HomeMy WebLinkAboutR-1994-151 Quarterly Insurance Claims•
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RESOLUTION NO. R-94 - \ S\
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, now, therefore,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
YAKIMA:
The attached and incorporated Quarterly Insurance Claims Report,
together with all payments and disbursements disclosed therein, is hereby
accepted, approved, and affirmed, and ratified.
ADOPTED BY THE CITY COUNCIL this \_\-\= day of November,
1994
Qat
MAYOR
ATTEST:
CITY CLERK
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Legal/bd
Resolutions
RES GFP 2
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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
November 8, 1994
John Hanson
Director of Finance and Budget
City of Yakima
129 N 2nd St.
Yakima, WA 98901
Re 1994 Third Quarter Claims Report
Dear John
Enclosed is the third quarter claims report which includes
1 A summary of the self insurance penod 1/1/86 through 9/30/94
2 A listing of all claims which have actually been paid or closed dunng the second quarter
of this year
3 A detailed listing of claims occurnng m 1994
4 A summary by department.
We will be available at the City Council meeting to answer any questions which may arise.
cerely,
el Pearson
Vice President
Enclosure
• JP.tr
Deborah Krautwurm
Vice President
Insurance Broking Risk Services Employee Benet s
CITY OF YAKIMA
QUARTERLY CLAIMS REPORT
10/1/94
Prepared by
Joel Pearson
Vice President
Deborah Krautwurm
Vice President
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W►l
Sedgwick
CITY OF YAKIMA
QUARTERLY CLAIMS REPORT
10/1/94
1 Incurred Clain Summary
1986 Through 9/30/94
2 Detailed Claim Listing
1/1/94 Through 9/30/94
3 Closed Claims
7/1/94 Through 9/30/94
4 Summary by Department
1/1/94 Through 9/30/94
SECTIONS
eik%
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Sedgwick
INCURRED CLAIM SUMMARY
1986 Through 9/30/94
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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: 09/30/94
SELF -
INS.
1994
94
27
31
36
36,601.53
21, 592.53
15,009.00
185,401.74
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.
09/30/94
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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: 09/30/94
SELF -
INS.
1.990
90
0
27
63
117,642.44
117, 642.44
0.00
384,653.88
SELF -
INS.
1991
109
1
47
61
SELF -
INS.
,992
121
2
51
68
$ 81,608.27 $231,577.95 $
$ 71,608.27 $190,827.95 $
$ 10,000.00 $ 40,750.00 $
$124,081.05 $658,694.31 $
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SELF -
INS.
1993
111
4
54
53
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171, 913.96
64,913.96
107,000.00
464,322.77
Incurred Claims: Paid claims, reserve amount.
Reserves: The amount the adjusting firm feels
pay on open claims.
Amount Claimed: The dollar amount claimant is
*Less $118.31 Recovery on Claim
09/30/94
City will eventually
requesting.
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CITY OF YAKIMA
CLAIM SUMMARY
DATE: 09/30/94
SELF -
INS.
1986
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.
1987
103
0
37
66
SELF -
INS.
1988
120
0
46
74
SELF -
INS.
1989
100
2
33
65
$ 51,165.12 $133,209.46 $ 60,487.13
$ 51,165.12 $133,209.46 $ 55,237.13
$ 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.
09/30/94
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Sedgwick
DETAILED CLAIM LISTING
1/1/94 Through 9/30/94
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CITY OF YAKIMA
CLAIMS REPORT
1/01/94 THROUGH 09/30/94
PAGE 1
Date of
Loss and Amount Amount Paid Date
Description Claimant Claimed or Denied Closed
01/26/94 Coleman, Ron $ 500.00 $ 599.48 05/05/94
Garbage truck hit claimants trailer.
01/27/94 Belair, Rosalie $ TBD $ CNP 03/01/94
Sewer Back up.
01/13/94 Brown, Rory E. $ 1,000.00 $ CNP 03/04/94
Collision with police car.
02/07/94 Markham, Christy $ TBD $ CNP 03/04/94
Trip and fall as stepped off bus.
01/21/94 Providence House $ 106.82 $ 106.82 03/30/94
Sewer back up.
411002/11/94 Mayorga, Tomasa $ TBD $ CNP 04/12/94
Slip and fall at Transit Facility.
02/03/94 Lehn, Elede $ TBD $ CNP 03/21/94
Sewer back up.
02/05/94 Shockley, Janet $ 1,662.89 $ CNP 05/11/94
Sewer back up.
01/26/94 Rodriquez, Karen $ 100.82 $ 106.82 05/12/94
Sewer back up.
02/28/94 Dunnington, C. $ TBD $ 341.34 05/05/94
Pass in bus injured right hand when bus slowed to avoid vehicle.
01/29/94 Spearman, T. $ TBD $ 1,226.92 05/26/94
Sewer back up.
02/19/94 Hayes, Gary & $ 1,250.00 $ CNP 04/28/94
Rose Ann
Claimant's car burned. Feels 911 delay and lack of extinguisher was
cause.
03/07/94 Hunter Rentals $ 194.24 $ 194.24 05/05/94
Landscaping damaged by police car .
411103/15/94 Langley, Michael $ TBD $ CNP 06/30/94
Injured by police officer.
03/06/94 Shannon,Tom & Mary $ 100.35 $ 100.35 05/11/94
Sewer Back up.
03/28/94 Trevino, Eric & $ 75.00 $ CNP 08/29/94
Monicca
Heavy equipment caused items to fall and break in house.
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CITY OF YAKIMA
CLAIMS REPORT
1/01/94 THROUGH 09/30/94
PAGE 2
Date of
Loss and Amount Amount Paid Date
pescription Claimant Claimed or Denied Closed
03/22/94 Ruiz, Juanita $ TBD $ CNP 07/15/94
Trip and fail.
02/21/94 Newman, Vernon $ 118.51 $ CNP 07/15/94
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 05/18/9
Manhole cover flipped up/dmg'd veh., injury to driver.
04/08/94 Trickier, 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.
04/13/94Palachuk, 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 05/18/9
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 150.00 08/19/94
Trip and fall hole/street clm't injured.
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CITY OF YAKIMA
CLAIMS REPORT
1/01/94 THROUGH 09/30/94
PAGE 3
Date of
Loss and Amount Amount Paid Date
Description Claimant Claimed or Denied Closed
05/03/94 Berghoff, Thomas $ TBD $ 980.86 06/29/94
Reimb. for sewer payments 6 years.
02/26/94 Eastridge, Don 774.58 $ 657.43 09/14/94
Back up from plugged storm drain.
05/24/94 Diamond Cab TBD 204.04 06/22/94
City bus side swiped Taxi.
05/20/94 Dellinger,Kevin&Zane 25,000.00+ 1,348.75 Coll
670.40 BI/Zane
Injured - when City bus rear ended veh.
05/20/94 Dellinger, Analea 25,000.00+ Open
Same as above.
411/06/06/94 Nilson, Susan TBD CNP 08/29/94
Excessive water bills due to know leak in line -not repair.
05/31/94 Tri -Ply Construction 8,500.00 06/20/94
Stld/Mediation.
05/17/94 Briscoe, Dustin 222.00 111.00 08/19/94
Dirty City water dmg'd clothes.
05/26/94 Ponce, Carlena TBD CNP 07/28/94
Garb. truck hit clm't veh.
06/11/94 Graves, Bryan TBD CNP 07/28/94
Clm't hit by hardball while watching game.
05/16/94 H & S Freight Agents TBD CNP 07/18/94
Fence dmg'd by City equip. inst. water line.
06/10/94 Bansmer, Peter 195.00 CNP 07/28/94
Hit sink hole lost wheel center.
05/17/94 Campbell, Kari 1,049.70 1,049.70 08/25/94
Inj. in life -guard class.
05/20/94 Henley, Ayana (Doris)20,000.00 Open
*Passenger in bus inj. truck/car accident.
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.
CNP 07/28/94
45.00 08/19/94
944.74 07/28/94
Date of
Loss and
Description
CITY OF YAKIMA
CLAIMS REPORT
1/01/94 THROUGH 09/30/94
PAGE 4
Claimant
Amount Amount Paid
Claimed or Denied
05/26/94 Wood, Debbie $ 195.00
Sewer back up.
05/13/94 Carpenter, Beverly
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.
404.90 $
07/05/94
Golf ball hit windshield.
Chichenoff, William
05/30/94 Ancona, Michael
Sewer back up.
06/08/94 Kerr, Beulah
City drain back up/damaged tile and
07/05/94 Mt. Hope Bapt. Church
City Sewer line plugged/backup
146.12
252.53
5,242.29
carpet.
106.82
07/10/94 Heer, Robert & Sharron 366.38
Veh. hit by errant golf ball from Fisher.
06/14/94 Scott, Luallen F. & D
Errant ball bounced into clm'ts veh.
07/12/94 Nesary, Mitchell B.
Sewer Back up.
07/09/94 Beaulaurier, Paul J.
Refuse truck hit clm'ts open gate.
07/14/94 Roos, Carol L. TBD
City crews broke pipe/mud & debris, clm'ts property.
05/14/94 U.S. West Communication 177.57
City crew damg'd buried cable.
07/06/94 Carson, Kathleen/Tyler 32.25 $
Child stepped from car into open manhole/inj. leg.
07/26/94 Tulee, Reginald W. 1,650.00 $
Clm't inj./exam garbage truck hit clm't veh.
100.00
120.16
234.13
07/31/94 Bolt, Eugene
Trip & fall raise in side walk.
TBD
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Date
Closed
CNP 08/29/94
202.45 09/14/94
80.00 08/25/94
CNP 07/08/94
146.12 08/19/94
CNP 08/29/
CNP 08/29/94
304.07 09/30/94
CNP 08/29/94
CNP 08/29/94
234.13 09/14/94
177.57 09/30/94
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CNP 09/14/94
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CITY OF YAKIMA
CLAIMS REPORT
1/01/94 THROUGH 09/30/94
PAGE 5
Date of
Loss and Amount Amount Paid Date
Description Claimant Claimed or Denied Closed
07/29/94 Kelley, Carrie 48.00
Stepped on manhole lid flipped clm't fell.
07/22/94 Reynolds, Ken & Tonya TBD
Clm't alleges transit bus forced them off roadway.
06/19/94 Cabral, Celio (Jose) 609.20 609.20 09/30/94
Ambulance - chlorine gas exposure/pool.
08/08/94 Aragon, Julian TBD 50.00 09/30/94
City crew over sprayed clm'ts veh w/tar
07/19/94 Ferrell, Frank TBD
City veh. rearended clm't. Injured clm't.
08/05/94 Stephens, Robin E. TBD
City bus rearended clm't pushed clm't in vehicle ahead.
08/05/94 Sak, Elaine TBD
SAA
07/16/94 Keller, Terry Joe 802.89 +GD
Tripped on high gutter, fell.
07/14/94 Johnson, Shari 500.00
Hit on head w/ baseball. Larson Fences too low.
08/07/94 Burns, Theresa 28.18 44.54 09/30/94
Sprinklers came on during party at park.
08/18/94 Nava, Melissa J. 150.00
Veh. sprayed w/ rocks & tar during seal coat.
08/22/94 Weigand, Mary Jean 442.18 $ 442.18 09/30/94
City empl. hit clm'ts parked car.
07/12/94 Johnston, Dorothy 40.00 $
Dirty water dmg'd laundry.
08/05/94 Joly, Kent TBD
Transit bus rearended clm't. Clm't injured.
411108/05/94 Charbonneau 75,000.00
City left unmarked trench/clm't crashed bike inj. wrist.
05/12/94 U.S West Communications 467.81
City damaged cable.
08/20/94 Patton, Daniel J. 4,742.66 CNP 09/30/94
Sewer backup.
CITY OF YAKIMA
CLAIMS REPORT
1/01/94 THROUGH 09/30/94
PAGE 6
Date of
Loss and Amount Amount Paid Date
Description Claimant Claimed or Denied Closed
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08/09/94 Hand, Shana 5,069.56
09/01/94 Clm't alleges glass broke paint chopped - excess rock on road
91-9/94 Blevins, Leslie TBD
Rust problem from city water.
08/27/94 Dale, Ronald L. 252.31
City bus tossed rock broke clm't's windshield.
08/09/94 Sanchez, Fred TBD
Excess rock dmg'd 3 vehicles.
05/20/94 Flores, Salustro 170.87
Injured pass. transit bus hit truck.
09/15/94 Heir,John&Spencer,Joyce 850.00
Sewer back up.
09/07/94 Newell, Bruce D. 155.37
Plastic dump cont. blew into clm't veh.
09/16/94 Vineyard, Billy J. 1,523.07
Clm't veh. hit by trans bus/injury.
08/30/94 Kayutak, Ward 3,038.04
Rock chips on veh. from traffic.
09/06/84 Cowman, Macile 55.20
Hit chuck hole, dm'g to tire.
09/20/94 Logsdon, Amy 500.00
Hit pot hole dmg'd veh.
TOTAL 185,401.74 20,614.97
The description columns shows what has been alleged by the claimant
and it is not necessarily what happened.
CNP = Closed No Payment
09/30/94
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Sedgwick
CLOSED CLAIMS
7/1/94 Through 9/30/94
ativv/716 19iJ1
Page No.
11/08/94
CLOSED
07/13/94
07/13/94
07/13/94
08/25/94
07/13/94
07/13/94
07/13/94
07/13/94
07/13/94
08/17/94
09/06/94
07/13/94
07/13/94
08/25/94
08/17/94
07/22/94
07/14/94
07/22/94
07/22/94
08/22/94
07/22/94
07/22/94
08/17/94
08/25/94
07/26/94
09/06/94
08/23/94
08/25/94
08/17/94
08/25/94
08/25/94
09/28/94
09/06/94
08/25/94
09/28/94
09/28/94
09/06/94
09/28/94
09/28/94
09/28/94
09/28/94
09/28/94
09/28/94
*** Total
Lieu 'wDN t.LA1Mb bLKV1LZ, INC (509) 452-7236
1
FILE
CTY94011
CTY94017
CTY94021
CTY94022
CTY94023
CTY94026
CTY94030
CTY94037
CTY94039
CTY94041
CTY94042
CTY94043
CTY94044
CTY94048
CTY94049
CTY94050
CTY94051
CTY94052
CTY94053
CTY94054
CTY94055
CTY94057
CTY94058
CTY94059
CTY94060
CTY94061
CTY94062
CTY94063
CTY94064
CTY94065
CTY94066
CTY94068
CTY94069
CTY94070
CTY 940 7 4
CTY94075
CTY94076
CTY94080
CTY94081
CTY94087
CTY94089
CTY94090
CTY94095
* * *
CITY OF YAKIMA
REPORT OF CLOSED CLAIMS FOR THE
PERIOD OF JULY 1, 1994 TO
SEPTEMBER 30,1994
D/LOSS CLAIMANT
02/05/94
12/01/93
03/22/94
03/28/94
02/21/94
04/11/94
10/30/93
11/09/93
03/10/94
05/06/94
02/17/94
09/21/93
06/01/93
06/06/94
05/17/94
03/26/94
05/16/94
06/11/94
06/10/94
05/17/94
06/06/94
05/28/94
06/16/94
05/26/94
06/20/94
05/13/94
06/27/94
06/16/94
07/05/94
05/30/94
06/07/94
07/10/94
07/09/94
07/12/94
06/14/94
09/03/93
07/26/94
06/19/94
08/08/94
08/07/94
09/26/90
05/23/94
08/24/94
SHOCKLEY, JANET G.
NICHOLLS, ROBERT 6 AUDREY
RUIN, JUANITA
TREVINO, ERIC & MONICA
NEWMAN, VERNON
BLEHM, J. D. & KATHERINE
HARDER, MERLE M.
STRECKER & AMERICAN STATES
BROWN, KENNETH R.
NOEL, KAREN & PAUL
YAKIMA ICE ARENA
U.S. WEST COl4MUNICATIONS
JACKSON, JOANN
NILSON, RUSSELL & SUSAN
BRISCOE, DUSTIN
PONCE, CARLENA
H & 8 FREIGHT AGENTS
GRAVES, BRYAN & DEBI
BANSMER , PETER & GLENDA
CAMPBELL, KARI
PLACE, VICKI & JEFF
PADILLA, JESUS & DOROTHY
DURHAM, JIM
WOOD, DEBBIE
KEZELE, RYAN
CARPENTER, BEVERLY
PARADIB, DOROTHY L.
SCOTT, LUALLEN & DAVID
CHICHENOPF, WILLIAM & MARIA
ANCONA, MICHAEL & KAY
KERR, BEULAH
BEER, ROBERT L. & SHARON
BEAULAURIER, PAUL & ALYCE
NESARY, MITCHELL B.
U. 8. WEST COMMUNICATIONS
LINBE, JERRI
TULEE, REGINALD & AGNES
CABRAL, CELIO (MINOR)
ARAGON, JULIAN
BURNS, THERESA
GAMBOA, MARTINA
WEIGAr1D , MARY JEAN
PATTON, DANIEL J.
P. 002
PAID
0.00
0.00
0.00
0.00
0.00
0.00
0.00
17581.78
0.00
150.00
657.43
0.00
0.00
0.00
111.00
0.00
0.00
0.00
0.00
1049.70
0.001111
944.74
45.00
0.00
0.00
202.45
80.00
0.00
146.00
0.00
0.00
304.07
234.00
0.00
177.57
741.83
0.00
609.20
50.00
44.54
2500.00
442.18
0.00
26071.49
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Sedgwick.
SUMMARY BY DEPARTMENT
1/1/94 Through 9/30/94
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CITY OF YAKIMA
DEPARTMENTAL THIRD PARTY LIABILITY CLAIMS SUMMARY
FOR THE PERIOD FROM 01/01/94 TO 09/30/94
DEPARTMENT/DIVISION
,
OPEN CLOSED TOTAL INCURRED
General Administration 0 2 $ 8942.18
Parks and Recreation 1 9 2703.51
Public Works 2 2 200.00
Refuse 1 5 2035.06
Water 3 7 1247.38
Sewer 1 16 3799.37
Police 0 6 1329.28
Streets 10 12 7732.10
Fire 0 1 0.00
Transit 8 6 7666.38
Engineering 0 0 0.00 4111
Animal Control 0 0 0.00
Parking Enforcement 0 1 446.27
Other 1 0 500.00
TOTALS ALL DEPARTMENTS
27 67 $ 36601.53
Compiled on 10/19/94 from the records of
ZAREMBA CLAIMS SERVICE,INC.
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