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Home My WebLink About; ; Records Destruction Authorization Form-Risk Management; 2018-01-23{' RECORDS DESTRUCTION AUTHORIZATION FORM DATE: DECEMBER 12, 2017 REQUESTING DEPARTMENT: RISK MANAGEMENT REQUESTER: T R ERIE OWLEY DESTRUCTION APPROVALS: We certify that the records listed below have been retained for the scheduled retention period, required audits have been completed, and no pending or ongoing litigation or investigation involving these records is known to exist. _/lh ............... ~ ___ I_~ -_1L_~1 f-(1.u()e191ll{1 f-Jf /8 DEPARTMENT HEAD DATE RECORDS MANAGEMENT DATE CITY ATTORNEY ) DATE a ~o"-~ V ,, RRS TAB BARCODE BOX NO. RECORDS DESCRIPTION DATED RRSNO. PERIOD (if applicable) 1 V RKM79 Clarke, Harold & Catherine-Tree Closed 0745-20 CL+5 (Other than sewer/water related) 1993 ,,Afr..Y RKM79 Carter, Agnes-Trip/fall Closed 0745-50 CL+7 1996 ft/ RKM79 Fogel, Martin-Tree (Other than Closed 0745-20 CL+5 sewer/water related) 1996 RKM79 Mccaleb, Terry-Tree (Other than Closed 0745-20 CL+5 }Y sewer/water related) 1996 RKM79 Milliken, Tim-Tree (Other than Closed 0745-20 CL+5 ~ sewer/water related) 1996 ~ RKM79 Nicole, Bonnie-Tree (Other than Closed 0745-20 CL+5 sewer/water related) 1996 PT Carlsbad Association-Closed )Iv/ RKM79 Sewer/water (tree related) 1996 0745-20 CL+5 J RKM79 Braka, Josephine-Vehicle collision Closed 0745-20 CL+5 ~ 1997 ~/ RKM79 Braka, Sophie-Vehicle collision Closed 0745-20 CL+5 1997 )IV RKM79 Clarke, Harold-Tree (Other than Closed 0745-20 CL+5 sewer/water related) 1997 Closed A)JJ RKM79 Holmquist, Michelle-Other (theft) 1997 0745-20 CL+5 )IA V RKM79 MacDougall, Joseph & Francine-Tree Closed 0745~20 CL+5 (Other than sewer/water related) 1997 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. <.(~\ CITY 01 ~ CARLSBAD Revised: 12/12/2017 Page /1 PM79 JJ JRKM79 JP l/ RKM79 Ji l) RKM79 }fr'~ RKM79 )Y RKM79 ~ RKM79 )Y RKM79 )frv / RKM79 ~ RKM79 iAf-'v RKM79 RKM79 RKM79 ~ RKM79 y RKM79 »I RKM79 pl, / RKM39-40 }JI/ I RKM39-40 J),}/ RKM39-40 )I() RKM39-40 µii RKM39-40 µI RKM39-40 <,~c1tvo, ~·CARLSBAD Prager, Kathy & Tom-Tree (Other Closed 0745-20 CL+5 than sewer/water related) 1997 Stroup, Steve & Lisa-Tree (Other Closed 0745-20 CL+5 than sewer/water related) 1997 Vorndran, Thomas-Tree (Other than Closed 0745-20 CL+5 sewer/water related) 1997 Closed Huddock, Michael-Trip/fall 1999 0745-20 CL+5 Nicol, Bonnie-Tree (Other than Closed sewer/water related) 2000 0745-20 CL+5 Closed Carlsbad Aqua Farm Inc., John Davis 2001 0745-20 CL+5 Closed Driscoll, Alexis Rae-Trip/fall 2001 0745-20 CL+5 Torres, Ruben-Tree (Other than Closed sewer/water related) 2002 0745-20 CL+5 Nicol, Bonnie-Tree (Other than Closed 0745-20 CL+5 sewer/water related) 2003 Rundle, William-Vehicle Closed 0745-50 CL+7 Comprehensive/other than collision 2003 Evans, Karen & Rob-Tree (Other Closed than sewer/water related) 2004 0745-50 CL+7 Nicol, Bonnie-Tree (Other than Closed sewer/water related) 2004 0745-50 CL+7 Clarke, Catherine & James-Tree Closed 0745-20 CL+5 (Other than sewer/water related) 2005 Roberts, Caitlyn Sue-Vehicle collision Closed 0745-20 CL+5 2006 Grove Apartments-Sewage back-up; Closed restoration and related costs-not in 2003 liability database Overmeyer, D. Vernon-Small claims Closed action and settlement-not in liability 1987 database Acclaim Resource Partners-AAA Closed 0745-20 · CL+5 Ragland-Vehicle Collision 2011 Acosta, Joe-Law Enforcement Closed 2011 0745-20 CL+5 Allison, Richard-Law Enforcement Closed 0745-20 CL+5 2011 Antman, Sasha-Law Enforcement Closed 0745-20 CL+5 2011 Bahneman, Kyle-Vehicle Closed Comprehensive (other than 0745-20 CL+5 collision) 2011 Barnes, Karen-Other-fingers injured Closed 0745-20 CL+5 in Library book drop 2011 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Rev~ed:12/12/2017 Page /2 JJM39-40 ~ RKM39-40 I' ) RKM39-40 ft- )fr' ) RKM39-40 )}/v' ) RKM39-40 I t' I RKM39-40 pb J RKM39-40 ~ I) RKM39-40 J}I/ RKM39-40 ~ VRKM39-40 )JI/ 11 RKM39-40 )II/ / RKM39-40 )Av I RKM39-40 )}I/ I RKM39-40 ~ I RKM39-40 )Iv V RKM39-40 Jftl RKM39-40 ;.) RKM39-40 JIU V RKM39-40 ~ / RKM39-40 )Y RKM39-40 fl/ RKM39-40 (~\ CITY 01 ~·CARLSBAD Baugh, Andrew-Vehicle Closed Comprehensive (other than 2011 0745-20 CL+5 collision) Bjorstrom, Paul Wesley-Law Closed 0745-20 CL+5 Enforcement 2011 Blednyh, Sofia-Dangerous Condition Closed of Public Property 2011 0745-20 CL+5 Bonas, William A-Other-Late claim Closed 0745-20 CL+5 2011 Boothe, Nathaniel-Law Enforcement Closed 0745-20 CL+5 2011 Bouchereau, Thierry-Vehicle Closed Collision 2011 0745-20 CL+5 Butler, Bunny-Trip/Fall Closed 0745-20 CL+5 2011 Byrne, Ryan-Other, Fire, water Closed 0745-20 CL+5 canister malfunction 2011 Carlsbad Woodridge HOA-Other, Closed 0745-20 CL+5 CED inadequate drainage 2011 Juan Chesus-Vehicle Comprehensive Closed 0745-20 CL+5 (other than collision) 2011 Coastal Casitas, lnc.-Sewer/Water Closed 0745-20 CL+5 (Tree related) 2011 Comstock, Linda-Law Enforcement Closed 0745-20 CL+5 2011 Davey, Julia-Other, struck by vehicle Closed 0745-20 CL+5 while jogging in bike lane 2011 Davidson, Ken & Janet-Vehicle Closed Comprehensive (other than 0745-20 CL+5 collision) 2011 Dykes, Ill, Hugh G.-Sewer/Water Closed 0745-20 CL+5 (other than tree related) 2011 Elixman, Betty-Vehicle Closed Comprehensive (other than 2011 0745-20 CL+5 collision) Esayian, Nicholas-Vehicle Closed Comprehensive (other than 2011 0745-20 CL+5 collision) GSD Vermilyea Corp.-Tree (other Closed 0745-20 CL+5 than sewer/water related) 2011 Hatter, Larry & Cathie-Tree (other Closed 0745-20 CL+5 than sewer/water related) 2011 Hay, Lee Ann-Law Enforcement Closed 0745-20 CL+5 2011 Closed Herrera, Edgar-Law Enforcement 2011 0745-20 CL+5 Jandal, Moussa-Sewer/Water (other Closed 0745-20 CL+5 than tree related) 2011 This form documents the destruction of City records in occordonce with the City of Carlsbad Records Management Program. Revised:12/12/2017 Page /3 ~39-40 l)RKM39-40 f ~ RKM39-40 fr ;J )RKM39-40 t ) RKM39-40 .~ [/RKM39-40 VRKM39-40 t ~ RKM39-40 }f V RKM39-40 ft)JJ 1 RKM39-40 ~ I RKM39-40 ~ I RKM39-40 yr RKM39-40 ))I RKM39-40 1 RKM39-40 V RKM39-40 tv RKM41 yJ RKM41 JY RKM41 JV RKM41 }JU RKM41 ,1» CITY OJ w CARLSBAD Johnson, Albert Lee-Law Closed 0745-20 CL+5 Enforcement 2011 Juarez, Gregg-Other, high water bill Closed 0745-20 CL+5 2011 Kushner, Laurie-Tree (other than Closed 0745-20 CL+5 sewer/water related) 2011 Lambert, Kristie-Vehicle Comprehensive (other than Closed 0745-20 CL+5 collision) 2011 Lane, Russell-Vehicle Closed Comprehensive (other than 2011 0745-20 CL+5 collision) Lewis, Cameron-Trip/Fall Closed 0745-20 CL+5 2011 Closed Li, Linjun-Law Enforcement 2011 0745-20 CL+5 Maldonado, Jose Luis-Law Closed 0745-20 CL+5 Enforcement 2011 Malphus, Maureen-Vehicle Closed Comprehensive (other than . 2011 0745-20 CL+5 collision) Miller, Maria-Sewer/Water (other Closed 0745-20 CL+5 than tree related) 2011 Oliver, Anthony Allen-Other, late Closed 0745-20 CL+5 claim, 1-5 vehicle collision 2011 Closed Palmer, Carolina-Law Enforcement 2011 0745-20 CL+5 Penske Truck Leasing-Vehicle Closed 0745-20 CL+5 Collision 2011 PGP Carlsbad Seniors Ltd-Tree Closed 0745-20 CL+5 (other than sewer/water related 2011 PGP Carlsbad Seniors Ltd-Tree Closed 0745-20 CL+5 (other than sewer/water related 2011 Powell, Brittany-Law Enforcement Closed 2011 0745-20 CL+5 Ramirez, Samantha-Tree (other than Closed 0745-20 CL+5 sewer/water related) 2011 Rillera, Mark-Law Enforcement Closed 0745-20 CL+5 2011 Robbins, Deva-Tree (other than Closed sewer/water related) 2011 0745-20 CL+5 Robertson, Linton-Vehicle Closed Comprehensive (other than 2011 0745-20 CL+5 collision) Roemer, Desiree-Vehicle Closed Comprehensive (other than 2011 0745-20 CL+5 collision) This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised:12/12/2017 Page /4 ,p.JKM41 ~ ) RKM41 JJ JRKM41 } fl ..} RKM41 l Y' RKM41 I' ,_) RKM41 / RKM41 f µ J} RKM41 .~ RKM41 )}/ RKM41 t I RKM41 / .Ji, RKM41 )i ) RKM41 }fa ) RKM41 j) V RKM41 ~ / RKM41 J}-/ RKM41 )Iv / RKM41 )J>-' I RKM51 ~ RKM51 j/ RKM51 <~'» CITY 01 ~ CARLSBAD Rutherford, Kedda-Vehicle Closed Comprehensive (other than 2011 0745-20 CL+5 collision) Closed Salazar, Horacio-Law Enforcement 2011 0745-20 CL+5 Closed Saldana, Teresa-Vehicle Collision 2011 0745-20 CL+5 Sequoia Insurance Company Scandia Closed Motel-Tree (other than sewer/water 2011 0745-20 CL+5 related) Shaddle, Douglas-Vehicle Closed Comprehensive (other than 0745-20 CL+S collision) 2011 Simmons, Rafaela-Dangerous Closed Condition of Public Property 2011 0745-20 CL+5 Simmons, Steven-Dangerous Closed Condition of Public Property 2011 0745-20 CL+5 State Farm Insurance Ramirez- Vehicle Comprehensive (other than Closed 0745-20 CL+S 2011 collision) State Farm Mutual Insurance Closed Debaay-Vehicle Comprehensive 2011 0745-20 CL+5 (other than collision) Stockham, Jeff-Tree (other than Closed 0745-20 CL+5 sewer/water related) 2011 Stockham, Jeff-Sewer/water (tree Closed 0745-20 CL+5 related) 2011 Threat, Edward & Jessica-Closed Sewer/water (tree related) 2011 0745-20 CL+S Tirona, Lawrence-Sewer/water (tree Closed 0745-20 CL+5 related) 2011 Tomkinson, Robert & Bernadette-Closed 0745-20 CL+5 Sewer/water (tree related) 2011 Toohey, Richard & Mary-Vehicle Closed Comprehensive (other than 2011 0745-20 CL+5 collision) Wawanesa Insurance-Vehicle Closed Comprehensive (other than 2011 0745-20 CL+5 collision) Wiener, Joseph-Tree (other than Closed 0745-20 CL+5 sewer/water related) 2011 Potential Claims -2011 Farris, Robyn-Litigated claim, Closed 0745-50 CL+7 Trip/Fall 2009 Forsberg, Delinda-Litigated claim, Closed 0745-50 CL+7 Other, judgement in favor of city 2010 Katz-Hollander, Liliana-Litigated Closed 0745-50 CL+7 claim, Other, Fire, burn 2010 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Rev~ed:12/12/2017 Page /5 ~KM51 .J VRKM51 fl JRKM51 } } / RKM51 }A ) RKM51 JJ.I RKM51 J. V RKM51 }) l.J RKM76 µv RKM76 .J}r l.J RKM76 }J/ RKM76 )i.l RKM76 µ / RKM76 /11 .) RKM76 j) I RKM76 yvl/ RKM76 ?I RKM76 })I RKM76 )YI/ RKM76 Jirl RKM76 jJ/ RKM76 Y,I_/ RKM76 <~COTJOI w CARLSBAD Lowe, Stephen-Litigated claim, Closed Sewer/water (other than tree 2010 0745-50 CL+7 related) Manton, Margret-Litigated claim, Closed 0745-50 CL+7 Trip/Fall 2010 Miller, Janet-Litigated claim, Vehicle Closed comprehensive (other than collision) 2010 0745-50 CL+7 Mitchell, Stephanie-Litigated claim, Vehicle comprehensive (other than Closed 0745-50 CL+7 2010 collision) Phipps, Melody-Litigated claim, Law Closed 0745-50 CL+7 Enforcement 2010 Rubin. Louis & Leslie-Litigated claim, sewer/water (other than tree Closed 0745-50 CL+7 related) 2010 Tarrant, Janina-Litigated claim, Closed 0745-50 CL+7 Trip/fall 2010 Adkison, Tony-Loss Recovery, fire Closed 0120-20 CL+2 hydrant 2015 Aguilar, Gustavo-Loss Recovery, tree Closed 0120-20 CL+2 damages 2015 I Rosales, Fidelina Alcala-Loss Closed 0120-20 CL+2 Recovery, gate post 2015 BMW of Vista-Loss Recovery, water Closed 0120-20 CL+2 reclamation vent 2015 Barone, Joseph Dominic-Loss Closed 0120-20 CL+2 Recovery, light pole 2015 Barron, Richard G.-Loss Recovery, Closed 0120-20 CL+2 street sign 2015 Bentley, Ruth-Loss Recovery, street Closed 0120-20 CL+2 sign 2015 Callaway Golf-Loss Recovery, fire Closed 0120-20 CL+2 hydrant 2015 Chavez, Francisco-Loss Recovery, Closed 0120-20 CL+2 fire hydrant 2015 Cruz, Rodolfo and Hernandez, Luis-Closed 0120-20 CL+2 Loss Recovery, fire hydrant 2015 Deluca, David T.-Loss Recovery, Closed 0120-20 CL+2 street sign 2015 Eccker, Donald-Loss Recovery, Closed 0120-20 CL+2 sidewalk repair 2015 Ernst, Kevin-Loss Recovery, street Closed 0120-20 CL+2 light 2015 Euell, Zachary-Loss Recovery, fire Closed 0120-20 CL+2 suppression cost 2015 Fandey, Suzanne-Loss Recovery, Closed 0120-20 CL+2 street sign 2015 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Revised:12/12/2017 Page /6 A~M76 v· ~KM76 ~v)RKM76 I J 1;> RKM76 ~ r) RKM76 )}~ RKM76 jJ (/RKM76 ),) v RKM76 fa / RKM76 f ) RKM76 )J ./ RKM76 f J RKM76 y V RKM76 # lJ RKM76 p{V RKM76 ))/ RKM76 fav RKM76 )Iv RKM76 )AY RKM76 # RKM76 )vll/ RKM76 .}Jr RKM76 #'' RKM76 .#"" RKM76 <~CITYO• w CARLSBAD Farmer, Ross-Loss Recovery, Closed 0120-20 CL+2 hazardous material spill 2015 Foster, Daniel-Loss Recovery, street Closed 0120-20 CL+2 sign, (statute expired) 2015 Fyock, Kent W.-Loss Recovery, traffic Closed 0120-20 CL+2 signal 2015 Gruhler, Christian-Loss Recovery, Closed fence 2015 0120-20 CL+2 Hoehn Audi-Loss Recovery, fire Closed 0120-20 CL+2 hydrant and sign 2015 Hoffman, Lester-Loss Recovery, gate Closed 0120-20 CL+2 repair 2015 Honeycutt, Susan-Loss Recovery, Closed 0120-20 CL+2 fence, fire hydrant and street light 2015 Kloske, Alexander-Loss Recovery, Closed city vehicle 2015 0120-20 CL+2 McCormack, Cameron-Loss Closed 0120-20 CL+2 Recovery, street light 2015 Mendiola, Brazilleca-Loss Recovery, Closed 0120-20 CL+2 street light 2015 Messinger, Lauren Jarcho-Loss Closed Recovery, street signs 2015 0120-20 CL+2 Miller, Michael-Loss Recovery, light Closed pole 2015 0120-20 CL+2 Mobile Station Car Wash-Loss Closed Recovery, city vehicle damages 2015 0120-20 CL+2 Montenegro, Tristan J.-Loss Closed Recovery, street sign 2015 0120-20 CL+2 Mozingo, Steven-Loss Recovery, city Closed vehicle 2015 0120-20 CL+2 Nottingham, Jessica-Loss Recovery, Closed 0120-20 CL+2 guardrail 2015 Owens, Steven-Loss Recovery, fire Closed 0120-20 CL+2 hydrant 2015 Paceley, Barry E.-Loss Recovery, city Closed 0120-20 CL+2 vehicle damages 2015 Poole, Andrew-Loss Recovery, street Closed 0120-20 CL+2 light 2015 Ramirez, Robert-Loss Recovery, fire Closed 0120-20 CL+2 hydrant 2015 Resch, Francois-Loss Recovery, city Closed 0120-20 CL+2 vehicle damages 2015 Saleh, Mehdi Zargar-Loss Recovery, Closed 0120-20 CL+2 fire hydrant 2015 Scefonas, Robert Felix-Loss Closed 0120-20 CL+2 Recovery, fire hydrant 2015 Sengar, Alok Singh-Loss Recovery, Closed 0120-20 CL+2 tree damages 2015 This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Rev~ed:12/12/2017 Page /7 ~M76 RKM76 j I/ ) J)RKM76 KM76 I J ~KM76 I) ~ RKM76 A VRKM76 JI, .,) RKM76 ) / RKM76 /A'/ RKM76 ; I RKM76 RKM77 »w' RKM77 jJ,/1/ RKM77 RKM77 JNJ RKM77 RKM80 µt, RKM81 ))vi RKM81 ~I/ RKM81 }),vi/ RKM81 )J/ RKM81 <..~ CITY OF wCARLSBAD Shrake, Sally-Loss Recovery, sign Closed 0120-20 CL+2 damages 2015 Siemens Industry, lnc.-Loss Closed Recovery, Fire Dept. response to gas 0120-20 CL+2 leak 2015 Steigerwald, Mary-Loss Recovery, Closed 0120-20 CL+2 street light pole 2015 Talavera, Andy-Loss Recovery, traffic Closed 0120-20 CL+2 signal 2015 Taxera, Betsy Marie-Loss Recovery, Closed 0120-20 CL+2 city vehicle damages 2015 Teach, Shari-Loss Recovery, city Closed 0120-20 CL+2 vehicle damages 2015 Tsiames, Jason-Loss Recovery, fire Closed 0120-20 CL+2 hydrant 2015 Verduyn, Kevin-Loss Recovery, Closed 0120-20 CL+2 street sign 2015 Williams, Emily-Loss Recovery, city Closed 0120-20 CL+2 vehicle damages 2015 Youngquist, Todd-Loss Recovery, Closed 0120-20 CL+2 street signs 2015 Potential Loss Recoveries Insurance Review Requests -2013 0120-18 CL+2 Incident Reports/Citizen Injury - 2007-2008; 2008-2009; 2009-2010; 0120-23 CL+2 2011; 2012; 2013 Special Events Insurance -2013-0120-13 CL+2 2014; 2014-2015 Potential Claims 2003 Potential Claims -Dove Library 2000-2009 Special Events Insurance policy information and certificates 1994-0120-13 CL+2 2008 Employee Honesty Bonds 4-16-83 - 4-16-04 (proposals, invoices & CU+5 correspondence Public Official Bond-Employee 0120-25 CU+5 Honesty 1997-2005 Certificate of Insurance Letter, issued by Risk Manager to outside entity -2009, 2012, 2013, 2014 County of Santa Clara vs Driver Alliant Insurance Services settlement Insurance Review Requests 2003-0120-18 CL+2 2004 Fine Arts Insurance This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. Rev~ed:12/13/2017 Page /8 '.~M81 Insurance Review Requests Law 0120-18 CL+2 Enforcement at Airport )) ,,) RKM81 Insurance Review Requests Business 0120-18 CL+2 Auto for Overload Permits _fa ) RKM81 Insurance Review Requests Personal 0120-18 CL+2 Vehicle for City Use {) RKM81 Insurance Review Requests Survey 0120-18 CL+2 ,J of 1994 Insurance Review Requests emails RKM81 1993-2007 0120-18 CL+2 )J l) RKM81 Insurance Review Requests Senior 0120-18 CL+2 Center Conversion to Condos 2002 *If more spaces are needed, click in the last box in right hand corner of table and hit "tab". This will create more fields in the table. To be filled out once records have been destroyed. RECORD DESTRUCTION COMPLETED BY: Cof I)~ CERTIFICATE OF DESTRUCTION? ~ YES O NO TAB BARCODES DELETED BY: .41.,tri tl-~ DATE: DATE: This form documents the destruction of City records in accordance with the City of Carlsbad Records Management Program. (~) CITY OF wcARLSBAD Revised:12/13/2017 Page /9 _, ' A-'() &,I<: ~ if_tl vV1 34 L~~\l:~. c,c.~~-,~-·,. City Of Garlsbad Clam GID88d betvan 11/81/2011 .f_.. .. tt. IV\ tfo E -J i I # ,i 6...L ~ ... \C ~~-"· Loss Run Report 111112/31/2011 r\c._. \,/ c. ·t;;_ · , A> 1 ?,' . ..,. ·1. ;;, '~ .... _. , . . ,,. . .\-·' Date of Date Date Date Loss Expense Loss Expense _,.,.,...... ' ClaimName Loss Received Closed Category Lit!gate Reserve Reserve .Payment Payment Incurred Status 112212010! I 1 AAA, LAZARUS 1112/2010 8/30/2011 TREE (OTHER THAN SE 619/2011..,,..-0.00 0.00 0.00' 0.00 0.00 CLOSED lllt:011_111~ Cli~I 1::1:lt:O-. -·--------~ ~;:~!~ ~E.s00.;1~.EaP 11118/2009! 1217/2010 2/7/2011 VEHICLE COLLISION 0.00 0.00 1,089.59 0.00 1,089.59 CLOSED ~ ACOSTA, JOE 12/11/2011 12/13/2011 12122/2011 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 0.00 CLOSED i.;.....,r ALLISON, RICHARD-· 6/8/2011 6121/2011 7/5/2011 ;LAW ENFORCEMENT 0.00 0.00 1,096.50 a.oat-1,096.50 CLOSED ~: ANTMAN, SASHA . --·---10/712009 ~--------· ---·------· -8/26/2009 8/30/2011 !LAW ENFORCEMENT 0.00 0.00 0.00 0.00 0.00 CLOSED ~HNEMAN,KYLE 2/16/2011 3/14/2011 9/28/2011 VEHICLE COMPREHEN 0.00: 0.00 0.00 0.00 0.00 CLOSED C.IS (C lQ:::CI ICO :X:I I I.I Ii I iC!:O -------~ARNES,KAREN 12/16/2010\ 1/18/2011' 8/30/2011 OTHER 0.00' 0.00 0.00 0.00 0.00 CLOSED ~AUGH,ANDREW 2/18/2011 2/18/2011 8/30/2011 VEHICLE COMPREHEN 0.00 0.00: 0.00 0.00 0.00 CLOSED , ---------··-------------.~...l'L.1~ lr.\TUCD.!rJ .lAJ.l.t:,I"\ . 11 /25/20Cla:;-----...... . -·-·-·-i ------------·. soo,000.00: ·-I 9 BERG, JEANNE 8/2/2009 10/6/2009 10/31/2011 U:,.W ENFORCEMENT 0.00 0.00 300,766.381 199,233.62 CLOSED I J,ro~BJORSTROM, PAUL WE --·--·----·--5114/2010 6/11/2010 1/10/2011 'LAW ENFORCEMENT o.oo. 0.00 0.00 0.00 0.00 CLOSED ~LEO:NYH, SOFIA i 3/30/2010' 9/20/2010; 4/20/2011 DANGEROUS CONDIT! o.oo' 0.00 0.00; 0.00 0.00 CLOSED oal Cl.I DliDI 1.0...,COO:OC ~ BONAS, WILLIAM A. I 5/27/2004, 12/15/2010 2/2412011 OTHER 0.00 0.00 0.00 ~-~~l 0.00• CLOSED __;.6'. BOOTHE, NATHANIEL I 8i2212010l 1212s12010· 7/30i2011 ·u:,.w ENFORCEMENT I 0.00 0.00 0.00. 0.00 0.00 CLOSED ~ BOUCHEREAU, THIER~. . 1/17/2011 ! 2117/2011 8/30/2011 VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 CLOSED v--tS .:::BUTLER, BUNNY 2/25/2011' 4/21/2011 11/17/2011 ,TRIP/FALL 0.00' 0.00 0.00 0.00 0.00 CLOSED ~ BYRNE, RYAN 4/6/2011 4/18/2011 ! 5110/2011 OTHER 0.00 0.00 320.80 0.00 320.80 CLOSED ~ARLSBAD WOOORIOG 0 11112010· 1011212010· ------..... ____ ~ --------· --· 1118/2011 OTHER 0.00 0.00: 10,000.00: 0.00 10,000.00 CLOSED 18 CARTER, WILLIAM 10131/2009, 1/4/2010 10/4/2011 LAW ENFORCEMENT 5/18/2Q1(V 0.00. 0.00 340,000.00 164,030.08 504,030.08 CLOSED I ~ICHESUS,JUAN 7/26/2010 10/19/2010 3/1/2011 VEHICLE COMPREHEN 0.00 0.00 300.00 0.00· 300.00 CLOSED ~~ASTAL CASITAS, IN 819/2010 10/27/2010 5/19/2011 SEWERM'ATER (TREE 0.00 0.00 0.00 0.00: 0.001 CLOSED -----· ------·---·-----...,.D~...C.C..L---·-. i 1 . COMSTOCK, LINDA 9/22/2010 11110/2010 6/22/2011 LAW ENFORCEMENT 0.00 0.00· 0.00 0.00 0.00 CLOSED z: ~ DAVEY, JULIA 11/3/2010: 513/2011 12/30i2011 IOTHER o.oo; 0.00 0.00 0.00 0.00 CLOSED .I!. I -i- 12,2012011 lveHICLE COMPREHEN 0J DAVIDSON, KEN & JAN I 3/25/2010: 9/23/2010 0.00' 0.00 2,562.50 0.00 2,562.50 CLOSED ~:c ( c...,,0:c111::::a:r:11a11it oo ,, ___ \./24 DYKES, Ill, HUGH G. 10/25/2011 11/8/2011' 12/13/2011 SEWER/WATER (OTHE 0.00 0.00 10,591.791 1,317.45 11,909.24 CLOSED ~------------· .n-:!:1.1..&...1.~nc:.c....nr.:.1_~ 0:001 ELIXMAN, BETTY 2/20/2009 3/6/2009 2/23/2011 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 CLOSED CU u:: £0:Z:1 ICCI :Cl I ft •1 00 0 ESAYIAN, NICHOL.AS 1/10/2011 317/2011 10/31/2011 'VEHICLE CQMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED CH IC!: lO:CltCCli :Cl Ill t,I 00 27 GAETANI, FRANK AND 12/31/2008 517/2009 4/5/2011 DANGEROUS CONDITI 1iinooV 0.00 0.00 207,043.57, 292,956.43 500,000.00i CLOSED vis . GS[;VERMIL YEA CORP 011 011 1:111 11:lLtO..DOOCIC: 6/8/2011' 9/20/2011 TREE {OTHER THAN SE . .i 0.00 0.00 5,230.00 0.00 5,230.00 CLOSED. ~J.~TTER. LARi!Y & CAT . --~----------· I.A.tc.D.AA./-1',.:T..,::.r.l.ZI.C.I.~-------·-----·-· 10/1 /201 0 12/29/201 0 3/29/2011 TREE (OTHER THAN SE o.oo: 0.00 36,870.00 0.00 36,870.00 CLOSED 8/9/2011 JLAWENFOCRCEMENT 0 -·-···----___ ..,. _____ o.oo_i • : HAY, LEEANN 10/1/2010. 6/27/2011 0.00 1,500.00 0.00 1,500.00 CLOSED !31 HERRERA.EDGAR 4/9/20111 5/5/2011 6/21/2011!L.AW ENFORCEMENT 0.00 0.00 25.00. 0.00 25.00 CLOSED : £.. ~ JANDAL, MOUSSA 211_.11~00_9! 2/11/2009; 2/23/2011 SEWER/WATER (OTHE 0.00 0.00 786.12; 0.00 786.12 CLOSED _ ...O.~ .1.A.U ::1:Dt::.C....nr.:'I A T..r"' 1Nednesday,August13,2014 LossR~nClosed Page 1 of3 City of Carlsbad toss Run Report Mos Clo88d botWmn 01/01/2011 -12/31/2111 ~, ~ # \[_I,.( ,rA "'f D-f;_, ·-p i KM t..f f -G.. -7- ~JOHNSON,ALBERTLE 1 2/27/2010 6/17/2011 8/30/2011[LAWENFORCEMENT 0.00( 0.00\ 0.00 ~UAREZ, GREGG ·-------3-/2-3/-2-01_1_1-0/-31-/2_0_1_11'""0-T-HE-R 0.00. 0,00 0.00 Expense Payment 0.00 0.00: -------------=-=::-:-:=-=··----·-·······--------------------0.00 ,.__yKuSHNER, LAURIE 6_12_1_,2_0_1_0 __ 91_0,_2_01_0..:__4_t_20_12-'-0_1_1 ... TR.U:E::CELOAl{O,.,.,T~~~~~--_____ o._o_o ___ o_._oo ____ o_.o_o ____ _ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ,. 36.,;,tAMBERT, KRISTIE 2/16/2011 3/18/2011 9/28/2011 VEHICLE COMPREHEN 0.00 0.00 0.00 ~NE, RUSSELL -6/12/2010 7/21!20fo" . fr1912011 ·2[~~I~:~rin1:~~~~ .... 0.00 0.00 0.00 ~ ~~'. CAMERON 12/2012010 1/1012011 7/20/2011 TRIP/FALL 0.00 0.00 0.00 , LINJUN 1213/2010 1/1112011 7/30/2011.LAW ENFORCEMENT o.oo: .... --·o-:oir 0.00 ~jP.LDO~~~O, JOSE LUI. 511412010 7/20/2010 1/19/~?-1_1 _-LA_W_E_N_F_O_R~-. ~-~-E-_N _ __: __ --------0-.0-0~! --0-.00---· 0.00 ~us, MAUREEN • 10/14/2010 3/14/2011 9/28/2011 VEHICLE COMPREHEN 0.00 0.00 0.00 ./ 1 en «c ro:rt1r-:o :r11A.U...nO..----· -----------------------Y? MILLER, MARIA 2111/2009 2/11/2009 2/23/2011 SEWER/WATER (OTHE 0.00 0.00 0.00 123,122.19 0.00 0.00 0.00 43 MURRAY, SHAWN 8/17/2008 5/23/2011 LAW ENFORCEMENT ··,-1/1a,2ooa::/ 0.00 •/ . --------------· @" OLIVER, ANTHONY ALL 7/3/2008 3/3/2011 6/22/2011:0THER 0.00 ~LMER, CAROLINA -2/17/2011 3r.19/201{ 10/31/20111LAWENFORCEMENT 0.00 ~ENSKETRUCKLEASI --7-,2-~-2-01_1_9_/_15_/2_0_1_1_1_0_/1_2_/2_01-1+!V_E_H_IC_L_E_C_O_L_L_IS-IO-N-~-------o-.o-o-----+------ 0.00 87,500.00, 0.00 o.oo\ o.oo; o.ooi o.oo: . 2,610.00 v<i __ 7..ai.:UP0::>..G..LP~CC>.A_R_Ls_B_A_D_S_E_N_lo __ 6_12_4_f2011 8/412011 ! a13012011 ·~c:E!J?.!.~:.R ... ~~~~~ o.oo o.oo 1,880.00 0.00 0.00, 0.00 0.00'. 0.00 0.00 · ~PGP CARLSBAD SENIO 8/1512011 9/8/2011 i 11/15/2011 TREE (OTHER THAN SE 0.00 ·{fi. 49 '"popovicH, "j,ii.sNA . 12/31/2008 6/30/2009· 2/23/201°fo·flf~rc-Tc-cr.:-:n:-cn,c-.. -,' ,-AT,_r:_."'_· __ 7,_712009.,,-bk--o._oo _____ _ vi!'!._ POWELL, BRITTANY , 1 3/28/2011 10/31/2011 LAW ENFORCEMENT 0.00 ~51 RADOVANIC, VESNA ··~-1-21-3-1/-20_08_' -6/-2-9/-20_0_9_2/_2_3_12_0_11_;0_T_H_E_R-------~---_---~17~~ 0.00 v-52 RAMIREZ, SAMANTHA 12/22/2010 1/19/2011 3/2912011 'TREE (OTHER THAN SE• --0.-00--------~-- ·---..• --·-----~~J:l.A.1t.,:A..."'CCO . .O.C.l...A..'T.:~O. • ·------l. 0.00 420.50 0.00 0.00 0.00 0.00 0.00 0.00. 0.00 100.00 0.00 0.00 0.00 Incurred Status 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED ' ·0.001 CLOSED 0.001 CLOSED o.oo: CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED •·--L·--210,622.19. CLOSED 0.00 CLOSED 0.00 CLOSED 2,610.00 CLOSED ---~-----~ --1,880.00 CLOSED 420.50 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED ' ,_ -· -----·-· 100.00 CLOSED 0.00' CLOSED 0.00 2,508.82' CLOSED v-53 RILLERA, MARK 8/27/2010 913/2010 4/20/2011 LAW ENFORCEMENT 0.00; ~-ROBBINS, DEVA 5/27/2011 6/14/2011 7/26/2011 TREE (OTHER THAN SE --o:oo1'.----~------------------ 11,enna,,.TC'n or1 e:rc:c,. 0.00, 2,508.82 ~ ROBERTSON, LINTON 4/13/2011 5/212011 11/17/2011 VEHICLE COMPREHEN ---o.oo' ------------r,n:r11c:n:rt1e1100 ~ ROEMER, DESIREE 215/2011 2/10/2011 10/31/2011 VEHICLE COMPREHEN ~-RfrrHERi=oFio. KEooA ·· 1·2,31·12000· 212412iffo· 121291201 fvEHTctE·coMPREHEN - 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 -----------"'"-"=·r~•=ox=•=•t'=n~x=•~ .. ..,_,,..<=-----i------------------~ SALAZAR, HORACIO 917/2010 917/2010 -4/20/2011 LAW ENFORCEMENT 0.00 0.00 0.00 0,00 0.00: CLOSED 0.00; CLOSED o.oo, CLOSED . 0.00 CLOSED 0.00 860.38 CLOSED 0.00 860.38 ~SALDANA, TERESA 4/28/2011 · 5/2/2011 5/17/2011 :VEHICLE COLLISION -----+----0.-00------------------- 0.00" 5,999.01 CLOSED ------------0.00 329.43 CLOSED 0.00 5,999.01 0.00 329.43' ~ SEQUOIA INSURANCE . __ 7_16_12_011. 9/2 .. 8/20_ 11 .. 11/16/2011 iT~J. < ... ~~~R_T_HL~~J~.: _ 0.00 ~HADDLE,DOUGLASL.. 5/23/2011 6/3/2011 7/12/2011 fVEHICLECOMPREHEN t 0.00 0.00 0.00 CLOSED 0.00 0.00 CLOSED o.oo; O.OOi O.OOl 0.00 S MMONS, RAFAELA 2/14/2010 8/6/2010 4/20/2011!DANGER0°~U~S~C~O~N~D~IT=,~--------o-.o-o-- --:------------------;-' ----.OU OU nl 101 1.0..Ckl:>.C.CC.-------------'-----1-----------------' IMMONS, STEVEN 2/14/2010. 8/6/2010; 4/2012011 DANGEROUS CONDIT! 0.00 0.00 0.00 CLOSED I -o.oo: 0.00 011 011 Ml 101 t~~O~D=Ou.D,ccl"'--------------i--------------------, i 11119/2010' 6/22/2011 SEWER/WATER (TREE 0.00 .CJ::'1. .A!Cr"J::l.~ i.. Wednesday, August 13, 2014 . v:, ~e....i.r;r..Jw t;~ vt0\I...., ~~.Q._,? h~ (.)\.A:..-'~ ..... _C.... I 5<:>'f, -c_.....\;~S~ (i I +· r 1-- LossRunCJosed ~ (-J f...d w(:};.h 3 ~~'i -,'°. ~ s1-hLL Page 2 of3 ·-' City of Garlsbad Loss Run RBPDrt CllbB 11188d belBln 01/111/2011 nl 12/31/2011 Date of Date . Date Date Loss Expense Loss J:..!aimName Loss Received Closed Category Litigate Reserve Reserve Payment ~STATE FARM INSURAN 12/22/2010' 3/14/2011 4/19/2011TREE (OTHER THAN SE 0.00' o.oo' 2,182.93 J' --.... _._ ... ,___ 111cn&e1eTcn ncr A:Tcn · Totals l "'. . '- c2o I I \'Vednesday,August13,2014 LossRunClosed Expense Payment 0.00 0.00 0.00 586.25 0.00 0.00 0.00 0.00 0.00 0.00 Incurred Status 2,182.93! CLOSED 304.29 CLOSED . 6,300.00 CLOSED 9,030.07 CLOSED 0.00 CLOSED 0.00 · CLOSED 0.00 CLOSED 0.00 CLOSED ·--·----·------0.00; CLOSED 0.00 CLOSED Page 3 of3 cnv of Carlsbad L•s Run Report Clam CID81 betwllln 01/01/2010 111112/31/2010 Date of Date Date Date Loss Expense Loss Expense ClaimName Loss Received Closed Category Litigate Reserve Reserve Payment Payment Incurred Status v-;r:j'--ACEC/OACCLA!MRES 11/6/2009 1/27/2010. 3/212010:VEHICLECOLLISION 0.00'. 0.00 2,253.31 0.00 2,253.31 CLOSED \,,;A~~ . ...,.·c_KMA_ ... _c:_N_."M __ A-::R __ 1T:HA:0~~·_·=·_-:_-_1-_,2-_1--,_.2-o-,-1-o--s,...,.'4/,,,.20_1_0_, -7-/7-/2_0_1_0-=~R--, __ Ec--!-.·~-=?--I-Hc:-~-R,,---1:.--~-~N-T-::;l.,--E:-, -_-_-_-_-_-_-_-_-_-=_o._oo ____ o_.0_0~! __ 2_._09_5_.o_o __ =-37-0-.8-2--2-,4_6_5-.8-2 CLOSED 1,, .• f-"'3, AMORSOLO, FRANK 9/2/2010 9ll/2010 10/5/2010VEHICLE COMPREHEN 0.00 0.00 143.43 0.00 143.43 CLOSED t.~ANASTASI-GALLAGHER 11/23/2009 3/5/2010 5/3/2010TRiP/FALLcc,:mou 00 ------0-.00----0-.0-0 ___ 75-6-.9-7---0.00 756.97 CLOSED ti/-<J.."p'p'f('MICHAEL 7/30/2009. 9/21!2(>09' 4/28/2010;LAW ENFORCEMENT 0.00 0.00 0.00 0.00 0.00 CLOSED '---"----------------! /6 AUTO CLUB OF SOUTH 8/20/2009 12/15/2009 3/2/2010 VEHICLE COLLISION 0.00 0.00 5,663.71 0.00 5,663.71 CLOSED .,,, ·cn•r o er 1coo.a.11a 11r•• · \_,...7· BARRANTES, BRIAN 12/5/2008 7/8/2009 1/27/2010 LAW ENFORCEMENT 0.00 0.00 0.00' --0-.0-0---0.00 CLOSED ~· BIBERSTON, KRISTA 9/19/2009• 10/20/200f 4/2812010TRIP/FALL 0.00 0.00 0.00 0.00. 0.00 CLOSED . -I ~; BITAR, JOYCE 10/30/2009. 1·2/1112000· 1/12/2010,VEHICLE COLLISION 0.00 o.01f -0.00, 0.00 0.00 CLOSED vi-0~sovo:·cHRISTOPHER 3/17/2009-1/25/2010 9/22/2010:PERSONNELACTION 0.00 0.00 0.00 0.00 0.00 CLOSED \.,.11.,....BROWN, GREGORY 12110/2009 1/6/2010 7f13/2010LAWENFORCEMENT 0.00' 0.00 150.00 0.00 150.00 CLOSED -----~-~----=---~---:::--::~-:-c---------------------l-' ~12'"CARLSBAD CHRISTIAN . 1/13/2009 2/9/2010•SEWERIWATER (TREE 0.00 0.00, 8,056.63 0.00 8,056.63 CLOSED :).s-" .. DEAN:ToNNA ... .,.... : 211212010 311512010; 9122120101AWENFORCEMENT o.oo' o.oo o.oo o.oo o.oo CLOSED V41EASTON. MICHAEL 1/16/2010. -1,-221-20_1_0_1-,2-a-,2-o-10--;.!LA_W_E_N-FO_R_C_E __ M_E_N_T___ 0.00 0.00 303.57 O.OOi 303.57'. CLOSED · l1S>FIELD, BRIAN 1/22/2010 1/27/2010-3/15/2010 SEWER/WATER (TREE 0.00 0.00 250.00 0.00 250.00 CLOSED ----------r:'I 6:Tl""O) ----------- ~~16· '!!~~;, .~ .c~~l;':f~~~c 8/26/2010 91712010 11/9/2010 ~;!N,_~ATER (TREE 0.00 0:~0. 44~ .. -~~. 0.00 44 0 3 .. 9 0 8 0 . CC_,lL?OSS-~E--D~. . / 17 FORSBERG, DELINDA 1/29/2010 6/22/2010, 9/24/20100THER 8/2/2010 o.oo 0.00: 0.001, 0.00 V L,;rir"' GAIER: BRYAN 6/26/2009 7/23/2009 1127/2010 VEHICLE COMPREHEN ---0-.0-0----o-.o---,o·,----0-.0-0 ____ 0_.o_o o.oo CLOSED rn ,r tOTI ,en :c;:1.J.A~l-f~l"'=O~--- l,.,.,19'' GANZ, BRIAN 4/16/2010 4/21/2010 8/17/2010\VEHICLE COMPREHEN 0.00 0.00 391.45 0.00, 391.45 CLOSED- ~ • .?0--GEICO {DREYER), 8/31/2009 10/9/2009· 12/28/20101VEHICLE'toLUSioN 0.00 -0-.0-0--2-.-39-7-.6-0,__ ___ o_.0_0 __ 2,397.60' CLOSED 1,21 .... ·GNAZZO, BARBARA 8/27/2009 11/9/2009 21.:fai:fofo-SEWEFWIATER(TREE o.oo; 0.00 . 3;53(05" 535.70 4,066.75 CLOSED -------·~-----~-------~nc~,~·~x~c=c~----\...-~~GRACE, TIMOTHY 7/29/2010 8111/2010 9/14/2010,QTHER 0.00 0.00 86.99, 0.00 86.99 CLOSED t .. ~MPTON,ALICE 3/9/2010 3/16/2010 9/2212010TREE(OTHERTHANSE 0.00 O.OOi 0.00 0.00 0·.00 CLOSED 1n,rcnaar&:rcn MCI ATCO L.24···HASKELL, NINA 6/8/2010 9/27/2010 10/512010,LAW ENFORCEMENT 0.00 0.00 93.50 0.00 93.50 CLOSED 1.,1.25---HENDERSON, ARCHIE t...26-•·HOARD, GORDON & CA : 1.,,;,i,7~! f!UFFMAN, MATTHEW J \.,"_28-•·JACKSON, GALE ~AM, JAMES & MARY L;ID.~KALTER, JOSEF 31 KATZ-HOLLANDER, LILI ------I ---·-----------·· --• 1/6/2010 1i26/2010 8/18/2010VEHICLE COMPREHEN · o.oo· 0.00 O.oo· . O.Oo' 0.00 CLOSED c ,rnx1 ,en :r1,.,, •• co , ------ 3/11/2010; 3/23/2010 3/3012010SEWERJWATER(TREE 0.00 0.00 19,304.34 1,155.00 20,459.34· CLOSED 5/8/2010 6/912010! 7/7/2010•VEHICLE COMPREHEN 0.00 0.00 2,093.63 0.00. 2,093.63 CLOSED 9/29/2009 10/14/2009' 5/19/2010 LAW ENFORCEMENT ------0.00 0.0-0-, ---0-.0-0-; ----o-_oo ____ o_.o_o CLOSED -· ·······-·I ----1 --------------------·-7/14/2009· 9/30/2009 4/2812010LAW ENFORCEMENT 3/18/2009 7/20/2009 2/18/2010 !TRIP/FALL ---7/1012008 1/5/2009 10/20/2010 OTHER 6/19/2009 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00, 0.00 40,000.00 7,508.11 0.00 0.00 CLOSED ·; CLOSED I.,.~-'""-_ .... e.._l~-E-_R-, w-_-,L-~l-AM---..--·1,12120·10 8/5/2010. 9/8/2010 2:.~J!i?..~~Rn.~~!-. 0.00 0.00 500.00 0.00 47,508.11' 500.00 CLOSED•..,.,- CLOSED Thursday, August 14, 2014 LossRunClosed-Page 1 of3 City of Carlsbad Loss Run Report Date of aama.11etwion 111av20m· Bl 12/31/2811 Date ·l V' ,., ,;V'' ·_::; 'j. ,,_,. , .. , Loss Expense Loss Expense Claim Name Loss Date Received Closed Category Date Litigate Reserve Reserve Payment Payment Incurred Status L,,83 KUSHNER, LAURIE t.,.34 KUSHNER. LAURIE \..~35 LASZUK, JEAN \.A's LEYUA, GILBERT 7/15/2009:, 9/16/2009 8/9/2010 TREE (OTHER THAN SE 6/14(2010. 9/8/2010' 10,12120101~[EY.1?.~I~~~§I 0.00 0.00 1,003.00 0.00 1,003.00\ CLOSED --------0.00 0.00 800.00 0.00 800.00, CLOSED 7/21/2010 8/6/2010 10/19/2010'VEHICLE COMPREHEN 0.00 0.00 800.00 0.00 800.00 CLOSED 3/30/2010 6/2812010 8/3/2010 VEHICLE COMPR.EllH..C,E,C,N~------0-.0-0,-----0.-00----4-2-2.-89 _____ 0-.0-0 ___ 4_22 ___ 89--CLOSED ~1 _ L?~-~~~~-~-~~----9iffai2iJ10· 11,1,2010U\weNFoRCEMENf'"' · --o.oo o.oo o.oo o.oo o.oo cLoseD · / 38 LOWE, STEPHEN 1i12~12_0_01_ ~~!2612007·---~~!.~~-~_!;,.~~~,,,T!~J?:E.E-· 7/28/2008·----·o:oo 0.00 0.00 0.00 0.00 CLOSED Y. / / _,.. ,39 MANTON.MARGRET 1/18/2009 6/18/2009 8/3/2010TRIP/FALL 12/11/2020 0.00 0.00 6,828.10' 1,726.95 8,555.05 CLOSED\/"'° i.,.AO. MASSERY, MARY 5/23/2010 7/1/2010 11/15/2010iSEWERJWATER (TREE 0.00 0.00 14,585.00 0.00 14,585.00! CLOSED .. -.• CICL~'--\./41 MASSERY, MARY 6/24/2009 9/21/2009 1/26/2010 TREE (OTHER THAN SE 0.00 0.00 1,750.00 0.00 1,750.00 CLOSED \,,At MCGUIRE, RICHARD 5/9/2010 617/2010 1211si2010 LAW ENFORCEMENT . -o-.o-o.,-1 ---0.-00-0.00 0.00 0.00 CLOSED LA'S MERCURYINSURANCE 8/5/2009: 9/3/2009. 3/24/2010TREE(OTHERTHANSE 0.00 0.00 0.00 o.oo• \.,~MILLER, CARL --s-,1-1,-2-01_o_a_,2_0_12_0_10 __ 9_/1-4/-20ITTRWcoTHERTHANSE . 0.00 0.00 162.50 0.00 0.00 CLOSED 1 162.50 ;uur.ri n.A.JA .,..,...n .,..,..., 11,:ri-n. i 45 MILLER, JANET 12/17/2009 1/27/2009 8/6/2010'VEHICLE COMPREHEN 6/23/2010 0.00 0.00 0.00 0.00 0.00. CLOSED ' /" cLos·r::oV/ CLOSED7 ----~·;---~-~ ·----~----,·-----------nn,c ,n:ci..u-~.•A••·""~--.. 46 MITCHELL, STEPHANIE 4/212010 5112/2010 8/4/2010 VEHICLE COMPREHEN 6/8/2010 0.00 0.00 0.00 0.00 O.QOI \ .:1.i''MODRE, JOEL ---·-········-------8/12/2009 2121201o·s~~ATER(TREe·· -------··-0.00 0.00 11,225.00 0.00 11,225.00 \.f.48' PER SE RESTAURANT 1/18/2010; 1/25/2010 4/27/2010 SEWER/WATER (OTHE o.cio: 0.00 0.0-0~--6-6-.0-0 ___ 66.-00--C-LO_S_E_D_ CLOSED ~!§Rt.~~~~~ENro a1212010 6115/2010'. .1rii2si2010·[~~~ATE_~(!~ ____ _ __ o_.o_o ____ o._oo 670.oo o.o_o._~_6_1_0_.o_o:_cc_LL.,,.0 0 ·-_s 8 ·eE·-- 0 0 __ ::. / · 50 PHIPPS, MELODY 7119/2008 1/16/2009 12/15/2010 LAW ENFORCEMENT 7/20/2009 0.00 0.00 0.00 9,207.37 9,207.37 ij ·----------·----··--------------·--·-··----------,,..s-1·· PIRO, JEFF AND CINDY 11/4/2009 11/5/2009 5/19/2010!SEWER/WATER {TREE 0.00 0.00 0.00 0.00 0.00 CLOSED ------- t92,.-PQUEU, CARA i~?~'2-~.?.~-1120/2010 8/~~2~1~~~HICL~ ~LLl~I?.~ 0.00 ~~?.~. 0.00 0.00 \.j.§.3,-• PRESTON, PATRICK 3/18/2009 1/29/2010 9122/2010 PERSONNEL ACTION 0.00 0.00 o.oo' 115.50 ;_.,.54 PROGRESSIVE CHOICE 1217/2009: 218/2010 •. 3/9/2010VEHICLE COLLISION 0.00, 0.00 764.92 0.00 , 55 PROGRESSIVECHOICE 10/29/2009 2/17/20101 9/22/2010VEHICLECOLL-IS_I_O_N ____ ~ 0.00 0.00 0.00 0.00 01c11ne,,or::~o no11c 0.00 i CLOSED 115.50!. CLOSED 764.92 CLOSED 0.00 CLOSED , 56 ' RAYMOND, MICHAEL 6/20/2009 6/14/2010 8/18/2010 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 0.00 CLOSED \-i--·--. ---------·--· . ------• -----------~ . ---·----------------------------·-i 1,.Ji1'"RICHARD&RICHARDC 1/18/2010 2/1/2010 10/20/2010,SEWERJWATER(OTHE 0.00 0.00 0.00 o:oo' 0.00 CLOSED rSE 0NSTOCK,DALEIO : 12/22/2008 __ 6122/200:_ 1_1~112~0!~~ 1ENFORCEMENTr:: 0.00 0.00 0.00 0.00 0.00 CLOSED -/ 59 RUBIN, LOUIS AND LES 12/26/2007 12/26/2007 2/2/2010 SEWER/WATER (OTHE 7/28/2008 0.00 O:OO: 0.00 --0-.0-0 ___ o_oo CLOSED':::./ --~O~'T.1..1.A.Ll_,:o_cc._r::i,c:1 ATC ---------~----- 1.,,r6o' j SITTNER, DAVID 9/30/2009, 1/5/2010 7/2912010.LAW ENFORCEMENT 0.00 0.00 0.00 0.00; O.oo: CLOSED l-:s/ STREM, TIMOTHY -6/8/2009' 121712009; 6/16/2010VEHICLE COLLISION -. o.oo; 0.00 0.00 0.00 o:oo· CLOSED .,.,;62 _ .. ~M_A_N_, _KE_~~~GTo __ .2~~!'~°-~-. 2/25/2010 I 3/23/2010 OTH_E_R___ --------· 0.00 0,00 355.oo· 0.00 355.00 CLOSED-,. / 63 TARRANT, JANINA 6/10/2008 11/6/2008 7/7f2010'TRIP/FALL 6/16/2009 0.00 0.00 0.00 3,267.98; 3,267.98· CLOSED~ • • q~.;-TAVAREZ, JOSE · 2/23/2010 2/26/2010 3/9/201GtAW ENFORCEMENT O.oo, 0.00 255.00 0.00 255.00 CLOSED \..e·: ·-------. Thursday, August 14, 2014 LossRunClosed Page 2 of3 <&r.:¥ '"" ty\ Je·-b·-L City af cartsbad · MDI CID88d batwa OV01/2DIJ Loss Run Report 811112/31/2018 Date of Date Date Date Loss Expense Loss Expense Claim Name Loss Received Closed Category Litigate Reserve Reserve Payment Payment Incurred Status ,:,, ,6!Y"TORR MARK 4/8/2010 4/14/2010 6/1/2010 VEHICLE COMPREHEN 0.00 0.00 225.00 0.00 225.00 CLOSED ~ ,..,..-t ' -~--~1UC....10..T.I..JC ·-------·--·--\.,I,6Ef VANSICKLE, RAEMIEL I 8/24/2009 9/2/2009 3/24/2010 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 1..,~ERCAUTEREN, ROBE 1· ···-----·-----·--· 4/2112009 6/2912009 1/27/2010 VEHICLE COLLISION 0.00 0.00 0.00 0.00 0.00 CLOSED ~ 68 VITALIE,-JAMES. -----, 12/24/2009 4127/2010 12/15/2010 SEWERJWATER (TREE 0.00 1 0.00 0.00 77.50 77.50 CLOSED --· ·-·-·-----------·--------.. -·--·--··~ """"·-·. ------. ----. ..OCLA.:Cr.'D\:... \./59" WALSH, DENISE 8/31/2009 11113/2009 1/12/2010 OTHER 0.00 0.00 0.00 0.00 0.00 CLOSED 1., ..... 70: WATTS, GREGORY 8/2/2010 9/27/2010 11/2/2010 LAW ENFORCEMENT 0.00 0.00 399.00 0.00 39.9.00 CLOSED ~,,7-~ WILCOX, RlC~ARD 1/20/2010 1/29/2010 8/18/2010 VEHICLE COMPREHEN·-0.00 0.00 0.00' 0.00 0.00 CLOSED .OJ\ .Ir"' l'r..TI lr.'.l"ll .!'r.l : Totals 0.00 0.00 128,760.57, 24,030.93 152,791.50 4:-\ l "1 l:, (. 'O --r[l ~ -~:y l.1 sv Thursday, August 14, 2014 lossRunClosed Page 3 of3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 City of Carlsbad Loss Run Report Date of Claim Name L oss ACCU\.IM RESOURCE P 1/30/2009 . ACKMAN, JEFFREY 7/14/2009 ADEVA, ALVIN 11/6/2009 AGGSON, VAN 5/31/2009 AU\.DITS, JAMES 9/26/2008 ALBANO, MARK 1/27/2009 ALI, SAIYED 1/30/2009 ASBURY, SUZANNE 8/10/2008 .--· BARNES, JEAN 5/3/2008 BECKER, DAVID 8/22/2006 BRUMLEY, ROBERT . 5/25/2009 BUYS, GEORGIA 12/26/2007 CHILDS, THERESA 3/11/2009 COLONY AT CAU\.VERA 3/18/2008 .. - COX, DEDRIA 12/27/2005 DA PRATO, TERESA 5/6/2007 DAVIS, THOMAS 9/3/2008 DIAZ, ANDRES 4/10/2009 DIXON, JAMES 2/11/2009 DUGGINS, EARL GLEN 7/5/2007 DUNN,HAVAN 8/18/2007 DURA Y, THOMAS 10/28/2008 EPPERSON,ROBBY 5/19/2009 ERCAN,ERHAN 2/23/2009 ERISMANN, FERNANDO 11/28/2007 ERTEL, PAMILLA FARRIS, ROBYN 12/16/2007 FLOYD, STELU\. 4/6/2008 GOLDSTEIN, STEVEN C 8/20/2007 GOODRICH, DAVID & Al 2/11/2009 ·--GRAND DESIGN BUILD 1/8/2009 --- GRAZIANO, ROCKY 9/27/2009 Monday,August18,2014 Claims Closed between 01/01/2008 and 12/31/2008 Date Date R . d ece1ve Cl d C ose ate11orv 2/23/2009 3/24/2009 VEHICLE COLLISION 8/13/2009 9/22/2009 TREE (OTHER THAN SE 11·--ft A ... -----· ---- 11/10/2009 11/18/2009 VEHICLE COLLISION 7/28/2009 10/27/2009 DANGEROUS CONDITI 1---·-· ·---- 3/16/2009 10/26/2009 U\.W ENFORCEMENT 4/14/2009 5/12/2009 VEHICLE COLLISION 3/13/2009 5/19/2009 ,~E~ER/WATER(TREE 8/9/2008 3/24/2009 OTHER 6/27/2008 2/25/2009 TRIP/FALL 9/3/2008 3/24/2009 VEHICLE COMPREHEN ~"·---. -- 7/11/2009 11/18/2009 U\.W ENFORCEMENT .12/26/2007 10/26/2009 ~~'0fERIWATER(OTHE 3/25/2009 4/14/2009 VEHICLE COMPREHEN -·· ·-·---· 6/4/2008 1/22/2009 SEWERf:'.'!ATER(TREE 6/27/2006 6/4/2009 U\.W ENFORCEMENT 9/21/2007 4/29/2009 TRIP/FALL 2/26/2009 11/18/2009 U\.W ENFORCEMENT 4/14/2009 10/26/2009 U\.W ENFORCEMENT 2/11/2009 4/29/2009 ,~~'0fER/WATER(O:HE 8/3/2007 4/29/2009 VEHICLE COLLISION 1/24/2008 4/29/2009 OTHER 11/18/2008 6/17/2009 VEHICLE COMPREHEN ,~ .. ,--· ·--........ 5/28/2009 12/22/2009 VEHICLE COMPREHEN ---·---. 3/16/2009 5/19/2009 VEHICLE COMPREHEN ---·--· 5/22/2008 1/22/2009 U\.W ENFORCEMENT 5/11/2009 8/18/2009 OTHER 1/22/2008 4/29/2009 TRIP/FALL 9/19/2008 4/29/2009 TRIP/FALL -1/3/2008 8/20/2009 LAW ENFORCEMENT · 3/10/2009 4/7/2009 ~~'0f~R/WAT~~ (OTHE 1/22/2009 2/4/2009 VEHICLE COLLISION 10/14/2009 12/7/2009 OTHER LossRunClosed Date LTg t 11 a e 2/25/2008 9/24/2008 10/14/2008 7/8/2008 - Loss R eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 Expense R eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss p t aymen 1,461.51 2,532.86 7,900.00 1,759.90 0.00 1,938.53 2,899.64 0.00 0.00 0.00 0.00 0.00 366.00 0.00 0.00 0.00 0.00 0.00 2,935.82 0.00 0.00 0.00 0.00 469.91 3,000.00 8,340.00 0.00 0.00 0.00 6,269.44 430.00 143.65 Expense p t aymen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 43,864.97 0.00 0.00 0.00 0.00 20,252.94 22.75 0.00 0.00 0.00 0.00 0.00 0.00 3,162.00 659.11 0.00 0.00 0.00 Incurred Status 1,461.51 CLOSED 2,532.86 CLOSED 7,900.00 CLOSED 1,759.90 CLOSED 0.00 CLOSED 1,938.53 CLOSED 2,899.64 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 366.00 CLOSED 0.00 CLOSED 43,864.97 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 . CLOSED 2,935.82 CLOSED 20,252.94 CLOSED 22.75 CLOSED 0.00 CLOSED 0.00 CLOSED 469.91 CLOSED 3,000.00 CLOSED 8,340.00 CLOSED 6-/'"' 0.00 CLOSED'"' 3,162.00 CLOSED 659.11 CLOSED 6,269.44 CLOSED 430.00 CLOSED 143.65 CLOSED Page 1 of 3 City of Carlsbad Loss Run Report Claims Closed between 01/01/1996 and 12/31/1996 Claim Name Date1of Lots Date Received Date Closed Cateaorv Date Litigate 1 ANDERSON, CAROL 7/12/1995 8/9/19951 2/27/1996,'!~'::!!CLE COM~REH~t:!_ I 2 ANGEL, JOSEFINA 12/1/1995 5/3/1996 11/26/1996 OTHER 3 APPLEGATE, JAMES A. 7/2/1994 1/3/1995 6/10/1996 VEHICLE COLLISION 6/29/1995 4 BANTZ, THOMAS 7/17/1996 7/22/1996 8/20/1996 VEHICLE COMPREHEN 1---·-·---· '. 5 BATT, MICHAEL 3/29/1996 4/30/1996 11/30/1996 VEHICLE COLLISION 6 BATTAGLIA, MARYLEA 11/22/1995 5/22/1996 11/26/1996 VEHICLE COMPREHEN 7 BICE, BARBARA 11/8/1995 1/2/1996 7/3111996 VEHICLE COMPREHEN ----- 8 BICE, BARBARA 11/8/1995 1/2/1996 7/31/1996 LAW ENFORCEMENT 9 BURNS, ERIN 9/15/1993 9/13/1994 1/15/1996 PERSONNEL ACTION 8/12/1994 10 BYRNE, JOHN P 3/25/1995 5/1/1995 3/15/1996 TRIP/FALL I 11 CALCAGNO, DONALD 3/4/1996 5/24/1996 6/28/1996 LAW ENFORCEMENT 12 CAMINO PROP. MGMT., ------8/19/1995 9/29/1995 5/28/1996,~EWER/WATER (TREE I ' 13 CARTER, AGNES 5/13/19951 9/12/1995 8/21/1996 TRIP/FALL I 11/8/1995 ' ' 14 CICCARELLI, JOSEPH/ 6/9/1996 6/24/1996 8/16/1996 LAW ENFORCEMENT 15 ,_CLARK, JOHN & PAULIN 9/1/1993 2/22/1994 6/6/1996 TRIP/FALL 8/26/1994 16 COBLE, ROSITA 11/24/1995 11/30/1995 6/10/1996 VEHICLE COLLISION 17 COLONY AT CALAVERA 5/8/1996 5/31/1996 7/2/1996 SEWER/WATER (TREE I 18 COOPER, ALVIN 5/21/1994 3/15/1996 10/2/1996 LAW ENFORCEMENT 19 EHLERS, WAYNE 12/16/1995 1/10/1996 7/31/1996 SEWE~ATER (TREE 20 FARMERS,BLYTH 4/27/1996 5/22/1996 9/20/1996 VEHICLE COLLISION 21 FERGUSON, WAYDE & ' ' 6/20/1996 7/2/1996 9/10/1996 VEHICLE COLLISION ! 22 FIREMANS FUND, ANG 9/19/1995 2/21/1996 10/25/1996 VEHICLE COLLISION ·-. ·-.,. --! 23 FOGEL, MARTIN 2/1/1996 4/25/1996 11/26/1996 TREE (OTHl:_R _1::_HAN SE •- 24 ,fREEMAN, ANTOINETT 9/8/1994 9/13/19941 3/26/1996 VEHICLE COLLISION 25 FULTON, TONY 6/1/1991 12/19/1995 6/26/1996 OTHER 26 GEARING, RICHARD 12/18/1995 12/19/1995 1/10/1996 VEHICLE COLLISION 27 ~R_G MGMT INC, HILLG 3/27/1996 5/20/1996 11/26/1996 SEWER/WATER (TREE I __ " ·-- 28 HAASL, MARY ANN 1/30/1995 4/26/1995 4/1/1996 TRIP/FALL 12/11/1995 29 HARRIS, JOSEPHINE 11/10/1995 12/26/1995 7/31/1996 VEHICLE COLLISION I 30 HATEM, CYNTHIA 3/20/1996 4/22/1996 11/26/1996 VEHICLE COLLISION 31 HENNESSY,EVAN 9/29/1994 2/23/1995 9/25/1996 VEHICLE COLLISION 10/2/1995 32 HERMAN,ROXANNE 10/7/1996 10/30/1996 11/22/1996 VEHICLE COLLISION Tuesday, April 18, 2017 LossRunClosed Loss Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 Expense Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Q.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss Payment 0.00 0.00 0.00 360.00 0.00 0.00 0.00 0.00 0.00 500.00 70.00 0.00 0.00 60.00 0.00 0.00 315.45 0.00 0.00 7,360.43 4,620.00 0.00 0.00 6,546.92 0.00 31.91 0.00 0.00 0.00 0.00 17,500.00 981.81 Expense Payment 22.50 22.50 12,833.52 22.50 0.00 22.50 22.50 22.50 18.00 22.50 22.50 317.59 4,887.61 22.50 1,129.50 22.50 22.50 22.50 22.50 22.50 533.90 22.50 22.50 562.05 22.50 22.50 22.50 0.00 22.50 22.50 4,064.79 368.16 Incurred Status 22.50 CLOSED 22.50 CLOSED 12,833.52 CLOSED 382.50 CLOSED 0.00 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 18.00 CLOSED 522.50 CLOSED 92.50 CLOSED 317.59 CLOSED 4,887.61 CLOSED 82.50 CLOSED 1,129.50 CLOSED 22.50 CLOSED 337.95 CLOSED 22.50 CLOSED 22.50 CLOSED 7,382.93 CLOSED 5,153.90 CLOSED 22.50 CLOSED 22.50 CLOSED 7,108.97 CLOSED 22.50 CLOSED 54.41 CLOSED 22.50 CLOSED 0.00 CLOSED 22.50 CLOSED 22.50 CLOSED 21,564.79 CLOSED 1,349.97 CLOSED Page 1 of 3 33 34 35 36 37 38 39 40 41 42 43 44 45 146 47 48 49 50 51 52 53 :54 ' 55 56 57 58 59 60 City of Carlsbad Loss Run Report Claims Closed between 01/DV1UU6 and 12/3V1886 Date of Date Date Claim Name L oss R . d ece1ve Cl d ose Cateaorv HEWETI, PATRICIA 8/1/1995 8/1/1995 2/27/1996 TRE_E (OTH§_R THAN S_E HOCKING, JIM 9/22/1995 10/10/1995 4/29/1996 VEHICLE COMPREHEN -·· ·-·---· , .. JONES,ROBERT 9/16/1993 2/16/1994 8/16/1996 VEHICLE COMPREHEN -···-·-- KEH(?E, VICKIE 9/19/1995 10/27/1995 5/28/1996 VEHICLE COMPREHEN ·--· -- KENT, JOHN L 12/20/1995 1/26/1996 9/27/1996 VEHICLE COLLISION KING, KERRY 3/22/1996 4(19/1996 11/26/1996 VEHICLE CGMPREHEN '-·· ·--- KNOWLES CHIROPRAC 1/22/1993 2/10/1993 6/27/1996 ,~EWER/WATER (TREE KRIEG, MARJORIE 4/22/1996 5/2/1996 6/13/1996 TRIP/FALL LADMAN, PHILLIP 12/24/1995 3/4/1996 3/29/1996 LAW ENFORCEMENT LANGLOIS, LINDA 2/6/1996 5/28/1996 7/3/1996 LAW ENFORCEMENT LEHTONEN, WILLIAM 11/14/1995 11/22/1995 1/5/1996 VEHICLE COMPREHEN 1-·· ·--· LINDSAY MGMT SVCS, 11/30/1995 1/8/1996 7/31/1996 SEWER/WATER (TREE LOPEZ, RICHARD 11/23/1995 12/26/1995 7/31/1996 OTHER MCCALEB, TERRY 2/24/1996 2/27/1996· 12/20/1996 !REE_ ~~THER_THAN SE· MCDANIEL, ANN LEWIS 6/2/1994 11/23/1994 2/22/1996 TRIP/FALL McENTIRE, CHARLES 8/23/1996 8/30/1996 11/18/1996 VEHICLE COLLISION MCGUIRE, FRANK 1/15/1993 12/10/1993 1/18/1996 LAW ENFORCEMENT MERCURY, WATILES 6/27/1993 10/12/1993 1/25/1996 VEHICLE COLLISION MILLIKEN, TIM 9/1/1995 11/6/1995' 12/26/1996 TREE_ (OTHER THAN SE · MILLMAN, JOHN 4/11/1996 5/9/1996 6/5/1996 VEHICLE COMPREHEN MORSE, TODD 11/29/1995 12/15/1995 6/26/1996 VEHICLE COMPREHEN ·-·· ·--· -- NICOL, BONNIE 4/30/1995 9/21/1995 5/28/1996 TREE (OTHER THAN SE· .. ....... --· .. O'KEEFE, DAWNA 6/24/1996 7/8/1996 8/21/1996 VEHICLE COLLISION ORTEGA, LAURA 12/12/1995 3/25/1996 11/26/1996 VEHICLE COMPREHEN '-·· ·--· -- PELL, WILLIAM 11/17/1995 12/18/1995 6/21/1996 \/E~CL~ COM~R~H~~ I PENNINGTON, MICHAE 9/16/1995 12/12/1995 3/20/1996 LAW ENFORCEMENT PINON, ROSALIA 9/22/1995 1/31/1996 3/1/1996 VEHICLE COLLISION POWERS, JAMES 12/18/1994 1/30/1995 11/26/1996 VEHICLE COLLISION Date LT t 11ga e 9/15/1994 6/1/1995 7/5/1994 2/14/1996 / 6/23/1995 ~ ~ "'"'-··&"'~' /""--,, ___ ·-~ ·-,, ,. .. ~,_CT~ --....... I -·---~ """""..,, ! 'TJ/ -,.~,v-.. ---~ -r:u::1-A..-rc.- 62 PT CA~LSBA~ ~ssoc, 2/10/1996 5/14/1996 12/26/1996 ~EWER/WATER(TREE 63 RANCHO PONDEROSA 6/1/1996 8/16/1996 9/27/1996 OTHER 64 REINKER, SHIRLEY 10/1/1995 1/29/1996 4/26/1996 TRIP/FALL Tuesday, April 18, 2017 LossRunClosed Loss R eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense R eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ' 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss p t aymen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 350.00 41.07 639.11 200.00 0.00 0.00 1,226.00 0.00 1,211.95 0.00 0.00 0.00 226.15 0.00 0.00 1,867.03 0.00 0.00 0.00 1,832.97 268,357.97 337.00 0.00 284.80 554.93 Expense p t aymen 22.50 22.50 337.50 22.50 22.50 22.50 22.50 495.50 22.50 22.50 22.50 22.50 22.50 22.50 53.92 433.58 48,739.82 22.50 22.50 22.50 22.50 33.45 293.80 22.50 22.50 22.50 22.50 232,092.03 22.50 523.47 22.50 22.50 Incurred .Status 22.50 CLOSED 22.50 CLOSED 337.50 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 845.50 CLOSED 63.57 CLOSED 661.61 CLOSED 222.50 CLOSED 22.50 CLOSED 22.50 CLOSED 1,248.50 CLOSED 53.92 CLOSED 1,645.53 CLOSED 48,739.82 CLOSED 22.50 CLOSED 22.50 CLOSED 248.65 CLOSED 22.50 CLOSED 33.45 CLOSED 2,160.83 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 1,855.47 CLOSED 500,450.00 CLOSED 359.50 CLOSED 523.47 CLOSED 307.30 CLOSED 577.43 CLOSED Page 2 of 3 City of Carlsbad Loss Run Report Date of Claim Name Loss 1 ,3_0TH CENTURY, MCDE 4/9/1997 Claims Closed between D1/DV1887 and 12/31/1887 Date. Date Received Closed Cateaorv 5/7/19971 5/13/1997 VEHICLE COLLISION I Date Litigate 2 AKHAVAN, JOSEPH & M 6/1/1994 5/26/1995 10/1/1997 TRIP/FALL 11/30/1995 3 ALVERNAZ, LINZY 6/10/1996 7/17/1996 10/1/1997 LAW ENFORCEMENT "" 4 ARUGON, JOEL 10/25/1996 10/29/1996 5/27/1997 ,\/ErllCLE COM~REHEN 5 AUTO CLUB, BOSS 5/13/1992 10/15/19921 8/25/1997 VEHICLE COLLISION 11/13/1992 6 ~~TO CLUB, PATRICIA . 5/24/1997 12/1/1997 12/17/1997 OTHER 7 BAIRD, WILLIAM 7/31/1997 8/13/1997 10/1/1997 OTHER 8 BAL TIERRA, ANDREE 10/24/1997 11/10/1997 12/9/1997 VEHICLE COLLISION 9 BEAINY, STANLEY 7/22/1996 1/15/1997 8/26/1997 VEHICLE COLLISION 10 BECKMAN INDUSTRIES 2/16/1996 5/7/1996 1/31/1997 VEHICLE COLLISION 11 BENHARROSH, MICHEL 1/3/1997 3/10/1997 10/28/1997 TRIP/FALL 12 BENTON, STACY 6/29/1996 7/24/1996 1/31/1997 OTHER 13 BLYTH, PETER 4/27/1996 5/13/1996 12/30/1997 VEHICLE COLLISION I 101311996 14 BRACKEN,STUART , 12/13/1 996 2/4/1997 7/29/1997 VEHICLE COMPREHEN -· 15 BRAKA, JOSEPHINE 4/22/1996 10/17/1996; 4/29/1997 VEHICLE COLLISION I 116 BRAKA, SOPHIE 4/22/1996 10/17/1996 1 4/29/1997 VEHICLE COLLISION 17 ~~OOKS, MR & MRS S 10/21/1996 4/21/19971 12/9/1997 OTHER I 112911991 18 BURNETT, BRIAN 6/9/1997 6/11/1997 12/19/1997 VEHICLE COLLISION 19 C. W. MCGRATH, 2/22/1994 7/1/1"996 12/17/1997 OTHER 8/14/1996 20 CAPE AT CALAVERA, 8/22/1997 10/31/1997 12/30/1997 SEWER/WATER (TREE 21 CHRIST, THOMAS 10/21/1996 4/21/1997112/19/1997 OTHER '.22 CLARKE,HAROLD 8/1/1996 8/10/19961 2/26/1997 TREE (OTHER THAN SE I - 23 C__LARK-RYLL, CATHERI 12/4/1992 10/12/1993 12/1/1997 PERSONNEL ACTION 10/12/1993 24 CNA INSURANCE, HALL 1/9/1991 1/28/1991 4/18/1997 VEHICLE COLLISION 9/17/1991 25 COHEN, ROBERT 8/19/1996 8/27/1996 3/31/1997VEHICLE COMPREHEN 26 DAVIES, DONALD 5/15/1996 3/3/1997 4/22/1997 27 DEFAGO, RONALD . 12/28/1996 1/8/1997 2/6/1997 VEHICLE COLLISION I 28 DENNIS, DEBORAH 12/15/1996 1/30/1997 7/29/1997 VEHICLE COLLISION I 29 EKLAND, ARNOLD & AN 6/20/1996 12/10/1996 6/27/1997 VEHICLE COM£'.REH~N I 30 ~RBSEN, LORETTA & J 11/30/1996 4/11/1997 12/19/1997 TRIP/FALL 31 FAIRWAY SOUTH HOA, -~ --.. -·-·-3/14/1997 6/11/1997 7/17/1997,~EWER/WATER (TREE 32 FARNUM, MELISSA 1/29/1997 3/13/1997 4/18/1997 VEHICLE COLLISION Tuesday, April 18, 2017 LossRunC/osed Loss Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss Payment 4,077.58 · 0.00 2,500.00 0.00 835.47 0.00 125.00 1,042.85 0.00 0.00 0.00 0.00 17,250.00 0.00 0.00 0.00 0.00 0.00 0.00 84.50 0.00 0.00 0.00 597.92 0.00 0.00 888.17 0.00 0.00 0.00 796.41 1,131.62 Expense Payment 22.60 42,657.91 548.23 22.50 396.50 22.50 22.50 22.50 22.50 22.50 607.27 22.50 15,663.80 22.50 0.00 359.05 1,749.00 22.50 0.00 0.00 22.50 477.31 85.50 349.50 22.50 829.69 175.13 22.50 22.50 153.75 22.50 22.50 Incurred Status . 4,100.08 CLOSED 42,657.91 CLOSED 3,048.23 CLOSED 22.50 CLOSED 1,231.97 CLOSED 22.50 CLOSED 147.50 CLOSED 1,065.35 CLOSED 22,50 CLOSED 22.50 CLOSED 607.27 CLOSED 22.50 CLOSED 32,913.80 CLOSED 22.50 CLOSED 0.00 CLOSED 359.05 CLOSED 1,749.00 CLOSED 22.50 CLOSED 0.00 CLOSED 84.50 CLOSED 22.50 CLOSED 477.31 CLOSED 85.50 CLOSED 947.42 CLOSED 22.50 CLOSED 829.69 CLOSED 1,063.30 CLOSED 22.50 CLOSED 22.50 CLOSED 153.75 CLOSED 818.91 CLOSED 1,154.12 CLOSED Page 1 of 4 ,_ 33 34 35 36 37 38 39 40 41 42 43 144 45 46 47 48 49 50 51 52 53 54 55 56 i57 58 59 60 61 62 63 64 City of Carlsbad Los~ Run Report Claims Closed between 01/01/1007 and 12/3V1007 Date of Date Date Claim Name L oss R . d ece1ve Closed Ct a eaorv FOSTER, CORY 6/17/1997 9/10/1997 12/30/1997 VEHICLE COLLISION FULLMER, ORVIS 12/1/1996 5/8/1997 12/19/1997 OTHER GAITAUD, RENEE 10/25/1997 10/25/1997 12/9/1997 VEHICLE COLLISION GALAVIZ, MELISSA 8/23/1994 2/1/1995 4/29/1997 LAW ENFORCEMENT GALINDO, CHRIS 8/12/1996 8/19/1996 3/31/1997 VEHICLE COMPREHEN -·· ·--· HALLSTROM, RALPH 11/3/1997 11/24/1997 12/30/1997 TRIP/FALL HANDS, CAMILLE 6/17/1996 7/15/1996 1/31/1997 VEHICLE COMPREHEN HAZEL TON, JOHN 9/24/1996 9/.24/1996 4/29/1997 VEHICLE COMPREHEN '-·· ·--· .. -- HENSON, JAMES 8/5/1996 8/19/1996 4/29/1997 LAW ENFORCEMENT HERMAN, TAMMY 2/26/1997 4/29/1997 12/19/1997 VEHICLE COMPREHEN -·~ ·--· .... HOEFER, DON 3/17/1997 3/18/1997 4/29/1997 SEWER/WATER (TREE HOLMQUIST, MICHELLE 4/21/1997 4/22/1997 6/11/1997 OTHER HOOVER, CHARLES 4/27/1996 9/25/1996 4/29/1997 TRIP/FALL HOWARD, JENNIFER 9/26/1997 10/3/1997 11/3/1997 VEHICLE COLLISION HUGGINS, CATALINA 11/15/1996 11/22/1996 5/27/1997 VEHICLE COMPREHEN ,--··--· -- HUNTINGTON, SANDRA 8/8/1997 8/8/1997 10/2/1997 VEHICLE COLLISION JACOBSEN,KATHLEEN 3/7/1997 3/14/1997 3/31/1997 VEHICLE COLLISION JENKINS, ANDREW 3/1/1997 8/5/1997 10/2/1997 VEHICLE COLLISION JOHNSTON, PAIGE 3/9/1996 8/30/1996 4/23/1997 OTHER KEATING, NANCY 7/21/1995 12/1/1995 2/26/1997 VEHICLE COLLISION KNOX, RICHARD 9/12/1996 10/8/1996 3/3111997 VEHICLE COLLISION LAMA, BUMTSO 5/18/1997 7/1/1997 8/19/1997 VEHICLE COLLISION LATINO, ROG 6/10/1996 7/16/1996 1/31/1997 VEHICLE COMPREHEN -·· --· LEE, JONATHAN 12/31/1996 1/16/1997 2/6/1997 VEHICLE COLLISION MACDOUGALL, JOSEP 6/1/1996 10/28/1996 1/31/1997 TREE (OTHER THAN SE ···--.. ·-_o-•. MALINSKI, EDWARD 8/13/1996 8/19/1996 3/3/1997 VEHICLE COMPREHEN '-·· ·--·. -- MANTOR, SHERIDAN 8/20/1996 1/27/1997 7/29/1997 VEHICLE COMPREHEN -·· ·-·---· MARINEZ, JOHN 12/1/1996 5/12/1997 . 9/10/1997 TREE_ (OTHER THAN SE MARTINEZ, ELIAS 9/11/1997 9/18/1997 12/1/1997 OTHER MAY,CAROLE 12/10/1996 1/16/1997 6/27/1997 VEHICLE COMPREHEN ·-···--· -- MC COMAS, AUDREY 6/20/1997 8/21/1997 10nt1997 TREE (OTHER THAN SE " .n '& --• • MCDERMED, PAUL 4/9/1997 4/10/1997 6/11/1997 VEHICLE COLLISION Tuesday, April 18, 2017 Loss Run Closed Date Litigate 7/25/1995 1/5/1996 1/23/1997 Loss Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss Payment 67.99 0.00 108.70 0.00 0.00 836.00 0.00 0.00 0.00 0.00 55.00 531.69 0.00 513.37 0.00 1,978.34 201.32 250.65 0.00 84,535.18 0.00 870.25 0.00 375.87 0.00 0.00 0.00 2,200.00 573.44 0.00 220.00 625.14 Expense Payment 22.50 22.50 22.50 17,861.14 0.00 505.51 22.50 22.50 22.50 22.50 0.00 22.50 205.73 22.50 22.50 22.50 22.50 22.50 658.68 18,456.26 913.20 22.50 22.50 22.50 607.58 22.50 22.50 1,271.61 0.00 605.03 22.50 242.88 ncurre d St t a us 90.49 CLOSED 22.50 CLOSED 131.20 CLOSED 17,'861.14 CLOSED 0.00 CLOSED 1,341.51 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 55.00 CLOSED 554.19 CLOSED 205.73 CLOSED 535.87 CLOSED 22.50 CLOSED 2,000.84 CLOSED 223.82 CLOSED 273.15 CLOSED 658.68 CLOSED 102,991.44 CLOSED 913.20 CLOSED 892.75 CLOSED 22.50 CLOSED 398.37 CLOSED . 607.58 CLOSED 22.50 CLOSED 22.50 CLOSED 3,471.61 CLOSED 573.44 CLOSED 605.03 CLOSED 242.50 CLOSED 868.02 CLOSED Page 2 of 4 65 66 67 68 169 [70 1 71 72 73 74 75 76 77 78 79 80 81 82 !83 84 85 86 87 88 89 90 91 92 93 94 95 96 City of Carlsbad Loss Run Report Claims Closed between 01/01/1997 and 12/31/1007 / Claim Name MERCURY INS. GROUP METTEN,STACEY MORGAN, ROY MULLEN, JOHN P PACIFIC BELL, I PACIFIC BELL, PEARCE, STEVE PETERSON, JERRY PHILLIPS, NANCY PRAGER, KATHY & TO RADSICK, RONALD RICE, GREGORY ,_50SENFELD, MARJORI ROSSALL, BARBARA SANBORN, LAURIE SCHUDEL, CONRAD SEAHOLM, DENNIS SILLEN, CONNIE .STATE FARM, SEAHOL ~TATE FARM, VAN DOR STROUP, STEVE & LISA TAGUE, SARAH TREASURES UNLIMITE ,_ - TRIPP, CHRIS TUBBS,EVELYN TURNMIRE, JANEEN VALENCIA, ERICA VANLEUVEN, AUDREY VORCE, CYNTHIA VORNDRAN, THOMAS WARREN, W. EARL WAWANESA, KNOX Date of L oss . 11/11/1996 8/13/1996 12/14/1996 4/11/1997 10/16/1995 1/31/1994 6/30/1992 8/12/1996 10/16/1996 10/20/1996 10/12/1996 10/2/1995 3/1/1997 8/23/1996 12/15/1996 9/27/1996 6/19/1996 1/8/1996 6/19/1996 9/25/1996 8/5/1996 7/31/1996 4/8/1997 1/11/1997 8/9/1995 2/14/1995 6/23/1997 1/28/1997 8/13/1996 6/22/1996 12/9/1991 9/12/1996 Date Date R . d ece1ve Cl d ose Cateaorv 12/23/19961 7/19/1997 VEHICLE COLLISION 8/30/1996 4/29/1997 VEHICLE COMPREHEN -·· ·-·----· ·• 2/27/1997 10/1/1997 TREE_ (OTHER THAN SE 4/21/1997 12/19/1997 LAW ENFORCEMENT 11/2/1995 3/31/1997 TRIP/FALL 7/15/1994 1/31/1997 OTHER 11/28/1995 4/29/1997 PERSONNEL ACTION 8/19/1996 3/31/1997 VEHICLE COMPREHEN --------- 2/14/1996\ 8/26/1997 LAW ENFORCEMENT 11/20/1996' 1/31/1997 TREE_ ~OTHER THAN SE , 3/25/1997 5/6/1997 VEHICLE COLLISION 9/9/1996 3/31/1997 VEHICLE COLLISION 6/17/1997 8/12/1997 OTHER 12/6/1996 7/29/1997 TRIP/FALL 1/22/1997 7/29/1997 VEHICLE COLLISION 10/11/1996 4/29/1997 VEHICLE COLLISION 8/22/19961 4/29/1997 VEHICLE COMPREHEN -· .. -- 7/8/1996 2/26/1997 TRIP/FALL 10/28/1996 4/29/1997 VEHICLE COMPREHEN ,_ .. ·--· 12/9/1996 1/10/1997 VEHICLE COLLISION 8/5/1996! 1/31/1997 TREE (OTHER THAN SE ,.~.-· 8/6/1996 5/27/1997 VEHICLE COMPREHEN -· -- 4/23/1997 6/11/1997 OTHER 1/28/1997 8/26/1997 VEHICLE COMPREHEN -11/7/1995[ 12/1/1997 TRIP/FALL 3/7/1995 3/3/1997 TRIP/FALL 6/24/1997 7/17/1997 VEHICLE COLLISION 6/2/1997 7/17/1997 TRIP/FALL 8/23/1996 3/31/1997 VEHICLE COMPREHEN l te:: £0:CI IC:C :Cl 11!. • Ln-. 12/31/1996, 6/27/1997 TREE (OTHER THAN SE " -.. ----I 6/18/1992 7/29/1997 PERSONNEL ACTION 11/12/1996 3/31/1997 VEHICLE COLLISION Tuesday, April 18, 2017 LossRunClased Date L"f t 119a e 2/7/1995 3/4/1996 6/2/1997 7/19/1995 3/9/1992 R Loss eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense R eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss p t aymen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.47 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 714.79 0.00 0.00 160.15 0.00 0.00 500.00 1,086.70 18.42 0.00 0.00 15,000.00 0.00 Expense p t aymen 22.50 22.50 22.50 22.50 0.00 900.00 70,220.79 0.00 22.50 312.18 22.50 22.50 533.08 22.50 22.50 22.50 22.50 90.00 22.50 22.50 177.88 115.26 22.50 22.50 22.50 8,995.01 22.50 22.50 22.50 378.10 208,340.41 45.00 Incurred Status 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 0.00 CLOSED 900.00 CLOSED 70,220.79 CLOSED 0.00 CLOSED 22.50 CLOSED 312.18 CLOSED 99.97 CLOSED 22.50 CLOSED 533.08 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 90.00 CLOSED 22.50 CLOSED 737.29 CLOSED 177.88 CLOSED 115.26 CLOSED 182.65 CLOSED 22.50 CLOSED 22.50 CLOSED 9,495.01 -CLOSED 1,109.20 CLOSED 40.92 CLOSED 22.50 CLOSED 378.10 CLOSED 223,340.41 CLOSED 45.00 CLOSED Page 3 of 4 33 34 35 36 37 38 39 i40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 City of Carlsbad Loss Run Report Claims Closed between 01/01/1888 and 12/31/1888 Date of Date Date Claim Name L oss R . d ece1ve Cl d Ct ose a eaorv GILBERT, JOCELYN 11/5/1998 4/21/1999 10/31/1999 TRIP/FALL GIOVINAZZO, NICK 1/11/1999 1/14/1999 7/27/1999 VEHICLE COMPREHEN -·· ·--· -- GLOGER, RICHARD 10/24/1998 4/19/1999 5/11/1999 OTHER GRACIANO, RUDY 12/7/1998 12/18/1998 5/28/1999 VEHICLE COMPREHEN .. ·--· ,.~RAY, PATRICK & VICK 1/1/1980 3/30/1999 6/29/1999 TREE_ (OTHER THAN SE GRAZIANO, ETIORE 9/19/1998 3/17/1999 10/31/1999 LAW ENFORCEMENT HENDERSON-LEWIS, A 4/26/1999 5/3/1999 11/30/1999 VEHICLE COMPREHEN .. ·--· HUDDOCK, MICHAEL 8/9/1997 2/19/1998 11/30/1999 TRIP/FALL INMAN, SUSAN 9/19/1998 3/17/1999 10/31/1999 LAW ENFORCEMENT IOZZIA, JASON 1/9/1998 7/7/1998 2/1/1999 VEHICLE COLLISION IRVIN, WILLIAM & DAUR 1/1/1998 9/10/1998 C 1/25/1999 ,~EWER/WATER(TREE l,.u- JIMENO, FRANK 2/18/1998 12/1/1998 1/26/1999 OTHER JOHNSON, DONALD 2/23/1999 2/25/1999 7/27/1999 SEWE~ATER (TREE JOHNSON, ELAINE 12/9/1998 1/20/1999 7/27/1999 VEHICLE COMPREHEN ·-·---· JOHNSON,KAREN 5/14/1999 5/21/1999 11/30/1999 TRIP/FALL JONES, BRANDE 3/22/1999 3/24/1999 5/7/1999 VEHICLE COLLISION JONES-THEIS, BRET 3/12/1999 3/17 /19991 10/31/1999 VEHICLE COLLlSION JUSTICE, KATHLEEN 3/10/1998 8/25/1998 3/25/1999 TRIP/FALL KAKADELAS,DANA 7/7/1998 7/28/1998 2/22/1999 VEHICLE COMPREHEN 1-···--· -- KAKADELAS, KEVIN 7/23/1998 7/28/1998 2/22/1999 VEHICLE COMPREHEN '-·· ·--· -- KLEINMAN, DAVID 2/24/1999 3/31/1999 7/27/1999 OTHER KRISTIANSEN, TRYGVE 3/10/1999 5/17/1999 6/30/1999 VEHICLE COLLISION , 0 COSTA 15, JEANIE S 11/6/1998 11/20/1998 6/28/1999 LAW ENFORCEMENT LARSEN, KA THERINE 11/1/1998 12/9/1998 7/7/1999 TRIP/FALL LARSON, JOSEPH 1/3/1998 6/29/19981 2/1/1999 VEHICLE COLLISION LAS PLAYAS HO ASSO 2/3/1997 8/24/1998 4/26/1999 TRIP/FALL LATIANO, KAREN 4/27/1999 5/27/1999 12/15/1999 VEHICLE COMPREHEN LECHTMAN, MILES 8/4/1998 8/4/19981 QI:!, n:: £0:CI 11::0 ::Cl I ti 11 o.- 3/25/1999 ~RE_E_ (()_THER_TH~N SE LEIGH, LAURIE 8/26/1998 10/28/19981 5/28/1999 VEHICLE COMPREHEN -··· ·--- LITVIN, ALLA 6/12/1999 6/28/19991 7/13/1999 ~E~ER/WATER(TREE LUTHER, ED 9/21/1998 2/11/1999 3/9/1999 VEHICLE COLLISION LYONS, RALPH 5/24/1999 5/27/19991 9/7/1999 TREE (OTHER THAN SE --..o.r-~- Tuesday, April 18, 2017 LossRunClosed I I Date Litigate 4/29/1999 1/5/1998 Loss Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss Pay t men 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10,000.00 0.00 0.00 0.00 6. 42.88 0.00 0.00 0.00 473.63 0.00 0.00 0.00 0.00 0.00 220.43 0.00 6,300.00 0.00 0.00 0.00 0.00 0.00 183.30 789.00 0.00 Expense P m t ay en 22.50 22.50 22.50 22.50 178.05 45.00 22.50 1,312.60 22.50 22.50 22.50 22.50 0.00 22.50 686.76 22.50 22.50 22.50 22.50 22.50 845.20 22.50 640.15 1,155.73 22.50 22.50 22.50 22.50 22.50 0.00 0.00 557.32 ncurred Status 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 178.05 CLOSED 45.00 CLOSED 22.50 CLOSED 11,312.60 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 65.38 CLOSED 0.00 CLOSED 22.50 CLOSED 686.76 CLOSED 496.13 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 845.20 CLOSED 242.93 CLOSED 640.15 CLOSED 7,455.73 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 183.30 CLOSED 789.00 CLOSED 557.32 CLOSED Page 2 of 4 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 City of Carlsbad Loss Run Report Claims Closed between 01/01/2000 and 12/31/2000 Date of Date Date Claim Name L oss R . d ece1ve Cl d ose Cateaorv GOEDERT,SAMANTHA 12/2/1999 12/10/1999 5/9/2000 VEHICLE COLLISION GONZALEZ, SIMON CO 8/2/1999 8/5/1999 2/29/2000 !REE_ (?_THER_TH~N SE GOOCH, STEVEN 8/23/1997 1/15/1998 4/20/2000 TRIP/FALL GREASLEY, MARTIN 10/13/1999 10/21/1999 4/28/2000 VEHICLE COLLISION HEYDEN, LAWRENCE 10/6/1999 12/1/19991 6/30/2000 VEHICLE COLLISION HOLFORD, ERICA 8/711999 2/7/2000 10/30/2000 TRIP/FALL INGLES, KAREN 3/1/2000 6/21/2000 1· 2/28/2000 VEHICLE COMPREHEN .. ·--· JELINEK, ROBERT 7/23/1999 11/1/1999 6/30/2000 VEHICLE COLLISION JEX, INAS. 4/1/1999 9/24/1999[ 7/31/2000 TRIP/FALL JOHNSON, ELEANOR 10/27/1999 11/1/1999 5/31/2000 VEHICLE COMPREHEN ·-. -- JOHNSON, SIERRA 5/14/1999 5/21/1999 5/31/2000 TRIP/FALL KAEBISCH, TYLER 11/29/1998 7/21/1999 2/29/2000 LAW ENFORCEMENT LASSEN, JESSICA 11/2/1999 51312000 I 12,2812000 VEHICLE COLLISION MAC MILLAN, TIMOTHY 12/23/1999 3/17/2000 10/30/2000 VEHICLE COLLISION MARVEL, ARCHIE 1/6/2000 2/18/2000 8/31/2000 VEHICLE COMPREHEN ,_ .. ·--· MCLAUGHLIN, ANN 10/14/1999 11/2/1999 5/31/2000 VEHICLE COLLISION MOUL TON, WILLIAM & 11/2/1997 4/8/19981 5/31/2000 SEVVER/WATER(TREE MOWRY,ALEX 9/8/1998 3/23/1999[ 12/7/2000 VEHICLE COMPREHEN ·--· NEWVINE, NICKI 2/16/2000 3/22/2000 11/30/2000 TRIP/FALL NICOL, BONNIE 3/10/2000 8/1/2000, 11/30/2000 TR~E (OTH!:_R_TH~N SE PACIFIC BELL, RIDPAT 7/21/1999 12/2/1999 2/1/2000 ,~EWER/WATER(TREE , PALOMAR & CO, RUSS 3/5/2000 3/29/2000 5/5/2000 VEHICLE COLLISION PASINI, BART 10/22/1999 10/28/1999 5/31/2000 VEHICLE COMPREHEN 1.-........ ---_ ... PERMANENT GENERAL 8/11/1999 11/15/1999 1/7/2000 VEHICLE COLLISION . --··-- PIERSON, GARY 9/14/1999 12/8/1999 2/1/2000 VEHICLE COLLISION PIRO, JUSTIN 10/13/1999 4/10/2000 10/30/2000 OTHER PODGARSKI, DANIEL 7/1/1995 8/11/1995 5/2/2000 OTHER PORTER, GEORGE 11/7/1999 51512000 I 1113012000 VEHICLE COLLISION PRESTON, PATRICK 4/16/1990 3/7/2000 5/31/2000 PERSONNEL ACTION QUARTARO, ARTURO 5/2/2000 5/11/2000 11/30/2000 VEHICLE COLLISION R~D~AYNE-TITLEY, ME 4/13/1999 2/25/2000 11/30/2000 OTHER ROSE, DAN 2/3/2000 2/15/2000 8/31/2000 VEHICLE COLLISION Tuesday, April 18, 2017 LossRunClosed I I Date L'f t 11ga e 7/15/1998 7/19/2000 3/30/2000 9/29/2000 R Loss eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 · 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense R eserve 0.00 ?DO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss p t aymen 2,141.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2,200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,585.87 846.17 225.41 0.00 3,664.82 553.37 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense p t aymen 962.10 0.00 17,493.93 0.00 0.00 0.00 22.50 0.00 0.00 0.00 0.00 0.00 22.50 22.50 22.50 0.00 967.15 22.50 752.01 22.50 0.00 22.50 0.00 0.00 330.18 22.50 22.50 22.50 379.50 22.50 0.00 22.50 Incurred Status 3,103.11 CLOSED 0.00 CLOSED 17,493.93 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 22.50 CLOSED 0.00 CLOSED 2,200.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 0.00 CLOSED 967.15 CLOSED 22.50 CLOSED 752.01 CLOSED 1,608.37 CLOSED 846.17 CLOSED 247.91 CLOSED 0.00 CLOSED 3,664.82 CLOSED 883.55 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 379.50 CLOSED 22.50 CLOSED 0.00 CLOSED 22.50 CLOSED Page 2 of 3 1 2 3 4 5 6 7 8 City of Carlsbad Loss Run Report ClaimName Date-of L 055 ALD§A_(§1 AVIARA_ H9 A 6/12/2000 ALLEN, MICHAEL 10/12/2001 ALTAMIRA MGMT ASSO 8/13/1999 ,_ -,. AMERICAN LIMOUSINE 9/27/1999 ANDERSEN, RICHARD 2/8/2001 ASHLEY, LINDA 2/14/2001 ASSA, JULIE 6/5/2000 8, JODY LYNN 1/29/2001 9 BENTLEY, SUSAN-HAR 10/23/2001 ··--· 10 BORING, MARCUS 7/1/2001 11 BORNSTEIN, STEVEN 9/18/2000 12 BRAY, DAVID 717/2000 13 BRENNAN,SUSAN 8/31/2000 14 BRENNECKE, JOHN 2/7/2001 15 BRUNN, SCOTT 12/18/2000 16 BRYSON, YOLANDA 5/30/2000 17 CALVARY CHAPEL CAR 9/9/2001 ---- 18 CARLSBAD AQUAFARM 4/10/2001 ---·-- -·-- 19 CARUSO, DANIEL 9/26/2000 20 CHURCHILL, BRENT 6/6/1999 21 COBLE, ROSITA 4/27/2001 22 COLLURE, CHANDRA 12/1/2001 23· CONRAD, PAUL 4/22/2001 24 COSTA.DOROTHY 9/12/2000 25 COSTES, CINDY 3/27/2001 26 CRABTREE,ROBERT 12/22/2000 27 CRAWFORD, NIKKI 3/25/2001 :28 DE MARCO, JANE 1/12/2001 29 DELPY,CHARLOTTE 7/19/2001 130 DENNIS, JAN 10/6/2001 I Claims Closed between 01/01/2001 and 12/3V2001 Date Date R . d ece1ve Cl d ose Cateaorv 11 /15/20001 3/22/2001 SEWER/WATER (TREE 11/13/2001 12/11/2001 VEHICLE COLLISION 8/30/1999 7/27/2001 VEHICLE COLLISION 1/11/2001 5/7/2001 LAW ENFORCEMENT 3/27/2001 J 5/25/2001 VEHICLE COLLISION 2/21/2001 9/28/2001 VEHICLE COMPREHEN ' --·------ 7/5/2000 2/28/2001 TRIP/FALL 5/29/2001 8/16/2001 SEWE~ATER (TREE .11/9/20011 12/4/2001 VEHICLE COLLISION 9/4/2001 10/17/2001 VEHICLE COMPREHEN ------· -- 9/26/2000 4/27/2001 VEHICLE COLLISION 7/13/2000 1/26/2001 OTHER 9/13/2000 3/30/2001 VEHICLE COLLISION 2/12/2001 8/28/2001 VEHICLE COLLISION I I I ·1,2212001 3/28/2001. VEHICLE COMPREHEN I -------- 11/27/2000 7/27/2001 OTHER 1/22/2002 8/30/2001 VEHICLE COLLISION 5/8/2001 12/26/2001 SE~ER/WATER (TREE 9/29/2000 4/27/2001 VEHICLE COLLISION 12/3/19991 7/27/2001 VEHICLE COLLISION 5/23/2001 12/26/2001 OTHER 12/26/2001 8/30/2001 VEHICLE COLLISION ~- 5/7/2001 6/8/2001 LAW ENFORCEMENT 11/2/2000 3/1/2001 OTHER 4/13/2001 11/30/2001 VEHICLE COLLISION 12/29/2000 3/1/2001 SEWER/WATER(TREE . 4/9/2001 11/30/2001 VEHICLE COLLISION 1/19/2001 3/28/2001 VEHICLE COLLISION 1/17/2002 8/30/2001 LAW ENFORCEMENT 10/10/2001 11/6/2001 TRIP/FALL 31 DEWHURST, LAEL DIA 5/27/1999 11/22/1999 4/27/2001 LAW ENFORCEMENT 32 DIAMOND, ANNE 10/29/2001 11/2/2001 11/27/2001 TRIP/FALL Tuesday, April 18, 2017 LossRunC/osed I Date LT t 119a e 10/2/2000 5/9/2000 4/28/2000 R Loss eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense R eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss p t aymen 485.46 703.06 0.00 0.00 761.57 0.00 0.00 91.13 1,250.58 399.01 0.00 0.00 0.00 0.00 387.03 0.00 0.00 0.00 0.00 0.00 0.00 0.00 533.00 652.06 0.00 535.00 0.00 66.42 0.00 217.95 75,000.00 10.00 Expense p t aymen 22.50 0.00 0.00 0.00 0.00 22.50 22.50 0.00 0.00 0.00 22.50 22.50 22.50 22.50 22.50 22.50 0.00 0.00 0.00 6,713.50 0.00 0.00 0.00 22.50 0.00 22.50 0.00 22.50 0.00 0.00 42,977.43 0.00 Incurred Status 507.96 CLOSED 703.06 CLOSED 0.00 CLOSED 0.00 CLOSED 761.57 CLOSED 22.50 CLOSED 22.50 CLOSED 91.13 CLOSED 1,250.58 CLOSED 399.01 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 409.53 CLOSED 22.50 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 6,713.50 CLOSED 0.00 CLOSED - 0.00 CLOSED - 533.00 CLOSED 674.56 CLOSED 0.00 CLOSED 557.50 CLOSED - 0.00 CLOSED 88.92 CLOSED 0.00 CLOSED -217.95 CLOSED 117,977.43 CLOSED 10.00 CLOSED Page 1 of 4 City of Carlsbad Loss ~un Report Claims Closed between· DVDl/2001 and 12/3V2DD1 Claim Name Date of Loss Date Date Received Closed Cateaorv ' 33 DRISCOLL, ALEXIS RAE 8/9/2001 217/2002 8/30/2001 TRIP/FALL 34 EHLINE, MICHAEL 9/27/1999 1/11/2001 5/7/2001 LAW ENFORCEMENT 35 ENTEZARI, PAT 8/1/2000 8/10/2000 2/28/2001 VEHICLE COMPREHEN 36 FARMERS,NORMAN 12/8/2000 2/5/2001 2/8/2001 VEHICLE COLLISION 37 FAULSTICH, JOHN 3/27/2001 4/17/2001 11/30/2001 VEHICLE COLLISION 38 FISHEL COMPANY, TO 9/7/2000 10/5/2000 4/24/2001 OTHER ~-· ·-. . . - 39 FORD, JOHN 11/28/2000 5/17/2001 6/8/2001 SEWER/WATER (TREE 40 GALINDO, SHEILA 11/11/2000 11/28/2000 3/1/2001 VEHICLE COLLISION 41 GOMES, JOSEPH 7/16/2001 7/18/2001 7/20/2001 VEHICLE COLLISION 42 GRIVAS, WILLIAM 9/27/1999 1/11/2001 5/7/2001 LAW ENFORCEMENT 43 GROSS, VIRGINIA 11/22/2000 12/8/2000 3/1/2001 VEHICLE COLLISION 44 HARRIS, TOMMY 11/14/2000 12/26/20001 3/1/2001 TRIP/FALL 45 HEERS, TIMOTHY 8/7/1999 5/17/2001 11/30/2001 TRIP/FALL 46 HIJK-HAYGEMAN, !SOB 3/16/1999 3/26/1999 7/27/2001 VEHICLE COMPREHEN -,..... ~--~--,_ ·-· - 47 HILL, JASON 1/17/2001 1/29/2001 8/28/2001 TRIP/FALL 48 HUANG, YU LIAN 12/5/2000 12/28/2000 7/27/2001 VEHICLE COLLISION 49 HUGHES, JEAN 7/29/2000 9/25/2000 . 2/28/2001 TRIP/FALL . 50 JENKINS, RAYMOND 11/29/2000 12/13/2000 3/1/2001 TRIP/FALL Date Litigate 10/2/2000 10/2/2000 51 ,}O~N~TON, RICHARD 5/27/1999 11/22/1999 4/27/2001 LAW ENFORCEMENT 4/28/2000 52 JONES, DONNA 11/3/2000 1/18/2001 10/17/2001,~EWER/WATER (TREE 53 KOSCHEI, KATE 2/11/2000 7/11/2000 1/26/2001 SEWER/WATER (TREE ·-~- 54 KRAMER, DARREN 11/24/2000 5/18/2001 12/11/2001 VEHICLE COLLISION 55 LA PLANTE, SUSAN 7/5/2000 7/21/2000 1/26/2001 VEHICLE COLLISION 56 -~RSEN, JOHN AND MA 10/1/2000 3/27/2001 5/25/2001 TREE (OTHER THAN SE· 57 LINEHAN, JOHN & DON 10/14/2000 12/27/2000 3/1/2001 TREE_~OTHER THAN SE 58 MIGAIOLO, TONY 12/27/2000 6/20/2001 1/31/2001 VEHICLE COLLISION 59 MILLS, SUZIE 6/1/2000 8/23/2000 4/27/2001 VEHICLE COMPREHEN ... -· -- 60 MITCHELL, WIL 10/20/2000 11/15/2000 3/1/2001 VEHICLE COL,LISION 61 MORENO, MARIA 10/27/2001 10/31/2001 j 12/26/2001 VEHICLE COLLISION 62 NIEVES, RICHARD 11/10/2000 11/27/2000 3/1/2001 TRIP/FALL 63 NORMAN, TERRY & MA 12/8/2000 12/15/2000 3/1/2001 VEHICLE COLLISION 64 NORTON,CONRAD 3/5/2001 6/?/2001 12/26/2001 VEHICLE COLLISION Tuesday, April 18, 2017 Loss!=lunClosed Loss Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense Reserve 0.00 .0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss Payment 0.00 0.00 0.00 1,508.12 0.00 3,468.26 4,403.1.S 2,168.95 0.00 0.00 227.40 205.00 0.00 0.00 0.00 0.00 115.00· 95.00 0.00 820.00 0.00 2,750.00 0.00 1,512.00 0.00 0.00 0.00 418.30 879.98 5.00 431.43 0.00 Expense Payment 0.00 0.00 22.50 22.50 0.00 22.50 0.00 22.50 0.00 0.00 22.50 22.50 0.00 22.50 22.50 22.50 22.50 22.50 0.00 598.53 22.50 0.00 22.50 0.00 22.50 0.00 22.50 0.00 0.00 22.50 22.50 0.00 ncurred Status 0.00 CLOSED 0.00 CLOSED 22.50 CLOSED 1,530.62 CLOSED 0.00 CLOSED 3,490.76 CLOSED 4,403.15 CLOSED 2,191.45 CLOSED 0.00 CLOSED 0.00 CLOSED . 249.90 CLOSED 227.50 CLOSED 0.00 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 137.50 CLOSED 117.50 CLOSED 0.00 CLOSED 1,418.53 CLOSED 22.50 CLOSED 2,750.00 CLOSED 22.50 CLOSED 1,512.00 CLOSED 22.50 ' CLOSED 0.00 CLOSED 22.50 CLOSED 418.30 CLOSED 879.98 CLOSED 27.50 CLOSED 453.93 CLOSED 0.00 CLOSED Page 2 of 4 65 166 ' 67 68 69 \70 : 71 72 73 74 75 76 77 78 79 80 City of Carlsbad Loss Run Report Date of Claim Name L 055 SPIEKER PROPERTIES, 12/29/2000 STATEFARM,HERNAN 9/5/2001 STA_!_E FARM, MICHAEL 10/12/2001 STEGEHUIS, AMELIA 3/11/2000 STROUP, MARY 9/24/2001 SZABO, THOMAS 3/2/2002 TORRES,RUBEN 6/27/2000 TRAN, LAN 12/19/2001 UNITRIN, POLLERO 7/18/2001 USAA, JADOVITZ 12/21/2001 VASQUEZ, BENJAMIN 4/19/2001 VERKLEEREN, JOHN 6/15/2002 WARREN, DANIEL 4/17/2001 WEBSTER, LORI 12/23/2001 WORKMEN'S AUTO INS 10/27/2001 --·---- WRIGHT, KELLEY 2/1/2002 Tuesday, April 18, 2017 Claims Closed between OVOl/2002 and 12/31/2002 Date Date R . d ece1ve Cl d ose Cateaorv 1/18/2001 \ 12/30/2002 .~EWER/WATER(TREE 11/16/2001 1/23/2002 VEHICLE COLLISION 12/31/2001 2/27/2002 VEHICl.E COLLISION 9/8/2000\ 5/3/2002 VEHICLE COLLISION 9/27/2001 6/28/2002 LAW ENFORCEMENT 5/31/2002 \ 12/30/2002 VEHICLE COLLISION 6/27/2000 6/28/2002 TREE (0~1-!ER THAN SE 2/13/2002 8/30/2002 VEHICLE COLLISION 12/3/2001 3/15/2002 VEHICLE COLLISION 2/25/2002 5/16/2002 VEHICLE COLLISION 7/26/2001 2/28/2002 LAW ENFORCEMENT 6/15/2002 12/18/2002 ,~EWER/WATER(TREE 8/3012001 I 3/28/2002 LAW ENFORCEMENT 2/8/2002 9/27/2002 VEHICLE COLLISION 5/13/2002 6/25/2002 VEHICLE COLLISION 2/25/2002 9/27/2002 VEHICLE COLLISION LossRunClosed I Date Litig t ae 3/9/2001 I Totals Loss Res erve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense Reserv e 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss Pay t men 0.00 464.43 98.79 0.00 0.00 0.00 0.00 0.00 2,300.03 6,045.56 0.00 16,211.81 0.00 0.00 2,312.29 0.00 203,337.63 Expense p t aymen 22.50 0.00 0.00 0.00 0.00 0.00 521.26 0.00 0.00 0.00 0.00 6,598.97 0.00 0.00 0.00 0.00 156,177.02 Incurred Status 22.50 CLOSED 464.43 CLOSED 98.79 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 521.26 CLOSED 0.00 CLOSED 2,300.03 CLOSED 6,045.56 CLOSED 0.00 CLOSED 22,810.78 CLOSED 0.00 CLOSED 0.00 CLOSED 2,312.29 CLOSED 0.00 CLOSED 359,514.65 Page 3 of 3 '33 34 35 36 37 38 39 40- 41 42 43 44 45 46 :47 148 49 50 51 52 53 54 55 56 57 58 59 60 ! 61 62 63 64 City .of Carlsbad Loss Run Report Claim Name HOLLAND, MARLENE HOWES, SARAH IACOVINO, NANCI JOHNSON, GREGORY KEVANE, ROBERT KIEFT, MARK & HEIDI LAURENT, JR, MELVIN LE, NORMAN ·LEVY, BERTHA MICHEL ,_ MANOOGIAN, ARTHUR MENDES, LEROY MENIKHEIM, JASON MONTANYE, PAULA MONTANYE, PAULA NICOL, BONNIE NOLAN, MICHAEL ODO-AMEN, SETSUKO ORLIK, MICHAEL OSTERLUND, KELLY PACIFIC BELL, PACIFIC BELL; RICHAR --.. PACIFIC BELL, RICHAR --" PALISOUL, PAMELA PENA, LAURA PL:OESER, DEBORAH RADOGNA, MICHAEL & ·~~· .. RAGUSA, SHIRLEY RUGGIERO, BETH RUNDLE, WILLIAM RUPERT, JANICE. SAKAUYE, MATT SAN DIEGO GAS & ELE 1-::::r::CltlO I ~• -· ·- Date of L oss 6/14/2002 3/29/2003 10/9/2002 12/22/2002 2/4/2003 4/25/2003 9/9/1999 11/20/2002 . 9/20/2002 1/15/2003 6/27/2001 5/8/2003 11/11/2002 11/12/2002 5/21/2003 11/13/2002 10/22/2002 12/11/2001 2/1/2003 7/19/2002 7/25/2002 9/26/2002 1/3/2003 4/7/2003 9/24/2002 2/1/2003 9/12/2002 11/13/2002 4/3/2003 5/14/2003 4/8/2003 10/8/2002 Tuesday, April 18, 2017 Claims Closed between 01/01/2003 and 12/31/2003 Date Date R . d ece1ve Cl d ose Cateaorv 12,11,20021 4/30/2003 VEHICLE COLLISION 4/2/2003 5/15/2003 VEHICLE COLLISION 3/3/2003 10/28/2003 TRIP/FALL 1/8/2003 2/26/2003 SEWE~ATER(TREE 6/2/2003 9/30/2003 OTHER 5/5/2003 11/30/2003 TREE_ (OTHER THAN ~-E 9/12/2000 4/21/2003 OTHER 12/3/2002 6/26/2003 VEHICLE COLLISION 12/4/2002 6/26/2003 TRIP/FALL 2/26/2003 9/30/2003 VEHICLE COMPREHEN -·· ·---· IA 12/4/2001 6/10/2003 LAW ENFORCEMENT 5/9/2003 6/18/2003 VEHICLE COMPREHEN ,~ .. -··· 12/16/2002 6/26/2003 LAW ENFORCEMENT 2/4/2003 9/30/2003 LAW ENFORCEMENT 6/4/2003, 7/2/2003 TREE (OTHER THAN S_E 11/13/2002 1/15/2003 VEHICLE COLLISION 11/13/2002 6/26/2003 VEHICLE COLLISION 3/13/2002 5/30/2003 VEHICLE COLLISION 3/19/2003 10/29/2003 LAW ENFORCEMENT 1/17/2003 8/29/2003 OTHER 1/24/2003 8/29/2003 OTHER 3/24/2003 8/29/2003 OTHER 1/21/2003 3/11/2003 VEHICLE COMPREHEN ,~ .. --· --5/2/2003 5/27/2003 VEHICLE COLLISION 10/7/2002\ 4/30/2003 SEVIJ_E~ATER(TREE 2/3/2003 6/9/2003 OTHER 1/31/2002 4/2/2003 TRIP/FALL 11/25/2002 1/28/2003 VEHICLE COLLISION I 4/30/2003, 10/17/2003 VEHICLE COMPREHEN ' ~.n .... n:: __ .t.o..-r...L1c.o-=cLLA..A. -.... 5/23/2003 6/18/2003 VEHICLE COMPREHEN ....... ·-----......... 4/21/2003 6/18/2003 VEHICLE COLLISION 1/23/2003 4/9/2003 OTHER LossRunClosed Date L"fg t 11 a e 8/30/2000 5/24/2002 9/9/2002 4/21/2003 9/3/2003 I Loss R eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 . 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense R eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss p t aymen 445.11 1,600.79 0.00 269.00 0.00 0.00 0.00 0.00 0.00 0.00 35,000.00 238.00 0.00 0.00 0.00 · 107.33 0.00 205,479.69 0.00 0.00 0.00 0.00 1,840.99 213.00 0.00 0.00 0.00 193.80 0.00 260.50 1,251.26 592.24 Expense p t aymen 0.00 0.00 0.00 0.00 0.00 0.00 69,842.00 0.00 0.00 o.oo· 26,565.12 0.00 0.00 0.00 0.00 0.00 0.00 294,520.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.38 0.00 0.00 0.00 0.00 0.00 0.00 Incurred Status 445.11 CLOSED 1,600.79 CLOSED 0.00 CLOSED 269.0p CLOSED 0.00 CLOSED 0.00 CLOSED 69,842.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 61,565.12 CLOSED 238.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 107.33 CLOSED 0.00 CLOSED 500,000.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 1,840.99 CLOSED 213.00 CLOSED 0.00 CLOSED 3.38 CLOSED 0.00 CLOSED 193.80 CLOSED 0.00 CLOSED 260.50 CLOSED 1,251.26 CLOSED 592.24 CLOSED Page 2 of 3 I 1 2 3 I 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 :29 30 \ 31 I j32 City of Carlsbad Loss Run Report Claims Closed between 01/0V2004 and 12/31/2004 Date of Date Date Claim Name L oss R . d ece1ve Closed Ct a eaorv ALCOSER, NANCY 9/12/2004 9/27/20041 10/26/2Q04 TREEJOTHER_THAN SE ALKAZIN, TOM 9/3/2003 9/18/2003 4/30/2004 !REE_ (?_THER_TH~N SE ALLSTATE, BACH 9/2/2003 2/5/2004 9/30/2004 VEHICLE COLLISION ALTA VERDE CONDOM! 4/14/2003 5/15/2003 1/30/2004 OTHER ..... ·- AMERICAN EXPRESS, 5/15/2003 6/25/2003 7/30/2004 VEHICLE COLLISION AMICK, PAMELA 4/14/2003 5/15/2003 1/30/2004 OTHER ASH, MICHAEL 9/27/2001 3/15/2002 7/30/2004 VEHICLE COLLISION ASHJIAN, ARTHUR 1/10/2004 2/10/2004 9/30/2004 LAW ENFORCEMENT AT&T WIRELESS SERVI 7/12/2001 I 7/30/2004 OTHER , __ AZILLE, PETER 10/20/2003 11/10/2003 5/28/2004 LAW ENFORCEMENT BACKOVSKY,F.DENEK 5/15/2003 11/17/2003 9/30/2004 VEHICLE COLLISION BENDER, ROBERT 4/26/2004 5/25/2004 12/30/2004 VEHICLE COMPREHEN '-·· ·--· --BENNETT, KIERSTEN 7/15/2002 8/29/2002 7/30/2004 TRIP/FALL BERNARD,GLENN 7/11/2003 8/20/2003 1/12/2004 LAW ENFORCEMENT CALI, RICHARD 11/18/2003 12/23/20031 7/30/2004 VEHICLE COLLISION. CEBALLOS, DANIEL 12/9/2003 5/3/2004 12/30/2004 LAW ENFORCEMENT CHARETTE, DAVID 11/29/2003 4/21/20041 6/7/2004 TRIP/FALL C!NCIARELLI, KASEY 2/26/2003 8/22/2003 2/27/2004 OTHER COUNTRY WIDE HOME 5/2/2002 5/2/2002 6/29/2004 .~1:_'0'ERIWATE~JOTHE CURTIN, MARGARET 9/9/2003 2/25/2004 9/30/2004 TRIP/FALL DEBACKER, JULIE 1/24/2004 4/26/2004 10/29/2004 VEHICLE COLLISION DICKERSON, IRMA 4/13/2004 4/26/2004 6/2/2004 VEHICLE COLLISION DOLBOW, MICHAEL 5/13/2002 11/8/2002 7/30/2004 TRIP/FALL DOUGLASS, BARBARA 7/9/2002 1/6/2003 1/12/2004 TRIP/FALL Date Litigate 10/22/2002 10/3/2003 5/12/2003 DRISCOLL, ANGELA-1/22/2004 2/19/2004 9/30/2004 '!l=fi!C~E C~M_!:'REHE~ I EDVVARDJONESINVES 5/2/2002 5/2/2002 5/28/2004 ,~1:_'0f~~ATER(OTHE ELLIS, LARRY 6/8/2004 6/21/2004 8/24/2004 LAW ENFORCEMENT ESPINO, EFRAIN 3/9/2004 4/14/2004 5/11/2004 VEHICLE COLLISION I ,_EVANS, KAREN & ROB 2/12/2004 2/12/2004 7/21/2004 TREE (OTHER THAN SE 5/27/2004 ' . " --·. I FINCHER, KIM & KAREN 9/19/2003 10/6/2003 4/30/2004 VEHICLE COLLISION FLOOD, TERRANCE 2/29/2004 3/10/2004 3/31/2004 VEHICLE COLLISION FREURE, LAUREN 8/14/2003 8/6/2003 2/27/2004 OTHER Tuesday, April 18, 2017 LossRunClosed - Loss Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss Payment 500.00 0.00 0.00 .0.00 0.00 0.00 0.00 0.00 250,000.00 0.00 0.00 0.00 0.00 242.00 0.00 0.00 400.00 0.00 0.00 0.00 0.00 866.82 10,000.00 1,977.08 0.00 0.00 150.00 1,431.69 1,852.00 0.00 1,941.74 0.00 Expense P ment ay 0.00 0.00 0.00 0.00 0.00 0.00 42,417.91 0.00 255,634.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7,833.14 0.00 0.00 0.00 61,990.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ncurre d s tat us 500.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 42,417.91 CLOSED 0.00 CLOSED 505,634.57 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 242.00 CLOSED 0.00 CLOSED b.00 CLOSED 400.00 CLOSED 0.00 CLOSED 7,833.14 CLOSED 0.00 CLOSED 0.00 CLOSED 866.82 CLOSED 71,990.79 CLOSED 1,977.08 CLOSED 0.00 CLOSED 0.00 CLOSED 1·50.00 CLOSED 1,431.69 CLOSED 1,852.00 CLOSED 0.00 CLOSED 1,941.74 CLOSED 0.00 CLOSED Page 1 of 4 165 !66 ' 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 City of Carlsbad Loss Run Report Claims Closed between 01/0V2004 and 12/31/2004 Date of Date Date Claim Name L oss R . d ece1ve Closed C t a eaorv NGUYEN, THANH NHAN 10/6/2004 11/1/2004112/28/2004 VEHICLE COLLISION NICOL, BONNIE 6/19/2003 7/18/20031 3/31/2004 TREE (OTHER THAN SE ! ...... --· . NORTHINGTON, TERRI 4/3/2004 4/15/2004 4/27/2004 VEHICLE COLLISION OLIVARES, JANICE 6/7/2003 11/30/2003 6/29/2004 TRIP/FALL PAGANS,BOBBY 5/27/2003 12/23/2003 7/30/2004 VEHICLE COLLISION PERRY, PATRICIA 7/15/2003 8/27/2003 4/30/2004 TRIP/FALL POINSETTIA COVE MAI 4/25/2003 10/13/2004 12/7/2004 SEWE~ATER (TREE . --..... PRESTON, PATRICK 9/4/2003 2/13/2004 9/30/2004 PERSONNEL ACTION RAIKA, MALIHE 11/13/2002 5/12/2003 12/20/2004 VEHICLE COLLISION RICHARDSON, THOMA 5/12/2004 5/26/2004 8/24/2004 TREE_ (OTHER THAN SE RIVKIN, ASHLEY 3/1/2003 8/26/2003 10/29/2004 TRIP/FALL ROCHON, DONALD 101712000 12/26/2000 4/30/2004 LAW ENFORCEMENT ROCHON, DONALD 6/26/2000 111712000 4/30/2004 LAW ENFORCEMENT ROOFING SERVICES IN 5/31/2002 7/11/2002 6/29/2004 VEHICLE COLLISION -·--··--ROWE, KERRI 4/27/2004 5/13/2004 11/30/2004 VEHICLE COMPREHEN -·· ·-·---· .. ROY, DANIEL 6/21/2000 11/13/2000 4/30/2004 PERSONNEL ACTION SAN MARCOS, CITY OF 3/11/2004 6/22/2004 11/30/2004 ~E~ER/WATER(OTHE SANCHEZ, ALBERTO 10/28/2004 11/10/2004 12/2/2004 SEWER/WATER (TREE SBC, R. ARREDONDO 3/1/2004 8/30/2004 10/26/2004 OTHER SCHNEIDMULLER, OTII 12/5/2003 1/27/2004 9/30/2004 TRIP/FALL SCHWARZ, FRED 11/18/2004 11/24/2004 12/14/2004 VEHICLE COLLISION SHEN, KONG 10/27/2003 12/26/2003 1/26/2004 LAW ENFORCEMENT SIMON, SUSAN 8/22/2003 2/23/2004 10/29/2004 TRIP/FALL SPRINT TELEPHONY P 12/9/2003 3/22/2004 10/29/2004 OTHER STATE FARM, HUFF 9/19/2003 11/19/2003 6/29/2004 VEHICLE COLLISION STEVENSON, JOHN 11/4/2003 12/10/2003 7/30/2004 TRIP/FALL TARON, LOIS 3/1/2004 6/14/2004 6/29/2004 VEHICLE COLLISION TSANG, HILDA & IVAN 12/1/2003 3/1/2004 9/30/2004 ~REE_ (~THER_TH~N SE WAWANESA, BARILE 9/16/2002 1/27/2003 1/5/2004 VEHICLE COLLISION ~I~ ~OLDINGS, LLC, R 2/25/2003 8/12/2003 11/30/2004 OTHER WISE II, RALPH 5/18/2004 6/17/2004 7/27/2004 LAW ENFORCEMENT Tuesday, April 18, 2017 LossRunClosed Date Litigate 2/9/2004 111712003 7/9/2004 3/21/2001 3/21/2001 6/18/2001 3/5/2004 5/16/2003 2/17/2004 ' toss Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0:00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense Reserve 0.00 0.00 0.00 0.00 0.00 · 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss Payment 663.50 0.00 1,434.37 0.00 0.00 0.00 961.75 0.00 0.00 0.00 0.00 0.00 0.00 1,176.26 0.00 0.00 0.00 1,583.36 286.12 0.00 705.93 588.00 o·.oo 0.00 0.00 0.00 89.10 0.00 0.00 0.00 241.00 Expense P ment ay 0.00 754.00 0.00 0.00 0.00 0.00 0.00 0.00 18,614.95 62.00 0.00 0.00 160,152.21 0.00 0.00 103,338.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 590.50 0.00 ncurre d Status 663.50 CLOSED 754.00 CLOSED 1,434.37 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 961.75 CLOSED 0.00 CLOSED 18,614.95 CLOSED 62.00 CLOSED 0.00 CLOSED 0.00 CLOSED 160,152.21 CLOSED 1,176.26 CLOSED 0.00 CLOSED 103,338.40 CLOSED 0.00 CLOSED 1,583.36 CLOSED 286.12 CLOSED 0.00 CLOSED 705.93 CLOSED 588.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 89.10 CLOSED 0.00 CLOSED 0.00 CLOSED 590.50 CLOSED 241.00 CLOSED Page 3 of 4 I i City of Carlsbad Loss Run Report Claims Closed between 01/01/2005 and 12/31/2005 Date of Date Date Claim Name L oss R . d ece1ve Cl d ose Cateaorv 1 ALLEN, BARBARA 1/14/2005 1/31/2005 8/31/2005 VEHICLE COMPREHEN -···--· 2 ANGELS ARE FROM HE 1/1/2005 6/20/2005 10/19/2005 OTHER . 3 ARMSTRONG,THOMAS 12/4/2000 1/2/2001 5/31/2005 OTHER 4 BANTOFT, CHRISTINA 7/1/2003 6/17/2004 1/31/2005 OTHER 5 BELLAVER, JOHN 7/15/2004 8/2/2004\ 2/28/2005 VEHICLE COMPREHEN '-·· ·--· -- 6 BENINATTO AND SPACI 1/11/2005 2/16/2005 8/31/2005 TR~E (OTH':_R THAN SE -------- 7 BENNETT, LINDSAY 3/8/2005 3/17/2005 9/30/2005 VEHICLE COMPREHEN -·---·---· --- 8 BERKUTI, MARIE 9/24/2003 11/25/2003 9/30/2005 TREE_ (OTHER THAN SJ 9 BERNARD,GLENN 5/14/2004 9/10/2004 2/28/2005 TREE (OT_f:JER THAN ~~ I 10 BERNARD.GLENN 12/1/2003 9/10/2004 . 2/28/2005 TREE_ (OTHER THAN SE 11 BERNARD,GLENN 8/28/2004 2/9/2005 9/30/2005 TRIP/FALL 12 BESECKER,MEGAN 1/17/2005 2/10/2005 9/13/2005 VEHICLE COMPREHEN ·--· 13 BIO-HYDRATION RESE 9/6/2005 9/15/20051 10/19/2005 ,~EWER/WATER (TREE I . 14 BLACIC, HENRIETTA 1/2/2005 1/27/2005 2/28/2005 SEWER/WATER(TREE ,___ --I 15 BRAY, SUZANNE 12/16/2002 1/24/2003 3/3/2005 OTHER 16 BROADWAY, GWEN 7/1/2003 6/29/2004 1/31/2005 OTHER I 17 BUDGET RENT A CAR 9/12/2005 10/21/2005 11/30/2005 VEHICLE COLLISION -----··-- 18 BUJAS, ANN 6/24/2004 7/14/2004 1/31/2005 LAW ENFORCEMENT 19 C. San Dieguito Water Di 6/10/2005 8/2/2005 8/23/2005 VEHICLE COLLISION 20 CARLSBAD COMMUNIT 11/23/2003 11/24/2003 11/30/2005 SEWER/WATER(TREE , 21 C0RKE, CATHERINE & 8/8/2004 8/18/2004. 10/27/2005 TREE (OTHER THAN SE ' ! '" .- '22 CLUTE, MAVIS 7/1/2003 6/29/2004 1/31/2005 OTHER 23 COLBY, ALDON 3/31/2005 3/31/2005 5/13/2005 VEHICLE COMPREHEN -·· ·---, ....... 24 COOBATIS, CHRISTY 5/7/2005 5/31/2005 8/23/2005 ,~E~ER/WATER(TREE 25 COON, KEVIN 3/3/2005 3/9/2005 9/30/2005 VEHICLE COMPREHEN ,_ .. ·---· ·--...... ,. 26 DELANEY, ZANITA 4/2/2004 4/23/2004 5/31/2005 VEHICLE COMPREHEN --· ---- 27 DESAI, PRAGNYA 10/7/2004 11/3/2004 5/31/2005 VEHICLE COMPREHEN ·--··· 28 DI LANDRI, GARETT 1/9/2005 1/18/2005 8/31/2005 VEHICLE COMPREHEN 29 DILLON, JOSEPH 1/7/2005 1/25/2005 8/31/2005 VEHICLE COMPREHEN ..c..n ,c: ro:rr ic:n :r, 30 DINEEN, KRISTEN 7/5/2005 9/14/2005 10/19/2005 VEHICLE COLLISION I 31 DORNICK-MINOR CHIL 3/25/2005 5/17/2005 12/30/2005 OTHER . I__ --- - 32 ENDO, KRISTINA 4/5/2005 4/27/2005 5/24/2005 VEHICLE COLLISION Tuesday, April 18, 2017 LossRunClosed Date LT t 119a e 6/26/2001 11/21/2003 R Loss eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense R eserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Loss p t aymen 0.00 1,500.00 3,205.00 0.00 0.00 0.00 0.00 o:oo 0.00 0.00 0.00 892.11 180.00 5,130.86 0.00 0.00 2,897.80 0.00 1,389.49· 6,911.20 2,300.00 0.00 1,456.02 918.50 0.00 0.00 0.00 0.00 0.00 1,301.17 0.00 837.23 Expense p t aymen 0.00 741.40 23,135.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.00 0.00 0.00 0.00 0.00 500.00 246.50 0.00 0.00 418.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Incurred Status 0.00 CLOSED 2,241.40 CLOSED 26,340.20 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 892.11 CLOSED 180.00 CLOSED 5,130.86 CLOSED 25.00 CLOSED 0.00 CLOSED 2,897.80 CLOSED 0.00 CLOSED 1,389.49 CLOSED 7,411.20 CLOSED 2,546.50 CLOSED 0.00 CLOSED 1,456.02 CLOSED 1,337.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 0.00 CLOSED 1,301.17 CLOSED 0.00 CLOSED 837.2_3 CLOSED Page 1 of 5 City of Carlsbad Loss Run Report Claims Closed between 01/01/2006 and 12/31/2006 Date of Date Date Date Litigate Loss Expense Loss Expense Claim Name / 29 RHEAD, MORGAN 130 ROBERTS, CAITLYN SU ,~ / 31 ROB_l~~O~ & AU~_!IN, 32 SAFARIK, CHRISTINE C 133 SBC/PACIFIC BELL, 34 SCHAEFFER.KARL 1135 SCHUMACHER AND FO . - , 36 SELWITZ, MARBY 37 SHEEHAN,HELENE 38 SHIPPEN, ERIC 39 SOMMERVILLE, GRACE /40 SOTO, JORGE LUIS , 41 SPECK, ROSS 142 STANDRING, ERNEST 43 STEINHAUER, BONNIE , 44 STRONG, ROBERT MIC i 45 SULLIVAN, ROBERT AN '46 SWARTWOOD, ROD 47 SYNESIOU, JOHN 48 TATE, STEPHEN ~ TAVAKOLI, SABIHE /50 TAVAKOLI, SABINHE 151 TAVAKOLI, SAIHE 52 THEOTILOPOULOS, EL 53 THOMAS, BRUCE 54 THOMAS, BRUCE 155 TILLOTSON, LINDA )56 TIMMONS, JEROME 57 TIMMONS, MARILYN 58 TRAN, HONG 1159 TRASK, N. JUNE 60 ULDRICKS, MARIAN Tuesday, April 18, 2017 Loss Received Closed Cateaorv Reserve Reserve Payment Payment Incurred Status 4/11/2000 9/28/2000\ 4/24/2006 LAW ENFORCEMENT I 41912001 0.00 0.00 0.00 273,526.14 273,526.14 CLOSED 10/4/2005 12/14/2005 8/30/2006 VEHICLE COLLISION 0.00 0.00 0.00 1,010.01 1,010.01 CLOSED 0.00 0.00 0.00 0.00 0.00 CLOSED 2/28/2005 4/20/2005 5/31/2006 SEWER/WATER (OTHE 6/28/2005 1,-, ...... ---· 10/21/2005 10/26/2005 5/31/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 1 0/18/2005 3/6/20061 4/4/2006 SEWER/WATER (TREE I 0.00 0.00 535.24 0.00 535.24 CLOSED 11/1/2005 11/8/2005 5/31/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 2/14/2006 4/24/2006 5/23/2006 VEHICLE COMPREHEN 0.00 0.00 293.88 0.00 293.88 CLOSED 8/30/2003 3/1/2004 -1i31/2006 VEHICLE COLLISION 9/22/2004 0,00 0.00 0.00 108.00 108.00 CLOSED 11/16/2005 11/29/2005 5/31/2006 VEHICLE COM~REHEN I 0.09 0.00 0.00 0.00 0.00 CLOSED 2/23/2005 5/19/2005 5/31/2006 SEWER/WATER (OTHE 6/28/2005 ir""'l"T'"I •a •-0.00 0.00 0.00 0.00 0.00 CLOSED 0.00 0.00 0.00 0.00 0.00 CLOSED 3/1/2006 4/24/2006 10/31/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 5/19/2006 6/6/20061 12/29/2006 VEHICLE,COMPREHEN I ,_., ·--· -· 0.00 0.00 100.00 0.00 100.00 CLOSED 6/7/2006 6/20/2006 9/13/2006 VEHICLE COMPREHEN ,_., -· 5/12/2005 6/30/2005 2/28/2006 SEWER/WATER (TREE 0.00 0.00 0.00 0.00 0.00 CLOSED 0.00 0.00 0.00 0.00 0.00 CLOSED 3/11/2005 10/26/2006 11/30/2006 SEWER/WATER (OTHE -..... , ·-- 2/23/2005 5/19/20051 5/31/2006,~1:._~liRIWAT~~J?THE 6/28/2005 0.00 Q.00 0.00 0.00 0.00 CLOSED 3/17/2006 5/27/2006 6/20/2006 LAW ENFORCEMENT 0.00 0.00 1,139.09 0.00 1,139.09 CLOSED 2/18/2005 8/3/2005 3/31/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 7/13/2005 8/3/2005 2/28/2006 TRIP/FALL 0.00 0.00 0.00 0.00 0.00 CLOSED 4/1/2006 4/10/20061 10/31/2006 VEHICLE COMPREHEN 0.00 0.00 0.00 0.00 0.00 CLOSED 3/11/2005 10/26/2006 11/30/2006 ~EW~~ATE~J?THE 0.00 0.00 0.00 0.00 0.00 CLOSED 2/28/2005 1/27/2006 5/31/2006 SEWER/WATER (OTHE 1/26/2006 -·---· 0.00 0.00 0.00 0.00 0.00 CLOSED 3/11/2005 7/11/2005 5/31/2006,~EW~RIWA:~~_i?THE 1/26/2006 0.00 0.00 0.00 0.00 0.00 CLOSED 1/9/2005 5/16/2005 5/31/2006 OTHER 0.00 0.00 0.00 0.00 0.00 CLOSED 10/6/2005 10/7/2005 4/28/2006 OTHER 0.00 0.00 0.00 0.00 0.00 CLOSED 6/1/2005 11/16/2005 5/31/2006 LAW ENFORCEMENT 0.00 0.00 0.00 0.00 0.00 CLOSED 3/11/2005 10/26/2006 11/30/2006,~EW~RIWA!~~flTHE 0.00 0.00 0.00 0.00 0.00 CLOSED 3/11/2005 9/9/2005 5/31/2006 ~EW~R/WAT~~J?THE 0.00 0.00 0.00 0.00 0.00 CLOSED 3/11/2005 9/9/2005 5/31/2006 SEWER/WATER (OTHE 0.00 0.00 0.00 0.00 0.00 CLOSED 2~Q006 2Q1QOOO ~~Q006~EHl~~COM~~~E~~~E~N~~~~i-~~~o~.070~~~~0~.070~~~-o~.0-0~~~-0-.0-0~~~-0-.0-0~C-L_O_S_E_D~ 1 ...... 1\ ·--- 3/11/2004 5/14/2004 3/31/2006 TRIP/FALL 0.00 0.00 0.00 0.00 0.00 CLOSED 3/11/2005 10/26/2006 11/30/2006 SEW~R/WA:~~J?THE 0.00 0.00 0.00 0.00 0.00 CLOSED LossRunC/osed Page 5 of 6 OLD CLAIM FILES FROM CABINET Ed, The claim files listed below were saved by the previous risk manager; possibly for reference or potential future claims. I have attached the Liability Database printout and a screen shot of the file notes where more information was provided. Please let me know if I can prepare these files for destruction or if you want to keep them. Claimant name Date of Loss Destroy Keep 1 Braka, Sophie 4/22/1996 ' ~ D 2 Braka Josephine 42/22/1996 15s· D 3 Carlsbad Aquafarm 4/10/2001 [Z D 4 Carter, Agnes 5/13/1995 tl D 5 Clarke, Catherine 8/8/2004 ~ D· 6 Clarks, James 8/8/2004 ~~ D 7 Clark, Harold 8/8/2004 z_ D 8 Driscoll, Alexis. 8/9/2001 . !Rt D 9 Evans, Karen & Robert 2/12/2004 ~ D 10 Fogel, Marlin 2/1/1996 0; D 11 Grove Apartments Not in Liability Database -see ~ --attached file 12 Holmquist, Michelle 4/21/1997 ~ D 13 Huddock, Michael 8/19/1997 kt' D 14 MacDougall, Joseph & 06/1996 ~~ D Francine 15 Mccaleb, Terry 2/24/1996 ~ D 16 Milliken, Tim 9/1/1995 ~ D 17 Nicol, Bonnie 6/19/2003 .. ~ D 18 Overmyer, Vernon Not in Liability Database -see f:2Sl I< u ! ' ] ., attached file ; 19 PT Carlsbad Assoc 2/10/1996 ~ D 20 Prager, Kathy & Tom 10/20/1996 fil D 21 Roberts, Caitlyn Sue 10/04/2005 ~ D 22 Rundle, William 4/3/2003 @ D 23 Stroup, Steve & Lisa 8/5/1996 ~ D 24 Torres, Ruben 6/26/2000 BJ D 25 Vorndran, Thomas 6/22/1996 ~ D .~rro City of Carlsbad Loss Run Report Claims Closed between 01/0V1993 and 12/31/1993 Date of Date Received Date Cl. N aim ame Loss Closed c t a eaorv 1 ACTION COURIER, 5/5/1992 5/19/1992 10/12/1993 VEHICLE COLLISION 2 ANDERSON, E. C. 6/23/1980 4/8/1993 7/19/1993 OTHER 3 ANDERSON.GARY 4/19/1993 8/2/1993 11/8/1993 ~EVVERNVATER(TREE 4 ,JARRON, ROBERT HEN 10/21/1990 4/19/1991 5/26/1993 TRIP/FALL 5 BENNETT, SCOTT 1/29/1992 7/28/1992 10/13/1993 TRIP/FALL 6 BING, CHAD 7/20/1992 7/22/1992 10/13/1993 LAVV ENFORCEMENT 7 BOYER, H. MICHAEL 9/22/1991 10/24/1991 10/13/1993 LAVV ENFORCEMENT 8 BRYSON,KURT 10/8/1993 10/18/1993 11/10/1993 VEHICLE COLLISION 9 CASILLO, AMEDEO 3/27/1993 5/6/1993 11/1/1993 VEHICLE COLLISION . 10 C0RKE, HAROLD/CAT 4/7/19721 3/30/1992' 10/13/1993 TREE (OTHER THAN SE . UUJ::..CUl.A.l ll :CCCI OC:I ti. 11 COLEMAN, MICHELE 7/1/1991 12/27/1991 2/16/1993 TRIP/FALL 12 COVVIE, MARIE 4/1/1991 4/3/1991 1/5/1993 VEHICLE COLLISION 13 DAVIS, BOB G. 9/22/1993 9/24/1993 11/22/1993. VEHICLE COLLISION 14 DAVISON, MATTHEVV 5/2/1993 5/26/1993 12/14/1993 TRIP/FALL 15 EBNER, MAE LIZ 3/12/1992 3/17/1992 10/13/1993 VEHICLE COMPREHEN ---·--· -- 16 ELLIOT, HENRY 12/3/1991 6/1/1992 6/10/1993 VEHICLE COLLISION 17 FARMERS, ARGUS 12/22/1991 4/8/1992 10/13/1993 VEHICLE COLLISION 18 GRIFFIN, TAYLOR 4/21/1991 5/16/1991 12/28/1993 OTHER 19 HARRISON, CAROLYN 9/27/1991 10/18/1991 10/13/1993 LAVV ENFORCEMENT 20 HARTLEY, SHARON 1/13/1993 1/13/1993 ~/5/1993 VEHICLE COLLISION 21 HAWKINS, CHAD J 7/21/1991 1/2/1992[ 6/30/1993 VEHICLE COLLISION 22 ~EIDEN, RON & DENIS 3/29/1993 5/4/1993 6/30/1993 ,~EVVER/WATER(TREE 23 HEYLEK, RAY & JUDI 2/17/1991 5/17/1991 1/5/1993 SEVVER/WATER(TREE 24 HOYLE.KAREN 5/14/1993 5/25/1993 7/26/1993 LAVV ENFORCEMENT 25 HUMPHREY, JOHN & JA 2/8/1993 3/5/1993 11/8/1993 OTHER 26 JASNOVV, EVA 8/25/1993 9/7/1993 10/18/1993 VEHICLE COMPREHEN _,.,_ --· .. --27 JESSOP, REGINA 6/2/1993 7/14/1993 10/8/1993 VEHICLE COLLISION 28 KIRSCHER, ALVVILDA 3/24/1992 4/15/1992[ 10/13/1993 SEVVER/WATER (TREE 29 KREVET, JOSEPH & RE 5/26/1992 6/29/1992 10/13/1993 VEHICLE COLLISION 30 LA COSTA SHOPPING 7/21/1991 7/9/1992 6/30/1993 VEHICLE COLLISION I 31 LaPOLICE, PATRICK 7/2/1992 7/2/1992 10/13/1993 VEHICLE COMPREHEN ---·--- \32 LOFGREN, ROBERT 7/10/1987 7/6/1992 10/27/1993 OTHER· " Tuesday, April 18, 2017 LossRunClosed I - Date Litigate 10/18/1991 9/13/1993 7/1/1992 12/1/1992 5/29/1992 1/7/1992 7/6/1992 Loss Reserve 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Expense Reserve 0.00 0.00 0.00 0.00 0.00 0.00 -0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ' Loss Payment 0.00 122.00 281.50 22,000.00 0.00 0.00 0.00 1,061.43 459.50 0.00 0.00 0.00 233.52 3,150.00 0.00 0.00 0.00 3,500.00 0.00 448.06 500.00 125.00 0.00 111.05 290.00 402.96 - 1,469.60 0.00 0.00 0.00 0.00 0.00 Expense Payment 22.50 22.50 22.50 15,237.79 22.50 22.50 22.50 22.50 31.50 22.50[ 1,334.61 22.50 102.00 22.50 22.50 3,939.34 38.00 7,305.37 22.50 22.50 1,421.36 22.50 13.75 22.50 22.50 9.00 22.50 38.00 22.50 22.50 22.50 54.00 ncurre d St t a us 22.50 CLOSED 144.50 CLOSED 304.00 CLOSED 37,237.79 CLOSED 22.50 CLOSED CLOSED 22.50 CLOSED 1,083.93 CLOSED 491,00 CLOSED 22.50 CLOSED 1,334.61 CLOSED 22.50 CLOSED 335.52 CLOSED 3,172.50 CLOSED 22.50 CLOSED 3,939.34 CLOSED 38.00 CLOSED 10,805.37 CLOSED 22.50 CLOSED 470.56 CLOSED 1,921.36 CLOSED 147.50 CLOSED 13.75 CLOSED 133.55 CLOSED 312.50 CLOSED 411.96 CLOSED 1,492.10 CLOSED 38.00 CLOSED 22.50 CLOSED 22.50 CLOSED 22.50 CLOSED 54.00 CLOSEq Page 1 of 2 CERTIFICATE OF DESTRUCTION & RECYCLING This certificate is presented to: CITY OF CARLSBAD -RECORDS MANAGEMENT DIVISION Per the express request of Client, Corodata has received the Material referred to below and has/will destroy and then recycle said Material in accordance with its standard procedures. As the parties have agreed, Corodata will not inventory, record or track any information contained within or related to the Material. Account #(s) Certificate # Date Issued Service Locations Date Range of Service Work Ticket(s) Quantity/Item SD012455 107711 Tuesday, January 23, 2018 5815 EL CAMINO REAL Jan-23-2018 thru Jan-23-2018 457199 ('_ * Nothing in this certificate shall be deemed to modify the terms of the parties' Service Agreement(s) or Work Ticket(s). 1:-:1corodata itSSAJE16 Typi'l 11 Audit Completed HIP£