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Home My WebLink About; ; Records Destruction Authorization Form-Risk Management; 2014-06-23RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OaoBER 30,2013 PAGE 1 OF 20 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: TERIE ROWLEY DESTRuaioN 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. 3 DEPARTMENT HEAD: RECORDS IVIANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM23 AAA, Roberts-Claim, Vehicle Collision Closed 2006 0745-20 CL-I-5 RKM23 Anderson, Keith-Claim, Sewer/Water, other than Tree related Closed 2006 0745-20 CL-t-5 RKM23 Arenz, Teri- Litigated Claim, Sewer/Water, other than Tree related Closed 2006 0745-50 CL+7 RKM23 Arenz, Teri- Claim, Sewer/Water, other than Tree related Closed 2006 0745-20 CL-i-5 RKM23 AT&T/Pacific Bell-Claim, Vehicle Collision Closed 2006 0745-20 CL-H5 RKM23 Atanasovski, Milano-Litigated Claim, Vehicle Collision Closed 2006 0745-50 CL-H7 RKM23 Ayoub, Matta & Teresa-Claim, Sewer/Water Other Than Tree Related Closed 2006 0745-20 CL-I-5 To be filled out once records have been destroyed. RECORD DESTRUaiON COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: SI YES • NO DATE: DATE: /-a? This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 ^ CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 2 OF 20 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: TERIE ROWLEY DESTRuaioN APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, requij[^d audits have been completed, and no pending or ongoing litigation or investigation involving these records is knowp'j DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM23 Bannister & Broderdorf, Kathryn & Cindy-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL-i-7 RKM23 Bannister & Broderdorf, Kathryn & Cindy-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL-H5 RKM23 Behar, Sherri-Litigated Claim, Sewer/Water Other Than Tree Related Closed 2006 0745-50 CL-H7 RKM23 Behar, Sherri-Claim, Sewer/Water Other Than Tree Related Closed 2006 0745-20 CL-H5 RKM23 Bjorstram, Paul Wesley-Claim, Law Enforcement Closed 2006 0745-20 CL-I-5 RKM23 Blasi, Clif- Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? 0 YES • NO SMEADSOFT BARCODES DELETED BY: C^>»^^^t^-t^CC^ DATE: DATE: (-36'^(y This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 3 OF 20 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 knowr DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM23 Blasi, Clif-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM23 Bloom, Katherine-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM23 Bohrer, Lisa & Marcus-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM23 Boyd, Tom-Claim, Law Enforcement Closed 2006 0745-20 CL+5 RKM23 Breeding, Todd-Claim, Sewer/Water, Tree Related Closed 2006 0745-20 CL+5 RKM23 Brindisi At Aviara-Claim, Sewer/Water, Tree Related Closed 2006 0745-20 CL+5 RKM23 Bristol Cove Property Owners Assoc.-Claim, Other, Sediment in Lagoon Due to Run Off Closed 2006 0745-20 CL+5 RKM23 Brooks, Ian-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY O^ES • NO DATE: U-^^^^ DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. A o, Revised: 10/30/2013 ^"^ CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 4 OF 20 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: TERIE ROWLEY DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, requiredaudits have been completed, and no pending or ongoing litigation or investigation involving these records is knovvnj DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM23 Buitron, Alexis-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM23 Bunnell, Brenda-Litigated Claim, Personnel Action Closed 2006 0745-50 CL+7 RKM23 Cain, Michael-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM23 Cain, Michele-Claim Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM23 Caravantes, Derek-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM23 Chavez, Rosa-Claim, Sewer/Water, Tree Related Closed 2006 0745-20 CL+5 RKM23 Chryssovergis, Christine-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: DATE: b^3'^<^ DATE: f-30<3^y This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 '"^^ CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 5 OF 20 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 tc DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM23 Class, Patricia-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM23 Danko, James-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM23 Denneson, James-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM23 Dept. ofthe Navy, Eguiguren-Claim, Trip/Fall Closed 2006 0745-20 CL+5 RKM23 Diaz, Eva-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM23 Diplock, Robert-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+5 RKM23 Diplock, Robert-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM23 Dobek, Christopher-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: MOO DATE: DATE: l-m-^U ^ CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 6 OF 20 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 DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM23 Dunn, Paula-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM23 Eguiguren, Angela & Vicente-Claim, Trip/Fall Closed 2006 0745-20 CL+7 RKM23 Elovitz, Jonathan-Claim, Vehicle Comprehensive, Other Than Collision, Tree or Law Enforcement Related Closed 2006 0745-20 CL+5 RKM23 Elovitz, Mike-Claim, Vehicle Comprehensive, Other Than Collision, Tree or Law Enforcement Related Closed 2006 0745-20 CL+5 RKM23 Farmers, Rothschild-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM23 Fiedler, Steven-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM23 Fiedler, Steven-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: VES • NO DATE: lp'^3-^y DATE: (yjO'^^ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 7 OF 20 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 knov DEPARTMENT HEAD: RECORDS MANAGEMENT: / ^^{1 CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM23 Foudy, Jeff & Tina-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM23 French, Esther-Claim, Trip/Fall Closed 2006 0745-20 CL+5 RKM24 Gamboa, Zoila-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM24 Gardner, Jeff-Claim, Sewer/Water, Tree Related Closed 2006 0745-20 CL+5 RKM24 Gasperian, Daizel-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM24 Gates, James-Claim, Law Enforcement Closed 2006 0745-20 CL+5 RKM24 Geico Subrogee For Kimberiy Jackson-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM24 Geico, Ojeda-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 1 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: _ • NO DATE: (^-^3'^^ DATE: /'.^^ ^-^^ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 8 OF 20 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 e^ I DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM24 Gibbs, Michael & Lara-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM24 Gibbs, Michael & Lara-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM24 Gorak, Joseph-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM24 Gorak, Joseph-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM24 Graff, Paula & William-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM24 Harari, Torpakai & Ata-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM24 Hertz Corporation-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM24 Hollins, Sandra-Claim, Trip/Fall Closed 2006 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: DATE: &'cP3' _ • NO DATE: I'3d ^<^-^ CTV O. CARLSBAD TWs form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 9 OF 20 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 kno\/ DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM24 Holmlund, Candise-Claim, Law Enforcement Closed 2006 0745-20 CL+5 RKM24 Keith, Sharon-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM24 Ken Grody Ford-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM24 Kenney, John & Yolanda-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM24 King, John-Claim, Vehicle Comprehensive, Other than Collision, Tree or Law Enforcement Related Closed 2006 0745-20 CL+5 RKM24 Kinto, Troy-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: • NO DATE: DATE: f' ^ Jj^ry This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 CARLSBAD <^<^- Cl.. o RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 10 OF 20 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: TERIE ROWLEY DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, reqtjit^ed audits have been completed, and no pending or ongoing litigation or investigation involving these records is knoifi DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM24 Kirkendall, Kevin-Claim, Vehicle Comprehensive, Other than Collision, Tree or Law Enforcement Related Closed 2006 0745-20 CL+5 RKM24 Kobo-Claim, Other, Lost Revenue Due to Sidewalk Improvement Closed 2006 0745-20 CL+5 RKM24 Kopp, Elisa-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM24 Kopp, Lawrence-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM24 Kopp, Lawrence-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM24 Kyle, Daniel-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM24 Kyle, Daniel & Elizabeth-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: • NO DATE: (^'<^^t>/(f DATE 7 This form document the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 11 OF 20 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^ DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM24 Labani, Beverley-Claim, Trip & Fall Closed 2006 0745-20 CL+5 RKM24 La Casa Del Sol HOA-Claim, Other, Ground water problems Closed 2006 0745-20 CL+5 RKM24 La Costa De Marbella HOA-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM24 La Costa De Marbella HOA Corp- Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM24 Lewis, Jason-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM24 Lewis, Jason-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM24 Loli, Victoria-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM25 Majeska, Alex-Claim, Law Enforcement Closed 2006 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: H^vis • NO DATE: Ifi'^s -^ry DATE: h'5d'Pdry ^ CARLSBAD This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 12 OF 20 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: TERIE ROWLEY DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, require^l audits have been completed, and no pending or ongoing litigation or investigation involving these records is known \ DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM25 McBride, Kimberlee-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 Mills, Suzie-Claim, Vehicle Closed 2006 RKM25 Comprehensive/Other Than Collision Closed 2006 0745-20 CL+5 RKM25 Molnar, Betty-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM25 Moreno, Mineko-Claim, Other Closed 2006 0745-20 CL+5 RKM25 Mouritzen, Ryan-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM25 Mouritzen, Ryan-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM25 Murdock, Tom & Linda-Claim, Other, Damaged Table Closed 2006 0745-20 CL+5 RKM25 Nazari, Fereshtech-Claim, Other, Library Bookcase Fell on Claimant Closed 2006 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: • NO DATE DATE: h^O^^^O^ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. A - Revised: 10/30/2013 CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 13 OF 20 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 \ EPARTMENT HEAD: RECORDS MANAGEMENT: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM25 Neville, Stephen-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM25 Neville, Stephen-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM25 Nguyen, Andrew-Huy Anh-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM25 Nicholas, Tania-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM25 Nicholas, Tania & Jody-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM25 Orth, Gregory-Claim, Vehicle Comprehensive, Other Than Collision Closed 2006 0745-20 CL+5 RKM25 Parks, April-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY ^^YES • NO DATE: (e'U3 '^f DATE: ("db '^rc/ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 CARLSBAD 4k RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 14 OF 20 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 tOA DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM25 Parks, April-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM25 Peddy, Mary-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM25 Pedrotta, Charles-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM25 Pilot III, William Hamilton-Scott- Litigated Claim, Law Enforcement Closed 2006 0745-50 CL+7 RKM25 Pinnow, Ronda Smith-Claim, Trip & Fall Closed 2006 0745-20 CL+5 RKM25 Poincenot, Lionel-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM25 Powers Jeffrey-Claim, Other, Landslide Closed 2006 0745-20 CL+5 RKM25 Reiter, Milton-Litigated Claim, Trip & Fall Closed 2006 0745-50 CL+7 RKM25 Rhead, Morgen-Litigated Claim, Law Enforcement Closed 2006 0745-50 CL+7 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: _ g^YES • NO DATE: (^^^3'^(f DATE: 1-30 D-a^ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 ^ CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 15 OF 20 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 . DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM25 Robinson, Michael & Austin, Denise- Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM26 Safarik, Christine-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM26 SBC/Pacific Bell-Claim, Sewer/Water, Tree Related Closed 2006 0745-20 CL+5 RKM26 Schaeffer, Karl-Claim Vehicle Collision Closed 2006 0745-20 CL+5 RKM26 Schumacher, Judith & Ford, Francis- Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM26 Selwitz, Marby-Litigated Claim- Vehicle Collision Closed 2006 0745-50 CL+7 RKM26 Sheehan, Helene-Claim, Vehicle Comprehensive, Other than Collision Closed 2006 0745-20 CL+5 RKM26 Shippen, Eric-Litigated Claim, Sewer/Water Other Than Tree Related Closed 2006 0745-50 CL+7 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY ; • NO DATE: DATE : ^'3o jLOrc Cl.. O This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 16 OF 20 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: TERIE ROWLEY DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, requji[£d audits have been completed, and no pending or ongoing litigation or investigation involving these records is knov DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM26 Sommerville, Grace Lyn-Claim, Vehicle Comprehensive ,0ther Than Collision Closed 2006 0745-20 CL+5 RKM26 Soto, Jorge Luis-Claim, Vehicle Comprehensive, Other Than Collision Closed 2006 0745-20 CL+5 RKM26 Speck, Ross-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM26 Standring, Ernest-Claim, Sewer/Water, Tree Related Closed 2006 0745-20 CL+5 RKM26 Steinhauer, Bonnie-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM26 Strong, Robert Michael-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM26 Sullivan, Robert & Kathleen-Claim, Other-Police broke door during fire in adjacent property Closed 2006 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: • NO DATE: 93 '-^f DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 17 OF 20 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 au^its^have been completed, and no pending or ongoing litigation or investigation involving these records is known DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM26 Swartwood, Rod-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM26 Synesiou, John-Claim, Trip & Fall Closed 2006 0745-20 CL+5 RKM26 Tate, Stephen-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM26 Tavakoli, Sabihe-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM26 Tavakoli, Sabihe-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM26 Theotilopoulos, Ellie-Claim, Other, Flooding Due to Development Closed 2006 0745-20 CL+5 RKM26 Thomas, Bruce-Claim, Other, City Employee Discourteous Closed 2006 0745-20 CL+5 RKM26 Thomas, Bruce-Claim, Law Enforcement Closed 2006 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: ^<?3'«^^ DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 18 OF 20 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: TERIE ROWLEY DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, requicad audits have been completed, and no pending or ongoing litigation or investigation involving these records is known^^^st.. DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM26 Tillotson, Linda-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM26 Tran, Hong-Claim, Vehicle Comprehensive, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM26 Trask, N. June-Claim, Trip & Fall Closed 2006 0745-20 CL+5 RKM26 Uldricks, Marian-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM26 Uldricks, Marian-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-^ CL-1^7 RKM26 USAA, Gray-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM26 Van De Wiel, Mick-Claim, Sewer/Water, Tree Related Closed 2006 0745-20 CL+5 RKM26 Verespej, James-Claim, Vehicle Collision Closed 2006 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: tp'^S'^if DATE: h30 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 ^ CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 19 OF 20 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: TERIE ROWLEY DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, requiredaudits have been completed, and no pending or ongoing litigation or investigation involving these records is knov DEPARTMENT HEAD: RECORDS MANAGEMENT: /I CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM26 Villanueva, Juan Manuel-Claim, Vehicle Collision Closed 2006 0745-20 CL+5 RKM26 Walters, Virginia-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM26 Walters, Virginia-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM26 Watson, Audrey-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM26 Wells, Buford-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM26 Whitehead, Robert-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM26 Whitehead, Robert-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: n^s. • NO DATE: l>23'?f)/(A DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised: 10/30/2013 ^ CARLSBAD RECORDS DESTRUCTION AUTHORIZATION FORM DATE: OCTOBER 30,2013 PAGE 20 OF 20 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: TERIE ROWLEY DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, req^ completed, and no pending or ongoing litigation or investigation involving these records is kj Tls have been 43f3Uu DEPARTMENT HEAD: RECORDS MANAGEMENT: CITY ATTORNEY: BOX NO. RECORDS DESCRIPTION DATED RRS NO. RRS PERIOD SMEADSOFT BARCODE (if applicable) RKM26 Whitehead, Robert-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM26 Williams, Renee-Claim, Other, Personal Property Disposed Of Closed 2006 0745-20 CL+5 RKM26 Wilson, Jeffrey Thomas-Litigated Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-50 CL+7 RKM26 Wright, Stacy-Claim, Vehicle Comprehensive, Other Than Collision Closed 2006 0745-20 CL+5 RKM26 Zhang, Beihua-Claim, Vehicle Comprehensive, Other Than Collision Closed 2006 0745-20 CL+5 RKM26 Zimmer Dental-Claim, Sewer/Water, Other Than Tree Related Closed 2006 0745-20 CL+5 RKM26 Zingavage, Bianga-Claim, Tree, Other Than Sewer/Water Related Closed 2006 0745-20 CL+5 To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: CERTIFICATE OF DESTRUCTION? SMEADSOFT BARCODES DELETED BY: (3>-/^hnccL YES • NO DATE DATE: /-.?<^-^</ This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program, A " o. Revised: 10/30/2013 CARLSBAD City of Carlsbad Loss Run Roport ClalmName t/l AAA, ROBERTS Date of Loss Oatan Oosad bBtwBon 01/01/2006 and 12/31/2006 Date Date Received Closed Category Date Loss Expense Loss Expense Litigate Resenre Reserve Payment Payment Incurred Status 10/04/2005 01/13/2006 08/30/2006 VEHICLE COLLISION 0.00 ANDERSON, KEiTH 03/11/2005! 10/26/2006 11/30/2006 SEWER/WATER (OTHE y,,^^ ARENZ, TERI 0.00 0.00 0.00 0.00 CLOSED 0.00 *M -i-i-ti—I— t-ti-i A -rr- 4 ARENZ, TERI 03/11/2005 10/26/2006 11/30/2006 SEWER/WATER (OTHE 02/28/2005! 01/27/2006 0^3172006 SIEWERA/VATC 101/2672006' 0.00: O.ool 0.00 0.00 O.ool 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CLOSED CLOSED CLOSED ARENZ, TERI 03/11/2005 07/11/2005 05/31/2006 0 01/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED AT&T/PACIFIC BELL, ^_^^ATANASOVSKi, l\/IILANO 8 AYOUB, MATTA &TERE 01/18/2006 06/27/2003 02/28/2005 06/09/2006 02/22/2006 01/27/2006 08/09/2006 03/31/2006 05/31/2006 VEHICLE COLLISION VEHICLE COLLISION 06/21/2005 SEWER/WATER (OTHE 01/26/2006 0.00 0.00 0.00 0.00 0.00 0.00 384.84 0.00 0.00 0.00 o.ooi 0.00 384.84 0.00 0.00 CLOSED CLOSED CLOSED xjy AYOUB, MATTA AND TH 03/11/2005' 10/26/2006 11/30/2006 SEWER/WATER (OTHE ' 0.00 n -l-l 1 A ki -i-i-»i—1— i-»i—1 A-I-I— 0.00' 0.00 0.00 0.00 CLOSED ^^Xr BANNISTER & BRODER 03/11/2005 07/11/2005 05/31/2006 11 BANNISTER AND BROD 03/11/2005 10/26/2006 11/30/2006 .f-r\r>t/-\r\T- ly A-r\ A ki BANNISTER, KATHRYN , 02/28/2005, 01/27/2006 05/31/2006 SEWER/WATER (OTHE 01/26/2006 rt -Tl iAk.1 -rr»i—r- r»i—1 A-TI- SEWER/WATER (OTHE SEWER/WATER'(bT^^ 01/26/2006 • A b 1 Ti-»^^ 1-1 ^1 ^^w— 0.00 0.00 0.00^ 0.00 o.ooT 0.00 0.00| 0.00 0.00' 0.00 0.00 0.00 0.00 0.00 0.00 CLOSED CLOSED CLOSED (ja^BEHAR, SHERRI 03/11/2005 10/26/2006 11/30/2006iSEWER/WATER (OTHE 0.00 0.00 *^ i-» -¥-i lA^i -T-r-»r—r— r-ir-i A T-f— 0.00 0.00 0.00 CLOSED BEHAR, SHERRI 03/11/2005 07/11/2005 05/31/2006 15 i BEHAR, SHERRI 1 02/28/2005 01/27/2006 05/31/2006 SEWERWATER (OTHE 01/26/2006 0.00 SEWER/WATER'(bT^^ i 01/26/2006 0.00 0.00 0.00 0.00 0.00 0.00 o.ool 0.00' 0.00 CLOSED CLOSED BJORSTRAM, PAUL WE 07/29/2006 09/29/2006 11/07/2006 LAW ENFORCEMENT i-\/ ' ' BLASI, CLIFF 0.00 0.00 301.00 0.00 301.00 CLOSED 02/28/2005] 02/28/2006 05/31/2006 SEWER/WATER (OTHE 01/26/2006; 0.00 0.00 0.00 ri I * M -i-rii—I— r->i—I A-i-i- 0.00 0.00 CLOSED 1x^8 BLASI, CLIFF 19 03/11/2005 05/05/2005 05/31/2006 SEWERA/VATER (OTHE 01/26/2006 BLASI, CLIFF AND DEVI 03/11 /2005 (n_Ti iA*.i "T-_Qr-r- nr-i A-ri- 10/26/2006 11/30/2006 SEWER/WATER (OTHE BLOOM, KATHERINE 04/01/2006 04/05/2006' 10/31/2006VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 0.00' 0.00 O.ooj 0.00 BOHRER, LISA & MARC 07/29/2005 01/25/2006: 07/31/2006|VEHICLE COLLISION BOYD. TOM 08/14/2004 08/11/2005 02/28/2006 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 CLOSED O.ooj CLOSED 0.00' CLOSED 0.00| 0.00 O.OOi 0.00 O.OOi 0.00' 0.00 o.oo 0.00; CLOSED 0.00 CLOSED BREEDING, TODD BRINDISI AT AVIARA, 03/11/2005 10/26/2006 11/30/2006 SEWER/WATER (OTHE ! r» Tl IA k^i -ri^r-f- r»i—1 A -TT- 11/01/2005 01/31/2006 03/06/2006|SEWER/WATER (TREE 0.00| 0.00^ 0.00| O.ooi 0.00! I 12,709.13 0.00 0^00 0.00 CLOSED 12,709.13 CLOSED BRISTOL COVE PROPE 01/01/2005 11/08/2005 08/30/2006 26 ' BRODERDORF, CINDY 02/28/2005 01/27/2006' 05/31/2006 OTHER I 0.00 0.00 0.00 O.OOi O.OOj CLOSED SEWER/WATER (OTHE 01/26/2006 O.OO' 0.00 0.00 O.Oo' 0.00 ClOSED BROOKS, IAN 3^8 ' BUITRON, ALEXIS 01/11/2006! 01/26/2006 1T/O3/2OO5' 11/04/2005 08/30/2006 05/31/2006 VEHICLE COLLISION VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O.ool 0.00 o.oo CLOSED CLOSED t^9 BUNNELL, BRENDA I -j »>50 ' CAIN, MICHAEL CAIN, MICHELE . 32 i CAIN, MICHELE 08/04/2003 07/12/2004 02/24/2006 PERSONNEL ACTION 07/12/2004 03/1l72005 07/11/20051 05/31/2006|SEWER/WATER (OTHE 01/26/2006 r-> -l-l I A fci -t-r->f-r- r\r-i A-i-i- 0.00 0.00 0.00 0.00 50,000.00 91,551.75 141,551.75; CLOSED 0.00 O.ool 0.00! CLOSED 03/11/2005 10/26/2006; 11/30/2006 SEWERA/VATER (OTHE 02/28/2005 01/27/2006 05/31/2006 SEWERyWATER'(bT^^ 101/26/2006 0.00 0.00 0.00 O.ool 0.00 0.00 0.00 0.00 0.00 CLOSED O.ool CLOSED Wednesday, October 30, 2013 LossRunClosed Page 1 of 6 city of Carlsbad Loss Run Roport Gtakin Gtasad tatwmn 01/01/2006 and 12/31/2006 ^f• ^y3^ vCvi/vi o25 ClalmName Date of Loss Date Received Date Closed Category Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status y3^ CARAVANTES, DEREK 04/01/2006 04/05/2006 10/31/2006 VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 CLOSED J^A CHAVEZ, ROSA 06/05/2006 08/08/2006 10/17/2006 SEWER/WATER (TREE 0.00 0.00; 12,560.95 0.00 12,560.95 CLOSED 35 CHAVIRA & ANARAKI, R 03/03/2006 04/20/2006 09/21/2006 LAW ENFORCEMENT 06/09/2006 0.00 0.00 0.00 0.00 0.00 CLOSED ^.j^''CHRYSSOVERGIS, CHR • i-t-ri& ir- 03/11/2005 10/26/2006 11/30/2006 SEWER/WATER (OTHE rt -I-I • A A I -i-r-»i—«— r-n—• A -I-I— 0.00 o.ooj 0.00 0.00 0.00 CLOSED CLASS, PATRICIA 03/23/2006 04/27/2006 10/31/2006 VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 CLOSED DANKO, JAMES DENNESON, JAMES AAV\ DEPARTMENT OF THE ' * * l-^l ll/^l ll-tl—Al *-^1 DIAZ, EVA 09/02/20051 09/16/2005 03/31/2006]VEHICLE COLLISION 10/2872005; 11/15/2005 05/31/2006'VEHICLE COLLISION 10/20/2004 01/27/20061 03/17/2006 TRIP/FALL O.ool O.oo; 0.00' 0.00 O.OOi ojoot 0.00 0.00 225.23! 0.00 0.00; oool 0.00 0.00 125.23 CLOSED CLOSED CLOSED 03/11/2005 10/26/2006 11/30/2006 SEWER/WATER (OTHE 0.00 0.00 0.00 0.00! 0.00 CLOSED i DIPLOCK, ROBERT 43 ' DIPLOCK, ROBERT X DIPLOCK, ROBERT 03/11/2005 02/28/2005 07/11/20051 05/31/2006 01/27/2006' 05/31/2006 SEWER/WATER (OTHE 01/26/2006 m -Tl lAH -rni-j-- ATI—_ I . _ „ SEWER/WATER (OTHE 01/26/2006 I r-i AAJ. "T-r-> r- f— i->i—i _A_TC_ 03/11/2005 10/26/2006 11/30/2006 SEWER/WATER (OTHE 0.00 O.oo' 000 O.OOi O.ooi 000 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CLOSED O.ool CLOSED O.OOi CLOSED i-> -I-I I A Al -i-r->i— I— r->I—I A -f-i— U4^' DOBEK, CHRISTOPHER 01/19/2006 02/13/2006 02/28/2006 VEHICLE COLLISION 0.00 0.00 4,750.851 0.00 4,750.85 CLOSED «^6 DUNN, PAULA J<f EGUIGUREN, ANGELA w^8 VLOviTZ,'"jONATHAN 04/01/2006 04/14/2006 11/30/2006 VEHICLE COLLISION 10/20/2004| 03/28/2005| 10/25/2006 TRIP/FALL 10/01/2004' 11/10/2004 09/28/2006 VEHICLE COMPREHEN J I It- tr^-rt 11—1-> -i-i 1 A A 1 J^J-N 0.00 o.ooj 0.00 0.00 0.00 0.00 0.00 i,ooo.oo| 0.00 0.00 339.68 0.00 i>9- ELOVITZ, MIKE 10/01/2004 11/10/2004 09/28/2006 VEHICLE COMPREHEN r^i\ iw- /j-i-ri II—r-> -ri 1 A A 1 /->/"v 0.00! 0.00 o.ool 0.00 0.00 CLOSED 1,339.68 CLOSED aoo CLOSED 0.00 CLOSED ^,,«trFARMERS, ROTHSCHIL 10/20/2005' 01/11/2006 08/30/2006 VEHICLE COLLISION 51 FIEDLER, STEVEN C-Se- FIEDLER, STEVEN 02/28/2005; 01/27/2006 05/31/2006 SEWER/WATER (OTHE 01/26/2006 03/11/2005 07/11/2005' 05/31/2006!SEWER/mTER7bTh^ '01/26/2006 0.00 b.ooj 0.00 0.00 O.O0I 0.00' 0.00 0.00; 0.00' 0.00 0^ 0.00 0.00 CLOSED 0.00' CLOSED 0.00 CLOSED tJ^F FIEDLER, STEVEN 03/11/2005 10/26/2006 ^^4 FOUDY, JEFF AND TINA 03/11/2005 10/26/2006 l^r, FRENCH, ESTHER ' ' 11/30/2006ISEWER/WATER (OTHE ;r» -TLiAki -mr-F- JLTI^. 11/30/2006 SEWER/WATER (OTHE 0.00 0.00 0.00; 0.00' 0.00 0.00! 0.00 0.00 O.ooj CLOSED 0.00' CLOSED 56 GAMBOA, ZOILA 05/29/2005 j 11/17/20051 06/30/2006 10/18/2005 12/19/2005; 04/05/2006 TRIP/FALL VEHICLE COLLISION GARDNER, JEFF \3^& GASPERIAN, DAIZEL 0.00; O.ool O.OOj 0.00 O.OOI 650.00 O.OOj O.OOj CLOSED 0.00 650.00 CLOSED 02/06/2004 02/06/2004 02/28/2006 ! i 04/01/2006 04/17/20061 10/31/2006 SEWER/WATER (TREE VEHTCLECOLLISION 0.00 0.00 GATES, JAMES GEICO SUBROGEE FO | ixi^ §t-*r-w-^i \y I A /-n.^fi^A I U,8T GEICO, OJEDA i^lBBS, MICHAEL &LAR I 03/01/2004 06/29/2004 04/04/2006 10/14/2006 12/05/2006 06729/2006 LAW ENFORCEMENT VEHICLE COLLISION 0.00 0.00 O.OOj 0.00 3,051.40 0.00 0.00 3,051.40 CLOSED ! 1 0.00: O.ooi CLOSED 0.00' 0.00 75.00j 0.00 0.00 0.00 06/22/2005 08/22/2005 03/31/2006:VEHICLE COLLISION 03/11/20051 08/10/2005 05/31/2006iSEWER/WAfER (OTHE loi/26/2006l 0.00 o.ooi 0.00 0.00 0.00 b.ool 0.00 o!bo 75.00 0.00 0.00 0.00 I -i-i->i-i- r-«f I A-T-l— CLOSED CLOSED CLOSED CLOSED 63 GIBBS, MICHAEL &LAR 02/28/2005 01/27/2006 05/31/2006 SEWEFl/WATER (OTHE 01/26/2006 IGIBBS, MICHAEL AND LI 03/11/2005 10/26/2006 11/30/2006iSEWER/^AW^R'(bTHE I | 0.00 b.bo 0.00 O.ool 0.00 o.ooi 0.00 o.ooi 0.00 boo CLOSED CLOSED In -Tl lAAiTor-^rr nr-i -A3 Wednesday, October 30, 2013 LossRunClosed Page 2 of 6 city oT Carlsbad Loss Run Roport ClalmName Date of Loss CUms OosBd mtwmn 0V01/2006 and 12/31/2006 Date Date Received Closed Category Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status 65 GORAK, JOSEPH w^sT GORAK, JOSEPH i^-er^ORAK, JOSEPH \J«g^GRAFF, PAULA & WILLI 02/28/2005 01/27/2006 05/31/2006 SEWER/WATER (OTHE 01/26/2006 0.00 i-> -ri lAAi -i-r-»i—r- r^w-i A-TI- 0.00 0.00 0.00 0.00 CLOSED 03/11/2005 03/11/2005 02/21/2005 07/11/2005 10/26/20b6 08/24/2005 05/31/2006 11/30/2006 05/31/2006 SEWER/WATER (OTHE 01/26/2006 jr% -Tl iA_kJ 5-m-F^. ni-i A.-rrr. SEWER/WATER (OTHE n.Ti lAH -rr»i—I- ni-i A-TI— VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 0^00 0.00 0^00 0.00 O.OOj 0.00 o.ooi 0.00 0.00 o.oo CLOSED CLOSED CLOSED 69 HARARI, TORPAKAI 02/28/2005 01/27/2006 05/31/2006 SEWER/WATER (OTHE 01/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED HARARI, TORPAKAI AN t-W^HERTZ CORPORATION, J^'UOLUNS, SANDRA 03/11/2005 04/30/2006 07/21/2006 10/26/2006 11/07/2006 08/25/2006 11/30/2006 12/19/2006 12/29/2006 SEWER/WATER (OTHE n -TI I A AI T-r-»r—1— m—i ATI— VEHICLE COLLISION TRIP/FALL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2,734.24 2,180.00 0.00 0.00 409.95 0.00 2,734.24 2,589.95 CLOSED CLOSED CLOSED y^>-?S HOLMLUND, CANDISE 09/18/2005 01/17/2006 08/30/2006 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 0.00 CLOSED 74 JOIN HANDS SAVE A Ll 05/06/2003 m— i-i-»AML/^ r»i^mM/~k 75 KEITH, SHARON | 03/11/2005 ^J^KEiJH, SHARON 02/28/2005 V>rf KEN GRODY FORD, 10/01/2003 08/16/2006 10/26/2006! 11/30/2006 01/27/20061 05/31/2006 OTHER 04/22/2004 0.00 SEWER/WATER (OTHE 0.00 SEWER/WATER'(bT^^^ 01/26/2006 0.00 0.00 0.00 0.00 0.00 0.00 0.00 209,728.73 0.00 0.00 209,728.73 0.00 0.00 CLOSED CLOSED CLOSED 09/18/2006 09/25/2006; 10/17/2006 VEHICLE COLLISION 0.00 0.00 248.00 0.00 248.00 CLOSED U>TS^ KENNEY, JOHN AND Y 03/11/2005 U^sg^'lNG^JOHN 02/09/2006 >--«trKINTO, TROY 02/23/2005 10/26/2006 02/17/2006 05/19/2005 11/30/2006 04/05/2006 05/31/2006 SEWERA/VATER (OTHE n Tl IA k.1 -TfiTrrr. nrrj. A T_r- VEHICLE COMPREHEN i>t\ IT- /r\-ri 11—r» -ri i A ki SEWER/WATER (OTHE 06/28/2005 0.00 0.00 0.00 0.00; O.ooi O.ooj 0.00 32.33j O.ooj 0.00 0.00 0.00 0.00 32.33 0.00 CLOSED CLOSED CLOSED U.«2n<0B0, 06/27/2005 83 j KOPP, ELISA 03/11/2005 84 ; KOPP, LAWRENCE 03/11/2005 81 KIRKENDALL, KEVIN 11/10/2005 11/30/2005 05/31/2006 VEHICLE COMPREHEN r*t\ fl— /y\-i-i 11—r-> -i-i i A AI r\r^ 0.00 O.OOi 0.00 0.00 0.00 CLOSED --85^ 07/07/2005 11/09/2006 10/26/20b6 01/31/2006 11/30/2006 11/30/2006 OTHER SEWER/WATER (OTHE n Tl I A».i_Tnc^j^riCLL._A_T^ SEWER/WATER (OTHE 0.00 0.00 0.00 0.00 0.00 0.00 0.00; 0.00 oioo 0.00 0.00 0.00 0.00 0.00 0^00 CLOSED CLOSED CLOSED KOPP, LAWRENCE 86 ' KOPP, M. LAWRENCE 02/28/2005 03/11/20b5 01/27/2006 07/11/20b5 05/31/2006 05/31/2006 SEWER/WATER n _Ti_i Aki _Tnr:rT_nj SEWERWATER r> .Tl IA I (OTHE -1_ A Tl— (OTHE 01/26/2006; 01/26/2006 0.00 oioo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CLOSED CLOSED Tr->r-r- i->i-i A -I-I— 87 KYLE, DANIEL KYLE, DANIEL 02/28/2005 03/11/2005 01/27/2006 07/11/2005 05/31/2006 05/31/2006 SEWER/WATER n Tl iAft.1 Tm—I— m SEWER/WATER -i-i I A A I (OTHE -I A TI- (OTHE 01/26/2006: 01/26/2006' 0.00 0.00 0.00 0.00 0.00 0.00 O.OOj O.oo; 0.00 0.00 CLOSED CLOSED Tni—1- i-«I— I A -r-i— i KYLE, DANIEL AND ELI 03/11/2005 ^>^IA"CASA DEL SOL HOA,' 10/27/2004 v^SV I 10/26/2006 05/16/2005 11/30/2006 01/31/2006 SEWER/WATER (OTHE t-> Tl I A AI Tnr-.r- nr OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00; O.oo' 0.00 0.00 CLOSED CLOSED LA COSTA DE MARBEL LA'COSTA DE MARBEL I A I U'-NA Al—A fH|-|->l-> A r\i-« 02/28/2005 04/05/2005 02/28/2b05l 10/26/2006 05/31/2006 11/30/2006 SEWER/WATER n Ti i_AHTnr-r- n SEWERWATER 1-^ -I-I I A A I -rr-K I— I- r-> I (OTHE -1 ATI- (OTHE 107/11/2005 0.00 0.00 0.00 0.00 0.00 o.bo o.oo; 0.00 0.00 0.00 CLOSED CLOSED 93 LA COSTA DE MARBEL ! 02/01/2003 I A i_i<^»ji-<^vA#ki(~nc* o<-\n 1 LABANI, BEVERLEY 03/16/2006 10/04/2005 03/24/2006 10/31/2006 11/30/2006 SEWERA/VATER nr--i _ A Tr-n\ _ TRIP/FALL (TREE 0.00 0.00 0.00 0.00 0.00 0.00 4,035.95; 0.00 4,035.95 0.00 CLOSED CLOSED LEWIS, JASON 96 i LEWIS, JASON 03/11/2005 02/28/2005 07/11/2005 01/27/2006 05/31/2006 05/31/2006 SEWER/WATER n Tl lAki TnrT" SEWERA/VATER In Tl I A A I -T-r-vr— r— r-i\ (OTHE -I ATI- (OTHE 01/26/2006 01/26/2006 0.00 0.00 0.00 0.00 0.00 0.00 O.ooj 0.00! 0.00 0.00 CLOSED CLOSED Wednesday, October 30, 2013 LossRunClosed Page 3 of 6 City of Carlsbad Loss Run Report Claims Closfld betwuan 0V01/2006 and 12/31/2006 ilmName Date of Loss Date Received Date Closed Category Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status LEWIS, JASON l<f8 ' LOLI, VICTORIA MAJESKA, ALEX MATA, MARISSA NOEL 03/11/2005 08/30/2005 08/19/2005 07/29/2006 MCBRIDE, KIMBERLEE 01/19/2006 ,^>KJ2"^ MILLS, SUZIE \3f^ MOLNAR, BETTY MORENO, MINEKO 02/08/2006 03/11/2bb5 01/09/2005 10/26/2006 09/14/2005 11/30/2006 SEWER/WATER (OTHE -I-I IA Ai i-ni-i- ni-i A: 03/31/2006 VEHICLE COLLISION 04/20/2006 09/29/20061 11/07/2006 02/21/2006 08/30/2006 VEHICLE COLLISION 02/24/2006 09/29/2006 11/30/2006 10/26/2006 05/1672005 MOURITZEN, RYAN 02/28/2005 106^ MOURITZEN, RYAN MOURITZEN, RYAN 03/11/2005 03/11/200^ 01/27/2006 01/31/2006 05/31/2006 07/11/2005 05/31/2006 10/26/20b6 11 /3072006 LAW ENFORCEMENT LAW ENFORCEMENT VEHICLE COMPREHEN r»i\ ft- /rtTiim Tl 1 AAJ__<^_/^ SEWER/WATER (OTHE OTHER SEWER/WATER (OTHE 01/26/2006 i-> -Tl I A A I -i-i->i—r SEWER/WATER (OTHE n Tl I A Al Tni-r- nJ^L ATJ- SEWER/WATER (OTHE n Tl lAAi Tnr-i— ni—i ATI- MURDOCK, TOM SLINDj 10/27/2005 05/08/2006 07/31/2006 OTHER NASTASE, TIFFANY ALL I—\/Air- _^ L 03/14/2005 07/05/2005 \JJ.e--NAZARI, FERESHTECH NEVILLE, STEPHEN NEVILLE, STEPHEN 12/09/2005 12/30/2005 03711/2005 11/17/2006 TRIP/FALL 09/12/2005 NEVILLE, STEPHEN 02/28/2005 03/11/2005 10/26/2006! 11/30/2006 01/2772bb6 05/31/2006 04/04/2006 OTHER SEWER/WATER (OTHE i-> Tl I A AI ^mrrc nm .ATi- SEWER/WATER (OTHE 01/27/2006 07/11/2005 05/31/2006 SEWER/WATER (OTHE JM^i NGUYEN, ANDREW-HU 10/20/2005 -•4l5|NrCHbLAS, TANIA 03/11/2005 116 NICHOLAS, TANIA b2/28/2005 l_IJ>+1v|ICH0LAS, TANIA AND 03/11/2005 M^'ORTH, GREGORY bl/b6/2006 l/Tig PARKS, APRIL ^ 03/11/2005 Jh^rfPARKS, APRIL 03/il/2005 [21 PARKS, APRIL 02/28/2005 i_yyr?2 PEDDY, MARY 08/09/2b05 0>^3 PEDROTTA, CHARLES PILOT III, WILLIAM HAM il \^y^5 PINNOW, RONDA SMIT v.xd6 POINCENOT7LIONEL ROWERS, JEFFREY REITER, MILTON 08/20/2005 02/19/2005 11/08/2005 09/26720b5 11/01/2005 07/11/2005 bl/27/2bb6 10/26/2006 bl/17/2b06 06/30/2006 b5/31/2bb6 b5/31/2006 VEHICLE COLLISION 11/30/2006 08/3b/2bb6 10/26/2006 07/11/2005 01/27/2006 08/09/2005 11/30/2006 05731/20b6 10/21/2005 12/15/2005 04/19/2006 10/03/2005 02/22/2005; 05/24/2005 10/21/2005 10/21/2005 05/31/2006 QZI3M2tSQ6 05/31/2006 •*r-t A-l-l- SEWER/WATER (OTHE n -l-l I A AI Tni-i~ nm A T_I^._ SEWER/WATER (OTHE 01/26/2006 01/26/2006 SEWER/WATER (OTHE n Tl I A A 1 Tn I-1— n I-1 A Tl— VEHICLE COMPREHEN < tl- /J-VTI 11—1-^ -l-l I A Al SEWER/WATER (OTHE SIEWERi^^^TER'(OTHE |-> -l-l I A A I -i-r^t-i— t-*|—i A -I-I— SEWER/WATER (OTHE rx Tl 1 A Al Tni—I— ni-i A Tl— VEHICLE COLLISION 01/26/2006 01/26/2006 VEHICLE COLLISION 08/21/2006 LAW ENFORCEMENT 12/29/2006 04/28/2006 01/31/2006 bsrai^bbe TRIP/FALL VEHICLE COLLISION OTHER TRIP/FALL 12/09/2005 0.00 0.00 ^ioo o.bb 0.00 0.00 boo boo 0.00 0.00 b.bb 0.00 0.00 0.00; 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 abb 0.00 0.00 0.00 Too 0.00 boo 0.00 b.bo 0.00 0.00 0.00 oibb 0.00 0.00 150,000.00 0.00 0.00 0.00 0.00 0.00 o.bb om 0.00 10,067\^15 0.00 0.00 0.00 0.00 0.00 b.bo 0.00 Tioo 0.00 0.00 ow 0.00 o.ool CLOSED 0.00 16b|b6775 aoo CLOSED CLOSED CLOSED 0.00 CLOSED 0.00 CLOSED 0.00: CLOSED 0.00 0.00 0.00 0.00 CLOSED CLOSED 0.00 bioo 0.0b 0.00 oibb aoo 0.00 0.00 11,971.36 0.00 CLOSED 0.00 CLOSED b.bol CLOSED 11,971.36 0.00 bioo 0.00 315.25 abb 0.00 0.00 0.00 0.00 oibb aoo 0.00 obo 0.00 aoo 0.00 boo 0.00 0.00 0.00 0.00 0.00 oibb 0.00 0.00 0.00 0.00 0.0b 315.25 bibb 0.00 CLOSED CLOSED CLOSED CLOSED 0.00 0.00 0.00 oTbb 0.00 bioo 0.00 aoo 0.00 0.00 0.00 o.bo 0.00 0.00 CLOSED 0.00 abb bbo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 obo 0.00 0.00 0.00 0.00 0.00 13,990.00 0.00 o.bo 0.00 0.00 0.00 0.00 0.00 bibb 13,990.00 0.00 0.00 0.00 blbo CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED CLOSED ITLOSED CLOSED CLOSED Wednesday, October 30, 2013 LossRunClosed Page 4 of 6 city of Carlsbad Loss Run Roport laimName Date of Loss aatois OosBd mtwean 01/01/2006 and 12/31/2006 Date Date Received Closed Category Date Litigate Loss Reserve Expense Reserve Loss Expense Payment Payment Incurred Status 9 RHEAD, MORGAN 04/11/2000 09/28/2000; 04/24/2006 LAW ENFORCEMENT 04/09/2001 0.00 0.00 0.00 273,526.14 273,526.14 CLOSED 130 ROBERTS, CAITLYN SU vjal^ROBINSON & AUSTIN, Aii/->i lAi-i o ni—Mir«i— V_p? SAFARIK, CHRISTINE C aatr'sBc'/PACIFICBELL, UST'SCHAEFFER, KARL j UaS'^HUMACHER AND FO ikjg^E LW'IT'Z,' MARBY" " l3?^HEEHAN, HELENE tl38^HIPPEN, ERIC I tl<S^SOMMERVILLE, GRACE U45^SOTO, JORGE LUIS ^ VQ^PECKIROSS 10/04/2005 02/28/2005 10/21/2005 12/14/2005 08/30/2006 VEHICLE COLLISION 04/20/20051 05/31/2006;SEWER/WATER (OTHE j 06/28/2005! 10/26/2005' 05/31/2006!VEHicLE"cbLL7sib'r«r'" 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.ool 1,010.01 0.00 o.ool 1,010.01 CLOSED 0.00 CLOSED 0.00 CLOSED 10/18/2005 03/06/2006 04/04/2006 SEWER/WATER (TREE 11/01/2005; 11/08/2005; 05/31/2006jVEHICLE COLLISION 02/14/2006 04/24/2006 05/23/2006 VEHICLE COLLISION 0.00 olbo^ 0.00 0.00 blbo] 0.00' 535.24 0.00 535.24 CLOSED O.OOj 293.88 aoo 0.00 0.00 293.88 CLOSED CLOSED 08/30/2003 03/01/2004 01/31/2006 VEHICLE COLLISION 09/22/2004 0.00 0.00 0.00 108.00 108.0o| CLOSED 11/16/2005 11/29/2005 05/31/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED iot* /I- /r\-w-t II—rt Tl IA Al 02/23/2005 05/19/2005, 05/31/2006;SEWER/WATER (OTHE 06/28/2005; 03/01/2006 04/24/2006 10/31/2006 VEHICLE COMPREHEN 05/19/2006j 06/06/2006, 12/29/2006 VEHICLE COMPREHEN IW— it^-ri II—r-> -Tl I A A I «^/-N 06/07/2006 06/20/2006! 09/13/2006 O.OOj 0.00 0.00 O.OOj 0.00 0.00 0.00 0.00 0.00 VEHICLE COLLISION yJ^2^TANDRINGl ERN^S^ , 05/12/2005 06/30/2005! 02/28/2006jSEWER/WATER (TREE Vjuia-^^EINHAUER, BONNIE ' 03/11/2005 10/26/2006' 11/30/2006lsEWERWVATER (OTHE ' \JUJ4^TR0NG, ROBERT MIC 02/23/2005 05/19/2005! 05/31/2006jSEWER/WATER7bTH^ i06/28/2005i 0.00 0.00 O.ooi 0.00 0.00! 0.00 O.oo! 0.00! 100.00 blbbj aoo aoOi 0.00 0.00 CLOSED 0.00 0.00 CLOSED 0.00 o.ooi CLOSED bibb 100.00 CLOSED 0.00 000 CLOSED 0.00 o.ooi CLOSED 0.00 0.00 CLOSED ylp-^^LLIVANl ROBERT AN 03/17/2006j 05/27/2006' 06/20/2006'ofH'ER ^i I A A I -T-r-if— T— rti—i A -T-r- 0.00 0.00! 1,139.09 0.00 1,139.09 CLOSED .n i^TA-ni \t^6-^WARTW00D, ROD tW^SYNESiOU, JOHN HaS^^TE, STEPHEN 02/18/2005 08/03/2005 03/31/2006 VEHICLE COLLISION 07/13/2005 08/03/2005| 02/28/2006|TRIP/FALL 04/01/2006 04/10/2006 10/31/2006 VEHICLE COLLISION 0.00, aooj aoo' 0.00 0.00 0.00 uHT^g TAVAKOLI, SABIHE 150 TAVAKOLI, SABINHE t54^AVAKOLI, SATHE 03/11/2005 10/26/2006| 11/30/2006jSEWER/WATER (OTHE j 02/28/2005 01/27/2006 05/31/2006 SEWER/mTER'(bTH^ 01/26/2006 aool 0.00 O.OOj 0.00 0.00 0.00 0.00 blob[ 0.00 0.00, 0.00 0.00 0.00 0.00 0.00 CLOSED 0.00 CLOSED o.ooi CLOSED O.ool CLOSED 0.00 CLOSED r-i -ri 1 A A I -rr-ti-i- i->i—i A -TI- 03/11/2005j 07/11/2005j 05/31/2006 SEWER/WATER (OTHE ksS^HEOTILOPOULOS, ELL 01/09/2005i 05/16/2005i 05/31/2006'OTH'ER' 01/26/2006 ^l^a^HOMAS, BRUCE J54>Fr6MAS, BRUCE 10/06/2005 10/07/2005j 04/28/2006 OTHER 06/01/2005' 11/16/2005' 05/31/2006 LAW ENFORCEMENT 0.00 0.00 O.bb 0.00 0.00! o.oo' aoo 0.00 aooj 0.00 ^bj 0.00 O.OOj aoo 0.00 0.00 0.00 0.00 0.00 CLOSED CLOSED CLOSED 0.00 CLOSED J5S^TILL0TS0N, LINDA ^ 03/11/2005j 10/26/2006 11/30/2006 i56 ' TIMMONS, JEROME j 03/11/2005 09/09/2005 05/31/2006 SEWERA/VATER (OTHE n Tl IA A. 1 Tn r- r~ n r~ i A Tr- 1 SEWERWATER (OTHE n Tl I A A I T-w^w—w— r^f—1 A -f-r— 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.ooj 0.00 0.00 CLOSED CLOSED 157 TIJVIMONS, MARILYN 03/11/2005 09/09/2005 05/31/2006 dsfTTRAN, HONG ! 02/03/2006 02/21/2006 09/29/2006 SEWER/WATER (OTHE n Ti_i A k.1 Tni-r-. ni-i ATI- j VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 0.00 o.oo; 0.00 0.00 0.00 CLOSED CLOSED SJ5^ TRASK, N. JUNE ! 03/11/2004j 05/14/2004! 03/31/2006 TRIP/FALL ; aOO O.OOi 0.00 ^SO-KJLDRICKS, MARIAN 03/11/2005j 10/26/2006 11/30/2006 SEWERWATER (OTHE aOO 0.00 0.00 Wednesday, October 30, 2013 LossRunClosed 0.00 0.00 o.ooi 0.00 1 CLOSED CLOSED i Page 5 of 6 city of Carlsbad Loss Run Roport laimName Date of Loss Clatais Gknad bBtwiien OV01/2006 and 12/31/2006 Date Date Received Closed Category Date Litigate Loss Reserve Expense Reserve Loss Payment Expense Payment Incurred Status 1 ULDRICKS, MARIAN 03/11/2005 09/09/2005 05/31/2006 SEWER/WATER (OTHE > Tl I A Al Tni—I- r->r-i A TI— 0.00 0.00! 0.00 0.00 0.00 CLOSED .SAA, GRAY VAN DE WIEL, MICK VERESPEJ, JAMES 04/01/2006 09/09/2006 04/11/2006 05/24/2006 10/12/2006 j 04/25/20061 12/29/2006 VEHICLE COLLISION 11/07/2006 SEWER/WATER (TREE . nm _ATrmv 10/31/2006 VEHICLE COLLISION 0.00 0.00 bioo O.OOj 0.00 abb! 0.00 753.0b oibb 0.00 o.ob bbb 0.00 753I00 o.ob CLOSED CLOSED CLOSED VILLANUEVA, JUAN MA 06/30/2004 07/28/2004 06/30/2006 VEHICLE COLLISION 0.00 0.00: 0.00 0.00 0.00 CLOSED WALTERS, VIRGINIA WALTERS, VIRGINIA ALTERS, VIRGINIA 02/28/2005 03/n720b5 03/11/2005 02/28/2006 05/31/2006 SEWER/WATER (OTHE 07/11/2005 05/31/2006 SEWER/WATER'(bT^^ _ _n Tl I A A I Tni—f- ni-i A TI— 10/26/2006 11 /30/2006 SEWER/WATER (OTHE _____„_ n Tl I A A I Tni-1— ni-i A -I-I— 01/26/2006 01/26/2006 0.00 bioo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 bibb CLOSED CLOSED 0.00 CLOSED WATSON, AUDREY 02/23/2005 08/29/2005 05/31/2006 SEWER/WATER (OTHE 06/28/2005 0.00 0.00 0.00 0.00 0.00 CLOSED 170 WAWANESA INSURAN y _ Aii^i ivy I—AI WELL, BUFORD (jji^ELLS, BUFORD 10/20/2005 02/28/2006 03/11/2005 11/17/2005 bl/26/2b06 10/26/2006 11/17/2006 05/31/2006 11/30/2006 VEHICLE COLLISION SEWER/WATER (TREE nr-1 ATI—»v SEWER/WATER (OTHE 06/30/2006: 01/26/2006 0.00; 0.00 0.00 0.00 bbb 0.00 0.00 0.00 o.ob 0.00 bioo 0.00 0.00 0.00 0.0^ CLOSED CLOSED CLOSED HITEHEAD, ROBERT 02/28/2005 01/27/2006 05/31/2006 SEWER/WATER (OTHE 01/26/2006 0.00 0.00 0.00 > -r\ i A A I -ri->i-i- i->i-i A -rr- 0.00 0.00 CLOSED ^74 : WHITEHEAD, ROBERT .JfT^^HITEHEAD, ROBERT AAjr\ Tiii-ni-c*A WILLIAMS, RENEE 03/11/2005 03/11/2005 08/01/2006 04/05/2005 10/26/2006 09/15/2006 05/31/2006 11/30/2006 09/25/2006 SEWERAA/ATER (OTHE 01/26/2006^ n.Ti LA.k.1 Tni-r- ni-i ATI— SEWER/WATER (OTHE n Tl lAki Tnr-i— ni—i ATI— OTHER 0.00 0.00; aoo! 0.00 0.00 0.00 0.00 0.00 95.00 0.00 0.00 boo 0.00 0.00 95.00; CLOSED CLOSED CLOSED WILSON, JEFFREY THO 02/23/2005 05/19/2005 05/31/2006 SEWER/WATER (OTHE 06/28/2005 0.00! 0.00 0.00 0.00 0.00 CLOSED WIR HOLDINGS, WRIGHT, STACY ZHANG, BEIHUA 02/08/2005 05/31/2006 05/30/2006 08/04/2005 05/31/2006 SEWER/WATER (TREE 06/07/2006 12/29/2006 06/01/2006 12/29/2006 07/29/2005; VEHICLE COMPREHEN f>u./r" /z-vTi irrn TI lAki r^t~\ VEHICLE COMPREHEN r^i\ fl— /j-^-i-i II—1-> -r-i I A Al j-*^ 0.00; O.ooi oTbb 0.00 olob bibb 0.00 b.bb 0.00 8,015.70 0.00 bibb: 8,015.70 0.00 bibb CLOSED CLOSED CLOSED ZIMMER DENTAL, INCAVAGE, BIANGA 05/18/2005 04/01/2004 06/07/2005 04/08/2004 01/31/2006 03/31/2006 SEWER/WATER (TREE ni—1 ATI—n\ TREE (OTHER THAN SE i*/i-nA*iATi—n ni—I ATI—n 0.00 0.00 0.00 o.bo 0.00 0.00 0.00 0.00 Totals 0.00 0.00 244,134.43 624,754.42 0.00 0.00 CLOSED CLOSED 868,888.85 Wednesday, October 30, 2013 LossRunClosed Page 6 of 6 ciNrts. 0G36 - San Diego 9455 Waples St. Suite 110 San Diego, CA 92121 Phone # (858) -678-0460 Fax # (858) -678-0894 Certificate of Destruction City of Carlsbad 1635 FARADAY AVE CARLSBAD, CA 92008-7314 Document # 8005499713 Document Date 06/23/2014 Cintas Route/SSR R0G36.0046/Luis Anzueto Customer* 10213041 Service Type Purge Customer Group On-Site Next Service Date Material # SV0000326 Description Purge Svc (P/On)-Legal (Large) Box Quantity 9a/oo EA Order Notes Quantity Serviced 112 sm\i Has 100- 150 Boxes at: 5816 El Camino Real, Carlsbad, 92008. Hours: 8 am - 5 pm. Contact is Pat Downie 760-602-2738. Please call ahead of time if you will be there between 11:30 and 1 pm. There will be a box truck here collecting blue prints as well. Will invoice. Scheduled per Sales Rep. Liz. MANUAL PUSH 20140617 212016 This certificate is to certify that Cintas Document Management shreds confidential data per customer's instructions for the above-mentioned company. The following services are NAID certified: Hard Drive Destruction, Mobile Destruction and Offsite Destruction. The following services are not NAID certified: Non-paper Destruction. Service Representative Signature Date Page 1 of