montana state government

77
NUMBER OF CLAIMS REQUESTED AMOUNT INDEMNITY RESERVE AMOUNT LOSS ADJUSTMENT EXPENSE INDEMNITY EXPENSE Agency Id Classification All (Claims, Potential Claims and Lawsuits) Expense Limits No Limits Claimant Coverage Code P Report Order REPORT PARAMETERS MONTANA STATE GOVERNMENT Property Claims LossDate from 07/01/2013 to 01/28/2019 Query Date DEPARTMENT OF ADMINISTRATION DEPARTMENT OF COMMERCE DEPARTMENT OF CORRECTIONS 25 10 12 20,667.00 14,000.00 25,580.36 9,077.49 1,125.91 580.01 5,945.92 356,763.65 199.86 761,760.66 DEPARTMENT OF ADMINISTRATION DEPARTMENT OF ADMINISTRATION, OFFICE OF PUBLIC DEFENDER DEPARTMENT OF ADMINISTRATION, STATE FUND DEPARTMENT OF COMMERCE DEPARTMENT OF COMMERCE, HERITAGE COMMISSION DEPARTMENT OF CORRECTIONS, STATE PRISON DEPARTMENT OF CORRECTIONS, PINE HILLS YOUTH CORRECTIONAL FACILITY DEPARTMENT OF CORRECTIONS, MONTANA CORRECTIONAL ENTERPRISES DEPARTMENT OF CORRECTIONS, PROBATION & PAROLE DEPARTMENT OF CORRECTIONS, RIVERSIDE YOUTH CORRECTIONS DEPARTMENT OF CORRECTIONS, WOMEN'S CORRECTIONAL CENTER 21 1 3 9 1 4 2 1 1 1 2 20,667.00 14,000.00 25,580.36 4,223.34 4,854.15 1,125.91 580.01 4,547.79 989.13 353,778.29 1,615.20 1,370.16 199.86 555,776.66 31,415.10 13,000.00 137,189.60 3,851.69 18,776.00 Printed 01/28/2019 Activity Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. TOTAL RESERVE AMOUNT 25,580.36 9,077.49 25,580.36 4,223.34 4,854.15 1 of 77

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NUMBER OF CLAIMS

REQUESTED AMOUNT

INDEMNITYRESERVE AMOUNT

LOSSADJUSTMENT

EXPENSE

INDEMNITYEXPENSE

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

REPORT PARAMETERS

MONTANA STATE GOVERNMENTProperty Claims

LossDate from 07/01/2013 to 01/28/2019

Query Date

DEPARTMENT OF ADMINISTRATION

DEPARTMENT OF COMMERCE

DEPARTMENT OF CORRECTIONS

25

10

12

20,667.00

14,000.00

25,580.36

9,077.49

1,125.91

580.01

5,945.92

356,763.65

199.86

761,760.66

DEPARTMENT OF ADMINISTRATION

DEPARTMENT OF ADMINISTRATION, OFFICE OF PUBLIC DEFENDER

DEPARTMENT OF ADMINISTRATION, STATE FUND

DEPARTMENT OF COMMERCE

DEPARTMENT OF COMMERCE, HERITAGE COMMISSION

DEPARTMENT OF CORRECTIONS, STATE PRISON

DEPARTMENT OF CORRECTIONS, PINE HILLS YOUTH CORRECTIONAL FACILITY

DEPARTMENT OF CORRECTIONS, MONTANA CORRECTIONAL ENTERPRISES

DEPARTMENT OF CORRECTIONS, PROBATION & PAROLE

DEPARTMENT OF CORRECTIONS, RIVERSIDE YOUTH CORRECTIONS

DEPARTMENT OF CORRECTIONS, WOMEN'S CORRECTIONAL CENTER

21

1

3

9

1

4

2

1

1

1

2

20,667.00

14,000.00

25,580.36

4,223.34

4,854.15

1,125.91

580.01

4,547.79

989.13

353,778.29

1,615.20

1,370.16

199.86

555,776.66

31,415.10

13,000.00

137,189.60

3,851.69

18,776.00

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements.

TOTALRESERVE AMOUNT

25,580.36

9,077.49

25,580.36

4,223.34

4,854.15

1 of 77

NUMBER OF CLAIMS

REQUESTED AMOUNT

INDEMNITYRESERVE AMOUNT

LOSSADJUSTMENT

EXPENSE

INDEMNITYEXPENSE

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

REPORT PARAMETERS

MONTANA STATE GOVERNMENTProperty Claims

LossDate from 07/01/2013 to 01/28/2019

Query Date

DEPARTMENT OF CORRECTIONS

DEPARTMENT OF ENVIRONMENTAL QUALITY

DEPARTMENT OF FISH, WILDLIFE & PARKS

DEPARTMENT OF JUSTICE

DEPARTMENT OF LABOR & INDUSTRY

DEPARTMENT OF LIVESTOCK

DEPARTMENT OF NATURAL RESOURCES

3

70

18

7

3

14

7,969.65

4,400.00

247,155.27

65,000.00

1,505,175.33

13,454.11

12,862.29

186.00

220.00

5,480.93

1,057.00

2,417,588.36

116,775.08

11,671.31

12,553.70

432,728.06

DEPARTMENT OF CORRECTIONS, WATCH EAST

DEPARTMENT OF ENVIRONMENTAL QUALITY

DEPARTMENT OF FISH, WILDLIFE & PARKS

DEPARTMENT OF JUSTICE, FORENSIC SCIENCE

DEPARTMENT OF JUSTICE, HIGHWAY PATROL

DEPARTMENT OF JUSTICE, LAW ENFORCEMENT ACADEMY

DEPARTMENT OF LABOR & INDUSTRY

DEPARTMENT OF LIVESTOCK

DEPARTMENT OF NATURAL RESOURCES

1

3

70

7

8

3

7

3

14

3,713.65

4,256.00

4,400.00

247,155.27

65,000.00

1,505,175.33

409.00

13,454.11

11,498.20

1,364.09

186.00

220.00

5,480.93

1,751.61

1,057.00

2,417,588.36

76,537.39

20,293.76

19,943.93

11,671.31

12,553.70

432,728.06

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements.

TOTALRESERVE AMOUNT

4,400.00

247,155.27

65,000.00

1,505,175.33

4,400.00

247,155.27

65,000.00

1,505,175.33

2 of 77

NUMBER OF CLAIMS

REQUESTED AMOUNT

INDEMNITYRESERVE AMOUNT

LOSSADJUSTMENT

EXPENSE

INDEMNITYEXPENSE

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

REPORT PARAMETERS

MONTANA STATE GOVERNMENTProperty Claims

LossDate from 07/01/2013 to 01/28/2019

Query Date

DEPARTMENT OF TRANSPORTATION

HISTORICAL SOCIETY

MONTANA STATE LIBRARY

MULTIPLE AGENCIES

19

1

1

7

12,880.86 9,463.94 2,108.69

577.27

49,204.67

202,430.60

10,983.03

2,039,765.67

DEPARTMENT OF TRANSPORTATION

DEPARTMENT OF TRANSPORTATION, BILLINGS

DEPARTMENT OF TRANSPORTATION, BUTTE

DEPARTMENT OF TRANSPORTATION, BOZEMAN

DEPARTMENT OF TRANSPORTATION, GLENDIVE

DEPARTMENT OF TRANSPORTATION, HAVRE

DEPARTMENT OF TRANSPORTATION, KALISPELL

DEPARTMENT OF TRANSPORTATION, LEWISTOWN

DEPARTMENT OF TRANSPORTATION, MISSOULA

HISTORICAL SOCIETY

MONTANA STATE LIBRARY

MULTIPLE AGENCIES

1

1

3

2

2

3

3

3

1

1

1

7

250.00

12,630.86

3,826.00

5,637.94 596.30

1,512.39

577.27

49,204.67

1,174.00

6,343.50

6,862.06

111,310.67

37,440.72

10,288.84

5,110.98

20,899.83

3,000.00

10,983.03

2,039,765.67

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements.

TOTALRESERVE AMOUNT

9,463.94

3,826.00

5,637.94

3 of 77

NUMBER OF CLAIMS

REQUESTED AMOUNT

INDEMNITYRESERVE AMOUNT

LOSSADJUSTMENT

EXPENSE

INDEMNITYEXPENSE

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

REPORT PARAMETERS

MONTANA STATE GOVERNMENTProperty Claims

LossDate from 07/01/2013 to 01/28/2019

Query Date

PUBLIC HEALTH & HUMAN SERVICES

STATE BOARD OF EDUCATION

8

2

1,620.66

825.00

45,749.25

71,653.65

PUBLIC HEALTH & HUMAN SERVICES

PUBLIC HEALTH & HUMAN SERVICES, MONTANA DEVELOPMENTAL CENTER

PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - COLUMBIA FALLS

PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - GLENDIVE

STATE BOARD OF EDUCATION, SCHOOL FOR THE DEAF & BLIND

1

2

2

3

2

956.66

664.00

825.00

782.00

17,538.19

19,961.66

7,467.40

71,653.65

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements.

TOTALRESERVE AMOUNT

4 of 77

NUMBER OF CLAIMS

REQUESTED AMOUNT

INDEMNITYRESERVE AMOUNT

LOSSADJUSTMENT

EXPENSE

INDEMNITYEXPENSE

TOTALS 408 116,184.34 3,284,786.75 191,433.37 10,260,013.62

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

REPORT PARAMETERS

MONTANA STATE GOVERNMENTProperty Claims

LossDate from 07/01/2013 to 01/28/2019

Query Date

STATE AGENCIES

UNIVERSITY SYSTEM

200

208

55,517.51

60,666.83

1,865,852.39

1,418,934.36

94,191.46

97,241.91

6,481,679.88

3,778,333.74

UNIVERSITY SYSTEM 208 60,666.83 1,418,934.36 97,241.91 3,778,333.74

UNIVERSITY SYSTEM, DIVISION OF TECHNOLOGY - BILLINGS

UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BILLINGS

UNIVERSITY SYSTEM, HELENA COLLEGE OF TECHNOLOGY OF UM

UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, AG.EXPT.

UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, FIRE TRNG.

UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN

UNIVERSITY SYSTEM, MONTANA TECH OF THE UM

UNIVERSITY SYSTEM, COLLEGE OF TECHNOLOGY - MISSOULA

UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - NORTHERN

UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA

UNIVERSITY SYSTEM, WESTERN MONTANA COLLEGE OF THE UM

1

20

1

17

1

84

23

1

13

42

5

10,000.00

47,352.13

3,314.70

1,679.89

180,771.18

1,140,464.93

12,632.50

6,185.00

77,200.86

6,529.40

8,021.55

54,411.48

6,011.72

3,490.55

15,353.97

3,423.24

150,922.64

3,311.01

247,413.28

14,177.88

1,539,904.28

163,165.98

1,468.16

260,765.28

1,360,080.82

37,124.41

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements.

TOTALRESERVE AMOUNT

1,418,934.36

3,284,786.75

1,679.89

180,771.18

1,140,464.93

12,632.50

6,185.00

77,200.86

1,865,852.39

1,418,934.36

5 of 77

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

6 of 77

AGENCY: DEPARTMENT OF ADMINISTRATION

P-26986

P-26987

P-26626

P-26567

P-25566

P-28255

P-27907

P-24225

P-25826

P-24578

P-25830

P-27039

ADMIN - GSD - SCOTT HART

ADMIN - WALT SULLIVAN

ADMINISTRATION - CAPITOL

ADMINISTRATION - GSD

ADMINISTRATION - GSD

ADMINISTRATION - GSD

ADMINISTRATION - GSD

ADMINISTRATION - GSD, CAPITOL

ADMINISTRATION - GSD, CAPITOL COMPLEX

ADMINISTRATION - GSD, HISTORICAL SOCIETY

ADMINISTRATION - GSD, MAZUREK BUILDING

ADMINISTRATION - GSD, OPI BUILDING

06/13/2017

06/09/2017

01/08/2017

11/28/2016

08/14/2015

12/24/2018

07/22/2018

12/05/2013

12/09/2015

11/21/2013

12/16/2015

07/09/2017

06/14/2018

12/20/2018

12/20/2018

12/22/2016

11/18/2015

12/20/2018

07/24/2014

06/01/2016

10/31/2014

04/04/2016

07/21/2017

5,000.00

RAIN WATER ENTERED BASEMENT

STEEL PLUMPING FIXTURE DETERIORATED

WATERLINE RUPTURED OFFICES AND BASEMENT FLOODED

WATER LINE CRACKED

STORM CAUSED SEVERAL QUICK POWER OUTAGES

UTILITY TRAILER WITH FUEL PODS

IRRIGATION MAIN LINE BROKE

PIPE IN SOUTH ENTRANCE FROZE AND BROKE

STORM BLEW TREES DOWN, SHUT POWER DOWN

CASCADE AREA EARTHQUAKE

CLOGGED SEWER LINE CAUSED FLOODING

TOILET CLOGGED AND RAN OVER NIGHT

134,908.36

50,279.25

7,347.30

4,895.00

5,716.00

6,317.83

4,287.20

4,800.00

29,167.63

7,395.00

495.11

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF ADMINISTRATION

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

7 of 77

AGENCY: DEPARTMENT OF ADMINISTRATION

P-27264

P-24558

P-26063

P-26259

P-25056

P-28279

P-27533

P-27434

P-27745

ADMINISTRATION - GSD, SECRETARY OF STATE

ADMINISTRATION - GSD, WALT SULLIVAN

ADMINISTRATION, ARMORY

ADMINISTRATION, GENERAL SERVICES

ADMINISTRATION, GSD

ADMINISTRATION, HEALTHCARE BENEFITS

ADMINISTRATION, METCALF BLDG.

ADMINISTRATION, ORIGINAL GOV MANSION

ADMINISTRATION, SCOTT HART

07/06/2017

02/08/2014

05/04/2016

07/11/2016

08/15/2014

12/24/2018

01/04/2018

12/05/2017

05/09/2018

02/14/2018

04/05/2018

09/27/2016

11/28/2016

02/10/2015

08/01/2018

05/03/2018

17,800.00

2,780.36

EARTHQUAKE CAUSED SHELVING UNITS TO TOPPLE AND BEND

EXTREME COLD WEATHER

FLOODING

LEAK FROM ROOF OR PIPE

CAPITAL ROOF SKYLIGHTS SUSPECTED HAIL DAMAGE

VACCINE FRIDGE FAILED

HEAVY SNOW AND ICE CAUSED GLASS TO CRACK

BURIED WATER SERVICE LINE DAMAGE, EXCAVATION

CLOGGED STORM DRAIN

9,287.70

44,370.00

2,201.38

2,050.00

2,978.00

5,539.00

7,414.00

32,219.64

10,400.00

2,872.00

630.80

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF ADMINISTRATION

DEPARTMENT OF ADMINISTRATION: 21 Claims 20,667.00 1,125.91 353,778.29

Claimant SUBROGATED

25,580.36

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

8 of 77

AGENCY: DEPARTMENT OF ADMINISTRATION

P-26353 PUBLIC DEFENDER OFFICE

06/13/2016 04/10/2017 STORM CAUSED POWER OUTAGE AND SURGE

1,615.20

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF ADMINISTRATION, OFFICE OF PUBLIC DEFENDER

DEPARTMENT OF ADMINISTRATION, OFFICE OF PUBLIC DEFENDER: 1 Claims

1,615.20

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

9 of 77

AGENCY: DEPARTMENT OF ADMINISTRATION

P-24695

P-24700

P-27737

MONTANA STATE FUND

MONTANA STATE FUND

MONTANA STATE FUND

07/13/2014

07/15/2014

05/09/2018

09/23/2014

09/23/2014

07/26/2018

SOFFIT FELL, LANDED ON LIVE ROOF

RAIN RUNOFF OVERWHELMED ROOF DRAINS

FLOODING AT LOADING DOCK, DRAIN FILL UP

1,370.16

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DEPARTMENT OF ADMINISTRATION: 25 Claims 20,667.00 1,125.91 356,763.65

DIVISION: DEPARTMENT OF ADMINISTRATION, STATE FUND

DEPARTMENT OF ADMINISTRATION, STATE FUND: 3 Claims 1,370.16

Claimant SUBROGATED

.00

25,580.36

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

10 of 77

AGENCY: DEPARTMENT OF COMMERCE

P-27771

P-25270

P-25303

P-27205

P-27241

P-28057

P-24546

P-27791

P-24349

Yes

BOARD OF HOUSING

BOARD OF HOUSING

BOARD OF HOUSING

COMMERCE

COMMERCE, BOARD OF HOUSING

COMMERCE, BOARD OF HOUSING

COMMERCE, BOARD OF INVESTMENTS

COMMERCE, COLONIAL BUILDING

COMMERCE, DIRECTOR'S OFFICE

12/21/2017

04/10/2015

04/17/2015

08/25/2017

10/30/2016

10/30/2016

04/15/2014

06/18/2018

12/16/2013

09/12/2018

01/08/2016

12/17/2015

09/25/2017

04/09/2018

12/20/2018

08/07/2014

08/20/2018

02/18/2014

FORECLOSED 823 PLACER BUTTE; WIND/HAIL W INTERIOR WATER DMG

FIRE AT 943 CALIFORNIA, BUTTE

WIND BLEW SHINGLES OFF 420MAPLE, LAUREL

SMASH AND GRAB STOLEN LAPTOP FROM PERSONAL VEHICLE, SEATTLE

WINTERIZATION FAILED 307 PROSPECT -FRZEN PIPES, WATER HEATER

FROZEN PIPES FOUND UPON FORECLOSURE, 307 PROSPECT LEWISTOWN

FLOOR RAISING, CRACKING

ROOF LEAK 2401 COLONIAL, CONTENTS LOSS MULTIPLE AGENCIES

THEFT FROM OFFICE OF NEWLY DELIVERERD LAPTOP

199.86

580.01

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF COMMERCE

DEPARTMENT OF COMMERCE: 9 Claims 580.01 199.86

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

11 of 77

AGENCY: DEPARTMENT OF COMMERCE

P-24345 COMMERCE, MONTANA HERITAGE COM

01/24/2014 01/31/2014 THEFT OF DISPLAY OBJECT WITH VEHICLE

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DEPARTMENT OF COMMERCE: 10 Claims 580.01 199.86

DIVISION: DEPARTMENT OF COMMERCE, HERITAGE COMMISSION

DEPARTMENT OF COMMERCE, HERITAGE COMMISSION: 1 Claims

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

12 of 77

AGENCY: DEPARTMENT OF CORRECTIONS

P-25092

P-24139

P-24151

P-27781

CORRECTIONS - MSP, DIARY BARN

CORRECTIONS - MSP, EMS BUILDING

CORRECTIONS - MSP, FACILITY MAINTENANCE

CORRECTIONS - MSP, TRAINING CENTER

01/12/2015

10/29/2013

07/26/2013

06/11/2018

01/12/2015

07/15/2014

2,740.70

1,482.64

HEAT LAMP FELL ONTO STRAW

FIRE DESTROYED BUIDLING

COMPLETE LOSS OF MAIN OIL SWITCH

GROUND WATER SEEPING INTO BASEMENT

547,259.30

8,517.36

2,173.41

2,374.38

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF CORRECTIONS, STATE PRISON

DEPARTMENT OF CORRECTIONS, STATE PRISON: 4 Claims 4,547.79 555,776.66

Claimant SUBROGATED

4,223.34

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

13 of 77

AGENCY: DEPARTMENT OF CORRECTIONS

P-27739

P-27820

CORRECTIONS, PINE HILLS

CORRECTIONS, PINE HILLS

11/06/2017

06/28/2018

07/12/2018

4,854.15

SCHEDULED POWER SHUTDOWN DAMAGED CAMERAS

MAJOR HAIL STORM

1,269.25

30,145.85989.13

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF CORRECTIONS, PINE HILLS YOUTH CORRECTIONAL FACILITY

DEPARTMENT OF CORRECTIONS, PINE HILLS YOUTH CORRECTIONAL FACILITY: 2 Claims

989.13 31,415.10

Claimant SUBROGATED

4,854.15

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

14 of 77

AGENCY: DEPARTMENT OF CORRECTIONS

P-26491 CORRECTIONS - MSP, FARM

09/30/2016 11/29/2016 FIRE IN ENGINE COMPARTMENT DESTROYED UNIT

13,000.0014,000.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF CORRECTIONS, MONTANA CORRECTIONAL ENTERPRISES

DEPARTMENT OF CORRECTIONS, MONTANA CORRECTIONAL ENTERPRISES: 1 Claims

14,000.00 13,000.00

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

15 of 77

AGENCY: DEPARTMENT OF CORRECTIONS

P-26970 CORRECTIONS, PROBATION & PAROLE

05/31/2017 09/05/2018 ELEVATOR GATE CAUGHT, WIRES BROKE CONTROLLER BURNED

137,189.60

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF CORRECTIONS, PROBATION & PAROLE

DEPARTMENT OF CORRECTIONS, PROBATION & PAROLE: 1 Claims

137,189.60

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

16 of 77

AGENCY: DEPARTMENT OF CORRECTIONS

P-27527 RIVERSIDE YOUTH CORRECTIO

02/08/2018 04/06/2018 PIPE BREAK3,851.69

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF CORRECTIONS, RIVERSIDE YOUTH CORRECTIONS

DEPARTMENT OF CORRECTIONS, RIVERSIDE YOUTH CORRECTIONS: 1 Claims

3,851.69

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

17 of 77

AGENCY: DEPARTMENT OF CORRECTIONS

P-25956

P-27232

YesCORRECTIONS, WOMEN'S PRISON

CORRECTIONS, WOMEN'S PRISON

03/06/2016

02/17/2017

05/13/2016

11/16/2017

VEHICLE STRUCK FENCE

ROOF LEAK DURING HEAVY SNOW BUILD-UP

5,826.00

12,950.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF CORRECTIONS, WOMEN'S CORRECTIONAL CENTER

DEPARTMENT OF CORRECTIONS, WOMEN'S CORRECTIONAL CENTER: 2 Claims

18,776.00

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

18 of 77

AGENCY: DEPARTMENT OF CORRECTIONS

P-23890 CORRECTIONS, WATCH EAST

07/08/2013 07/02/2014 MAJOR HAIL STORM1,751.61409.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DEPARTMENT OF CORRECTIONS: 12 Claims 14,000.00 5,945.92 761,760.66

DIVISION: DEPARTMENT OF CORRECTIONS, WATCH EAST

DEPARTMENT OF CORRECTIONS, WATCH EAST: 1 Claims 409.00 1,751.61

Claimant SUBROGATED

.00

9,077.49

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

19 of 77

AGENCY: DEPARTMENT OF ENVIRONMENTAL QUALITY

P-27872

P-28204

P-26202

ENVIRONMENTAL QUALITY, AIR MONITORING

ENVIRONMENTAL QUALITY, AIR QUALITY MONITOR

ENVIRONMENTAL QUALITY, DIRECTORS OFFICE

07/04/2018

12/03/2018

06/22/2016 09/15/2016

2,400.00

2,000.00

AMBIENT AIR MONITOR INSTRUMENTS STOLEN, DAMAGED, BOYD PARK

STOELN BILLINGS AIR QUALITYMONITORING EQUIPMENT

UNMANED AERIAL VEHICLE CRASHED TO THE GROUND

1,057.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DEPARTMENT OF ENVIRONMENTAL QUALITY: 3 Claims 1,057.00

DIVISION: DEPARTMENT OF ENVIRONMENTAL QUALITY

DEPARTMENT OF ENVIRONMENTAL QUALITY: 3 Claims 1,057.00

Claimant SUBROGATED

4,400.00

4,400.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

20 of 77

AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS

P-26268

P-25430

P-26806

P-27017

P-26850

P-23901

P-27068

P-28253

P-26523

P-27842

P-26307

P-26085

FWP

FWP, BANNACK

FWP, BANNACK

FWP, BANNACK B16 - 3

FWP, BANNACK MGR HOUSE

FWP, BANNACK SP

FWP, BEARTOOTH WMA

FWP, BIG SPRING HATCHERY

FWP, BILLINGS REGIONAL HQ

FWP, BRUSH LAKE

FWP, CHIEF PLENTY COUPS

FWP, ENFORCEMENT

06/11/2016

07/05/2015

03/14/2017

06/24/2017

04/05/2017

07/17/2013

07/10/2017

12/22/2018

10/27/2016

07/09/2018

08/07/2016

05/10/2016

02/16/2017

08/13/2015

09/19/2018

09/26/2017

06/28/2017

02/22/2018

06/30/2018

05/25/2018

11/13/2018

08/30/2016

1,861.45

GREAT FALLS HAIL, VEHICLE DAMAGE

FIRE SYSTEM

GRASSHOPPER CREEK OVERBANK

COTTONWOOD FELL ONTO B16-3

TOILET BACKED UP UP AND DOWNSTAIRS

HANGMAN GULCH FLOOD

EARTHQUAKE RATTLED QUADS DORMS, BEARTOOTH WMA

BIRD BROKE PICTURE WINDOW, BIG SPRINGS HATCHERY

THEFT OF 3 MOTORCYCLES FROM BILLINGS OFFICE

WIND/HAIL

WATER FROM WATER TREATMENT SYSTEM

THEFT FROM VEHICLE PARKEDAT WARDEN RESIDENCE

10,088.90

8,481.80

121,238.40

6,525.00

4,933.22

1,923,426.24

1,622.80

2,070.00

2,438.55

125.00

775.58

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

21 of 77

AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS

P-26269

P-24097

P-24393

P-24572

P-24456

P-27694

P-27713

P-24055

P-28073

P-27723

P-26317

Yes

FWP, ENFORCEMENT

FWP, ENFORCEMENT

FWP, ENFORCEMENT

FWP, ENFORCEMENT

FWP, ENFORCEMENT

FWP, ENFORCEMENT

FWP, ENFORCEMENT KALISPEL

FWP, ENFORCEMENTBLOCK MGT

FWP, FAS LARGENT BEND/SUN

FWP, FINANCE

FWP, FINANCE

06/18/2016

08/31/2013

08/27/2013

04/05/2014

03/14/2014

02/07/2018

04/19/2018

09/07/2013

06/18/2018

03/13/2018

05/18/2016

01/12/2017

01/13/2014

04/08/2015

01/21/2015

04/02/2014

09/11/2018

02/05/2014

05/07/2018

09/01/2016

3,500.00

15,000.00

HAIL FWP 1973 2014 F 250 -47477

THEFT FROM PARKED UNATTENDED VEHICLE

LAPTOP STOLEN FROM FWP VEHICLE

SMASHED 2012 GMC WINDOW, STOLE LAPTOP, SCOPE

THEFT FROM FWP VEHICLE 1GTGK29R0WE529238

95 NOMAD CAMPER CRUSHED BY WEIGHT OF SNOW, SPOTTED BEAR RS

TRAILER, 2 SNOWMOBILES BURNED AT RICK ANDERSON SNOW/DIRT

PARKED VEHICLE BROKEN INTO ITEMS STOLEN

FLOOD MID CANON

CONTENTS HOUSED AT BEER JUG TAVERN IN GLENDIVE BURNED

TOTAL LOSS FIRE AT MISSION MOUNTAIN MERCANTILE

449.24

151.15

2,240.14

8,653.00

1,002.57

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

22 of 77

AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS

P-26949

P-26602

P-24123

P-24507

P-25567

P-27828

P-28048

P-28118

P-27547

P-25244

P-25547

P-26205 Yes

FWP, FIRST PEOPLES BUFFAL

FWP, FISHERIES

FWP, FISHERIES

FWP, FISHERIES

FWP, FISHERIES

FWP, FISHERIES

FWP, FISHERIES ELK ISLAND

FWP, FISHERIES- BLKFT WMA

FWP, FISHERIES/HATCHERGF

FWP, FORT PECK FISH HATCH

FWP, GIANT SPRINGS

FWP, GIANT SPRINGS

05/24/2017

12/19/2016

08/01/2013

03/09/2014

03/21/2015

06/23/2018

03/26/2018

05/08/2018

08/01/2017

03/26/2015

08/26/2015

06/26/2016

08/31/2017

04/10/2017

07/14/2015

01/30/2017

12/11/2015

04/30/2015

09/28/2015

05/11/2018

7,390.00

90,980.00

68,000.00

50,000.00

WIND DAMAGED MAINTENANCE SHOP SHINGLES, SOFFIT

WIND DAMAGED TOPPER

THEFT FROM VEHICLE

ABRUPT ICE OUT

TELEMETRY FELL IN YELLOWSTONE RIVER DURING 14-15 WINTER

TELEMETRY FELL IN TETON RIVER:RECEIVER, SWITCHBOX

ICE JAM, WATER BACKED UP, FLOODED LATRINE, VAULT

IMPROVED IRRIGATION DITCH WASHED OUT

HAIL TO HOUSE ROOF

WATER LOSS, VALVE BREAK ON UNITARY HEATER

YARD SPRINKLER LEAK DAMAGED PATH

PICNIC SHELTER VANDALIZED

500.00

268.00

3,451.35

63,971.27

9,475.00

4,610.00

6,020.00

3,527.00

8,550.00

2,857.01

1,730.26

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

23 of 77

AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS

P-23929

P-26059

P-23849

P-24093

P-26410

P-24509

P-27203

P-23963

P-26871

P-26261

P-26885

P-26707

FWP, GIANT SPRINGS SP

FWP, GIANT SPRINGS SP

FWP, GIANT SPRINGS SP

FWP, GIANT SPRINGS SP

FWP, GREAT FALLS R 4 HQ

FWP, HARO

FWP, LAKE ELMO SHOP

FWP, LES MASON

FWP, LEWIS CLARK CAVERNS

FWP, MAKOSHIKA SP

FWP, MAKOSHIKA STATE PARK

FWP, MISSOULA HQ

07/24/2013

04/26/2016

07/08/2013

09/30/2013

08/18/2016

03/26/2014

09/06/2017

08/03/2013

04/13/2017

07/06/2016

07/21/2016

02/06/2017

08/19/2013

08/02/2016

08/21/2013

10/11/2013

04/05/2018

04/24/2014

12/13/2017

05/26/2017

07/21/2017

09/09/2016

11/20/2017

4,340.82

WIND CRACKED TREE LIMBS

FLICKERS DAMAGED RANGER STATION, SIGN

WIND DAMAGED MULTIPLE LANDSCAPE TREES

WIND DAMAGED TREE AT LOWER PICNIC AREA

HAIL DAMAGE TO SKYLIGHT ATR4 HQ

TOILET TANK IN MENS RESTROOM OVERFLOWED

TOOL THEFT FROM MAINTENANCE SHOP, LAKE ELMO

NEIGHBOR'S DAM BROKE, FLOODED PARK

ATV CAUGHT FIRE WHILE PARKED UNATTENDED

HAIL 2008 GMC 1GTEK19018223180

HAIL TO ROOF AND FENCE

ICE DAM LED TO LEAKS IN 7 OFFICES

8,263.00

1,280.00

10,343.00

226.40

1,319.86

4,162.50

960.00

32,659.18

6,680.90

1,058.37

840.00

914.86

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

24 of 77

AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS

P-25206

P-24260

P-25962

P-25133

P-24156

P-25708

P-25973

P-25243

P-24929

P-27758

P-26296

P-24028

FWP, MISSOULA REGIONAL

FWP, MONTANA WILD

FWP, PARKS

FWP, PICTOGRAPH

FWP, PIROGUE ISLAND SP

FWP, PLACID LAKE PARK

FWP, PLACID LAKE SP

FWP, REGION 1 HQ

FWP, REGION 7

FWP, ROOKERY WMA

FWP, ROSEBUD BATTLEFIELD

FWP, ROSEBUD BATTLEFIELD

02/13/2015

12/08/2013

03/02/2016

12/28/2014

11/04/2013

11/02/2015

03/13/2016

03/25/2015

10/19/2014

04/15/2018

07/31/2016

08/23/2013

09/15/2015

12/30/2013

07/15/2016

04/15/2015

11/13/2013

04/14/2016

11/09/2016

04/16/2015

11/18/2014

09/13/2016

03/13/2014

6,083.00

THEFT OF CONTENTS FROM TRUCK AND FISHERIES BOAT SHED

PIPE BURST IN WALL BETWEENKITCHEN/ANIMAL HOLD AREA

THEFT OF CAMERAS, LAPTOP FROM KALISPELL CONFERENCE

ROCKSLIDE AT PICTOGRAPHS, BELOW EDGE OV OVERHANG

GATE STRUCK BY UNK. VEHICLE

CHANGE MACHINE STOLEN

LIVE TREE FELL ON DAY USE BOAT DOCK

DROVE INTO MIDDLE LOT GATEAND FENCE

THEFT OF CONTENTS FROM VEHICLE

HIGH RIVER WASHED OUT PARKING, ACCESS, DITCH

LIGHTNING FIRE

LIGHTNING CAUSED GRASSLAND FIRE

2,527.57

2,629.53

465.00

12,555.00

9,946.75

499.71

845.41

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

25 of 77

AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS

P-27766

P-24556

P-24216

P-26295

P-24346

P-24866

P-25841

P-27224

P-26270

P-27292

P-25660

FWP, ROUNDUP HAIL

FWP, SMITH RIVER

FWP, THOMPSON FALLS SP

FWP, TONGUE RIVER SP

FWP, WALL CREEK WMA

FWP, WASHOE PARK HATCHERY

FWP, WAYFARER SP

FWP, WEST KOOTENAI WMA

FWP, WILDLIFE

FWP, WILDLIFE

FWP, YELLOWSTONE HATCHERY

05/31/2018

03/15/2014

11/30/2013

07/28/2016

01/25/2014

07/08/2014

12/09/2015

09/02/2017

06/09/2016

10/22/2017

06/03/2015

10/22/2018

05/19/2015

07/02/2014

10/31/2016

11/18/2014

01/28/2015

01/03/2017

08/29/2018

10/17/2016

04/06/2018

04/13/2016

ROUNDUP HAIL, NON-SCHEDULED VEHICLES 2053,1947

SMITH RIVER RAPID ICE OUT

BREAK IN, THEFT OF CASH DRAWER AND MOWER

FIRE AT LEASED CONCESSIONAIRE BUILDING

ROOF SHINGLES MISSING

CHILD THREW ROCK, CRACKED WINDOW

THEFT OF CONTENTS FROM SHED, WAYFARERS SP

WILDFIRE BURNED 2-3 MILES OF FENCE,4 STRAND BARB, STEEL POST

FWP2053, 2016 F 250 1FT7XSB63GEB97489

FWP2057 WIND DOOR HINGE

HAIL AT YELLOWSTONE RIVER TROUT HATCHERY

30,524.69

2,147.40

2,387.66

35,733.57

3,290.69

159.44

34,000.00

285.40

1,992.33

19,354.86

323.95

2,712.10

771.86

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS

DEPARTMENT OF FISH, WILDLIFE & PARKS: 70 Claims 13,454.11 2,417,588.36

Claimant SUBROGATED

247,155.27

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

26 of 77

AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DEPARTMENT OF FISH, WILDLIFE & PARKS: 70 Claims 13,454.11 2,417,588.36

Claimant SUBROGATED

247,155.27

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

27 of 77

AGENCY: DEPARTMENT OF JUSTICE

P-24414

P-25081

P-25857

P-28014

P-27189

P-26659

P-25505

JUSTICE - CRIME LAB

JUSTICE - CRIME LAB

JUSTICE - CRIME LAB

JUSTICE, FORENSIC SCIENCE

JUSTICE, FORENSIC SCIENCE

JUSTICE, STATE CRIME LAB

JUSTICE- CRIME LAB

03/04/2014

01/06/2015

01/14/2016

08/12/2018

09/04/2017

01/15/2017

07/13/2015

05/01/2014

04/17/2015

04/10/2017

10/22/2018

02/26/2018

06/27/2017

10/13/2015

DRAINS ON ROOF FROZE, PIPES BURST

SNOW AND RAIN

ROOF DRAINS FROZE, ICE MELTING, BUILDING FLOODING

AIR HANDLER FAILED DURING HIGH TEMPERATURES

WATER COMING THROUGH VENTS FROM AIR HANDLER

BOTH BOILERS DOWN, SPRINKLER HEADS POPPED, WET FLOOR

ROOF LEAK, 7/13 AND 7/27, DAMAGED CONTENTS

15,346.87

4,012.72

2,040.15

15,002.29

37,270.36

2,865.00

1,240.00

1,082.82

1,592.66

2,325.17

4,389.00

868.55

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF JUSTICE, FORENSIC SCIENCE

DEPARTMENT OF JUSTICE, FORENSIC SCIENCE: 7 Claims 11,498.20 76,537.39

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

28 of 77

AGENCY: DEPARTMENT OF JUSTICE

P-25537

P-27603

P-24538

P-25877

P-25008

P-28088

P-27004

P-28089

YesJUSTICE - HIGHWAY PATROL

JUSTICE - HIGHWAY PATROL

JUSTICE - HIGHWAY PATROL

JUSTICE - HIGHWAY PATROL

JUSTICE - HIGHWAY PATROL

JUSTICE - HIGHWAY PATROL, HIGHWOOD BALDY SITE

JUSTICE - HIGHWAY PATROL, LOST CREEK COMM.

JUSTICE - HIGHWAY PATROL, MT ROYAL COMM. SITE

07/22/2015

03/06/2018

02/11/2014

01/09/2016

11/18/2014

01/01/2017

06/03/2017

10/31/2016

11/24/2015

06/13/2018

05/01/2014

07/28/2016

05/28/2015

12/20/2018

25,000.00

40,000.00

PRIVATE VEHICLE BACKED INTO FLAG POLE

MHP INCINERATOR BUILDING BURNED

HEATER SYSTEM BROKE, WATER LINES BURST

K9 STRUCK AND KILLED ON THE HIGHWAY

TROOPER BACKED INTO PILLAR

HEAVY SNOW & ICE TORE FABRIC ON HP RADIO TOWER ANTENNA

LIGHTNING STRUCK POWER LINE AND TOWER

HEAVY SNOW & ICE TORE FABRIC & CAUSED ANTENNA TO FALL

1,511.00

1,273.65

7,367.11

440.00

9,702.00

2,273.65

1,440.00

1,364.09

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF JUSTICE, HIGHWAY PATROL

DEPARTMENT OF JUSTICE, HIGHWAY PATROL: 8 Claims 3,713.65 1,364.09 20,293.76

Claimant SUBROGATED

65,000.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

29 of 77

AGENCY: DEPARTMENT OF JUSTICE

P-27092

P-25331

P-26348

JUSTICE - LAW ACADEMY

JUSTICE - MLEA

JUSTICE, MLEA

06/20/2017

04/22/2015

07/29/2016

10/17/2017

07/21/2015

12/29/2016

LIGHTNING STORM SHORTED OUT CONTROL TO WATER TOWER

LIGHTNING STRIKE HIT WEST FIELD

VOLTAGE DROP CAUSED EQUIPMENT TO FAIL

3,256.00

11,147.61

5,540.32

4,256.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DEPARTMENT OF JUSTICE: 18 Claims 7,969.65 12,862.29 116,775.08

DIVISION: DEPARTMENT OF JUSTICE, LAW ENFORCEMENT ACADEMY

DEPARTMENT OF JUSTICE, LAW ENFORCEMENT ACADEMY: 3 Claims

4,256.00 19,943.93

Claimant SUBROGATED

.00

65,000.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

30 of 77

AGENCY: DEPARTMENT OF LABOR & INDUSTRY

P-24203

P-23891

P-26673

P-26805

P-26997

P-26672

P-27693

DEPT OF LABOR & INDUSTRY, JOB SERVICE

DEPT OF LABOR & INDUSTRY, JOB SERVICE

LABOR & INDUSTRY, JOB SERVICE

LABOR & INDUSTRY, JOB SERVICE

LABOR & INDUSTRY, UI - BILLINGS

LABOR AND INDUSTRY, BUTTE JOB SERVICE

TRANSPORTATION, MOTOR POOL - LEASE

11/07/2013

07/08/2013

01/12/2017

02/08/2017

06/16/2017

01/17/2017

04/08/2018

05/06/2014

05/20/2015

03/30/2017

04/07/2017

05/29/2018

04/27/2017

07/25/2018

SEWER LINE BACK-UP

LARGE HAIL CAUSED ROOF AND SIDING DAMAGE

ROOF LEAK AROUND HVAC SYSTEM

ROOF DRAINS PLUGGED WITH ICE

TOILET OVERFLOWED

U/G DOMESTIC SUPPLY LINE FROZE

12-C18 VIN 2C4RDGCG9ER260570 VEHICLEBREAK-IN & THEFT

5,599.90

250.00

230.00

934.00

519.72

2,314.70

1,822.99

186.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DEPARTMENT OF LABOR & INDUSTRY: 7 Claims 186.00 11,671.31

DIVISION: DEPARTMENT OF LABOR & INDUSTRY

DEPARTMENT OF LABOR & INDUSTRY: 7 Claims 186.00 11,671.31

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

31 of 77

AGENCY: DEPARTMENT OF LIVESTOCK

P-24915

P-25126

P-25391

LIVESTOCK

LIVESTOCK

LIVESTOCK, MILES CITY

09/07/2014

11/01/2014

06/13/2015

06/02/2015

02/13/2015

09/30/2016

BROWNOUT ALLEGEDLY DAMAGED ANA 6600

HISTORIC BLUEPRINTS MISSING AFTER CONTRACTED WORK FINISHED

CONTENTS FIRE AT SUPPLIED OFFICE

137.10

12,416.60

220.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DEPARTMENT OF LIVESTOCK: 3 Claims 220.00 12,553.70

DIVISION: DEPARTMENT OF LIVESTOCK

DEPARTMENT OF LIVESTOCK: 3 Claims 220.00 12,553.70

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

32 of 77

AGENCY: DEPARTMENT OF NATURAL RESOURCES

P-27728

P-27023

P-27419

P-24850

P-25053

P-24789

P-25182

P-28012

P-27642

P-26231

YesNATURAL RESOURCES

NATURAL RESOURCES, FORESTY & TRUST LAND

NATURAL RESOURCES, LIBBY UNIT

NATURAL RESOURCES, NWLU

NATURAL RESOURCES, SWLO

NATURAL RESOURCES, TRUST LANDS

NATURAL RESOURCES, TRUST LANDS

NR - TOSTON DAM

NR - TOSTON DAM

NR, FORESTRY

05/01/2018

06/27/2017

09/13/2017

08/03/2014

11/10/2014

07/17/2014

01/10/2015

05/14/2018

03/16/2018

06/30/2016

11/06/2017

01/18/2018

09/16/2014

03/19/2015

08/28/2014

03/06/2015

07/04/2018

05/01/2017

210.00

1,500,000.00

PRIVATE VEHICLE RAN INTO FENCE

NEW FLOORING BEING STORED

DNR-1942 VINFD0X5HY6BEA47814 - ENGINE STRUCK DEER

PERSONAL VEHICLE CONTAINING STATE PROPERTY BROKE INTO

TREE FELL ON BUILDING

DEBRIS FROM RIVER DAMAGED SCREEN ON PUMP

ICE DAMMED IN VALLEY GABLED ROOF, MELTED

HIGH WATER FULL OF SEDIMENT DESTROYED TURBINE SEAL

POWER SURGE, CIRCUIT BOARD FAILED, DAM NOT PRODUCING ELECTRI

DNR-2028 VIN 1FD0X5HT9DEA64193- ROAD GAVE OUT, ENGINE ROLLED

985.00

2,867.92

1,561.02

6,330.00

14,255.00

991.30

247,547.12

53,154.69

10.00

1,164.76

1,450.55

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF NATURAL RESOURCES

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

33 of 77

AGENCY: DEPARTMENT OF NATURAL RESOURCES

P-25735

P-25975

P-26712

P-26099

NRC - CTR LAND OFFICE

NRC - FORESTRY

NRC, NWLO

NRC, OIL AND GAS

11/30/2015

03/13/2016

02/06/2017

05/21/2016

04/28/2016

05/13/2016

08/15/2017

4,965.33

HOT WATER PIPE BURST

WATER HEATER BOTTOM RUSTED OUT

ICE DAM ON ROOF

MAJOR HAIL STORM BILLINGS AREA

16,511.24

1,164.16

2,325.94

85,034.67

584.87

995.44

1,275.31

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DEPARTMENT OF NATURAL RESOURCES: 14 Claims 5,480.93 432,728.06

DIVISION: DEPARTMENT OF NATURAL RESOURCES

DEPARTMENT OF NATURAL RESOURCES: 14 Claims 5,480.93 432,728.06

Claimant SUBROGATED

1,505,175.33

1,505,175.33

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

34 of 77

AGENCY: DEPARTMENT OF TRANSPORTATION

P-26545 YesMDT, AERONAUTICS DIVISION

10/31/2016 3,826.00DRIVER STRUCK FENCE1,174.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF TRANSPORTATION

DEPARTMENT OF TRANSPORTATION: 1 Claims 1,174.00

Claimant SUBROGATED

3,826.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

35 of 77

AGENCY: DEPARTMENT OF TRANSPORTATION

P-25119 TRANSPORTATION, DRILL RIG TRUCK

12/10/2014 04/07/2015 CORE DRILL RIG BREAK-IN & THEFT

6,343.50

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF TRANSPORTATION, BILLINGS

DEPARTMENT OF TRANSPORTATION, BILLINGS: 1 Claims 6,343.50

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

36 of 77

AGENCY: DEPARTMENT OF TRANSPORTATION

P-27326

P-27492

P-26837

MDT, REST AREAS

MDT, RESTAREA DIVIDE FELY

TRANSPORTATION, HELENA MAINTENANCE

11/04/2017

11/13/2017

03/24/2017 05/01/2017

128.72

5,509.22

VANDALISM/FIRE TROY REST AREA

VANDALISM/FIRE LIMA RED ROCK DIVIDE FEELY I-15 REST AREA

WIND DAMAGE TO AIR DUCT

6,371.28

490.78

596.30

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF TRANSPORTATION, BUTTE

DEPARTMENT OF TRANSPORTATION, BUTTE: 3 Claims 596.30 6,862.06

Claimant SUBROGATED

5,637.94

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

37 of 77

AGENCY: DEPARTMENT OF TRANSPORTATION

P-25854

P-27494

MDT, LIVINGSTON QUONSET

MDT, REST AREAS HOMESTAKE

01/13/2016

12/27/2017

02/22/2018

02/15/2018

HEART ATTACK DRIVER STRUCK QUONSET

VANDALISM/FIRE BEARMTH HOMESTK BOZ LIVNGSTNREST AREAS

111,310.671,512.39

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF TRANSPORTATION, BOZEMAN

DEPARTMENT OF TRANSPORTATION, BOZEMAN: 2 Claims 1,512.39 111,310.67

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

38 of 77

AGENCY: DEPARTMENT OF TRANSPORTATION

P-23909

P-26280

MDT - GLENDIVE SHOP

TRANSPORATION - GLENDIVE, MAINTENANCE

07/08/2013

07/10/2016

08/21/2014

11/28/2016

MAJOR HAIL STORM

MAJOR HAIL STORM

5,583.76

31,856.96

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF TRANSPORTATION, GLENDIVE

DEPARTMENT OF TRANSPORTATION, GLENDIVE: 2 Claims 37,440.72

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

39 of 77

AGENCY: DEPARTMENT OF TRANSPORTATION

P-26492

P-24581

P-27632

TRANSPORTATION, EAST GLACIER

TRANSPORTATION, EAST GLACIER SECTION

TRANSPORTATION, ST MARY

08/15/2016

04/13/2014

05/31/2017

12/09/2016

09/18/2014

07/25/2018

BREAK-IN AT EAST GLACIER SHOP

DAMAGED DOORS & STOLEN PROPERTY

ROLLER ON TRAILER HIT OVERHEAD DOOR

729.51

2,387.33

7,172.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF TRANSPORTATION, HAVRE

DEPARTMENT OF TRANSPORTATION, HAVRE: 3 Claims 10,288.84

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

40 of 77

AGENCY: DEPARTMENT OF TRANSPORTATION

P-27493

P-25376

P-25374

MDT, REST AREA TROY DCMBR

TRANSPORTATION, KALISPELL

TRANSPORTATION, KALISPELL

12/18/2017

05/26/2015

04/26/2015

02/15/2018

06/17/2015

10/15/2016

VANDALISM/FIRE TROY I-15 REST AREAS DECEMBER

SOMEONE BROKE INTO SHOP AND LAB

SOMEONE GAINED ACCESS TOSHOP

5,110.98250.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF TRANSPORTATION, KALISPELL

DEPARTMENT OF TRANSPORTATION, KALISPELL: 3 Claims 250.00 5,110.98

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

41 of 77

AGENCY: DEPARTMENT OF TRANSPORTATION

P-26497

P-24840

P-26487

TRANSPORTATION, LEWISTOWN

TRANSPORTATION, LEWISTOWN

TRANSPORTATION, WINNETT/ROY SECTION

06/02/2016

08/18/2014

07/10/2016

02/02/2017

11/24/2014

02/02/2017

PERSONAL AND STATE TOOLS STOLEN FROM VEHICLE

PERSONAL AND STATE TOOLS STOLEN FROM VEHICLE

WINNETT & ROY SECTION BUILDINGS / MAJOR HAIL STORM

5,597.11

6,771.50

8,531.22

12,630.86

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: DEPARTMENT OF TRANSPORTATION, LEWISTOWN

DEPARTMENT OF TRANSPORTATION, LEWISTOWN: 3 Claims 12,630.86 20,899.83

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

42 of 77

AGENCY: DEPARTMENT OF TRANSPORTATION

P-26449 MDT, MISSOULA MAINTENANCE

09/07/2016 03/02/2017 FUSION MACHINE STOLEN FROM LOCKED TOOL ROOM, MISSOULA

3,000.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DEPARTMENT OF TRANSPORTATION: 19 Claims 12,880.86 2,108.69 202,430.60

DIVISION: DEPARTMENT OF TRANSPORTATION, MISSOULA

DEPARTMENT OF TRANSPORTATION, MISSOULA: 1 Claims 3,000.00

Claimant SUBROGATED

.00

9,463.94

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

43 of 77

AGENCY: HISTORICAL SOCIETY

P-24469 MONTANA HISTORICAL SOC, MOSS MANSION

03/20/2014 09/05/2017 ROOF LEAK, WATER DAMAGE 3RD AND 2ND FLOORS

10,983.03577.27

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

HISTORICAL SOCIETY: 1 Claims 577.27 10,983.03

DIVISION: HISTORICAL SOCIETY

HISTORICAL SOCIETY: 1 Claims 577.27 10,983.03

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

44 of 77

AGENCY: MONTANA STATE LIBRARY

P-24170 MONTANA STATE LIBRARY 11/06/2013 11/20/2013 FIRE DESTROYED ARCHIVAL MATERIAL HELD BY CONTRACTOR OFF SITE

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

MONTANA STATE LIBRARY: 1 Claims

DIVISION: MONTANA STATE LIBRARY

MONTANA STATE LIBRARY: 1 Claims

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

45 of 77

AGENCY: MULTIPLE AGENCIES

P-24587

P-24039

P-24631

P-25478

P-25514

P-25410

P-25719

BILLINGS HAIL 2014

BILLINGS STORM

CORRECTIONS, WOMEN'S PRISON

GLENDIVE STORM, CORRECTIONS, PH-EMVH

MISSOULA - WIND STORM

MSU, NARC

MSU-NORTHERN, GYM

05/18/2014

09/07/2013

05/18/2014

07/27/2015

08/10/2015

07/04/2015

11/17/2015

06/27/2018

08/01/2014

06/04/2015

12/30/2015

10/18/2017

12/21/2018

07/31/2018

HAILSTORM

STORM WITH WIND/RAIN STRUCK MULTIPLE LOCATIONS

MAJOR HAIL STORM DAMAGE

120 MILE WINDSTORM TORE FENCE DOWN

HIGH WINDS BLEW ROOFS & DOWNED TREES

TORNADO DAMAGED BUILDINGS

WIND DAMAGE

842,498.85

540,429.71

3,538.67

24,726.35

119,874.77

450,973.32

57,724.00

34,595.59

7,819.33

626.40

200.75

4,363.10

1,599.50

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

MULTIPLE AGENCIES: 7 Claims 49,204.67 2,039,765.67

DIVISION: MULTIPLE AGENCIES

MULTIPLE AGENCIES: 7 Claims 49,204.67 2,039,765.67

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

46 of 77

AGENCY: PUBLIC HEALTH & HUMAN SERVICES

P-24830 PUBLIC HEALTH, COMMODITIES

08/28/2014 08/11/2016 4 MAJOR WATER LINES BLEW UP

782.00956.66

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: PUBLIC HEALTH & HUMAN SERVICES

PUBLIC HEALTH & HUMAN SERVICES: 1 Claims 956.66 782.00

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

47 of 77

AGENCY: PUBLIC HEALTH & HUMAN SERVICES

P-27221

P-25353

MDC

MONTANA DEVELOPMENTAL CTR

03/01/2016

05/26/2015

11/22/2017

01/07/2016

CLIENT DAMAGED BRICK BUILDING

LIGHTNING STORM DAMAGED FIRE PANEL, TIME CLOCK, PHONES

2,000.00

15,538.19

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: PUBLIC HEALTH & HUMAN SERVICES, MONTANA DEVELOPMENTAL CENTER

PUBLIC HEALTH & HUMAN SERVICES, MONTANA DEVELOPMENTAL CENTER: 2 Claims

17,538.19

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

48 of 77

AGENCY: PUBLIC HEALTH & HUMAN SERVICES

P-24173

P-27789

PHHS - VETERANS HOME,COLUMBIA FALLS

PHHS - VETERANS HOME,COLUMBIA FALLS

11/11/2013

04/01/2018

12/30/2013

10/01/2018

GREASE FIRE ON GRILL PUT OUT WITH FIRE EXTINGUISHER

LEAKING PIPE HAS CAUSED DAMAGE TO WALLS, CABINETS

19,961.66

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - COLUMBIA FALLS

PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - COLUMBIA FALLS: 2 Claims

19,961.66

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

49 of 77

AGENCY: PUBLIC HEALTH & HUMAN SERVICES

P-26834

P-24287

P-23855

YesEMVH

PHHS, EVMS

PHHS, EVMS

03/31/2017

01/06/2014

07/08/2013

06/09/2017

07/07/2014

07/07/2014

AIR HANDLERS, DISHWASHER, CONTROL PANEL, SMALL FIRE

WATER VALVE BROKE LOOSE

MAJOR HAIL STORM

6,782.40

685.00

255.00

213.00

196.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

PUBLIC HEALTH & HUMAN SERVICES: 8 Claims 1,620.66 45,749.25

DIVISION: PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - GLENDIVE

PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - GLENDIVE: 3 Claims

664.00 7,467.40

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

50 of 77

AGENCY: STATE BOARD OF EDUCATION

P-24759

P-27801

SCHOOL - DEAF & BLIND, GEYSER COTTAGE #1

SCHOOL - DEAF & BLIND, POWER LINE OUTAGE

08/01/2014

04/22/2018

01/11/2016

09/25/2018

TOILET WATER LINE BROKE

POWER LINE DAMAGE

42,888.15

28,765.50

825.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

STATE BOARD OF EDUCATION: 2 Claims 825.00 71,653.65

DIVISION: STATE BOARD OF EDUCATION, SCHOOL FOR THE DEAF & BLIND

STATE BOARD OF EDUCATION, SCHOOL FOR THE DEAF & BLIND: 2 Claims

825.00 71,653.65

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

51 of 77

AGENCY: UNIVERSITY SYSTEM

P-25480 MSU BILLINGS, CITY COLLEGE LIBRARY

06/20/2015 10/21/2015 RAINWATER ENTERED THRU WALL PIPE

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, DIVISION OF TECHNOLOGY - BILLINGS

UNIVERSITY SYSTEM, DIVISION OF TECHNOLOGY - BILLINGS: 1 Claims

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

52 of 77

AGENCY: UNIVERSITY SYSTEM

P-26530

P-27362

P-24460

P-26078

P-24326

P-24661

P-25298

P-26480

P-27307

P-27397

P-27764

P-27922

Yes

Yes

MSU B, 424 SILVER

MSU B, NATIVE AM. ACHV. CTR

MSU BILLINGS, HOUSING AND RES LIFE

MSU BILLINGS, PE BUILDING

MSU BILLINGS, POLICE

MSU-BILLINGS, TENNIS BUBBLE

MSUB ART

MSUB PD

MSUB, 243 N RIM

MSUB, 2718 NORMAL

MSUB, 339 1/2 N RIM

MSUB, 439 SILVER

11/05/2016

11/25/2017

03/19/2014

05/12/2016

11/01/2013

06/29/2014

04/03/2015

10/09/2016

11/05/2017

12/09/2017

05/31/2018

05/31/2018

03/02/2017

04/20/2018

05/06/2015

01/20/2017

05/13/2014

09/22/2015

02/09/2016

01/23/2017

01/23/2018

01/23/2019

08/01/2018

1,678.89

SEWER BACKUP 424 SILVER

FIRE SPRINKLER LEAK

LAPTOP AND TABLET STOLEN FROM VALET LUGGATE SERVICE

ELECTRICAL FIRE IN PE BUILDING, FIRE SUPPRESSION ACTIVATED

DISAPPEARANCE OF HANDHELD TICKET WRITING UNIT

TENNIS BUBBLE DEFLATE

COPPER WATER LINE LEAK, DAMAGED ART WORK

HOT WATER HEATER FAILED, WATER LOSS IN UPD

VEHICLE INTO RENTAL HOUSE

BASEMENT SEWAGE BACKUP, CITY LINE

STORM WATER FLODDED BASEMENT 339 N RIM

DAMAGE DISCOVERED AFTER TENANT EVICTED

5,474.66

22,476.85

1,500.00

11,025.43

4,342.60

37,468.54

507.36

8,939.57

19,821.11

3,939.67

817.18

870.86

811.11

583.94

489.44

632.31

893.48

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BILLINGS

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

53 of 77

AGENCY: UNIVERSITY SYSTEM

P-25396

P-26405

P-27999

P-26751

P-25395

P-27786

P-24242

P-26909

MSUB, ADMINISTRATION

MSUB, APSARUKE

MSUB, CC TECH BUILDING

MSUB, FACILITY SERVICES

MSUB, GOLF

MSUB, MCMULLEN HALL

MSUB, PETRO THEATRE

MSUB, SCIENCE BUILDING

06/05/2015

09/16/2016

07/27/2018

02/21/2017

05/06/2015

06/02/2018

12/09/2013

04/09/2017

12/16/2015

04/07/2017

10/04/2017

06/30/2015

08/29/2018

04/25/2014

05/17/2017

1.00

SMARTBOARD PROJECTOR SMASHED ON WHITEBOARD

GLYCOL LEAK 3RD FLOOR APSARUKE, FITTING

HAIL TO SKYLIGHT CC TECH BUILDING

WATER SUPPLY LINE BROKE, NORTH MCMULLEN LOT

BROKE INTO, STOLE CASH FROM RENTAL CAR

MCMULLEN HALL WATER, POSSIBLY WATER FILTER

FIRE SPRINKLER FROZE

FREEZER DOES NOT WORK FOLLOWING ROOF LEAK

19,531.82

3,473.70

3,101.24

9,320.09

995.04

436.04

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BILLINGS

UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BILLINGS: 20 Claims

6,529.40 150,922.64

Claimant SUBROGATED

1,679.89

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

54 of 77

AGENCY: UNIVERSITY SYSTEM

P-24967 UM - HELENA COLLEGE 11/05/2014 06/04/2015 STOLEN TOOLS AND DISPLAY BOX FROM CAMPUS

3,311.01

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, HELENA COLLEGE OF TECHNOLOGY OF UM

UNIVERSITY SYSTEM, HELENA COLLEGE OF TECHNOLOGY OF UM: 1 Claims

3,311.01

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

55 of 77

AGENCY: UNIVERSITY SYSTEM

P-26980

P-27247

P-27880

P-26735

P-27795

P-27933

P-24201

P-26285

P-25406

P-25994

P-25908

P-25907

MSU - NARC, RESEARCH BARN

MSU AES, BART FARM

MSU AES, CARC

MSU AES, NWARC

MSU AG EXPT, CARC

MSU CARC, CARC

MSU NARC, RESIDENCE 9 5401

MSU, CARC

MSU, EARC

MSU, EARC

MSU, EARC

MSU, EARC

06/08/2017

10/06/2017

07/06/2018

02/01/2017

06/16/2018

06/30/2018

11/22/2013

07/23/2016

06/19/2015

03/23/2016

02/12/2016

02/11/2016

01/29/2018

09/12/2017

10/27/2014

01/05/2017

05/10/2016

09/02/2016

07/20/2016

03/07/2016

174,102.56

2,200.00

798.00

3,670.62

MICRO BURST - WIND DAMAGE

CAR STRUCK ELECTRONIC GATE

WIND BLEW STACKED SIDDING INTO CHEM BUILDING

GUTTER, FASCIA DAMAGED DUE TO ICE DAM

BREAK IN CARC DAIRY BARN, STOLEN LAPTOP, PROJECTOR

LIGHTNING DAMAGED PHONE, INTERNET, SUB 80 FREEZER

PIPE FROZEN 5401 2ND FLOOR

WIND DAMAGED METAL AND SHINGLES, SEED BARN

HAIL AND WIND TO VARIOUS BUILDINGS

FIRE, CHEMICAL STORAGE BLDG 8417

WATER THROUGH IMPROPERLY VENTED WALL

RUBBER ROOF LIFTED, INTERIOR MOIOSTURE DAMAGE

20,897.44

1,118.75

1,431.25

1,202.00

1,829.38

20,767.40

1,805.00

89,002.20

35,320.64

765.30

446.15

2,100.00

1,460.80

1,399.80

441.24

122.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, AG.EXPT.

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

56 of 77

AGENCY: UNIVERSITY SYSTEM

P-24250

P-24292

P-26648

P-24067

P-27839

MSU, EARC

MSU, EARC

MSU, NARC

MSU, WTARC

MSU, WTARC

08/10/2013

12/24/2013

01/13/2017

08/13/2013

07/09/2018

10/03/2014

07/03/2014

05/04/2017

01/22/2014

08/02/2018

HAIL MULTIPLE BUILDINGS

FURNACE FAILED, PIPES FROZE/BROKE DURING WINTERBREAK

WATER PIPE BURST, LARGE CONFERENCE ROOM

LIGHTNING STRIKE POWER POLE, PHONES AND COMPUTERS

FIRE IRRIGATION MOTOR PUMP SYSTEM

63,342.00

1,444.89

5,284.37

2,218.18

1,749.78

1,286.26

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, AG.EXPT.

UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, AG.EXPT.: 17 Claims

8,021.55 247,413.28

Claimant SUBROGATED

180,771.18

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

57 of 77

AGENCY: UNIVERSITY SYSTEM

P-26765 MSU, FIRE SERVICES TRAIN

03/01/2017 12/20/2018 THEFT FROM SECURED TRAILERS IN GREAT FALLS

14,177.88

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, FIRE TRNG.

UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, FIRE TRNG.: 1 Claims

14,177.88

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

58 of 77

AGENCY: UNIVERSITY SYSTEM

P-25030

P-26481

P-27782

P-26282

P-24365

P-25087

P-27881

P-26864

P-27421

P-26614

YesMSU - LANGFORD HALL

MSU CHEM BIO ENGR

MSU FAMILY HOUSING

MSU, 102 E MCINTOSH CT

MSU, 103 C MCINTOSH CT

MSU, 104 E MCINTOSH CT

MSU, 105 1E GRANT CHAMBER

MSU, 105 GRANT CHAMBERL

MSU, 107 B BRANEGAN

MSU, 53 GLACIER CT FGH

12/04/2014

10/09/2016

06/07/2018

07/25/2016

02/08/2014

12/31/2014

07/17/2018

03/28/2017

11/27/2017

12/16/2016

04/08/2015

10/24/2018

10/26/2016

04/15/2015

06/26/2015

12/21/2018

11/09/2017

04/05/2018

02/07/2017

26,830.00

STUDENTS HORSING AROUND WITH AEROSOL CAN

CEILING WATER LEAK LED TO DAMAGE TO DAMAGE TO THERMOGRAPHIC

PIPE INSIDE BATHROOM WALL LONG TERM DRIP, 102 J PAISLEY

TOILET OVERFLOW, FAILED FLOAT AND WATER INTAKE VALVE

HEAT TURNED OFF IN HOUSING UNIT, PIPES FROZE

FAILED TO MAINTAIN HEAT IN BUILDING OVER BREAK, FROZEN PIPE

KITCHEN SINK BACKED UP, UPPER LEVEL

T CONNECTOR BROKE 3RD FLR, BATH SINK DRAIN INTO WALL

WATER HEATER FAILED IN UPSTAIRS UNIT

FURNACE FAILED IN UNOCCUPIED APARTMENT, BURST PIPE

16,025.59

12,170.00

4,561.78

69,654.96

66,844.96

8,602.79

4,545.48

588.22

484.02

3,522.61

928.50

766.71

601.66

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

59 of 77

AGENCY: UNIVERSITY SYSTEM

P-25220

P-25617

P-27286

P-27410

P-24671

P-24205

P-27773

P-26174

P-23844

P-24329

P-24991

Yes

MSU, ATHLETICS

MSU, AUX SERVICES

MSU, AUX SERVICES TENNIS

MSU, AUX. BOBCAT COURT

MSU, AUXILIARY SERVICES

MSU, AUXILLIARIES

MSU, BART FARM

MSU, BART FARM

MSU, BASEMENT MT HALL

MSU, BRUNO HALL

MSU, CELL BIOLOGY

02/06/2015

09/14/2015

10/20/2017

12/18/2017

06/28/2014

11/10/2013

06/06/2018

06/08/2016

07/05/2013

01/15/2014

08/02/2014

04/08/2015

10/21/2015

10/22/2018

01/04/2018

07/21/2014

04/01/2014

12/21/2018

06/23/2016

11/07/2013

02/26/2014

03/10/2015

MACBOOK PRO STOLEN FROM ATHLETICS OFFICE

VANDAL GLUED PIANO KEY AND HOOD, LEIGH LOUNGE

WIND BLEW INSANE INFLATABLES UNIT: LIGHTS, FENCE

MECHANICAL COOLER FAILURE, SUB, BOBCAT COURT, FOOD LOSS

WATER SUPPLY LINE FAILED, WATER TO 3 UNITS

SCOREBOARD FELL DURING LIFTING

MSU MOWER STRUCK SIDE OF AG ED BLDG

WIND CARRIED QUONSET SHED TO COLT PEN, HORSE INJURY

CONDENSATE PIPE WEST BASEMENT RUSTED OUT

CLOSED OVERHEAD DOOR ON EQUIPMENT

LAPTOP STOLEN FROM VEHICLE IN OAKLAND CA

249.00

8,853.85

149.65

8,149.64

294.51

2,996.89

2,523.27

899.00

566.46

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

60 of 77

AGENCY: UNIVERSITY SYSTEM

P-27110

P-26434

P-26384

P-26876

P-26291

P-24010

P-25827

P-24363

P-25026

P-24809

P-25471

Yes

MSU, CENTER FOR BIOFILM

MSU, CHEM BIO ENGINEER

MSU, CHEM BIOCHEM

MSU, CHEM BIOCHEM 354

MSU, ECE

MSU, ECE

MSU, ECOLOGY

MSU, ENGINEER PHYSCL SCI

MSU, ESCI

MSU, FACILITIES

MSU, FACILITIES

07/29/2017

07/14/2016

09/09/2016

04/19/2017

07/25/2016

08/16/2013

12/29/2015

02/08/2014

11/28/2014

08/08/2014

07/27/2015

09/26/2017

02/02/2017

12/14/2018

03/14/2018

02/18/2015

01/20/2016

07/02/2014

01/15/2015

03/04/2015

11/06/2015

13,634.93

TEMPORARY ELECTRICAL SRVC SET UP WRONG, FRIED LOW FREEZER

BIOREACTOR BROKEN, UNKNOWN CAUSE

INSTRUMENTS DAMAGED, LAB WORK DISRUPTED DUE TO CONSTRUCTION

WATER LOSS RM 354 CHEM BIOCHEM

CHARGING BATTERY EXPLODED, SMOKE DAMAGE

EXTERNAL PUMP CAUGHT FIRE, AEROSOLS MEASURE EQUIPMT DAMG

CONTENTS IN PICKUP DAMAGED DURING VEHICLE ROLL

INJECTION PUMP FAILED, FLOODED BASEMENT

SMASH AND GRAB LAPTOP THEFT

CV STRUCK FOOT BRIDGE WALLY BYAM

HEAVY RAIN WITH SMALL HAIL

1,384.26

36,365.07

861,843.16

23,310.51

24,998.50

33,500.80

699.00

8,100.20

3,546.04

13,685.77

387.76

507.13

2,643.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

61 of 77

AGENCY: UNIVERSITY SYSTEM

P-24200

P-28091

P-27287

P-25734

P-25676

P-25177

P-24281

P-24849

P-27015

P-25831

P-24364

Yes

Yes

MSU, FACILITIES

MSU, FACILITIES

MSU, FACILITIES - STAIRS

MSU, FACILITIES HYDRANT

MSU, FACILITIES SERVICES

MSU, FACILITIES SERVICES

MSU, FAM & GRAD HOUSING

MSU, FAT CAT BAKERY

MSU, FGH

MSU, FGH 113 JULIA MARTIN

MSU, FILM AND PHOTOGRAPHY

11/14/2013

09/04/2018

10/13/2017

12/01/2015

10/08/2015

01/14/2015

12/30/2013

08/27/2014

06/24/2017

01/05/2016

02/08/2014

11/21/2013

12/12/2018

10/23/2018

11/28/2016

12/30/2015

05/18/2015

04/11/2014

02/11/2015

10/27/2017

06/24/2016

04/11/2014

CUSTODIAN LOST MASTER KEYCHEMISTRY BIOCHEM

2 BIKES, SNOW BLOWER DISCOVERED MISSING DURINGINVENTORY

AUTO DRIVEN DOWN 11TH STREET STAIRS AT MALL

OTHER PARTY DROVE INTO FIRE HYDRANT

0004456 VIN 3N6M0KN3FK710468 - HIT BY TRAILER

DROPPED SUFACE PRO

ELECTRIC SHORT LEAD TO STEAM DAMAGE

SEWAGE WATER BACKED UP IN CENTER DRAIN

WATER OVERFLOW, WATER NOT TURNED OFF

CONNECTOR SHEARED OFF ATTOILET RISER, MULTIPLE UNITS WET

OFF CAMPS STORAGE FIRE TO FILM EQUIPMENT

385.00

3,589.49

1,306.00

549.00

5,448.56

458.00

17,365.22

1,120.23

430.53

805.47

1,173.31

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

62 of 77

AGENCY: UNIVERSITY SYSTEM

P-26940

P-25392

P-27179

P-26175

P-27083

P-24941

P-27195

P-24231

P-24377

P-24232

P-24237

P-25718

Yes

MSU, FOOD SERVICE

MSU, HANNON HALL QUADS AF

MSU, HARRISON DINING

MSU, HARRISON DINING

MSU, HARRISON DINING

MSU, HARRISON DINING

MSU, HARRISON DINING

MSU, INFO TECHNOLOGY

MSU, LANDSCAPE AND GROUND

MSU, LANGFORD FACILITIES

MSU, LANGFORD ROOM 235

MSU, LEON JOHNSON

03/08/2017

06/21/2015

08/27/2017

06/11/2016

09/04/2017

10/17/2014

08/27/2017

12/09/2013

02/16/2014

12/10/2013

12/07/2013

11/18/2015

12/05/2017

10/19/2015

09/11/2018

11/09/2016

09/28/2017

03/26/2015

09/28/2017

12/30/2014

02/27/2014

02/07/2014

11/24/2014

12/03/2015

HANNON DINING FREEZER FAILED, LOST FOOD PRODUCT

LIGHTNING STRIKE HANNON HALL & QUADS A - F

HARRISON WALKIN FREEZER FAILURE, FOOD SPOILAGE

FREEZER FAILURE, CONTENTS DESTROYED

COOLER BEHIND TACO BAR LOST TEMP, FOOD LOSS

ELECTRIC TRANSFORMER FAILED, FOOD SPOILAGE

HARRISON COOLER, FOOD SPOILAGE-TACO BAR

NORTH HEDGES

STRUCK BOLLARD WITH TRACTOR

PIPE FREEZE LANGFORD, DRYWALL DAMAGED

STUDENTS LEFT WINDOW OPEN, PIPES FROZE

ROOF LEAK

579.32

121,429.86

5,908.25

2,991.15

3,509.09

1,875.00

1,056.48

1,120.18

771.30

454.86

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

63 of 77

AGENCY: UNIVERSITY SYSTEM

P-27809

P-25272

P-25709

P-26478

P-24870

P-28042

P-27436

P-27807

P-25961

P-26848

P-25205

MSU, LETTER AND SCIENCE

MSU, LETTERS & SCIENCE

MSU, LEWIS AND TIETZ

MSU, LEWIS AND TIETZ

MSU, LEWIS HALL

MSU, LRES

MSU, MARSH MODULARS 1

MSU, MICROBIOLOGY & IMMUN

MSU, MICROBIOLOGY IMMUNOL

MSU, MILLER DINING

MSU, MILLER DINING

06/25/2018

04/05/2015

11/14/2015

10/12/2016

09/16/2014

08/11/2018

12/29/2017

06/16/2018

03/01/2016

03/27/2017

01/23/2015

06/27/2018

05/19/2015

11/02/2016

12/15/2016

07/21/2015

10/22/2018

02/13/2018

03/24/2016

11/16/2018

04/23/2015

1,100,000.00

LEAKING NITROGEN FROM VALVE, PIPES

DROPPED SURFACE PRO, SCREEN DAMAGED

DOMESTIC WATER LINE PLUG RUSTED, LEWIS AND TIETZ HALLS

PIPE LEAK FIRST LEVELTIETZ 128, 129

HOSE FROM PUREWATER TECHNOLOGY SYSTEM POPPED OFF

SMALL SHIPPED PACKED THEFT, LEON JOHNSON

ICE DAM MARSH MODULAR 1

BREAKERS OFF, CONTENTS 2 MINUS 80 C FREEZERS CONTENTS

WIND BLEW SHINGLES AND SOFFIT OFF MARSH/MODULAR 2

MILLER A3 COOLER SOLENOID FAILED, FOOD SPOILAGE

UNMAINTAINED SEWER LINE BACKED UP

78,445.82

2,958.11

1,529.48

4,783.54

326.37

3,780.90

377.07

1,679.63

9,576.99

434.66

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

64 of 77

AGENCY: UNIVERSITY SYSTEM

P-26599

P-26525

P-24893

P-27304

P-24230

P-25690

P-27152

P-24249

P-24982

P-23916

P-26607

MSU, MILLER DINING

MSU, MILLER DINING

MSU, MILLER DINING

MSU, MILLER DINING BSMT

MSU, MILLER FOOD SERVICES

MSU, MSU BOOKSTORE

MSU, MUSEUM OF ROCKIES

MSU, N HEDGES S LOBBY STE

MSU, PLANT BIOSCIENCES

MSU, PLANT SCIENCE PATHO

MSU, QUAD C BASEMENT

12/17/2016

11/02/2016

09/03/2014

10/15/2017

12/08/2013

10/19/2015

08/14/2017

12/13/2013

11/16/2014

07/22/2013

12/23/2016

02/07/2017

02/03/2017

12/12/2014

12/01/2017

03/14/2014

12/18/2015

05/14/2018

04/22/2014

04/09/2015

09/19/2014

06/23/2017

COOLER GLYCOL LEAK AT MILLER, CONTENTS DAMAGED

SPRINKLER BURST AFTER FACILITIES CHANGE OUT, FOOD SPOILAGE

SEWER BLOCKAGE MECHANICAL ROOM

SUMP FAILED, SEWAGE MILLERBASEMENT

2 PIPES BURST MILLER DINING

STADIUM FIRE SUPPRESSION BAD, DRY LINES FILL AND LEAK

CHAFING DISH LEFT UNATTENDED, KNOCKED OVER, BURNED CARPET

N HEDGES S LOBBY STEAM

FROZEN WATER PIPES

WALK IN FREEZER DID NOT RESTART AFTER POWER OUTBREAK

WINDOW LEFT OPEN, PIPE FROZE

2,227.12

1,261.85

4,008.28

2,740.35

997.46

1,668.89

3,664.00

7,031.20

6,358.11

33,538.98

7,881.85

892.79

314.15

556.59

918.27

1,377.35

976.00

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

65 of 77

AGENCY: UNIVERSITY SYSTEM

P-27655

P-24075

P-24233

P-28210

P-24245

P-27187

P-26740

MSU, RESIDENCE LIFE

MSU, ROMNEY GYM

MSU, SOUTH HEDGES

MSU, STADIUM CAT SHACK

MSU, STADIUM HOME LOCKER

MSU, SUB

MSU, UNIVERSITY SERVICES

03/08/2018

09/08/2013

12/09/2013

12/08/2018

12/10/2013

08/31/2017

01/31/2017

05/23/2018

11/04/2013

04/15/2014

12/18/2018

05/19/2014

04/02/2018

07/05/2017

SEWER BACKUP, KITCHEN DRAIN CLOGGED

LEAK FROM PLASTIC CONNECTOR GOING TO TOILET

SPRINKLER AT NORTH STAIRWELL

DRY FIRE SYSTEM WENT WET, FROZE, BURST

FAILED TO MAINTAIN ADEQUATE HEAT, PIPES FROZE

RECYCLING TRUCK STRUCK SUB CANOPY

ICE DAM, INTERIOR LEAKING MULTIPLE ROOMS, SRM

2,670.50

1,466.00

1,478.67

7,066.77

1,549.86

487.36

685.22

658.29

325.28

344.95

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN

UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN: 84 Claims

54,411.48 1,539,904.28

Claimant SUBROGATED

1,140,464.93

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

66 of 77

AGENCY: UNIVERSITY SYSTEM

P-25218

P-25217

P-24635

P-25175

P-24397

P-24234

P-25507

P-26030

P-24636

P-26482

P-27851

Yes

MONTANA BUTTE TECH, BIOLOGY DEPT.

MONTANA BUTTE TECH, GEOLOGICAL DEPT.

MONTANA BUTTE TECH, HEALTH SCIENCE BLDG

MONTANA BUTTE TECH, HIGHLANDS COLLEGE

MONTANA BUTTE TECH, MAIN HALL

MONTANA BUTTE TECH, RESIDENCE LIFE

MONTANA BUTTE TECH, SUB

MONTANA TECH

MONTANA TECH - BUTTE, MINES & GEOLOGY

MT BUTTE TECH, ADMIN OFFICES

MT BUTTE TECH, AGENCY VEHICLES

06/01/2014

09/08/2014

03/06/2014

11/12/2014

02/17/2014

12/10/2013

06/29/2015

11/19/2014

12/20/2013

10/15/2016

05/21/2018

04/29/2015

04/29/2015

10/07/2015

07/21/2015

11/07/2015

10/07/2015

10/07/2015

05/13/2016

02/03/2015

04/10/2017

10/18/2018

LAPTOP MISSING FROM BIOLOGY DEPT OFFICE

STOLEN FROM HIS PERSONAL VEHICLE

BROKEN WATER HEATER

HVAC COIL UNITS FROZE AND BROKE

TOILET WATER LINE BROKE

FIRE SUPPRESSION PIPE FROZE AND BROKE

WINDOW IN SUB DINING AREA

BURIED FIBER OPTIC CABLE DAMAGED IN EXCAVATION

VANDALIZED WELL & STOLEN MONITORING EQUIPMENT

HEATING VALVE BROKE IN OFFICE

MULTIPLE VEHICLES WERE VANDALIZED

1,472.09

525.24

1,992.31

16,682.00

16,275.40

2,321.11

625.00

9,187.95

4,944.73

1,078.63

10,000.00 1,049.60

1,062.03

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA TECH OF THE UM

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

67 of 77

AGENCY: UNIVERSITY SYSTEM

P-28169

P-26536

P-26176

P-26178

P-27554

P-26027

P-28105

P-25875

P-26981

P-27705

P-26610 Yes

MT BUTTE TECH, APARTMENT HOUSING

MT BUTTE TECH, CHEMISTRY & BIOLOGY

MT BUTTE TECH, ENGINEERING LAB

MT BUTTE TECH, ENV ENGINEERING

MT BUTTE TECH, GEOPHYSICAL DEPT

MT BUTTE TECH, HIGHLANDS CAMPUS

MT BUTTE TECH, MAIN HALL

MT BUTTE TECH, MAIN HALL

MT BUTTE TECH, MINING ENGINEERING

MT BUTTE TECH, MINING ENGINEERING

MT BUTTE TECH, STUDENT HOUSING

11/14/2018

08/18/2016

04/22/2016

03/29/2016

05/24/2017

10/07/2015

06/12/2017

11/30/2015

12/04/2016

01/02/2018

12/30/2016

11/30/2016

01/26/2017

07/31/2016

07/13/2018

01/23/2017

04/06/2016

08/01/2017

07/13/2018

07/31/2018

12,632.50

KITCHEN STOVETOP FIRE - STUDENT HOUSING

COMPUTER CRESTRON CONTROLLER DAMAGED DURING POWER OUTAGE

WATER DAMAGE FROM HOT WATER TOWER

MISSING WATER SAMPLING EQUIPMENT

DAMAGED WHILE PULLING ALONG ROADWAY

HAIL DAMAGE

WATER DAMAGE FROM ROOF DRAINS

STEAM TRAP MALFUNCTION

UNKNOWN VEHICLE STRUCK MINE YARD FENCE

UNKNOWN VEHICLE STRUCK MINE YARD FENCE

FIRE CAUSED BY UNATTENDEDBBQ

590.00

16,469.09

13,405.00

20,360.00

25,401.00

8,988.00

236.61

135.95

22,475.873,900.09

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA TECH OF THE UM

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

68 of 77

AGENCY: UNIVERSITY SYSTEM

P-26995 MT BUTTE TECH, SUB BUILDING

05/31/2017 06/20/2018 UNDERGROUND SPRINKLER PIPE LEAK

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA TECH OF THE UM

UNIVERSITY SYSTEM, MONTANA TECH OF THE UM: 23 Claims 10,000.00 6,011.72 163,165.98

Claimant SUBROGATED

12,632.50

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

69 of 77

AGENCY: UNIVERSITY SYSTEM

P-25912 UM - MISSOULA COLLEGE, EAST CAMPUS

02/27/2016 04/26/2016 VANDALS THREW LARGE ROCKS THROUGH WINDOWS AND DOORS

1,468.16

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, COLLEGE OF TECHNOLOGY - MISSOULA

UNIVERSITY SYSTEM, COLLEGE OF TECHNOLOGY - MISSOULA: 1 Claims

1,468.16

Claimant SUBROGATED

.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

70 of 77

AGENCY: UNIVERSITY SYSTEM

P-25334

P-27309

P-25279

P-27271

P-28149

P-25280

P-27432

P-27431

P-27227

P-24639

P-26499

P-25937

Yes

Yes

MSU - NORTHERN

MSU - NORTHERN

MSU - NORTHERN

MSU - NORTHERN, GYM

MSU - NORTHERN, LOANED EQUIPMENT

MSU - NORTHERN, SUB

MSU - NORTHERN, SUB BASEMENT

MSU - NORTHERN, SUB BASEMENT

MSU NORTHERN

MSU-NORTHERN, FACILITIES

MSU-NORTHERN, FAMILY HOUSING

MSU-NORTHERN, FARM MECH BUILDING

03/28/2015

10/02/2017

11/10/2014

07/14/2017

05/31/2018

03/20/2015

01/02/2018

01/02/2018

09/25/2017

07/12/2013

01/05/2016

02/06/2016

07/21/2015

05/20/2015

08/03/2018

12/11/2018

10/07/2015

01/05/2018

07/25/2018

07/25/2018

07/03/2014

01/31/2017

07/28/2016

6,185.00

POWER OUTAGE/SURGE DUE TO HIGH WINDS

HEAVY SNOW & ICE STORM

VEHICLE STRUCK TENNIS COURT FENCE

GROUNDS CREW BURNING WEEDS ALONG EXTERIOR WALL

ROCK FROM ROADWAY BROKEREAR WINDOW

DELIVERY TRUCK BACKED INTO SUB ROOF

MAIN WATER LINE BREAK

WATER METER / LINE BREAK

UNDERGROUND TRANSMISSION LINE

HIT & RUN DAMAGE - UNKNOWN VEHICLE

FROZEN HEATER PIPE IN APARTMENT

WIND DAMAGE

6,871.55

113,815.00

350.00

9,786.11

893.93

979.00

70,067.25

3,627.50

700.90

769.82

1,385.34

1,335.39

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - NORTHERN

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

71 of 77

AGENCY: UNIVERSITY SYSTEM

P-27629 MSU-NORTHERN, STUDENT HOUSING

11/05/2017 08/02/2018 FROZEN/BROKEN WATER LINE53,674.04

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - NORTHERN

UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - NORTHERN: 13 Claims

3,490.55 260,765.28

Claimant SUBROGATED

6,185.00

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

72 of 77

AGENCY: UNIVERSITY SYSTEM

P-24930

P-26843

P-24448

P-24072

P-26872

P-26979

P-27054

P-27743

P-26172

P-27540

P-26154

U M - ADAMS CENTER

U M - DALY MANSION

U M - MISSOULA, ART ANNEX KILN ROOF

U M - MISSOULA, BIOLOGICAL SCIENCES

U M - MISSOULA, BIOLOGICAL SCIENCES

U M - MISSOULA, BOOK STORE

U M - MISSOULA, BRANTLEY HALL

U M - MISSOULA, CLAPP BUILDING

U M - MISSOULA, CLINICAL PSYCH

U M - MISSOULA, DINING -CATERING

U M - MISSOULA, EUREKA APARTMENTS

10/23/2014

03/20/2017

03/02/2014

08/15/2013

01/12/2017

06/08/2017

06/16/2017

05/14/2018

05/30/2016

02/08/2018

06/12/2016

08/20/2015

08/08/2017

07/28/2014

11/20/2013

12/18/2017

11/06/2017

08/31/2017

11/20/2018

07/22/2016

05/23/2018

12/28/2017

SEWAGE BACK UP AT GREEN ROOM

WATER LEAKED INTO COLUMNS

LARGE AMOUNT SNOW CAUSED ROOF TO COLLAPSE

FREEZER WAS UNPLUGGED

CIRCUIT SWITCH BROKE CAUSING COLD ROOM TO BECOME WARM

MAJOR WATER LINE ABOVE BOOK STORE BURST

CAPPED WATERLINE, FITTING BROKE LOOSE

CONTRACTOR CUTTING CONCRETE, WATER LEAKED INTO BASEMENT

STEAM LINE FAILED SPRAYING HEATING SYSTEM GLYCOL

SEWER PIPE BURST ABOVE KITCHEN SPILLING SEWAGE

FIRE AT APARTMENT COMPLEX

14,632.67

1,381.55

12,993.09

8,596.11

2,751.54

52,233.10

48,232.95

3,003.67

15,766.80

687,982.98

486.06

857.98

1,003.86

1,440.91

416.14

2,412.21

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

73 of 77

AGENCY: UNIVERSITY SYSTEM

P-26003

P-26942

P-25545

P-27207

P-27008

P-26869

P-24086

P-25510

P-24770

P-28097

P-25711

Yes

U M - MISSOULA, GEOSCIENCES

U M - MISSOULA, HHP/WPEM

U M - MISSOULA, LOMMASSON CENTER

U M - MISSOULA, NEW DIRECTIONS WELL

U M - MISSOULA, SCIENCE CENTER

U M - MISSOULA, SOCIAL SCIENCES BLDG

U M - MISSOULA, SPECTR UM MUSEUM

U M - MISSOULA, STUDENT HOUSING

U M -MISSOULA, REGISTRAR

UM - BIOLOGICAL SCIENCES

UM - MISSOULA

03/17/2016

05/15/2017

06/17/2015

08/03/2017

06/14/2017

03/30/2017

09/27/2013

08/10/2015

07/27/2014

09/07/2018

09/29/2015

04/19/2017

08/14/2018

10/06/2015

11/27/2017

05/22/2018

09/13/2017

12/04/2013

11/16/2016

10/03/2014

04/04/2016

14,270.50

WINCH AND CRANE BOLTED TOBED OF PARKED TRUCK

DENTED TOP OF TRAILER LED TO SLOW LEAK

SEWER LINE UNDER ZOO KITCHEN RUSTED

PT BIKE STOLEN FROM SHED IN SECURED AREA

DI UNIT LINE FAILED 4TH FLOOR

-20 FREEZER LEFT UN-PLUGGED DURING CONSTRUCTION

RIVER TABLE ARTWORK OVERFLOWED WITH WATER

HOT WATER RETURN LINE LEAKING

BREAK IN AT SEVERAL OFFICES, FILES AND STAMPS STOLEN

INFRARED CAMERA STOLEN FROM LAB

RESEARCH STOLEN OUT OF RENTAL VEHICLE

6,641.44

551.29

3,687.00

9,206.19

8,121.41

14,534.99

3,035.95

15,161.46

3,051.29

480.21

622.52

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

74 of 77

AGENCY: UNIVERSITY SYSTEM

P-27461

P-24598

P-24858

P-26349

P-26812

P-25520

P-24914

P-26845

P-25293

P-26729

Yes

UM - MISSOULA, 1809 IMMIGRANT CT

UM - MISSOULA, ADAMS CENTER

UM - MISSOULA, CAMPUS RECREATION

UM - MISSOULA, CHEMISTRY DEPARTMENT

UM - MISSOULA, COLLEGE OF FORESTRY

UM - MISSOULA, COLLEGE OF FORESTRY

UM - MISSOULA, FAMILY HOUSING

UM - MISSOULA, FOOD ZOO

UM - MISSOULA, GOLF COURSE

UM - MISSOULA, GOLF COURSE

01/17/2018

03/10/2014

08/13/2014

06/20/2016

12/28/2016

08/10/2015

10/12/2014

03/23/2017

04/21/2015

02/09/2017

09/23/2014

08/26/2015

04/25/2017

11/03/2015

04/08/2015

08/21/2017

07/06/2015

06/06/2017

7,373.00

21,000.00

APARTMENT POSITIVE FOR METH RESIDUE

LARGE AMOUNT OF DRIFTED SNOW ON ROOF CAUSED DAMAGE TO DRAIN

BREAK-IN AT THE GOLF COURSE PRO SHOP

POWER SURGE CAUSED SPECTROMETERS TO FAIL

WEIGHT OF SNOW CAUSED ROOF STRUCTURE TO FALL

SECURE LOCATION BURGLARIZED

USE OF BUTANE FLUID

DOUGH PRESS SLID OFF CART WHEN CLEANING TECH MOVEDIT

ICE MACHINE LEAKED WATER REACHED SUBFLOOR

TILE CRACKING AND POPPING UP

7,627.00

1,902.76

617.42

6,683.88

21,569.17

1,049.18

1,220.25

13,374.28

4,123.40

3,609.90

2,500.00

2,700.00

851.71

1,423.06

445.50

1,407.14

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

75 of 77

AGENCY: UNIVERSITY SYSTEM

P-25235

P-28267

P-26783

P-27293

P-27564

P-26293

P-25304

P-26044

P-26447

P-25891

Yes

UM - MISSOULA, LAW SCHOOL BUILDING

UM - MISSOULA, MCGILL HALL

UM - MISSOULA, MTES, UNIVERSITY CTR

UM - MISSOULA, PHYLLIS J.EDU. BLDG.

UM - MISSOULA, RESIDENCE LIFE

UM - MISSOULA, RESIDENCE LIFE

UM - MISSOULA, UC - CATTERING

UM - MISSOULA, WILDLIFERESEARCH

UM, ADAMS CENTER

UM, FACILITIES SERVICES

03/06/2015

12/13/2018

02/12/2017

10/26/2017

01/03/2018

06/25/2016

04/28/2015

04/07/2016

09/05/2016

08/30/2015

08/21/2015

08/29/2017

03/14/2018

09/14/2016

12/29/2015

01/12/2017

09/29/2016

04/07/2016

7,000.00

27,557.36

SEWAGE EJECTION PUMPS DAMAGED DUE TO FEMININE PRODUCTS

ASBESTOS CIRCULATED LOOSE ASBESTOS

THEFT OF UM EQUIPMENT OUTOF THE BALLROOM

CONTRACTOR EXCAVATOR HITA WATER MAIN

EXH. PIPE SEPARATED CREATING HIGH MOISTURE LEVEL

HIT A RUN

SEWER LINE ABOVE CATERINGKITCHEN BROKE

CUSTODIAN THREW AWAY BOXCONTAINING VERY SMALL TRANSMITTERS

WATER DRIP FROM PIPE IN CEILING, NORTH B GYM FLOOR

FLUSH VALVE STUCK CAUSED FLOODING

20,633.90

364.93

222,442.64

116,044.99

51,600.00

4,633.64

3,050.00

2,562.07

7,558.06

2,505.43

383.30

617.94

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA

UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA: 47,352.13 15,353.97 1,360,080.82

Claimant SUBROGATED

77,200.86

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

76 of 77

AGENCY: UNIVERSITY SYSTEM

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

DIVISION: UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA

42 Claims

Claimant SUBROGATED

MONTANA STATE GOVERNMENTProperty Claims

Printed 01/28/2019 Activity

Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.

REPORT PARAMETERS

Agency Id

Classification

All (Claims, Potential Claims and Lawsuits)

Expense Limits

No LimitsClaimant

Coverage Code

P

Report Order

LossDate from 07/01/2013 to 01/28/2019

Query Date

77 of 77

TOTAL: 408 Claims 116,184.34 191,433.37 10,260,013.62

AGENCY: UNIVERSITY SYSTEM

P-24985

P-26217

P-26918

P-24888

P-26362

U M - WESTERN

U M - WESTERN

U M - WESTERN

U M -WESTERN, P E COMPLEX

UM-WESTERN

10/21/2014

03/28/2016

05/08/2017

09/23/2014

08/30/2016

05/25/2017

07/13/2016

05/09/2018

12/04/2014

01/03/2017

WATER ENTERED BUILDING BETWEEN BASEMENT & FIRST FLOOR

POWER OUTAGE CAUSED BY NWE EQUIPMENT FAILURE

IRRIGATION PIPE FROZE DURING WINTER, LEAK ONCE TURNED ON

FLOOR IS RISING, BUBBLING UP

GREASE FIRE CAUSING SMOKEDAMAGE TO APARTMENT

13,804.75

2,314.70

21,004.96

3,314.70

1,096.51

2,326.73

CLAIM ID

LOSSDATE

REQUESTEDAMOUNT

RESOLVEDDATE

LAE TOTAL RESERVEINDEMNITY Claim Description

UNIVERSITY SYSTEM: 208 Claims 60,666.83 97,241.91 3,778,333.74

DIVISION: UNIVERSITY SYSTEM, WESTERN MONTANA COLLEGE OF THE UM

UNIVERSITY SYSTEM, WESTERN MONTANA COLLEGE OF THE UM: 5 Claims

3,314.70 3,423.24 37,124.41

Claimant SUBROGATED

.00

1,418,934.36

3,284,786.75