irving isd coverage period from october 05, 2012 thru ... · 2015063478 248 cerna*angel 12/27/15...

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Event Number Claimant Name Claim Ref. # Date of Loss Status Total Incurred Fund Paid Member Paid Total Outstanding Accident Descripton Recoveries Irving ISD Auto, Liability, and Property Detailed Claims Report as of June 30, 2018 Coverage Period from October 05, 2012 thru November 01, 2018 * Estmate of damage reserves pending Auto Liability Coverage Period: 10/05/2012 to 10/05/2013 Contract Number 057912-131005 0 2013056123 Toral*Jose MV rear ended CV 926 1,006 80 Close 1,086 0 4/25/13 0 2013056636 Perez*Cynthia MV & CV crashed in intersecton. CV had green L a 845 0 218 Close 218 0 8/9/13 0 2013056857 Nevares*Jason MV hit parked, unoccupied CV @ donut shop. 205 451 0 Close 451 0 9/13/13 Totals : 10/05/2012 to 10/05/2013 1,756 0 0 COUNT OF CLAIMS 1,458 298 3 Auto Liability Coverage Period: 10/05/2013 to 10/05/2014 Contract Number 057912-141005 0 2014057802 Nef*Dustn MV clipped the side mirror of CV 729 670 0 Close 670 0 12/10/13 0 2014059678 Gitau*Joseph MV crossed into CV's lane & struck CV w/trailer. 833 4,071 114 Close 4,185 0 7/17/14 Totals : 10/05/2013 to 10/05/2014 4,855 0 0 COUNT OF CLAIMS 4,741 114 2 Auto Liability Coverage Period: 10/05/2014 to 11/01/2014 Contract Number P057912-2014-1 No claims reported for this coverage term. Page 1 of 32 Printed:7/22/2018

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Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Auto Liability Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

0 2013056123 Toral*Jose MV rear ended CV 926 1,006 80 Close 1,086 0 4/25/13

0 2013056636 Perez*Cynthia MV & CV crashed in intersecton. CV had green L a 845 0 218 Close 218 0 8/9/13

0 2013056857 Nevares*Jason MV hit parked, unoccupied CV @ donut shop. 205 451 0 Close 451 0 9/13/13

Totals : 10/05/2012 to 10/05/2013 1,756 0 0 COUNT OF CLAIMS 1,458 298 3

Auto Liability Coverage Period: 10/05/2013 to 10/05/2014Contract Number 057912-141005

0 2014057802 Nef*Dustn MV clipped the side mirror of CV 729 670 0 Close 670 0 12/10/13

0 2014059678 Gitau*Joseph MV crossed into CV's lane & struck CV w/trailer. 833 4,071 114 Close 4,185 0 7/17/14

Totals : 10/05/2013 to 10/05/2014 4,855 0 0 COUNT OF CLAIMS 4,741 114 2

Auto Liability Coverage Period: 10/05/2014 to 11/01/2014Contract Number P057912-2014-1

No claims reported for this coverage term.

Page 1 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Auto Liability Coverage Period: 11/01/2014 to 11/01/2015Contract Number P057912-2014-2

0 2014060362 Payne*Derwin MV backed into CV @ red light. 0 985 103 Close 1,088 0 12/3/14

0 2015060694 Davis*Ricky CV turned into MV's lane causing collision. 564 0 0 Close 0 0 1/2/15

0 2015061141 Jackson*Tyler Alex Unknown 345 5,000 655 Close 5,655 0 2/25/15

0 2015061175 Escobar*Marco MV merged into CV's lane, pushing him of road. 395 1,632 103 Close 1,735 0 3/18/15

0 2015061265 Robinson*Teresa MV hit CV's passenger mirror while turning right. 578 0 0 Close 0 0 3/23/15

0 2015062105 Keppel*Mike MV was entering a parking space and misjudged distance and hit

lef side of cv.

942 2,084 85 Close 2,169 0 6/25/15

0 2015062404 Aldana*Jessica MV backed into parked & unoccupied CV. 401 831 105 Close 936 0 8/22/15

0 2015062427 Jones*Kevin MV & CV bumped driver side mirrors in parking lot 443 100 0 Close 100 0 8/14/15

0 2015062475 Martnez*Maria MV backed in to parked CV. 536 1,377 86 Close 1,463 0 9/8/15

Totals : 11/01/2014 to 11/01/2015 13,146 0 0 COUNT OF CLAIMS 12,009 1,137 9

Page 2 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Auto Liability Coverage Period: 11/01/2015 to 11/01/2016Contract Number P057912-2015-1

0 2015063478 Cerna*Angel MV turned right and clipped CV on drivers side 248 5,000 14,557 Close 19,557 0 12/27/15

0 2016063639 Unknown*Claimant CV backed into MV at gas staton 515 0 0 Close 0 0 1/12/16

0 2016065145 Silva*Joel MV backing out hit parked CV. 609 0 0 Close 0 0 5/17/16

0 2016065351 Galindo*Karla CV changing lanes hit MV. 857 5,000 85,848 Open 98,000 7,152 5/25/16

0 2016065677 Lopez*Ernesto Za MV backed into CV. 212 1,547 105 Close 1,652 0 7/13/16

0 2016065983 De Paz Lop*Odila Del CV Jovel ran red light hitng CV Jhauoma which hit MV. 28 0 0 Close 0 0 9/6/16

0 2016065983 Jhauama*Lupe CV Jovel ran red light hitng CV Jhauoma which hit MV. 698 0 0 Close 0 0 9/6/16

0 2016065983 Jovel*Juan Carlo CV Jovel ran red light hitng CV Jhauoma which hit MV. 699 0 0 Close 0 0 9/6/16

0 2016066106 Smith*Gavin CV turned in front of MV making contact 891 0 0 Close 0 0 8/22/16

0 2016066203 Murdock*Kelly MV failed to brake on tme and rear ended CV. 56 989 0 Close 989 0 9/27/16

1,721 2016066381 Ponce*Alexia MV rear ended CV. 378 5,000 3,770 Close 10,491 0 10/17/16

Totals : 11/01/2015 to 11/01/2016 130,688 1,721 7,152 COUNT OF CLAIMS 17,535 104,281 11

Page 3 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Auto Liability Coverage Period: 11/01/2016 to 11/01/2017Contract Number P057912-2016-1

0 2017067227 Moreno*Yesica Sun was facing MV which results in hitng CV 919 4,995 115 Close 5,110 0 1/23/17

0 2017067227 Zelaya*Julian Sun was facing MV which results in hitng CV 929 0 0 Close 0 0 1/23/17

0 2017067618 Ramsey*Loreta MV clipped CV mirror while exitng 586 1,368 60 Close 1,428 0 3/3/17

0 2017067732 ooooooo*unknown CV hit side of Elementary School building. 781 0 0 Close 0 0 3/15/17

0 2017069383 COREAS*NELSON MV backed into CV 195 1,164 97 Close 1,261 0 8/1/17

0 2017069815 Lopez, III*Manuel IISD vehicle was traveling east on Northgate Blvd., in the right

hand lane, getng ready to turn right onto S.H. 161 service road

(south). The car a

928 0 0 Close 0 0 10/13/17

Totals : 11/01/2016 to 11/01/2017 7,799 0 0 COUNT OF CLAIMS 7,527 272 6

Page 4 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Auto Liability Coverage Period: 11/01/2017 to 11/01/2018Contract Number P057912-2017-1

0 2017070085 Rico*Angel It was storming and as passenger from MV was exitng the

vehicle the wind blew the door open and hit EE's parked vehicle.

Damage to EE's door (driver

426 0 0 Close 0 0 11/8/17

0 2017070859 Rico*Sergio Claimant waitng in parking lot when member vehicle side

swiped claimant vehicle.

859 0 0 Close 0 0 12/11/17

0 2017070859 Torres*Nancy Claimant waitng in parking lot when member vehicle side

swiped claimant vehicle.

860 0 0 Close 0 0 12/11/17

0 2018070708 Seibert*Shane Clmt was on right away, and member did not slow down hitng

clmt vehicle.

566 3,918 0 Close 3,918 0 2/7/18

0 2018071025 Coronado*Jezoar Accident occurred at the intersecton of N Story Rd & Hancock St.

MV traveling NB on Story atemptng to turn (L) on Hancock. OV

traveling south on

141 0 200 Open 15,075 14,875 3/6/18

Totals : 11/01/2017 to 11/01/2018 18,992 0 14,875 COUNT OF CLAIMS 3,918 200 5

1,721 177,235 22,027 COUNT OF CLAIMS

47,188 106,300 Totals for Auto Liability : 36

Page 5 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Auto Physical Damage Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

0 2012055004 MV-1 backed into Dakota PU @ IISD Service Ctr. 923 1,000 479 Close 1,479 0 10/20/12

0 2013056636 Irving ISD MV & CV crashed in intersecton. CV had green L a 880 1,000 6,102 Close 7,102 0 8/9/13

0 2013056665 OV rear-ended MV while moving WB on Shady Grove. 888 1,000 280 Close 1,280 0 8/16/13

0 2013056696 Irving ISD OV pulled out of 7-11 & hit pass side of stopped M 932 0 0 Close 0 0 4/22/13

0 2013056699 Cause of damage unknown. 937 1,000 1,024 Close 2,024 0 7/2/13

0 2013056700 Irving ISD Unknown cause of damage. 938 1,000 2,370 Close 3,370 0 5/8/13

0 2013056701 Irving ISD Unknown cause of damage. 939 1,000 242 Close 1,242 0 6/24/13

0 2013056736 driver was trying to navigate room for a bus to pa 0 1,000 3,358 Close 4,358 0 8/28/13

0 2013056749 Irving ISD OV backed into MV on Rochelle betw Beltline & Harv 24 0 0 Close 0 0 9/3/13

0 2013057520 MV hit a fence. 283 1,000 442 Close 1,442 0 6/28/13

Totals : 10/05/2012 to 10/05/2013 22,296 0 0 COUNT OF CLAIMS 8,000 14,296 10

Page 6 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Auto Physical Damage Coverage Period: 10/05/2013 to 10/05/2014Contract Number 057912-141005

0 2013057671 Irving ISD MD backed van out & hit a pylon. 519 1,000 3,603 Close 4,603 0 12/13/13

0 2014057811 Irving ISD MV 86 backed into yellow bollard behind Nimitz HS. 745 1,000 73 Close 1,073 0 1/3/14

0 2014058191 CV ran red light @ Esters and Rochelle, struck MV. 419 1,000 4,466 Close 5,466 0 2/6/14

0 2014058513 MV Collided with a tree. 971 1,000 13,419 Close 14,419 0 4/4/14

0 2014059600 MV scraped passenger side against yellow post. 703 1,000 413 Close 1,413 0 8/14/14

Totals : 10/05/2013 to 10/05/2014 26,975 0 0 COUNT OF CLAIMS 5,000 21,975 5

Auto Physical Damage Coverage Period: 10/05/2014 to 11/01/2014Contract Number P057912-2014-1

No claims reported for this coverage term.

Page 7 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Auto Physical Damage Coverage Period: 11/01/2014 to 11/01/2015Contract Number P057912-2014-2

0 2015060694 CV turned into MV's lane causing collision. 563 1,000 269 Close 1,269 0 1/2/15

0 2015061175 MV merged into CV's lane, pushing him of road. 404 1,000 1,040 Close 2,040 0 3/18/15

0 2015061527 Bucket of backhoe collided w/MV's bumper. 35 1,000 441 Close 1,441 0 4/20/15

0 2015062475 MV backed in to parked CV. 535 0 0 Close 0 0 9/8/15

0 2015062957 MV hit a pole 383 1,000 1,936 Close 2,936 0 10/27/15

Totals : 11/01/2014 to 11/01/2015 7,686 0 0 COUNT OF CLAIMS 4,000 3,686 5

Page 8 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Auto Physical Damage Coverage Period: 11/01/2015 to 11/01/2016Contract Number P057912-2015-1

0 2015063240 Unknown dent on MV 858 1,000 818 Close 1,818 0 11/30/15

0 2015063478 MV turned right and clipped CV on drivers side 313 1,000 1,930 Close 2,930 0 12/27/15

0 2016063639 CV backed into MV at gas staton 516 1,000 334 Close 1,334 0 1/12/16

0 2016064710 MV struck side door of MV 136 1,000 1,993 Close 2,993 0 4/20/16

0 2016064936 MV backing up hit pole. 381 0 105 Close 105 0 4/15/16

0 2016065351 CV changing lanes hit MV. 858 1,000 1,092 Close 2,092 0 5/25/16

0 2016065357 MV hit by cast iron pipe. 869 1,000 1,049 Close 2,049 0 5/25/16

4,062 2016065983 CV Jovel ran red light hitng CV Jhauoma which hit MV. 700 0 0 Close 4,062 0 9/6/16

0 2016066106 CV turned in front of MV making contact 890 0 0 Close 0 0 8/22/16

0 2016066381 MV rear ended CV. 447 1,000 552 Close 1,552 0 10/17/16

0 2017067662 MV backed into other parked MV. 672 1,000 2,675 Close 3,675 0 6/22/16

Totals : 11/01/2015 to 11/01/2016 22,608 4,062 0 COUNT OF CLAIMS 8,000 10,547 11

Page 9 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Auto Physical Damage Coverage Period: 11/01/2016 to 11/01/2017Contract Number P057912-2016-1

0 2017067227 Sun was facing MV which results in hitng CV 918 1,000 2,439 Close 3,439 0 1/23/17

0 2017067618 MV clipped CV mirror while exitng 587 0 0 Close 0 0 3/3/17

0 2017069010 MV backing out and hit pole. 645 1,000 115 Close 1,115 0 7/17/17

0 2017069011 MV turning into parking was hit by CV. CV lef sce 646 1,000 1,484 Close 2,484 0 7/27/17

0 2017069815 IISD vehicle was traveling east on Northgate Blvd., in the right

hand lane, getng ready to turn right onto S.H. 161 service road

(south). The car a

927 1,000 3,198 Close 4,198 0 10/13/17

Totals : 11/01/2016 to 11/01/2017 11,235 0 0 COUNT OF CLAIMS 4,000 7,235 5

Page 10 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Auto Physical Damage Coverage Period: 11/01/2017 to 11/01/2018Contract Number P057912-2017-1

0 2018070614 Employee backed trailer into parked truck (last 4 of VIN 7576)at

MacArthur HS. Trailer and truck belong to member.

394 1,000 413 Close 1,413 0 12/5/17

370 2018071025 Accident occurred at the intersecton of N Story Rd & Hancock St.

MV traveling NB on Story atemptng to turn (L) on Hancock. OV

traveling south on

140 1,000 7,512 Close 8,881 0 3/6/18

0 2018071367 1" Hail 950 1,000 175,501 Open 179,000 2,499 4/6/18

0 2018071431 EE was backing into a small space to unload mulch and

accidentally hit chain-link fence pole behind campus (Nimitz HS)

779 1,000 1,473 Close 2,473 0 4/2/18

0 2018072109 Hail-1"-2.5" 57 0 0 Open 31,000 31,000 6/6/18

0 2018072269 MV backed into a parking spot and a tree branch broke the back

window and dented the botom porton of the back driver's side

door.

58 1,000 175 Close 1,175 0 5/4/18

Totals : 11/01/2017 to 11/01/2018 223,941 370 33,499 COUNT OF CLAIMS 5,000 185,073 6

4,431 314,742 33,499 COUNT OF CLAIMS

34,000 242,811 Totals for Auto Physical Damage : 42

Page 11 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Catastrophic APD Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

No claims reported for this coverage term.

Page 12 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Crime Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

No claims reported for this coverage term.

Crime Coverage Period: 10/05/2013 to 10/05/2014Contract Number 057912-141005

No claims reported for this coverage term.

Crime Coverage Period: 10/05/2014 to 11/01/2014Contract Number P057912-2014-1

No claims reported for this coverage term.

Crime Coverage Period: 11/01/2014 to 11/01/2015Contract Number P057912-2014-2

No claims reported for this coverage term.

Crime Coverage Period: 11/01/2015 to 11/01/2016Contract Number P057912-2015-1

No claims reported for this coverage term.

Crime Coverage Period: 11/01/2016 to 11/01/2017Contract Number P057912-2016-1

No claims reported for this coverage term.

Crime Coverage Period: 11/01/2017 to 11/01/2018Contract Number P057912-2017-1

No claims reported for this coverage term.

Page 13 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Equipment Breakdown Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

No claims reported for this coverage term.

Equipment Breakdown Coverage Period: 10/05/2013 to 10/05/2014Contract Number 057912-141005

No claims reported for this coverage term.

Equipment Breakdown Coverage Period: 10/05/2014 to 11/01/2014Contract Number P057912-2014-1

No claims reported for this coverage term.

Equipment Breakdown Coverage Period: 11/01/2014 to 11/01/2015Contract Number P057912-2014-2

No claims reported for this coverage term.

Equipment Breakdown Coverage Period: 11/01/2015 to 11/01/2016Contract Number P057912-2015-1

No claims reported for this coverage term.

Equipment Breakdown Coverage Period: 11/01/2016 to 11/01/2017Contract Number P057912-2016-1

No claims reported for this coverage term.

Equipment Breakdown Coverage Period: 11/01/2017 to 11/01/2018Contract Number P057912-2017-1

No claims reported for this coverage term.

Page 14 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

General Liability Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

0 2013056505 Davalos*Alexis Irving HS Yearbook was printed with a degoratory remark

beneath a cheerleader's photo. It is likely that it was inserted by

a student as a prank.

649 0 0 Close 0 0 6/18/13

0 2013056681 Valencia*Jeannie Visitor slipped & fell in puddle of water inside e 910 0 0 Close 0 0 8/20/13

0 2013056697 Garcia*Rodolfo riding mower hit parked car @ Singley Academy 951 756 0 Close 756 0 8/23/13

Totals : 10/05/2012 to 10/05/2013 756 0 0 COUNT OF CLAIMS 756 0 3

General Liability Coverage Period: 10/05/2013 to 10/05/2014Contract Number 057912-141005

0 2013058021 Kelley*Kaitlin Alleged student injury 131 0 0 Close 0 0 10/12/13

0 2014058276 Salto*Verenice Student fractured some sort of ankle or leg. 555 0 0 Close 0 0 12/10/13

0 2014060341 Johnson*Chandler Student teacher slipped & fell - hurt knee. 959 0 0 Close 0 0 9/11/14

Totals : 10/05/2013 to 10/05/2014 0 0 0 COUNT OF CLAIMS 0 0 3

General Liability Coverage Period: 10/05/2014 to 11/01/2014Contract Number P057912-2014-1

No claims reported for this coverage term.

Page 15 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

General Liability Coverage Period: 11/01/2014 to 11/01/2015Contract Number P057912-2014-2

0 2015060741 Bryant *Leandra On a rainy day a parent slipped and fell on wet su 642 0 0 Close 0 0 1/22/15

0 2015061571 Hernandez*Monica Riding lawn mower caused damage to Student vehicle 92 0 0 Close 0 0 4/23/15

0 2015062236 Setlement Demand Leter to resolve thef of property that

occurred afer purchasing 3 vending machines

147 0 0 Close 0 0 5/16/15

0 2015062613 Stanley*Jennifer teacher-claimant drove over makeshif irrigaton system 775 0 0 Close 0 0 9/10/15

0 2015063293 Flores*Angel Student stuck and killed while crossing the street to the main

entrance of Irving High School.

940 0 0 Close 0 0 10/28/15

Totals : 11/01/2014 to 11/01/2015 0 0 0 COUNT OF CLAIMS 0 0 5

Page 16 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

General Liability Coverage Period: 11/01/2015 to 11/01/2016Contract Number P057912-2015-1

0 2015063376 Bradley*Aguilar Student injuried in the weight room 82 0 0 Close 0 0 11/18/15

0 2016064709 Weinmunson*Les Rock few from weed-eater hitng window 133 0 0 Close 0 0 4/21/16

0 2016065343 Browning*Sandra CV ran into Irving ISD gate 846 0 0 Close 0 0 4/29/16

0 2016065493 Ewing*Stan CV's parked at school were vandalized. 987 0 0 Close 0 0 5/28/16

0 2016066043 Bertoldo*Brenda Rock few from weed eater hitng parked CV 797 0 0 Close 0 0 9/13/16

0 2016066378 Davis*Jerry Baseball causes damage to parked CV 373 0 0 Close 0 0 10/11/16

0 2016066448 Khrawish*Auday Student was hit in head and fell. 496 0 0 Close 0 0 3/31/16

Totals : 11/01/2015 to 11/01/2016 0 0 0 COUNT OF CLAIMS 0 0 7

Page 17 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

General Liability Coverage Period: 11/01/2016 to 11/01/2017Contract Number P057912-2016-1

0 2017067930 Kelley*Stefanie Mower scraped CV. 43 0 0 Close 0 0 3/29/17

0 2017068349 GONZALES*MARIA Rock was thrown from weedeater hitng CV 699 0 0 Close 0 0 4/13/17

0 2017068440 Neal*Meredith Power washer caused damage on CV's. 831 0 0 Close 0 0 5/5/17

0 2017068440 Stubbs*Krystal Power washer caused damage on CV's. 832 0 0 Close 0 0 5/5/17

0 2017069264 Flores*Jessica Parent states that teacher broke car door handle. 13 0 0 Close 0 0 8/31/17

Totals : 11/01/2016 to 11/01/2017 0 0 0 COUNT OF CLAIMS 0 0 5

General Liability Coverage Period: 11/01/2017 to 11/01/2018Contract Number P057912-2017-1

0 2017070304 Nicholas*Tifany Employee notfed District that while her car was parked in the

parking lot of Gilbert ES, her car was damaged by the grounds

crew. The license plate

838 0 0 Close 0 0 11/29/17

0 2018070889 Ward*Kris One of the tractor guys swerved to avoid a rock and part of the

tractor (Kubota tractor/mower) hit the wheel of a student's

bicycle parked in the bike

905 0 0 Close 0 0 2/16/18

0 2018072121 Queen*Melissa Groundskeepers were mowing the lawn at MacArthur HS and an

object was ejected from mower causing damage to driver side

window of CV.

847 0 0 Close 0 0 5/31/18

Totals : 11/01/2017 to 11/01/2018 0 0 0 COUNT OF CLAIMS 0 0 3

Page 18 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

0 756 0 COUNT OF CLAIMS

756 0 Totals for General Liability : 26

Page 19 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Privacy & Informaton Security Coverage Period: 11/01/2015 to 11/01/2016Contract Number P057912-2015-1

No claims reported for this coverage term.

Privacy & Informaton Security Coverage Period: 11/01/2016 to 11/01/2017Contract Number P057912-2016-1

No claims reported for this coverage term.

Privacy & Informaton Security Coverage Period: 11/01/2017 to 11/01/2018Contract Number P057912-2017-1

0 2018071761 Phishingemail resultng in redirect of employees' direct deposit. 298 0 0 Open 72,200 72,200 4/27/18

Totals : 11/01/2017 to 11/01/2018 72,200 0 72,200 COUNT OF CLAIMS 0 0 1

0 72,200 72,200 COUNT OF CLAIMS

0 0 Totals for Privacy & Informaton Security : 1

Page 20 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Property Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

0 2013055384 Irving ISD 100 pieces of Grounds' equipment stolen. 630 0 0 Close 0 0 1/19/13

0 2013055891 Irving ISD STU broke sprinkler head causing water to cover th 568 100,000 20,898 Close 120,898 0 3/28/13

Totals : 10/05/2012 to 10/05/2013 120,898 0 0 COUNT OF CLAIMS 100,000 20,898 2

Property Coverage Period: 10/05/2013 to 10/05/2014Contract Number 057912-141005

0 2013057375 Irving ISD Fire @ Farine ES. Fire is out. Students evacuated 49 0 1,420 Close 1,420 0 11/6/13

0 2014059805 Irving ISD So far 2 campuses have sustained storm damage. Personnel are

stll assessing.

73 0 0 Close 0 0 10/2/14

Totals : 10/05/2013 to 10/05/2014 1,420 0 0 COUNT OF CLAIMS 0 1,420 2

Property Coverage Period: 11/01/2014 to 11/01/2015Contract Number P057912-2014-2

0 2015060718 Irving ISD CV struck Britan E/S building. 605 0 1,979 Close 1,979 0 1/27/15

Totals : 11/01/2014 to 11/01/2015 1,979 0 0 COUNT OF CLAIMS 0 1,979 1

Page 21 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Property Coverage Period: 11/01/2015 to 11/01/2016Contract Number P057912-2015-1

0 2015063089 Irving ISD Portable building burned down 600 100,000 8,790 Close 108,790 0 11/9/15

0 2015063152 Irving ISD Fire to a portable building @ Davis Elementary School 702 0 0 Close 0 0 11/13/15

Totals : 11/01/2015 to 11/01/2016 108,790 0 0 COUNT OF CLAIMS 100,000 8,790 2

Property Coverage Period: 11/01/2016 to 11/01/2017Contract Number P057912-2016-1

0 2017067145 Irving ISD Winds pulled HVAC units, and water damage. 779 0 1,595 Close 1,595 0 1/15/17

0 2017067732 Irving ISD CV hit side of Elementary School building. 782 0 0 Close 0 0 3/15/17

0 2017068711 Irving ISD Heavy rain storm caused fooding. 211 100,000 38,639 Close 138,639 0 4/17/17

Totals : 11/01/2016 to 11/01/2017 140,234 0 0 COUNT OF CLAIMS 100,000 40,234 3

Page 22 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Property Coverage Period: 11/01/2017 to 11/01/2018Contract Number P057912-2017-1

0 2018070500 Irving ISD State Farm policy holder was driving WB in the right lane on the

service road. Driver of vehicle with an Allstate policy exited the

hwy and made an u

207 0 0 Close 0 0 1/6/18

0 2018071367 Irving ISD 1" Hail 949 0 0 Open 340,000 340,000 4/6/18

0 2018072109 Irving ISD Hail-1"-2.5" 42 0 0 Open 335,000 335,000 6/6/18

Totals : 11/01/2017 to 11/01/2018 675,000 0 675,000 COUNT OF CLAIMS 0 0 3

0 1,048,321 675,000 COUNT OF CLAIMS

300,000 73,321 Totals for Property : 13

Page 23 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Property- EDP Equipment Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

No claims reported for this coverage term.

Page 24 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Property- Extra Expense Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

No claims reported for this coverage term.

Property- Extra Expense Coverage Period: 10/05/2013 to 10/05/2014Contract Number 057912-141005

No claims reported for this coverage term.

Page 25 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Property- Flood and Earthquake Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

No claims reported for this coverage term.

Property- Flood and Earthquake Coverage Period: 10/05/2013 to 10/05/2014Contract Number 057912-141005

No claims reported for this coverage term.

Property- Flood and Earthquake Coverage Period: 10/05/2014 to 11/01/2014Contract Number P057912-2014-1

No claims reported for this coverage term.

Property- Flood and Earthquake Coverage Period: 11/01/2014 to 11/01/2015Contract Number P057912-2014-2

No claims reported for this coverage term.

Property- Flood and Earthquake Coverage Period: 11/01/2015 to 11/01/2016Contract Number P057912-2015-1

No claims reported for this coverage term.

Property- Flood and Earthquake Coverage Period: 11/01/2016 to 11/01/2017Contract Number P057912-2016-1

No claims reported for this coverage term.

Property- Flood and Earthquake Coverage Period: 11/01/2017 to 11/01/2018Contract Number P057912-2017-1

No claims reported for this coverage term.

Page 26 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Property- Other Equipment Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

No claims reported for this coverage term.

Page 27 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Property- Valuable Papers Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

No claims reported for this coverage term.

Property- Valuable Papers Coverage Period: 10/05/2013 to 10/05/2014Contract Number 057912-141005

No claims reported for this coverage term.

Page 28 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

Sexual MisConduct Endorsement Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

No claims reported for this coverage term.

Page 29 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

SP Legal Liability Coverage Period: 10/05/2012 to 10/05/2013Contract Number 057912-131005

0 2013057057 Hill*Lesa EEOC charge of race discriminaton. 512 0 0 Close 0 0 10/2/13

Totals : 10/05/2012 to 10/05/2013 0 0 0 COUNT OF CLAIMS 0 0 1

SP Legal Liability Coverage Period: 10/05/2013 to 10/05/2014Contract Number 057912-141005

0 2013057122 Wyat*Robert Plaintf signed leter of resignaton and setlement agreement

under duress, coercion and undue infuence and was denied due

process.

614 9,604 0 Close 9,604 0 10/10/13

0 2013057290 Clemmer*Akweta Plaintfs alleges retaliaton based on free speech and

discriminaton/harassment based on race.

911 10,000 283,461 Open 389,229 95,768 10/28/13

0 2014058170 Anago*Joseph Race Discriminaton 384 0 0 Close 0 0 2/20/14

Totals : 10/05/2013 to 10/05/2014 398,833 0 95,768 COUNT OF CLAIMS 19,604 283,461 3

SP Legal Liability Coverage Period: 10/05/2014 to 11/01/2014Contract Number P057912-2014-1

0 2014060026 Lee*Shannon Level 3 Grievance fled by employee over salary issue 437 0 0 Close 0 0 10/23/14

0 2014060028 Jeter*Jennifer Level 3 Grievance fled by employee over salary issue 439 0 0 Close 0 0 10/23/14

Totals : 10/05/2014 to 11/01/2014 0 0 0 COUNT OF CLAIMS 0 0 2

Page 30 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

SP Legal Liability Coverage Period: 11/01/2014 to 11/01/2015Contract Number P057912-2014-2

0 2014060360 George*Tamika Dispute regarding plaintfs eligibility to partcipate on

basketball team

995 4,208 0 Close 4,208 0 12/3/14

0 2014060444 Hames*Michelle EEOC Charge of Discriminaton 141 0 0 Close 0 0 12/12/14

0 2015060725 Oliver*Jacquelyn Plaintf alleges she was terminated and subjected to

discriminaton based on age and race, sexual harassment, and a

hostle work environment.

616 10,000 74 Close 10,074 0 1/27/15

0 2015061072 ABC Bus, I Plaintf ABC seeks to deposit the disputed escrow amount and

discharge for any liability.

232 0 0 Close 0 0 3/5/15

0 2015062758 Mohamed*Ahmed Claimant alleges he was discriminated against because of his

religion.

21 10,000 348,225 Open 445,635 87,410 10/9/15

Totals : 11/01/2014 to 11/01/2015 459,917 0 87,410 COUNT OF CLAIMS 24,208 348,299 5

SP Legal Liability Coverage Period: 11/01/2015 to 11/01/2016Contract Number P057912-2015-1

0 2016063725 Mian*Iram Employee alleges he was subjected to harassment, hostle work

environment, discriminaton based on his religion and retaliated

against afer fling gr

660 0 0 Close 0 0 1/27/16

0 2016064380 Burson*Braylon Parent alleges the district denied the student a FAPE by failing to

provide an adequate IEP for the student.

740 0 0 Close 0 0 3/31/16

Totals : 11/01/2015 to 11/01/2016 0 0 0 COUNT OF CLAIMS 0 0 2

Page 31 of 32Printed:7/22/2018

Event

NumberClaimant Name

Claim

Ref. #

Date of

LossStatus

Total

Incurred

Fund

Paid

Member

Paid

Total

OutstandingAccident DescriptonRecoveries

Irving ISD

Auto, Liability, and Property

Detailed Claims Report as of June 30, 2018

Coverage Period from October 05, 2012 thru November 01, 2018

* Estmate of damage reserves pending

SP Legal Liability Coverage Period: 11/01/2016 to 11/01/2017Contract Number P057912-2016-1

0 2017067580 Williams*Shirley District received notce of FLSA complaint fled with OCR. 531 0 0 Close 0 0 2/24/17

0 2017068465 Bhombal*Zain Plaintf alleges his son hasbeen subjected to disproportonate

amount of discipline because of his race.

870 10,000 38,006 Open 127,600 79,594 5/15/17

Totals : 11/01/2016 to 11/01/2017 127,600 0 79,594 COUNT OF CLAIMS 10,000 38,006 2

SP Legal Liability Coverage Period: 11/01/2017 to 11/01/2018Contract Number P057912-2017-1

0 2018072122 Jackson*Diamond Parent alleges thestudent is not receiving the appropriate

amount and types of related services.

848 0 0 Close 0 0 6/7/18

0 2018072134 Barrera*Edmund Employee submitsnotce of appeal of the proposal to terminate. 852 0 0 Close 0 0 6/7/18

Totals : 11/01/2017 to 11/01/2018 0 0 0 COUNT OF CLAIMS 0 0 2

0 986,350 262,772 COUNT OF CLAIMS

53,812 669,766 Totals for SP Legal Liability : 17

Grand Total: 6,152 2,599,604 1,065,498 COUNT OF CLAIMS 1,092,198 435,756 135

Page 32 of 32Printed:7/22/2018