As Of: 9/30/12

Loss Report- All Claims Lake County Board of County Commissioners

Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss GC 800000001015-001-B GLBI 9/16/2004 $0.00 $0.00 $0.00 C INSRD FAILED TO PROVIDE TRASH PICKUP GC 800000001016-001-B GLBI 2/4/2003 $0.00 $45.00 $45.00 C PAYMENT OF FINE APPLIED TO WRONG PERSON GC 800000001017-001-D GLPD 10/19/2004 $0.00 $0.00 $0.00 C METAL FLEW UP FROM MOWER STRIKING CLMT V GC 800000001017-001-P GLPD 10/19/2004 $0.00 $1,680.96 $1,680.96 C METAL FLEW UP FROM MOWER STRIKING CLMT V GC 800000001019-001-D GLPD 7/2/2004 $0.00 $0.00 $0.00 C CLMNT RAN OVER LARGE BOLT/DESTROYED TIRE GC 800000001020-000-B CAT 9/25/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800000001023-000-P GLPD 6/9/2004 $0.00 $0.00 $0.00 C INSURED STRUCK CLAIMAINT GC 800000001024-001-B GLBI 7/5/2004 $0.00 $0.00 $0.00 C CLMT BITTEN BY INSECT WHILE INCARCIATED GC 800000001025-000 BLDG 9/10/2004 $0.00 $0.00 $0.00 C THEFT OF LAPTOP COMPUTERS GC 800000001026-001-D GLPD 10/5/2004 $0.00 $0.00 $0.00 C CLMNT STRUCK POTHOLE & UPROOT TREE IN RD GC 800000001027-000 BLDG 11/15/2004 $0.00 $4,084.00 $4,084.00 C HYDRO LAB BOUNCED OUT OF BOAT GC 800000001027-001 BLDG 11/15/2004 $0.00 $0.00 $0.00 C HYDRO LAB BOUNCED OUT OF BOAT GC 800000001028-000 BLDG 9/29/2004 $0.00 $0.00 $0.00 C ALLEGED THEFT OF LAPTOP GC 800000001030-001-B GLBI 11/3/2004 $0.00 $16,829.94 $16,829.94 C CLMT HIT ROAD DROPOFF AND ROLLED OVER GC 800000001030-002-B GLBI 11/3/2004 $0.00 $30,418.99 $30,418.99 C CLMT HIT ROAD DROPOFF AND ROLLED OVER GC 800000001030-003-B GLBI 11/3/2004 $0.00 $5,656.39 $5,656.39 C CLMT HIT ROAD DROPOFF AND ROLLED OVER GC 800000001031-001-D GLPD 11/25/2004 $0.00 $0.00 $0.00 C INSURED HIT ROAD DROP OFF IN CONS SITE GC 800000001032-001-B GLBI 12/21/2002 $0.00 $0.00 $0.00 C CLMT RAN OFF ROAD STRUCK TREE GC 800000001032-002-B GLBI 12/21/2002 $0.00 $0.00 $0.00 C CLMT RAN OFF ROAD STRUCK TREE GC 800000001034-001-B GLBI 5/14/2004 $0.00 $0.00 $0.00 C CLMNT SPRAYED W/ AQUATIC PLANT CONTROL GC 800000001034-002-B GLBI 5/14/2004 $0.00 $0.00 $0.00 C CLMNT SPRAYED W/ AQUATIC PLANT CONTROL GC 800000001035-001-D GLPD 8/1/2002 $0.00 $318.45 $318.45 C INSURED FAILURE TO ENFORCE TRESPASS GC 800000001035-001-I EO 8/1/2002 $0.00 $0.00 $0.00 C INSURED FAILURE TO ENFORCE TRESPASS GC 800000001036-000 CAT 9/25/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800000001036-000-B CAT 9/25/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800000001042-000-B CAT 9/25/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800000001043-000-B CAT 9/25/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800000004000-000-B CAT 9/25/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800000004001-000-B CAT 9/25/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800000004002-000-B CAT 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800000004003-000-B CAT 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800000004004-000 CAT 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800000004004-000-B CAT 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800000004005-000-B CAT 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800000004006-000-B CAT 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800000004007-000-B CAT 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800000004008-000-B CAT 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800000004009-000-B CAT 9/25/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss GC 800000004010-000 BLDG 9/29/2004 $0.00 $206.00 $206.00 C UNK PERSON STOLED COUNTY LAPTOP COMPUTER GC 800000004011-000 BLDG 9/15/2004 $0.00 $2,418.00 $2,418.00 C 1ST PARTY-THEFT OF TWO LAPTOP COMPUTERS. GC 800000004037-001-B GLBI 1/17/2003 $0.00 $0.00 $0.00 C C/P FELL ON BUS,RESULT IN DEATH OF SAME. GC 800000004038-001-B GLBI 1/17/2003 $0.00 $20,066.24 $20,066.24 C CLMT PASSENGER DIED FROM ON TRANSP.VAN? GC 800000004040-001-D GLPD 2/14/2003 $0.00 $2,500.00 $2,500.00 C CLMT WAS MISTAKELY ARRESTED & JAILED. GC 800000004043-001-B GLBI 4/25/2003 $0.00 $0.00 $0.00 C CLMT ATTY ALLEGED TREES OBSTRUCTING VEIW GC 800000004045-000-D GLPD 9/22/2004 $0.00 $0.00 $0.00 C UNK PERSON STOLED GPS UNIT. GC 800000004045-001-D GLPD 9/22/2004 $0.00 $9,429.00 $9,429.00 C UNK PERSON STOLED GPS UNIT. GC 800000004050-001-D GLPD 5/24/2005 $0.00 $648.32 $648.32 C C/D DROVED OVER POTHOLE DMG TIRES/RIM. GC 800000004051-001-P DIS 12/8/2004 $0.00 $0.00 $0.00 C CLMT ALLEDGE DISCRIMINATION,AGAINST CNTY GC 800000004052-001-D GLPD 12/8/2004 $0.00 $8,409.64 $8,409.64 C CLMT ALLEGE CNTY REFUESE TO ISSU.OCP LIC GC 800000004059-001-D GLPD 9/1/2004 $0.00 $0.00 $0.00 C CC ALLEGED OAK TREE OBSCURED VEIW OF SS. GC 800000004070-001-B-G GLBI 7/17/2002 $0.00 $0.00 $0.00 C I/V PULLED INTO PATH OF CV,WENT OFF RD. GC 800000004070-001-P GLPD 7/17/2002 $0.00 $0.00 $0.00 C I/V PULLED INTO PATH OF CV,WENT OFF RD. GC 800000004094-000-D GLPD 9/22/2005 $0.00 $0.00 $0.00 C C/V WAS HIT BY OBJECT THROWN BY MOWER. GC 800000004094-001-D GLPD 9/22/2005 $0.00 $541.73 $541.73 C C/V WAS HIT BY OBJECT THROWN BY MOWER. GC 800000004095-001-D GLPD 9/27/2005 $0.00 $666.81 $666.81 C C/V STRUCK BY OBJECT THROWN FROM MOWER. GC 800000004098-001-D GLPD 10/7/2005 $0.00 $1,011.78 $1,011.78 C C/V WAS HIT BY OBJECT KICKED UP BY MOWER GC 800000004104-001-D GLPD 8/16/2005 $0.00 $305.16 $305.16 C C/V STRUCK OVERHANGING TREE LIMB,DMG EQU GC 800000004129-001-P EO 2/6/2002 $0.00 $0.00 $0.00 C MED.EXAMINER MISTAKELY DET.CAUSE OF DETH GC 800000004151-000-B GLBI 3/2/2006 $0.00 $0.00 $0.00 C CLMT TRIPPED & FELL OVER CHAIR. GC 800000004152-001-B GLBI 3/3/2004 $0.00 $17,313.29 $17,313.29 C CLMT DIED WHILE IN CUSTODY IN CO.JAIL. GC 800000004154-001-P EO 5/6/2005 $0.00 $7,293.00 $7,293.00 C E & O CLAIM FOR INCORRECT ZONE CLEARENCE GC 800000004157-001-B GLBI 3/20/2006 $0.00 $0.00 $0.00 C I/V BACKED INTO C/V WHILE IT WAS PARKED. GC 800000004159-000 BLDG 8/22/2005 $0.00 $14,300.00 $14,300.00 C LIGHTING STRIKE DMG.PARK LIGHTS PANEL. GC 800000004160-000 BLDG 3/27/2006 $0.00 $6,199.00 $6,199.00 C LAWN MOWER CAUGHT ON FIRE,DESTROYED SAME GC 800000004160-001-D GLPD 3/27/2006 $0.00 $0.00 $0.00 C LAWN MOWER CAUGHT ON FIRE,DESTROYED SAME GC 800000004178-001-B GLBI 6/2/2005 $0.00 $0.00 $0.00 C CLMT TRIPPED & FELL OVER A PARKING BUMPE GC 800000004179-000 BLDG 4/25/2006 $0.00 $299.00 $299.00 C CONTRACTOR FELL OFF TRUCK & IS LOST. GC 800000004179-001-D GLPD 4/25/2006 $0.00 $0.00 $0.00 C CONTRACTOR FELL OFF TRUCK & IS LOST. GC 800000004185-001-B GLBI 6/13/2006 $0.00 $0.00 $0.00 C CLMT WENT TO SEAT DOWN(NO SEAT)& FELL. GC 800000004187-001-B EO 6/12/2006 $0.00 $0.00 $0.00 C CLMT ALLEGED HE WAS WRONGFULLY TRANSFERR GC 800000004187-001-P DIS 6/12/2006 $0.00 $0.00 $0.00 C CLMT ALLEGED HE WAS WRONGFULLY TRANSFERR GC 800000004188-000 BLDG 6/26/2006 $0.00 $0.00 $0.00 C I/V STRUCK LOW HANGING LIMB THAT DMG IV. GC 800000004189-001-D BLDG 6/21/2006 $0.00 $1,371.97 $1,371.97 C LIBRARY BRANCH BURGLARIZED. GC 800000004194-001-D GLPD 7/3/2006 $0.00 $259.58 $259.58 C C/D DROVED OVER POTHOLE & DMG VEH. GC 800000004195-000 BLDG 7/22/2006 $0.00 $930.23 $930.23 C LIGHTING DAMAGE EQUIPMENT. GC 800000004201-001-B GLBI 9/1/2004 $0.00 $0.00 $0.00 C CLMT ALLEGED TREE OBSTRUCTED DRIVER VEIW GC 800000004202-000 BLDG 7/28/2006 $0.00 $6,199.00 $6,199.00 C COUNTY LAWN MOWER CAUGHT FIRE & DESTROYE GC 800000004203-001-D GLPD 7/22/2006 $0.00 $1,239.96 $1,239.96 C MOWER HIT METAL OBJECT,FLEW UP & HIT CV. GC 800000004204-000-D BLDG 2/3/2006 $0.00 $1,993.00 $1,993.00 C LIGHTING DMG.COMPUTER EQUIP.AT LIBRARY. GC 800000004207-001-D BLDG 8/23/2006 $0.00 $0.00 $0.00 C C/V PULLED OUT INTO PATH OF I/V. GC 800000004208-001-P GLPD 8/25/2006 $0.00 $0.00 $0.00 C COM.ASSOC.SUEING LK.CO.BOCC ON LAND ISSU GC 800000004213-001-D GLPD 9/19/2006 $0.00 $0.00 $0.00 C FLOOD DAMAGE TO DWELLING GC 800000004225-001-B GLBI 5/3/2006 $0.00 $0.00 $0.00 C FELL FROM BICYCLE GC 800000004226-001-D GLPD 9/20/2006 $0.00 $5,900.00 $5,900.00 C CRACKS IN TILE IN KITCHEN GC 800000004246-001-D GLPD 1/11/2007 $0.00 $1,644.51 $1,644.51 C HOSE CAME OFF TRUCK. STRUCK BY CLMT GC 800000004247-001-D GLPD 1/11/2007 $0.00 $1,047.70 $1,047.70 C FIRE HOSE FELL FROM ENGINE STUCK BY CMT Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss GC 800000004248-000 BLDG 12/28/2006 $0.00 $0.00 $0.00 C B&E OF LIABRARY GC 800000004249-001-B GLBI 4/26/2006 $460.41 $221,976.80 $222,437.21 R CLMT FELL FROM MOTORCYCLE GC 800000004251-000 BLDG 12/29/2006 $0.00 $4,949.90 $4,949.90 C B & E THEFT OF EMPLOYEE PE GC 800000004257-001-B GLBI 9/20/2005 $0.00 $19,387.83 $19,387.83 C ELECTROCUTION OF CLM FATALITY GC 800000004260-001-B GLBI 1/2/2007 $0.00 $1,087.82 $1,087.82 C CLMT STEPPED IN HOLE AT PARK GC 800000004261-001-D EO 12/21/2006 $0.00 $56,500.00 $56,500.00 C E&O CLAIM INVOLVING BLDG CONTST GC 800000004263-001-D EO 1/17/2007 $0.00 $0.00 $0.00 C INSRD MISTAKENLY ALLOWED VARIANCE GC 800000004265-000 BLDG 2/2/2007 $0.00 $104,319.77 $104,319.77 C TORNADO LOSS TO BLDG GC 800000004268-001-D GLPD 2/24/2007 $0.00 $1,021.58 $1,021.58 C FLYING DEBRIS STRUCK CLMT VEH GC 800000004272-000-D GLPD 2/26/2007 $0.00 $0.00 $0.00 C INSURD FORCED CLMT OFF RD GC 800000004272-001-D GLPD 2/26/2007 $0.00 $1,296.26 $1,296.26 C INSURD FORCED CLMT OFF RD GC 800000004273-000-D GLPD 3/2/2007 $0.00 $0.00 $0.00 C TREE LIMB FELL ON PRIVATE VEHICLE GC 800000004273-001-D GLPD 3/2/2007 $0.00 $0.00 $0.00 C TREE LIMB FELL ON PRIVATE VEHICLE GC 800000004279-001-B GLBI 1/26/2007 $0.00 $0.00 $0.00 C CLMT FELL FROM WHEELCHAIR W/UNLOADING GC 800000004280-000-B GLBI 1/20/2007 $0.00 $0.00 $0.00 C CLMT FELL FROM GURNEY, LATER DIED GC 800000004301-001-B GLBI 5/1/2004 $0.00 $34,881.27 $34,881.27 C CLMT ALLEGED TO HAVE STEPPED IN HOLE GC 800000004309-001-B GLBI 5/29/2007 $0.00 $253.00 $253.00 C FELL FROM CURB GC 800000004309-002-B GLBI 5/29/2007 $0.00 $0.00 $0.00 C FELL FROM CURB GC 800000004312-001-B GLBI 5/22/2007 $0.00 $630.50 $630.50 C CLMT TRIPPED OVER MAT AND FELL GC 800000004330-000 BLDG 7/1/2007 $0.00 $36,178.79 $36,178.79 C LIGHTNING LOSS TO CONTENTS GC 800000004332-001-D GLPD 5/22/2007 $0.00 $0.00 $0.00 C TRUCK STRUCK OVERHANGING TEE LIMB GC 800000004333-001-B GLBI 4/21/2007 $0.00 $41,927.97 $41,927.97 C MOTORCYCLE SKIDDEN ON LOOSE GRAVEL GC 800000004337-000 BLDG 7/1/2007 $0.00 $2,615.46 $2,615.46 C LIGHTNING LOSS TO TELEPHONE SYSTEM GC 800000004347-001-D GLPD 8/23/2007 $0.00 $0.00 $0.00 C CLMT STRUCK OBJECT IN THE ROADWAY GC 800900000023-001-P GLPD 10/30/1989 $0.00 $94.16 $94.16 C ROCK FROM MOWER FLEW AND HIT CLMTS VAN GC 800900000048-001-C BLDG 12/29/1989 $0.00 $662.90 $662.90 C UNKNOWN PERSONS STOLE 30 GALLONS OF ROUN GC 800900000067-001-C BLDG 1/8/1990 $0.00 $1,322.90 $1,322.90 C THEFT OF COUNTY OWNED PROPERTY. GC 800900000072-001-C BLDG 12/11/1989 $0.00 $950.24 $950.24 C VANDALISM AND BURGLARY TO OFFICE AND BUS GC 800900000127-001-P GLPD 5/24/1990 $0.00 $413.44 $413.44 C MOWING AND ROCK THROWN FROM MOWER DAMAGE GC 800900000128-001-B GLBI 10/28/1989 $0.00 $188,409.58 $188,409.58 C MOTOR VEHICLE ACCIDENT - ROAD DESIGN/MAI GC 800900000128-002-B GLBI 10/28/1989 $0.00 $0.00 $0.00 C MOTOR VEHICLE ACCIDENT - ROAD DESIGN/MAI GC 800900000136-001-C BLDG 5/1/1990 $0.00 $1,000.00 $1,000.00 C CONSTRUCTION VIBRATION DAMAGED COMPUTER GC 800900000137-001-B GLBI 5/23/1990 $0.00 $188.55 $188.55 C DOOR CLOSED ON FINGERS GC 800900000159-001-P GLPD 6/6/1990 $0.00 $506.21 $506.21 C ELECTRICAL POLE DAMAGED BY MOWER. GC 800900000162-001-C BLDG 7/26/1990 $0.00 $337.00 $337.00 C LIGHTNING DAMAGED PHONE SYSTEM GC 800900000164-001-P GLPD 5/4/1990 $0.00 $0.00 $0.00 C TREE LIMB FELL ONTO CAR, DRIVER LOST CON GC 800900000165-001-C BLDG 7/16/1990 $0.00 $185.70 $185.70 C SOIL COMPACTOR DAMAGED BY LIGHTNING STRI GC 800900000174-001-B BLDG 7/5/1990 $0.00 $177.38 $177.38 C RADIO TOWER STRUCK BY LIGHTNING. GC 800900000188-001-B GLBI 9/10/1990 $0.00 $19,726.27 $19,726.27 C TRIPPED ON EDGE OF THRESHHOLD IN RECORDS GC 800900000197-001-B GLBI 10/12/1990 $0.00 $0.00 $0.00 C FELL DOWN COURTHOUSE STEPS GC 800900000212-001-C BLDG 11/13/1990 $0.00 $662.25 $662.25 C SERUMS @ HEALTH DEPT. SPOLIED WHEN VANDA GC 800900000214-001-P GLPD 4/5/1990 $0.00 $361.84 $361.84 C CLMT VEHICLE STRUCK EDGE OF CURB/BENT RI GC 800900000248-001-B GLBI 1/14/1991 $0.00 $116,491.63 $116,491.63 C INMATE ATTEMPTED SUICIDE GC 800900000253-001-B GLBI 6/18/1990 $0.00 $9,560.83 $9,560.83 C NEGLIGENT ROAD MAINTENANCE CASE GC 800900000255-001-B GLBI 6/8/1990 $0.00 $42,999.36 $42,999.36 C ALLEGED GRADER OPERATOR BLOCKED INTERSEC GC 800900000256-001-C BLDG 3/3/1991 $0.00 $1,582.14 $1,582.14 C LIGHTNING STRIKE DAMAGED COMPUTERS GC 800900000257-001-B GLBI 1/21/1991 $0.00 $32,849.91 $32,849.91 C CLAIMANT RAN OFF ROAD - ALLEGED COUNTY F GC 800900000258-001-B GLBI 4/17/1991 $0.00 $25,135.13 $25,135.13 C ALLEGED FAILURE TO TIMELY RESPOND TO A 9 Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss GC 800900000262-001-P GLPD 5/18/1991 $0.00 $1,056.24 $1,056.24 C FLAG AT COURTHOUSE DAMAGED GC 800900000265-001-P GLPD 4/19/1991 $0.00 $637.89 $637.89 C ROAD GRADER BACKED INTO LIGHT POLE GC 800900000268-001-P GLPD 10/24/1990 $0.00 $12,534.69 $12,534.69 C ALLEGED IMPROPER MAINTENANCE OF ROADWAY GC 800900000325-001-C BLDG 9/19/1991 $0.00 $1,987.01 $1,987.01 C LIGHTNING STRIKE AT SOLID WASTE FACILITY GC 800900000337-001-P GLPD 5/1/1991 $0.00 $2,894.00 $2,894.00 C CLAIMANT ALLEGES COUNTY CREW DUG A DITCH GC 800900000338-001-P GLPD 9/15/1991 $0.00 $0.00 $0.00 C CLAIMANT ALLEGES HAZARDOUS CONDITION CAU GC 800900000343-001-B GLBI 10/23/1991 $0.00 $416.00 $416.00 C FELL AT LEESBURG TAG AGENCY GC 800900000344-001-B GLBI 2/7/1991 $0.00 $13,601.22 $13,601.22 C ALLEGES CORRECTION OFFICERS THREATENED H GC 800900000348-001-P GLPD 1/25/1991 $0.00 $952.50 $952.50 C COUNTY SOLD CLAIMANT'S UNCLAIMED LIVESTO GC 800900000350-001-B GLBI 11/19/1991 $0.00 $5,000.00 $5,000.00 C HOSE CAME OFF PIPE CAUSING HOT WATER TO GC 800900000362-001-B GLBI 12/23/1991 $0.00 $500.00 $500.00 C CLAIMANT ALLEGEDLY WALKING DOGS IN SUMME GC 800900000370-001-B BLDG 3/5/1992 $0.00 $0.00 $0.00 C TRANSFORMER NEAR COURTHOUSE EXPLODED. GC 800900000380-001-B BLDG 3/25/1992 $0.00 $0.00 $0.00 C SEVERE HAILSTORM DAMAGED MASCOTTE BARN ( GC 800900000386-001-B GLBI 4/16/1992 $0.00 $244.20 $244.20 C ALLEGES DENIED ACCESS TO LAW LIBRARY GC 800900000387-001-B GLBI 4/16/1992 $0.00 $321.93 $321.93 C CLAIMANT ALLEGES CONSPIRACY TO CONVICT H GC 800900000403-001-C BLDG 5/4/1992 $0.00 $1,456.02 $1,456.02 C OFFICE OF LAKE COUNTY EXPO CENTER BURGLA GC 800900000406-001-B GLBI 6/11/1992 $0.00 $0.00 $0.00 C WOMAN CARRYING CHILD TRIPPED OVER ANOTHE GC 800900000415-001-B GLBI 1/12/1991 $0.00 $2.00 $2.00 C CYCLIST INJURED WHEN HIS MOTORCYCLE STRU GC 800900000415-002-B GLBI 1/12/1991 $0.00 $0.00 $0.00 C CYCLIST INJURED WHEN HIS MOTORCYCLE STRU GC 800900000432-001-P GLPD 7/8/1992 $0.00 $4,659.35 $4,659.35 C TRAILER STRUCK LOW OVERHANGING LIMB DAMA GC 800900000450-001-C BLDG 5/27/1992 $0.00 $1,119.00 $1,119.00 C LIGHTNING STRIKE TO TELEPHONE PANEL BOAR GC 800900000456-001-P GLPD 8/21/1992 $0.00 $1,508.88 $1,508.88 C CLAIMANT HAD TREE LIMB FALL ON VEHICLE A GC 800900000474-001-P GLPD 11/24/1992 $0.00 $0.00 $0.00 C CLAIMANT ALLEGES CONCRETE DITCH OVERFILL GC 800900000477-001-B GLBI 10/31/1992 $0.00 $286.22 $286.22 C YOUNGSTER WAS STRUCK IN FACE BY FALLING GC 800900000483-001-B GLBI 1/4/1993 $0.00 $11,575.45 $11,575.45 C ALLEGED TRIP OVER METAL DETECTOR CORD GC 800900000484-001-P GLPD 12/22/1992 $0.00 $1,486.69 $1,486.69 C COUNTY'S GRADER STOPPED ON ROADSIDE AND GC 800900000488-001-P GLPD 1/8/1993 $0.00 $85.76 $85.76 C TREE LIMB FELL OFF TREE STRIKING TWO VEH GC 800900000490-001-B GLBI 4/12/1992 $0.00 $1,038.30 $1,038.30 C INMATE ALLEGES HE WAS DENIED ACCESS TO H GC 800900000501-001-B GLBI 12/8/1992 $0.00 $9,331.00 $9,331.00 C RESIDENT STEPPED IN HOLE AND FELL WHILE GC 800900000503-001-P GLPD 12/5/1992 $0.00 $0.00 $0.00 C CLAIMANT ALLEGES COUNTY RESPONSIBLE FOR GC 800900000519-001-B GLBI 3/29/1993 $0.00 $2,505.52 $2,505.52 C CLAIMANT SLIPPED AND FELL IN RESTROOM AN GC 800900000520-001-B BLDG 3/13/1993 $0.00 $54,104.00 $54,104.00 C OLD COURTHOUSE BUILDING ROOF WAS BLOWN O GC 800900000520-001-C BLDG 3/13/1993 $0.00 $0.00 $0.00 C OLD COURTHOUSE BUILDING ROOF WAS BLOWN O GC 800900000520-002-B BLDG 3/13/1993 $0.00 $0.00 $0.00 C OLD COURTHOUSE BUILDING ROOF WAS BLOWN O GC 800900000520-003-B BLDG 3/13/1993 $0.00 $74.78 $74.78 C OLD COURTHOUSE BUILDING ROOF WAS BLOWN O GC 800900000520-004-B BLDG 3/13/1993 $0.00 $510.52 $510.52 C OLD COURTHOUSE BUILDING ROOF WAS BLOWN O GC 800900000520-005-B BLDG 3/13/1993 $0.00 $1,081.00 $1,081.00 C OLD COURTHOUSE BUILDING ROOF WAS BLOWN O GC 800900000520-006-B BLDG 3/13/1993 $0.00 $0.00 $0.00 C OLD COURTHOUSE BUILDING ROOF WAS BLOWN O GC 800900000527-001-B BLDG 3/13/1993 $0.00 $2,640.00 $2,640.00 C WINDSTORM BLEW ASTATULA LANDFILL RETENTI GC 800900000528-001-B BLDG 3/28/1993 $0.00 $0.00 $0.00 C OLD WATER COOLER STORAGE TANK RUSTED THR GC 800900000531-001-C BLDG 3/2/1993 $0.00 $72.25 $72.25 C THEFT OF TRAFFIC COUNTER FROM ROADSIDE GC 800900000542-001-B GLBI 9/25/1992 $0.00 $102,874.01 $102,874.01 C CIVIL RIGHTS VIOLATIONS WHILE IN JAIL GC 800900000545-001-B BLDG 5/13/1993 $0.00 $359.00 $359.00 C O.V. BACKED INTO LOADING DOOR ON DOCK AT GC 800900000549-001-B BLDG 3/13/1993 $0.00 $1,423.67 $1,423.67 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-001-C BLDG 3/13/1993 $0.00 $1,049.50 $1,049.50 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-002-B BLDG 3/13/1993 $0.00 $0.00 $0.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-003-B BLDG 3/13/1993 $0.00 $65.00 $65.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-004-B BLDG 3/13/1993 $0.00 $70.25 $70.25 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss GC 800900000549-005-B BLDG 3/13/1993 $0.00 $0.00 $0.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-006-B BLDG 3/13/1993 $0.00 $0.00 $0.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-007-B BLDG 3/13/1993 $0.00 $60.00 $60.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-008-B BLDG 3/13/1993 $0.00 $150.00 $150.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-009-B BLDG 3/13/1993 $0.00 $0.00 $0.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-010-B BLDG 3/13/1993 $0.00 $4,200.00 $4,200.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-011-B BLDG 3/13/1993 $0.00 $1,700.00 $1,700.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-012-B BLDG 3/13/1993 $0.00 $1,069.83 $1,069.83 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-013-B BLDG 3/13/1993 $0.00 $148.32 $148.32 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-014-B BLDG 3/13/1993 $0.00 $0.00 $0.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-015-B BLDG 3/13/1993 $0.00 $0.00 $0.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-016-B BLDG 3/13/1993 $0.00 $127.00 $127.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-017-B BLDG 3/13/1993 $0.00 $400.00 $400.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000549-018-B BLDG 3/13/1993 $0.00 $510.00 $510.00 C WINDSTORM DAMAGED ROOF OF LAKE JEM FIRE GC 800900000552-001-B GLBI 6/26/1993 $0.00 $2.00 $2.00 C CLAIMANT ALLEGEDLY INJURED WHEN TREE FEL GC 800900000552-001-P GLPD 6/26/1993 $0.00 $7,497.05 $7,497.05 C CLAIMANT ALLEGEDLY INJURED WHEN TREE FEL GC 800900000552-002-B GLBI 6/26/1993 $0.00 $0.00 $0.00 C CLAIMANT ALLEGEDLY INJURED WHEN TREE FEL GC 800900000561-001-B BLDG 6/27/1993 $0.00 $5,170.00 $5,170.00 C TOWER STRUCK BY LIGHTNING - DAMAGE POWER GC 800900000567-001-C BLDG 7/24/1993 $0.00 $920.83 $920.83 C LIGHTNING STRUCK - EXTENSIVE DAMAGE TO S GC 800900000571-001-C BLDG 7/10/1993 $0.00 $521.00 $521.00 C LIGHTNING DAMAGED TELEPHONE SYSTEM GC 800900000572-001-C BLDG 7/7/1993 $0.00 $1,226.00 $1,226.00 C LIGHTNING STRUCK TELEPHONE SYSTEM & SECU GC 800900000572-002-C BLDG 7/7/1993 $0.00 $2,057.79 $2,057.79 C LIGHTNING STRUCK TELEPHONE SYSTEM & SECU GC 800900000580-001-I DIS 6/29/1993 $0.00 $2,870.77 $2,870.77 C CLAIMANT ALLEGES VIOLATION OF CIVIL RIGH GC 800900000585-001-P GLPD 8/9/1993 $0.00 $2,468.35 $2,468.35 C ALLEGES FAILURE TO TIMELY EXTINGUISH FIR GC 800900000587-001-I DIS 8/31/1993 $0.00 $414.78 $414.78 C CLAIMANT ALLEGES DETENTION IN JAIL BEYON GC 800900000588-001-B GLBI 5/7/1993 $0.00 $34,336.17 $34,336.17 C CLAIMANT ALLEGES FAILURE TO MAINTAIN INT GC 800900000595-001-P GLPD 10/16/1993 $0.00 $0.00 $0.00 C CLAIMANT HIT POTHOLE DAMAGING TIRES GC 800900000598-001-P GLPD 10/16/1993 $0.00 $0.00 $0.00 C CLAIMANT HIT POTHOLE IN ROADWAY GC 800900000599-001-P GLPD 10/16/1993 $0.00 $0.00 $0.00 C CLAIMANT HIT POTHOLE IN ROADWAY GC 800900000600-001-P GLPD 11/7/1993 $0.00 $144.45 $144.45 C CLAIMANT HIT POTHOLE IN ROADWAY GC 800900000610-001-B GLBI 10/11/1993 $0.00 $37,297.34 $37,297.34 C CLMT INJURY IN HEAD ON COLLISION WITH TR GC 800900000610-001-P GLPD 10/11/1993 $0.00 $65.77 $65.77 C CLMT INJURY IN HEAD ON COLLISION WITH TR GC 800900000622-001-B GLBI 10/14/1993 $0.00 $42,463.78 $42,463.78 C CLAIMANT WAS INJURED BY DRIVER WHILE WAI GC 800900000622-002-B GLBI 10/14/1993 $0.00 $0.00 $0.00 C CLAIMANT WAS INJURED BY DRIVER WHILE WAI GC 800900000629-001-P GLPD 3/5/1994 $0.00 $799.76 $799.76 C CLAIMANT VEHICLE HIT STELL RING ON COUNT GC 800900000637-001-B GLBI 11/8/1993 $0.00 $0.00 $0.00 C CLAIMANT TRIPPED IN HOLE INJURING R FOOT GC 800900000652-001-B GLBI 4/1/1994 $0.00 $5,760.49 $5,760.49 C CHILD FELL OFF SLIDE FX L WRIST GC 800900000672-001-P GLPD 5/24/1994 $0.00 $2,930.89 $2,930.89 C CLIENT BACKED INTO CLAIMANT GC 800900000693-001-P GLPD 7/5/1994 $0.00 $908.77 $908.77 C CLAIMANT'S RENTAL TRUCK WAS DAMAGED WHEN GC 800900000701-001-P GLPD 2/20/1994 $0.00 $249.77 $249.77 C CLAIMANT ALLEGES THAT SHERIFF'S OFFICE W GC 800900000704-001-P GLPD 6/25/1994 $0.00 $0.00 $0.00 C TREE LIMB FELL ON CLAIMANT'S FENCE GC 800900000704-002-P GLPD 6/25/1994 $0.00 $0.00 $0.00 C TREE LIMB FELL ON CLAIMANT'S FENCE GC 800900000706-001-C BLDG 7/8/1994 $0.00 $0.00 $0.00 C LIGHTNING STRIKE TO COMPUTER ROOM KNOCKI GC 800900000707-001-P GLPD 6/2/1994 $0.00 $0.00 $0.00 C WATER DAMAGE DUE TO ROAD FLOODING & BACK GC 800900000709-001-B GLBI 4/15/1992 $0.00 $58,453.55 $58,453.55 C CLAIMANT WAS PEDESTRIAN STRUCK BY 3RD PA GC 800900000710-001-P GLPD 8/1/1994 $0.00 $499.20 $499.20 C WHILE UNLOADING REFUSE AT LANDFILL, EMPL GC 800900000713-001-P GLPD 6/22/1994 $0.00 $263.20 $263.20 C WATER MAINLINE DAMAGE GC 800900000714-001-C BLDG 3/13/1993 $0.00 $162.75 $162.75 C 'STORM OF THE CENTURY' WINDSTORM DAMAGED Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss GC 800900000729-001-B GLBI 9/19/1994 $0.00 $22,482.94 $22,482.94 C CLAIMANT SLIPPED AND FELL AT FOOT OF STA GC 800900000733-001-P GLPD 9/28/1994 $0.00 $0.00 $0.00 C CLAIMANT DRIVING ON LAKESHORE DRIVE HIT GC 800900000734-001-P GLPD 9/8/1994 $0.00 $0.00 $0.00 C WHILE TRAVELING ON KISMET RD STRUCK POT GC 800900000735-001-P GLPD 9/14/1994 $0.00 $0.00 $0.00 C CV SWERVED TO AVOID ON COMING VEH AND HI GC 800900000745-001-C BLDG 9/16/1993 $0.00 $5,785.90 $5,785.90 C LIGHTNING STRIKE TO COMPUTERS GC 800900000752-001-B GLBI 11/6/1994 $0.00 $1,777.78 $1,777.78 C CLAIMANT FELL IN HALLWAY NEAR THE ELEVAT GC 800900000778-001-B GLBI 6/11/1994 $0.00 $23,120.65 $23,120.65 C SEVERALLY BURNED AND INJURED WHILE ON TH GC 800900000788-001-B GLBI 2/9/1995 $0.00 $1,433.32 $1,433.32 C WATER FROM PLANT SPRINKLER WHERE SHE WOR GC 800900000788-002-B GLBI 2/9/1995 $0.00 $0.00 $0.00 C WATER FROM PLANT SPRINKLER WHERE SHE WOR GC 800900000791-001-P GLPD 2/10/1995 $0.00 $0.00 $0.00 C TIRE/RIM DAMAGE FROM POTHOLE GC 800900000802-001-P GLPD 3/27/1993 $0.00 $21,068.75 $21,068.75 C COLLAPSE WATER TANK GC 800900000807-001-B GLBI 12/28/1994 $0.00 $1,500.00 $1,500.00 C GC 800900000829-001-B GLBI 6/6/1995 $0.00 $101.00 $101.00 C CLAIMANT FELL ON STAIRS WHILE EXITING AU GC 800900000850-001-B GLBI 8/24/1995 $0.00 $19,494.12 $19,494.12 C CLAIMANT ALLEGES ROAD HAZARD-HYDROPLANED GC 800900000855-001-P GLPD 9/12/1995 $0.00 $0.00 $0.00 C ALLEGEDLY STRUCK PIECE OF ANGLE IRON IN GC 800900000856-001-B BLDG 9/29/1995 $0.00 $18,124.71 $18,124.71 C OLD JAIL IS UNDER RENOVATION FOR OCCUPAN GC 800900000869-001-B GLBI 6/16/1993 $0.00 $1,101.41 $1,101.41 C CLAIMANT WAS STRUCK IN THE REAR BY OUR D GC 800900000882-001-C BLDG 11/14/1995 $0.00 $728.00 $728.00 C MISSING COMPUTER CHIPS GC 800900000889-001-C BLDG 7/22/1995 $0.00 $765.00 $765.00 C LIGHTNING DAMAGE TO DIGITIZER GC 800900000892-001-B GLBI 1/2/1994 $0.00 $19,420.84 $19,420.84 C ALLEGED MAINTENANCE CAUSING VEHICLE ACCI GC 800900000892-002-B GLBI 1/2/1994 $0.00 $0.00 $0.00 C ALLEGED MAINTENANCE CAUSING VEHICLE ACCI GC 800900000897-001-B GLBI 11/2/1995 $0.00 $1,009.17 $1,009.17 C CLAIMANT FELL WHEN SHE STEPPED INTO HOLE GC 800900000899-001-B GLBI 11/22/1995 $0.00 $1,254.62 $1,254.62 C CLAIMANT ALLEGEDLY FELL ON SIDEWALK AND GC 800900000919-001-B GLBI 6/2/1995 $0.00 $0.00 $0.00 C ALLEGED VIOLATION OF CIVIL RIGHTS GC 800900000927-001-B GLBI 6/22/1992 $0.00 $0.00 $0.00 C JAIL INMATE FAINTED WHILE EXITING TOP BU GC 800900000940-001-B GLBI 7/21/1993 $0.00 $2.00 $2.00 C INJURED IN MVA-ALLEGES HORSE ESCAPED CAU GC 800900000946-001-B GLBI 10/15/1995 $0.00 $0.00 $0.00 C TRI-ATHLETE RODE BIKE OVER RR CROSSING/F GC 800900000947-001-B GLBI 1/12/1995 $0.00 $93,575.28 $93,575.28 C CHILD KILLED WHILE WAITING FOR SCHOOL BU GC 800900000988-001-C BLDG 6/19/1996 $0.00 $8,156.52 $8,156.52 C LIGHTNING DAMAGE TO COMPUTER/PHONE SYSTE GC 800900000995-001-B GLBI 8/28/1996 $0.00 $0.00 $0.00 C CLAIMANT WAS IN VEHICLE STRUCK BY COUNTY GC 800900000995-001-P GLPD 8/28/1996 $0.00 $2,914.39 $2,914.39 C CLAIMANT WAS IN VEHICLE STRUCK BY COUNTY GC 800900000996-001-B GLBI 8/7/1996 $0.00 $0.00 $0.00 C CLASS ACTION SUIT ALLEGING CONSTITUTIONA GC 800900001001-001-B GLBI 10/15/1993 $0.00 $25,000.00 $25,000.00 C FORMER EMPLOYEE ALLEGES CIVIL RIGHTS VIO GC 800900001012-001-B GLBI 7/6/1995 $0.00 $439.84 $439.84 C PLAINTIFF ALLEGES ADA & CIVIL RIGHTS VIO GC 800900001013-001-B-G GLBI 10/7/1996 $0.00 $0.00 $0.00 C CLAIMANT ALLEGEDLY INJURED WHEN COUNTY T GC 800900001018-001-P GLPD 10/27/1996 $0.00 $345.30 $345.30 C FIRE TRUCK CAUSED DAMAGE TO CLAIMANT'S D GC 800900001025-001-P GLPD 2/1/1997 $0.00 $0.00 $0.00 C CLMT. ALLEGES CODE ENFORCEMENT OF AIRPOR GC 800900001026-001-P GLPD 9/20/1995 $0.00 $0.00 $0.00 C PLAINTIFF ALLEGES DECISION AT UNLAWFUL C GC 800900001055-001-B GLBI 5/20/1997 $0.00 $0.00 $0.00 C JAIL INMATE SERVING TIME FOR GRAND THEFT GC 800900001059-001-P GLPD 5/27/1997 $0.00 $0.00 $0.00 C BOARD DENIED USE PERMIT & PRIMECO ALLEGE GC 800900001066-001-I DIS 12/3/1996 $0.00 $0.00 $0.00 C CLAIMANT ALLEGES ADA VIOLATION AND LACK GC 800900001077-001-B GLBI 9/7/1995 $0.00 $0.00 $0.00 C 45 YEAR OLD FEMALE RESIDENT BITTEN BY RA GC 800900001082-001-P EO 9/15/1997 $0.00 $0.00 $0.00 C RESIDENT ALLEGES COUNTY CODE ENFORCEMENT GC 800900001083-001-P GLPD 10/28/1997 $0.00 $0.00 $0.00 C RESIDENT ALLEGES TREE IN COUNTY R.O.W. B GC 800900001099-001-P GLPD 12/12/1997 $0.00 $0.00 $0.00 C CLAIMANT ALLEGES 4 TIRES DAMAGED BY POTH GC 800900001100-001-B GLBI 12/1/1997 $0.00 $1,000.00 $1,000.00 C CLAIMANT FELL ON BACK STEP OF OLD COURTH GC 800900001101-001-P GLPD 12/16/1997 $0.00 $0.00 $0.00 C CLAIMANT ALLEGES POTHOLE DAMAGED HER TIR GC 800900001102-001-P GLPD 12/27/1997 $0.00 $0.00 $0.00 C CLAIMANT HIT POTHOLE Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss GC 800900001103-001-P GLPD 12/16/1997 $0.00 $0.00 $0.00 C CLAIMANT ALLEGES KNOCKED DOWN SIGN DAMAG GC 800900001104-001-B GLBI 1/9/1996 $0.00 $0.00 $0.00 C INMATE COMMITTED SUICIDE IN COUNTY JAIL GC 800900001110-001-P GLPD 1/23/1998 $0.00 $0.00 $0.00 C CLAIMANT DAMAGED TIRE ON POTHOLE GC 800900001115-001-B GLBI 9/15/1997 $0.00 $137.12 $137.12 C CLAIMANT ALLEGES THAT THE COUNTY UNLAWFU GC 800900001122-001-C BLDG 2/18/1998 $0.00 $1,531.00 $1,531.00 C LIGHTNING DAMAGED SCALE HOUSE AT ASTATUL GC 800900001151-001-P GLPD 1/14/1997 $0.00 $6,208.36 $6,208.36 C CLAIMANT'S VEHICLE HIT STANDING WATER AN GC 800900001168-001-C BLDG 7/28/1998 $0.00 $6,248.38 $6,248.38 C FIRE DAMAGE TO TRANSPORT TRAILER GC 800900001176-001-I DIS 1/6/1998 $0.00 $0.00 $0.00 C CLAIMANT ALLEGES WRONGFUL TERMINATION GC 800900001177-001-P GLPD 10/27/1998 $0.00 $1,945.38 $1,945.38 C AV CROSSED OVERPASS IN FRONT OF CV GC 800900001178-001-B BLDG 7/8/1994 $0.00 $449.95 $449.95 C LIGHTNING DAMAGE TO PHONE SYSTEM GC 800900001182-001-B GLBI 3/10/1998 $0.00 $133,172.29 $133,172.29 C VEHICLE ACCIDENT ALLEGEDLY CAUSED BY ROA GC 800900001182-002-B GLBI 3/10/1998 $0.00 $0.00 $0.00 C VEHICLE ACCIDENT ALLEGEDLY CAUSED BY ROA GC 800900001187-001-P GLPD 1/1/1998 $0.00 $0.00 $0.00 C CLIENT FAILED TO COMPLETE INFRASTRUCTURE GC 800900001188-001-P GLPD 8/28/1998 $0.00 $1,720.02 $1,720.02 C COUNTY PUBLIC WORKS CUTTER MOWING NEAR C GC 800900001189-001-C BLDG 1/11/1999 $0.00 $2,475.00 $2,475.00 C DEC VENTURIS FP590 PENTIUM COMPUTER AND GC 800900001210-001-B BLDG 2/3/1999 $0.00 $1,108.38 $1,108.38 C FIRE TRUCK HIT GARAGE DOOR/BUILDING WHEN GC 800900001219-001-P GLPD 10/26/1998 $0.00 $10,390.49 $10,390.49 C COUNTY LAWN MOWER HIT JUNCTION BOX OWNED GC 800900001228-001-P GLPD 9/10/1996 $0.00 $2,174.31 $2,174.31 C RESIDENT ALLEGES WATER RUNOFF FROM COUNT GC 800900001230-001-B GLBI 1/9/1999 $0.00 $0.00 $0.00 C 26 YR OLD JAIL INMATE ALLEGEDLY SLIPPED GC 800900001232-001-I DIS 12/23/1997 $0.00 $10,371.56 $10,371.56 C PLAINTIFF ALLEGES COUNTY OFFICIALS RACIA GC 800900001233-001-P GLPD 6/18/1999 $0.00 $0.00 $0.00 C MCCLEOD FORD TURNING L AT SIGNAL ALLEGED GC 800900001236-001-P GLPD 8/2/1999 $0.00 $0.00 $0.00 C TREE FELL ON CLAIMANT'S FORD F150 PICKUP GC 800900001238-001-P GLPD 2/2/1997 $0.00 $0.00 $0.00 C VEHICLES COLLIDED IN INTERSECTION/ALLEGE GC 800900001240-001-P GLPD 7/1/1998 $0.00 $0.00 $0.00 C COUNTY RESURFACED QUAIL GROVE ROAD AND A GC 800900001243-001-C-G BLDG 8/31/1999 $0.00 $2,007.85 $2,007.85 C AV STOLEN FROM FAIRGROUNDS WITH GUARD UN GC 800900001246-001-P GLPD 9/3/1999 $0.00 $0.00 $0.00 C ARM MOWER THREW CHUNKS OF WOOD ONTO A MO GC 800900001248-001-P GLPD 6/21/1997 $0.00 $0.00 $0.00 C RESIDENT ALLEGES HOME BURNED BECAUSE COU GC 800900001251-001-P GLPD 11/27/1997 $0.00 $0.00 $0.00 C INVERSE CONDEMNATION: C.R. BED 'FAILED'. GC 800900001258-001-B GLBI 10/23/1997 $0.00 $0.00 $0.00 C WOMAN REPORTEDLY INJURED WHEN SEPTIC TAN GC 800900001258-002-B GLBI 10/23/1997 $0.00 $0.00 $0.00 C WOMAN REPORTEDLY INJURED WHEN SEPTIC TAN GC 800900001260-001-P GLPD 7/1/1998 $0.00 $0.00 $0.00 C TRUCKING ON C.R. IS DAMAGING CLAIMANT'S GC 800900001261-001-P GLPD 11/10/1999 $0.00 $387.87 $387.87 C EE CAUSED AIRBOAT ACCIDENT/PD CLAIMS FRO GC 800900001261-002-P GLPD 11/10/1999 $0.00 $272.86 $272.86 C EE CAUSED AIRBOAT ACCIDENT/PD CLAIMS FRO GC 800900001262-001-B GLBI 11/19/1999 $0.00 $0.00 $0.00 C CITIZEN STEPPED OFF ELEVATOR IN ADMIN BL GC 800900001268-001-B GLBI 12/9/1999 $0.00 $767.98 $767.98 C CLAIMANT FELL WHILE ON FAIRGROUNDS-FX OL GC 800900001272-001-C BLDG 12/17/1999 $0.00 $862.00 $862.00 C COMMUNICATION DIRECTOR CHECKED LAPTOP ON GC 800900001277-001-P EO 1/25/2000 $0.00 $0.00 $0.00 C CLMT ALLEGES CO NEGLIGENCE OR WRONGFUL A GC 800900001278-001-B GLBI 1/28/2000 $0.00 $0.00 $0.00 C CLMT PARKED IN PL ADJACENT TO CO BLDG, C GC 800900001282-001-P EO 4/22/1997 $0.00 $0.00 $0.00 C RELYEAS SUED MIDFLORIDA HOMES BECAUSE TH GC 800900001287-001-P GLPD 12/18/1999 $0.00 $0.00 $0.00 C CLAIMANT ALLEGES A POTHOLE DAMAGED HER T GC 800900001290-001-P GLPD 3/28/2000 $0.00 $16,943.43 $16,943.43 C ROAD GRADER HIT CLAIMANT VEHICLE. GC 800900001291-001-B GLBI 3/23/2000 $0.00 $1,000.00 $1,000.00 C SLIP/FALL ON DEBRIS/FX ARM GC 800900001296-001-P GLPD 4/4/2000 $0.00 $0.00 $0.00 C POTHOLE CLAIM GC 800900001298-001-B GLBI 1/22/2000 $0.00 $0.00 $0.00 C WOMAN ALLEGES TRIP/FALL OVER UNEVEN SID GC 800900001304-001-B GLBI 4/24/2000 $0.00 $8.00 $8.00 C FIREFIGHTER JACKET FELL AND WRAPPED/SEIZ GC 800900001304-001-P GLPD 4/24/2000 $0.00 $84.00 $84.00 C FIREFIGHTER JACKET FELL AND WRAPPED/SEIZ GC 800900001307-001-B GLBI 11/3/1998 $0.00 $0.00 $0.00 C CLAIMANT ALLEGES THAT UNMAINTAINED CULVE GC 800900001307-002-B GLBI 11/3/1998 $0.00 $0.00 $0.00 C CLAIMANT ALLEGES THAT UNMAINTAINED CULVE Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss GC 800900001327-001-C BLDG 6/26/2000 $0.00 $1,145.00 $1,145.00 C LIGHTNING DAMAGE TO COMPUTER EQUIPMENT GC 800900001337-001-P GLPD 7/26/2000 $0.00 $706.38 $706.38 C MOWER PROPELLED A ROCK INTO A PARKED AUT GC 800900001338-001-P GLPD 10/26/1999 $0.00 $510.27 $510.27 C MOWER HIT A CABLE BOX GC 800900001347-001-P GLPD 7/30/2000 $0.00 $0.00 $0.00 C D.O.T. EMPLOYEE DROVE OVER A STOP SIGN K GC 800900001349-001-P GLPD 8/16/2000 $0.00 $268.87 $268.87 C ROCK KICKED UP BY MOWER BROKE VEHICLE WI GC 800900001351-001-I DIS 7/11/1996 $0.00 $0.00 $0.00 C SUIT FOR INVERSE CONDEMNATION/UPSON DOWN GC 800900001359-001-P GLPD 8/18/2000 $0.00 $250.00 $250.00 C COUNTY MOWER DAMAGED RESIDENT'S FENCE GC 800900001365-001-P GLPD 7/21/2000 $0.00 $0.00 $0.00 C SUBRO FROM GATOR ADJUSTERS FOR PAUL WALS GC 800900001380-001-P GLPD 10/22/2000 $0.00 $611.00 $611.00 C FENCE FELL ON DEPUTY'S AUTO GC 800900001385-001-P GLPD 7/18/2000 $0.00 $384.01 $384.01 C COUNTY CREW DIGGING HOLES CUT SPRINT LIN GC 800900001391-001-I DIS 8/12/1999 $0.00 $70.00 $70.00 C MAN WHO PLED NO CONTEST TO BATTERY CHARG GC 800900001399-001-P GLPD 1/4/2001 $0.00 $0.00 $0.00 C AUTO PASSING ROAD GRADER COLLIDED WITH B GC 800900001419-001-P GLPD 4/1/2001 $0.00 $0.00 $0.00 C VEHICLE DAMAGE FROM POTHOLE IN ROAD. GC 800900001428-001-B BLDG 5/12/2001 $0.00 $0.00 $0.00 C THEFT OF 2 LAPTOPS, T.V., MICROWAVE, ETC GC 800900001428-001-C BLDG 5/12/2001 $0.00 $1,713.21 $1,713.21 C THEFT OF 2 LAPTOPS, T.V., MICROWAVE, ETC GC 800900001442-001-P GLPD 5/16/2001 $0.00 $477.00 $477.00 C STONE ALLEGEDLY KICKED UP BY MOWER DAMAG GC 800900001454-001-P GLPD 7/10/2001 $0.00 $970.47 $970.47 C CLMT VEHICLE STRUCK BY METAL OBJECT THRO GC 800900001463-001-P EO 10/17/1997 $0.00 $0.00 $0.00 C CLMT ALLEGES CODES INSPECTOR DID NOT PRO GC 800900001472-001-B BLDG 9/14/2001 $0.00 $50.00 $50.00 C FIRE STATIONS SUSTAINED ROOF DAMAGE DURI GC 800900001472-002-B BLDG 9/14/2001 $0.00 $4,991.60 $4,991.60 C FIRE STATIONS SUSTAINED ROOF DAMAGE DURI GC 800900001472-003-B BLDG 9/14/2001 $0.00 $13,576.57 $13,576.57 C FIRE STATIONS SUSTAINED ROOF DAMAGE DURI GC 800900001472-004-B BLDG 9/14/2001 $0.00 $504.27 $504.27 C FIRE STATIONS SUSTAINED ROOF DAMAGE DURI GC 800900001479-001-C BLDG 8/14/2001 $0.00 $1,495.00 $1,495.00 C LIGHTNING DAMAGE TO COMPUTER EQUIPMENT GC 800900001497-001-B GLBI 12/4/2001 $0.00 $0.00 $0.00 C MOWER THREW PIECE OF WOOD WHICH STRUCK C GC 800900001506-001-B GLBI 10/23/1999 $0.00 $10,743.59 $10,743.59 C CLMT ALLEGES SEXUAL ASSAULT WHILE IN PRI GC 800900001508-001-B BLDG 2/11/2002 $0.00 $15,045.55 $15,045.55 C CAR STRUCK FIRE STATION #63 GC 800900001511-001-P GLPD 2/25/2002 $0.00 $0.00 $0.00 C CLMT ALLEGING DAMAGED TIRES FROM POT HOL GC 800900001512-001-I DIS 2/22/2002 $0.00 $0.00 $0.00 C CLMT ALLEGES THE INSURED DID NOT PROPERL GC 800900001533-001-P GLPD 2/26/2002 $0.00 $0.00 $0.00 C CLMT ALLEGES DAMAGE TO HER CAR FROM POT GC 800900001552-001-B GLBI 6/24/2002 $0.00 $0.00 $0.00 C CLMT SLIPPED AND FELL ON STAIRS GC 800900001554-001-B GLBI 7/17/2002 $0.00 $0.00 $0.00 C CLIENT VIOLATED CMT'S R.O.W. WITH A FARM GC 800900001554-001-P GLPD 7/17/2002 $0.00 $7,539.50 $7,539.50 C CLIENT VIOLATED CMT'S R.O.W. WITH A FARM GC 800900001554-002-P GLPD 7/17/2002 $0.00 $2,004.30 $2,004.30 C CLIENT VIOLATED CMT'S R.O.W. WITH A FARM GC 800900001554-003-P GLPD 7/17/2002 $0.00 $648.78 $648.78 C CLIENT VIOLATED CMT'S R.O.W. WITH A FARM GC 800900001556-001-P GLPD 7/25/2002 $0.00 $1,002.22 $1,002.22 C CLMT STRUCK STOP SIGN THAT HAD FALLEN ON GC 800900001559-001-B BLDG 7/19/2002 $0.00 $4,280.00 $4,280.00 C CONTRACTOR DAMAGED TRAFFIC LOOPS GC 800900001562-001-B BLDG 8/13/2002 $0.00 $210.00 $210.00 C LIGHTNING STRIKE DAMAGED SECURITY SYSTEM GC 800900001563-001-B BLDG 6/13/2002 $0.00 $11,120.59 $11,120.59 C LIGHTNING DAMAGE TO SOLID WASTE SCALES GC 800900001566-001-B GLBI 8/2/2001 $0.00 $55.63 $55.63 C TWO VEHICLE ACCIDENT, ONE FATALITY. ATT GC 800900001569-001-P GLPD 1/24/2002 $0.00 $0.00 $0.00 C COUNTY SUBCONTRACTOR CUT PHONE LINES GC 800900001581-001-B GLBI 8/29/2002 $0.00 $0.00 $0.00 C CLMT ALLEGES IMPROPER DRAINAGE ON ROAD C GC 800900001581-001-P GLPD 8/29/2002 $0.00 $0.00 $0.00 C CLMT ALLEGES IMPROPER DRAINAGE ON ROAD C GC 800900001585-001-B GLBI 10/22/2002 $0.00 $1,009.74 $1,009.74 C CLMT TRIPPED AND FELL ON CARPET MOLDING GC 800900001594-001-P GLPD 11/22/2002 $0.00 $846.77 $846.77 C MOWER STRUCK OBJECT CAUSING IT TO STRIKE GC 800900001595-001-B BLDG 3/11/2002 $0.00 $8,050.00 $8,050.00 C CONTRACTOR DAMAGED SIGNAL EQIPMENT GC 800900001598-001-P GLPD 12/10/2002 $0.00 $0.00 $0.00 C CLMT ALLEGES DAMAGE TO VEHICLE FROM POT GC 800900001600-001-P GLPD 12/11/2002 $0.00 $166.01 $166.01 C CLMT ALLEGES DAMAGE TO VEHICLE FROM POTH GC 800900001602-001-B BLDG 12/26/2002 $0.00 $2,185.00 $2,185.00 C WATER HEATER MALFUNCTIONED CAUSING WATER Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss GC 800900001604-001-P GLPD 12/15/2002 $0.00 $1,031.45 $1,031.45 C CLMT ALLEGES DAMAGE TO VEHICLE FROM POTH GC 800900001610-001-P GLPD 11/14/2002 $0.00 $0.00 $0.00 C CLMT ALLEGES DAMAGE TO CAR ENGINE FROM W GC 800900001611-001-B BLDG 11/13/2001 $0.00 $0.00 $0.00 C TRAFFIC SIGNAL DAMAGED BY TRUCK GC 800900001620-001-B GLBI 2/14/2003 $0.00 $1,393.29 $1,393.29 C CLMT INJURED KNEE ON KEYBOARD HOLDER IN GC 800900001635-001-I DIS 2/6/2002 $0.00 $0.00 $0.00 C CLMT ATTY ALLEGES MEDICAL EXAMINER IMPRO GC 800900001647-001-B BLDG 4/27/2003 $0.00 $464.76 $464.76 C VANDALS DAMAGED BUILDINGS GC 800900001650-001-B GLBI 5/27/2003 $0.00 $0.00 $0.00 C CLMT STEPPED IN HOLE AND SPRAINED RIGHT GC 800900001653-001-B BLDG 6/15/2003 $0.00 $1,447.28 $1,447.28 C ROOF TORN OFF BUILDING DURING HEAVY STOR GC 800900001656-001-C BLDG 5/21/2003 $0.00 $355.85 $355.85 C LIGHTNING DAMAGE TO OFFICE MACHINES AND GC 800900001659-001-C BLDG 6/24/2003 $0.00 $6,486.37 $6,486.37 C CLIENT FORGOT TO PULL HYDROLAB UNIT BACK GC 800900001671-001-P GLPD 11/4/2002 $0.00 $0.00 $0.00 C CLMT ALLEGES COUNTY DID NOT PROPERLY TRI GC 800900001672-001-B GLBI 7/3/2002 $0.00 $0.00 $0.00 C CMT STEPPED ON SOD THAT HAD BEEN LAID ON GC 800900001676-001-B GLBI 8/2/2003 $0.00 $7,545.00 $7,545.00 C CLMT ALLEGES VIOLATION OF CIVIL RIGHTS GC 800900001676-001-P EO 8/2/2003 $0.00 $0.00 $0.00 C CLMT ALLEGES VIOLATION OF CIVIL RIGHTS GC 800900001680-001-P EO 10/10/2000 $0.00 $0.00 $0.00 C BONDHOLDERS ALLEGE MISPRESENTATIONS GC 800900001683-001-B GLBI 10/23/2003 $0.00 $1,004.37 $1,004.37 C CLMT FELL DOWN STEPS WHEN LEAVING COURTH GC 800900001684-001-B GLBI 9/4/2003 $0.00 $61.00 $61.00 C SINGLE VEHICLE ACCIDENT, DRIVER LOST CON GC 800900001693-001-B BLDG 8/20/2003 $0.00 $1,963.55 $1,963.55 C UNK KNOWN VANDALS BROKE INTO COMMUNICATI GC 800900001694-001-B GLBI 10/8/2001 $0.00 $0.00 $0.00 C SEXUAL MISCONDUCT GC 800900001695-001-B GLBI 10/8/2001 $0.00 $0.00 $0.00 C SEXUAL MISCONDUCT GC 800900001697-001-B GLBI 12/24/2003 $0.00 $0.00 $0.00 C CHAIN LINK GATE AT FUELING STATION FELL GC 800900001709-001-P GLPD 10/9/2003 $0.00 $700.00 $700.00 C VOLUNTEER HIT CLMT CAR WITH TABLE GC 800900001716-001-P GLPD 8/12/2003 $0.00 $29,136.13 $29,136.13 C COUNTY EE PUMPED WATER FROM ONE LAKE TO GC 800900001721-001-C-G BLDG 3/6/2004 $0.00 $0.00 $0.00 C TRUCK OWNED BY CLIENT HIT FENCE OWNED BY GC 800900001731-001-P GLPD 12/31/2003 $0.00 $0.00 $0.00 C TREE FELL ON CLMT'S DRIVEWAY GC 800900001748-001-P GLPD 8/1/2003 $0.00 $0.00 $0.00 C CLMT 2 DOGS EUTHENIZATED GC 800900001749-001-P GLPD 5/11/2004 $0.00 $2,766.23 $2,766.23 C CLIENT'S GRADER BACKED INTO THE RIGHT SI GC 800900001756-001-B BLDG 2/9/2004 $0.00 $1,203.78 $1,203.78 C PIPE BROKE AT FIRE STATION GC 800900001763-001-B BLDG 6/10/2004 $0.00 $0.00 $0.00 C LIGHTNING STRIKE TO FIRE/SECURITY SYSTEM GC 800900001763-001-C BLDG 6/10/2004 $0.00 $2,495.00 $2,495.00 C LIGHTNING STRIKE TO FIRE/SECURITY SYSTEM GC 800900001764-001-B GLBI 12/22/2002 $0.00 $0.00 $0.00 C WRONGFUL DEATH CLAIM-DECEASED STRUCK BY GC 800900001773-001-B GLBI 12/15/2003 $0.00 $0.00 $0.00 C CLMT T/F AT COMMUNITY CENTER GC 800900001777-001-B GLBI 5/14/2004 $0.00 $0.00 $0.00 C CLMT CLAIM HE AND HIS WIFE WERE INJURIED GC 800900001777-002-B GLBI 5/14/2004 $0.00 $0.00 $0.00 C CLMT CLAIM HE AND HIS WIFE WERE INJURIED GC 800900001778-001-B BLDG 8/24/2003 $0.00 $708.64 $708.64 C FIRE DAMAGE TO FENCE. GC 800900001783-001-C BLDG 6/21/2004 $0.00 $0.00 $0.00 C LIGHTNING STRIKE GC 800900001786-001-C BLDG 7/7/2004 $0.00 $1,359.00 $1,359.00 C LIGHTNING STRIKE GC 800900001789-001-P GLPD 7/2/2004 $0.00 $0.00 $0.00 C CLMT CLAIMS TO HAVE RUN OVER OBJECT AT L GC 800900001797-001-B GLBI 7/22/2004 $0.00 $0.00 $0.00 C TF ON PARKING STOP @ COMMUNITY CENTER IN GC 800900001800-001-P EO 12/30/1997 $0.00 $0.00 $0.00 C PLT IS CLAIMING DISCRIMINATION AND CLIEN GC 800900001804-001-B GLBI 7/5/2004 $0.00 $0.00 $0.00 C CMT BITTEN BY A SPIDER WHILE AN INMATE A GC 800900001816-001-C BLDG 9/15/2004 $0.00 $0.00 $0.00 C STOLEN LAP TOPS GC 800900001828-001-C BLDG 9/29/2004 $0.00 $0.00 $0.00 C STOLEN LAP TOP GC 800900001830-001-B GLBI 11/3/2004 $0.00 $0.00 $0.00 C P/U RAN OFF THE ROAD, LANDED IN A SWAMP GC 800900001831-001-B GLBI 9/15/2004 $0.00 $0.00 $0.00 C CLMT T/F OVER TRASH @ BACK DOOR GC 800900001833-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001834-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001835-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss GC 800900001836-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001837-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001838-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001839-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001840-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001841-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001842-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001843-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001844-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001845-001-B BLDG 9/4/2004 $0.00 $0.00 $0.00 C HURRICANE FRANCES GC 800900001846-001-B BLDG 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001847-001-B BLDG 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001848-001-B BLDG 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001849-001-B BLDG 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001850-001-B BLDG 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001851-001-B BLDG 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001852-001-B BLDG 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001853-000 CAT 9/26/2004 $0.00 $905.00 $905.00 C HURRICANE JEANNE GC 800900001853-001-B CAT 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001854-001-B BLDG 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001855-001-B BLDG 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001856-001-B BLDG 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001864-001-C BLDG 11/15/2004 $0.00 $0.00 $0.00 C HYDROLAB WAS LOSS GC 800900001865-001-B BLDG 9/26/2004 $0.00 $0.00 $0.00 C HURRICANE JEANNE GC 800900001866-001-P GLPD 11/18/2004 $0.00 $0.00 $0.00 C CAR RAN OFF ROAD CLASS ACTION SUIT CLAIMS PROPERTY OF THE GC GC8002000081454 EO 9/2/2000 $37,048.00 $17,952.00 $55,000.00 O PLAINTIFFS WAS INCORRECTLY TAXED. CLASS ACTION SUIT CLAIMS PROPERTY OF THE GC GC8002000081455 EO 9/2/2000 $30,000.00 $0.00 $30,000.00 O PLAINTIFFS WAS INCORRECTLY TAXED. CLASS ACTION SUIT CLAIMS PROPERTY OF THE GC GC8002000081456 EO 9/2/2000 $30,000.00 $0.00 $30,000.00 O PLAINTIFFS WAS INCORRECTLY TAXED. CLASS ACTION SUIT CLAIMS PROPERTY OF THE GC GC8002000081460 EO 9/2/2000 $30,000.00 $0.00 $30,000.00 O PLAINTIFFS WAS INCORRECTLY TAXED. CLASS ACTION SUIT CLAIMS PROPERTY OF THE GC GC8002000081461 EO 9/2/2000 $30,000.00 $0.00 $30,000.00 O PLAINTIFFS WAS INCORRECTLY TAXED. CLMT ALLEGES THAT THE INSURED RELEASED WATER ACROSS HIS PROPERTY DEMINISHING THE VALUE AND GC GC8002003079982 GLPD 8/8/2003 $0.00 $0.00 $0.00 C DESTROYING THE PROPERTY CLERK'S OFFICE FAILED TO INDEX A JUGEMENT UNER THE NAME OF THE JUDGEMENT DEBTOR UPON SALE THE CREDITOR, THE CLAIMANT DID NOT RECEIVE THE THE GC GC8002004080061 EO 11/3/2004 $0.00 $60,628.19 $60,628.19 C EXCESS FUNDS AS AWARDED IN THE JUDGEMENT. COMPLAINT REGARDING IMPROPER RECORDING DEED ON GC GC8002005080459 EO 6/30/2005 $0.00 $0.00 $0.00 C THE TAX ROLLS CLASS ACTION SUIT REGARDING IMPROPER TAX GC GC8002005098492 PR 9/6/2005 $0.00 $31,912.46 $31,912.46 C ASSEMENTS CLASS ACTION SUIT REGARDING IMPROPER TAX GC GC8002005098493 PR 9/6/2005 $5,000.00 $0.00 $5,000.00 O ASSEMENTS Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss CLASS ACTION SUIT REGARDING IMPROPER TAX GC GC8002005098494 PR 9/6/2005 $0.00 $0.00 $0.00 C ASSEMENTS CLASS ACTION SUIT REGARDING IMPROPER TAX GC GC8002005098495 PR 9/6/2005 $0.00 $0.00 $0.00 C ASSEMENTS PER CLMT ATTORNEY CLMT FELL IN A HOLE WHICH WAS NOT REPAIRED. INSRD HAS NOT LOCATED THE LOCATION GC GC8002006079919 GLBI 8/16/2006 $13,516.47 $21,483.53 $35,000.00 OL OFTHE ALLEGED FALL. GC GC8002006080857 GLBI 11/14/2006 $0.00 $0.00 $0.00 C VEHICLE COLLIDED WITH ANOTHER VEHICLE ON CR 474 GC GC8002006081246 GLBI 11/14/2006 $0.00 $0.00 $0.00 C VEHICLE COLLIDED WITH ANOTHER VEHICLE ON CR 474 GC GC8002006081247 GLBI 11/14/2006 $0.00 $0.00 $0.00 C VEHICLE COLLIDED WITH ANOTHER VEHICLE ON CR 474 GC GC8002006081993 GLBI 12/19/2006 $0.00 $0.00 $0.00 C GC GC8002006089734 DIS 8/1/2006 $10,802.83 $19,197.17 $30,000.00 O ALLEGED EMPLOYEE DISCRIMINATION. GC GC8002007074641 GLBI 8/11/2007 $0.00 $56,063.55 $56,063.55 C CAR LEFT ROADWAY AND ROLLED OVER. SEVERAL BUILDING WERE STRUCK BY LIGHTNING DURING GC GC8002007079815 BLDG 8/16/2007 $0.00 $900.50 $900.50 C A SEVERE STORM ON 8/16/07 LIMB FROM A TREE FELL ONTO TWO VEHICLES OWNED BY GC GC8002007079888 GLPD 10/16/2007 $0.00 $0.00 $0.00 C FIRE FIGHTERS AT A TEMORARY STATION. LIMB FROM A TREE FELL ONTO TWO VEHICLES OWNED BY GC GC8002007079889 GLPD 10/16/2007 $0.00 $0.00 $0.00 C FIRE FIGHTERS AT A TEMORARY STATION. GC GC8002007080164 PROP 9/20/2007 $0.00 $25,986.99 $25,986.99 C LIGHTNING LOSS TO COMMUNICATIONS EQUIP,MENT UNKNOWN PERSON OR PERSONS STRUCK CURBING WITH GC GC8002007080333 PROP 8/25/2007 $0.00 $525.00 $525.00 C VEHICLE AND LEFT THE SCENE HOSE NOT PROPERLY SECURED ON FIRE TRUCK. HOSE CAME OFF ONTO ROAD WAY AND STRUCK BY PASSING GC GC8002008080259 GLPD 1/20/2008 $0.00 $3,412.03 $3,412.03 C VEHICLES. DAMAGE TO VEHICLES. HOSE NOT PROPERLY SECURED ON FIRE TRUCK. HOSE CAME OFF ONTO ROAD WAY AND STRUCK BY PASSING GC GC8002008080260 GLPD 1/20/2008 $0.00 $1,329.34 $1,329.34 C VEHICLES. DAMAGE TO VEHICLES. HOSE NOT PROPERLY SECURED ON FIRE TRUCK. HOSE CAME OFF ONTO ROAD WAY AND STRUCK BY PASSING GC GC8002008080261 GLPD 1/20/2008 $0.00 $0.00 $0.00 C VEHICLES. DAMAGE TO VEHICLES. GC GC8002008080530 GLPD 1/6/2008 $15,000.00 $0.00 $15,000.00 O TREE FELL STRIKING VEHICLE GC GC8002008080531 GLBI 1/6/2008 $35,451.36 $14,548.64 $50,000.00 OL TREE FELL STRIKING VEHICLE GC GC8002008080718 PROP 3/11/2008 $0.00 $790.00 $790.00 C INSRD RAN OVER LAPTOP WITH VEHICLE LIGHTNING DAMAGE TO TELECOMMUNICATIONS GC GC8002008080935 PROP 4/5/2008 $0.00 $6,932.18 $6,932.18 C EQUIPMENT. DURING MOW OPERATION MOWER THREW OBJECT GC GC8002008081004 GLPD 4/10/2008 $0.00 $1,201.40 $1,201.40 C STRIKING CLMT VEH. UNKNOWN INCIDENT INVOLVING THE CLMT AT CARLTON GC GC8002008081007 GLBI 2/22/2008 $0.00 $6,000.00 $6,000.00 C VILLAGE PARK. CLMT. PARKED AT THE LAB AND BACKED INTO EXPOSED GC GC8002008081115 GLPD 4/23/2008 $0.00 $80.00 $80.00 C ABOVE GROUND PIPING DAMAGETO REAR OF TRUCK. GC GC8002008081252 GLPD 4/10/2008 $0.00 $605.62 $605.62 C CLMT VEHICLE HIT BY FLYING DEBRIS FROM MOWER CLMT LOST CONTROL OF THE MOTORCYCLE ON WHICH HE GC GC8002008081372 GLBI 3/2/2008 $0.00 $0.00 $0.00 C WAS RIDING STRUCK THE ROADWAY GC GC8002008081531 GLPD 4/28/2008 $0.00 $61.16 $61.16 C INSURED STRUCK BY ADVERSE VEHICLE. CLMT FELL IN FAIRGROUNDS PARKING LOT. FACTS GC GC8002008081633 GLBI 2/21/2008 $0.00 $0.00 $0.00 C UNKNOWN Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss ROAD CREW FAILED TO PLACE SIGNS DURING PAVING GC GC8002008082109 GLPD 10/9/2008 $0.00 $9,140.25 $9,140.25 C OPERATION. TAR ON VEHICLES ROAD CREW FAILED TO PLACE SIGNS DURING PAVING GC GC8002008082110 GLPD 10/9/2008 $0.00 $898.75 $898.75 C OPERATION. TAR ON VEHICLES CLMT ALLEGES MOTORCYCLE CRASHED DUE TO GRASS GC GC8002008088919 GLPI 9/8/2008 $0.00 $0.00 $0.00 C AND DEBRIS ON THE ROADWAY CLMTSTATES SHE TRIPPED OVER A CONCRETE PARKING GC GC8002008088922 GLPI 6/25/2008 $0.00 $21,696.91 $21,696.91 C STOP IN PARKING AREA. CLMTSTATES SHE TRIPPED OVER A CONCRETE PARKING GC GC8002008088923 GLBI 6/25/2008 $0.00 $0.00 $0.00 C STOP IN PARKING AREA. CLAIMANTS ARE ALLEGEING STOP SIGN WASNOT GC GC8002008089050 GLBI 8/30/2008 $0.00 $0.00 $0.00 C FUNCTIONAL CAUSING ACCIDENT. CLAIMANTS ARE ALLEGEING STOP SIGN WASNOT GC GC8002008089051 GLBI 8/30/2008 $0.00 $0.00 $0.00 C FUNCTIONAL CAUSING ACCIDENT. CLAIMANTS ARE ALLEGEING STOP SIGN WASNOT GC GC8002008089052 GLBI 8/30/2008 $0.00 $0.00 $0.00 C FUNCTIONAL CAUSING ACCIDENT. CLAIMANTS ARE ALLEGEING STOP SIGN WASNOT GC GC8002008089053 GLBI 8/30/2008 $0.00 $0.00 $0.00 C FUNCTIONAL CAUSING ACCIDENT. CLAIMANTS ARE ALLEGEING STOP SIGN WASNOT GC GC8002008089054 GLBI 8/30/2008 C FUNCTIONAL CAUSING ACCIDENT. CLAIMANTS ARE ALLEGEING STOP SIGN WASNOT GC GC8002008089055 GLPD 8/30/2008 $0.00 $0.00 $0.00 C FUNCTIONAL CAUSING ACCIDENT. CLAIMANTS ARE ALLEGEING STOP SIGN WASNOT GC GC8002008089056 GLBI 8/30/2008 $0.00 $0.00 $0.00 C FUNCTIONAL CAUSING ACCIDENT. ALLEGATION OF NEGLIGENT SUPERVISION AND MAINTENANCE OF EMPLOYEES, POTENTIAL OF INTERFERENCE OF CONTRACTUAL RIGHTS . USE OF GC GC8002008089368 EO 3/2/2008 $19,143.52 $68,046.73 $87,190.25 O FEDERAL MATCHING FUNDS. GC GC8002008089506 GLBI 1/6/2008 $30,665.86 $9,334.14 $40,000.00 OL TREE FELL STRIKING VEHICLE VIOLATION OF CLAIMANTS RIGHT TO EQUAL PROTECTION GC GC8002008098496 PR 5/12/2008 $63,333.23 $171,666.77 $235,000.00 OL UNDER THE LAWS OF THE US CONST. VIOLATION OF CLAIMANTS RIGHT TO EQUAL PROTECTION GC GC8002008098497 PR 5/12/2008 $25,000.00 $0.00 $25,000.00 O UNDER THE LAWS OF THE US CONST. GC GC8002008106371 PR 5/12/2008 $25,240.28 $34,759.72 $60,000.00 OL GC GC8002008106372 PR 5/12/2008 $22,541.80 $7,458.20 $30,000.00 OL CLMT STATES SHE FELL IN PARKING LOT OF GC GC8002009089557 GLBI 2/21/2009 $0.00 $0.00 $0.00 C FAIRGROUNDS. CLMT STRUCK BY ANOTHER VEHICLE WHILE STANDING IN GC GC8002009090016 GLBI 4/1/2009 $0.00 $0.00 $0.00 C A RIGHT OF WAY CLMT ALLEGES STEPPING ON OBJECT AT CONSTRUCTION GC GC8002009090172 GLBI 5/29/2009 $0.00 $0.00 $0.00 C SITE CLMT. LEFT THE ROADWAY, THROWN INTO THE PATH OF GC GC8002009090262 GLBI 4/25/2009 $0.00 $13,896.25 $13,896.25 C ANOTHER VEHICLE. CLMT APPARENTLY FELL FORWARD IN FRONT OF EXPO GC GC8002009090512 GLBI 1/8/2009 $0.00 $0.00 $0.00 C HALL RESTROOM. SPLIT LIP. CLMT STATES SHE FELL ON STEPS UPON LEAVING THE GC GC8002009090737 GLPI 6/5/2009 C TAG AGENCY. GC GC8002009093839 GLPD 9/29/2009 $0.00 $1,896.81 $1,896.81 C CLMT HIT LARGE POT HOLE Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss GC GC8002009105394 GLBI 10/5/2009 $26,315.91 $8,684.09 $35,000.00 OL GC GC8002009106325 GLBI 4/7/2009 $0.00 $1,254.41 $1,254.41 C GC GC8002010102303 GLBI 1/1/2010 $0.00 $0.00 $0.00 C DETAINEE FELL NEAR SHOWERS AT THE JAIL. GC GC8002010105484 GLBI 7/28/2010 C GC GC8002010105633 EBL 7/15/2010 $36,313.50 $8,686.50 $45,000.00 O GC GC8002010106439 GLBI 5/26/2010 $109,877.31 $7,622.69 $117,500.00 OL Veh 1 pulled from stop sign into path of claimant vehicle. GC GC8002010115863 GLBI 5/9/2010 C Atty alleges door fell on his client. GC GC8002011105054 GLBI 2/20/2011 C GC GC8002011105508 GLBI 1/11/2011 C GC GC8002011105515 GLBI 5/11/2011 C GC GC8002011105690 GLBI 4/4/2011 O GC GC8002011106082 BLDG 8/29/2011 C GC GC8002011106451 GLBI 10/16/2011 $0.00 $0.00 $0.00 C GC GC8002011107566 GLBI 10/10/2011 $10,000.00 $0.00 $10,000.00 O Clmt struck by another patron's dog while at the dog park. GC GC8002012115813 GLBI 2/25/2012 $5,000.00 $0.00 $5,000.00 O Clmt tripped and fell on playground equipment. GC GC8002012116654 GLBI 6/15/2012 O Trip and fall GC GC8002012116677 GLBI 5/11/2012 $3,500.00 $0.00 $3,500.00 O Flying piece of wood struck clmt's windshield VA 800000001014-000-D APD 12/13/2004 $0.00 $3,680.00 $3,680.00 C COSMETIC DAMAGE TO TURNTABLE/L62 VA 800000001018-001-B BI 10/7/2004 $0.00 $0.00 $0.00 C INSURED HIT CLMNT ON LEFT FRONT VA 800000001018-001-C COL 10/7/2004 $0.00 $5,484.67 $5,484.67 C INSURED HIT CLMNT ON LEFT FRONT VA 800000001018-001-D APD 10/7/2004 $0.00 $5,495.15 $5,495.15 C INSURED HIT CLMNT ON LEFT FRONT VA 800000001021-000-D APD 6/9/2004 $0.00 $0.00 $0.00 C INSURED HIT CLAIMANT VEHICLE VA 800000001021-001-C COL 6/9/2004 $0.00 $4,703.53 $4,703.53 C INSURED HIT CLAIMANT VEHICLE VA 800000001021-001-D APD 6/9/2004 $0.00 $5,108.70 $5,108.70 C INSURED HIT CLAIMANT VEHICLE VA 800000001021-002-D APD 6/9/2004 $0.00 $0.00 $0.00 C INSURED HIT CLAIMANT VEHICLE VA 800000001029-000-C COL 10/20/2004 $0.00 $0.00 $0.00 C ADVERSE VEHICLE STRUCK INSURED VA 800000001029-001-B BI 10/20/2004 $0.00 $0.00 $0.00 C ADVERSE VEHICLE STRUCK INSURED VA 800000001029-001-D APD 10/20/2004 $0.00 $7,437.38 $7,437.38 C ADVERSE VEHICLE STRUCK INSURED VA 800000001029-002-B BI 10/20/2004 $0.00 $75.00 $75.00 C ADVERSE VEHICLE STRUCK INSURED VA 800000001029-002-C COL 10/20/2004 $0.00 $11,431.12 $11,431.12 C ADVERSE VEHICLE STRUCK INSURED VA 800000004026-001-B BI 3/4/2005 $0.00 $20.00 $20.00 C C/D LOSS CONTROL & COLL.W/FIRE TRUCK. VA 800000004039-000-C COL 2/15/2005 $0.00 $0.00 $0.00 C FIRE TRUCK DMG FROM FALLING TREE. VA 800000004060-000-C COL 6/8/2005 $0.00 $0.00 $0.00 C A 2500LB BULL BROKED THRU GATE & DMG IV. VA 800000004060-001-D APD 6/8/2005 $0.00 $2,500.21 $2,500.21 C A 2500LB BULL BROKED THRU GATE & DMG IV. VA 800000004067-001-D APD 7/15/2005 $0.00 $2,512.88 $2,512.88 C I/V R/E C/V. VA 800000004068-001-D APD 4/11/2005 $0.00 $0.00 $0.00 C I/V WAS DAMAGE BY FIRE DURING A BRUSH FI VA 800000004070-001-B BI 7/17/2002 $0.00 $15,000.00 $15,000.00 C I/V PULLED INTO PATH OF CV,WENT OFF RD. VA 800000004081-001-D APD 8/29/2005 $0.00 $6,634.32 $6,634.32 C I/V PULLED OUT INTO PATH OF C/V. VA 800000004115-001-D APD 11/18/2005 $0.00 $6,067.53 $6,067.53 C I/V R/E C/V. VA 800000004115-002-B BI 11/18/2005 $0.00 $0.00 $0.00 C I/V R/E C/V. VA 800000004115-002-D APD 11/18/2005 $0.00 $0.00 $0.00 C I/V R/E C/V. VA 800000004115-003-C COL 11/18/2005 $0.00 $1,688.60 $1,688.60 C I/V R/E C/V. VA 800000004115-003-D APD 11/18/2005 $0.00 $0.00 $0.00 C I/V R/E C/V. VA 800000004139-001-D APD 2/7/2006 $0.00 $1,324.29 $1,324.29 C I/V R/E C/V. VA 800000004149-001-D APD 2/27/2006 $0.00 $2,520.16 $2,520.16 C C/V R/E C/V#1 & PUSHED C/V INTO I/V. VA 800000004158-001-D APD 3/20/2006 $0.00 $286.76 $286.76 C I/V BACKED INTO C/V WHILE PARKED. VA 800000004163-001-D APD 4/19/2006 $0.00 $1,067.92 $1,067.92 C I/V BACKED INTO C/V IN PARKING LOT. VA 800000004171-001-D APD 4/27/2006 $0.00 $6,692.48 $6,692.48 C I/V ATTEMPTED TO PASS C/V & COLL W/SAME. Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss VA 800000004171-002-D APD 4/27/2006 $0.00 $4,059.91 $4,059.91 C I/V ATTEMPTED TO PASS C/V & COLL W/SAME. VA 800000004188-001-D APD 6/26/2006 $0.00 $14,152.79 $14,152.79 C I/V STRUCK LOW HANGING LIMB THAT DMG IV. VA 800000004209-000-C COL 8/23/2006 $0.00 $0.00 $0.00 C INSRD STRUCK BY ADVERSE VA 800000004211-001-D APD 6/12/2006 $0.00 $3,692.91 $3,692.91 C I/D LOSS CONTROL OF VEH.ON WET ROADS. VA 800000004220-001-D APD 10/1/2006 $0.00 $0.00 $0.00 C INSRD STRUCK CLMT IN REAR VA 800000004222-000-C COL 10/22/2006 $0.00 $10,454.09 $10,454.09 C VANDALISM LOSS TO VEH VA 800000004235-001-D APD 11/21/2006 $0.00 $0.00 $0.00 C INSRD STRUCK CLMT MINOR DAMAGE VA 800000004238-000-C COL 11/30/2006 $0.00 $9,897.54 $9,897.54 C INSRD FTYRW AT AN INTERSECTION VA 800000004238-001-B BI 11/30/2006 $0.00 $30,000.00 $30,000.00 C INSRD FTYRW AT AN INTERSECTION VA 800000004238-001-D APD 11/30/2006 $0.00 $0.00 $0.00 C INSRD FTYRW AT AN INTERSECTION VA 800000004238-002-D APD 11/30/2006 $0.00 $10,653.70 $10,653.70 C INSRD FTYRW AT AN INTERSECTION VA 800000004258-000-C COL 1/17/2007 $0.00 $3,000.00 $3,000.00 C THEFT OF TRAILER FROM WITHIN FENCED AREA VA 800000004278-001-D APD 3/26/2007 $0.00 $1,624.74 $1,624.74 C INSURD BACKED INTO CLMT VEH VA 800000004285-000-C COL 4/11/2007 $0.00 $21,572.50 $21,572.50 C LOST CONTROL ROLLED OVER VA 800000004294-000-C COL 4/20/2007 $0.00 $2,331.83 $2,331.83 C INSRD FTYRW TO CLMT VA 800000004294-001-D APD 4/20/2007 $0.00 $8,824.59 $8,824.59 C INSRD FTYRW TO CLMT VA 800000004305-000-C COL 5/8/2007 $0.00 $5,462.00 $5,462.00 C INSRD STRUCK OTHER VEH WHILE BACKING VA 800900000033-001-B BI 12/13/1989 $0.00 $0.00 $0.00 C IV STRUCK WHILE IN PARKING LOT VA 800900000039-001-C COL 12/13/1989 $0.00 $730.68 $730.68 C IV STRUCK WHILE IN PARKING LOT VA 800900000082-001-C COL 2/7/1990 $0.00 $186.53 $186.53 C TREE LIMB FELL ON WINDSHEILD BREAKING IT VA 800900000098-001-C COL 4/30/1990 $0.00 $1,606.00 $1,606.00 C SEE #1 ABOVE VA 800900000098-001-D APD 4/30/1990 $0.00 $3,976.58 $3,976.58 C SEE #1 ABOVE VA 800900000111-001-D APD 5/19/1990 $0.00 $2,108.29 $2,108.29 C IV STRUCK OV WHILE PULLING ONTO HIGHWAY VA 800900000183-001-D APD 7/31/1990 $0.00 $263.05 $263.05 C IV PULLED INTO PATH OF ONCOMING CAR. VA 800900000207-001-D APD 10/29/1990 $0.00 $618.73 $618.73 C ANIMAL CONTROL TRUCK BACKED OVER CLAIMAN VA 800900000238-001-D APD 2/15/1991 $0.00 $602.02 $602.02 C IV BACKED INTO PARKED CAR VA 800900000242-001-D APD 9/26/1990 $0.00 $607.30 $607.30 C #1 FTYROW AND STRUCK #2 VA 800900000285-001-C COL 7/17/1991 $0.00 $1,020.32 $1,020.32 C TREE BLEW OVER ONTO TRUCK DURING STORM VA 800900000306-001-C COL 8/20/1991 $0.00 $327.59 $327.59 C IV REARENDED OV. VA 800900000306-001-D APD 8/20/1991 $0.00 $0.00 $0.00 C IV REARENDED OV. VA 800900000309-001-D APD 8/30/1991 $0.00 $1,761.58 $1,761.58 C CLAIMANT VEHICLE BACKED INTO OV VA 800900000326-001-C COL 9/12/1991 $0.00 $436.12 $436.12 C PHANTOM VEHICLE MERGED LANES FORCING OV VA 800900000355-001-C COL 1/16/1992 $0.00 $207.55 $207.55 C DEPT. OF CORRECTIONS' PARKED VAN WAS FOU VA 800900000357-001-C COL 9/5/1991 $0.00 $159.95 $159.95 C CRACKED WINDSHIELD VA 800900000363-001-C COL 1/2/1992 $0.00 $200.00 $200.00 C CRACKED WINDSHIELD - CAUSE UNKNOWN VA 800900000377-001-B BI 3/6/1992 $0.00 $14,454.56 $14,454.56 C IV RE CV1, PUSHED CV1 INTO CV2/CV1 ATTY VA 800900000377-001-C COL 3/6/1992 $0.00 $2,805.44 $2,805.44 C IV RE CV1, PUSHED CV1 INTO CV2/CV1 ATTY VA 800900000377-001-D APD 3/6/1992 $0.00 $1,997.28 $1,997.28 C IV RE CV1, PUSHED CV1 INTO CV2/CV1 ATTY VA 800900000377-002-B BI 3/6/1992 $0.00 $13,373.75 $13,373.75 C IV RE CV1, PUSHED CV1 INTO CV2/CV1 ATTY VA 800900000377-002-D APD 3/6/1992 $0.00 $4,722.25 $4,722.25 C IV RE CV1, PUSHED CV1 INTO CV2/CV1 ATTY VA 800900000421-001-C COL 6/22/1992 $0.00 $260.45 $260.45 C UNKNOWN OBJECT BROKE WINDSHIELD 1989 CH VA 800900000455-001-B BI 9/4/1992 $0.00 $0.00 $0.00 C ALLEGES PIPE FELL FROM COUNTY TRUCK CAUS VA 800900000455-002-B BI 9/4/1992 $0.00 $0.00 $0.00 C ALLEGES PIPE FELL FROM COUNTY TRUCK CAUS VA 800900000455-003-B BI 9/4/1992 $0.00 $0.00 $0.00 C ALLEGES PIPE FELL FROM COUNTY TRUCK CAUS VA 800900000473-001-C COL 10/12/1992 $0.00 $171.65 $171.65 C WINDSHIELD ON OUR VEHICLE CRACED BY OBJE VA 800900000476-001-B BI 11/24/1992 $0.00 $270.00 $270.00 C CLAIMANT INJURED IN MVA. VA 800900000476-001-C COL 11/24/1992 $0.00 $1,309.09 $1,309.09 C CLAIMANT INJURED IN MVA. VA 800900000476-001-D APD 11/24/1992 $0.00 $3,100.45 $3,100.45 C CLAIMANT INJURED IN MVA. Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss VA 800900000476-002-B BI 11/24/1992 $0.00 $33,497.11 $33,497.11 C CLAIMANT INJURED IN MVA. VA 800900000476-002-D APD 11/24/1992 $0.00 $4,654.13 $4,654.13 C CLAIMANT INJURED IN MVA. VA 800900000479-001-C COL 11/19/1992 $0.00 $160.45 $160.45 C WINDSHIELD ON SW '85 CHEVY CRACKED VA 800900000485-001-B BI 12/20/1992 $0.00 $0.00 $0.00 C ASSURED'S FIRE RESCUE VEHICLE WAS RESPON VA 800900000485-001-C COL 12/20/1992 $0.00 $2,520.00 $2,520.00 C ASSURED'S FIRE RESCUE VEHICLE WAS RESPON VA 800900000485-001-D APD 12/20/1992 $0.00 $0.00 $0.00 C ASSURED'S FIRE RESCUE VEHICLE WAS RESPON VA 800900000494-001-D APD 1/8/1993 $0.00 $0.00 $0.00 C I.V. REARENDEE CLAIMANT VEHICLE VA 800900000500-001-C COL 12/31/1992 $0.00 $198.38 $198.38 C PLANNING AND DEVELOPMENT VEHICLE WINDSHI VA 800900000510-001-C COL 1/29/1993 $0.00 $395.45 $395.45 C WINDSHIELD CRACKED BY ROCK KICKED UP FRO VA 800900000532-001-D APD 4/29/1993 $0.00 $1,135.97 $1,135.97 C I.V. STRUCK C.V. WHILE TURNING LEFT - ST VA 800900000590-001-C COL 9/21/1993 $0.00 $2,034.93 $2,034.93 C ASSURED DRIVER COLLIDED WITH CLAIMANT VE VA 800900000590-001-D APD 9/21/1993 $0.00 $1,524.29 $1,524.29 C ASSURED DRIVER COLLIDED WITH CLAIMANT VE VA 800900000601-001-C COL 9/27/1993 $0.00 $274.62 $274.62 C CRACKED WINDSHIELD VA 800900000608-001-D APD 11/8/1993 $0.00 $342.55 $342.55 C ASSURED DRIVER BACKED INTO PARKED VEHICL VA 800900000636-001-B BI 4/11/1993 $0.00 $0.00 $0.00 C CLAIMANT WAS DRIVING AN AMBULANCE AND WA VA 800900000672-001-B BI 5/24/1994 $0.00 $3,000.00 $3,000.00 C CLIENT BACKED INTO CLAIMANT VA 800900000674-001-C COL 2/10/1994 $0.00 $219.46 $219.46 C WHILE DRIVING DOWN ROAD - ROCK HIT & CRA VA 800900000675-001-C COL 2/28/1994 $0.00 $308.40 $308.40 C WHILE DRIVING DOWN ROAD - TRACTOR TRAILE VA 800900000676-001-C COL 3/10/1994 $0.00 $191.60 $191.60 C WINDSHIELD CRACKED - CAUSE UNKNOWN VA 800900000682-001-C COL 3/10/1994 $0.00 $0.00 $0.00 C WINDSHIELD BROKEN - EMPLOYEE CAME OUT AN VA 800900000683-001-C COL 2/10/1994 $0.00 $0.00 $0.00 C WHILE TRAVELING DOWN SR 44 A ROCK HIT TH VA 800900000694-001-D APD 6/25/1994 $0.00 $942.06 $942.06 C WHILE RESPONDING TO FIRE, ASSURED FIRE T VA 800900000725-001-C COL 9/2/1994 $0.00 $337.39 $337.39 C COUNTY VEH STRUCK CLMT VEH IN REAR AND P VA 800900000725-001-D APD 9/2/1994 $0.00 $8,126.48 $8,126.48 C COUNTY VEH STRUCK CLMT VEH IN REAR AND P VA 800900000744-001-C COL 8/10/1994 $0.00 $95.00 $95.00 C WHILE TRAVELING ON SR 50 CROSSING HWY 31 VA 800900000747-001-C COL 10/10/1994 $0.00 $611.06 $611.06 C DEER DARTED IN FRONT OF COUNTY VEH - UNA VA 800900000768-001-D APD 11/14/1994 $0.00 $10,257.29 $10,257.29 C COUNTY VEH STOPPED @ STOP SIGN SAW CLMT VA 800900000781-001-C COL 1/25/1995 $0.00 $30,303.80 $30,303.80 C FIRE TRUCK ON WAY BACK TO STATION AFTER VA 800900000783-001-B BI 9/2/1994 $0.00 $9,058.85 $9,058.85 C CLAIMANT WAS A PASSENGER IN VEH 2 THAT W VA 800900000783-002-B BI 9/2/1994 $0.00 $781.70 $781.70 C CLAIMANT WAS A PASSENGER IN VEH 2 THAT W VA 800900000809-001-C COL 4/17/1995 $0.00 $1,586.97 $1,586.97 C SLAMMED IN REAR BY INSURED VEHICLE VA 800900000809-001-D APD 4/17/1995 $0.00 $357.18 $357.18 C SLAMMED IN REAR BY INSURED VEHICLE VA 800900000821-001-D APD 5/23/1995 $0.00 $0.00 $0.00 C WHEN VEH 1 PROCEED FORWARD HE MADE CONTA VA 800900000839-001-C COL 6/14/1995 $0.00 $0.00 $0.00 C CRACKED WINDSHIELD VA 800900000840-001-C COL 4/14/1995 $0.00 $550.73 $550.73 C BROKEN WINDSHIELD VA 800900000858-001-D APD 9/26/1995 $0.00 $4,029.96 $4,029.96 C COUNTY TRUCK PULLED OUT IN FRONT OF CLAI VA 800900000879-001-D APD 12/29/1994 $0.00 $5,512.00 $5,512.00 C WHILE EXITING THE TIPPING FLOOR, A COUNT VA 800900000880-001-D APD 10/8/1995 $0.00 $3,990.00 $3,990.00 C CONCRETE IN DRIVEWAY WAS BROKEN AFTER FI VA 800900000888-001-D APD 11/20/1995 $0.00 $353.85 $353.85 C INSURED VEHICLE STRUCK CLAIMANT'S VEHICL VA 800900000942-001-B BI 2/9/1996 $0.00 $0.00 $0.00 C DRIVER OF CV STRUCK IN REAR BY AV - BACK VA 800900000942-001-D APD 2/9/1996 $0.00 $390.55 $390.55 C DRIVER OF CV STRUCK IN REAR BY AV - BACK VA 800900000943-001-C COL 4/23/1996 $0.00 $160.73 $160.73 C IV TURNED LEFT IN FRONT OF OV-INTERSECTI VA 800900000943-001-D APD 4/23/1996 $0.00 $2,381.19 $2,381.19 C IV TURNED LEFT IN FRONT OF OV-INTERSECTI VA 800900000989-001-D APD 8/23/1996 $0.00 $448.55 $448.55 C ASSURED TRUCK BACKED INTO FENCE VA 800900000992-001-B BI 8/27/1996 $0.00 $3,000.00 $3,000.00 C IV REAR ENDED CV VA 800900000992-001-D APD 8/27/1996 $0.00 $710.52 $710.52 C IV REAR ENDED CV VA 800900001002-001-C COL 9/11/1996 $0.00 $0.00 $0.00 C UNKNOWN FLYING OBJECT SHATTERED WINDSHIE VA 800900001003-001-B BI 9/28/1996 $0.00 $2,200.00 $2,200.00 C INSURED FAILED TO YIELD TO HIGHWAY TRAFF Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss VA 800900001003-001-C COL 9/28/1996 $0.00 $4,430.06 $4,430.06 C INSURED FAILED TO YIELD TO HIGHWAY TRAFF VA 800900001003-001-D APD 9/28/1996 $0.00 $2,500.00 $2,500.00 C INSURED FAILED TO YIELD TO HIGHWAY TRAFF VA 800900001009-001-C COL 9/30/1996 $0.00 $308.39 $308.39 C ROCK KICKED UP FROM ROAD BROKE WINDSHIEL VA 800900001010-001-D APD 10/17/1996 $0.00 $1,000.50 $1,000.50 C MOSQUITO SPRAY TRUCK HIT PARKED CARS VA 800900001013-001-B BI 10/7/1996 $0.00 $212.00 $212.00 C CLAIMANT ALLEGEDLY INJURED WHEN COUNTY T VA 800900001013-001-D APD 10/7/1996 $0.00 $0.00 $0.00 C CLAIMANT ALLEGEDLY INJURED WHEN COUNTY T VA 800900001021-001-B BI 1/6/1997 $0.00 $1,276.11 $1,276.11 C INTERSECTION COLLISION/DISPUTED FACTS/AS VA 800900001021-001-C COL 1/6/1997 $0.00 $2,101.00 $2,101.00 C INTERSECTION COLLISION/DISPUTED FACTS/AS VA 800900001021-001-D APD 1/6/1997 $0.00 $6,932.34 $6,932.34 C INTERSECTION COLLISION/DISPUTED FACTS/AS VA 800900001044-001-D APD 5/2/1997 $0.00 $861.86 $861.86 C AV BUMPED REAR OF CV-NO DAMAGE NOTED VA 800900001052-001-D APD 5/21/1997 $0.00 $0.00 $0.00 C INTERSECTION COLLISION-DISPUTED FACTS VA 800900001058-001-C COL 5/27/1997 $0.00 $0.00 $0.00 C WINDSHIELD OF COUNTY TRUCK WAS BROKEN WH VA 800900001060-001-D APD 7/1/1997 $0.00 $931.06 $931.06 C AV STRUCK EMPLOYEE'S PARKED VEHICL VA 800900001070-001-C COL 4/24/1997 $0.00 $1,401.60 $1,401.60 C BRUSH TRUCK #43 HIT TREE LIMBS DURING BR VA 800900001076-001-B BI 8/8/1997 $0.00 $3,000.00 $3,000.00 C PARKING LOT MVA-AV BACKING OUT OF SPACE VA 800900001076-001-D APD 8/8/1997 $0.00 $854.29 $854.29 C PARKING LOT MVA-AV BACKING OUT OF SPACE VA 800900001090-001-B BI 11/11/1997 $0.00 $4,000.00 $4,000.00 C CLAIMANT ALLEGES AV STRUCK HIS VEHICLE I VA 800900001090-001-D APD 11/11/1997 $0.00 $2,346.57 $2,346.57 C CLAIMANT ALLEGES AV STRUCK HIS VEHICLE I VA 800900001090-002-D APD 11/11/1997 $0.00 $1,841.80 $1,841.80 C CLAIMANT ALLEGES AV STRUCK HIS VEHICLE I VA 800900001116-001-B BI 3/3/1998 $0.00 $0.00 $0.00 C AV VIOLATED R.O.W. OF OV AT STOP SIGN/IN VA 800900001116-001-C COL 3/3/1998 $0.00 $5,316.20 $5,316.20 C AV VIOLATED R.O.W. OF OV AT STOP SIGN/IN VA 800900001116-001-D APD 3/3/1998 $0.00 $12,248.35 $12,248.35 C AV VIOLATED R.O.W. OF OV AT STOP SIGN/IN VA 800900001116-002-D APD 3/3/1998 $0.00 $6,461.91 $6,461.91 C AV VIOLATED R.O.W. OF OV AT STOP SIGN/IN VA 800900001116-003-D APD 3/3/1998 $0.00 $57.75 $57.75 C AV VIOLATED R.O.W. OF OV AT STOP SIGN/IN VA 800900001120-001-D APD 2/22/1998 $0.00 $1,166.73 $1,166.73 C AV STRUCK STOPPED CV VA 800900001121-001-D APD 2/14/1998 $0.00 $899.85 $899.85 C AV STRUCK PARKED CV VA 800900001130-001-C COL 5/29/1998 $0.00 $13,601.91 $13,601.91 C AV HIT FIXED OBJECT VA 800900001130-001-D APD 5/29/1998 $0.00 $295.20 $295.20 C AV HIT FIXED OBJECT VA 800900001147-001-D APD 7/20/1998 $0.00 $2,483.53 $2,483.53 C AV BACKED INTO PARKED CAR VA 800900001149-001-B BI 8/11/1998 $0.00 $5,000.00 $5,000.00 C CV COLLIDED WITH COUNTY FIRE RESCUE TRUC VA 800900001149-001-C COL 8/11/1998 $0.00 $5,836.15 $5,836.15 C CV COLLIDED WITH COUNTY FIRE RESCUE TRUC VA 800900001149-001-D APD 8/11/1998 $0.00 $3,010.00 $3,010.00 C CV COLLIDED WITH COUNTY FIRE RESCUE TRUC VA 800900001192-001-C COL 2/4/1999 $0.00 $0.00 $0.00 C ASSURED VEHICLE STRUCK ASSURED BUILDING. VA 800900001203-001-C COL 2/2/1999 $0.00 $2,788.12 $2,788.12 C CLIENT VEHICLE RAN OFF THE ROAD INTO DIT VA 800900001205-001-C COL 3/9/1999 $0.00 $9,241.81 $9,241.81 C ASSURED VEHICLE STRUCK STOPPED CLAIMANT VA 800900001205-001-D APD 3/9/1999 $0.00 $0.00 $0.00 C ASSURED VEHICLE STRUCK STOPPED CLAIMANT VA 800900001214-001-D APD 4/30/1999 $0.00 $8,266.30 $8,266.30 C INSURED MOWER HIT PASSING CAR VA 800900001226-001-C COL 6/21/1999 $0.00 $98.50 $98.50 C PAQUETTE/MIDDLESEX CORP OWNED LOADER BAC VA 800900001239-001-D APD 8/6/1999 $0.00 $0.00 $0.00 C OV BACKED INTO IV VA 800900001243-001-C COL 8/31/1999 $0.00 $7,395.00 $7,395.00 C AV STOLEN FROM FAIRGROUNDS WITH GUARD UN VA 800900001252-001-D APD 9/20/1999 $0.00 $1,439.69 $1,439.69 C FIRE TRUCK HIT FIRE MARSHALL'S CAR AT SC VA 800900001254-001-C COL 10/26/1999 $0.00 $415.32 $415.32 C PARKED PROPERTY APPRAISER VEHICLE ROLLED VA 800900001254-001-D APD 10/26/1999 $0.00 $1,101.98 $1,101.98 C PARKED PROPERTY APPRAISER VEHICLE ROLLED VA 800900001269-001-D APD 9/14/1999 $0.00 $0.00 $0.00 C ANIMAL CONTROL TRUCK BACKED OUT OF PARKI VA 800900001273-001-D APD 1/14/2000 $0.00 $242.68 $242.68 C ANIMAL CONTROL OFFICER OPENED VEHICLE DO VA 800900001274-001-D APD 12/20/1999 $0.00 $0.00 $0.00 C FIRE RESCUE DRIVER WAS BACKING WITH SPOT VA 800900001281-001-D APD 10/20/1999 $0.00 $0.00 $0.00 C FIRE TRUCK AT EMERGENCY CALL WHEN A FIRE VA 800900001283-001-C COL 2/1/2000 $0.00 $524.44 $524.44 C IV HIT WHILE PARKED - TORTFEASOR UNKNOWN Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss VA 800900001285-001-C COL 11/16/1999 $0.00 $1,117.62 $1,117.62 C IV HIT IV VA 800900001297-001-D APD 3/4/2000 $0.00 $566.70 $566.70 C FIRE TRUCK BACKED INTO PARKED CAR. VA 800900001311-001-C COL 2/1/2000 $0.00 $0.00 $0.00 C WILD FIRE DMG TO TRUCK VA 800900001316-001-C COL 6/3/2000 $0.00 $159,014.00 $159,014.00 C FIRE TRUCK ROLLED DOWN HILL VA 800900001319-001-D APD 4/2/2000 $0.00 $693.00 $693.00 C FIRE TRUCK DAMAGED RESIDENCE DRIVEWAY AN VA 800900001322-001-C COL 6/15/2000 $0.00 $7,842.00 $7,842.00 C COUNTY LOADER BACKED INTO COUNTY TRUCK. VA 800900001332-001-C COL 7/5/2000 $0.00 $266.00 $266.00 C FIRE TRUCK HIT BLDG. VA 800900001345-001-C COL 8/9/2000 $0.00 $1,200.00 $1,200.00 C AV HIT TREE VA 800900001350-001-C COL 8/24/2000 $0.00 $1,325.13 $1,325.13 C CO VEHICLE STRUCK THE REAR OF CLAIMANT VA 800900001350-001-D APD 8/24/2000 $0.00 $1,448.47 $1,448.47 C CO VEHICLE STRUCK THE REAR OF CLAIMANT VA 800900001361-001-C COL 2/1/2000 $0.00 $29,669.42 $29,669.42 C FIRETRUCKS DAMAGED IN WILDFIRE. VA 800900001366-001-C COL 8/25/2000 $0.00 $2,154.55 $2,154.55 C COUNTY TRUCK HIT BY A COUNTY MOWER. VA 800900001370-001-B BI 11/6/2000 $0.00 $14,215.70 $14,215.70 C INSURED VEHICLE STRUCK REAR OF AUTO STOP VA 800900001370-001-D APD 11/6/2000 $0.00 $4,585.44 $4,585.44 C INSURED VEHICLE STRUCK REAR OF AUTO STOP VA 800900001376-001-C COL 10/8/2000 $0.00 $2,528.06 $2,528.06 C FIRE TRUCK BACKED INTO FIRE DEPARTMENT B VA 800900001381-001-C COL 10/3/2000 $0.00 $680.00 $680.00 C FIRE TRUCK APPROACHING FIRE AREA STRUCK VA 800900001386-001-C COL 8/25/2000 $0.00 $0.00 $0.00 C AV HIT BLDG - DAMAGED DOOR. VA 800900001390-001-C COL 10/3/2000 $0.00 $830.00 $830.00 C FIRE TRUCK MANEUVERING AROUND GENERATOR VA 800900001408-001-D APD 3/3/2001 $0.00 $2,150.00 $2,150.00 C FIRE TRUCK HIT UNMARKED SEPTIC TANK UNDE VA 800900001417-001-C COL 4/10/2001 $0.00 $0.00 $0.00 C THEFT OF BULLDOZER. VA 800900001418-001-D APD 4/13/2001 $0.00 $5,318.92 $5,318.92 C INSD VEH FAILED TO SECURE LOAD RESULTING VA 800900001420-001-C COL 3/29/2001 $0.00 $2,994.50 $2,994.50 C FIRE TRUCK SCRAPED AGAINST A GATE POST. VA 800900001425-001-D APD 4/22/2001 $0.00 $0.00 $0.00 C FIRE TRUCK BACKED INTO PARKED VEHICLE. VA 800900001444-001-D APD 6/8/2001 $0.00 $1,259.42 $1,259.42 C VEH #1 BACKED INTO VEH #2 VA 800900001451-001-C COL 7/5/2001 $0.00 $1,142.36 $1,142.36 C VEH #1 FAILED TO YIELD TO VEH #2 VA 800900001451-001-D APD 7/5/2001 $0.00 $1,555.55 $1,555.55 C VEH #1 FAILED TO YIELD TO VEH #2 VA 800900001461-001-C COL 12/1/1998 $0.00 $1,534.00 $1,534.00 C FIRE TRUCK ROLLED INTO ORANGE GROVE VA 800900001462-001-C COL 6/28/2001 $0.00 $0.00 $0.00 C FIRE TRUCK AND CLMT VEHICLE COLLIDED IN VA 800900001462-001-D APD 6/28/2001 $0.00 $75.00 $75.00 C FIRE TRUCK AND CLMT VEHICLE COLLIDED IN VA 800900001478-001-C COL 9/28/2001 $0.00 $2,397.04 $2,397.04 C INSURED VEHICLE RAN OVER BURIED BLOCK MI VA 800900001503-001-C COL 12/10/2001 $0.00 $0.00 $0.00 C INSURED VEHICLE REAR ENDED VA 800900001504-001-C COL 1/9/2002 $0.00 $2,731.12 $2,731.12 C INSURED VEHICLE REAR ENDED VA 800900001504-001-D APD 1/9/2002 $0.00 $0.00 $0.00 C INSURED VEHICLE REAR ENDED VA 800900001535-001-C COL 4/22/2002 $0.00 $0.00 $0.00 C VEHICLE PARKED NEXT TO INSURED CAUGHT FI VA 800900001539-001-D APD 8/14/2001 $0.00 $1,643.24 $1,643.24 C INSURED DRIVER REAR ENDED CLMT VA 800900001540-001-C COL 6/2/2002 $0.00 $1,487.25 $1,487.25 C TIRES STOLEN FROM FIRE TRUCK VA 800900001571-001-B BI 3/21/2002 $0.00 $0.00 $0.00 C CLMT PASSENGER ON COUNTY OWNED VAN WHICH VA 800900001586-001-C COL 10/1/2002 $0.00 $1,700.65 $1,700.65 C PARKING LOT ACCIDENT VA 800900001591-001-D APD 12/3/2002 $0.00 $2,739.62 $2,739.62 C INSURED DRIVER SIDESWIPED CLMT VEHICLE I VA 800900001603-001-C COL 1/15/2003 $0.00 $2,820.79 $2,820.79 C CLIENT DRIVER REAR ENDED BY THIRD PARTY VA 800900001613-001-B BI 2/5/2003 $0.00 $0.00 $0.00 C INSURED DRIVER REAR ENDED TWO VEHICLES S VA 800900001613-001-C COL 2/5/2003 $0.00 $0.00 $0.00 C INSURED DRIVER REAR ENDED TWO VEHICLES S VA 800900001613-001-D APD 2/5/2003 $0.00 $14,753.53 $14,753.53 C INSURED DRIVER REAR ENDED TWO VEHICLES S VA 800900001613-002-B BI 2/5/2003 $0.00 $0.00 $0.00 C INSURED DRIVER REAR ENDED TWO VEHICLES S VA 800900001613-002-D APD 2/5/2003 $0.00 $4,320.30 $4,320.30 C INSURED DRIVER REAR ENDED TWO VEHICLES S VA 800900001619-001-B BI 2/20/2003 $0.00 $7,500.00 $7,500.00 C CLMT VEH WAS SIDESWIPED BY CLIENT'S FIRE VA 800900001619-001-C COL 2/20/2003 $0.00 $2,870.00 $2,870.00 C CLMT VEH WAS SIDESWIPED BY CLIENT'S FIRE VA 800900001619-001-D APD 2/20/2003 $0.00 $2,023.66 $2,023.66 C CLMT VEH WAS SIDESWIPED BY CLIENT'S FIRE Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss VA 800900001622-001-C COL 8/31/2002 $0.00 $1,140.00 $1,140.00 C FIRE TRUCK DAMAGED VA 800900001628-001-B BI 1/17/2003 $0.00 $0.00 $0.00 C VAN OPERATOR ALLEGEDLY DID NOT STRAP CLM VA 800900001645-001-C COL 5/14/2003 $0.00 $0.00 $0.00 C CLIENT DRIVER STRUCK CMT'S PARKED VEHICL VA 800900001645-001-D APD 5/14/2003 $0.00 $625.49 $625.49 C CLIENT DRIVER STRUCK CMT'S PARKED VEHICL VA 800900001646-001-D APD 5/14/2003 $0.00 $4,059.78 $4,059.78 C CLIENT DRIVER REAR ENDED CLMT VEHICLE VA 800900001655-001-C COL 6/20/2003 $0.00 $7,264.13 $7,264.13 C DRIVER LOST CONTROL OF DUMPTRUCK WHILE T VA 800900001700-001-D APD 12/1/2003 $0.00 $1,186.18 $1,186.18 C FIRE TRUCK HIT GATE VA 800900001702-001-D APD 1/22/2004 $0.00 $1,761.88 $1,761.88 C OUR VEH MADE LT TURN IN FT OF ON COMING VA 800900001713-001-C COL 2/6/2004 $0.00 $572.23 $572.23 C INS VEH HIT IN REAR VA 800900001721-001-C COL 3/6/2004 $0.00 $2,446.12 $2,446.12 C TRUCK OWNED BY CLIENT HIT FENCE OWNED BY VA 800900001757-001-C COL 5/7/2004 $0.00 $1,642.49 $1,642.49 C EITHER THE CMT VEH OR THE CLIENT VEH CHA VA 800900001757-001-D APD 5/7/2004 $0.00 $0.00 $0.00 C EITHER THE CMT VEH OR THE CLIENT VEH CHA VA 800900001762-001-C COL 6/7/2004 $0.00 $0.00 $0.00 C CLIENT VEH PULLED OUT INTO PATH OF CLMT VA 800900001762-001-D APD 6/7/2004 $0.00 $903.23 $903.23 C CLIENT VEH PULLED OUT INTO PATH OF CLMT VA 800900001799-001-B BI 8/24/2004 $0.00 $0.00 $0.00 C CLIENT VEH HIT CLMT 1 AND CLMT 2 VA 800900001799-001-D APD 8/24/2004 $0.00 $0.00 $0.00 C CLIENT VEH HIT CLMT 1 AND CLMT 2 VA 800900001799-002-D APD 8/24/2004 $0.00 $0.00 $0.00 C CLIENT VEH HIT CLMT 1 AND CLMT 2 VA 800900001806-001-C COL 8/30/2004 $0.00 $14,110.59 $14,110.59 C CLIENT'S DUMP TRUCK TIPPED OVER-SINGLE V VA 800900001814-001-D APD 9/10/2004 $0.00 $2,964.00 $2,964.00 C CARGO IN V1'S TRAILER STRUCK LOW CABLE C VA 800900001814-002-D APD 9/10/2004 $0.00 $0.00 $0.00 C CARGO IN V1'S TRAILER STRUCK LOW CABLE C VA VA8002007074707 APD 10/12/2007 $0.00 $3,007.24 $3,007.24 C VA VA8002007074814 APD 10/1/2007 $0.00 $2,925.61 $2,925.61 C COLLISION IN PARKING LOT W/ ANOTHER VEHICLE VA VA8002007074815 COL 10/1/2007 $0.00 $1,406.48 $1,406.48 C COLLISION IN PARKING LOT W/ ANOTHER VEHICLE INSRD VEHICLE STRUCK BY AN UNKNOWN VEHICLE WHILE VA VA8002007080447 COL 11/26/2007 $0.00 $3,321.25 $3,321.25 C PARKED OVER NIGHT CLAIMANT STRUCK BY ONCOMING VEHICLE IN CLAIMANTS VA VA8002007089510 BI 12/8/2007 $52,021.30 $7,978.70 $60,000.00 OL LANE OF TRAVEL CLAIMANT STRUCK RR TRACK AT R/R CROSSING IN VA VA8002007101633 BI 7/7/2007 $0.00 $11,109.74 $11,109.74 C VEHICLE VA VA8002008080241 COL 1/6/2008 $0.00 $2,487.76 $2,487.76 C INSRD STRUCK WALL LEAVING GAS PUMPS INSRD PROCEED THROUGH INTERSECTION FROM A STOP SIGN SIGN. WAS ALMOST THROUGH THE INTERSECTION VA VA8002008081006 APD 4/15/2008 $0.00 $3,885.00 $3,885.00 C WHEN STRUCK BY THE CLMT. VA VA8002008081342 COL 4/28/2008 $0.00 $1,243.62 $1,243.62 C INSURED STRUCK BY ADVERSE VEHICLE. INSRD INDICATED THE INSRD DRIVER FAILED TO STOP AT INTERSECTION STRUCK CLMT IN THE FRONT. TWO PASSENGERS IN CLMT VEM MINOR INJURIES TO CLMT VA VA8002008081771 APD 8/24/2008 $0.00 $8,289.13 $8,289.13 C PASSENGERS. INSRD INDICATED THE INSRD DRIVER FAILED TO STOP AT INTERSECTION STRUCK CLMT IN THE FRONT. TWO PASSENGERS IN CLMT VEM MINOR INJURIES TO CLMT VA VA8002008081958 COL 8/24/2008 $0.00 $14,505.00 $14,505.00 C PASSENGERS. INSRD ROLLED INTO REAR OF CLMT. VEHICLE. MINOR VA VA8002009089581 APD 2/25/2009 $0.00 $1,814.73 $1,814.73 C DAMAGE VA VA8002009090264 APD 4/7/2009 $0.00 $1,944.43 $1,944.43 C INSURED FTYRW TO CLMT INSRD ROLLED INTO REAR OF CLMT. VEHICLE. MINOR VA VA8002009090551 BI 2/25/2009 $0.00 $224.44 $224.44 C DAMAGE Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss INSRED FAILED TO YIELD RIGHT OF WAY TO CLMT VA VA8002009093801 BI 9/18/2009 $0.00 $0.00 $0.00 C VEHICLE. INSRED FAILED TO YIELD RIGHT OF WAY TO CLMT VA VA8002009093802 APD 9/18/2009 $0.00 $3,455.84 $3,455.84 C VEHICLE. VA VA8002009098756 COL 12/14/2009 $0.00 $289,559.00 $289,559.00 R TANKER # 23143 ROLLOVER PROBABLE TOTAL LOSS OPERATOR OF UNIT LOST CONTROL CAUSING UNIT TO VA VA8002009098917 COL 12/14/2009 C ROLL OVER. INSURED STRUCK IN THE REAR WHILE MAKING A U TURN VA VA8002009099172 BI 12/25/2009 $78,647.28 $1,352.72 $80,000.00 O ON SR 50 INSURED STRUCK IN THE REAR WHILE MAKING A U TURN VA VA8002009101688 BI 12/25/2009 $0.00 $485.01 $485.01 C ON SR 50 INSURED STRUCK IN THE REAR WHILE MAKING A U TURN VA VA8002009101689 BI 12/25/2009 $32,087.01 $27,912.99 $60,000.00 R ON SR 50 INSURED STRUCK IN THE REAR WHILE MAKING A U TURN VA VA8002009101699 BI 12/25/2009 $92,770.78 $2,229.22 $95,000.00 O ON SR 50 INSURED STRUCK IN THE REAR WHILE MAKING A U TURN VA VA8002009102666 BI 12/25/2009 $23,597.69 $104,402.31 $128,000.00 O ON SR 50 INSURED STRUCK IN THE REAR WHILE MAKING A U TURN VA VA8002009102995 BI 12/25/2009 $0.00 $0.00 $0.00 C ON SR 50 INSURED STRUCK IN THE REAR WHILE MAKING A U TURN VA VA8002009115754 APD 12/25/2009 $32,363.62 $2,636.38 $35,000.00 OL ON SR 50 VA VA8002010101544 APD 4/28/2010 $0.00 $21,491.57 $21,491.57 C INSURED FAILED TO STOP STRIKING CLMT IN THE REAR. VA VA8002010101632 APD 3/29/2010 $0.00 $0.00 $0.00 C CLAIMANT STRUCK A POT W/ CAR INSURED MAKING A LEFT TURN WHEN STRUCK BY VA VA8002010102177 APD 7/13/2010 $0.00 $14,499.00 $14,499.00 C ONCOMING CLMT VEHICLE. INSURED MAKING A LEFT TURN WHEN STRUCK BY VA VA8002010102178 BI 7/13/2010 $0.00 $14,358.50 $14,358.50 C ONCOMING CLMT VEHICLE. INSURED MAKING A LEFT TURN WHEN STRUCK BY VA VA8002010102179 COL 7/13/2010 $0.00 $0.00 $0.00 C ONCOMING CLMT VEHICLE. VA VA8002010102261 APD 5/14/2010 $0.00 $1,477.88 $1,477.88 C INSURED BACKED INO THE CLAIMANTS PARKED VEHICLE VA VA8002010103189 APD 11/9/2010 $0.00 $5,175.14 $5,175.14 C Cty hit OV INSRD FAILED TO YIELD RIGHT OF WAY TO CLMT AT STOP VA VA8002010104258 BI 12/11/2010 $0.00 $7,500.00 $7,500.00 C SIGN INSRD FAILED TO YIELD RIGHT OF WAY TO CLMT AT STOP VA VA8002010104261 BI 12/11/2010 ($0.00) $73,376.17 $73,376.17 O SIGN INSRD FAILED TO YIELD RIGHT OF WAY TO CLMT AT STOP VA VA8002010104469 APD 12/11/2010 $0.00 $6,786.75 $6,786.75 C SIGN VA VA8002010104729 APD 12/16/2010 $0.00 $0.00 $0.00 C VA VA8002010105005 APD 11/18/2010 $0.00 $14,185.23 $14,185.23 C VA VA8002011104777 APD 3/21/2011 $0.00 $950.00 $950.00 C VA VA8002011105498 APD 7/6/2011 $0.00 $7,084.44 $7,084.44 C VA VA8002011105622 APD 3/16/2011 $1,210.00 $90.00 $1,300.00 O VA VA8002011106195 BI 7/6/2011 C VA VA8002011115908 BI 3/16/2011 O WC 8000890001062 LT 8/17/1990 $0.00 $59,717.47 $59,717.47 C CLAIMANT FELL FROM DRAIN AND INJURED LOW BACK WC 8000890002001 M 10/5/1989 $0.00 $211.60 $211.60 C STUNG BY INSECT ON RIGHT ELBOW WC 8000890002002 M 10/3/1989 $0.00 $0.00 $0.00 C STUCK WITH HYPODERMIC SYRINGE - R. PALM WC 8000890002003 M 10/17/1989 $0.00 $125.00 $125.00 C TRYING LOOSEN BOLT AND WRIST POPPED Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss WC 8000890002004 M 10/17/1989 $0.00 $0.00 $0.00 C LIFTED DRUMS AND HURT BACK WC 8000890002005 M 10/23/1989 $0.00 $0.00 $0.00 C STRUCK RIGHT LEG ON METAL CORNER OF DESK WC 8000890002006 M 10/11/1989 $0.00 $829.00 $829.00 C SLIPPED ON SUBSTANCE ON FLOOR AND STRAINED BACK WC 8000890002007 M 10/30/1989 $0.00 $0.00 $0.00 C SLIPPED ON SPIKE AND INJURED LOWER BACK WC 8000890002008 M 10/26/1989 $0.00 $204.40 $204.40 C LIFTING AND BAGING AND FELT SNAP IN R. WRIST WC 8000890002009 M 10/26/1989 $0.00 $34.25 $34.25 C FIXING SOAP DISPENSER AND R. HAND STRUCK SINK PULLING RECOVERED BOAT OUT OF WATER AND INJURED WC 8000890002010 M 10/27/1989 $0.00 $250.00 $250.00 C RIBS WC 8000890002011 M 10/10/1989 $0.00 $339.00 $339.00 C CAUGHT FINGER IN GARBAGE AND FINGER POPPED WC 8000890002012 M 10/10/1989 $0.00 $0.00 $0.00 C WALKING IN HALLWAY AND SLIPPED AND TWISTED KNEE WC 8000890002013 M 11/1/1989 $0.00 $0.00 $0.00 C GOING DOWN STAIRS WHEN FOOT SLIPPED VEHICLE ACCIDENT-OTHER DRIVER AT FAULT. MULT. WC 8000890002014 LT 11/3/1989 $0.00 $1,362.05 $1,362.05 C CONTUSIONS WC 8000890002015 M 11/7/1989 $0.00 $0.00 $0.00 C DRIVING P/U TRUCK AND STRUCK IN REAR WC 8000890002016 M 11/7/1989 $0.00 $0.00 $0.00 C PASSENGER IN P/U TRUCK AND STRUCK IN REAR WC 8000890002017 M 10/18/1989 $0.00 $0.00 $0.00 C LOST BALANCE AND AND FELL, HURT LEFT SHOULDER WC 8000890002018 M 11/3/1989 $0.00 $269.00 $269.00 C TWISTED BACK HOLING DOGS WC 8000890002019 LT 11/8/1989 $0.00 $284.92 $284.92 C BOOT BENT TOE - LARGE TOE WC 8000890002020 M 10/17/1989 $0.00 $61.00 $61.00 C CART TURNED BACKWARD AND TWISTED L. HAND WC 8000890002021 M 11/6/1989 $0.00 $50.00 $50.00 C STEPPED ON PIECE OF GLASS WC 8000890002022 M 11/10/1989 $0.00 $244.20 $244.20 C HORSE STEPPED ON L. HAND WC 8000890002024 M 11/13/1989 $0.00 $30.00 $30.00 C 2X6 BOARD CAME THROUGH WINDSHIELD WC 8000890002025 M 11/15/1989 $0.00 $0.00 $0.00 C BITTEN BY INSECT ON RIGHT ARM WC 8000890002026 LT 11/6/1989 $0.00 $8,453.19 $8,453.19 C STRUCK HEAD ON DOOR RAILING WC 8000890002027 M 11/22/1989 $0.00 $0.00 $0.00 C LIFTING CAR PART AND FELT PAIN IN RIB CAGE WC 8000890002028 M 11/16/1989 $0.00 $0.00 $0.00 C LOST GRIP AND FELL FROM PIPE - GROIN WC 8000890002029 M 11/21/1989 $0.00 $0.00 $0.00 C OILY BLACK LIQUID CAME OUT OVER EMPLOYEE PREVENTING INMATE FROM JUMPING OFF TABLE AND WC 8000890002030 M 11/26/1989 $0.00 $0.00 $0.00 C PULLED L. SHOULDER OTHER CAR PULLED OUT IN FRONT OF CLMT AND THEY WC 8000890002031 LT 12/4/1989 $18,076.46 $58,109.54 $76,186.00 O COLLIDED WC 8000890002032 M 12/6/1989 $0.00 $0.00 $0.00 C STRUCK FOOT ON STEEL PLATE WC 8000890002034 M 12/9/1989 $0.00 $0.00 $0.00 C SUBDUING INMATE AND HURT NECK WC 8000890002035 M 12/3/1989 $0.00 $125.00 $125.00 C CLMT MOUNTED HORSE AND FELT PAIN IN FEET WC 8000890002036 M 12/19/1989 $0.00 $0.00 $0.00 C INJESTED DIRT FROM A/C WC 8000890002037 M 12/21/1989 $0.00 $0.00 $0.00 C SLIDE ON FLOOR AND HIT HEAD ON KITCHEN DOOR JAM WC 8000890002038 M 12/21/1989 $0.00 $35.00 $35.00 C CUT FINGER ON PIECE OF METAL WC 8000890002040 M 1/8/1990 $0.00 $15,577.19 $15,577.19 C CART HIT FOOT TRIPPING HER - BACK AND SHOULDER WC 8000890002041 M 1/3/1990 $0.00 $209.00 $209.00 C GOT TANGLED IN SOME WEEDS, HURT LEFT WRIST WC 8000890002042 M 1/5/1990 $0.00 $38.25 $38.25 C CUT RIGHT HAND IN FILES WC 8000890002043 M 1/2/1990 $0.00 $0.00 $0.00 C STRUCK IN MOUTH BY INMATE WC 8000890002044 M 11/22/1989 $0.00 $1,251.40 $1,251.40 C HURT BACK LIFTING FISH WELL CUT R. HAND ON CHROME PORTION OF FRAMED SECTION WC 8000890002045 M 12/22/1989 $0.00 $154.20 $154.20 C OF BULB HOUSING WC 8000890002046 M 12/9/1989 $0.00 $137.00 $137.00 C SUBDUING INMATE AND RE-INJURED NECK ALLEGES VIBRATION OF HEAVEY EQUIPMENT CAUSED WC 8000890002047 LT 12/15/1989 $0.00 $12,760.34 $12,760.34 C BACK INJURY. Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss INMATE ATTEMPTED SUICIDE BY HANGING. CLMT. LIFTED & WC 8000890002049 LT 1/17/1990 $0.00 $6,267.59 $6,267.59 C HELDINMATE/STRAINED BACK. WC 8000890002050 M 1/16/1990 $0.00 $0.00 $0.00 C SLIPPED ON PAVEMENT AND TWISTED RIGHT KNEE WC 8000890002051 M 1/18/1990 $0.00 $0.00 $0.00 C CAUGHT HAND BETWEEN CART AND WINDOW PANEL WC 8000890002052 M 1/25/1990 $0.00 $0.00 $0.00 C ALIGNING HYDRAULIC CYLINDER AND HURT BACK WC 8000890002053 M 1/26/1990 $0.00 $234.00 $234.00 C STRUCK TOP OF LEFT FOOT ON DESK WC 8000890002054 M 2/6/1990 $0.00 $0.00 $0.00 C DRILL SPIN AND HANDLE HIT R. HAND WC 8000890002055 M 2/7/1990 $0.00 $180.90 $180.90 C BIT BY CAT ON FINGER HOLDING INMATE UP AND PULLED MUSCLES IN ARM AND WC 8000890002056 M 2/7/1990 $0.00 $0.00 $0.00 C SHOULDER

WC 8000890002057 M 2/7/1990 $0.00 $0.00 $0.00 C PICKED UP PIT BULL AND ARM AND WRIST WAS SCRAPPED WC 8000890002058 M 2/6/1990 $0.00 $0.00 $0.00 C BIT BY INMATE ON RIGHT ARM AND HAND WC 8000890002059 M 2/6/1990 $0.00 $0.00 $0.00 C INMATE BIT L. THUMB DURING ALTERCATION WITH INMATE, CLAIMANT CAUGHT WC 8000890002060 M 2/14/1990 $0.00 $1,034.22 $1,034.22 C RIGHT ARM INSTEEL DOOR. WC 8000890002061 M 2/14/1990 $0.00 $148.40 $148.40 C DURING RIOT, WAS BITTEN AND STABBED WC 8000890002062 M 2/20/1990 $0.00 $0.00 $0.00 C CLAIMANT EXPERINCED CHEST PAINS WHILE WORKING. WC 8000890002063 M 2/18/1990 $0.00 $174.12 $174.12 C HURT RIGHT HAND OPENING GATE WC 8000890002064 M 2/9/1990 $0.00 $739.80 $739.80 C VEHICLE OVERTURNED, HURT CHEST AND ARM WC 8000890002065 LT 2/14/1990 $0.00 $5,428.44 $5,428.44 C KICKED IN GROIN DURING RIOT SUBJECT STRUGGLED WITH OFFICER AND HE TWISTED L. WC 8000890002066 M 2/27/1990 $0.00 $383.60 $383.60 C ANKLE WC 8000890002068 M 2/28/1990 $0.00 $41.86 $41.86 C SOMETHING FLEW INTO R. EYE WC 8000890002069 M 3/4/1990 $0.00 $415.40 $415.40 C SLIPPED ON WET FLOOR, HURT LEFT HAND WC 8000890002070 M 3/1/1990 $0.00 $32.00 $32.00 C INMATE BIT LEFT HAND WC 8000890002071 M 12/11/1989 $0.00 $207.00 $207.00 C HIT SIDE OF HEAD ON SIDE MIRROR ON TRUCK WC 8000890002073 M 3/1/1990 $0.00 $30,941.65 $30,941.65 C HURT BACK SPRAY PAINTING TRUCK

WC 8000890002074 M 3/12/1990 $0.00 $170.00 $170.00 C 10'/12' FREEZER WAS ROLLED INTO BUCKET - LOWER BACK WC 8000890002075 M 3/3/1990 $0.00 $70.10 $70.10 C DOMESTIC DISTURBANCE - LOWER R. ARM WC 8000890002076 M 11/6/1989 $0.00 $87.40 $87.40 C CAGE DOOR JABBED RIGHT SIDE SLIPPED ON WET RAMP PULLING WHEELCHAIR, HURT WC 8000890002077 M 3/17/1990 $0.00 $203.00 $203.00 C BACK WC 8000890002078 LT 3/9/1990 $0.00 $13,469.22 $13,469.22 C STEPPED OFF HIGH STEP AND HURT BACK WC 8000890002079 M 10/11/1989 $0.00 $54.20 $54.20 C WHILE RUNNING, FELL AND STRAINED HIP AND THIGH WC 8000890002080 M 3/19/1990 $0.00 $0.00 $0.00 C LIFTING PLUMBING SNAKE AND STRAINED R. ARM WC 8000890002081 M 3/26/1990 $0.00 $178.20 $178.20 C TREE STUMP BROKE AND HIT L. KNEE AREA WC 8000890002083 M 3/21/1990 $0.00 $61.75 $61.75 C VEHICLE ACCIDENT - SORENESS WC 8000890002084 M 4/2/1990 $0.00 $0.00 $0.00 C VEHICLE ACCIDENT - SORENESS WC 8000890002085 M 3/31/1990 $0.00 $96.00 $96.00 C SLIPPED ON SOME WATER AND TWISTED R. ANKLE WC 8000890002086 M 3/30/1990 $0.00 $0.00 $0.00 C SETTING BOX IN TRUCK AND STRAINED LOWER BACK WC 8000890002087 M 4/5/1990 $0.00 $555.15 $555.15 C THUMB CAUGHT IN STEERING WHEEL WC 8000890002088 M 4/5/1990 $0.00 $60.92 $60.92 C INHALES FUMES WC 8000890002089 M 4/10/1990 $0.00 $0.00 $0.00 C CUT THUMB WHILE CHANGING BLADES WC 8000890002090 M 4/7/1990 $0.00 $0.00 $0.00 C STRUCK ON HAND BY STICK WC 8000890002091 M 4/10/1990 $0.00 $327.16 $327.16 C HIT HOLE WHILE OPERATING TRACTOR AND HURT BACK WC 8000890002092 M 4/11/1990 $0.00 $169.92 $169.92 C SLIPPED ON WET FLOOR, HURT LEFT KNEE Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss WC 8000890002093 M 4/18/1990 $0.00 $0.00 $0.00 C CHAIR BROKE AND HE FELL - BACK WC 8000890002094 M 4/19/1990 $0.00 $0.00 $0.00 C K9 PULLED TO GROUND AND TWISTED KNEE WC 8000890002095 M 4/17/1990 $0.00 $50.00 $50.00 C HURT CHEST LIFTING GREAT DANE WC 8000890002096 M 4/21/1990 $0.00 $0.00 $0.00 C SLIPPED OFF BOAT AND STRUCK LEFT LEG WC 8000890002097 M 4/23/1990 $0.00 $20.00 $20.00 C DOG TOOK THE BITE AND PULLED HIM TO GROUND WC 8000890002099 M 2/14/1990 $0.00 $184.60 $184.60 C STRUCK ON BACK BY INMATE PULLED SOMETHING IN HAND WHILE GRABBING FOR WC 8000890002100 M 4/26/1990 $0.00 $150.00 $150.00 C COMPRESSOR WC 8000890002101 M 3/24/1990 $0.00 $177.24 $177.24 C BREAKING UP A FIGHT, FELL AND HURT LEFT KNEE WC 8000890002102 M 3/13/1990 $0.00 $71.00 $71.00 C LEFT HAND GOUGED ON WIRE FENCE WC 8000890002103 M 4/27/1990 $0.00 $44.58 $44.58 C TREE BRANCH SCRAPED LEFT LEG WC 8000890002104 M 4/20/1990 $0.00 $736.75 $736.75 C REPETITIVE AND EXCESSIVE WRITING, HURT RIGHT HAND WC 8000890002105 LT 4/30/1990 $0.00 $25,569.60 $25,569.60 C VEHICLE ACCIDENT, HURT NECK AND BACK WC 8000890002106 M 5/9/1990 $0.00 $119.07 $119.07 C LAWN MOWER FELL ON R. FOOT WC 8000890002107 M 5/3/1990 $0.00 $3,660.43 $3,660.43 C SLIPPED OFF SPIKE AND FELT PAIN IN LOWER BACK WC 8000890002108 M 5/10/1990 $0.00 $72.60 $72.60 C STEPPED ON STONES AND TWISTED FOOT WC 8000890002109 M 5/14/1990 $0.00 $125.00 $125.00 C TRYING TO BREAK A NUT LOOSE, HURT BACK WC 8000890002110 M 5/16/1990 $0.00 $226.28 $226.28 C L. FOREARM CAUGHT BETWEEN INMATE AND CELL ANOTHER VEHICLE PULLED OUT IN FRONT OF CLMT., WC 8000890002112 M 5/15/1990 $0.00 $67.00 $67.00 C BRUISES TO NOSE, HANDS, AND ARMS WC 8000890002113 M 5/23/1990 $0.00 $0.00 $0.00 C SCRAPED R. HAND WHILE RESTRAINING INMATES WC 8000890002114 M 5/21/1990 $0.00 $0.00 $0.00 C STRUCK LEG ON DESK CLAIMANT PULLING SECTION OF STAGE AND PULLED WC 8000890002115 LT 5/16/1990 $0.00 $976.59 $976.59 C RIGHT GROIN WC 8000890002116 LT 5/17/1990 $0.00 $607.27 $607.27 C CLAIMANT STANDING ON A BOX AND TWISTED LEFT KNEE WC 8000890002117 M 5/30/1990 $0.00 $90.20 $90.20 C INSECT BITE ON L. FOREARM WC 8000890002118 M 5/29/1990 $0.00 $30.15 $30.15 C BLANKS DROPPED ON TOP OF FOOT CLAIMANT LIFTED BOXES OF FISH AND STRAINED HER WC 8000890002119 LT 5/31/1990 $0.00 $34,791.71 $34,791.71 C LOWER BACK. WC 8000890002120 M 5/31/1990 $0.00 $0.00 $0.00 C DRAWER DIVIDER FELL ON TOE WC 8000890002121 LT 6/8/1990 $0.00 $3,596.02 $3,596.02 C LIFTING BARN DOOR AND IT FELL ON CLAIMANT'S LEFT LEG CLAIMANT INVOLVED IN VEHICLE ACCIDENT AND INJURED WC 8000890002122 M 6/6/1990 $0.00 $360.00 $360.00 C BACK WC 8000890002123 M 6/12/1990 $0.00 $273.90 $273.90 C THERMO PLASTIC ON FINGER WC 8000890002124 M 6/8/1990 $0.00 $400.70 $400.70 C LIFTING MOWER AND INJURED LOWER BACK INJURED RIGHT INDEX FINGER WHEN PIPE WRENCH WC 8000890002125 M 6/7/1990 $0.00 $2,184.27 $2,184.27 C SLIPPED WC 8000890002126 M 6/13/1990 $0.00 $146.04 $146.04 C CAUGHT FINGER IN BETWEEN DOOR AND DOOR JAM WC 8000890002129 M 6/14/1990 $0.00 $0.00 $0.00 C STRUCK LEFT FOOT ON DESK WC 8000890002130 M 6/21/1990 $0.00 $201.00 $201.00 C MOVING BOXES WC 8000890002131 M 6/27/1990 $0.00 $0.00 $0.00 C JAMMED FINGER BETWEEN GATE AND LATCH WC 8000890002132 M 6/29/1990 $0.00 $0.00 $0.00 C DOG BIT RIGHT FINGER WC 8000890002133 M 7/2/1990 $0.00 $202.51 $202.51 C HURT BACK LIFTING BLADES OFF TRACTOR WC 8000890002134 M 7/2/1990 $0.00 $0.00 $0.00 C STRUCK LEFT KNEE ON TREE WC 8000890002135 M 7/2/1990 $0.00 $0.00 $0.00 C CUT LEG ON A NAIL WC 8000890002138 M 7/9/1990 $0.00 $0.00 $0.00 C CLAIMANT STRUCK BY CAR, INJURY TO ARM AND HIP. WC 8000890002139 M 6/28/1990 $0.00 $387.30 $387.30 C PHYSICAL SWAT TRAINING AND TWISTED R. LEG WC 8000890002140 M 7/5/1990 $0.00 $60.60 $60.60 C ESCAPING PRISONER STRUCK R. EYE AND KNEE Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss WC 8000890002141 M 7/11/1990 $0.00 $0.00 $0.00 C BIT BY CAT ON FINGERS WC 8000890002142 M 7/13/1990 $0.00 $2,694.28 $2,694.28 C BENT TO PICK UP PENCIL AND HURT LOWER BACK WC 8000890002143 M 7/23/1990 $0.00 $0.00 $0.00 C HURT LEFT SHOULDER TRYING TO KEEP FROM FALLING WC 8000890002144 M 7/21/1990 $0.00 $281.50 $281.50 C TWISTED LEG IN HOLE WC 8000890002145 M 7/20/1990 $0.00 $0.00 $0.00 C VEHICLE ACCIDENT CLAIMANT WALKING INTO OFFICE 7 HIS LEG GAVE OUT AND WC 8000890002146 M 7/16/1990 $0.00 $0.00 $0.00 C HE FELL WC 8000890002147 M 7/23/1990 $0.00 $0.00 $0.00 C TOOTH PUNTURED L. HAND WC 8000890002148 M 8/2/1990 $0.00 $69.81 $69.81 C DOG BIT RIGHT HAND AND LEFT ARM WC 8000890002149 M 7/30/1990 $0.00 $0.00 $0.00 C HIT HEAD ON TREE BRANCH CRAWLING ON HANDS AND KNEES NOTICED LUMP ON R. WC 8000890002150 M 7/30/1990 $0.00 $50.00 $50.00 C WRIST WC 8000890002151 M 7/30/1990 $0.00 $0.00 $0.00 C WIND BLEW SOMETHING IN EYE WC 8000890002152 M 8/2/1990 $0.00 $0.00 $0.00 C VEHICLE ACCIDENT WC 8000890002153 M 7/30/1990 $0.00 $0.00 $0.00 C POCKET CAUGHT IN CHAIR AND HE TWISTED HIS BACK WC 8000890002154 M 7/31/1990 $0.00 $538.56 $538.56 C CLAIMANT TWISTED RIGHT FOOT EXITING POLICE STATION. WC 8000890002155 M 7/27/1990 $0.00 $0.00 $0.00 C BOOK FELL ON FACE WC 8000890002156 M 8/8/1990 $0.00 $269.60 $269.60 C CHAIR BROKE AND FELL TO FLOOR ON L. HAND WC 8000890002157 M 8/7/1990 $0.00 $0.00 $0.00 C FELL ON STEPS, HURT KNEES AND HANDS WC 8000890002158 M 8/7/1990 $0.00 $0.00 $0.00 C CAT BIT FINGER VEHICLE ACCIDENT-CLAIMANT INJURED NECK, BACK AND WC 8000890002160 M 8/2/1990 $0.00 $0.00 $0.00 C ANKLE WC 8000890002161 M 8/15/1990 $0.00 $0.00 $0.00 C VEHICAL ACCIDENT WC 8000890002163 M 8/3/1990 $0.00 $0.00 $0.00 C FELL OFF HORSE, HURT LEFT SHOULDER WC 8000890002166 M 8/16/1990 $0.00 $0.00 $0.00 C VEHICLE ACCIDENT, NO APPARENT INJURY WC 8000890002167 M 8/13/1990 $0.00 $516.96 $516.96 C CUT EYE WITH PAPER CLAIMANT SLIPPED AND FELL, STRIKING HER RIGHT WC 8000890002168 LT 8/15/1990 $0.00 $1,552.13 $1,552.13 C ELBOW. HAND CAUGHT BETWEEN SUBJECT AND DOOR DURING WC 8000890002169 M 8/18/1990 $0.00 $152.40 $152.40 C RESTRAINT WC 8000890002170 M 8/21/1990 $0.00 $50.00 $50.00 C CHAIR SLIPPED AND SHE FELL ON BOTTOM WC 8000890002171 M 8/21/1990 $0.00 $0.00 $0.00 C STUBBED TOE ENTERING AN ELEVATOR, HURT BACK WC 8000890002172 M 8/12/1990 $0.00 $19.96 $19.96 C BLEACH SPLASHED IN EYE WC 8000890002175 M 8/21/1990 $0.00 $0.00 $0.00 C BEE STUNG LEFT HAND WC 8000890002176 M 8/4/1990 $0.00 $0.00 $0.00 C STRESS ATTACK WC 8000890002177 M 8/25/1990 $0.00 $0.00 $0.00 C PIG RAN INTO HIM - FELL ON R. SHOULDER WC 8000890002178 M 8/31/1990 $0.00 $0.00 $0.00 C CUT BY WEEDEATER LINE WC 8000890002179 M 8/28/1990 $0.00 $130.00 $130.00 C FELL OFF TRUCK, HURT LEFT KNEE SLIPPED NEAR WALK-IN AND FELL - R. HIP,ELBOW AND WC 8000890002180 M 9/6/1990 $0.00 $255.03 $255.03 C SHOULDER WC 8000890002181 M 9/10/1990 $0.00 $435.78 $435.78 C STRUCK TRUCK - VEHICLE ACCIDENT WC 8000890002182 M 8/28/1990 $0.00 $0.00 $0.00 C BACKED UP INTO CAR BEHIND HIM WC 8000890002184 M 9/7/1990 $0.00 $0.00 $0.00 C BUMPED R. ARM AGAINST OVERHEATED POWER TOOLS SWINGING SLEDGE HAMMER AND HURT SHOULDER AND WC 8000890002185 M 9/13/1990 $0.00 $284.00 $284.00 C NECK WC 8000890002186 M 9/7/1990 $0.00 $0.00 $0.00 C FORCE ON INMATES AND HURT L. HAND WC 8000890002187 M 9/7/1990 $0.00 $0.00 $0.00 C SMASHED MIDDLE FINGER WC 8000890002189 M 9/16/1990 $0.00 $208.00 $208.00 C FELL DOWN ON WET FLOOR - LOWER BACK AND ABD. Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss WC 8000890002190 M 9/20/1990 $0.00 $120.25 $120.25 C SCREWDRIVER SLIPPED HITTING FACE WC 8000890002191 M 9/20/1990 $0.00 $198.40 $198.40 C THROWN FROM HORSE HURT BACK WC 8000890002192 M 9/24/1990 $0.00 $0.00 $0.00 C PAPER CUT LEFT EYE CLAIMANT INVOLVED IN VEHICLE ACCIDENT; INJURED WC 8000890002193 M 9/21/1990 $0.00 $596.75 $596.75 C FOOT. WC 8000890002194 M 9/21/1990 $0.00 $316.24 $316.24 C MISSED A STEP AND FELL DOWN STAIRS CLAIMANT INVOLVED IN VEHICLE ACCIDENT/INJURY LEFT WC 8000890002195 M 9/26/1990 $0.00 $0.00 $0.00 C KNEE. CLAIMANT TWISTED TO LEFT STEPS AND INJURYED LOW WC 8000890002196 M 9/17/1990 $0.00 $1,261.50 $1,261.50 C BACK. WC 8000890002198 M 9/28/1990 $0.00 $156.00 $156.00 C CUT FINGER ON GLASS WC 8000890003902 M 8/16/1990 $0.00 $577.38 $577.38 C VEHICLE ACCIDENT WC 8000890003907 M 5/23/1990 $0.00 $0.00 $0.00 C SEPARATING INMATES AND HURT BACK WC 8000890003922 M 2/6/1990 $0.00 $0.00 $0.00 C BIT HIT L. FOREARM WC 8000890003932 M 9/7/1990 $0.00 $0.00 $0.00 C CUT WRIST DURING ALTERCATION WITH INMATE WC 8000900002199 LT 10/17/1990 $0.00 $50,254.43 $50,254.43 C CLAIMANT FELL DOWN STAIRS AND INJURED BACK WC 8000900002200 M 10/16/1990 $0.00 $0.00 $0.00 C SPIDER BITE TO L. FOREARM WC 8000900002201 M 10/12/1990 $0.00 $0.00 $0.00 C SPIDER BIT LEFT ARM CLAIM CONTROVERTED - IDIOPATHIC CONDITIONCLMT WC 8000900002202 M 10/15/1990 $0.00 $14.25 $14.25 C FELT ILL, LOST BALANCE, FELL AND BUMPED HEAD CLAIMANT INVOLVED IN VEHICLE ACCIDENT/SUFFERED WC 8000900002203 M 10/12/1990 $0.00 $0.00 $0.00 C MINOR BRUISING WC 8000900002204 M 10/29/1990 $0.00 $0.00 $0.00 C MISSED A STEP, HURT KNEES WC 8000900002205 M 10/25/1990 $0.00 $270.61 $270.61 C CUT BY CHAINSAW ON FINGERS WC 8000900002206 M 10/25/1990 $0.00 $0.00 $0.00 C CAT BIT THUMB WC 8000900002208 M 11/1/1990 $0.00 $28.00 $28.00 C DUST BLEW INTO EYES WC 8000900002209 M 11/1/1990 $0.00 $0.00 $0.00 C CUT FINGER ON FIBERGLASS REFLECTOR TRIPPED OVER BOX IN OFFICE AND FELL - L. KNEE AND L. WC 8000900002210 M 11/7/1990 $0.00 $327.31 $327.31 C ARM DOG WENT ONE WAY AND HIM THE OTHER, STRUCK WC 8000900002211 M 11/8/1990 $0.00 $0.00 $0.00 C VEHICLE WITH BACK WC 8000900002213 M 11/22/1990 $0.00 $0.00 $0.00 C L. HAND TURN AND COLLIDED WITH ANOTHER VEHICLE WC 8000900002215 M 11/28/1990 $0.00 $119.00 $119.00 C TABLE BROKE AND CUT L. ARM AND LEG WC 8000900002216 M 11/28/1990 $0.00 $250.00 $250.00 C SLIPPED ON STICKY SUBSTANCE, HURT BACK WC 8000900002217 M 11/29/1990 $0.00 $464.11 $464.11 C CLMT REARENDED WHILE SITTING AT RED LIGHT CLMT STEPPED OFF A FRONT END LOADER TWISTED WC 8000900002218 LT 11/29/1990 $0.00 $1,634.69 $1,634.69 C RIGHT FOOT CLMT STRUCK BY INDIVIDUAL DURING ARREST; MULTIPLE WC 8000900002219 M 12/19/1990 $0.00 $153.75 $153.75 C LACERATIONS TO FACE WC 8000900002220 LT 12/26/1990 $0.00 $15,817.64 $15,817.64 C CAUGHT FOOT ON PALLET AND TWISTED LOWER BACK ARRESTING INDIVIDUAL WHO STRUCK HIM IN THE HEAD WC 8000900002221 M 12/15/1990 $0.00 $115.28 $115.28 C AND BACK AREA WC 8000900002222 M 12/27/1990 $0.00 $0.00 $0.00 C CUT HAND WHILE WORKING ON GENERATOR WC 8000900002223 M 12/30/1990 $0.00 $906.50 $906.50 C STRUGGLING WITH JUVENILE HIT LOWER LEFT BACK WC 8000900002224 M 1/17/1991 $0.00 $50.00 $50.00 C PIECE OF WOOD FLEW INTO RIGHT EYE WC 8000900002225 M 1/19/1991 $0.00 $102.80 $102.80 C HANDCUFFING A SUBJECT AND GOT A SCRATCH TO HAND WC 8000900002226 M 1/19/1991 $0.00 $247.10 $247.10 C STEPPED ON PITCHFORK - RIGHT FOOT WC 8000900002227 M 1/15/1991 $0.00 $0.00 $0.00 C BACK PAIN WHEN PULLING UP THE POSTHOLE DIGGER Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss LIMB STRUCK CLM'T IN FACE; FX NOSE, BLACK EYE AND WC 8000900002228 M 1/24/1991 $0.00 $748.12 $748.12 C LACERATEDCHEEK WC 8000900002229 M 2/5/1991 $0.00 $433.39 $433.39 C SPRAINED RIGHT FOOT WC 8000900002230 M 2/6/1991 $0.00 $336.09 $336.09 C FOREIGN PARTICLE IN LEFT EYE WC 8000900002231 LT 2/6/1991 $0.00 $6,225.33 $6,225.33 C JAMMED R. WRIST IN ANIMAL CAGES WC 8000900002232 M 2/12/1991 $0.00 $0.00 $0.00 C INJURED LEFT LEG WHEN FELL FROM PLATFORM WC 8000900002233 M 2/15/1991 $0.00 $0.00 $0.00 C PAIN IN RIGHT WRIST WC 8000900002234 M 2/20/1991 $0.00 $1,029.00 $1,029.00 C DRIVING TRUCK HURT NECK CLAIMANT TWISTED LEFT KNEE GETTING DOWN FROM WC 8000900002235 LT 2/9/1991 $0.00 $9,565.13 $9,565.13 C CELL BARS WC 8000900002236 M 2/25/1991 $0.00 $345.00 $345.00 C MOVED PARTITION AND PULLED R. SHOULDER WC 8000900002237 M 3/3/1991 $0.00 $142.10 $142.10 C HANDLING VIOLENT INMATE AND R. LEG WAS HURT WC 8000900002239 M 3/8/1991 $0.00 $1,148.25 $1,148.25 C WHILE LOADING MOTORCYCLE FELT PAIN IN BACK WC 8000900002240 M 3/5/1991 $0.00 $378.52 $378.52 C HAMMER HIT R. HAND AND W. WRIST WC 8000900002241 M 3/8/1991 $0.00 $420.55 $420.55 C MVA-NECK STRAIN WC 8000900002243 M 3/15/1991 $0.00 $0.00 $0.00 C CUT R. LEG ON PROTRUDING SHARP CORNER WC 8000900002244 M 3/14/1991 $0.00 $165.25 $165.25 C LIFTING TELEPHONE POLES AND HURT BACK WC 8000900002245 M 3/22/1991 $0.00 $122.58 $122.58 C MOVING LUMBER AND TWISTED L. ANKLE WC 8000900002246 LT 3/29/1991 $0.00 $2,296.15 $2,296.15 C MVA-WHIPLAS, LEFT LEG WC 8000900002247 M 4/1/1991 $0.00 $144.00 $144.00 C STEPPED DOWN FROM DOZER AND WRENCH R. KNEE WC 8000900002249 M 4/9/1991 $0.00 $0.00 $0.00 C SMASHED FINGER IN IRON GATE WC 8000900002250 LT 3/29/1991 $0.00 $37,610.49 $37,610.49 C PULLED BACK MOVING TABLES WC 8000900002251 M 4/8/1991 $0.00 $439.73 $439.73 C SPRAINED ANKLE STEPPING DOWN FROM CURB WC 8000900002252 M 4/17/1991 $0.00 $755.77 $755.77 C K9 JERKED L. HAND AND ARM WC 8000900002254 M 4/29/1991 $0.00 $396.82 $396.82 C JAMMED L. THUMB ON DRUM WC 8000900002259 M 5/15/1991 $0.00 $98.50 $98.50 C DROPPED CHAIR ON L. FOOT WC 8000900002260 M 5/23/1991 $0.00 $118.00 $118.00 C MOVING TREE LOGS AND HURT BACK WC 8000900002261 M 4/6/1991 $0.00 $1,413.30 $1,413.30 C FELL OFF BOAT, HURT LEFT LEG WC 8000900002263 M 6/1/1991 $0.00 $350.75 $350.75 C TWISTED BACK TRYING TO PREVENT FALL WC 8000900002264 M 5/25/1991 $0.00 $0.00 $0.00 C HIT HAND ON STARTER LEVER WC 8000900002266 M 6/8/1991 $0.00 $434.25 $434.25 C 25 LB. UMBRELLA STRUCK BACK WC 8000900002267 M 6/10/1991 $0.00 $0.00 $0.00 C VEHICLE RAN OVER FOOT AND HE TWISTED BACK WC 8000900002269 LT 6/12/1991 $0.00 $38,168.04 $38,168.04 C PULLED BACK LIFTING BAG OF CONCRETE WC 8000900002270 M 6/20/1991 $0.00 $0.00 $0.00 C STEPPED ON NAIL ON R. FOOT WC 8000900002271 M 6/7/1991 $0.00 $433.50 $433.50 C GRINDER JUMPED AND CUT LEG WC 8000900002272 M 6/14/1991 $0.00 $545.64 $545.64 C CLIMBING OUT OF TRUCK STRUCK R. KNEE WC 8000900002273 M 6/16/1991 $0.00 $19.80 $19.80 C CAT BITE TO L. THIGH AND HANDS WC 8000900002274 M 6/26/1991 $0.00 $58.16 $58.16 C WHILE WEEDING, SOMETHING WENT INTO R. EYE WC 8000900002275 M 6/21/1991 $0.00 $0.00 $0.00 C PROCESSING PAPERS AND HURT L. ARM LOST FOOTING ON STAIRS AND PULLED ON RAIL - CHEST WC 8000900002276 M 4/11/1991 $0.00 $654.25 $654.25 C PAIN WC 8000900002277 M 6/19/1991 $0.00 $6,592.23 $6,592.23 C TWISTED LEFT KNEE IN TACTICS CLASS WC 8000900002278 LT 6/26/1991 $0.00 $3,509.51 $3,509.51 C PULLED BACK STEPPING DOWN FROM TRUCK WC 8000900002279 M 6/29/1991 $0.00 $0.00 $0.00 C ARRESTING SUBJECT INJURED L. ELBOW WC 8000900002280 M 7/8/1991 $0.00 $0.00 $0.00 C DEMONSTRATING TECHNIQUE AND STRAINED SHOULDER WC 8000900002281 M 7/6/1991 $0.00 $368.74 $368.74 C TRIPPED OVER DOG AND HURT KNEE WC 8000900002282 M 7/2/1991 $0.00 $324.32 $324.32 C VEHICLE ACCIDENT WC 8000900002283 M 6/28/1991 $0.00 $0.00 $0.00 C VEHICLE ACCIDENT Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss WC 8000900002284 LT 7/1/1991 $0.00 $64,004.09 $64,004.09 C QUESTIONABLE -- INHALATION OF INSECTICIDES

WC 8000900002286 M 1/31/1991 $0.00 $0.00 $0.00 C KNOCKING A CEILING AND INJURED L. ARM AND SHOULDER WC 8000900002287 M 7/8/1991 $0.00 $0.00 $0.00 C AGGRAVATED LEFT KNEE WC 8000900002288 M 7/17/1991 $0.00 $558.76 $558.76 C MOWER DECK FELL ON CHEST WC 8000900002289 M 6/5/1991 $0.00 $67.00 $67.00 C SLIP & FALL, SPRAINED RT WRIST LEFT HAND CUT BY SHOVEL / LACERATIONS OF TWO WC 8000900002290 LT 7/3/1991 $0.00 $42,907.71 $42,907.71 C FINGERS WC 8000900002291 M 7/26/1991 $0.00 $510.49 $510.49 C CUT LEFT RING FINGER TRYING TO BREAK UP A FIGHT BETWEEN INMATES STRUCK WC 8000900002292 M 7/10/1991 $0.00 $1,271.00 $1,271.00 C IN R. EYE(HAS A GLASS EYE) WC 8000900002293 M 6/27/1991 $0.00 $0.00 $0.00 C EXPOSURE TO HUMAN BLOODAIDS TESTING WC 8000900002294 M 7/29/1991 $0.00 $160.55 $160.55 C DOG BITE WC 8000900002295 M 7/27/1991 $0.00 $35.50 $35.50 C EXPOSURE TO HUMAN BLOOD WC 8000900002296 M 7/30/1991 $0.00 $0.00 $0.00 C DOGBITE WC 8000900002297 LT 8/1/1991 $0.00 $2,895.51 $2,895.51 C FELL DOWN STEPS, LEFT ANKLE WC 8000900002298 M 7/26/1991 $0.00 $372.76 $372.76 C SUBDUED INMATE AND HURT EYE WC 8000900002299 M 7/26/1991 $0.00 $280.64 $280.64 C STRUCK L. ELBOW ON FLOOR WC 8000900002300 M 7/26/1991 $0.00 $468.74 $468.74 C HANDCUFFING INMATES AND HURT L. ARM WC 8000900002301 M 7/27/1991 $0.00 $87.37 $87.37 C HURT KNEE SQUATTING ALL DAY WC 8000900002302 M 7/18/1991 $0.00 $86.25 $86.25 C POISON IVY VEHICLE ACCIDENT INVOLVING OIL SPILL ON ROAD, WC 8000900002303 M 7/26/1991 $0.00 $313.93 $313.93 C BUMPED HEAD ONVISOR WC 8000900002304 M 8/8/1991 $0.00 $0.00 $0.00 C STRUGGLE WITH COMBATIVE SUBJECT WC 8000900002305 M 8/13/1991 $0.00 $259.35 $259.35 C HIT R.ARM ON SOCKET WC 8000900002307 M 5/10/1991 $0.00 $163.20 $163.20 C CAUGHT L. FINGER ON SWINGING DOOR OF MED. CHART WC 8000900002308 M 8/12/1991 $0.00 $126.55 $126.55 C SCRATCHES ON HAND AND CUT FOOT RESPONDING TO ROIT AND HIT ANOTHER SHERIFF'S WC 8000900002310 M 8/16/1991 $0.00 $0.00 $0.00 C VEHICLE TWISTING TO PICK UP GUN BELT IN CAR AND TWISTED WC 8000900002311 M 8/30/1991 $0.00 $0.00 $0.00 C BACK WC 8000900002312 M 9/2/1991 $0.00 $0.00 $0.00 C SLAMMED L. ELBOW IN VAN DOOR WC 8000900002313 M 8/30/1991 $0.00 $0.00 $0.00 C STRUCK BY ANOTHER VEHILCE WC 8000900002314 M 9/3/1991 $0.00 $317.68 $317.68 C SLIPPED OFF TRACTOR AND INJURED BACK WC 8000900002315 M 9/17/1991 $0.00 $43.67 $43.67 C GUN POWDER BURN TO L. ARM WC 8000900002316 M 9/16/1991 $0.00 $935.50 $935.50 C LOADING SAFE AND HURT BACK, NECK AND SHOULDER WC 8000900002317 M 9/13/1991 $0.00 $0.00 $0.00 C VEHICLE ACCIDENT AND INJURED NECK WC 8000900002318 M 9/16/1991 $0.00 $84.50 $84.50 C SLIPPED ON TILE FLOOR AND TWISTED L. ANKLE WC 8000900002319 M 9/11/1991 $0.00 $124.78 $124.78 C CUT FINGER ON MACHETE WC 8000900002320 M 9/24/1991 $0.00 $43.45 $43.45 C STAPLED FINGER WC 8000900002321 M 9/19/1991 $0.00 $34.75 $34.75 C FIBERGLASS TRAY GOT SLIVERS ON R. ARM WC 8000900002322 M 9/18/1991 $0.00 $0.00 $0.00 C VEHICLE ACCIDENT WC 8000900002323 M 9/26/1991 $0.00 $83.43 $83.43 C STEPPED ON NAIL AND PUNCTURED L. FOOT WC 8000900002324 LT 9/25/1991 $0.00 $13,927.02 $13,927.02 C HERNIA WC 8000900002331 M 9/19/1991 $0.00 $238.25 $238.25 C GOING FROM ON LEVEL WALK TO LOWER WALKWAY WC 8000900002332 M 9/26/1991 $0.00 $268.29 $268.29 C L. ARM FORCED AGAINST BARS WC 8000900003924 M 8/16/1991 $0.00 $0.00 $0.00 C STRUCK BY ANOTHER SHERIFF'S VEHICLE WC 8000910002327 M 10/8/1991 $0.00 $423.19 $423.19 C DISCONNECTING TRAILER AND TONGUE FELL ON FINGER Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss WC 8000910002328 M 10/7/1991 $0.00 $752.95 $752.95 C RESTRAINING INDIVIDUAL AND HURT BACK AND LEG WC 8000910002329 M 10/11/1991 $0.00 $74.10 $74.10 C BITTEN BY SPIDER WC 8000910002330 M 10/12/1991 $0.00 $355.25 $355.25 C DURING TRAINING HURT BACK WC 8000910002333 M 10/10/1991 $0.00 $0.00 $0.00 C SPRING CAUGHT FINGER WC 8000910002334 M 10/11/1991 $0.00 $48.00 $48.00 C LEAD OF HORSE STRUCK L. AHDN WC 8000910002335 M 10/16/1991 $0.00 $83.43 $83.43 C DOG BITE ON R. ARM PUSHED PIECE OF WOOD INTO TRUCK AND INJURED BACK WC 8000910002336 M 10/14/1991 $0.00 $1,233.25 $1,233.25 C AND SHOULDER WC 8000910002339 LT 10/25/1991 $0.00 $4,568.86 $4,568.86 C PULLING A TARP INJURED NECK AND SHOULDER WC 8000910002340 M 10/30/1991 $0.00 $1,132.84 $1,132.84 C CUT AND SPRAINED R. HAND ON MIXER WC 8000910002341 LT 10/28/1991 $0.00 $44,965.87 $44,965.87 C WHILE STRIPPING FLOOR, INJURED BACK WC 8000910002342 M 11/13/1991 $0.00 $993.50 $993.50 C MOVING FILE CABINET AND INJURED BACK WC 8000910002345 M 11/14/1991 $0.00 $790.03 $790.03 C SPRAINED R. FOOT JUMPING WC 8000910002346 M 11/21/1991 $0.00 $377.07 $377.07 C MOVING CEMENT POSTS AND FINGER GOT STUCK WC 8000910002347 M 11/24/1991 $0.00 $0.00 $0.00 C SPILLED HOT COFFEE ON HAND WC 8000910002349 M 12/3/1991 $0.00 $0.00 $0.00 C MOVING TABLE AND IT STRUCK L. TOE WC 8000910002351 M 12/10/1991 $0.00 $162.22 $162.22 C DOG BITE TO L. HAND WC 8000910002352 M 12/16/1991 $0.00 $27.75 $27.75 C TICK BITE ON LEFT KNEE WC 8000910002353 M 11/27/1991 $0.00 $1,296.55 $1,296.55 C FELL BETWEEN TRUCK & DOCK - L. KNEE WC 8000910002354 M 1/3/1992 $0.00 $249.27 $249.27 C CUT R. FINGER ON GLASS WC 8000910002356 M 1/23/1992 $0.00 $242.00 $242.00 C PICKING UP BOXES AND HURT BACK WC 8000910002358 M 1/22/1992 $0.00 $0.00 $0.00 C HURT BACK UNLOADING SOD FROM TRUCK WC 8000910002359 M 1/21/1992 $0.00 $270.25 $270.25 C UNLOADING SIGNS AND SMASHED FINGER WC 8000910002360 M 1/13/1992 $0.00 $292.00 $292.00 C SLIPPED ON FLOOR AND TWISTED BACK WC 8000910002361 M 1/30/1992 $0.00 $300.16 $300.16 C PICKING UP BAG INJURED R. SHOULDER WC 8000910002364 M 2/13/1992 $0.00 $35.00 $35.00 C OPENING GATE AND IT FELL ON ELBOW WC 8000910002365 M 2/8/1992 $0.00 $1,151.75 $1,151.75 C PULLED LEFT SHOULDER LIFTING WC 8000910002366 LT 2/12/1992 $0.00 $14,717.82 $14,717.82 C TWISTED LEFT KNEE WHEN STEPPED IN POTHOLE WC 8000910002367 M 2/17/1992 $0.00 $60.37 $60.37 C SEVERE HEADACHE - INHALATION OF CARBON MONIXIDE WC 8000910002368 M 2/21/1992 $0.00 $483.06 $483.06 C STRAINED ARM WHILE LARVICIDING WC 8000910002369 M 2/19/1992 $0.00 $199.34 $199.34 C DROPPED SIGN ON TOE WC 8000910002371 M 2/23/1992 $0.00 $20.00 $20.00 C RINGWORM ON FOREHEAD WC 8000910002372 M 1/24/1992 $0.00 $259.14 $259.14 C BREAKING UP FIGHT AND HURT R. ELBOW WC 8000910002373 M 2/22/1992 $0.00 $1,285.75 $1,285.75 C PRESSED HARD ON DOOR AND HURT LOWER BACK WC 8000910002374 M 3/3/1992 $0.00 $298.93 $298.93 C METAL FLEW OUT & HIT ARM WC 8000910002375 M 2/26/1992 $0.00 $599.97 $599.97 C TURNED ANKLE IN HOLE ON FRONT LAWN OF JAIL ARRESTING SUBJECT, BECAME COMBATIVE AND KICKED WC 8000910002376 M 3/3/1992 $0.00 $88.70 $88.70 C GROIN WC 8000910002378 M 3/16/1992 $0.00 $0.00 $0.00 C HURT R.HAND ON CRACK OF TRAILER WC 8000910002379 M 2/28/1992 $0.00 $1.50 $1.50 C SPIDER BITE --- CONTROVERTED WC 8000910002381 M 3/9/1992 $0.00 $565.00 $565.00 C STEPPED ON GUARD RAIL INJURED L. HIP WC 8000910002382 M 3/17/1992 $0.00 $166.75 $166.75 C SLIPPED ON PLANK AND JAMMED THUMB ON DOOR WC 8000910002383 M 3/29/1992 $0.00 $30.00 $30.00 C BITTEN AT CORNER OF EYE BY INSECT WC 8000910002384 M 3/27/1992 $0.00 $51.34 $51.34 C WRENCH BOLT SPUN AND HIT FINGER WC 8000910002385 M 4/3/1992 $0.00 $302.99 $302.99 C BURNS TO FACE WC 8000910002388 M 4/9/1992 $0.00 $257.19 $257.19 C FALL OFF CHAIR ONTO GROUND, LANDING ON BACK WC 8000910002389 M 4/23/1992 $0.00 $122.92 $122.92 C WHILE TRAINING FOR SWAT TEAM INJURED GROIN Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss EATING A PREPARED BY STAFF SANDWICH - BROKE WC 8000910002390 M 4/21/1992 $0.00 $295.00 $295.00 C TOOTH WC 8000910002391 M 4/7/1992 $0.00 $87.00 $87.00 C HIT MOUTH WITH CROW BAR WC 8000910002392 M 5/7/1992 $0.00 $59.40 $59.40 C KNIFE SLIPPED & CUT L. HAND WC 8000910002393 M 5/15/1992 $0.00 $61.00 $61.00 C CUT INDEX FINGER OF L. HAND WITH RAZOR WC 8000910002394 M 5/7/1992 $0.00 $306.50 $306.50 C WHILE ATTEMPING AN ARREST INJURED LOWER BACK PULLED SOMETHING IN LOWER BACK WHEN SLIPPED ON WC 8000910002395 M 5/8/1992 $0.00 $807.00 $807.00 C STEP WC 8000910002396 M 5/4/1992 $0.00 $506.37 $506.37 C MVA INJURED LEFT KNEE AFTER 2 DAYS OF TRAINING FOR WC 8000910002397 LT 4/23/1992 $0.00 $1,906.46 $1,906.46 C SWAT TEAM WC 8000910002398 M 5/15/1992 $0.00 $45.62 $45.62 C BREAKING OUT ON L. ARM WC 8000910002399 M 5/21/1992 $0.00 $169.18 $169.18 C BUG STRUCK L. EYE WC 8000910002400 M 5/26/1992 $0.00 $20,899.91 $20,899.91 C GROIN INJURY - QUESTIONABLE, PRIOR HERNIA WC 8000910002401 M 5/5/1992 $0.00 $167.40 $167.40 C HORSE STRUCK R. FOOT WC 8000910002402 M 6/1/1992 $0.00 $173.37 $173.37 C SLIPPED AND STRUCK PICKET WITH ABDOMEN WC 8000910002404 M 4/20/1992 $0.00 $710.84 $710.84 C CONTACT DERMATITIS DUE TO HANDLING MAIL (INK) LIGHTING STRIKE THROUGH TELEPHONE LINE RINGING IN WC 8000910002405 M 6/15/1992 $0.00 $190.75 $190.75 C EAR WC 8000910002407 M 6/8/1992 $0.00 $41.07 $41.07 C RACCOON BITE THROUGH CAGE WC 8000910002408 M 6/11/1992 $0.00 $36.12 $36.12 C CUTTING CENTURY CACTUS AND SAP SPRAYED ON ARMS CHASING DRUG SUSPECT AND TRIPPED AND FELL ON WC 8000910002409 M 5/31/1992 $0.00 $365.01 $365.01 C HAND WC 8000910002410 M 6/6/1992 $0.00 $250.77 $250.77 C PRESSED EXTREMELY HARD ON BUTTON OF FLASH LIGHT EXITING VEHICLE, RIGHT FOOT GAVE CAUGHT WEIGHT ON LEFT FOOTHEARD A POPPING NOISE FROM LEFT FOOT WC 8000910002411 LT 6/21/1992 $0.00 $856.70 $856.70 C PAIN AND SWELLINGOF SAME WC 8000910002412 LT 5/28/1992 $0.00 $74,568.74 $74,568.74 C LIFTING TRASH BAG PULLED BACK WC 8000910002413 M 6/10/1992 $0.00 $2,066.00 $2,066.00 C VEHICLE ACCIDENT INJURY TO R. ANKLE WC 8000910002414 M 6/20/1992 $0.00 $0.00 $0.00 C EXPOSURE TO TB WC 8000910002416 M 6/19/1992 $0.00 $175.47 $175.47 C ANSWERED DISTURBANCE AND GLASSES WERE BROKEN WC 8000910002417 M 4/23/1992 $0.00 $204.75 $204.75 C CUT R. PALM ON FENCE WC 8000910002418 LT 6/23/1992 $0.00 $183.78 $183.78 C BATTERING RAM STRUCK DEPUTY ON LEFT FOOT WC 8000910002419 LT 6/26/1992 $0.00 $38,542.37 $38,542.37 C REPETITIVE LIFTING OF ANIMALS WALKING DOWN LINER WITH PIPES, LOST BALANCE AND FELL LUMBARSTRAIN/SPRAIN WITH WC 8000910002420 LT 6/25/1992 $0.00 $1,436.52 $1,436.52 C CERVICALHYPERFLEXION EXTENSION INJURY WC 8000910002422 M 6/24/1992 $0.00 $274.12 $274.12 C SLIPPED OUT OF CHAIR AND HURT BACK WC 8000910002423 M 6/21/1992 $0.00 $149.94 $149.94 C INMATE SCRATCHED R. EYE WC 8000910002424 M 6/25/1992 $0.00 $1,005.06 $1,005.06 C SHOCKED BY ELECTRONIC DOOR WC 8000910002425 M 7/2/1992 $0.00 $165.25 $165.25 C REACHING OVER A COUNTER AND HURT PAIN IN BACK WC 8000910002426 M 7/3/1992 $0.00 $221.12 $221.12 C WHILE PUSHING DOOR INJURED L. LOWER QUAD WC 8000910002427 M 7/5/1992 $0.00 $0.00 $0.00 C GETTING INTO VEHICLE TWISTED BACK WC 8000910002428 M 7/5/1992 $0.00 $0.00 $0.00 C EXPOSED TO BLOOD WC 8000910002429 M 7/9/1992 $0.00 $75.85 $75.85 C CLEANING FIXTURES AND FINGER WAS CUT ON METAL RIM WC 8000910002430 M 7/7/1992 $0.00 $165.76 $165.76 C SLIPPED ON STEPS FELL ON R. ELBOW WC 8000910002431 LT 7/16/1992 $0.00 $147,142.77 $147,142.77 C INJURY TO BACK WHILE STRUGGLING WITH INMATE WC 8000910002433 LT 7/15/1992 $0.00 $808.86 $808.86 C DROPPED ASPHALT ON BIG TOE ON RIGHT FOOT Claim LOB Claim Date of Outstanding Claim Code Claim Number Type Injury/Loss Reserve Sum Paid Sum Incurred Sum Status Description of Injury/Loss WC 8000910002434 M 7/21/1992 $0.00 $706.47 $706.47 C HEAD ON VEHICLE ACCIDENT WC 8000910002435 M 4/22/1992 $0.00 $55.88 $55.88 C DIVING IN POLLUTED WATERS WC 8000910002436 M 7/28/1992 $0.00 $209.07 $209.07 C HEEL CAUGHT ON STAIR TREAD AND HURT R. KNEE WC 8000910002437 M 7/24/1992 $0.00 $110.75 $110.75 C DRIVING POSTS INJURED BACK WC 8000910002438 LT 7/28/1992 $0.00 $1,129.04 $1,129.04 C SLIP AND FALL BACK STRAIN WC 8000910002439 M 8/1/1992 $0.00 $1,130.60 $1,130.60 C FELL FROM CHAIR - CAUGHT FOOT IN DRESS WC 8000910002440 M 8/5/1992 $0.00 $240.45 $240.45 C DURING TRAINING HIT WALL AND HURT SHOULDER WC 8000910002441 M 8/5/1992 $0.00 $347.72 $347.72 C SPRAINED L. WRIST DURING TRAINING WC 8000910002442 M 8/7/1992 $0.00 $386.38 $386.38 C GOING DOWN STAIRS AND SLIPPED AND FELL INMATE SLIPPED AND SLID INTO CLMT CAUSING CLMT TO WC 8000910002443 M 8/9/1992 $0.00 $63,091.92 $63,091.92 C FALL AND HURT BACK, NECK AND RIGHT SHOULDER WC 8000910002444 LT 8/11/1992 $0.00 $20,039.07 $20,039.07 C LIFTING-BACK STRAIN/SPRAIN WC 8000910002445 M 8/12/1992 $0.00 $1,229.70 $1,229.70 C BENT OVER TO REMOVE GARBAGE AND HURT BACK WC 8000910002446 LT 8/21/1992 $0.00 $5,314.74 $5,314.74 C LIFTIN