Report_Acme_General liability.xlsx

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1	LOB	PolicyNumber	Policy#Suffix	PolicyId	EffectiveDate	ExpirationDate	CancellationDate	DeductibleAmount	InsuredName	BrokerName	ClaimNumber	ClaimantStatus	LossDate	LossDescription	LossTypeDesc	LossLocation	AdjusterName	OccupationClassCd	ResultingInjuryDesc	PartInjuredDesc	StateOfJurisdiction	ClosedDate	ReopenedDate	ReportedDate	IndemnityReserves	IndemnityPayments	IndemnityRecoveries	IndemnityIncurred	MedicalReserves	MedicalPayments	MedicalRecoveries	MedicalIncurred	LossReserves	LossPayments	LossRecoveries	LossIncurred	LegalReserves	LegalPayments	LegalRecoveries	LegalIncurred	ExpenseReserves	ExpensePayments	ExpenseRecoveries	ExpenseIncurred	OtherReserves	OtherPayments	OtherRecoveries	OtherIncurred	TotalReserves	TotalPayments	TotalRecoveries	TotalIncurred	ClaimantName	ClaimantDOB	ClaimantHireDate	ClaimantSex	ClaimantDepartment	DateFirstAware	Valuation_Date	Carrier	Delay in Claim Reporting to Carrier (In Days)	Cause - Hierarchy 1	Cause - Hierarchy 2
2	General Liability	TB269146567502	TB	269146567502	05/01/19				Acme		P 22017163501	Closed	06/20/19	OUR INSURED WAS LIFTING A BEAM WHEN IT SLIPPED OFF THE FORKLIFT AND HIT A PARKED CAR	General Liability	999999 - UNKNOWN LOCATION					CA	07/25/19	07/10/19	06/24/19										3061.26		3061.26					0	0		0					0	3061.26	0	3061.26	RANDOLPH,LISA						02/05/24	Acme Insurance	4	Struck or Injured by	Falling/Flying object
3	General Liability	TB269146567502	TB	269146567502	05/01/19				Acme		P 22017428301	Closed	09/10/19	HYDRAULIC HOSE FITTING FAILURE OCCURRED, SPRAYING HYDRAULIC OIL WHICH BECAME AIRBORNE COVERING MULTIPLE PARKED CARS NEARBY.	General Liability	999999 - UNKNOWN					CA	10/08/20	10/08/20	09/11/19										1697.25		1697.25					0	0		0					0	1697.25	0	1697.25	THURMAN, HENRY A						02/05/24	Acme Insurance	1	Operations	On or Above Ground Damage
4	General Liability	TB269146567502	TB	269146567502	05/01/19				Acme		P 94937122701	Closed	05/02/19	CLAIMANT ALLEGES CONSTRUCTION DEFECT	General Liability	999999 - UNKNOWN LOCATION					CA	11/19/21		01/20/21																	0	0		0					0	0	0	0	BRENTWOOD SCHOOL (AI - DEL AMO)						02/05/24	Acme Insurance	629	Construction defect	Construction defect
5	General Liability	TB269146567502	TB	269146567502	05/01/19				Acme		P 94937122901	Closed	05/03/19	CLT ALLEGES CONSTRUCTION DEFECT	General Liability	999999 - UNKNOWN LOCATION					CA	05/09/22		01/21/21										0		0					0	26037.66		26037.66					0	26037.66	0	26037.66	BRENTWOOD SCHOOL (NI)						02/05/24	Acme Insurance	629	Construction defect	Construction defect
6	General Liability	TB269146567502	TB	269146567502	05/01/19				Acme		P 96108764201	Closed	01/09/20	LAWSUIT/CASE 20STCV25621 - CLAIMANT ALLEGES CONSTRUCTION DEFECT	General Liability	999999 - UNKNOWN LOCATION					CA	01/31/24		03/24/21										5000		5000					0	9281.3		9281.3					0	14281.3	0	14281.3	PINNER CONSTRUCTION (NI)						02/05/24	Acme Insurance	440	Construction defect	Construction defect
7	General Liability	TB269146567502	TB	269146567502	05/01/19				Acme		P 22021843101	Open	06/25/19	LAWSUIT/CASE # 23SMCV02605 PROPERTY OWNER, ROBERT ROZANSKI (PLAINTIFF), CLAIMS THAT VIBRATIONS AND CONSTRUCTION WORK IN AND AROUND THEIR PROPERTY	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA			12/29/23																	0	0		0					0	0	0	0	ROZANSKI,ROBERT						02/05/24	Acme Insurance	1648	Operations	On or Above Ground Damage
8	General Liability	TB269146567502_1	TB	269146567502	05/01/20				Acme		P 22018427101	Closed	06/09/20	THIRD PARTY HEAVY EQUIPMENT HAULER CAUSED A LARGE CRANE TO OVERTURN RESULTING IN INJURY TO INSURED EE (LIBERTY WC#: WC608-E59958) AND DAMAGE	General Liability	999999 - UNKNOWN LOCATION					CA	01/29/21		08/25/20																	0	0		0					0	0	0	0	ARB UNDERGROUND						02/05/24	Acme Insurance	77	Operations	On or Above Ground Damage
9	General Liability	TB269146567502_1	TB	269146567502	05/01/20				Acme		P 22018435101	Closed	08/21/20	AN UNKNOWN FEMALE SAYS SHE TRIPPED AND FELL OVER THE WOOD BLOCKS, CAUSING A TEAR IN HER PANTS UNKNOWN IF ANY INJURY	General Liability	999999 - UNKNOWN LOCATION					OR	10/28/20		08/28/20																	0	0		0					0	0	0	0	UNK,UNK						02/05/24	Acme Insurance	7	Fall, Slip or Trip Injury	On Same Level
10	General Liability	TB269146567502_1	TB	269146567502	05/01/20				Acme		P 22018525001	Closed	09/28/20	THE DRILLING CREW HIT AN UNDERGROUND POWER LINE WHILE DRILLING WITH A KLEMM WHILE DRILLING SOIL NAILS FOR TEMPORARY PILE SHORING WALL	General Liability	?????? - INVALID LOCATION					CA	11/22/23	09/22/23	09/30/20																	0	0		0					0	0	0	0	EMERSON CONSTRUCTION INC.						02/05/24	Acme Insurance	2	Breakage/Rupture	Breakage/Rupture
11	General Liability	TB269146567502_1	TB	269146567502	05/01/20				Acme		P 22018661701	Closed	11/10/20	WHILE ATTEMPTING TO INSTALL DRILL CASING IN DRY WELL B-3 THE CASING ENTERED OUT OF PLUMB ALEX RAMIREZ (OPERATOR) ATTEMPTED TO RETRACT THE CASING	General Liability	?????? - INVALID LOCATION					CA			11/18/20																	0	0		0					0	0	0	0	CONDON JOHNSON						02/05/24	Acme Insurance	8	Operations	On or Above Ground Damage
12	General Liability	TB269146567502_1	TB	269146567502	05/01/20				Acme		P 22018525002	Open	09/28/20	THE DRILLING CREW HIT AN UNDERGROUND POWER LINE WHILE DRILLING WITH A KLEMM WHILE DRILLING SOIL NAILS FOR TEMPORARY PILE SHORING WALL	General Liability	?????? - INVALID LOCATION					CA			09/30/20																	0	0		0					0	0	0	0	SDGE - SAN						02/05/24	Acme Insurance	2	Breakage/Rupture	08 - Breakage/Rupture
13	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22019839401	Closed	01/25/22	WHILE DRILLING ON THE PROJECT, THE INSURED HIT A UTILITY PIPE SEE ATTACHED PHOTOS	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA	06/22/22		01/27/22																	0	0		0					0	0	0	0	HIGHLAND						02/05/24	Acme Insurance	2	Operations	On or Above Ground Damage
14	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22019958801	Closed	03/02/22	LARRY TAYLOR - CLIENT FORKLIFT OPERATOR BACKED INTO VEHICLE AND CAUSED REAR DAMAGE TO THE OTHER PARTY ESTIMATE OF REPAIR IS OVER $4000	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA	03/30/22		03/11/22										4061.75		4061.75					0	0		0					0	4061.75	0	4061.75	INC ., TAYLOR GROUP						02/05/24	Acme Insurance	9	Motor Vehicle	Collision with a stationary vehicle
15	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22019998701	Closed	03/10/22	WHEN DRILLING MICRO PILE #59 AT 6FT DOWN STRUCK A CLAIMANTS WATER LINE	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA	05/10/23		03/23/22																	0	0		0					0	0	0	0	SAN DIEGO WATER						02/05/24	Acme Insurance	13	Operations	Underground Damage
16	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22020018501	Closed	03/11/22	INSURED WAS DRILLING A WALL WITH AN AIR HAMMER WHEN PRESSURE BUILT UP AND ROCKS FLEW OUT OF A PREVIOUS DRILLED HOLE, CAUSING DAMAGE TO MULTIPLE VEH	General Liability	SAN-DIEGO - SAN DIEGO LEMON GROVE CA					CA	01/09/23	01/09/23	03/30/22										9983.57		9983.57					0	0		0					0	9983.57	0	9983.57	MURPHY, TAMARA						02/05/24	Acme Insurance	19	Operations	On or Above Ground Damage
17	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22020062001	Closed	04/10/22	CLAIMANT IS ALLEGING THAT THE CLIENT S GROUTING WORK MAY HAVE CAUSED A BLOCKAGE IN AN EXISTING 10 SANITARY SEWER LINE THE CLIENT DISPUTES THIS	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA	08/05/22		04/15/22																	0	0		0					0	0	0	0	GC VADNAIS TRENCHLESS SERVICES						02/05/24	Acme Insurance	5	Operations	Underground Damage
18	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22020076201	Closed	04/10/22	CLAIMANT IS ALLEGING THAT THE CLIENT S GROUTING WORK MAY HAVE CAUSED A BLOCKAGE IN AN EXISTING 10 SANITARY SEWER LINE THE CLIENT DISPUTES THIS	General Liability	LOS-ANGELES - LOS ANGELES RIALTO CA					CA	04/22/22		04/21/22																	0	0		0					0	0	0	0	GC VADNAIS TRENCHLESS SERVICE						02/05/24	Acme Insurance	11	Operations	On or Above Ground Damage
19	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22020170701	Closed	04/18/22	CLAIMANT HOMEOWNERS WALL WAS DAMAGED WHILE WE WERE MOVING CONEX BOX	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA	08/30/22	06/13/22	05/25/22										20706.39		20706.39					0	9.75		9.75					0	20716.14	0	20716.14	MONTANO,ANTONIO						02/05/24	Acme Insurance	37	Struck or Injured by	Object Being Lifted or Handled
20	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22020267401	Closed	07/22/21	CLAIMANT BEING ALLEGED TO HYDRAULIC LINE	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA	09/01/22		06/29/22										5914.96		5914.96					0	0		0					0	5914.96	0	5914.96	WILLIAMS, CAMILLE						02/05/24	Acme Insurance	342	Misc	Misc
21	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22020267402	Closed	07/22/21	CLAIMANT BEING ALLEGED TO HYDRAULIC LINE	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA	07/20/22		06/29/22																	0	0		0					0	0	0	0	JOSHUA MCGINLEY, RODNEY TRICE						02/05/24	Acme Insurance	342	Misc	Misc
22	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22020536901	Closed	04/14/22	INSURED CAUSED DAMAGE TO CLAIMANTS PROPERTY	General Liability	SAN-DIEGO - SAN DIEGO LEMON GROVE CA					CA	12/01/22		10/03/22																	0	0		0					0	0	0	0	COX COMMUNICATIONS						02/05/24	Acme Insurance	172	Misc	Misc
23	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22020688801	Closed	03/28/22	UNDERGROUND PIPING WORK FROM OUR INSURED DAMAGED LOS ANGELES UNDERGROUND SEWAGE LINES	General Liability	LOS-ANGELES - LOS ANGELES RIALTO CA					CA			12/02/22																	0	0		0					0	0	0	0	CITY OF LOS ANGELES						02/05/24	Acme Insurance	249	Operations	Underground Damage
24	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22021277801	Closed	02/17/22	DURING A ROAD CONSTRUCTION PROJECT, INSURED MOVE SPOILS AND DEBRIS AND STACKED THEM UP AGAINST THE CLAIMANTS FENCE DAMAGING THE FENCE	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA	05/24/23		04/28/23										9740		9740					0	0		0					0	9740	0	9740	SUNG,WEN KAI						02/05/24	Acme Insurance	435	Misc	Misc
25	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 94938581901	Closed	05/19/22	CLAIMANT ALLEGES THAT THEY SUSTAINED CRACKS IN THEIR BACKYARD DUE TO VIBRATIONS FROM INSURED S CONSTRUCTION	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA	10/23/23	10/20/23	06/24/22										0		0					0	4781.25		4781.25					0	4781.25	0	4781.25	MONTANO,ANTONIO						02/05/24	Acme Insurance	36	Construction defect	Construction defect
26	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 96108778001	Closed	06/09/21	TRUEBECK CONSTRUCTION HAS NOTIFIED THE CLIENT THAT THE B2 SLAB IS UPLIFTING AND THE CAUSE SEEMS TO BE THAT THE FIELD PILES INSTALLED BY THE CLIENT	General Liability	999999 - UNKNOWN LOCATION					CA	03/08/23		06/25/21																	0	0		0					0	0	0	0	MDY PROPERTIES						02/05/24	Acme Insurance	16	Construction defect	Construction defect
27	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22019752101	Open	08/21/21	HENSEL PHELPS DISCOVERED THAT THE CLIENT HAD BREACHED THE CITY OF CALEXICO STORM DRAIN DURING THEIR INSTALLATION OF THE TOP ANCHORING TIEBACK	General Liability	999999 - UNKNOWN LOCATION					CA			12/21/21									1381001.5	618998.53		2000000					20713.23	29286.77		50000					1401714.7	648285.3	0	2050000	HENSEL PHELPS CONSTRUCTION CO.						02/05/24	Acme Insurance	122	Operations	On or Above Ground Damage
28	General Liability	TB269146567502_2	TB	269146567502	05/01/21				Acme		P 22020688802	Open	03/28/22	UNDERGROUND PIPING WORK FROM OUR INSURED DAMAGED LOS ANGELES UNDERGROUND SEWAGE LINES	General Liability	LOS-ANGELES - LOS ANGELES RIALTO CA					CA			12/02/22																	0	0		0					0	0	0	0	VADNAIS TRENCH						02/05/24	Acme Insurance	249	Operations	Underground Damage
29	General Liability	TB269146567502_3	TB	269146567502	05/01/22				Acme		P 22020186301	Closed	05/05/22	CLAIMANT AN INCIDENT AT A JOBSITE IN SAN DIEGO ON MAY 5 IT IS THE MARINA PUMP STATION PROJECT AND THE OWNER IS THE CITY OF SAN DIEGO THE CITY HAD	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA	08/25/22		05/31/22																	0	0		0					0	0	0	0	CITY OF SAN DIEGO						02/05/24	Acme Insurance	26	Misc	Misc
30	General Liability	TB269146567502_3	TB	269146567502	05/01/22				Acme		P 22020334801	Closed	06/24/22	CLAIMANT IS ALLEGING DUST CONTAMINATED HIS POOL AND REQUIRED ADDITIONAL CLEANING HE IS ALSO STATING THAT SLURRY MAY HAVE STRIPPED HIS POOL PAINT	General Liability	999999 - UNKNOWN LOCATION					CA	11/07/22		07/26/22																	0	0		0					0	0	0	0	MONTANO,ANTONIO						02/05/24	Acme Insurance	32	Misc	Misc
31	General Liability	TB269146567502_3	TB	269146567502	05/01/22				Acme		P 22020392201	Closed	08/11/22	INSURED HAD A HOSE FITTING BREAK, CAUSING POLYMER TO SHOOT ACROSS INTERSTATE 5 IN LOS ANGELES THERE WAS A 3 CAR ACCIDENT THAT OCCURRED AT APPROXIM	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA			08/12/22																	0	0		0					0	0	0	0	UNKNOWN, UNKNOWN						02/05/24	Acme Insurance	1	Misc	Misc
32	General Liability	TB269146567502_3	TB	269146567502	05/01/22				Acme		P 22020392202	Closed	08/11/22	INSURED HAD A HOSE FITTING BREAK, CAUSING POLYMER TO SHOOT ACROSS INTERSTATE 5 IN LOS ANGELES THERE WAS A 3 CAR ACCIDENT THAT OCCURRED AT APPROXIM	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA			08/12/22																	0	0		0					0	0	0	0	Operations						02/05/24	Acme Insurance	1	Misc	Misc
33	General Liability	TB269146567502_3	TB	269146567502	05/01/22				Acme		P 22020392203	Closed	08/11/22	INSURED HAD A HOSE FITTING BREAK, CAUSING POLYMER TO SHOOT ACROSS INTERSTATE 5 IN LOS ANGELES THERE WAS A 3 CAR ACCIDENT THAT OCCURRED AT APPROXIM	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA	05/15/23		08/12/22																	0	0		0					0	0	0	0	UNKNOWN, UNKNOWN						02/05/24	Acme Insurance	1	Misc	Misc
34	General Liability	TB269146567502_3	TB	269146567502	05/01/22				Acme		P 22020457001	Closed	08/29/22	THE INSURED WAS TRANSPORTING AN 8000LB/100KW GENERATOR ON THE FORKS OF A 744 LOADER, FROM THE DIG SITE TO THE LAY DOWN AREA (3 8 MILES) WHILE COMI	General Liability	999999 - UNKNOWN LOCATION					AK	04/11/23	03/03/23	09/02/22																	0	0		0					0	0	0	0	ALYESKA PIPELINE SERVICES						02/05/24	Acme Insurance	4	Operations	On or Above Ground Damage
35	General Liability	TB269146567502_3	TB	269146567502	05/01/22				Acme		P 22020745401	Closed	10/28/22	ALLEGEDLY BACK UP TO A SEWER LINE IN FRONT OF THE PROJECT WHERE THE INSURED IS WORKING UPON INSPECTION, IT APPEARS APPROXIMATELY 170 OF THE SEWER	General Liability	SEATTLE - SEATTLE KENT WA					WA	07/19/23		12/21/22																	0	0		0					0	0	0	0	SEATTLE PUBLIC UTILITIES						02/05/24	Acme Insurance	54	Operations	On or Above Ground Damage
36	General Liability	TB269146567502_3	TB	269146567502	05/01/22				Acme		P 22021574501	Open	08/02/22	CONCRETE SPLATTER ONTO STUCCO HOME ADJACENT TO INSURED WORKSITE	General Liability	OAKLAND - OAKLAND OAKLAND CA					CA			08/24/23									5000	0		5000					1000	0		1000					6000	0	0	6000	KIRK,NICOLETTE						02/05/24	Acme Insurance	387	Misc	Misc
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