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Home My WebLink AboutR-1994-105 Quarterly Insurance Claims Report• RESOLUTION NO. R-94- 165 A RESOLUTION accepting and approving the Quarterly Insurance Claims Report. WHEREAS, the City self insures as to claims, and WHEREAS, the attached Quarterly Insurance Claims Report contains information on the various claims submitted to the City along with the disposition thereof, now, therefore, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF YAHIMA: The attached and Incorporated Quarterly Insurance Claims Report, together with all payments and disbursements disclosed therein, is hereby accepted, approved, affirmed, and ratified. • ADOPTED BY THE CITY COUNCIL this cr day of August, 1994 gfLt • ATTEST: JH -- Res Ins.Claims Report 1 — 8/5/94 CITYo l c'i�►`e" CLERK MAYOR �vr Sedgwick Sedgwick James of Washington, Inc. 1430 N 16th Avenue, Lake Aspen Park, PO Box 2547, Yakima, Washington 98907 Facsimile 509 248-9007 Telex 15-2010 Telephone 509 248-7460 August 4. 1994 John Hanson Director of Finance and Budget City of Yakima 1291. 2nd St. Yakima, WA 98901 Re: 1994 Second Quarter Claims Report Dear John: Enclosed is the second quarter claims report which includes: 1. A summary of the self insurance period 1/1/86 through 6/30/94. 2. A listing of all claims which have actually been paid or closed during the second quarter of this year. 3. A detailed listing of claims occurring in 1994. 4. A summary by department. We will be available at the City Council meeting to answer any questions which may arise. Sincerely, Joel Pearson Vice President Enclosure JP:tr J tit rbc Deborah Krautwurm Vice President Insurance Broking Risk Services Employee Benefits CITY OF YAKIMA QUARTERLY CLAIMS REPORT 7/1/94 Prepared by Joel Pearson Vice President Deborah Krautwurm Vice President Sedgwick CITY OF YAKIMA QUARTERLY CLAIMS REPORT 7/:!/94 SECTioas 1. Incurred Claim Summary 1986 Through 6/30/94 2. Detailed Claim Listing 1/1/94 Through 6/30/94 3. Closed Claims 4/1/94 Through 6/30/94 4. Summary by Department 1/1/94 Through 6/30/94 and 1/1/92 Through 6/30/94 Sedgwick INCURRED CLAIM SUMMARY 1986 Through 6/30/94 CITY OF YAKIMA CLAIM SUMMARY DATE: 06/30/94 SELF - INS. .986 NUMBER. OF CLAIMS A. Total Reported 123 B. Open Claims 0 C. Closed No Payment 55 D. Closed With Payment 68 COST OF CLAIMS A. B. C. D. Total Incurred $ 121,748.93 Paid Claims $ 121,748.93 Reserves $ 0.00 Amount Claimed $6,121,535.59 SELF - INS. 103 0 37 66 SELF - INS ,. 1988 120 0 46 74 SELF - INS. 1989 100 2 33 65 $ 51,165.1.2 $133,209.46 $ 60, 487.13 $ 51,165.12 $133,209.46 $ 55,2:37.13 $ 0.00 $ 00.00 $ 5,250.00 $113,079.56 $318,581.28 $5,082,695.99 Incurred Claims: Paid claims, reserve amount. Reserves: The amount the adjusting firm feels City will eventually pay on open claims. Amount Claimed: The dollar amount claimant is requesting. 06/30/94 NUMBER OF CLAIMS A. Total Reported B. Open Claims C. Closed No Payment D. Closed With Payment COST OF CLAIMS A. B. C. D. Total Incurred $ Paid Claims $ Reserves $ Amount Claimed $ CITY OF YAKIMA CLAIM SUMMARY DATE: 06/30/94 SELF - INS. 1990 89 1 26 62 115,142.44 115,142.44 0.00 384,653.88 SELF - INS. ;.991 109 1 47 61 SELF - INS. 1992 121 5 49 67 $ 81, 608.27 $231,577.95 $ $ 71, 608.27 $190,827.95 $ $ 10,000.00 $ 40,750.00 $ $124,081.05 $658,694.31 $ SELF - INS. 1993 104 9 52 52 163,663.35 46,590.35 117,073.00 414,322.77 Incurred Claims: Paid claims, reserve amount. Reserves: The amount the adjusting firm feels City will eventually pay on open claims. Amount Claimed: The dollar amount claimant is requesting. *Less $118.31 Recovery on Claim 06/30/94 NUMBER OF CLAIMS A. Total Reported B. Open Claims C. Closed No Payment D. Closed With Payment COST OF CLAIMS A. Total Incurred $ B. Paid Claims $ C. Reserves $ D. Amount Claimed $ CITY OF YAKIMA CLAIM SUMMARY DATE: Qi/30/94 SELF - INS. 54 27 12 15 23,276.69 13,347.69 9,929.00 82,528.15 Incurred Claims: Paid claims, reserve amount. Reserves: The amount the adjusting firm feels City will eventually pay on open claims. Amount Claimed: The dollar amount claimant is requesting. 06/30/94 DETAILED CLAIM LISTING 1/1/94 Through 6/30/94 Date of Loss and pescription CITY OF YAKIMA CLAIMS REPORT 1/01/94 THROUGH 04/01/94 PAGE 1 Claimant Amount Amount Paid Date Claimed or Denied Closed 01/26/94 Coleman, Ron $ 500.00 Garbage truck hit claimants trailer. $ 599.48 05/05/94 CNP 03/01/94 CNP 03/04/94 TBD $ CNP 03/04/94 106.82 $ 106.82 03/30/94 TBD $ CNP 04/12/94 $ TBD $ CNP 03/21/94 $ 1,662.89 $ CNP 05/11/94 $ 100.82 $ 106.132 05/12/94 01/27/94 Belair, Rosalie $ TBD $ Sewer Back up. 01/13/94 Brown, Rory E. $ 1,000.00 $ Collision with police car. 02/07/94 Markham, Christy $ Trip and fall as stepped off bus. 01/21/94 Providence House $ Sewer back up. 02/11/94 Mayorga, Tomasa $ Slip and fall at Transit Facility. 02/03/94 Lehn, Elede Sewer back up. 02/05/94 Shockley, Janet Sewer back up. 01/26/94 Rodriquez, Karen Sewer back up. 02/28/94 Dunnington, C. Pass in bus injured right hand 01/29/94 Spearman, T. Sewer back up. 02/19/94 Hayes, Gary & Rose Ann Claimant's car burned. Feels cause. when TBI) $ 341.:34 05/05/94 bus slowed to avoid vehicle. TBI) $ 1,226.92 05/26/94 $ 1,250.00 $ CNP 04/28/94 911 delay and lack of extinguisher was 03/07/94 Hunter Rentals $ 194.24 $ 194.24 Landscaping damaged by police car . 03/15/94 Langley, .Michael $ TBD $ CNP Injured by police officer. 03/06/94 Shannon,Tom & Mary $ 100.35 $ 100.35 Sewer Back up. 03/28/94 Trevino, Eric & $ 75.00 $ Monicca Heavy equipment caused items to fall and break in house. 05/05/94 06/30/94 05/11/94 CITY OF YAKIMA CLAIMS REPORT 1/01/94 THROUGH 04/01/94 PAGE 2 Date of Loss and Amount Amount Paid Date Description Claimant Claimed or Denied Closed 03/22/94 Ruiz, Juanita $ TBD $ Trip and fall. 02/21/94 Newman, Vernon $ 118.51 $ Sewer back up. 03/14/94 Widmyer, Darrel & C 190.30 190.30 05/25/94 Police scared horse/inj. on fence. 03/31/94 Meacham, Russell 374.10 CNP 05/18/94 Ins'd in City bus accident. 04/12/94 Thompson, Milo 71.00 71.00 05/25/94 City water dirty/stained clothes. 04/11/94 Blehm, J.D. TBD CNP 05/18/94 Manhole cover flipped up/dmg'd veh., injury to driver. 04/08/94 Trickler, John N. 1,600.00 1,085.58 05/11/94 Garbage truck rolled into clm'ts parked car. 04/11/94 Herzog, Michelle TBD CNP 05/11/94 Inj. in trolley accident. 04/14/94 Rivera, Rigoberto TBD 1,425.41 06/22/94 City car & clm't collided. 04/18/94 Hammill, Sandra TBD CNP 05/18/94 Errant ball hit clm't driving on street. 04/15/94 Miller, Adam 455.23 446.27 05/26/94 City veh. hit clm't from rear. 04/13/94 Palachuk, Benita 167.24 167.24 06/22/94 Wind blew City sign into clm'ts veh. 03/10/94 Brown, Kenneth R. TBD CNP 06/08/94 Clm't injured when veh. hit by car being pursued by police. 04/18/94 Terry, Debra 469.32 50.00 06/23/94 W/S hit by golf ball from Fisher Park. 04/19/94 Camelot Apts. 120.17 120.17 05/18/94 Sewer back up. 03/07/94 Chauvin, Bryan 235.00 CNP 05/18/94 Manhole cover flipped up/dmg'd clm'ts vehicle. 05/06/94 Noel, Karen K. TBD Trip and fall hole/street clm't injured. Date of Loss and Description CITY OF YAKIMA CLAIMS REPORT 1/01/94 THROUGH 04/01/94 PAGE 3 Claimant Amount Amount Paid Claimed or Denied_ 05/03/94 Berghoff, Thomas $ Reimb. for sewer payments 6 years. 02/26/94 Eastridge, Don Back up from plugged storm drain. 05/24/94 Diamond Cab City bus side swiped Taxi. 05/20/94 Dellinger, Analea Injured - when City bus rear ended 05/20/94 Dellinger, Analea Same as above. 06/06/94 Nilson, Susan Excessive water bills due to know leak 05/31/94 Tri -Ply Construction Stld/Mediation. 05/17/94 Briscoe, Dustin Dirty City water dmg' d clothes. 05/26/94 Ponce, Carl.ena Garb. truck hit clm't veh. TBD $ 980.86 774.58 $ TBD 25,000.00+ veh. 25,000.00+ 06/11/94 Graves, Bryan Clm't hit by hardball while watching game. Date Zed 06/29/94 204.04 06/22/94 TBD in line -not repair. 222.00 TBD TBD 05/16/94 H & S Freight Agents TBD Fence dmg'd by City equip. inst. water line. 06/10/94 Bansmer, Peter Hit sink hole lost wheel center. 05/17/94 Campbell, Kari Inj. in life -guard class. 05/20/94 Henley, Ayana (Doris)20,000.00TBD Passenger in bus inj. truck/car accident. 195.00 1,049.70 06/06/94 Place, Vicki 25.00 Barrier stuck out, hit by clm't, damaged tire. 06/16/94 Durham, Jim 48.60 Clm't veh. sprayed with paint by City Vehicle. 05/28/94 Padilla, Jesus & Dorothy TBD Police car rearended claimant. 8,500.00 06/20/94 CITY OF YAKIMA CLAIMS REPORT 1/01/94 THROUGH 04/01/94 PAGE 4 Date of Loss and Amount Amount Paid Date Description Claimant Claimed or Denied Closed 05/26/94 Wood, Debbie $ 195.00 $ Sewer back up. 05/13/94 Carpenter, Beverly 404.90 $ Clm' t veh. damaged, hit a pothole. 06/27/94 Paradis, Dorothy 95.00 Laundry dmg'd by dirty water in City line. 06/20/94 Kezele, Ryan 727.38 Veh. damaged by newly surfacing/gravel. TOTAL CNP 07/08/94 82,528.15 13,347.69 The description columns shows what has been alleged by the claimant and it is not necessarily what happened. CNP = Closed No Payment 06/30/94 CLOSED CLAIMS 4/1/94 Through 6/30/94 CLOSED 04/12/94 04/12/94 04/12/94 04/12/94 04/12/94 04/27/94 04/12/94 04/12/94 04/12/94 04/12/94 04/27/94 04/27/94 05/02/94 05/02/94 05/09/94 05/09/94 05/10/94 05/09/94 05/23/94 05/25/94 05/23/94 05/31/94 06/24/94 06/24/94 06/24/94 06/24/94 06/06/94 06/24/94 06/20/94 06/24/94 06/20/94 06/24/94 06/24/94 06/21/94 06/24/94 06/20/94 CITY OF YAKIMA REPORT OF CLOSED CLAIMS FOR THE PERIOD OF APRIL 1, 1994 TO JUNE 30, 1994 FILE CTY93025 CTY93032 CTY93074 CTY93097 CTY93107 CTY94001 CTY94003 CTY94006 CTY94008 CTY94009 CTY94014 CTY94018 CTY91003 CTY92102 CTY93079 CTY94005 CTY94013 CTY94019 CTY94024 CTY94025 CTY94028 CTY94046 CTY94010 CTY94012 CTY94015 CTY94016 CTY94020 CTY94027 CTY94031 CTY94032 CTY94033 CTY94034 CTY94035 CTY94038 CTY94040 CTY94045 D/LOSS 03/10/93 01/25/93 09/03/93 11/27/93 12/11/93 01/26/94 01/13/94 02/07/94 02/03/94 02/11/94 02/28/94 03/07/94 04/01/90 11/19/92 09/10/93 07/04/92 01/26/94 03/06/94 03/14/94 04/08/94 04/12/94 05/31/94 03/16/93 05/31/93 03/16/94 03/15/94 05/05/93 03/31/94 04/14/94 04/11/94 04/13/94 04/18/94 03/07/94 04/18/94 05/03/94 05/24/94 CLAIMANT BUMGARDNER, BARBARA JOYCE DELAROSA, MARIA JAMES, RHONDA S. HOPPENSTEADT, THOMAS GRAF INVESTMENTS COLEMAN, RONALD BROWN, RORY EVAN MARKHAM, CHRISTY LEEN, ELEDE D. MAYORGA, TOMASA DUNNINGTON, CHARLOTT HUNTER RENTALS CLISE, DELL EDDIE FORD EVANS-DEGNER, MARY FOSSUM, MARTIN & NINA RODRIGUEZ, KAREN SHANNON, THOMAS & MARY WIDMYER, CAROL & DARRELL TRICKLER, JOHN & DEBRA THOMPSON, MILO DOUG TRI -PLY CONSTRUCTION, INC LAYMAN, MARY C. LEWIS CONSTRUCTION HAYES, GARY & ROSE LANGLEY, MICHAEL U.S. WEST COMMUNICATIONS MEACHAM, RUSSELL & JANET RIVERA, RIGOBERTO HERZOG, MICHELLE PALACHUK, BENITA HAMILL, SANDRA J. CHAUVIN, BRYAN A. TERRY, DEBRA J. BERGHOFF, THOMAS & CAROL DIAMOND CAB COMPANY TOTAL PAID $ 0.00 0.00 0.00 0.00 216.24 559.48 0.00 0.00 0.00 0.00 341.34 194.24 58,249.88 5,000.00 1,574.25 0.00 106.82 100.35 190.30 1,085.58 71.00 8,500.00 0.00 0.00 0.00 0.00 206.44 0.00 1,425.41 0.00 167.24 0.00 0.00 50.00 980.86 204.04 $ 99,223.47 SUMMARY BY DEPARTMENT 1/1/94 Through 6/30/94 and 1/1/92 Through 6130/94 CITY OF YAKIMA DEPARTMENTAL THIRD PARTY LIABILITY CLAIMS SUMMARY FOR THE PERIOD FROM 01/01/94 TO 06/30/94 DEPARTMENT/DIVISION OPEN CLOSED TOTAL INCURRED General Administration 0 1 $ 8,500.00 Parks and Recreation 2 2 1,970.00 Public Works 2 0 275.00 Refuse 1 2 3,985.06 Water 4 1 837.00 Sewer 6 6 5,557.85 Police 2 4 2,270.54 Streets 7 3 3,225.65 Fire 0 1 1,250.00 Transit 2 6 3,820.38 Engineering 0 0 0.00 Animal Control 0 0 0.00 Parking Enforcement 1 0 456.00 Other 0 0 0.00 TOTALS ALL DEPARTMENTS 27 26 $ 32,147.48 Compiled on 07/06/94 from the records of ZAREMBA CLAIMS SERVICE, INC. CITY OF YAKIMA DEPARTMENTAL THIRD PARTY LIABILITY CLAIMS SUMMARY FOR THE PERIOD FROM 01/01/92 TC) 07/01/94 DEPARTMENT/DIVISION O]?EN CLOSED TOTAL INCURRED General Administration Parks and Recreation Public Works Refuse Water Sewer Police Streets Fire Transit Engineering Animal Control Parking Enforcement Other TOTALS ALL DEPARTMENTS 0 1 2 20 1 20 0 12 :3 30 4 78 4 23 3 35 0 4 4 24 0 0 0 1 0 1 0 8 21 257 Compiled on 08/01/94 from the records of ZAREMBA CLAIMS SERVICE, INC. $ 8,500.00 24,930.68 4,766.97 10,831.14 72,635.08 53,221.41 78,144.96 5,059.93 1,350.45 235,300.52 0.00 407.82 902.27 2,474.16 $ 498, 525.39