stephenville isd - edl · 2017069198 913 keyes*carolyn 8/25/17 close 2,768 1,768 0 1,000 0 mv...

21
Event Number Claimant Name Claim Ref. # Date of Loss Status Total Incurred Fund Paid Member Paid Total Outstanding Accident Descripton Recoveries Stephenville ISD Auto, Liability, and Property Detailed Claims Report as of January 03, 2019 Coverage Period from March 01, 2013 thru March 01, 2019 * Estmate of damage reserves pending Auto Liability Coverage Period: 03/01/2013 to 03/01/2014 Contract Number 072903-140301 0 2013056423 BEW Leasin MV rear-ended by semi-truck in Glen Rose. 508 0 0 Close 0 0 6/4/13 Totals : 03/01/2013 to 03/01/2014 0 0 0 COUNT OF CLAIMS 0 0 1 Auto Liability Coverage Period: 03/01/2014 to 03/01/2015 Contract Number P072903-2013-1 0 2014059282 Aryanfar*Farshid Parked vehicle was damaged. Bumper cracked. 220 1,000 621 Close 1,621 0 7/10/14 0 2014059484 Mitchell*Amie MV hit parked CV. 511 1,000 4,873 Close 5,873 0 8/27/14 Totals : 03/01/2014 to 03/01/2015 7,493 0 0 COUNT OF CLAIMS 2,000 5,493 2 Auto Liability Coverage Period: 03/01/2015 to 03/01/2016 Contract Number P072903-2014-1 0 2015061136 Abbassi*Sayf MV hit parked CV driver side quarter panel. 339 1,000 1,060 Close 2,060 0 3/14/15 0 2015062511 Hamilton*Casey MV hit and clipped CV at the parking lot. 590 1,000 4,004 Close 5,004 0 9/15/15 0 2016063956 Henson*Jon MV rolled back into parked CV 83 1,000 2,754 Close 3,754 0 2/22/16 Totals : 03/01/2015 to 03/01/2016 10,818 0 0 COUNT OF CLAIMS 3,000 7,818 3 Page 1 of 21 Printed:1/4/2019

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Page 1: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Auto Liability Coverage Period: 03/01/2013 to 03/01/2014Contract Number 072903-140301

0 2013056423 BEW Leasin MV rear-ended by semi-truck in Glen Rose. 508 0 0 Close 0 0 6/4/13

Totals : 03/01/2013 to 03/01/2014 0 0 0 COUNT OF CLAIMS 0 0 1

Auto Liability Coverage Period: 03/01/2014 to 03/01/2015Contract Number P072903-2013-1

0 2014059282 Aryanfar*Farshid Parked vehicle was damaged. Bumper cracked. 220 1,000 621 Close 1,621 0 7/10/14

0 2014059484 Mitchell*Amie MV hit parked CV. 511 1,000 4,873 Close 5,873 0 8/27/14

Totals : 03/01/2014 to 03/01/2015 7,493 0 0 COUNT OF CLAIMS 2,000 5,493 2

Auto Liability Coverage Period: 03/01/2015 to 03/01/2016Contract Number P072903-2014-1

0 2015061136 Abbassi*Sayf MV hit parked CV driver side quarter panel. 339 1,000 1,060 Close 2,060 0 3/14/15

0 2015062511 Hamilton*Casey MV hit and clipped CV at the parking lot. 590 1,000 4,004 Close 5,004 0 9/15/15

0 2016063956 Henson*Jon MV rolled back into parked CV 83 1,000 2,754 Close 3,754 0 2/22/16

Totals : 03/01/2015 to 03/01/2016 10,818 0 0 COUNT OF CLAIMS 3,000 7,818 3

Page 1 of 21Printed:1/4/2019

Page 2: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Auto Liability Coverage Period: 03/01/2016 to 03/01/2017Contract Number P072903-2015-1

No claims reported for this coverage term.

Auto Liability Coverage Period: 03/01/2017 to 03/01/2018Contract Number P072903-2016-1

0 2017068628 Burkes*Casey MV pulled out of street an rear ended CV. 72 1,000 778 Close 1,778 0 5/25/17

0 2017069198 Keyes*Carolyn MV turning into bus lane and hit parked CV. 913 1,000 1,768 Close 2,768 0 8/25/17

Totals : 03/01/2017 to 03/01/2018 4,546 0 0 COUNT OF CLAIMS 2,000 2,546 2

Page 2 of 21Printed:1/4/2019

Page 3: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Auto Liability Coverage Period: 03/01/2018 to 03/01/2019Contract Number P072903-2017-1

0 2018071191 Smith*Colt Coming to red light in the rain and several cars were in an

accident. Van could not stop and ran into the back of the SUV

involved in the accident. Me

399 0 0 Close 0 0 3/27/18

0 2018071592 Marshall*Ashley Three cars. Ashley was stopped and was rear ended by a non

school 2002 Ford Expediton that was then rear ended by a

school Astro Van the Expediton

16 0 0 Close 0 0 3/27/18

0 2018071592 Smith*Colt Three cars. Ashley was stopped and was rear ended by a non

school 2002 Ford Expediton that was then rear ended by a

school Astro Van the Expediton

418 0 0 Close 0 0 3/27/18

0 2018071837 Strohecker*Michael CV was parked. MV backed into it. 433 1,000 1,756 Close 2,756 0 3/3/18

0 2018072587 Barkley*Austn Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

534 1,000 237 Open 40,100 38,863 8/27/18

0 2018072587 Alarcon*Josiah Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

586 0 352 Open 10,000 9,648 8/27/18

0 2018072587 Arroyo Ort*Amy Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

587 0 352 Open 10,000 9,648 8/27/18

0 2018072587 Burt*Ariawana Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

588 0 0 Close 0 0 8/27/18

0 2018072587 De Loera*Josue Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

589 0 1,107 Close 1,107 0 8/27/18

Page 3 of 21Printed:1/4/2019

Page 4: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

0 2018072587 Delgado*Aaliyah Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

592 0 686 Close 686 0 8/27/18

0 2018072587 Delgado*Natali Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

593 0 686 Close 686 0 8/27/18

0 2018072587 Faulkner*David Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

594 0 0 Close 0 0 8/27/18

0 2018072587 Garret*David Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

595 0 352 Open 10,000 9,648 8/27/18

0 2018072587 Garret*Johnny Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

596 0 352 Open 10,000 9,648 8/27/18

0 2018072587 Garret*Rajewel Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

597 0 0 Open 10,000 10,000 8/27/18

0 2018072587 Guterrez*Emily Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

598 0 0 Open 10,000 10,000 8/27/18

0 2018072587 Randolph*Cole Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

599 0 8,256 Close 8,256 0 8/27/18

0 2018072587 Randolph*Haley Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

600 0 352 Close 352 0 8/27/18

0 2018072587 Reed*Kathryn Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

601 0 0 Close 0 0 8/27/18

Page 4 of 21Printed:1/4/2019

Page 5: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

0 2018072587 Reed*Makaila Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

602 0 0 Close 0 0 8/27/18

0 2018072587 Rhodes*Damain Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

603 0 0 Open 10,000 10,000 8/27/18

0 2018072587 Alarcon*Neveah Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

678 0 7,064 Open 10,000 2,937 8/27/18

0 2018073176 Melton*Tina Claimant was turning right North bound. Bus going West bound.

She veered to the lef to avoid another car. The bus kept going

and she hit the bus.

630 0 3,490 Close 3,490 0 10/17/18

Totals : 03/01/2018 to 03/01/2019 137,433 0 110,391 COUNT OF CLAIMS 2,000 25,043 23

0 160,290 110,391 COUNT OF CLAIMS

9,000 40,900 Totals for Auto Liability : 31

Page 5 of 21Printed:1/4/2019

Page 6: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Auto Physical Damage Coverage Period: 03/01/2013 to 03/01/2014Contract Number 072903-140301

0 2013056423 Stephenville ISD MV rear-ended by semi-truck in Glen Rose. 507 0 0 Close 0 0 6/4/13

618 2013057041 Stephenville ISD Lost control of truck and trailer during heavy rai 481 250 6,241 Close 7,109 0 9/28/13

4,300 2013057041 Stephenville ISD Lost control of truck and trailer during heavy rai 482 250 13,551 Close 18,101 0 9/28/13

Totals : 03/01/2013 to 03/01/2014 25,210 4,918 0 COUNT OF CLAIMS 500 19,792 3

Auto Physical Damage Coverage Period: 03/01/2014 to 03/01/2015Contract Number P072903-2013-1

0 2014059761 repair of the windshields. 988 0 779 Close 779 0 9/26/14

Totals : 03/01/2014 to 03/01/2015 779 0 0 COUNT OF CLAIMS 0 779 1

Auto Physical Damage Coverage Period: 03/01/2015 to 03/01/2016Contract Number P072903-2014-1

0 2015061724 Hail damage to property and autos. 315 1,000 63,313 Close 64,313 0 5/9/15

Totals : 03/01/2015 to 03/01/2016 64,313 0 0 COUNT OF CLAIMS 1,000 63,313 1

Auto Physical Damage Coverage Period: 03/01/2016 to 03/01/2017Contract Number P072903-2015-1

No claims reported for this coverage term.

Page 6 of 21Printed:1/4/2019

Page 7: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Auto Physical Damage Coverage Period: 03/01/2017 to 03/01/2018Contract Number P072903-2016-1

0 2017068933 MV backed into tree 530 1,000 2,742 Close 3,742 0 6/12/17

Totals : 03/01/2017 to 03/01/2018 3,742 0 0 COUNT OF CLAIMS 1,000 2,742 1

Auto Physical Damage Coverage Period: 03/01/2018 to 03/01/2019Contract Number P072903-2017-1

0 2018072587 Bus driver was driving and turning west HWY 377 when pick up

truck was headed east on HWY 377; the pick up truck hit the

back and side of the schoo

533 1,000 10,443 Close 11,443 0 8/27/18

0 2018073176 Claimant was turning right North bound. Bus going West bound.

She veered to the lef to avoid another car. The bus kept going

and she hit the bus.

710 1,000 4,199 Close 5,199 0 10/17/18

Totals : 03/01/2018 to 03/01/2019 16,642 0 0 COUNT OF CLAIMS 2,000 14,642 2

4,918 110,687 0 COUNT OF CLAIMS

4,500 101,269 Totals for Auto Physical Damage : 8

Page 7 of 21Printed:1/4/2019

Page 8: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Crime Coverage Period: 03/01/2013 to 03/01/2014Contract Number 072903-140301

No claims reported for this coverage term.

Crime Coverage Period: 03/01/2014 to 03/01/2015Contract Number P072903-2013-1

No claims reported for this coverage term.

Crime Coverage Period: 03/01/2015 to 03/01/2016Contract Number P072903-2014-1

No claims reported for this coverage term.

Crime Coverage Period: 03/01/2016 to 03/01/2017Contract Number P072903-2015-1

No claims reported for this coverage term.

Crime Coverage Period: 03/01/2017 to 03/01/2018Contract Number P072903-2016-1

No claims reported for this coverage term.

Crime Coverage Period: 03/01/2018 to 03/01/2019Contract Number P072903-2017-1

0 2018072319 Embezzlement 128 0 0 Open 20,000 20,000 7/10/18

Totals : 03/01/2018 to 03/01/2019 20,000 0 20,000 COUNT OF CLAIMS 0 0 1

0 20,000 20,000 COUNT OF CLAIMS

0 0 Totals for Crime : 1

Page 8 of 21Printed:1/4/2019

Page 9: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Equipment Breakdown Coverage Period: 03/01/2013 to 03/01/2014Contract Number 072903-140301

No claims reported for this coverage term.

Equipment Breakdown Coverage Period: 03/01/2014 to 03/01/2015Contract Number P072903-2013-1

No claims reported for this coverage term.

Equipment Breakdown Coverage Period: 03/01/2015 to 03/01/2016Contract Number P072903-2014-1

No claims reported for this coverage term.

Equipment Breakdown Coverage Period: 03/01/2016 to 03/01/2017Contract Number P072903-2015-1

No claims reported for this coverage term.

Equipment Breakdown Coverage Period: 03/01/2017 to 03/01/2018Contract Number P072903-2016-1

No claims reported for this coverage term.

Equipment Breakdown Coverage Period: 03/01/2018 to 03/01/2019Contract Number P072903-2017-1

No claims reported for this coverage term.

Page 9 of 21Printed:1/4/2019

Page 10: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

General Liability Coverage Period: 03/01/2013 to 03/01/2014Contract Number 072903-140301

No claims reported for this coverage term.

General Liability Coverage Period: 03/01/2014 to 03/01/2015Contract Number P072903-2013-1

No claims reported for this coverage term.

General Liability Coverage Period: 03/01/2015 to 03/01/2016Contract Number P072903-2014-1

No claims reported for this coverage term.

General Liability Coverage Period: 03/01/2016 to 03/01/2017Contract Number P072903-2015-1

No claims reported for this coverage term.

General Liability Coverage Period: 03/01/2017 to 03/01/2018Contract Number P072903-2016-1

No claims reported for this coverage term.

General Liability Coverage Period: 03/01/2018 to 03/01/2019Contract Number P072903-2017-1

No claims reported for this coverage term.

Page 10 of 21Printed:1/4/2019

Page 11: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Privacy & Informaton Security Coverage Period: 03/01/2016 to 03/01/2017Contract Number P072903-2015-1

No claims reported for this coverage term.

Privacy & Informaton Security Coverage Period: 03/01/2017 to 03/01/2018Contract Number P072903-2016-1

No claims reported for this coverage term.

Privacy & Informaton Security Coverage Period: 03/01/2018 to 03/01/2019Contract Number P072903-2017-1

No claims reported for this coverage term.

Page 11 of 21Printed:1/4/2019

Page 12: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Property Coverage Period: 03/01/2013 to 03/01/2014Contract Number 072903-140301

0 2013056584 Stephenville ISD Water fowed into dryer vent & gym. Damaged books, 769 0 1,388 Close 1,388 0 7/15/13

0 2013056747 Stephenville ISD Lightning damage to phase line at electric pole. 20 2,500 9,549 Close 12,049 0 8/16/13

410 2013057743 Stephenville ISD Vandals badly damaged DAEP buildings & contents. 621 2,500 128,055 Close 130,965 0 12/26/13

0 2014058057 Stephenville ISD chiller barrel causing water to enter the refriger 193 2,500 104,641 Close 107,141 0 2/9/14

Totals : 03/01/2013 to 03/01/2014 251,542 410 0 COUNT OF CLAIMS 7,500 243,632 4

Property Coverage Period: 03/01/2014 to 03/01/2015Contract Number P072903-2013-1

0 2014058884 Stephenville ISD Lightng damage; pole damage, sound system, 2 scoreboards,

irrigaton system

598 2,500 13,718 Close 16,218 0 5/12/14

Totals : 03/01/2014 to 03/01/2015 16,218 0 0 COUNT OF CLAIMS 2,500 13,718 1

Page 12 of 21Printed:1/4/2019

Page 13: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Property Coverage Period: 03/01/2015 to 03/01/2016Contract Number P072903-2014-1

0 2015061554 Stephenville ISD Hail. 97 25,000 5,301,309 Close 5,326,309 0 4/26/15

0 2015061724 Stephenville ISD Hail damage to property and autos. 314 0 4,886 Close 4,886 0 5/9/15

0 2015062078 Stephenville ISD Pull curtain down from and to ruin stage; broke se 900 0 0 Close 0 0 6/22/15

Totals : 03/01/2015 to 03/01/2016 5,331,194 0 0 COUNT OF CLAIMS 25,000 5,306,194 3

Property Coverage Period: 03/01/2016 to 03/01/2017Contract Number P072903-2015-1

0 2016064124 Stephenville ISD Wind blew of part of roof 383 25,000 40,951 Close 65,951 0 3/8/16

Totals : 03/01/2016 to 03/01/2017 65,951 0 0 COUNT OF CLAIMS 25,000 40,951 1

Property Coverage Period: 03/01/2017 to 03/01/2018Contract Number P072903-2016-1

0 2018070884 Stephenville ISD District wide damage to trees due to ice build up limited damage

to structures with some fence damage. High School and Gilbert

Intermediate had Roof l

898 5,000 28,774 Close 33,774 0 2/20/18

Totals : 03/01/2017 to 03/01/2018 33,774 0 0 COUNT OF CLAIMS 5,000 28,774 1

Page 13 of 21Printed:1/4/2019

Page 14: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Property Coverage Period: 03/01/2018 to 03/01/2019Contract Number P072903-2017-1

No claims reported for this coverage term.

410 5,698,680 0 COUNT OF CLAIMS

65,000 5,633,271 Totals for Property : 10

Page 14 of 21Printed:1/4/2019

Page 15: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Property- Band Equipment Coverage Period: 03/01/2013 to 03/01/2014Contract Number 072903-140301

No claims reported for this coverage term.

Page 15 of 21Printed:1/4/2019

Page 16: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Property- Computer Equipment Coverage Period: 03/19/2013 to 03/01/2014Contract Number 072903-140301

No claims reported for this coverage term.

Page 16 of 21Printed:1/4/2019

Page 17: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Property- EDP Equipment Coverage Period: 03/01/2013 to 03/01/2014Contract Number 072903-140301

No claims reported for this coverage term.

Page 17 of 21Printed:1/4/2019

Page 18: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Property- Flood and Earthquake Coverage Period: 03/01/2014 to 03/01/2015Contract Number P072903-2013-1

No claims reported for this coverage term.

Property- Flood and Earthquake Coverage Period: 03/01/2015 to 03/01/2016Contract Number P072903-2014-1

No claims reported for this coverage term.

Property- Flood and Earthquake Coverage Period: 03/01/2016 to 03/01/2017Contract Number P072903-2015-1

No claims reported for this coverage term.

Property- Flood and Earthquake Coverage Period: 03/01/2017 to 03/01/2018Contract Number P072903-2016-1

No claims reported for this coverage term.

Property- Flood and Earthquake Coverage Period: 03/01/2018 to 03/01/2019Contract Number P072903-2017-1

No claims reported for this coverage term.

Page 18 of 21Printed:1/4/2019

Page 19: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Sexual MisConduct Endorsement Coverage Period: 03/01/2013 to 03/01/2014Contract Number 072903-140301

No claims reported for this coverage term.

Page 19 of 21Printed:1/4/2019

Page 20: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

SP Legal Liability Coverage Period: 03/01/2013 to 03/01/2014Contract Number 072903-140301

0 2013055754 Freedom From Religion

Foundaton

Notce leter from Freedom From Religion Foundaton regardiing

post game prayers.

332 0 0 Close 0 0 3/18/13

Totals : 03/01/2013 to 03/01/2014 0 0 0 COUNT OF CLAIMS 0 0 1

SP Legal Liability Coverage Period: 03/01/2014 to 03/01/2015Contract Number P072903-2013-1

No claims reported for this coverage term.

SP Legal Liability Coverage Period: 03/01/2015 to 03/01/2016Contract Number P072903-2014-1

No claims reported for this coverage term.

SP Legal Liability Coverage Period: 03/01/2016 to 03/01/2017Contract Number P072903-2015-1

No claims reported for this coverage term.

SP Legal Liability Coverage Period: 03/01/2017 to 03/01/2018Contract Number P072903-2016-1

No claims reported for this coverage term.

SP Legal Liability Coverage Period: 03/01/2018 to 03/01/2019Contract Number P072903-2017-1

No claims reported for this coverage term.

0 0 0 COUNT OF CLAIMS

0 0 Totals for SP Legal Liability : 1

Grand Total: 5,328 5,989,657 130,391 COUNT OF CLAIMS 5,775,439 78,500 51

Page 20 of 21Printed:1/4/2019

Page 21: Stephenville ISD - Edl · 2017069198 913 Keyes*Carolyn 8/25/17 Close 2,768 1,768 0 1,000 0 MV turning into bus lane and hit parked CV. Totals : 03/01/2017 to 03/01/2018 4,546 2,546

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Stephenville ISD

Auto, Liability, and Property

Detailed Claims Report as of January 03, 2019

Coverage Period from March 01, 2013 thru March 01, 2019

* Estmate of damage reserves pending

Page 21 of 21Printed:1/4/2019