION 0.00 0.00 0.00 0,00 0,00 CLOSED 0,00 0.00 831.80 0.00 831-80 CLOSED -•FEL^DMANr.CHERYL. _12/0.4/2002 01/27/2003 "04/09/2003 OTHER' •01/24/2003 0,00 0,00 0.00 535.00 "535:00 XLOSED- FRAIJO, SUSAN 05/27/2003 05/28/2003 07/15/2003iVEH I CLE COLLISION 0,00 0,00 1,499.11 0,00 1,499.11 CLOSED FRANCK, MICHAEL 05/20/2002 10/08/2002 04/30/2003]VEHICLE COMPREHEN 0.00 0.00 0,00 0.00 0.00 CLOSED GAESSER, RICHARD 11/20/2002 04/15/2003 11/30/2003TRIP/FALL 0.00 0.00 0-00 0.00 0.00 CLOSED GEICO, BRANNAN 02/20/2003 05/13/2003 08/05/2003iVEH I CLE COLLISION 0,00 0.00 3,538.62 0.00 3,538,62 CLOSED GERSON, CHUCK 01/05/2003 04/03/2003 10/28/2003 OTHER 0.00 0,00 0,00 0.00 0.00 CLOSED HARDACRE, JUDITH 10/23/2002 03/20/2003 11/30/2003|TREE (OTHER THAN SE 0,00 0.00 0,00 0.00 0,00 CLOSED HARRISON, STEPHANIE 06/23/2003 07/24/2003 08/12/2003|VEHICLE COMPREHEN 0.00 0,00 254,57 0.00 254,57 CLOSED Tuesday, April 09, 2013 LossRunCiosed Page 1 of 3 city of Carlsbad Loss Run Report Date of Date between 01/01/2003^ and 12/31/2083 Date Date Loss Expense Loss Expense ClarmName Loss Received Closed >^ Category Litigate Resen/e Reserve Payment Payment Incurred Status 33 HOLLAND, MARLENE 06/14/2002 12/11/2002 04/30/20031VEHICLE COLLISION 0,00 0,00 445.11 0.00 445.11 CLOSED 34 HOWES, SARAH 03/29/2003 04/02/2003 05/15/2003|VEHICLE COLLISION 0,00 0,00 1,600.79 0.00 1,600.79 CLOSED 35 lACOVINO, NANCI 10/09/2002 03/03/2003 y • 10/28/2003|TRIP/FALL 0,00 0,00 0.00 0-00 0,00 CLOSED 36 JOHNSON, GREGORY 12/22/2002 01/08/2003 02/26/2003 SEWER/WATER (TREE rt r-1 A -T-l— rt * 0,00 0.00 269.00 0.00 269.00 CLOSED 37 KEVANE, ROBERT 02/04/2003 06/02/2003 09/30/2003 OTHER 0.00 0,00 0,00 0.00 0,00 CLOSED (38 KIEFT, MARK,&.HEIDI _04/25/2003 -05/05/2003 ^ri/30/2003lTREE(OTHER-THANSE: '~* • ; 0;00 ^' . -0:00 r- —0:00 • 0:00 0:00 -CLOSEDr^ 39 LAURENT, JR, MELVIN 09/09/1999 09/12/2000 04/21/2003 OTHER 08/30/2000 0.00 0.00 0,00 69,842,00 69,842.00 CLOSED 40 LE, NORMAN 11/20/2002 12/03/2002 06/26/2003 VEHICLE COLLISION • 0.00 0.00 0,00 . 0,00 0.00 CLOSED 41 LEVY, BERTHA MICHEL 09/20/2002 12/04/2002 06/26/2003jTRI P/FALL 0.00 0.00 0,00 0,00 0.00 CLOSED 42 MANOOGIAN, ARTHUR 01/15/2003 02/26/2003 09/30/2003 VEHICLE COMPREHEN 0,00 0,00 0,00 • 0,00 0.00 CLOSED •43n -MENDESrLEROY —06/27/2001 -12/04/2001 -06/10/2003 LAW-ENFORCEMENT— 05/24/2002 —'T.—-0:00 o,uo 35:000:00 26:565712 "•^617565:12 ::icL*osED:r 44 MENIKHEIM, JASON 05/08/2003 05/09/2003 06/18/2003 VEHICLE COMPREHEN 0,00 0.00 ,238,00 0,00 238.00 CLOSED 45 MONTANYE,PAULA ' 11/11/2002 12/16/2002 06/26/2003 LAW ENFORCEMENT 0,00 0,00 0,00 0.00 0,00 CLOSED 46 MONTANYE, PAULA 11/12/2002 02/04/2003 09/30/2003 LAW ENFORCEMENT 0,00 0.00 0.00 0,00 0.00 CLOSED 47 NICOL, BONNIE 05/21/2003 06/04/2003 07/02/2003 TREE (OTHER THAN SE 0.00 0.00 0.00 0-00 0,00 CLOSED 48 NOLAN, MICHAEL 11/13/2002 11/13/2002 01/15/2003 VEHICLE COLLISION 0.00 0.00 107.33 0.00 107.33 CLOSED 49 ODO-AMEN, SETSUKO 10/22/2002 11/13/2002 06/26/2003 VEHICLE COLLISION 0.00 0.00 0-00 0.00 0.00 CLOSED ;50-| -ORLtKrMICHAEL ^ —12/ir/200'l1 ;d3/13/2002 .05/30/2003 VEHICLE.COLLISION^— 09/09/2002 0:00 i_i.i_ti_i_;0.00 ^2057479:59 ~294;520:31 ^50o;ooo:oo -CLOSED- 51 OSTERLUND, KELLY 02/01/2003 03/19/2003 10/29/2003 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 0.00 CLOSED 52 PACIFIC BELL, 07/19/2002 01/17/2003 08/29/2003 OTHER 0-00 0.00 0,00 0.00 0.00 CLOSED 53 PACIFIC BELL, RICHAR rt rt rt r—1 11 07/25/2002 01/24/2003 08/29/2003 OTHER 0,00 0,00 0,00 0.00 0.00 CLOSED 54 PACIFIC BELL, RICHAR 09/26/2002 03/24/2003 08/29/2003 OTHER 0,00 0,00 0,00 0,00 0.00 CLOSED 55 PALISOUL, PAMELA 01/03/2003 01/21/2003 03/11/2003|VEHICLE COMPREHEN Irtii IW- ;rt-T-i ll—r-i -^i 1 A k 1 rtrt 0,00 0,00 1,840,99 0,00 1,840.99 CLOSED 56 PENA, LAURA 04/07/2003 05/02/2003 05/27/2003|VE HI CLE COLLISION • 0,00 0,00 213,00 0,00 213.00 CLOSED 57 PLOESER, DEBORAH 09/24/2002 10/07/2002 04/30/2003]SEWERAA/ATER (TREE Irt^l AT-i—rt> 0.00 0.00 0.00 0,00 0.00 CLOSED .58. -RADGGNA,-MICHAEL-&-—02/01/2003 -02/03/2003 -06/09/2003jOTHER-^: 04/21/2003 , • nnn .nnn n nn ^ :iR - 3 38 ._CL0SED~7 59 RAGUSA, SHIRLEY 09/12/2002 01/31/2002 04/02/2003 TRIP/FALL 0,00 0.00 0,00 0,00 0.00 CLOSED 60 RUGGIERO, BETH 11/13/2002 11/25/2002 01/28/2003 VEHICLE COLLISION 0,00 0.00 193,80 0.00 193.80 CLOSED 61 RUNDLE, WILLIAM 04/03/2003 04/30/2003 10/17/2003 VEHICLE COMPREHEN ClX/r //^TUf—n -T~l_l A Ll /^J^ 09/03/2003 0,00 0.00 0,00 0,00 0,00 CLOSED 62 RUPERT, JANICE 05/14/2003 05/23/2003 06/18/2003 VEHICLE COMPREHEN rtujr— /rt-riir—r-i -T-I I n L 1 rtrt • 0,00 0.00 260,50 0,00 260.50 CLOSED 63 SAKAUYE, MATT 04/08/2003 04/21/2003 06/18/2003 VEHICLE COLLISION 0,00 0,00 1,251,26 0,00 1,251.26 CLOSED 64 SAN DIEGO GAS & ELE 10/08/2002 01/23/2003 04/09/2003 OTHER 0,00 0,00 592.24 0,00 592.24 CLOSED Tuesday, April 09, 2013 LossRunCiosed Page 2 of 3 City of Carlsbad Loss Run Report 0VO1/2OD3 and 12/31/2003 ClaimName Date of Loss Date Received Date Date Litigate Loss Resenre Expense Reserve Loss Payment Expense Payment Incurred Status [6^ *SANTINO,.DEBORAH 07/21/2000 •^01/02/2001 ^04/09/2003iUAW" ENFORCEMENT-^ 07/23/2001 0:00 -r^0:00 0:00, •~33;83r44 -5:*33;83i:44 "'CLOSED-""57 66 SCHULKEN, ROBERT 09/15/2002 10/09/2002 04/30/2003 LAW ENFORCEMENT 0.00 0,00 0,00 0.00 0,00 CLOSED 67 SCHULTZ, JAMES 12/03/2002 12/09/2002 01/07/2003 VEHICLE COLLISION 0.00 0,00 800.87 0,00 800,87 CLOSED 68' SIMEK, BOB 09/01/2002 10/04/2002 04/30/2003 OTHER - 0.00 0,00 0,00 0,00 0,00 CLOSED 69 SIMPKINS, TERRY 07/06/2003 07/17/2003 08/19/2003 SEWERA/VATER (TREE 0.00 0,00 0.00 0,00 0,00 CLOSED 70 STATE FARM, WHELPT 09/01/2002 01/27/2003 04/09/2003 VEHICLE COLLISION 0.00 0,00 11,072,69 0,00 11,072,69 CLOSED •71 STEPP, MARY 04/10/2002 01/23/2003 08/29/2003 PERSONNEL ACTION 0-00 0,00 0,00 0,00 0,00 CLOSED 72 STILLMAN, JUDY 01/01/1994 03/14/2000 06/30/2003 OTHER 0.00 0,00 0,00 0.00 0.00 CLOSED 73 TAYLOR, CALEB 01/23/2003 04/03/2003 08/19/2003 VEHICLE COLLISION 0.00 0.00 0,00 0,00 0,00 CLOSED 74 TESTERMAN, MONTE 11/04/2000 11/27/2001 10/02/2003 LAW ENFORCEMENT 11/05/2001 0,00 0,00 0,00 86,357,72 86,357.72 CLOSED 75 TOM, LEONARD 07/22/2002 08/07/2002 01/07/2003 SEWER/WATER (TREE 0.00 0,00 250,00 565.10 815,10 CLOSED 76 TRACY, PEGGY 07/12/2002 09/12/2002 04/30/2003 TRIP/FALL 0.00 0,00 0.00 0,00 0,00 CLOSED 77 TRAVELERS, DANETTE I^L ll^l> t 1^ 07/22/2002 10/22/2002 01/07/2003 SEWER/WATER (TREE 0,00 0,00 5,740.86 0,00 5,740,86 CLOSED 78 UNION BANK OF CALIF 03/18/2001 05/17/2001 03/31/2003 SEWERAWATER (TREE 0.00 0,00 0.00 0,00 0,00 CLOSED 79 VALLAIRE, ROBIN 11/13/2002 11/25/2002 01/15/2003 VEHICLE COLLISION 0,00 0,00 140.68 0.00 140,68 CLOSED 80 VENTURI, NORMAN 01/10/2003 02/07/2003 08/29/2003|VEHICLE COLLISION 0,00 0,00 0.00 0.00 0,00 CLOSED 81 VINZANT, MARIAN 04/01/2001 04/23/2001 04/30/2003|TREE (OTHER THAN SE 0,00 0,00 0.00 0,00 0.00 CLOSED 82 WADSWORTH, PAULA 09/30/2002 12/06/2002 01/07/2003 VEHICLE COLLISION 0,00 0.00 . 143.04 0,00 143,04 CLOSED 83 WELLS, ROBERT . 07/01/2002 07/25/2002 03/31/2003 OTHER 02/07/2003 0.00 0,00 0.00 0.00 0.00 CLOSED 84 WESTERN TOWING, LO 06/10/2003 06/13/2003 07/01/2003|VEHICLE COLLISION 0,00 0,00 141,62 0-00 141.62 CLOSED 85 WOLFSON, DEBORAH 09/01/2002 11/22/2002 05/23/2003|VEHICLE COLLISION 0.00 0.00 3,385.27 0.00 3,385,27 CLOSED 86 WORDEN, MICHELLE 03/02/2003 03/17/2003 10/29/2003|VEHICLE COMPREHEN 0,00 0.00 0,00 0-00 0.00 CLOSED 87 WRIGHT, GINA 07/17/2002 08/08/2002 02/28/2003|VEHICLE COMPREHEN rti\ rrr ^rtTi ir-n TI I A i I rt/^ 0,00 0.00 0,00 0.00 0,00 CLOSED Totals 0,00 0,00 286,419.99 523,800,41 810,220,40 Tuesday, April 09, 2013 LossRunCiosed Page 3 of 3 City of Carlsbad Loss Run Report ClaijnName Date of Loss Date Received Date Closed Category Date Litigate Loss Reserve Expense Reserve Loss . Payment Expense Payment Incurred Status 'SLCOSERrNANCY " . 09/.12/2004 .09/27/2004 J0/26/2004'|TREE"(OTHERTHANSE-—T7~o:oo . •• - u:uu •• •••"^500700 ' -0:00 ^..' t^nn nn ^ CLOSED-i 2 ALKAZIN, TOM 09/03/2003 09/18/2003 04/30/2004|TREE (OTHER THAN SE 0.00 0,00 0,00 0.00 0.00 CLOSED 3 ALLSTATE, BACH 09/02/2003 02/05/2004 09/30/2004 VEHICLE COLLISION 0,00 0,00 0,00 0.00 0,00 CLOSED 4 ALTA VERDE CONDOMI 04/14/2003 05/15/2003 01/30/2004 OTHER - 0,00 0.00 0.00 0,00 0,00 CLOSED 5 AMERICAN EXPRESS, 05/15/2003 06/25/2003 07/30/2004 VEHICLE COLLISION, 0,00 0,00 0,00 0.00 0,00 CLOSED 6 AMICK, PAMELA 04/14/2003 05/15/2003 01/30/2004 OTHER 0.00 0.00 0,00 0,00 0,00 CLOSED 7 ASH, MICHAEL 09/27/2001 03/15/2002 07/30/2004 VEHICLE COLLISION 10/22/2002 0,00 0,00 0,00 42,417,91 42,417,91 CLOSED 8 ASHJIAN, ARTHUR 01/10/2004 02/10/2004 09/30/2004 LAW ENFORCEMENT 0,00 0,00 0,00 0,00 0.00 CLOSED 9 AT&T WIRELESS SERVI rt f— 07/12/2001 07/30/2004 OTHER • 0,00 0,00 250,000.00 .255,634,57 505,634,57 CLOSED 10 AZ\LLE, PETER 10/20/2003 11/10/2003 05/28/2004 LAW ENFORCEMENT 0,00 0,00 0,00 0.00 0.00 CLOSED 11 BACKOVSKY, F, DENEK 05/15/2003 11/17/2003 09/30/2004 VEHICLE COLLISION 0,00 0,00 0,00 0,00 0.00 CLOSED• 12 BENDER, ROBERT 04/26/2004 05/25/2004 12/30/2004 VEHICLE COLLISION 0.00 0.00 0,00 0,00 0.00 CLOSED 13 BENNETT, KIERSTEN 07/15/2002 08/29/2002 07/30/2004|TRIP/FALL 0.00 •0.00 0,00 0,00 0.00 CLOSED 14 BERNARD, GLENN 07/11/2003 08/20/2003 01/12/2004 LAW ENFORCEMENT 10/03/2003 0,00 0.00 • 242,00 0,00 242,00 CLOSED 15 CALI, RICHARD 11/18/2003 12/23/2003 07/30/2004 VEHICLE COLLISION 0,00 0.00 0,00 0.00 0.00 CLOSED 16 CEBALLOS, DANIEL 12/09/2003 05/03/2004 12/30/2004 LAW ENFORCEMENT 0,00 0,00 0.00 0,00 0.00 CLOSED 17 CHARETTE, DAVID 11/29/2003 04/21/2004 06/07/2004jTRI P/FALL 0,00 0.00 400,00 0.00 400,00 CLOSED 18 CINCIARELLI, KASEY 02/26/2003 08/22/2003 02/27/2004jOTHER 0.00 0.00 0,00 0.00 0.00 CLOSED 19 COUNTRY WIDE HOME 1 rt A K irt 05/02/2002 05/02/2002 06/29/2004ISEWER/WATER (OTHE 0,00 0.00 0,00 7,833.14 7,833.14 CLOSED 20 CURTIN, MARGARET 09/09/2003 02/25/2004 09/30/2004]TRIP/FALL 0,00 0.00 0.00 0.00 0.00 CLOSED 21 DEBACKER, JULIE 01/24/2004 04/26/2004 10/29/2004|VE HI CLE COLLISION 0,00 0.00 0.00 0.00 0.00 CLOSED 22 DICKERSON, IRMA 04/13/2004 04/26/2004 06/02/2004]VEHICLE COLLISION 0,00 0.00 866.82 0.00 866.82 CLOSED 23 DOLBOW, MICHAEL 05/13/2002 11/08/2002 07/30/2004]TRIP/FALL 05/12/2003 0,00 0.00 10,000.00 61,990.79 71,990.79 CLOSED 24 DOUGLASS, BARBARA 07/09/2002 01/06/2003 01/12/2004]TRIP/FALL 0.00 0.00 1,977.08 0.00 1,977.08 CLOSED 25 DRISCOLL, ANGELA 01/22/2004 02/19/2004 09/30/2004|VEHICLE COLLISION 0,00 0.00 0.00 0.00 0.00 CLOSED 26 EDWARD JONES INVES 05/02/2002 05/02/2002 05/28/2004]SEWER/WATER (OTHE 'rt -I-l 1 n K 1 T-rt rt r-1 A T^ 0,00 0,00 0,00 0,00 0.00 CLOSED 27 ELLIS, LARRY 06/08/2004 06/21/2004 08/24/2004 LAVV ENFORCEMENT 0.00 0,00 150.00 0,00 '150.00 CLOSED 28 ESPINO, EFRAIN 03/09/2004 04/14/2004 05/11/2004 VEHICLE COLLISION 0.00 0,00 1,431.69 0,00 1,431.69 CLOSED 29 EVANS, KAREN & ROBE 02/12/2004 02/12/2004 07/21/2004|TREE (OTHER THAN SE lAfl—rtAJl*A-f^rt rt^l A Tf—rt 05/27/2004 0-00 0,00 1,852.00 0-00 1,852.00 CLOSED 30 FINCHER, KIM & KAREN 09/19/2003 10/06/2003 04/30/2004|VEHICLE COLLISION 0.00 0,00 0.00 0.00 0.00 CLOSED 31 FLOOD, TERRANCE 02/29/2004 03/10/2004 03/31/2004|VEHICLE COLLISION 0.00 0.00 1,941.74 0-00 1,941.74 CLOSED 32 FREURE, LAUREN 08/14/2003 08/06/2003 02/27/2004 OTHER 0.00 0.00 0.00 0-00 0.00 CLOSED Tuesday, March 26, 2013 LossRunCiosed Page 1 of 4 City of Carlsbad Loss Run Report ClaimName Date of Loss Mns Oosed bstween 01/01/2001 and 12/31/20D4 Date Date Received Closed Category Date Litigate Loss Resen/e Expense Reserve Loss Payment Expense Payment Incurred Status 33 FRIEDMAN, CATHY & S 10/22/2004 11/03/2004 12/14/2004|OTHER 0.00 0,00 1,200,00 0,00 1,200.00 CLOSED t^^^GE^ARDI.TJOHN: .09/.12/2004 35 GEICO, ALCOSER 09/12/2004 L10/07/2004t-7l2/02^004|TREE-(OTHERTHAN;SE 'TFTE^E^foTHEfTf^^^ -0.00 0.00 -700,00 ...0,00 -700:00 CLOSED^ 10/29/2004 12/14/2004 36 GHEZZI, CHRISTINE 06/21/2002 08/15/2002 12/17/2004 0,00 0.00 4,082,27 0.00 4.082.27 CLOSED TRIP/FALL 04/24/2003 0,00 0.00 60,000,00 15,868,56 75,868-56 CLOSED 37 GILMORE. ELVERAM, 12/27/2003 02/13/2004 03/31/2004 SEWER/WATER (TREE 0,00 0.00 2.350,63 0.00 2,350,63 CLOSED 38 GLICKMAN, PAMELA 10/22/2003 12/15/2003 07/30/2004 VEHICLE COLLISION 0,00 0.00 0,00 0,00 0,00 CLOSED 39 GREEN,DANA 08/05/2003 01/30/2004 11/30/2004 TRIP/FALL 0.00 0,00 0.00 0,00 0,00 CLOSED 40 HASHEMI, BEHZAD 09/23/2002 09/30/2003 01/28/2004 TRIP/FALL 11/18/2003 0,00 0,00 0.00 0,00 0.00 CLOSED 41 HERNANDEZ, ARNULF 01/23/2004 01/28/2004 03/10/2004 LAW ENFORCEMENT 0,00 0,00 192.00 0,00 192.00 CLOSED HFC HOUSEHOLD FINA HILL, YOLANDA 05/02/2002 05/02/2002 05/25/2004 SEWER/WATER (TREE 0,00 0,00 0.00 0,00 0.00 CLOSED 05/31/2002 05/23/2003 06/29/2004|VEHICLE COLLISION 0.00 0.00 0,00 0.00 0.00 CLOSED 44 JOHNSON, DONALD 07/22/2004 07/30/2004 08/24/2004 SEWER/WATER (TREE' 0-00 0,00 75,00 0.00 75.00 CLOSED 45 JUDSON, ANNE-MARIE 06/01/2004 06/10/2004 10/05/2004 LAW ENFORCEMENT 0.00 0,00 196,00 0.00 196,00 CLOSED 46 KAPLAN, ALEXANDER 02/26/2003 08/22/2003 02/27/2004 OTHER 0,00 0,00 0,00 0,00 0.00 CLOSED 47 KENNY, ALAN 01/07/2003 10/27/2003 11/30/2004 LAW ENFORCEMENT 11/03/2003 0,00 0.00 0,00 289.00 289.00 CLOSED 48 KERSTEN, DAVID & PA 12/01/2004 02/10/2004 10/29/2004 OTHER 0,00 0.00 0,00 0,00 0,00 CLOSED 49 KING, JUSTIN & MADAL 11/23/2003 01/02/2004 07/30/2004|VEHICLE COMPREHEN 0,00 0.00 0,00 0.00 0,00 CLOSED LACY, GWENDOLYN (S 08/30/2003 11/07/2003 07/30/2004 VEHICLE COLLISION 0.00 0,00 0,00 0,00 0,00 CLOSED LACY, SASH! GWEN 08/30/2003 03/01/2004 09/30/2004 VEHICLE COLLISION 0,00 0,00 0.00 0,00 0.00 CLOSED 52 LARSON, KEN 02/26/2004 03/16/2004 09/30/2004 VEHICLE COLLISION 0,00 0.00 0.00 0.00 0,00 CLOSED LAS BRISAS PACIFICAS LASSLE, JEFF 03/11/2004 03/23/2004 11/30/2004 SEWER/WATER (TREE 0,00 0,00 17,399.84 0,00 17,399.84 CLOSED 04/07/2003 05/23/2003 01/30/2004 LAW ENFORCEMENT 0.00 0.00 0,00 0.00 0.00 CLOSED ^RUS-GISELLE:Z: -•06/19/2003 -10/02/2003 -04/30/2004 LAW-ENFORCEMENT. -0.00 -0,00 "o:oo "0.00 -o:oo CLOSED LEGOLAND CALFQRNI 12/04/2003 01/13/2004 04/20/2004 SEWERA/VATER (TREE 0.00 0,00 1.429,54 0,00 1.429.54 CLOSED LEONE, ROSEMARY 07/28/2004 07/29/2004 09/21/2004 MANNING, BENNETTS 05/06/2003 08/01/2003 02/27/2004 TREE (OTHER THAN SE OTHER 0,00 0,00 737,85 0,00 737.85 CLOSED 0,00 0-00 0,00 0,00 0,00 CLOSED MASON, LORI 01/05/2004 02/03/2004 09/30/2004 VEHICLE COLLISION 0,00 0,00 0,00 0,00 0,00 CLOSED MELBROD, GEORGE & A r-ll-l A rt-A . 10/22/2003 11/04/2003 06/29/2004 VEHICLE COLLISION 0,00 0,00 0,00 0,00 0,00 CLOSED MERCURY INS, CO,, DE 01/24/2004 02/26/2004 09/30/2004 VEHICLE COLLISION 0,00 0.00 0.00 0,00 0.00 CLOSED MILLIKEN,TIMANDDA *i»jjcri_i. rz - . 05/11/2003 12/31/2003 10/29/2004 OTHER 0,00 0.00 0.00 0,00 0.00 CLOSED MURRAY, JOSEPH 08/02/2003 08/08/2003 02/27/2004iVEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 CLOSED NGUYEN, JUDY 01/05/2004 06/02/2004 07/28/2004|TREE (OTHER THAN SE 0,00 0,00 4,072,50 0-00 4,072,50 CLOSED Tuesday, March 26, 2013 LossRunCiosed Page 2 of 4 City of Carlsbad Loss Run Roport between 01/01/^04 and 12/31/2004 ClaimName Date of Loss Date Received Date Closed Cateqorv Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status 65 NGUYEN, THANH NHAN 10/06/2004 11/01/2004 12/28/2004 VEHICLE COLLISION 0.00 0,00 663,50 0,00 663,50 CLOSED 66 NICOL, BONNIE 06/19/2003 07/18/2003 03/31/2004 TREE (OTHER THAN SE 02/09/2004 0.00 0,00 0,00 754,00 754,00 CLOSED 67 NORTHINGTON, TERRI 04/03/2004 04/15/2004 04/27/2004 VEHICLE COLLISION 0.00 0,00 1,434,37 0,00 1,434,37 CLOSED 68 OLIVARES, JANICE 06/07/2003 11/30/2003 06/29/2004 TRIP/FALL 0.00 0,00 0.00 0,00 0,00 CLOSED 69 PAGANS, BOBBY 05/27/2003 12/23/2003 07/30/2004 VEHICLE COLLISION 0.00 0,00 0,00 0,00 0,00 CLOSED 70 PERRY, PATRICIA 07/15/2003 08/27/2003 04/30/2004 TRIP/FALL 0.00 0,00 0.00 0,00 0.00 CLOSED 71. POINSETTIA COVE MAI 04/25/2003 10/13/2004 12/07/2004 SEWERA/VATER (TREE 0,00 0,00 961.75 0,00 961.75 CLOSED 72 PRESTON, PATRICK 09/04/2003 02/13/2004 09/30/2004 PERSONNEL ACTION 0,00 0,00 0,00 0,00 0.00 CLOSED 73 RAIKA, MALIHE 11/13/2002 05/12/2003 12/20/2004]VEHICLE COLLISION 11/07/2003 0.00 0.00 . 0.00 18,614,95 18,614-95 CLOSED 74 RICHARDSON, THOMA 05/12/2004 05/26/2004 08/24/2004|TREE (OTHER THAN SE 07/09/2004 0,00 0,00 0.00 62,00 62.00 CLOSED 75 RiVKIN, ASHLEY 03/01/2003 08/26/2003 10/29/2004 TRIP/FALL 0,00 0.00 0.00 0,00 0,00 CLOSED 76 ROCHON, DONALD 10/07/2000 12/26/2000 04/30/2004 LAW ENFORCEMENT 03/21/2001 0,00 0,00 0.00 0,00 0,00 CLOSED 77 ROCHON,DONALD 06/26/2000 11/07/2000 04/30/2004 LAW ENFORCEMENT 03/21/2001 0,00 0,00 0.00 160,152,21 160,152.21 CLOSED 78 ROOFING SERVICES IN 05/31/2002 07/11/2002 06/29/2004 VEHICLE COLLISION 0,00 0.00 1,176.26 0,00 1,176-26 CLOSED 79 ROWE, KERRl 04/27/2004 05/13/2004 11/30/2004 VEHICLE COMPREHEN .0.00 0.00 0,00 0,00 0,00 CLOSED 80 ROY, DANIEL 06/21/2000 11/13/2000 04/30/2004 PERSONNEL ACTION 06/18/2001 0,00 0.00 0,00 103,338.40 103,338.40 CLOSED 81 SAN MARCOS, CITY OF 03/11/2004 06/22/2004 11/30/2004 SEWER/WATER (OTHE rt' -1-1 1 A L 1 -r-rt 1— 1— rt r-1 A Tl— 0,00 0.00 0,00 0,00 0,00 CLOSED 82 SANCHEZ, ALBERTO 10/28/2004 11/10/2004 12/02/2004 SEWER/WATER (TREE 0,00 0.00 1,583,36 0,00 1,583.36 CLOSED 83 SBC, R, ARREDONDO 03/01/2004 08/30/2004 10/26/2004 OTHER 0,00 0.00 286,12 0.00 286.12 CLOSED 84 SCHNEIDMULLER, OTTI 12/05/2003 01/27/2004 09/30/2004 TRIP/FALL 0,00 0,00 0,00 0.00 0.00 CLOSED 85 SCHWARTZ, FRED 11/18/2004 11/24/2004 12/14/2004 VEHICLECOLLISION • 0,00 0.00 705,93 0.00 705,93 CLOSED 86 SHEN, KONG 10/27/2003 12/26/2003 01/26/2004 LAW ENFORCEMENT 0.00 0,00 588,00 0.00 588.00 CLOSED 87 SIMON, SUSAN 08/22/2003 02/23/2004 10/29/2004 TRIP/FALL 0.00 0,00 0,00 ' 0-00 0.00 CLOSED 88 SPRINT TELEPHONY P rt *-( 12/09/2003 03/22/2004 10/29/2004 OTHER 03/05/2004 0.00 0,00 0.00 0,00 0.00 CLOSED 89 STATE FARM, HUFF-09/19/2003 11/19/2003 06/29/2004 VEHICLE COLLISION 0,00 0,00 0,00 0,00 0.00 CLOSED 90 STEVENSON, JOHN 11/04/2003 12/10/2003 07/30/2004 TRIP/FALL 0,00 0.00 0.00 0,00 0.0.0 CLOSED 91 TARON, LOIS 03/01/2004 06/14/2004 06/29/2004 VEHICLE COLLISION 0,00 0.00 89,10 0,00 89.10 CLOSED 92 TSANG, HILDA & IVAN 12/01/2003 03/01/2004 09/30/2004 TREE (OTHER THAN SE 0,00 0.00 0.00 0,00 0,00 CLOSED 93 WAWANESA, BARILE 09/16/2002 01/27/2003 01/05/2004 VEHICLE COLLISION 05/16/2003 0,00 0,00 0,00 0.00 0,00 CLOSED 94 WIR HOLDINGS, LLC, R 02/25/2003 08/12/2003 11/30/2004 OTHER 02/17/2004 0,00 • 0,00 . 0.00 590.50 590.50 CLOSED 95 WISE II, RALPH 05/18/2004 06/17/2004 07/27/2004 LAW ENFORCEMENT 0,00 - 0.00 - "241.00 0,00 241.00 CLOSED Tuesday, March 26, 2013 LossRunCiosed Page 3 of 4 City of Carlsbad Loss Run Report mm Closed betwoffli 01/01/2004 and 12/31/2004 Date of Date Date Date Loss Expense Loss Expense ClaimName Loss Received Closed Cateqorv Litigate Reserve Reserve Payment Payment Incurred Status Totals 0.00 0.00 •369,526,35 667,546,03 1,037,072,38 Tuesday, March 26, 2013 LossRunCiosed Page 4 of 4