HomeMy WebLinkAboutUpdate Documents - BOCC.�XAICRG
Grant County Loss Run Policy 24 -25 as of 10/1/25
N,W,*
Policy Date of Date Event Claimant Deductible Reserve Paid + Paid + Accident
PolicyYear Member Coverage Effective Claim Number Event Date Claim Closed Description Name Status Paid Collected Balance Reserve Less Reserve Location Adjuster
Date Deductible
'Coverage: Auto Liability
;Auto
517S.
2024-2025 Grant
LiabilitUndel y::
12/1/20
"r Insured and 24
W1 725
2/24/2025
2/24/2025 7111/2025 OV hit IV
Grant County
C
$154
$0
$0
$154
$154 Pioneer
Chelsea
Chase
County
Uninsured
Way, Ste A
Motorist.
. ........
2024-2025 Grant
Auto
` Liability::Unde
Insured and 1211/2024
W1 772
12/16/2024 12/16/2024 OV hit IV
Jose Garcia-
0
$10,000
$0
$0
$10,000
Sagebrush
$1 0,000,\,,, Flats Rd &
Chelsea
Chase
County
"\r
Uninsured
Contreras
Rd 19 NW
Motorist
2024-2025 Grant
Auto
\,,,Liability::AL - 12/1/2024
W1 744
4/29/2025
IV made U-
4/29/2025 8/13/2025 turn in front
Diego &
Brittany Prado
C
$8,878
$8,8M
$0
$0
Hwy 17,
$ 8,8781\ Moses
Hunter
Stucky
County
Property
of OV
Lake
Damaqt
2024-2025 Grant
Auto
"Liability::AL - 12/1/2024
W1 792
9/7 /2025
9/7/2025 IV hit OV
Alexandra
Nava
0
$0
$0
$50,000
$5010001'
'Broadway
$50,000� Ave & W
Hunter
Stucky
County
Property
3rd Ave
Damage
2024-2025 Grant
Auto
Liability::AL - 12/1/2024
W1 718
1/31/2025
IV hit
1/31/2025 2/14/2025 claimant's
Zip Truck
`
C
$0
$0
$0
$0
$0 1720 Rd N
NE
Chelsea
Chase
County
Property
fence post
Lines Inc.
Damage
50,06oF— 1
-2-
Totals for Auto Liability - 5 Claims
;Coverage: General
Liability
;General\\,"Sally
port
Grant
County
Chelsea
2024-2025
Grant
�,,Liability::GL - 12/1/2024
W1 722
\2/18/2025
2/18/2025 6/13/2025 ,gate hit
Chelan
C
$2,178
$2,178
$0
$0
$2,178
County
Property
claimant's
County
Juvenile
gChase
"Damage
vehicle
NBuilding
'General
,Claimant's
Stratford
2024-2025
Grant
\11LiabiIity::GL - 12/1/2024
W1 760
6/12/2025
;vehicle
6/23/2025 6/30/2025 ` by
Gary Schultz
C
$0
$0
$0
$0
$0 Road,
Moses
Kelly
Owens
County;Property
;damaged
Damage
4�_
'
L
. . akegravel . .. .....
General
2024-2025
Grant
Liability::Law 12/1/2024
W1 709
12/31/2024
12/31/2024 Death of
Richard
0
$6,401
$0 $173,600
$180,000
$180,000 Jail Facility
Andrea
County
Enforcement
Inmate
Lambert
Tsivgadellis
,,Liability
�General
Claimant's
6223 Mae
2024-2025
Grant
Liability::Law 12/1/2024
W1 774
6/2/2025
8/8/2025 9/3/2025 property
damaged by
Robin Herring
C
$0
$0
$0
$0
$o Valley Rd
NE, Moses
JAndrea
�Jsivgadellis
County;Enforcement
"Liability
l insured
FLake
General
,'Client hit
M o s ;Moses
Lake
Hunter
2024-2025
Grant
Liability::GL - 12/1/2024
W1 795
8/20/2025
.\\`
8/20/2025 9/25/2025employees
Tatiana
Hernandez
C
$0
$0
$0
$0
$0 Renew
` Stuck
County
Property
\i vehicle i c I e
11 y
Damage
. ............................
Parkin Lot
g ......... . ..
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Grant Wrongful Acts a ww, x ww w.
Refund of Jackson Jet
2024-2025 12/1/2024 W1743 4/15/2024 z4/24/2025 �5129/2025 C $O$0 $0 $0
County Primary taxes paid Center
_.m........,._xw_.w,
Kumau
$0 McWilliams
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$381.785�
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(�.boWCRG
Open Claims 10/20/2025
Grant County Loss Run Policy as of
Policy
PolicyYear Member Coverage Effective
Claim Number
Date
Coverage: Auto Liability
Auto
Liability::Und
?2024-2025 ,Grant
County
?er Insured 12/1/2024
W1 772
Viand
Uninsured
Motorist—
\
? Grant
2023-2024
Auto
Liability::AL - 12/1/2023
W1 582
County
Bodily Injury
I \\X
Auto
'Grant
2024-2025 ;County1�
Liability::AL - 12/1/2024
Property
W1 797
Damage
Auto
County
Liability::AL -2024-2025?Grant12/1/2024
Property
W1 792
Damage
Auto
2023-2024 Grant
\\,County
Liability::AL - 12/1/2023
W1 686
Bodily Injury
Totals for Auto Liability - 5 Claims
€Coverage: General Liability
General
2021-2022 ,Grant
County
Liability::Law `12/1/2021
W1 782
Enforcement
Liability
Grant
General
Liability::Law
2021-2022 County
Enforcement 12/1/2021
W1 783
Liability
2020-2021 Grant
a General 12/1/2020
W1 322
County
Liability
General
2022-2023 \�G r a n t
County
Liability::GL -2/1/2022
11
W1 565
Bodily Injury
General
2022-2023 Grant
�
Liability::GL - 12/1/2022
W1 735
County
Bodily Injury
2020-2021 Grant
General
12/1/2020
W1 567
County
Liability
Paid +
Event Date Date of
Date
Event
Claimant
Status
Paid Deductible
Reserve Reserve
Paid + Accident Adjuster
Claim
Closed
Description
Name
Collected
Balance
Less
Reserve Location
Deductible
.............. .
12/16/2024 12/16/2024
OV hit IV
, Jose
,,,\Garcia-
0
$10,000
$0
$0
$10,000
�Sagebrush Chelsea
$10,000� Flats Rd & Chase
;Contreras
IRd 19 NW
12/25/2023 12/25/2023
1/31/2025
IV turned in
?AlexandreChelsea
R
$1,738
$0
$73,262
$75,000
7700 Block
$75,0001 SNtratford Rd
;front of OV
ya Laney
E Chase
10/3/2025 10/3/2025
IV rear -ended
Prevision
0
$0
$0
$0
$0
$o Wheeler Rd Hunter
0V
Plumbing
NE & SR 17 Stucky
W.
9/7/2025 9/7/2025
HIV hit OV
Alexandra
Nava
0
$0
$0
$50,000
$50,000,
$50,000 Broadway Hunter
Ave & W 3rd Stucky
'Ave
Hwy 282 &
10/11/2024 10111/2024
IV hit OV
\Taven Gi114
Gonzalez `
0
$0
$0
$10,000
$10,000
$10,00OAirport St Chelsea
l Chase
SE.
$1173 $01 $133,262
$146,000 $145,000';
Claimant
1754 Silica Rd Andrea
8/27/2022 8/25/2025
;alleges
assault by
�Demecio
"I Valdov ino
'\
\\,�
L
$172
$0
$19,829
$20,000
NW (Gorge
$20,000 Tsivgadelli
Amphitheate
\\\'i n s u re d
�\\\ s
r) s
` Claimant
754 Silica Rd Andrea
8/27/2022 8/22/2025
alleges
assault by
Erika
'\\Rodriguez-
\I
0
$0
$0
$0
$0
NW (Gorge
$0 Tsivgadelli
Amphitheate
insured
�Palomera
r) s
11/25/2021 11/25/2021
to
\Failure Follow GCC
Carla
'Carla
L
1$1
641,370
$10,000
$0 $1,845,000
$1,855,000 Kumau
McWilliams
9.07. 010
114/2023 1/4/2023
3/8/2024
,Injuries
resulting from
Wichael
'k,
L
$30,236
$0
$469,764
$565,000
$565,000 Roadway David Kosa
veh accident
;Moore
i
i
...............
— — ---------
-- -------- -- — —
- ---------- - -
1/11/2023 4/2/2025
Trip and Fall
\Heidi
Pinckard
L
$17,943
$10,000
$457,057
$465,000
$475,000 Parking lot David Kosa
Estate of
K Estate
Patrick
7/26/2021 11/29/2023
3/25/2024
Drowning
L
$30,806
$10,000
$29,194
$50,000
$60,000 Boruff
Ross
r Property::Aut Grant o Physical I I Grant l W.
I � � �
2024-2025 Count Damage - �12/1/2024 W1791 �9/7/2025 a9/7/2025IV hit OV County 0 $0 $0 $15,000 $15,000Broadway Hunter
Y Ave & W 3rd Stucky� $15,000 g I I I
Collision Ave
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Property::Aut
2024-2025 Grant to Physical 12/1/2024 �W1770 �7/19/2025 7/19/2025 OV hit IV Grant 0 $4,053 $0 $0Jordan
$4,053 $4,053 Roadway Brian
d
an
County Damage - County
Collision ....
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Grant Abuse and Sexual Tom
2012-2013 9/1/2012 W1789 �4/4/2013 9/10/2025 i � O � $0 $0� $0 $0 $0 Detention David Kosa
County Molestation - I'misconduct !Waters Cener
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2024-2025 Grant ]Acts - 12/1/2024 W1762 5/2/2025 6/19/2025 g L $2,125i $0 $17,875 $20,000 $20,000 Tsivgadelli
Violation Pnests
Count �
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�2023-2024 Acts - 12/1/2023 W1688 8/20/2013 �10/28/2024 deprivation Barragan 0 $0 $0� $0 $0 $0 McWilliams
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2023-2024 Acts - 12/1/2023 W1672 8/20/2013 10/7/2024 i 0 $0 $0 $0 $0� $0
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2023-2024 County deprivation Barragan Acts - 12/1/2023 W1678 8/20/2013 10/11/2024 I 0 $0 $0� $0 $0 $0 McWilliams
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Grant � Constitutional Olivama � Kumau
2023-2024 County 10/11/2024 rivation Pando 0 $0 $0 $0 $0 $0 McWilliams
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Grant ICivil rights Olajide Kumau
2024-2025 County Acts - 11211/2024 W1721 2/23/2016 �2/1012025 violation Fletcher L $10,877 $10,000 $19,123� $20,000 $30,000 McWilliams
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Grant Wrongful i Wrongful Dustin Andrea
2021-2022 County Acts - 12/1/2021 W1375 10/1/2020 a6/17/2022 termination Canfield L $108,9101 $10,000 $251,090 $350,000 $360,000 Tsivgadelli
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0 -2022 Grant - 12/1/2021 W1376 10/1/2020 6/17/2022 Wrongful Darrik L $0 $01 $0 $100,000 $100,000 Tsivgadelli
2 21 County Acts termination Gregg
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Grant County Loss Run Policy 20-21 as of 10/1/25
Policy
PolicyYear Member Coverage Effective Claim Number
Date
Coverage: Auto Liability
Grant lAuto
112020-2021 12/1/2020 §W1251
L \,County `1iability
rant
G A u t o IW1262
1
2020-2021 2/1/2020
County Liability
2020-2021
\\Grant
Auto 12/1/2020 'W1 268
County
Liability
....... . .......
2020-2021
;Grant
Auto i 12/1/2020 W1 233
County
Liability i ... .......
2020-2021
Grant
11\County
Auto 12/1/2020 W1 231
Liability
Totals for Auto Liability - 5 Claims
Coverage: Employee Benefits Liability - Primary
Employee
I I
2020-2021
Grant
Benefits 12/1/2020 W1219
County
'Liability-
Primary
Totals for Employee Benefits Liability
- Primary
- 1 Claims
Coverage: General Liability
2020-2021 Grant ;General e n e ra I
12/1/2020
11
W1236
County Liability
Grant General
2020-2021 12/1/2020 W1 621
;Grant
;Liability
2020-2021 11 Grant General 12/1/2020 W1322
County Liability
2020-2021 1 ' Grant General 12/1/2020 W1 228
,County Liability
2020-2021 Grant General 12/1/2020 W 1242
County Liability
Paid +
Date of
Date Event
Claimant Status
Paid
Deductibl
e
Reserve
Reserve
Paid + Accident
Adjuster
Event Date Claim
Closed Description Name
Collected
Balance
Less
Reserve Location
Deductible
12/20/2022 IV rear
;Gerald
C
$13,115
$10,000
$0
$3,115
Basin St
$13,115 SW & 2nd
Brian
Jordan
8/9/2021
8/9/2021
e nded OV
McClain
---- - . . .
........ . .
Ave SW
. ....... ...... ....... . . ..............
,Rock thrown
by IV hit Fred
Wilson
Chelsea
9/1/2021
9/11/2021
3/15/2022
Meise
C
$5,587
$5,587
$0
$0
$5,587 Creek
Chase
;claimant's
Loop
windshield
Rock
;chipped
;Grand
9/29/2021
9/29/2021
12/22/2021
's
Mike
;Mike
C
$757
$757
$0
$0
$ 7 5 7 111,
Chase
,claimant
Shear
MA
;windshield
7/8/20217/8/2021
\\\IV hit OV &
7/13/2021 \0
;Tyler
$0
$0
$0
$
$0C Division &
St. NE�,Napionte
\Bill CorretrailerD
7/8/2021 7/8/2021 8/13/2021 IV hit OV &
. ........... . . . .....
;Jim C
$50,302
— - ----- —,—--'-
$0
$0j
. ........................... .
$50,302
...... . .. . ... . ................... ..
$50,302 Division &
11 .............
Bill Correll
1�\Itrailer
JChomuk
��,\\
�\
D St. NE
Life
Dawn
12/31/2018 6/15/2021 7/11/2023 "Insurance
'Prince
I\` Issue
Rock off
7/6/2021 7/21/2021 9/2812021claimant's
\mower hit Don
Terrell
'vehicle
;Snow plow
;damaged Garry
2/1/2021 4/9/2024 5/22/2024
;claimant's Jeffries
;chip seal
— — ---- - --- ............... .............
\,\\Failure to Carla
11/25/2021 11/25/2021
Follow GCC Gray
9.07.010
6/28/2021 7/6/2021 7/13/2021
Gravel hit Hunter
?claimant's
Ogle
,,'vehicle
i Hot water Carrie
7/9/2021 7/21/2021 8/3/2021
heater
............ ...... . . . ............... ............
damage ,Lnenicka
$69,760t $16,343,
$53,4117: $69,760
Kumau
C $27,593
$10,000
$0
$17,593 $27,593?
'McWilliam
s
$27g5931
............. ....
$10,009.1
$17,593 $27,593,
McConihe
$483
$483
$0
$0 $483 Rd & D.5
;Bill Correll
NE
2235
C $0
$0
$0
Melody
$0 $0 Lane NE,
Steve
Whetstone
Moses
Lake
Kumau
L $1,641,370
$10,000
$0
$1,845,000
$1,855,000
McWilliam
s
C $0
$0
$0
$0
$0 Rd 3 NE
Kelly
Owens
20072
C $0
$0
$0
$0 1
$0 Linden Rd
Kelly
NW, Soap
Owens
Lake
Physical I I Theft of i
2020-2021 Grant Damage - 12/1/2020 1Grant
W1213 5/24/2021 5/24/2021 I
6/29/2021 catalytic County C $0 $0 $0 $0 $0 Kelly Raap
County Comprehe I
t
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I
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Grant � � I � � �
2020-2021 Property 12/1/2020 W1327 10/21/2021 I10/2112021I Bridge Grant 11216/2022 dama e Gran C $0 $0 $01,� $0 $0 Rd M SE & David
County 9! Rd 5 SE Kosa
__._.___._...._.._... _._.__.._.._..___._. _.._.__ ,___....._..._..._..._ .__....___"._.......___._..._..._._ ....._......____...._.. _ _.._._.. �_. _..._ ........._..___._. _._.
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- Grant 2020 IW1237 5/11/2021 5/11/2021 I10/2512022 Vandalism Grant C $11,119 $10,000 $0\ $1,119 $11,119 County Steve
2020 2021 CountyProperly 12/1/ County I Fairground Whetstone
_ s
Totals .for Pro ert - 2 Claims, w $11,119a$1-O,000a �.��-� _$1�,.11"9_-_ $11,119
Coverage: Under Insured and Uninsured "Motorist
"
I �
Insured IJaret Grape David
2020-2021 Grant and 12/1/2020 W1187 1/26/2021 1/26/2021 8/29/2023 OV hit IV C $14,000 $0 $0 $14,000� $14,000�
County � I Fulbright � Drive Kosa
� Uninsured
Motorist
Under I
� � � �
Grant Insured Grant Grape
2020-2021 County and 12/1/2020 W1200 1/26/2021 4/16/2021 10113/2021'OV hit IV County C $2,343 $100 $0 $2,243 $2,343 Drive Bill Correll
Uninsured I I
_ __ _ __ Motorist _...._...... . __..___.....__..,__.._..�.__..._._...-._�._.._..
�....._.,.,.._..............__ ._... _ _..._......_..,......,..._.� �. _.._._.__ _......__._.
o ist _2 Claims $16 3431 $1001 $0 $16,24311 $16,343
Totals forryUnder Insured and+�Uninsured M tore .. ..
Coverage: Wrongful Acts - Primary
Wrongful � (Complaint � H5 Data
Kumau
2020-2021 Grant Acts - 12/1/2020 W1225 �1/1/2019 6/30/2021 4/27/2022 for Refund (Centers a C $0 $0 $0 $0 $0� McWilliam
County Prima of Property Quincy, s
Primary Tax LLC
Wrongful Disburseme City of I i Kumau
2020-2021 Grant Acts - 12/1/2020 W1214 10/14/2020 5/25/2021 1/31/2022 nt of interest Moses C $0� $0 $0 $0 $0 McWilliam
County Primary due Lake I a s
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County Tsivadelli
o 10 000 0 �
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Primary � � � g � � s
Wrongful I i Estate of I Kumau
Grant - 9 8/2015 3/29/2021 2/8/2022Records Jessica I C 0 0 $0 $0� $0 McWilliam
2020 2021 CountyActs 12/1/2020 W1193 /1 � request $ � $ �
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Wrongful a Grant Kumau
- Grant - 1/19/2022 Discriminati (Virginia C $ $ 0 0� $0� $0I $0 County McWilliam
County Primary 2020 2021 Acts 12/1/2020 W1207 �4/13/2018 5/4/20 21 on Valdez I � Health
I
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I District
� �801 East Kumau
Grant Wrongful Discriminati Adolfo
- I I
2020-2021 Acts - 12/1/2020 �W1205 2/21/2021 5/3/2021 3/3/2022 C $0 $0 $0 $0 $0 Wheeler McWilliam
County � on Cardenas
_ Rd s
Yo omul Acts Prima - 6 Claims - 72 360 $10,000 $0 _ $62 360
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