HomeMy WebLinkAboutUpdate Documents - BOCC (003).(� r W C R G
Alasr.ington cauntiasRisk Group Grant County Loss Run Open Claims as of
3/2/26
Policy Claim Date of Date
PolicyYear Member Coverage Effective Event Date
Event Claimant
Status
Paid
Deductible
Reserve Paid + Reserve
Less
paid + Accident
Adjuster
Number
Claim Closed
Description
Name
Collected
Balance
Deductible
Reserve Location
PolicySetEffectiveDate: 2012
.-Date
_.
a......m
\ €
tGrant
2012-2013
SexualAbuse
and Molestation 9/1 /2012
W1789 4/4/2013
i
9/10/2025 r
Sexual
Tom Waters
L I
023
� Juvenile
;David
\ � County
-
misconduct
�
$6
_
$0;
$18 977\
$ 25 000;
$25 000 Detention
Kosa
;Primary z
; Cener
Totals for 2012 -1 Claims
$6 023
-
$0 18977 $25,000 25 000
$
PolicySetEffectiveDate: 2017
Grant
Law Enforcement
WGran2 ;
;Inmate
r
I Kumau
2017-2018
;County
12/1/2017
;Liability
0180481 8/12/2018
?8/28/2018
�
;death
;Derek Batton;
L
$250,410?
$10,000
$453,590
$694,000
$704,000 Jail McWillia
,92
I ;ms
I \r
C County
Law Enforcement
12/1/2017
Liability
W1012 8/12/2018
8/5/2019
death
Barbara2017-2018
Anderson r
L
$70,000
$0 ,.
$0
$70000
Grant KumauGrant
70000County McWillia
, \
\
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\
\
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\e \
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-._ ._
.....:,u.........•.•.•..xxnxnnnmm,.••••.•.�xwnxwnwx•...m...
...••,u•••••x�nnxxn„vm.,uxx••uuwxrxx.n•..mm..mnmx•,•nm,.,x,:,.nm•,xrmn,\
\,xvxnnw•..•m..m••.•••,wnxx,.•,u.,,..xmn,xum,.,,..,,,.Jail
3 ms
\
\. :.......r�.nm :..:: .:::.:.v,,,,wx••r
\
Grant Kumau
P
Grant
2017-2018
County
Law Enforcement
\ 12/1 /2017
Liability
W1011 8/12/2018
8/5/2019
,
;Inmate
death
;
\ Rod Batton
L
$0
$0
$0
$0
,
$0\ County McWillia
\ Jail ms
Totals for 2017 - 3 Claims
$320,410
$10,000
$453,590;
—_-
$764 000 $774,000,
�.
\..
t PolicySetEffectiveDate: 2020
Grant;Dangerous
2020-2021
County
General Liability
112/1 /2020
W1492 ; 8/7/2021
\
5/19/2023
road design
\ Deeana I
;Ramos
L
$101 223
$ 10 000
$ 23 777\
115 0
$ 00
;Patrick
$125,000? Roadway I
I
Boruff
Grant
2020-2021
County
a
i General Liability
? 12/1 /2020
W1567 7/26/2021
11 /29/2023 3/25/2024
Drowning
\ Estate of
Danika Ross
L
31 027 z
10 000
$ 28 973?
$50 00 0,
Patrick
$60 000 \
' B oruff
,Totals for 2020 - 2 Claims
$132,250
$20,000
$52,750��165
�0
.
PolicySetEffectiveDate: 2021
..........
,:,...:
.......
x.,..�._
_ _..._...•. �_-
_,__..
- ..........\m... _
, ........•.,..,
..._,_,.m
_„$185,000
;General
..........
I
........•.,.•
_ .-.....__ ._..._ . .. _.. ,m..•,
754 Silica
;Grant
2021-2022
I County
Liability:: Law
,Enforcement
12/1 /2021
W1660 8/20/2022
k I
? 8/7/2024
IWron ful
9
larrest
;Jonathan a
;Mood
L
$36,303
$10,000\
$13,697\
$40,000\
tAndrea
Rd NW ;
$50,000\ Tsivgade\
George
,Liability
�
Y
a
i
WA � His
I �
;General
i
�
Claimant ;
Erika
1754 Silica \
2021-2022 Grant
;County
Liability:: Law
g 12/1 /2021
Enforcement
W1783 8/27/2022
� 8/22/2025
� alleges
iassault by
I Rodriguez-
9
�
L
�
$0;
v
$0
$0�
$0;
Rd NW Andrea
$0 (Gorge ,Tsivgade
� '
�
Liability
�
1
insured
; Palomera
?
�
Amphithe � His�
ater)
Grant
2021-2022
Count Y
,Wrongful Acts - �
12/1 /2021
Primary
� �
W1376 10/1 /2020
�
6/17/2022
� Wrongful
� I
Darrik Gregg
99 ;
�
0�
$ z
�
$0;
�
$425 000\
�
$ 425 000;
s Andrea
AndI
$425,000Tsivgade
,Prima
,termination
�
� \
His.
Grant
2021-2022
County
;Wrongful Acts -
i 12/1 /2021
rima
Primary
W 1375 10/1 /2020
6/17/2022
Wrongful
Dustin
i
L
$261,418;
I
$10 0001
$688 582;
$940 000\
Andrea
$950 000\ Tsiv ade,
9
a
a
termination
;Canfield
......... _.__.._._.m._..... _ ..
754
General � � � Claimant � � Silica
I Rd NW Andrea
IGrant Liability::Law alleges Demecio t
2021-2022 12/1/2021 W1782 8/27/2022 8/25/2025 assault b �Valdovinos L $6,488� $0 $168,513 $175,000� $175,000 Gorge Tsivgade
County Enforcement Y
hithe Ills
ater
a Liability insured a Amp 1
.. ,W....._...m..___..._w.W w_. w..,_...._...................._w..w.,_,- . ....__...__.,.._...,.w..._.w� ..� ___......w.W. W.�_ _.....w..............__ ..�., .._...._.._._._.....w� ..._ _., .__ .._._.._ �� .� _._� _ _._.._,.__w_.... _ �.� ._,. _._._) W_......_._m_ .
I 754 Silica
I I General I I Andrea
Liability::Law a Wrongful � Kristen I � Rd NW,
2021-2022 Grant tY 12/1 /2021 W1661 8/20/2022 8/7/2024 g L $0 $0 $0 $0 $0 Tsivgade
CountyEnforcement arrest Jones I George
I 1 � Ills
Liability WA
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_ 304 209 20 000� 1 295 791 $1 580,000-$1,600,000
T Is f r.;2021 6 Claims $ ,
ota o , .,............... ,,...._,._.......-_.,_,.,,....._�......,_.,...,.....,µ.,_,
m
....W..,.......... �w.......,,.....,,,..,,...,.w�,...,......... ,
iv D :2022 Polic SetEffect a ate'
Y ,........,...,,.._,.,.._.., . ,......,..
,....µ,�.,...,....._m,.,._.�,.,,,.,�..........w..._.._,.....w....,..._....,....M.._.....__.,.__„_..._w.,�.,_.,,�._�,.,..�,.M,,,_,.,._.,. �,,._._,.,.,.....__._,..�.._...,...,._m..,._-.,_....�.,�_,..,.___._�.,,�.,._..�....,....m..._._�.._,.,�.w..w.._,....,.w,w...�.,-__�.�.-_..-_...._._.w....�.._..�..._...�..�.,
.,I.. Injuries
General
Grant _ 022 W1565 1/4/2023 �1/4/2023 3/8/2024 resulting Michael L $55,848� $10,000 $509,152 $5551000 $565,000 Roadway David
2022-2023 County Liability..GL 12/1/2 from veh Moore a Kosa
Bodily Injury 1 I a
..,-.......,...,...___..,,._.,__._..�..__...........,.....,�___,,._...___�..ti._...w.......,.w....._.,...,�,�,._,�....,.�,W._.,w,_,.�.mw._.....,_.__�...�w,.._.....w.�,w.,_.,...�...,,.__..._..............m_....�..,w.w..,._.....,...,_...,�.__�.,...��w..mµµ..,.w_.,..,............_,...�,�..,,.,...,.M..m......,._.........,._.,.�.�„w.....W,......,...__.,._..m_.......,��.....w,..,.......,...,�..,w..,_...m.__.M,..,µ�,._ , � .� � �
1 Claimant 1 g I
General I I Andrea
Grant Liability::Law I - alleges he 1 g 3 140 000 140 000 754 Silica Tsivgade
2022-2023 12/1/2022 W1710 8/4/2023 1/6/2025 Brian Israel L $10,663, $0 $129,3 7 $ $ g
� CountyEnforcement
was
I Rd NW
Liability assaulted I
� Ills
General I � $ �
a
1 Parkin David
Grant � Heidi � � 9
2022-2023 Liabili ::GL - 12/1/2022 W1735 �1/11/2023 4/2/2025 Trip and Fall L $41,610 $10,000 $433,390 $465,000 $475,000
n �
p Pmckard lot Kosa
I County � �
Bodily Injury
`
,..�,_�..,..�;,�..�..:..........._,.,..w.�:���._..�...,.$.,.W20.;..�0..0,,.0,.:..,,....,......,W_,.,w.�.7w.W.1�..._8w.,7..,..�9....�, ...�..m.-„w.,...,$,W.,.1�_,..�16...�0...�.0,..:0�.,�.0To-3 CltaIs for 2022.aims $108,1211 0PolicySetEffectiveDate: 2023
M Grant Wrongful Acts - Constitution Francisco I Kumau
2023-2024 ry 12/1/2023 W1672 8/20/2013 10/7/2024 � 10/27/2025 a) � garragan I R 1 $0� $0� $0� $0� $0 McWillia
County Prima deprivation ms
_
Constitution � �........��.M.....�.Ww._.._�..._�._.-._�.._-.�,.�..��___-...� -I Kumau
Grant Wrongful Acts - Kaylani 1
2023-2024 County Primary 12/1/2023 W1671 8/20/2013 10/7/2024 10/27/2025 al garragan I R $0 $0 $0 $0 $0 McWillia
1
deprivation �,._�...w__.__.�....__...-....,�.,.....�-.�.�...._...�.�_.__.�___._.�.-.�.._�__.,�-�.�.�_..__ �.�...�.�.._._.�.�..�.,_.._..�..._..�.., ms
H 2s2
2023-2024 IGrant Auto Li uy::AL - 12/1/2023 W1686 10/11/2024 10/11/2024 IV hit OV ITaven Gill- O 1 $62,500 $0 $2,500 $65,000 $65,000 & Airport Chelsea
Gonzalez � � I Chase
County Bodily Injury a 1 St SE.
�,�.�...�.�.,.��.� �,_....�.,m__..�� ........_..�,..�....._.�.�.._�..�,.,�..�._,.�,„...�.�,�..,.�...,�...�...�...,..,�.,.�..��..._,�_..�.......�.,.�.�,..__.�..�..�..._.��...�.�.w__._.W._.._.,.I.�_,.._-._......,. W.�,..�._.�._.........u,._._..�...�_-.....,....�..��w.,.�_-_.w.�m...�..�..,.__�.�. ,�...�.__...,...��.,...-.._ ��...,...�.__.........�._..__..,� �..�..�._w._�,w...-...�.. �,.��....._,µ.,._..wWw�.._._._....�..,......___..........-wm...�_�..._.,._.w..��_._..,.�.�.w.._.. ....W_...�..�
7700
� �2023-2024 Grant Auto Liability::AL -� 12/1/2023 W1582 12/25/2023 12/25/2023 1/31/2025 � IV turned in �Alexandreya � R � $1,738� $01 $73,262 $75,000 $75,000 Block Chelsea
I � County Bodily Injury front of OV � Laney � �
Stratford Chase
_ -. _ _ _ Rd N E.
Totals -for 2023 - 4:::Claims .._._ _�.��m _.....
z $64>2381 $01 $75,7621 $140,000 $140 000 1
PolicySetEffectiveDate: 2024
General
Inmate Estate of Grant Andrea
2024-2025 Grant Liability::Law 12/1/2024 W1813 11/4/2025 11/20/2025 found Ruben
County Enforcement � 1 � O $0 $0� $0 $0 $0 County Tsivgade
deceased Trevino I 1 g Jail Ilis
Liability 1
I Andrea
� General � Death of � Estate of � I I Jail
IGrant Liability::Law
2024-2025 County Enforcement 12/1/2024 W1709 12/31/2024 �12131/20241 Richard O $7,7951 $01 $2,672,205 $2,680,000 $2,680,0001 Tsivgade
ty I Inmate Facility
Ii I Lambert I Ilis
i Liability 1
Grant General Employee Dawn I i I Fairgroun David
2024-2025 Liability::GL - 12/1/2024 W1817 8/16/2025 11/13/2025 injured in �Yearout O $0 $0� $0� $0 $0 ds Kosa
County k
I Bodily Injury rabbit barn I I I
. . .......... .
. .....
insured's a I
j General Fair roun Brian
I 2024-2025 Grant Liability::GL_- 12/1/2024 W1777 8/12/2025 8/12/2025 golf cart hit I Budget O $0 $01 $0 $0 $0 g
County Property Damage I � rental Rental Car ds Jordan
a
vehicle I
.WW_"....,._..__....,-W"..-".d_."...W.,w..."w.-.,.�..W._.-,.�.,""m.�..W.._-._�W...W�..-._.,".._,__.."�".,.-..W...I
I Property::Auto OV a Hwy 25 &
Grant Brian
2024-2025 ,Grant Ph sical Damage 12/1/2024 W1810 11/11/2025 11/11/2025 sideswiped O $12,501 $0£ $49 $12,550� $12,550 Rd K NW
Countyy County Jordan
- Collision parked IV I (MP 36)
p I
Grant Crosswalk Grant I 21 C St ISteve
2024-2025 Property 12/1/2024 W1805 10/8/2025 10/8/2025 sign County O $0 $0 $0 $0 $0 SW, Whetsto
County tY
�..."�.._.,-�.,.._."__.___ Ephrata ne,.,,.__.�.-
Property::Auto a Hunter
a Dodson
I� Grant I Grant � � 1 � 7 848) $7 848 Rd SW &
2024-2025 County Physical Damage 12/1/2024 W1790 8/29/2025 8/29/2025 OV hit IV County O $7 '848 00
$ $ $ ' Stucky
Collision Rd 12 SW
Totals for 2024 - 7 `Claims 28 '143 $0 _$2 672 255 $2 700 398 $2 700 398
IPolicySetEffectiveDate: 2025 � _._..w......��.�_,.�_.-...-......�,.-..�.�..._._.. ...-.,...�....-..,.�_...,.�"._.._..�...".w_�._.-..�"..�.�...�..�.�..._......�_____... _._.�.m.........�.�....�...._..-..�._..�._ �� __.��"...-..��_,.,.��..�,.�.�-�,M�..�...�.�..-......�._.�.�...�M...�..�...�..-,A..,,,._,.W.,.�.�....-......��....a.,.�..�. .....".-.....�..,._...... 5011 RD �- _.....".-...."
I Jonathan &
i Grant Auto Liability::AL - IV backed I � 7.3 NE, � Brooky
- Ester O I 9 052 0 948 $10 000 $10 000
2025 2026 12/1/2025 W1821 12/18/2025 � 12/18/2025 � t � $ $ � $ ,
County Property Damage into OV Babchanik Moses Olson
I Lake WA
Pro e ::Auto 16010 Rd
2025-2026 Grant Physical Damage 12/1/2025 W1836 2/12/2026 2/12/2026 ° IV backed Grant O $01 $0 $0 $0 $0 1 NW, Brooky
County Collision into OV County George Olson
- a �
g WA
I I 16010 Rd
2025-2026 Grant Auto Liability::AL - 12/1/2025 W1837 2/12/2026 2/12/2026 IV backed Jonathan O $2,720 $0� $2,280 $5,000 $5,000 1 NW, Brooky
County Property Damage into OV I Fox I I George Olson
WA General Officer �
involved in Estate of Andrea
CountyEnforcement 2025-2026 Grant nfo ity...rcementLa t 12/1/2025 W1838 2/17/2026 2/17/2026 shooting Aaron O $0 $0$0 $0 $0 Unknown Tsivgade
I where other Ammann I Ilis
Liability '
...W�.�....�--.�......,�._-.�..�.-.,.�.��..__�-.-,�._�. u � � died � ,"m�.._".�w...-,".,.�_,."w-.-. .�,..��... �-..�..�.-��.�.�.�..."�'�...�."".".....,..",....�.-�.. W.," .�....W.�.,,_._,..�...,._�. W.-...m.�....._".....,,.�.,�..�..-.w,"-.�...�.-.....�...�_".mw...�._,.
z
Property::Auto I I I 1st Ave
Grant I � Grant � NW & C � Brooky
2025-2026 Physical Damage 12/1/2025 W1818 12/1/2025 12/1/2025 OV hit IV County S $6,570 $0 $930 $7,500 $7,500 St. NW, Olson
I
,County tY -Collision � Ephrata
a
Near
Grant
Property::Auto
Grant Columbia Hunter
2025-2026 Physical Damage 12/1/2025 W1831 1/28/2026 1/28/2026 IOV hit IV O $291667� $0� $16,333 $461000 $46,000 County _ Collision County i g I Ridge Stucky
I School
ota s o 025 - 6 Claims ...,.._,.,... ,,,.,�..�.w .._w.�.,..w.,w,. �.m.....M....-.�._�._.
4 1 _8 0 0 0 20 490 6 5 8 00 68 500
$ $ $ $
Grand Totals z
1 011 403 70 00 1 a
�.., _ $ $ 0 5 66 495 6 602 898 6 672 898
.� W�........_.._.... �...._._.w�.�,.._..�..,.,_.___.,.,....�.�.,.�,a..._.�.,_...._�.__w_W,�,�,...,..�,..,w,.,�.�.,�:._........,......,......�,.w.,,�,.,m...�.,..w...�..W.�,.._...W_W...._.....,.,.�,.,..�_,..,....,.,....._......_._._.....,,..,,�...,...�W,..,......�....�_,...,...........,.�..�........,..����.........�,�..�..,��..w_
i1boWmniNton WCRG
iountk)sRiskOreur,
Grant County Loss Run 20-21 as of 3/2/26
Policy
PolicyYear
Member Coverage Effective
Date of
Claim Number Event Date
Date
Event
Claimant
status
Paid
Deductible
Reserve
Paid + Reserve
Paid + Accident
Adjuster
Claim
Closed
Description
Name
Collected
Balance
Less Deductible
Reserve Location
Date
F
i
3
'olicySetEffectiveDate: 2020
2020-2021
Grant
'General
W1296
5/31/2021
\12/16/2021
8/6/2024
Claimant injure
to dangerous
;Virgil
I
C
I
$7 848,865
$10 000�
I
$0
$7 838,8651
Rd 4 NE &
$7,848 865Rd
Patrick
I
County
;12/1/2020
Liability
;due
;Redwine
E NE
;Boruff I
road
I
i
i
I
2020-2021
Grant
;General I
i 12/1/2020
€
W1492
8/7/2021
5/19/2023
;Dangerous road
Deeana r
[.
$101,223
$10,000�
$23 7 7'
7
$1 5 0 0
1 0
$1 5 0 0' Roadway
2 0 d�
;Patrick
County
;Liability
i
;design
Ramos
;Boruff
12020-2021
I
Grant
Count
General I
112/1 /2020
Liabilit
W 1567
7/26/2021
11 /29/2023
3/25/2024
I
I Drowning
Estate of I
i
Danika Ross I
L
?
$31027
$10000'
$28973
$50 000
i
60
$000
Patrick
Boruff
2020-2021
Grant
;General
12/1/2020
W1297
I
5/31/2021
l2/16/2021
11/16/2022
;Claimant injured
due to dangerous'Tera
?
Redwine
C
$0,
a
$0
$0
$0
Rd 4 NE &
$0'Rd E NE
i
Patrick I
Boruff
County
Liability
; road
2020-2021
Grant
Wrongful
,Acts - i 12/1/2020
W1229
°
8/1/2019
7/6/2021
2
5/22/2024
I Discrimination
Darci
C
I
I
$72 360
2
$10 000
$Oi
g
I
$62 360r
' Grant County;
$72,360
Andrea
I
County
I
issue
;Armstrong
Fairgrounds
Tsiv adellis
I
Primary I_
_�
�
I
;Snow plow
;damaged
�
g-
i
2235 Melody
I i
I
2020-2021
`Grant
General
12/1/2020
W1621
2/1/2021
4/9/2024
'5/22/2024
I
;Garry Jeffries
C
$0$
$0
'
$0
$0
$0 Lane NE
ISteve I
County
' Liability ?
;claimant's chip
I
€
I
;Moses Lake
Whetstone
t
seal
2020-2021
;Grant
;Property '12/1/2020
'W1237
5/11/2021
5/11/2021
10/25/2022
Vandalism
I
;Grant County 3
C
I
$11,119
$10,000
$01
$1,119
Grant County; Steve I
$11,119g
;Whetstone
I
County
I
Wrongful
I
I
;Fairgrounds
12020-2021
Grant
;Acts - ' 12/1/2020
W1205
2/21/2021
5/3/2021
13/3/2022
Discrimination
;Adolfo
C
£
$03
$01
?
$01
I
$0
801 East
$0
Kumau
I
County
Primary
I
Cardenas
I
Wheeler Rd
McWilliams
2
I
Employee
2020-2021
;Grant
County
;Benefits
'12/1/2020
Liability -
'W1219
12/31/2018'6/15/2021
7/11/2023
?Life Insurance
I Issue
;Dawn Prince
C
$27,593�
I
2
$10,000;
$0
$17,593
�
$27,593
I
� Kumau
McWilliams
Primary
2020-2021
Grant
Wrongful
Acts
'
Estate of
\
;Kumau g
County
- 12/1 /2020
€
W1193
9/18/2015
3/29/2021
2/8/2022
Records request
I
Jessica
,A
C
i
I
$0?
$0
$0?
$01
$0
McWilliams
;Primary
z
v
�—
2020-2021
;Grant
Wrongful
Acts - ? 12/1/2020
W 1214
10/14/2020
5/25/2021
`
1 /31 /2022
;Disbursement of
City of Moses;
C
`
$0
$0�
$0
$01
I
$0�
iKumau 3
I
_
County
I
;Primary
�
I
�
interest due
Lake
:
€
McWilliams
�
I
2020-2021
Grant
Wrongful z
g
;Acts- ;12/1/2020
`4/13/2018
I
5/4/2021
£
1/19/2022
Discrimination
�
;Virginia �
C
�
+
i
$0 �
$0
�
$0
�
�
$0�
Grant County;
$0 Health
I
,Kumau '
'County
Primary
;W1207
?
'Valdez
I
;District
McWilliams
�---------------I—
2020-2021
---
Grant
- � ------
General
' 12/1/2020
- -- _____.
W1322
-- �-----�--------- --
11/25/2021 11/25/2021
-------
11/26/2025
Failure to Follow
'G
Carla Gray a C $1,641,370
$10,000
$0?
$1,631,370'
$1,641,370
Kumau
;County
;Liability �
�
I
�
CC 9.07.010
�
;McWilliams
2020-2021
;Grant
? Wrongful
;Acts - 12/1/2020
W1225
1/1/2019
6/30/2021
4/27/2022
Complaint for
;Refund of
H5 Data
Centers-
C
$0
$01
$0?
I
$0?
$Oi
Kumau i
I
County
lQuincy,
I
McWilliamsPrimary
I
I
�
Property Tax
LLC
2020-2021
Grant
County
;General
12/1/2020
Liability
W1228
6/28/2021
'7/6/2021
7/13/2021
;Gravel hit
,claimant's vehicle;
\Hunter Ogle
C
€
$0;
$0
$0
$0?
$0 Rd 3 NE
Kelly Owens
t
—
Grant
General i
I
20072
I
2020-2021
County
' 12/1/2020
Liability
W 1242
' 7/9/2021
7/21 /2021
' 8/3/2021
' Hot water heater
damage
Carrie
Lnenicka
C
g
$01
$0
$0
$0'
Linden Rd
$0
NW, Soap
Kelly Owens '
2
i
�Lake
i
2020-2021
Grant
I
County
;Auto
12/1/2020
Liability
W1268
9/29/2021
' 9/29/2021
I
? 12/22/2021
;Rock chipped
claimant's
' Mike Shear
2
C
I
I
$757;
g
$757,
$0
a
2
$01
Grand
$757;
;Chelsea `
i
;
-- —�
--
'windshield
__
3
Coulee, WA
Chase
a
i
i
I
........ ....... -,.... ..._.... _._..__.
_.._..._...__...
_ ... _..._ _
_...
_,.__.
2020-2021
Grant
County
Auto
Liability
12/1/2020
W1262
9/1/2021 9/1/2021
3/15/2022
Rock thrown by
IV hit claimant's Fred Meise C
windshield
$5,587
$5,587
$0
I_.._._,._.......�._...�.....�...�......�..
$0
Wilson Chelsea
$5,587
Creek Loop Chase
___...�....__._____.......
_
2020 2021
Grant
Physical
Damage _
12/1/2020
W1257
8/18/2021 8/18/2021 12/20/2021
IV struck building Grant Count C
9 Y
$2,140
$2,140
$0
$0
$2,140 Pioneer Chelsea
Way, Moses Chase
County
Collision
ake
Physical_,__
2020-2021
Grant
County
Damage-
Comprehen
12/1/2020
W1281
11/15/2021 11/15/2021
4/5/2022
Damage to IV Grant County C
from transporting
$0
$0
$0
$0
$0 Chelsea
Chase
sive
Physical
l
jl
2020-2021
Grant
County
Damage-
Comprehen
12/1/2020
W1277
11/3/2021 11/3/2021
2/9/2022
IV hit deer Grant County C
Veh# 7139
$0
$0
$0
$0
$0 I-90 David Kosa
Grant
2020-2021
County
sive
Physical
Damage- 12/1/2020 W1222 6/21/2021 6/21/2021
Collision
1/19/2022
�...
OV hit IV Grant County C
$0
$0
$0
,_._ _.._.�-..,._._._...._......
$0
Basin St SW
$0 & 10th Ave David Kosa
SW
2020-2021 Grant
.._-.....,llisi
Property 12/1/2020
1W1327
_ _ _ _ .
_..._.-.................,_, __..___. __...-__,._.-........................._....._......,,,.__.,.,.__....._.._ _.__.._....__.,...-._......___-.._.........__.....,
- - 10/21/2021 - 10/21/2021 12/6/2022 Bridge damage Grant County C
_.. �
_.___. _ _.___ _.._�
_.. _..
$0
_.--_.._ ____._._�__.__..__...
�_ ,_
$0
_
$0�
$0
$0 Rd M SE & David Kosa
Rd 5 SE
County
]Under
_ _
_
t_._..._...
_
�_
_
jGrant
2020-2021
Insured and
12/1/2020
W1187
1/26/2021 1/26/2021
8/29/2023
OV hit IV Jaret I C
$14,000
$0
$0
$14,000
$14,000 Grape Drive David Kosa
County
Uninsured
Fulbright
i
Motorist
�
Auto._____.......
Gerald_..-.-.. ...�.__
._._
.�..._...�.._.____.....�..__.�....___.-_.
IGrant
___.._._�__
....._._._..._.._�....�..
Basin St SW
2020-2021
12/1/2020
W1251
8/9/2021 8/9/2021
12/20/2022
IV rear -ended OV C
McClain
$13,115
$10,000
$0
$3,115
$13,115 & 2nd Ave Brian Jordan
County
Liability
_.._....._ ,_ .........................._......._......................._
_ __................_..._.... _................_..,
..........__ ..,_.....,.........._......_
_...__...-__.._._._.
SW
Physical
2020-2021
Grant
Damage -
12/1/2020
W1213
5/24/2021 5/24/2021
6/29/2021
Theft of catalytic Grant County C
$0
$0
$0
$0
$0 Kelly Raap
County
Comprehen
converter
I
sive
_..... _ __.._
.._....._.._..._......,_.._._ _ _ . __...__._..............._.__..__......_................
�
........ _ ...... ..__.............. _..... . _.__ _..__......._._...._
Under
2020-2021
Grant
County
Insured and
Uninsured
12/1/2020
W1200
1/26/2021 4/16/2021
10/13/2021
OV hit IV Grant County C
$2,343
$100
$0
$2,243
$2,3432Grape Drive Bill Correll
Motorist
Grant
Physical
Division & D
Bill Correll
2020-2021
County
Damage-
12/1/2020
W1232
7/8/2021 7/8/2021
8/20/2021
IV hit OV & trailer Grant County C
$14,809
$10,000
$0
$4,809
$14,809 St. NE
Collision
2020-2021
mNGrant
County
Physical
Damage-
12/1/2020
W1189
3/15/2021 3/15/2021
9/2/2021
OV hit IV Grant County C
$0
$0
$0
$0
$0 24 SW & Rd W Bill Correll
�
2020-2021
Grant
Collision
Physical
Damage-
12/1/2020
W1186
1/26/2021 1/26/2021
10/13/2021
,.__..___._._____...._.,_ _-
OV hit IV Grant County C
_..��.___..___.__...__....._.._......_._..._....._._...
$11
_.-..-..-.....,........_.._._....._
$0
.___...�.___.__._._..__._..._____,.__.._
$01
._.__._.__....�.._..__...
$11
_._....._....._.,..... �
$11 Grape Drive Bill Correll
County
Collision
2020-2021
Grant
County
Auto
Liability
12/1/2020
W1233
7/8/2021 7/8/2021
7/13/2021
Tyler
IV hit OV & trailer C
Napiontek
$0
$0
$0
$0
Division & D
$0 Bill Correll
St. NE
Grant
General
Rock off mower
McConihe
2020-2021
12/1/2020
W1236
7/6/2021 7/21/2021
9/28/2021
hit claimant's Don Terrell C
$483
$483
$0�
$0
$483 Rd & D.5 NE Bill Correll
Count Y
Liability
Y
vehicle
2020-2021
Grant
County
Auto
Liability
12/1/2020
W1231
7/8/2021 7/8/2021
.--.-�--.._..._._ -.._...._._..._.__ _ _
8/13/2021
.__..�..._.__.....__..
IV hit OV & trailer IJim Chornuk C
__...._.___..__ __._...__....
_._..__ -
$50,302
$0
..�....__._._ .__..__..._..
$0
....�
$50,302
._..__..._.
$50,302 Division & D Bill Correll
St. NE . ._�.
..
-
2020 2021
...._.._._._......._
Grant
_.._ ._.___.. _ _ . _ _..- - _ _
Physical
-
Damage 12/1/2020
_ _....__.
W1250
_.___._..__..
8/9/2021 8/9/2021
2/1/2022
IV rear ended OV Grant County C
$0
$ 0
$ 0
$ 0
Basin St SW
$ 0 & 2nd Ave Bill Correll
County
CollisionSW
I
i
_...._..._.....___........_._w. _ __._. _ .............._........ __.._..M...._............. ... _.. � _.. _ ._ _�_......._..........._. ..........._....... ._..... _...... ...... ........ _..._.._.. �_.._...__........,. ___� _ �. � _. �....__........................................ ... � .._ �_._...__.. � .._._ � _ ._ __.........._...._...._...._.. ......_.._...._. _ _.._..__ _
Physical� €.... �.._.__....................._.._.... �__.._-._......._..._...._...,.....__.___._....�_......�...,..__......._...__....__.__........ �........._.............._..__...._.._.._..._...-.._..._._._._.__...._..�
Grant Wheeler Rd
2020-2021 County Damage- 12/1/2020 W1171 1/14/2021 1/14/2021 3/11/2021 OV hit IV Grant County C $11 $0 $0 $11 $11 & Hwy 17 Bill Correll
Collision
2020-2021 Grant General Client hit lip on Brad
Count Liability 12/1/2020 W1310 11/17/2021 11/17/2021 7/26/2022 equip Unknown C $0 $0 $0 $0 $0 Playground
Y Y playground q P Guidinger
o a s or 6 laims 9 837113 99 066 52 750 9 90,797
w..�-... - $ $ 7 9889,864
_. . , ._. µ:...µ........a... m � ....,.. ....,..w. .:....;:. ........:. .:.�...... ,....�... ,. ,.........Grand
..... .................._ _
Grand Totals -_ , I
.........__..... __....... _._._...._ .__._ . _ - 9 837 113 99 066 52 750 9 790 797 9,889,86
_._._......_ -..._ ._M.. M..... $ $ $ $4
w , u ,.,.,....,.,....,.I�,��.�.,..,.,.,,.,..,...,...,.,.,.....�,.w.�.,.w,.,..,.,......w.w,.......,...�,..,..�...,......,�.µ........w.N....-,_,.,..w...,.,.....,,...ww...............�...w.........,..,.,......,..,...,.u,.,..,,.,.,..,..f...�...�....,..,.w..,....,....�..,.��.,.............w........._..w,..,w�.......,,.W,..,.�,1
JOWCRG
W;)spfrqtr,n Comw R;,,*, frup
Grant County Loss Run Policy 25-26 as of 3/2126
PolicyYear Member
Policy
Coverage Effective
Claim Number
Date of
Event Date
Date Claimant
Event Description Status
Paid
Deductible
Reserve
Paid +
Reserve Less
Paid + Accident
Adjuster
Date
Claim
Closed
Name
Collected
Balance
Deductible
Reserve Location
Po I icySetEffective Date: 2025
Auto
16010 Rd
Grant
2025-2026
County
Liability::AL -
1 12/1/2025
W1 837
2/12/2026
2/12/2026
IV backed into OV
Jonathan
0
$2,720
$0
$2,280
$5,000 $5,000 1 NW, 'Brooky
Property
Fox
iWA
George Olson
iDamage
i
a
Grant
Auto
Liability::AL -
Jonathan
5011 RD
2025-2026
County
12/1/2025
Property
W1 821
12/18/2025 12/18/2025
IV backed into OV
Ester
0
$9,052
$0
$948
$10,000
7.3 NE, Brooky
$10,000
Moses Olson
Damage
Babchanik
Lake WA
Property::Aut
16010 Rd
2025-2026 Grant
County
o Physical 12/1/2025
Damage-
W1 836
2/12/2026
2/12/2026
IV backed into OV
Grant
County
0
$0
$0
$0
$0
$0 1 NW, Brooky
George Olson
Collision
i
iWA
Property::Aut
1st Ave
2025-2026 Grant
County
o Physical 1211/2025
Damage-
W1818
12/1/2025
12/1/2025
OV hit IV
Grant
S
$6,570
$0
$930
$7,500
$7,500 NW&C Brooky
Collision
County
St. NW, Olson
Ephrata
Grant
General
Liability::Law
Officer involved in
Estate of
- — - ------ - --
Andrea
2025-2026
County
12/1/2025
Enforcement
W1 838
2/17/2026
2/17/2026
shooting where
Aaron
0
$0
$0
$0
$0
$0 Unknown Tsivgade
Liability
other person died
Ammann
Ilis
Property::Aut
Near
Grant
2025-2026
County
o Physical
12/1/2025
Damage -
W1 831
1/28/2026
1/28/2026
OV hit IV
Grant
0
$29,667
$0
$16,333
$46,000
Columbia
$46,000
Hunter
Count
y
Ridge
I Stucky
Collision I
School
2 6 Claims 025
'm
48,0101
$0
$20,490
$68,500
$68,500
PMnd S
r*-00 1
1
. ................................
—T
10101
$C
t"
2P,49 D
1-
$68,500, $68,500,
L- i