HomeMy WebLinkAboutUpdate Documents - BOCCA C R
Washington Counties Risk Graup
Grant County
Loss Run Open Claims as of 9/2/26
Policy Date of
Date Event Claimant Deductible Reserve Paid + Reserve Paid + Accident
Status Paid Adjuster
PolicyYear
Member Coverage
Effective Claim Number Event Date Claim
Closed Description Name Collected Balance Less Deductible Reserve Location
Date
Coverage: Auto Liability
i PolicySetEffectiveDate: 2025
-............. ............ � -
Auto
;Grant Liability -.-AL :AL
y'
I I ? r
- I i
12/1/2025 W1887 7/16/2026 17/16/2026
IV rolled into Eden I Hunter
O $7,210 $0 $7,790 $15,000 $15,000 ;Stucky
s i2025-2026
County Property
l
OV Wilham i I
'Damage
.. �_... i
;Auto
I
I
Grant Liability::AL - IV backed Terry r 1211 Moses Hunter
2025-2026 12/1/2025 W1857 4/27/2026 14/27/2026 0 $3,493 $3,062 $0 $430 $3 493 St. ;Stucky
t County Property ? into OV , Knopp i i
Damage ---- -- I
Totals for 2025 - 2 Claims ` 0 T03 3 062 $7,790 $15,430 ` $18,493
Totals for Auto Liability - 2 Claims s1Q,703 $3 062 $7,790 $15,430 $18,493
;Coverage: Crime
Polio SetEffectiveDate: 2025 - - - ---w
............ .....
bezzleme
Grant I
2025-2026 JCrime 12/1 /2025 W1846 3/25/2026 \ 3/25/2026 Em ;Grant O $0 $0 $0 $0 $0 ;Kelly Owens
;County nt County 0 $$0
$0 $0 _-
\ ` \ 1
Totals for 2025 -1 Claims $0 --
Totals for Crime - 1 Claims $0 $0 $0 $0 _ 0 m
;Coverage: General Liability
PolicySetEffectiveDate: 2020
Grant General L 1 9 0 0 1 0 2 0 Roadway Patrick $ $ $
2020-2021 ? 12/1/2020 W1492 8/7/2021 15/19/2023 design Ramos $1 5,7 $10 0 9,2 5 0 5 0 ay
Dangerous Deeana
P
ro
ad ;County ;Liability .g .-..;��_ �.,......._ O;R. ;...... - _..
9' 0 1
oa � 1 1
a oru
Estate of
Grant General
2020-2021 12/1 /2020 W1567 7/26/2021 11 /29/202313/25/20241 Drowning Danika L $31,239 $10,000 $28,761 $50,000 $60,000 Patrick Boruff
;County ;Liability
Ross
-
R ;
Totals for 2020 - 2 Claims $147,038, $20,000 $37.962 $165,000 $185,000
Polio Set Effective Date: 2021 - - ......_......., _. ----- __........._........
Y _.._. -� .. -
General i i g
;Grant ?Liabilit ::Law ?Wrongful Jonathan 754 Silica RdAndrea
2021-2022 Liability::Law W1660 8/20/2022 8/7/2024 L i $54,321 $10,000; $245,680 $290000 $300,000NW, George
i arrest Mood 9
€ County Enforcement , y WA iTsi dellis
Liability i i I I v
;General I ----
Claimant Erika
� ?754 Silica Rd
iCla E l
;Grant Liability::Law alleges + ONW (Gorge Andrea
2021-2022 12/1 /2021 W1783 8/27/2022 8/22/2025 g €Rodriguez- L $0 0 ;
;assault b i $ $0i $0' $AmphitheaterTsivgadellis
;County ;Enforcement y Palomera £ £ I
a Liability i i insured
2 General Claimant l £ r 754 Silica Rd
iGrant ;Liabilit Law ;alleges Demecio I 'NW (Gorge ;Andrea
2021-2022 y 12/1 /2021 W1782 8/27/2022 8/25/2025 i L $40,492 $10, 000? $19, 508 $50, 000 $60, 000
gCounty ;Enforcement ;assault by Valdovinos I ;Amphitheater; Tsivgadellis l
Liability
insured
General l i
I ;Grant Liability::Law � 'Wrongful � Kristen 754 Silica Rd,Andrea s
Q �2021-2022 i 12/1/2021 ;W1661 8/20/2022 �8/7/2024 i i L i $0� $0; $0 $0, $ONW, George
County ? Enforcement ;arrest Jones £ WA ;Tsivgadellis
_ Liability
Totals for 2021 - 4 Claims ` $94,813\ $20,000 $265,187 $340,000; $360,000
PolicySetEffectiveDate. 2622
� Injuries
Grant ?General resulting i Michael
i 2022-2023 (Liability::GL - 12/1/2022 IW1565 1/4/2023 11/4/2023 3/8/2024 , L i $110,5091 $10,000 $454,491 $555,000 $565,000 Roadway ;David Kosa
i County i ;from veh Moore i l
I l Bodily Injury I l
accident _ _ _,_....,....... _ _ _ ` .....__ . , _ _;
General I ;Claimant
I i
I Grant Liabilit Law alleges he 754 Silica Rd Andrea
2022-2023 y' 12/1/2022 W1710 8/4/2023 >1/6/2025 Ewa g Brian Israel; L $28,868 $10,000 $111,133 $130,000 $140,000NW ;Tsivgadellis
County Enforcement I i
'a
` ;Liability � � �ssa ulted .
......... ....... ..... _...... ........ ......... ...__._.__.._....... ......
___....___...___..____.._.__
General 2
2022-2023 Grant Liabilit ::GL - 12/1/2022 I
W1735 1/11/2023 4/2/2025 Tri and Fall Heidi L $67 787 $10,0002 Z
Y p $407,213 $465,000 $475,000iParking lot David Kosa 1 County �godily Injury � Pinckard
3
Totals for 2022 _3 Claims i
$207,164, $30,000i $972,836 $1 150 000� $1 180 000.,
,_w _,. _ _ , ,
PolicySetEffectiveDate: 2024
General i I
Grant Liability::Law Inmate found Estate of Grant County Andrea
2024-2025 12/1/2024 W1813 11/4/2025 11/20/2025 Ruben O $ $ $ $ 0 0 0 0 $0
County Enforcement deceased Trevino Jail �Tsivgadellis I
€ f
i Liability �
General I
Estate of
2024-2025 Grant Liability::Law 12/1/2024W 09 Death of (Andrea
17 12/31/2024 12/31/2024 Richard L $15,127, $10,000 $2,664,873 $2,670,000 $2,680,000 Jail Facility
County Enforcement Inmate Jsivgadellis
Liability Lambert
i
j General i Employee...
2024-2025 Grant Liability::GL - 12/1/2024 W1817 8/16/2025 11/13/2025 injured in Dawn O $0 $0 $0� $0 $0 Fairgrounds David Kosa
County I Yearout
Bodily Injury € 3 rabbit barn
j Totals for 2024 3MClaims -
_ _ $15,1272 $10,000#} $2,664,873 $2,670,0001 $2,680,000 3
PolicySetEffectiveDate: 2025......_..... ...._..........:_......__.... _........ ... ................._....._.._..___._...__.__._.,..__.......-...-._........---__._________._.._._---.._:__._..___.__.____._.._...
2 General Officer
Grant Liability::Law I € involved in Estate of Andrea
i �2025-2026 12/1/2025 W1838 2/17/2026 2/17/2026 shootingAaron O $0 $0 $0 $0 $0 Unknown
:County Enforcement where other Ammann Tsivgadellis
�. Liability
.......... _ __.__.__..__.. _ _._ person died
Claimant
Grant General y injured by i s
€ 2025-2026 Liabilit ::GL- 121112025 W1851 3/11/2026 4/17/2026 Jill Hagerty O $0 $0 $0 0 0 Parking lot Patrick Boruffl
County falling in g y $ I $
i Bodily Injury f
... �..,
pothole. €
jTotals for 2025 -2 Claims _ - - O 0 0 0; 0� i
Totals for General Liability - 14 Clams $464,142 $80,000= $3,940,8581 $4,325,000 $4,405,0002
Coverage: Law Enforcement Liability_.:..»..............................,............_..»........_.........._.........._,_...._._.,,,....._.,..,.._.................,...,......_........._..._....... .................
_.
PolicySetEffectiveDate: 2017
Law
Grant�-_.._......�..,_._....�... �__._�..._w___..-.....�.......�....�.____._...,...�•Derek -_...�.. �._,...._.,�..�.........._....__.�_......:....._. � i ;Kumau I
€ 2017-2018 Enforcement 12/1/2017 WGran2018048192 8/12/2018 8/28/2018 Inmate death Liability 3 L $251 378 $10 000� $452 622 $694 000 $704 000 Jail I
County Batton 3 i � McWilliams
, I
Law i
2017-2018 Grant Enforcement 12/1/2017 W1012 8/12/2018 �815/2019 Inmate death Barbara L $70,000 $0 $0 $70,000 $70,000 Grant County Kumau
Count Anderson Jail McWilliams
Y_ Liability _ . �._........._ _ ._..�..�.....__.........»...._. _..__� _.... _ .... _... i i � � i 1
Law
2017-2018 Grant Enforcement 12/1/2017 W1011 8/12/2018 8/5/2019 I........... . ...... ......nmate death Rod Batton L $0 $ 0 $ 0 $ 0 $0 Grant County Kumau
County � � Jail McWilliams 1
jLiabiylity ___._._...._._._.._..__:_.__.. 1. I
Totals for 2017 3,Claims i._
_....._...__.__..__.____.._ _ _ ____ _.._._, $321,378 $10,000j $452,622 $764,000 $774,000,
j F
ITotals for Law Enforcement Liability`- 3 Claims 321 378 10 000 45 622 764 000€ � 774 0001
$ $ $ 2, $ $ ,
rage: Property
_
_
PolicySetEffectiveDate: ~2025
i . . . ...................
Property::Aut,.�..._,_.._.. �
i Grant o Physical OV rear- Grant
t S. Main Hunter
2025-2026 j 12/1/2025 W1888 8/3/2026 8/3/2026 O $34 745 $0 $15,455� $50,200 $50,200 Street,
County Damage- y Kittitas WA !Stucky
ended IV Count
i � � I I � � I
Collision i i
Property::Aut �_..__.�...._.,_.�..�. i
_ Grant o Physical Grant Stratford Rd
Y i
2025-2026 i 12/1 /2025 � W1865 5/19/2026 5/19/2026 � IV hit pole I O 53 828 10 000 8 172 52 000 $62 000 � Brook Olson €
County Damage- County # NE ,
Collision ( i
Totals for 2025` - 2 Claims - _j
I $88,573 $10,000 $23,627 $102,200, $112,200
_.... i ._..:__. �. -_.� _..............._... _ ._...._ _ _ - _ _......._._..
,Totals for Property 2 Claims 88 573 10 000 23 627 $102200 $112 200i i
Coverage: Sexual Abuse and Molestation -Primary _ _ _ __- ......................»........».....,....�......_......-_............_....._......__....._.»........_..__....._�..-_......:.___-__.._....._....._..-..._............�__..,...._..._..._............,.»...._.,......_._-__...._..._.......�_.._..........___._..._.__..........
I PolicySetEffectiveDate: 2012 _
i Sexual Juvenile
Grant Abuse and Sexual Tom I Dawn
2012-2013 ICounty Molestation - 9/1/2012 W1789 4/4/2013 9/10/2025 misconduct Waters L $48,348 $10,000 $351,652 $390,000$400,000 Detention Greene
i Primar
Cener
€._ Y
Totals for 2012 1 Claims M_ 3
$48,348- $10,000 $351,652 $390,000 $4001000i
Totals for Sexual Abuse and Molestation =Primary -1 Claims $48 3481$10 000i $351,652 $390,0w $400,000
Coverage: Wrongful Acts - Primary
PolicySetEffectiveDate: 2021
Grant Wrongful Wrongful Darrik I
2021-2022 Acts - 12/1 /2021 W1376 10/1 /2020 6/17/2022 �
Count termination Gregg
y Primary
Grant Wrongful Wrongful Dustin
! 2021-2022 Acts - 12/1 /2021 W 1375 10/1 /2020 6/17/2022 i L
� County Primary � termination Canfield
t.............»... _ _»_...».m., ........ ...... ..a...... ......................
Total s for 2021 2 Claims
Poll ic SetEffectiveDate: 2023
Y _._.__..._»_...--w- »......_ _.. ............ __._._...,.._w.._ »_._.. ____».............._........_............ _»... __...»»__.._...».......... --- ._..... _.._
Wrongful
Grant Constitutiona Francisco
2023-2024 Acts - 12/1/2023 W1672 8/20/2013 10/7/2024 R
County I deprivation Barragan
Primary
Grant Wrongful Constitutiona Kaylani
2023-2024 Acts - 12/1 /2023 W1671 8/20/2013 10/7/2024 R
County � I deprivation Barragan
Primar
Totals for 2023 - 2 Claims
Pol i cySetEffective Date: 2025
...-.».�..__. _.__..�.....�_....___._._.._._...._.._.._...__._._.,.. .�._... I Claimant
Grant Wrongful
Wrong denied Francisco
� � �
2025-2026 County Acts - 12/1 /2025 W1854 3/23/2026 4/27/2026 access to Barragan O
Primary zoom court Jr.
hearing ,
......._.._..._...._._......._..».»...,.....................»_..........._........._.........._._...._._...___...._.»...»».»....................». _
Totals for 2025 -'1 Claims
_
Totals - 'ma - 5 Claims
for Wrongful fuI Acts Primary 2
-�8 Claims
,
d Totals-��2 � .....
� Gran - _
$0
$0 $425,000
$425,000
$425,000
AndreaTsivgadellis
$317,581
$10,0001 $632,419
$940,000
$950,000 :Andrea
Tsivgadellis
$317,581
................_.........._ .._ ........... ..._...........2.......»_..........
10 000! 1 057 419
$ $ 1
...,.,._.»...».._„,.,........»..._......_..................„.,�.,_.._.............._,............................,,»..._......................»»...».....»,.........................»,»,......,...........................................................
$ 1 365 00M
$1,375,000,
_.... _....... .....___......
$0
»............� ._..»_...._........ ___ __� __._._.....___
$0 $0
-.._,......_____.»_....»..,.....»
$0
._...w..__..._........._.._....»_.... _ ..._........»...»r_.._.___»
$0 `
.»_m"_»..___
Kumau
McWilliams
............. _...._-w__._..__._.._».._.
$ 0
_i_ ____.____.__. _. _»._.._.
0� � 0-
$ $
_......»___.____»..-....._...._�
$0 _.
$0� _Kumau
McWilliams
&0%
...._»,.._............ ....... _........ .»......... ........... __._
d•r% @n$
...... ._........... -._..._...... _.......................... _»._.. ... _........
@nl
_»»_... ............. _._........... ._..._..._........... _........... ......_..._.»...._....._........
@n,
__ ...... »_._............... .._._.
I Coyote
$0 $0 $0 $0 $0 Ridge Kumau
Correction McWilliams
Center
_...,.».._...._..___............»..._._.._».»......._.._..._.»............... .................. .... .... Y........ _.»..,._......_........_.»._......._.......__........ _... ........_»».._..........__�..._.,.»._._.».._._....__....._.»»_._....»__._.�_...... ._........ .... _............. ...........
0 0 � $0 $0 $01
$ __w.._...._..___. ».t»» _..._.....»... I ......... .
8 t 10` 000 1 057 419 1 365 000 $1 375,000 1 2
1 $ ,
{
.�r3 A.wn�s nnn, der o"f" n�o�3 d`L` AGA G4A� d7 AQA CA43
.. WCRG
evast::;ytcx coa,tm=2i3kG,ruup Grant County Loss Run Policy 2020-2021 as of 9/2/26
Policy Event
PolicyYear Member Coverage Effective Claim Number Event Date Date of Date Descripti Claimant Status Paid Deductible Reserve Paid +Reserve Paid + Accident Adjuster
Claim Closed Name Collected Balance Less Deductible Reserve Location
Date on
;Coverage: Auto Liability
PoIicySetEffectiveDate 2020
Basin St
. .. ............................"..."...........................................................
Grant Auto I rear- Gerald 1113 rian
2020-2021 12/1/2020 W1251 8/9/2021 8/9/2021 ? 12/20/2022 C $13 115 $10 000 $0 $3,115 $13 115; S d Jordan
2 County ?Liability i z \ e_ _ .__".__....._......... _..... __.__ .,... _ . _ ... ....... _......__... , Ave SW
end
ed V IMcClain
a
a a a
_...,. a..... �.,,,.
.______..__�.._�_—._._.__.._.�..,.........—_.. a.,._. —$ Bill Correll
a
a Grant Auto E
I 2020-2021 t 12/1/2020 ; W1233 7/8/2021 17/8/2021 7/13/2021 IV hit OV Tyler C $0 $0 $0 $0
e
a �
a
0 Division & � B.
County Liability I i&trailer ;Napiontek ,__
t...._.._......_-.,...,_ _._.... V hit t O V i m I
;Grant ;Auto I a $ 0 Division & ill Correll
2020-2021 12/1/2020 W1231 7/8/2021 7/8/2021 8/13/2021 I C $50,302 $0 $ $ 0 St NE
J 0 50 3 2 50 3 2;pivi `B.
County > Liability er nuk & trail Chor
— Rock I
# ? Grand ?Chelsea
' Grant Auto chipped ; Mike I
2020-2021 12/1 /2020 W 1268 19/29/2021 9/29/2021 ,12/22/2021 C $757, $757 $0 $0 $757 Coulee, Chase
, a
g ;County \Liability � � I ;claimants ;Shear I � I I WA � windshield
Rock i a
;Wilson �
2 � a '� 2
12020-2021 'Grant Auto 12/1/2020 W1262 9/1 /2021 39/1 /2021 3/15/2022 thrown by Fred IV hit C $5,587 $5,587 $0 $0? $5,587 Creek ;Chelsea
I ;County Liability Meise Chase
claimant's I ;Loop
a a
a
a 3 ;windshield
Totals for 2020 - 5 Claims ' — 1i $ , $ - 3
69 T60 16 343� 53 417 $69,760
Totals for Auto Liability - 5 Claims _ m,_,$69,760 $16,343 .0 � _ 53�417 $69,760„"" _ ___
;Coverage: Employee Benefits Liability - Primary
PolicySetEffectiveDate: 2020 T_
Employee a � � I �-�� `
a Life a a a Kumau
2020-2021 iGrant ;Benefits 12/1/2020 IW1219 >12/31/2018 16/15/2021 7/11/2023 ;Insurance ,Dance I C $27,593 $10,000 $0£ $17,593 $27,593 McWilliam
;County Liability - i a I
Issue I ;s I Primary '
- - -- — - - a -- _ ---
-- __
Totals for 2020 - 1 Claims $27,543 _ $10,000 0 $17,59 $27,593 �
Totals for Employee Benefits Liability - Primary - 1 Claims _$27,593 $10,000, - _ � $17,593, _ $27,593
Coverage: General Liability
2 Polic SetEffectiveDate. 2020 Claimant
_
i Ci
a a
I injured
Grant ' General a Virgil € a ' Rd 4 NE & Patrick
2020-2021 12/1/2020 ' W1296 5/31 /2021 12/16/2021 8/6/2024 due to : C $7, 848, 865 $10, 000 $0 $7, 838, 865 $7, 848, 865
;County 'Liability ;Redwine a Rd E NE ;Boruff ,
a £ I ;dangerous l
a
I ? road 3 a s
a �
'120072
Hot water
2020-2021 Grant General 12/1/2020 W1242 7/9/2021 7/21/2021 8/3/2021 heater Carrie C $0 $0 $0 $0 $0iLi
nden
Rd Kelly
County Liability Lnenicka NW, Soap Owens
damage Lake
a
(Client hit
Grant i General £ ? ? p on $01
lip a Playgroun Brad
2020-2021 12/1/2020 W1310 11/17/2021 11/17/2021 7/26/2022 Unknown C $0$ $01 $0 $0a
County ;Liability i ?playgroun g td Guidinger 2
l I € I I g d equip
a l l Dangerou a t
\;\Deeana I i a PatrickGrant General L $115,799 $10,000 $9,201 $115,000 $125,000 Roadway2020-2021 12/1/2020 W1492 8/7/2021 'S/19/2023 s road 113oruffCounty Liability desiqn Ramos
a
I I ? a IMelody
2235Snow plow; aGrant General a? dama ed Garr 2
g y Steve
i £2020-2021 i 12/1/2020 W1621 �2/1/2021 =4/9/2024 5/22/2024 C $0 $0£ $0 $0I $0 Lane NE, Whetstone
;County Liability I ;claimants ;Jeffries
;Moses a a �
a a a
I �
a
seal _
chip
Lake I
l a ,"'Failure to Kumau
g
;Grant ;General ;Follow a a �
I 2020-2021 '12/1/2020 W1322 11/25/2021 11/25/2021 11/26/2025 ;Carla Gray; C $1,641,370 $10,000 $0 $1,631,370 $1,641,370 aMcWilliam
a
I
a
a
;County ;Liability GCC
a a
Grant Generaly y Estate of 3 Patrick
�
2020-2021 Count Liability 12/1/2020 W1567 7/26/2021 11/29/2023 3/25/2024 Drowning Danika L $31 239 $10 000 $28 761 $50 0001, $60 000
Ross f Boruff
_ __. - _._. ....._......_.... _...__._.._....._......._....................__....._......._ _..._..-__._ _ _.. . _ �._ _......_ _...___.._....__ ._.. ...
� � Gravel hit �� � F ;
Grant General Hunter ; Kell
2020-2021 Count Liabilit 12/1/2020 W1228 6/28/2021 7/6/2021 7/13/2021 claimant's e C $0� $0 $0 $0 $0 Rd 3 NE y
y y vehicle Ogle Owens
Rock off
� McConihe
Grant General mower hit Don {
2020-2021 County Liability �12/1/2020 W1236 7/6/2021 7/21/2021 �912812021 claimant's Terrell C $483 $483 $0 $0 $483 Rd & D.5 Bill Correll
2
s � INE i
vehicle_ _ .. _ _ _..._... _ - -_ i___... .......... ._._.._._._.._..__.....__.____._.._.____._..______....__.___-_.___......---.._.___€
i Claimant
Grant General injured i
I 2020-2021 12/1/2020 W1297 5/31/2021 12/16/2021 11/16/2022 due to Tera C $0 $0 $0 $0 $0 Rd 4 NE & Patrick
County Liability dangerous Redwine I I Rd E NE Boruff
_._,._ .. _... road
tTotals for 2020 = 10 Clams $9,637,756� $40,483 $37,962 $9,635,235, $9,675,7181 r
_ .__..._...........m.....__.....,_.......
tTotals for General Liability 10 Claims $9 637 756i $40'483 $37 962 $9 635 235
Coverage: Physical Damage - Collision
PolicySetEffectiveDate: 2020
t
� Physical Pioneer
Grant IV struck � Grant � � Chelsea
2020-2021 County Damage - 12/1/2020 W1257 8/18/2021 � 8/18/2021 12/20/2021 building County C $2,140 $2,140 $0 $0 $2,140 Way, # Chase
Collision Moses
-__._...._.._....._....... ._............ _................... _ _.._- _..._.. I Lake I
Physical Basin St
Grant IV rear- Grant
2020-2021 County ended OV County Damage - 12/1/2020 W1250 8/9/2021 8/9/2021 2/1/2022 C $0 $0 $0 $0 $0 SW & 2nd Bill Correll
�
1
Collision � Ave W
S
Grant Physical IV hit OV Grant � � Division &
2020-2021 Count Damage - 12/1/2020 W1232 7/8/2021 7/8/2021 8/20/2021 &trailer Count C $14,809 $10,000 $0 $4,809 $14,809 Bill Correll
y Collision 1 y ID St. NE
Grant Physical � Grant � Grape I
2020-2021 Damage - 12/1/2020 W1186 1/26/2021 1/26/2021 10/13/2021 OV hit IV C $11 $0 $0 $11 $11 Bill Correll
County County Drive 1
Collision��._
Physical 1 Wheeler
} 2020-2021 Grant 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 t Rd & Hwy Bill Correll
County Collision _ 17
1 Physical � � � - � -� Basin St
Grant Grant
2020-2021 Damage - 12/1/2020 W1222 6/21/2021 6/21/2021 1/19/2022 OV hit IV C $0 $0 $0 $0� $0 SW & 10th David
i County Collision County Ave SW Kosa
�
Grant _ yPhysical Grant 3 SR 243
- &
i 2020-2021 County Damage 12/1/2020 W1189 3/15/2021 3/15/2021 9/2/2021 OV hit IV County C $0 $0 $0 $0 $0 Rd 24 SW Bill Correll
Collision 9 _
..... _ .....__._.................. ._.......... .............. .... ..... ..... .... _.... ........ .__._.......-..
Totals for 2020 7 Claims $16 970 $12,140 $0 $4,8301 $16,970
...........,........._._..._.__.w_,_................__....__.._..... _ ...._............._ µ._..........................._-.._...:.....:...:.....__......_..............:.................._....W..................... _._........_..............,.........._......:...........,.... _..._.._......._...................._.......�......_.._._......._...._.___.........
Totals for Physical Damage - Collision - 7 Claims $16,970, $12,140 $0 $4,830 $16,970 3
i _ ._..- ..._..__ .
3#
Coverage: Physical Damage - Comprehensive
Po i cySetEffective Date: 2020
Physical Damage to I
2020-2021
Grant Damage- $0 $0 $0 $0 $0� Chelsea i
12/1/2020 W1281 � 11 /15/2021 1111512021 4/5/2022 IV from Grant C
County Comprehe 2 transportin County Chase
nsive
Physical
Grant Damage- - Grant David
2020-2021 g 12/1 /2020 W1277 11 /3/2021 11/3/2021 2/9/2022 IV hit deer County C $0 $0 $0 $0 i $0 i l-90 i
County Comprehe
s
osa
Veh# 7139
i
� t
nsive
Physical Theft of
Grant Damage- Grant I
�2020-2021 Count Com rehe 12/1/2020 W1213 5/24/2021 5/24/2021 6/29/2021 catalytic Count I C $0 $0 $0 $0 $0 Kelly Raap
z y p converter y
nsive I
I
Totals for 2020 - 3 Claims $0 $0 $0� $0 $0,
t ._ _....._.,.... ,.._., ._._., _._._. _. _3.....___,..__ ,._, ...._...... _._. .
-
iTotals for Physical Damage -Comprehensive 3 Claims $OI $0 $0 $0� $0
_............... . .._........__ ._._..---......_ ...... ..._...._._... ___._..__.... _....._
Coverage: Property
Polic SetEffectiveDate: 2020
.............. _ . ........... _._.._....__.. __.__.._.....__.__.._......... .... ..... .__........... ...__._ ._........... ._..-........ _.._.___....____.__.._..... _..._._._._.......,......___
Grant
2020-2021
Grant � Property 12/1/2020 W1237 5/11/2021 5/11/2021 10/25/2022 Vandalism Grant C $11,119 $10,000County Steve
County County 9� $0 $1,119 $11,119 Fair roun Whetstone
._._._._� _ ..._.. dS ...._.._._ _.__._...... . ....
�2020-2021 Grant Property 12/1/2020 W1327 10/21/2021 10/21/2021 12/6/2022 Bridge Grant C $0 $0 $0 $0 $0 Rd M SE David
County p y damage County & Rd 5 SE Kosa
.... . ............. ........... ............................ . ... ........ . ........
. ....................
....................,,..... ............. ....... ..,.,..,..,...... .... ............. ..... ..,_,....................... .......... . _.....
.. . ..........
. . ................ ....
11 119 10 00.0 $p $1,119 $11,11
$ $ , .........., . �. ,,.,.,.....,,..,.,,..,, ,,,, ...., ., ...,....,...,., .. , ,..,,
020 2 Claims .....,.. M......,,,...
Totals for 2 ............,,, .... ... ... __..,,.....
11 119 10 000 $0 $1,119� $11,119,
e - 2 Claim $ r Pro rt �......._..... Totals fo _ _ .._ . _ _ �.�......-.........................._..._.-._.._ �:.....W.._..,_..,..............:.._...�......_......._.._...�................_..._.....-_...._,......._...___......_.,_......_.......,....,.........__......_....._....._..., ._
Coverage: Under Insured and Uninsured Motorist
Pol icySetEffective Date: 2020
Under�"..-...._...._._..�.-...._.._,__�._.___.____....__.__...__..__.._.._..�.�...... � � ___.�_...�__.. __
Insured Jarea
2020-2021 Grant and 12/1/2020 W1187 1/26/2021 1/26/2021 I8/29/2023 �OV hit IV Fulb C $14,000 $0 $0 $14,000 $14,000 Grape David
County � I ulbright � Drive Kosa
Uninsured
Motorist.................. ........-_._...._� _...._.._..._....._ ..__,..... _....w......._.. _ .. ..._ _....._.__.._._............... _ _._......_.,.....__._ _._.._......._._.._,_ __..__....._.._._ ._..____._._. __......
Under
Insured Grape
10/13/2021 OV hit IV C $2343 $100 $0 $2243 $2343
Grant 1/26/2021 4/16/2021 Grant ,,,p
2020-2021 County and 12/1/2020 W1200 � � County � Drive Bill Correll
Uninsured I
Motorist
s o 2020 - 2 Claims $16,343' $100? $0 $16,2431 $16,343,
Total f r ....................................... ,..................................- .....................,.,....................................
..,...._.................._...............
Motorist - 2 Claims 16 343 $100 $0 $16,243 $16,3431
Totals for"Under Insured and Uninsured$ ,
Coverage: Wrongful Acts - Primary
Pon c SetEffectiveDate:2020
Y _........._..__.._..,...._....._...., _....... _...._._....._..... __._._..._._......_....... _._....................__......_.._....._.._-_-__._..._..._..._...._..........._........._-_..._...,m.._......._. __._..........__...____ _._..-.... _ .._..__......_..._._..._ _...._......_..........
._...�._..-.._.......................................................__.,_....._.._..........._..............._............_.._....._............._.._._..�....._..._.._.__..._._..._..�._.... � Grant
g Count Andrea
Grant Wrongful I Discrimina � Darci 2 Y
2020-2021 County Acts - 12/1/2020 W1229 8/1/2019 7/6/2021 5/22/2024 Dion issue �DarciC $72,360 $10,000 $0 $62,360 $72,360;CountFairgroun Tsivgadelli
C y PrimaryArmstrong s
ds
..... -.____.__..-... €...__ ......._............_,.__..�.._....-__.._.._......_...... _..._.........
,_,__.....-__._.
Grant Wrongful Discrimina Adolfo 801 East Kumau
2020-2021 County Acts - 12/1/2020 W1205 2/21/2021 5/3/2021 3/3/2022 tion Cardenas C $0 $0 $0 $0 $0 Wheeler McWilliam
Primary I Rd s
....___............_._. __,__._._____._........_ _...._...._._..._.._.._..._...__._._.._.._....___.�. __..._......_....__ .__... __ _..........____.._.... -._ ..
� � I
Wrongful
Grant Kumau
Grant Discrimina Virginia
2020-2021 Acts - 12/1/2020 W1207 4/13/2018 5/4/2021 1/19/2022 C $0 $0 $0 $0 $0County � McWilliam
County Primary tion Valdez Health s
District
.. ._.............. ...._....__......_...._.... _._...._ .._..._-,_..__.......__ ........_._,_........._...__ ..._,._....w...
Wrongful Estate of I Kumau
request County q
2020-2021 Grant Acts - 12/1/2020 W1193 9/18/2015 �3/29/2021 2/8/2022 Records Jessica C $0 $0 $0 $0 $0 �McWilliam
re Alvarado I-_...._............,._._.._..................._...._.._.............._.........._............__. s
Primary ... ..... _ ,.._...
I Complaint
Wrongful for Refund H5 Data
9 Kumau
Grant Acts 12/1/2020 W1225 1 /1 /2019 6/30/2021 4/27/2022 of Centers- C $0 $0
County Quincy, $0 $0 $0 McWilliam
2020-2021
Primary Property s LLC
-.__._......__._..-....__..._ Tax
Wrongful Disbursem City of Kumau
2020-2021 Grant Acts - 12/1/2020 W1214 10/14/2020 5/25/2021 1/31/2022 ent of Moses C $0 $0 $0 $0 $0 McWilliam
County Primary interest Lake s
ydue _._ _..........._........_._., _...__.. ....... _ _._ ._ _ _.... _._.......I..-.._....__.__......_..._.. _
Totals for 2020 - 6 Claims $72,360 $10,000 $0? $62,360 $72,360
...... _ ... .............� ............,......_.........._.-.,,,.... ......... ........ ..
Totals for Wrongful Acts Prima 6 Claims $72,360� $10.000 $0 $62,360 $72,360;
_ _ rY € _ ..
._.. _................ -. 9 .. _ .
_ _.. _,.....__ .,. . _ . .. .., , w .�_,... _ _.......... �- �m i
9 864 i 90 797 9 88
I 9 851 �902 99 066 "37 962 9 7
36 C�aims� $ , rand Totals I .��. $ , GI � � $ , ,
w:srmowWiCRGrt.mW4, Grant County Loss Run Policy
2025-2026
as of 9/2/26
PolicyYear Member Coverage
Policy Event Date of
Effective Date Claim Number Date Claim
Date
Closed
Event
Description
Claimant
Name Status Paid
Deductible
Collected
Reserve Paid + Reserve
Balance Less Deductible
Paid + Accident
Reserve Location
Adjuster
Coverage: Auto Liability
.
PolicySetEffective Date: 2025
-
Auto
?
I
16010 Rd
a
£ 'Grant Liability::AL -
2025-2026 Y"
County
12/1/2025
W1837
i2/12/2026 2/12/2026
,6/15/2026
IV backed into
OV
;Jonathan Fox
C $2,946
$2,946
I
$0
$0£
€
;1 NW
$2 946
; George
Brooky I
I Olson
Property
IWA
t
;Damage
_..—_
1202
Auto
I
'Moses
2025-2026
?Grant Liability::AL -
County
12/1/2025
I
?W1876
6/26/2026 ,6/26/2026
8/28/2026
IV backed into
OV
Estefany
Smith
C $3 772,
$3 772;
$0,
$0
St.
3772Y
$,& Ma er
Brian
Jordan
Property
'
€
t.
I Dama e
;Auto
Grant ;Liability- -AL -
2025-2026
3
112/1/2025
$W1866
5/19/2026 =5/19/2026
8/5/2026
IV hit pole
I
Grant County
I
C $11 853;
$0 2
I
$0
$11,853
Stratford
$11,853
Rd NEOlson
z
;Brooky
County Property
2
PUD
?
;
Damage-
£ `
�.;Auto
?
?
2
a
y..
;Grant Liability::AL -
2025-2026 ;Count
\12/1/2025
'W1887
?
7/16/2026 \7/16/2026
�
?
IV rolled into
OV
Eden Wilham
�
0 $7,210?
$0
z
$7,790
$15,000
$15,000?
,Hunter
Stucky
y Property
I
;Damage
-�
?
,.�_.—....
I
�----_.....,...�.,....j
__.._._. _.�
°
�_._.�_�
�_...
__.�.._...—__.,..,.
---
50 _
11 RD
- ----,
;Auto
;Grant �Liability::AL _
2025-2026
�
12/1/2025
W1821
12/18/202512/18/2025
I
�6/2/2026
IV backed into
I
;Jonathan & I
;Ester �
#
�
C � $13,316
$10,000
$0,
�
$3,316:
7.3 NE,
$13 316
Moses
I
Brooky
Olson
County Property
I ' ! Damage
' OV
Babchanik
2
;
;Lake WA --
Auto
2
2
' 1211
Hunter I
?Grant i Liability::AL -
2025-2026 ;Count y Property
12/1/2025
W 1857
4/27/2026 4/27/2026
IV backed into
OV
Terry Knopp
0 $3 493
$3 062
$0 I
I
$430 I
I
$3,493
; Moses St.
Stuck y
Damage
t
I
�
I ;Auto
Liability::
Grant
\2025-2026
4/29/2026
?7128/2026
,OV rear -ended
,
Grant County
I
C $3,872;
$300
$0
$3 1
iClover
$3
Hunter
;Count Insured and
y
12/1/2025
W1860
?4/29/2026
IV
;
2
,572
,872 ;Drive
Stucky
€ Uninsured
I Motorist_._......
8 ;Auto
I
I
....... .__
t
i
_ ..........,...
Near
I
Grant Liability::AL -
� 2025-2026 ;County ;Pro ert
p Y
12/1 /2025
W1862
1 /28/2026 1 1 /28/2026
6/12/2026
� OV hit IV
Allstate
C $0
$0
$0
$0
$0I Columbia g
Rid e
t Hunter
� Stuck y
� Damage
;School
I
_
{Totals for 2025 - 8 Claims
�
_
—
462\
_
$20,081F
�
$7,790
$34,172
$54,252
_ - --
Totals for Auto Liability - 8 Claims
$46.4621
$20.081
_ 7,790 _^134172
$54,252
Coverage: Crime
PolicySetEffectiveDate: 2025
--
_
_-...,, --_
_.._..,......,...._._.._. _... _,.
_..__......
Grant I
2025-2026 Crime
�
12/1/2025
�
W1846
3/25/2026 3/25/2026
;
Embezzlement
Grant Count Y
0
$0
$ OI—
$ 0�
0
$-�
$ 01
Kelly
;County
I
- --
—
---
I
,Owens
Totals for 2025 - 1 Claims
$0`
$0
$0\
$0
Totals for Crime - 1 Claims
$0
$0
$0
$0
0
;Coverage: General Liability
Policy SetEffectiveDate 2025
_ _.........
;Grant `General
I 2025-2026 ;LiabilitYGL -
I ;County "
12/1/2025
?W1851
?3/11/2026
;4/17/2026
I
;Claimant
;injured by
;falling in
�
;Jill Hagerty ?
0 $0
$0
2
$0
$0
$0 Parking lot
Patrick£
Boruff
£ Bodily I Y In jury
r
pothole.
General
I ! ;Grant ;Liabilit Law
y"
'
?
10fficer involved
in shooting
;Estate of --
'
\Andrea
�2025-2026
?County ;Enforcement
?12/1/2025
'W1838
2/17/2026 12/17/2026
£
;where other
;Aaron
0 $0
$0
$0?
$0
$0 Unknown
Tsivgadelli
is
l ;Liability
?
(person died
Ammann
I
t
I
I
Totals for 2025 - 2 Claims
$0
$0
$0
$0
$0
Totals for General Liability - 2 Claims
$0 SO
$0
$0
0
Coverage: Property
Poll icySetEffectiveDate: 2025
. _ .__._._..__...._._._ ... ...... .............._ .. - _. _... _ __._.......
Property::Auto 1 st Ave_....._.._..___...
Grant Physical ' NW & C Brooky
2025-2026 Count Damage- - 12/1/2025 W1818 12/1/2025 12/1/2025 4/2712026 OV hit IV Grant County C $0 $0 $0 $0[ $0
Y 9 I St. NW, Olson
Collision Ephrata _
1� Property::Auto 16010 Rd � __--
i 2025-2026 Damage- Grant Physical e - 12/1/2025 W1836 2/12/2026 2/12/2026 3/2/2026 IV backed into OV Grant County C $0� $0 $0� $0 $O11 NW, Brooky
County g George Olson
Collisionw. .._...,__.....-...._,_....._....._.._._._ _.._._.._._..._.__...._..._ _ .__._..................._._._�_.__...._.......-_...__.,. .__._ _,.. €
Property::Auto � � l,..�....--_..�.__._._...__.__.._........__......_..._..._._.._.._._.__.._._..__-_.__._.._.._.._
2025-2026 Grant Physical 12/1/2025 W1865 5/19/2026 5/19/2026 IV hit pole Grant Count O 53 828 0 000 8 Stratford Brooky
$1 $ ,172 $52, 000 $62, 000
County Damage- p y $ Rd NE Olson
� Collision
Property::Auto 1
2 Grant Physical 2 � � Brian
2025-2026 County Damage- 12/1/2025 W1892 8/5/2026 8/11/2026 8/13/2026 IV hit deer Grant County C $0 $0 $0 $0 $0 Roadway Jordan
� I =
Comprehensive_..._.._.__
Property::Auto
Grant Physical ?
2025-2026 County Damage- 12/1 /2025 W1856 4/27/2026 4/27/2026 5/14/2026 IV V backed into Grant County C $0 $0 $0 $0 $0 1211 Hunter
Moses St. E Stucky
_...._._.._.......Collision I
....._......-......______._............ _. ............... ........
Property::Auto ' Near
Grant Physical Columbia f Hunter
2025-20 6
€ 2 12/1/2025 W1831 1/28/2026 1/28/2026 6/25/2026 OV hit IV Grant County C $26,886 $10,000 $0 $16,886� $26,886 ;
Count i
Y Damage- i � ! � � Ridge � Stucky
Collision !
School
Property::Auto......_.._._._.._..__.._._.__._._._. }...___._._.......__. ...� ._ _.�._..___._._._...__..__._.__..___..._......._..._..2.S._.Main
Grant Physical OV rear -ended Street, i Hunter
2025-2026 Count Damage- - 12/1/2025 W1888 8/3/2026 8/3/2026 IV Grant County 0 $34,745 $0 $15,455 $50,200 $50,200 s Stucky
Y g 1 Kittita
Collision F
1
WA 3
Totals for 2025 - 7 Claims $115,459 $20,0001 $23,627 $119,086 $139,0861 �-
Totals for Property 7 Claims $115,459 $20,0001 $23,627 $119086 $139,086?
Coverage: Wrongful Acts - Primary -�
Poll icySetEffectiveDate: 2025__.____.__.__....---.__..._._.._...___.._...._..-..._._._..__._....._
Claimant Coyote {
Kumau
2025-2026
Grant Wrongful Acts - denied access Francisco Ridge McWilliam
County Primary 12/1/2025 W1854 3/23/2026 4/27/2026 to zoom court Barragan Jr. O $0 $0 $0 $0 $0 Correction s
hearing I Center
_.._._....__._._.._..____ ..__.,...�,....._..__.. ,__._._.._._._....._..........._.._............__,.___.__...._.._._..____..................�,._.._..._...�..._..........._._....._._......_............_.._._........................__.... .__ .............__... _._ _. _....._........_._.. _ _
Totals for 2025 1 Claims $0 $0 _ $0 $0 $0
............_._... _. _ ..- _......_. __----_ - - ._ -_ ..,...-----._�
Totals for Wrongful Acts Primary -1 Claims $0, $0 $0 $01 $01
_- _ _
Grand Totals -19 Claims l _ _ .. - $161.921 $40.081 $31,418 $153,258 $193,3391