HomeMy WebLinkAboutInsurance - BOCC�~1
Grant County Loss Run
Policy Open Claims as of 11/10/2025
PolicyYear Member
Policy
Coverage Effective
Claim Number
Date of Date
Event Date
Claim Closed
Event
Description
Claimant
Name
Status
Paid
Deductible
Collected
Reserve
Balance
Paid +
Reserve Less
Paid + Accident
Adjuster
Reserve Location
Date
Deductible
Coverage: Auto Liability
;Auto
Liability::Under;
?
?
I
;Jose
?
;Sagebrush
;Chelsea
Grant
2024-2025
Insured and ;12/1/2024
;W1772
12/16/2024 12/16/2024
OV hit IV
(Garcia-
O
$10 000
$100\
$ 0
$ 9 900
$10 000\Flats Rd &
Chase
19 NW
;Count y
;Uninsured
a
;Contreras
;Rd
Motorist a
? a
Grant
2023-2024
;Auto
y:: 12/1/2023
;Liabilit AL -
! W1582
?
12/25/2023
;12/25/2023 ;1 /31 /2025
IV turned in
;Alexandre Y
a
R °
$1,738`
?
$0
$73,262;
$75,000 I
,7700 Block
;Chelsea
$75,OOO;Stratford Rd ;
;County
Bodily Injury
Y_
I
front of OV
a Lane Y
;Chase
'NE-.,•..-_z
;Auto
;Grant
�2024-2025
;Liabilit AL -
y'. 12/1 /2024
W1797
;10/3/2025 ,10/3/2025
IV rear -ended
OV
Prevision I
O I
$0
$0
$0
$0�
I
Wheeler Rd
$0; Hunter Stucky ;
`NE & SR 17
I ;County
�
;Property
,Damage
�
I
... � !
;Plumbing I
!
3 ...,.��.m.__
�
�
I
�
:
�
I
t
�...-.�...�... _..
Auto
Grant
2024-2025
Count Y
Liabilit AL -
y" ;12/1 /2024
Property!
!
; W1792
9/7/2025 9/7/2025
z
HIV hit OV
Alexandra
,Nava �
O
$0�
$0�
$50,000�
$50,000
Broadway
Y
$50,OOO,Ave & W Hunter Stucky
I
I
;Damage
?
?
?
I
'
i
;3rd Ave
;
Grant
2023-2024
;County
;Auto z
Liability:. AL - ? 12/1/2023
y"
;W1686
�10/11/2024 10/11/2024
I
IV hit OV
I Taven Gill-
?
;Gonzalez
O
$0a
I
$0�
$65 000
$65 000\
Hwy 282 & ;Chelsea
$65 000\Airport St
;Chase
S E.
I
\Claims
;Bodily Injury
!
z
Totals for Auto Liability -
5
Z11,738
_
s100
$188,262
$199,900
9,
a200,000 I
Coverage: General Liability
;General
;Claimant
z
�754 Silica
Rd NW
`
Grant
2021-2022
;Liability:: Law
12/1/2021
!
W1782
8/27/2022 8/25/2025
;alleges
by
Demecio
Valdovinos
L
$1,192�
$0
$18,808
$20,000
$20,000(Gorge
;Andrea
9 a e is
County
!Tsiv
Enforcement
I
;assault
;
z
;Liabilitinsuredz
Y
;
;Amphitheater
r)
I
!Claimant
I
54 Silica
Grant
;General
Liability -:Law
!
a
alle g es
;Erika
I
Rd NW
;Andrea
I
2021-2022
County
12/1 /2021
;Enforcement
W1783
8/27/2022 8/22/2025
i
,assault by
\Rodriguez- �
L
$0;
$OI
�
$0
$0�
$0\(Gorge ;
�Tsivgadellis
hitheate
�
;nsured
insured
;Palomera
I
�
\Amp
;
I
a
I
a
r)
,Failure to
2020-2021 ?Grant
Count
;General
12/1 /2020
W1322
;11/25/2021 �11/25/2021
g �
�
'Follow GCC
'Carla Gray I
? Y
L
�
$1 641 370'
$10 000
$0 :
$1 845 000
$1 855 000Kumau
� ;
McWilliams
M W
I
y
;Liability z
?
I
9.07.010
!
!
I
Grant
2022-2023
General
Liability::GL - 12/1 /2022
W1565
1 /4/2023 1/4/2023 3/8/2024
,Injuries
resulting from
;Michael ?
Moore
L
$32,629 ?
$0
$467,371
$565,000
$565,000 Roadway David Kosa
!
Count Y
Bodily Injury
!
veh accident
�
Grant
;General
;Liability::GL- \12/1/2022
W 1735
1 /11 /2023
Trip and Fall
p
Heidi
L
$19 343�
?
$10 000
I
$455 657
$465 000
$475 000\Parkin lot ;David Kosa
9
I
\2022-2023 ;County
I
Bodily Injury
;4/2/2025
Pinckard
Grant
2020-2021
;General
;1211/2020
W1567
_...-�� .
;7/26/2021 ;11/29/2023 ;3/25/2024
!Drowning
,Danika
L
$30,978
$10,000
$29,022
$50,OOOi
$60,000Patrick Boruff
County_\
Liability
;Grant
,2021-2022
;General ?
! Liability:: Law
12/1/2021
W1660
I !
,8/20/2022 \8/7/2024 �
Wrongful
Jonathan
z
L z
$26,880
$10,000I
a
$23,120�
$40,000�
? 754 Silica I
;Andrea
$50,000\Rd NW,
adellis
Count Y
EnforcementTsiv
;arrest
;Moody �
�
�
g
George WA ,
Liability
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Grant
2024-2025
County
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Wrongful Acts K I Civil Rights Catholic
12/1/2024 W1762 5/2/2025 6/19/2025
Primary Violation Priests
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I
$20,000
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$20,000
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Andrea
Tsiv adellis
9
�Grant
Wrongful Acts
8/20/2013
10/28/2024
Constitutional
�
Yanira
�
a
O $01
$0 $0
$0
$0
Kumau
2023-2024
�
County
12/1/2023
Primary
W1688
deprivation
P
Barra 9 an
McWilliams
2024-2025
Grant
County
Wrongful Acts ,�
g 12/1/2024
Primary
W1721
2/23/2016
2/10/2025
Civil rights Olajide
violation Fletcher
�
L $11,090
$10,000 $18,910
$20,000
$30,000
Kumau
McWilliams
�...
_Wrongful �
Wrongful
Dustin
Andrea
2021-2022
Grant
County
Acts
Primary 12/1/2021
W1375
10/1/2020
6/17/2022
termination
Canfield
L $112,866
$10,000 $247,134
$350,000
$360,000
Tsiv 9 adellis
ww _
ww
w Grant ww Wrongful Acts
2021-2022 12/1/2021 W1376 10/1/2020 6/17/2022
County Primary
Wrongful
termination
Darrik
Gregg
L $0
$0 $0
$100,000
$100,000
Andrea
Tsivgadellis
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919
$490 000
$610,000
_
o ul Acts Prima 5 Claims
Totals for Wr n f
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20 000 $283
$ ,
$80100 $1 701 262 $4,788453 ``$4,868,55 3
I
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Grand Totals 32 Claims
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i�WCRGGrant County Loss Run Policy 2020-2021
as of 11/10/2025
:Member Coverage
Policy Effective
date
Claim Number Event Date
Date of
Event Claimant
Date Closed
Status
Deductible
Paid
Reserve Paid + Reserve
Balance Less Deductible
Paid + Accident
Reserve Location
Adjuster
_
Claim
Description Name
Collected
—_--- —
ers $ e: Auto Liabili
_ _."_.....
7_�
2020-2021 `Grant ;Auto Liability
�12/1/2020
2W1251
i8/9/2021
8/9/2021
12/20/2022
IV rear -ended OV IGerald
C
-
$13,115
$10,OOOg
----
$0
--�----
$3,115
— ,Dail( OL wV...
$13,115 & 2nd Ave
;Brian Jordan
'County
I
I
;
McClain
\ C'IAI
?12/1/2020
?9/1/2021
?3/15/2022
g Rock thrown by IV
hit ;Fred Meise
C
$5 587
$5 587
$0
$0
iWilson
$5,587
;Chelsea
2020-2021 `rant (Auto Liability
County
W1262
9/1/2021
a
g
claimant's
I
;windshield
g
,Creek Loop
;Chase i
3 2020-2021 'Grant Auto LiabilityCoulee,
12/1/2020
IW1268
i9/29/2021
9/29/2021
3
12/22/2021
'
? Rock chipped
;claimant's \Mike Shear a
I
C
i
i $757
2Grand
$757
I
$0
$0
$757
;Coulee, WA
;Chelsea
; Chase
Countyi
I
I
a
(windshield t
3
—�
'Division & D
i 2020-2021 ;Grant ;Auto Liability
i County
12/1/2020
W1231
17/8/2021
7/8/2021
8/13/2021
HIV hit OV & trailer Jim Chornuk C $50,302 $0
_"._".
$0
$50,302
_.
$50,302 St
.-.� _NE
Bill Correll
...
'Grant
t 12020-2021 ;County ;Auto Liability
12/1/2020
�W1233
'
\7/8/2021
\7/8/2021
�7/13/2021
I Tyler
IV hit OV & trailer ,Napiontek I
C
$OS
?
-.
$0�
$0
$0
$0`Division & D
St. NE
;Bill Correll
Totals for Auto Liability - 5 Claims
--.--�
9,760
$16,343
4 ; :
569,760
;Coverage: Employee Benefits Liability -Primary
2020-2021 ?Grant ;Employee Benefits l2/1/2020
;County Liability Primary
W1219
12/31/2018
'6/15/2021
17/11/2023
;Life Insurance ?
Issue ;Dawn Prince
C
?
$27 593
?
$10,000
$
$0
$17 593'
$27 593
'Kumau
c i l
McWilliams
Totals for Employee Benefits Liability - Primary -1 Claims
a
a
$27,593
$10,000
�
_
��1'�,1�3
527,.593
..
;Coverage: General Liability
?
;Grant
2020-2021 ;General Liability
112/1/2020W1236
a
7/6/2021
7/21/2021
?9/28/2021
'Rock off mower hit; I
;Don Terrell 3
:
C
I
$483�
$483
$0
$0?
Conihe
$483Mo 'Bill Correll
,Rd & D.5 NE
'CountyI
;claimant's vehicle
i
?Grant
General Liability
2020-2021 enera
12/1/2020
W1621
2/1/2021
4/9/2024
5/22/2024
Snow plow
;damaged 'Garry
;; Jeffries a
C
?
i $01
$0
$0
3
$0
2235 Melody i
$0 Lane NE, ;Steve $
'Whetstone
2 ty
County
claimant's chip
; seal
?Moses Lake
?Grant
---
a
� Failure to Follow
L
a
$1,641,370
$10,000
$0 t
$1,845,000
$1,855,000
Ku mau
2020-2021 Coun 'General Liability
ty
12/1/2020
W1322
g11/25/2021
11/25/2021
;Carla Gray i
;GCC 9.07.010
McWilliams
� 2020-2021 'Grant General Liability
12/1/2020
W1228
�
6/28/2021
7/6/2021
?
7/13/2021
'Gravel hit '
t ;Hunter Ogle
C
$0
$0
$0
�
$01
$0 Rd 3 NE
Kelly Owens �
g ;County
i
;claimants vehicle
_'
?
� _,2
�'•• �—
Grant
2020-2021 'County General Liability
—t`^
12/1/2020
W1242
,7/9/2021
---
3
?7/21/2021
8/3/2021
a '"".—"'�"".'�1"
, Hot water heater ;Carrie
damage Lnenicka
C
$0
`
a
$01
i
$0 a
e
$
$0,
LUG I L
Linden Rd
$0
Soap
t Kelly Owens
I
3
I
i
,NW,
?Grant
I 2020-2021 ;General Liability
312/1/2020
;
IW1310
11/17/2021
i11/17/2021
7/26/2022
?Client hit lip on
;Unknown
C
$0
$0
$0
$0
$0 Playground
,Brad
Guidinger
County
I ;�`
playground equip �
�
t
2020-2021 (Grant ;General Liability
12/1/2020
W1567
7/26/2021
11/29/2023
3/25/2024
iDrowning Estate of
L
$30,978
$10,000
$29,022
$50,000
$60,000
;Patrick Boruff
County
} ?i
Ross_
Danika R
Grant a
g General Liability
12/1/2020
�W1296
5/31/2021
2
12/16/2021
8/6/2024
;Claimant injured
Vir it
I g �
due to dangerous ;Redwine
C
� $7 848 865
3
$10 000
3
$0�
$7,838,865�
Rd 4 NE &
$7,848,865Rd E NE
i
Patrick Boruff?
i
�2020-2021 ;County
3
,
;road
a
g
i ## ;Grant
#2020-2021 ;General Liability
;County
;12/112020
W1297
'5/31/2021
12116/2021
,11/16/2022
;Claimant injured
Tera
;due to dangerous i
I 'Redwine
C
$01
$01
?
$0
$0
Rd 4 NE &�—
$0
Rd E NE
;Patrick Boruff;
i
road
;Grant
2020-2021 General Liability
?12/1/2020
?
W1492
k8/7/2021
;5/19/2023
+
;Dangerous road Deeana £
;design 'Ramos i
L
1 $100,391
$
$10,000;
$24,609
$115,000?
$125,000 Roadway
?
Patrick Boruff
County'
Totals for General Liability -10 Claims
a9,622,087
S40,483
$&�,r11
s9,84a3,865 _
_
$9,889,348
,,Coverage: Physical Damage -Collision
..,�....,._,,..._..__._.._._..,.._.__,,..._.,,_....._.,.�..._._...._I....,,....,.._..,_ Estate of
Grant Wrongful Acts - Kumau
2020-2021 12/1/2020 W1193 9/18/2015 �3/29/2021 2/8/2022 Records request Jessica C $0 $0 $0 $0 $0 McWilliams
County Primary
__.,.._........__._.,___..____._..,..,._._..., Alvarado
Grant Wrongful Acts - Virginia �� � �rarr�••~-~-----••' -�'
2020-2021 12/1/2020 W1207 4/13/2018 5/4/2021 1/19/2022 Discrimination C $0 $0 $0 $0 $0 County Kumau
Coun Prima Valdez _.__. _._ _ _ _ _ , _. _,�,.. ,+.,...__..._....McWilliams
......._,_. illi.....
Grant Wrongful Acts - Adolfo 801 East Kumau
2020-2021 112/1/2020 W1205 ]2/2112021 5/3/2021 3/3/2022 Discrimination C $0 $0 $0 $0 $0 Wheeler Rd McWilliams
County Primary Cardenas _,. _....,., .._.. ___.....,.,....,...._,
Totals`#or Wron fu1 Acts Pr
- 6 Clams -
$72,1360� $10 000 $0. $62,360 $72,360
ry
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9 836 233 99`066 $53631 $10 904 427 $10,103,494
36 Claims Totals � ..� : .._, Grand...__.._.,._...,..�,._..,.�...,._._. _._,.,. _ ...._ _..,_..,,,_,_....._,.,...__, .,_..._...._,.....,._..,.......�..._...._,.,.._.,,.,..._....._.,._.._.._.._.,_._......_.....a.__._„_..�,....._...,.,._. _ .. .....,...,......._....... .,._..,.,_._..__._.._.._._ _,.._._....�..___..,.....µ...
q`pft- WCRG Grant County Loss Run Policy 2026-2025 as of 11110/25
pmm,m" �"�u� n�,_n Policy' � om�w�m° �m Date of DateDater�" Claimant ammo mm DeductibleDeductibleReserve" mw+*�""" pm«+ AccidentAccidentAw"m,
~~ ~- --- ---Event Claim Closed Description Name Collected Balance Less Deductible .~^~^ Location
Date
�Coverege.A"tou°mnty
Auto
Liability:: Un
Grant
County
11, Pioneer he sea
County
and
Uninsured
Motorist
Hunter
Grant
Liability::AL
-
Damage
Auto
Liability:: Un
Jose
Sagebrush
County
and
Contreras
Rd 19 NW J
i Motorist
I'Auto
W.
Ave & W Stucky
County
Property
Nava
13rd Ave
,Wheeler Hunter
Grant
Liability::AL
-
IV rear -ended Prevision
OV Plumbing
Rd NE & Stucky
Count
Property
SR 17
Grant
Liability::AL
-
IV hit
Zip Truck
1720 Rd N Chelsea
County
Property
fence po st
lCoverage: General
Liability
-
General
ISally port
�Grant
County
Property
claimant's
vehicle
\\County
Building
Damage
into
I
Jordan
County
Property
\,backed
ent
Damage
"General
Claimant's
Stratford
Liability::GL
-
vehicle
damaged by
Gary
Schultz
'Road, Kelly
Moses Owens
County
Property
"Damage
gravel
Lake
�\\General
La
Claimant's
6223 Mae lAndrea
Grant
\,\\\Liability::
property
by
Robin
Herring
Valley Rd
NE, Moses
County
"Enforcemen
damaged
kis
insured
Lake
Liability
Ilk
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Property::Au 1274
Grant to Physical IV backed
2024-2025 y 12/1/2024 W1706 12/8/2024 12/8/2024 4/22/2025 into insured's Grant C $1,770 $1,770 $0 $0 $1,770 Lowry St., Brian
I Lakes Jordan
County Damage- building County
Collision
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