HomeMy WebLinkAboutCOM 0226.007 2012-2014 William P. Kenoi J�t�q�N, Molly A. Stebbins
Mayor '% Corporation Counsel
*: "'', i* Laureen L.Martin
Assistant Corporation
dye
,T•.01�% Counsel
COUNTY OF HAWAII ° _
OFFICE OF THE CORPORATION COUNSEL ` '
101 Aupuni Street,Suite 325 • Hilo, Hawai'i 96720 • (808)961-8251 • Fax(808)961-8622
DATE: October 2, 2014 _
TO: The Honorable J Yoshimoto, Chairperson N M
N
Hawai`i County Council ,- Victorine,Clifford
C� V Oct 2 2014 10:01 AM
FROM: Clifford D. Victorine III, Claims Investigator/Adjustor
RE: Claims—Quarterly Report
July 1, 2014 through September 30, 2014 (FY 2014-15)
COPIES/ITEMS DATE DESCRIPTION
Original 07-01-14 to 09-30-14 Quarterly Closed Cases
Report(Council Quarterly Report information)
TRANSMITTED FOR:
❑ Your information and files n Your approval
(� Your signature and return n Your review and comments
n Your signature and forwarding See remarks below
as noted below n Filing and return (envelope enclosed)
n Per your request
REMARKS: Enclosed for your reference is the 15t Quarter claims report for fiscal year
2014-15. This report is submitted pursuant to Section 2-9 of the Hawai`i County Code.
JKK:ss
Enclosures
Comm. No. 2 b. '
Ref.To: F
Hawaii County is an Equal Opportunity Provider and Employer Ref. Date OCT o2 2n14
Quarterly Closed Cases
Date Range July 01, 2014 and September 30, 2014
Case Name Date Description Amount Paid
Denied
General Liability
Claimant Date Sort Amount Sort
JWANISIK, David 01/01/2011 Planning department issue ongoing from $0.00
2001. Statute of limitation expired.
ISHIZU, Elaine T 12/30/2013 Heavy rains caused gulch to overflow on $0.00
road front house causing run off into yard
and sidewalk. Mudwater seeped into
basement damaging doors-kitchen,
bathroom&laundry room. Rug in dining
room soaked with mud water
NEESON,Justin 06/29/2012 Hele-on bus accident on 6-29-12. $0.00
Claimant was a passenger in a vehicle
that was struck by the bus. Statute of
limitation expired.
LIBERTY MUTUAL FIRE INSURANCE 05/22/2014 A rock falling from a cliff at Maulua $0.00
COMPANY,Jill Yee Gulch, rolled down and damaged side of
Claimant's insured vehicle. Incident
occured on State road.
REYNADO, Emelia 06/29/2012 Hele-on bus accident on 6-29-12. $0.00
Claimant was a passenger in a vehicle
that was struck by the bus. Statute of
limitation expired.
Progressive lnsr.for Monica Madrid 02/07/2014 Claimant parked rental car in parking lot $0.00
at Isaac Hale Beach Park over an object
sticking out of the ground. When she
backed out of the parking spot,the
pertruding object damaged the front part
of the rental car.
SAGON, Bobbie Jo Kekahi 06/12/2014 Driver side right brake light was chipped $0.00
and gouged. Damage is believed to have
occurred at the Police Department radio
shop during the removal of the antenna.
Vehicle was sold.
SIMPSON, Michael Lee 07/18/2014 Claimant ran over base of sign sticking $0.00
out from ground on the side of the road.
(DPW)
DAVIS, Robert H.Jr. 01/22/2014 Albizia tree on County property blew $0.00
down on several vehicles during a
windstorm. Claimant's vehicle was
damaged.
TRAVELERS PROPERTY CASUALTY 01/22/2014 P&R Large tree branch fell on insured $0.00
COMPANY OF AMERICA for Brittany and vehicle on 1875 Kalanianaole Ave,#112,
Bernice Boyce Hilo. Seeking reimbursement of
$13,379.67.
Subtotal Count: 10
Subtotal Claims:$0.00
Quarterly Closed Cases
I IIIIII III
Date Range July 01, 2014 and September 30, 2014
Other
General Liability
Claimant Date Sort Amount Sort
KELLY, Daniel 05/09/2014 Driving on Hwy 132 on the evening of 5-9- $0.00
14, a large branch fell in front of car
causing an accident. Vehicle damage
was stated to be total by claimant who
also is requesting reimbursement of
medical payments. Claim filed under
owner of vehicle.
Subtotal Count: 1
Subtotal Claims: $0.00
Vehicle Self Insured
Claimant Date Sort Amount Sort
AH PUCK Caroline 01/12/2012 68 year old female was a passenger in a $0.00
county vehicle which was struck by
another vehicle. Personal Injury
Protection(PIP)benefits has been
exhausted, reached the$10,000.00 limit.
Subtotal Count: 1
Subtotal Claims: $0.00
Paid
Vehicle Self Insured
Claimant Date Sort Amount Sort
DTRIC for Brandon Mansur 05/01/2014 County employee driving a fire truck $1,371.98
struck insured parked vehicle.
TANIGUCHI,Tiana 06/03/2014 HFD County employee operating a fire $4,100.57
truck, reversed into claimants vehicle.
GEICO for Melissa and Paul Vojtko 12/10/2013 County employee reversed into insured $3,393.82
vehicle.
STATE FARM INSURANCE, Dorothy and 03/27/2014 County employee reversed into insured's $709.94
Kent Yamashita parked vehicle.
PAVAO, Milton D 01/18/2014 HFD Medic 5 responding to a medical $690.31
emergency at residence scraped the rock
wall in driveway.
SAFECO INSURANCE,Jonathan Dubay 11/23/2013 County employee reversed into claimants $838.02
rental vehicle.
Subtotal Count:6
Subtotal Claims: $11,104.64
Quarterly Closed Cases
Date Range July 01, 2014 and September 30, 2014
General Liability
Claimant Date Sort Amount Sort
JOHNSON, Stephen 08/31/2013 Was diagnosed with Necrotizing Fasciitis $2,816.00
(a flesh eating bacteria)after swimming
in the hot pond at Ahalanui Park with a
open wound on shin.
Subtotal Count: 1
Subtotal Claims: $2,816.00
Transferred to Litigation
General Liability
Claimant Date Sort Amount Sort
KALOI, Myrleen K 05/01/2010 Age Discrimination $0.00
Subtotal Count: 1
Subtotal Claims: $0.00