MONTANA STATE GOVERNMENT
Transcript of MONTANA STATE GOVERNMENT
NUMBER OF CLAIMS
REQUESTED AMOUNT
INDEMNITYRESERVE AMOUNT
LOSSADJUSTMENT
EXPENSE
INDEMNITYEXPENSE
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
REPORT PARAMETERS
MONTANA STATE GOVERNMENTProperty Claims
LossDate from 07/01/2013 to 01/28/2019
Query Date
DEPARTMENT OF ADMINISTRATION
DEPARTMENT OF COMMERCE
DEPARTMENT OF CORRECTIONS
25
10
12
20,667.00
14,000.00
25,580.36
9,077.49
1,125.91
580.01
5,945.92
356,763.65
199.86
761,760.66
DEPARTMENT OF ADMINISTRATION
DEPARTMENT OF ADMINISTRATION, OFFICE OF PUBLIC DEFENDER
DEPARTMENT OF ADMINISTRATION, STATE FUND
DEPARTMENT OF COMMERCE
DEPARTMENT OF COMMERCE, HERITAGE COMMISSION
DEPARTMENT OF CORRECTIONS, STATE PRISON
DEPARTMENT OF CORRECTIONS, PINE HILLS YOUTH CORRECTIONAL FACILITY
DEPARTMENT OF CORRECTIONS, MONTANA CORRECTIONAL ENTERPRISES
DEPARTMENT OF CORRECTIONS, PROBATION & PAROLE
DEPARTMENT OF CORRECTIONS, RIVERSIDE YOUTH CORRECTIONS
DEPARTMENT OF CORRECTIONS, WOMEN'S CORRECTIONAL CENTER
21
1
3
9
1
4
2
1
1
1
2
20,667.00
14,000.00
25,580.36
4,223.34
4,854.15
1,125.91
580.01
4,547.79
989.13
353,778.29
1,615.20
1,370.16
199.86
555,776.66
31,415.10
13,000.00
137,189.60
3,851.69
18,776.00
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements.
TOTALRESERVE AMOUNT
25,580.36
9,077.49
25,580.36
4,223.34
4,854.15
1 of 77
NUMBER OF CLAIMS
REQUESTED AMOUNT
INDEMNITYRESERVE AMOUNT
LOSSADJUSTMENT
EXPENSE
INDEMNITYEXPENSE
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
REPORT PARAMETERS
MONTANA STATE GOVERNMENTProperty Claims
LossDate from 07/01/2013 to 01/28/2019
Query Date
DEPARTMENT OF CORRECTIONS
DEPARTMENT OF ENVIRONMENTAL QUALITY
DEPARTMENT OF FISH, WILDLIFE & PARKS
DEPARTMENT OF JUSTICE
DEPARTMENT OF LABOR & INDUSTRY
DEPARTMENT OF LIVESTOCK
DEPARTMENT OF NATURAL RESOURCES
3
70
18
7
3
14
7,969.65
4,400.00
247,155.27
65,000.00
1,505,175.33
13,454.11
12,862.29
186.00
220.00
5,480.93
1,057.00
2,417,588.36
116,775.08
11,671.31
12,553.70
432,728.06
DEPARTMENT OF CORRECTIONS, WATCH EAST
DEPARTMENT OF ENVIRONMENTAL QUALITY
DEPARTMENT OF FISH, WILDLIFE & PARKS
DEPARTMENT OF JUSTICE, FORENSIC SCIENCE
DEPARTMENT OF JUSTICE, HIGHWAY PATROL
DEPARTMENT OF JUSTICE, LAW ENFORCEMENT ACADEMY
DEPARTMENT OF LABOR & INDUSTRY
DEPARTMENT OF LIVESTOCK
DEPARTMENT OF NATURAL RESOURCES
1
3
70
7
8
3
7
3
14
3,713.65
4,256.00
4,400.00
247,155.27
65,000.00
1,505,175.33
409.00
13,454.11
11,498.20
1,364.09
186.00
220.00
5,480.93
1,751.61
1,057.00
2,417,588.36
76,537.39
20,293.76
19,943.93
11,671.31
12,553.70
432,728.06
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements.
TOTALRESERVE AMOUNT
4,400.00
247,155.27
65,000.00
1,505,175.33
4,400.00
247,155.27
65,000.00
1,505,175.33
2 of 77
NUMBER OF CLAIMS
REQUESTED AMOUNT
INDEMNITYRESERVE AMOUNT
LOSSADJUSTMENT
EXPENSE
INDEMNITYEXPENSE
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
REPORT PARAMETERS
MONTANA STATE GOVERNMENTProperty Claims
LossDate from 07/01/2013 to 01/28/2019
Query Date
DEPARTMENT OF TRANSPORTATION
HISTORICAL SOCIETY
MONTANA STATE LIBRARY
MULTIPLE AGENCIES
19
1
1
7
12,880.86 9,463.94 2,108.69
577.27
49,204.67
202,430.60
10,983.03
2,039,765.67
DEPARTMENT OF TRANSPORTATION
DEPARTMENT OF TRANSPORTATION, BILLINGS
DEPARTMENT OF TRANSPORTATION, BUTTE
DEPARTMENT OF TRANSPORTATION, BOZEMAN
DEPARTMENT OF TRANSPORTATION, GLENDIVE
DEPARTMENT OF TRANSPORTATION, HAVRE
DEPARTMENT OF TRANSPORTATION, KALISPELL
DEPARTMENT OF TRANSPORTATION, LEWISTOWN
DEPARTMENT OF TRANSPORTATION, MISSOULA
HISTORICAL SOCIETY
MONTANA STATE LIBRARY
MULTIPLE AGENCIES
1
1
3
2
2
3
3
3
1
1
1
7
250.00
12,630.86
3,826.00
5,637.94 596.30
1,512.39
577.27
49,204.67
1,174.00
6,343.50
6,862.06
111,310.67
37,440.72
10,288.84
5,110.98
20,899.83
3,000.00
10,983.03
2,039,765.67
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements.
TOTALRESERVE AMOUNT
9,463.94
3,826.00
5,637.94
3 of 77
NUMBER OF CLAIMS
REQUESTED AMOUNT
INDEMNITYRESERVE AMOUNT
LOSSADJUSTMENT
EXPENSE
INDEMNITYEXPENSE
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
REPORT PARAMETERS
MONTANA STATE GOVERNMENTProperty Claims
LossDate from 07/01/2013 to 01/28/2019
Query Date
PUBLIC HEALTH & HUMAN SERVICES
STATE BOARD OF EDUCATION
8
2
1,620.66
825.00
45,749.25
71,653.65
PUBLIC HEALTH & HUMAN SERVICES
PUBLIC HEALTH & HUMAN SERVICES, MONTANA DEVELOPMENTAL CENTER
PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - COLUMBIA FALLS
PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - GLENDIVE
STATE BOARD OF EDUCATION, SCHOOL FOR THE DEAF & BLIND
1
2
2
3
2
956.66
664.00
825.00
782.00
17,538.19
19,961.66
7,467.40
71,653.65
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements.
TOTALRESERVE AMOUNT
4 of 77
NUMBER OF CLAIMS
REQUESTED AMOUNT
INDEMNITYRESERVE AMOUNT
LOSSADJUSTMENT
EXPENSE
INDEMNITYEXPENSE
TOTALS 408 116,184.34 3,284,786.75 191,433.37 10,260,013.62
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
REPORT PARAMETERS
MONTANA STATE GOVERNMENTProperty Claims
LossDate from 07/01/2013 to 01/28/2019
Query Date
STATE AGENCIES
UNIVERSITY SYSTEM
200
208
55,517.51
60,666.83
1,865,852.39
1,418,934.36
94,191.46
97,241.91
6,481,679.88
3,778,333.74
UNIVERSITY SYSTEM 208 60,666.83 1,418,934.36 97,241.91 3,778,333.74
UNIVERSITY SYSTEM, DIVISION OF TECHNOLOGY - BILLINGS
UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BILLINGS
UNIVERSITY SYSTEM, HELENA COLLEGE OF TECHNOLOGY OF UM
UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, AG.EXPT.
UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, FIRE TRNG.
UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN
UNIVERSITY SYSTEM, MONTANA TECH OF THE UM
UNIVERSITY SYSTEM, COLLEGE OF TECHNOLOGY - MISSOULA
UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - NORTHERN
UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA
UNIVERSITY SYSTEM, WESTERN MONTANA COLLEGE OF THE UM
1
20
1
17
1
84
23
1
13
42
5
10,000.00
47,352.13
3,314.70
1,679.89
180,771.18
1,140,464.93
12,632.50
6,185.00
77,200.86
6,529.40
8,021.55
54,411.48
6,011.72
3,490.55
15,353.97
3,423.24
150,922.64
3,311.01
247,413.28
14,177.88
1,539,904.28
163,165.98
1,468.16
260,765.28
1,360,080.82
37,124.41
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements.
TOTALRESERVE AMOUNT
1,418,934.36
3,284,786.75
1,679.89
180,771.18
1,140,464.93
12,632.50
6,185.00
77,200.86
1,865,852.39
1,418,934.36
5 of 77
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
6 of 77
AGENCY: DEPARTMENT OF ADMINISTRATION
P-26986
P-26987
P-26626
P-26567
P-25566
P-28255
P-27907
P-24225
P-25826
P-24578
P-25830
P-27039
ADMIN - GSD - SCOTT HART
ADMIN - WALT SULLIVAN
ADMINISTRATION - CAPITOL
ADMINISTRATION - GSD
ADMINISTRATION - GSD
ADMINISTRATION - GSD
ADMINISTRATION - GSD
ADMINISTRATION - GSD, CAPITOL
ADMINISTRATION - GSD, CAPITOL COMPLEX
ADMINISTRATION - GSD, HISTORICAL SOCIETY
ADMINISTRATION - GSD, MAZUREK BUILDING
ADMINISTRATION - GSD, OPI BUILDING
06/13/2017
06/09/2017
01/08/2017
11/28/2016
08/14/2015
12/24/2018
07/22/2018
12/05/2013
12/09/2015
11/21/2013
12/16/2015
07/09/2017
06/14/2018
12/20/2018
12/20/2018
12/22/2016
11/18/2015
12/20/2018
07/24/2014
06/01/2016
10/31/2014
04/04/2016
07/21/2017
5,000.00
RAIN WATER ENTERED BASEMENT
STEEL PLUMPING FIXTURE DETERIORATED
WATERLINE RUPTURED OFFICES AND BASEMENT FLOODED
WATER LINE CRACKED
STORM CAUSED SEVERAL QUICK POWER OUTAGES
UTILITY TRAILER WITH FUEL PODS
IRRIGATION MAIN LINE BROKE
PIPE IN SOUTH ENTRANCE FROZE AND BROKE
STORM BLEW TREES DOWN, SHUT POWER DOWN
CASCADE AREA EARTHQUAKE
CLOGGED SEWER LINE CAUSED FLOODING
TOILET CLOGGED AND RAN OVER NIGHT
134,908.36
50,279.25
7,347.30
4,895.00
5,716.00
6,317.83
4,287.20
4,800.00
29,167.63
7,395.00
495.11
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF ADMINISTRATION
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
7 of 77
AGENCY: DEPARTMENT OF ADMINISTRATION
P-27264
P-24558
P-26063
P-26259
P-25056
P-28279
P-27533
P-27434
P-27745
ADMINISTRATION - GSD, SECRETARY OF STATE
ADMINISTRATION - GSD, WALT SULLIVAN
ADMINISTRATION, ARMORY
ADMINISTRATION, GENERAL SERVICES
ADMINISTRATION, GSD
ADMINISTRATION, HEALTHCARE BENEFITS
ADMINISTRATION, METCALF BLDG.
ADMINISTRATION, ORIGINAL GOV MANSION
ADMINISTRATION, SCOTT HART
07/06/2017
02/08/2014
05/04/2016
07/11/2016
08/15/2014
12/24/2018
01/04/2018
12/05/2017
05/09/2018
02/14/2018
04/05/2018
09/27/2016
11/28/2016
02/10/2015
08/01/2018
05/03/2018
17,800.00
2,780.36
EARTHQUAKE CAUSED SHELVING UNITS TO TOPPLE AND BEND
EXTREME COLD WEATHER
FLOODING
LEAK FROM ROOF OR PIPE
CAPITAL ROOF SKYLIGHTS SUSPECTED HAIL DAMAGE
VACCINE FRIDGE FAILED
HEAVY SNOW AND ICE CAUSED GLASS TO CRACK
BURIED WATER SERVICE LINE DAMAGE, EXCAVATION
CLOGGED STORM DRAIN
9,287.70
44,370.00
2,201.38
2,050.00
2,978.00
5,539.00
7,414.00
32,219.64
10,400.00
2,872.00
630.80
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF ADMINISTRATION
DEPARTMENT OF ADMINISTRATION: 21 Claims 20,667.00 1,125.91 353,778.29
Claimant SUBROGATED
25,580.36
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
8 of 77
AGENCY: DEPARTMENT OF ADMINISTRATION
P-26353 PUBLIC DEFENDER OFFICE
06/13/2016 04/10/2017 STORM CAUSED POWER OUTAGE AND SURGE
1,615.20
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF ADMINISTRATION, OFFICE OF PUBLIC DEFENDER
DEPARTMENT OF ADMINISTRATION, OFFICE OF PUBLIC DEFENDER: 1 Claims
1,615.20
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
9 of 77
AGENCY: DEPARTMENT OF ADMINISTRATION
P-24695
P-24700
P-27737
MONTANA STATE FUND
MONTANA STATE FUND
MONTANA STATE FUND
07/13/2014
07/15/2014
05/09/2018
09/23/2014
09/23/2014
07/26/2018
SOFFIT FELL, LANDED ON LIVE ROOF
RAIN RUNOFF OVERWHELMED ROOF DRAINS
FLOODING AT LOADING DOCK, DRAIN FILL UP
1,370.16
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DEPARTMENT OF ADMINISTRATION: 25 Claims 20,667.00 1,125.91 356,763.65
DIVISION: DEPARTMENT OF ADMINISTRATION, STATE FUND
DEPARTMENT OF ADMINISTRATION, STATE FUND: 3 Claims 1,370.16
Claimant SUBROGATED
.00
25,580.36
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
10 of 77
AGENCY: DEPARTMENT OF COMMERCE
P-27771
P-25270
P-25303
P-27205
P-27241
P-28057
P-24546
P-27791
P-24349
Yes
BOARD OF HOUSING
BOARD OF HOUSING
BOARD OF HOUSING
COMMERCE
COMMERCE, BOARD OF HOUSING
COMMERCE, BOARD OF HOUSING
COMMERCE, BOARD OF INVESTMENTS
COMMERCE, COLONIAL BUILDING
COMMERCE, DIRECTOR'S OFFICE
12/21/2017
04/10/2015
04/17/2015
08/25/2017
10/30/2016
10/30/2016
04/15/2014
06/18/2018
12/16/2013
09/12/2018
01/08/2016
12/17/2015
09/25/2017
04/09/2018
12/20/2018
08/07/2014
08/20/2018
02/18/2014
FORECLOSED 823 PLACER BUTTE; WIND/HAIL W INTERIOR WATER DMG
FIRE AT 943 CALIFORNIA, BUTTE
WIND BLEW SHINGLES OFF 420MAPLE, LAUREL
SMASH AND GRAB STOLEN LAPTOP FROM PERSONAL VEHICLE, SEATTLE
WINTERIZATION FAILED 307 PROSPECT -FRZEN PIPES, WATER HEATER
FROZEN PIPES FOUND UPON FORECLOSURE, 307 PROSPECT LEWISTOWN
FLOOR RAISING, CRACKING
ROOF LEAK 2401 COLONIAL, CONTENTS LOSS MULTIPLE AGENCIES
THEFT FROM OFFICE OF NEWLY DELIVERERD LAPTOP
199.86
580.01
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF COMMERCE
DEPARTMENT OF COMMERCE: 9 Claims 580.01 199.86
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
11 of 77
AGENCY: DEPARTMENT OF COMMERCE
P-24345 COMMERCE, MONTANA HERITAGE COM
01/24/2014 01/31/2014 THEFT OF DISPLAY OBJECT WITH VEHICLE
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DEPARTMENT OF COMMERCE: 10 Claims 580.01 199.86
DIVISION: DEPARTMENT OF COMMERCE, HERITAGE COMMISSION
DEPARTMENT OF COMMERCE, HERITAGE COMMISSION: 1 Claims
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
12 of 77
AGENCY: DEPARTMENT OF CORRECTIONS
P-25092
P-24139
P-24151
P-27781
CORRECTIONS - MSP, DIARY BARN
CORRECTIONS - MSP, EMS BUILDING
CORRECTIONS - MSP, FACILITY MAINTENANCE
CORRECTIONS - MSP, TRAINING CENTER
01/12/2015
10/29/2013
07/26/2013
06/11/2018
01/12/2015
07/15/2014
2,740.70
1,482.64
HEAT LAMP FELL ONTO STRAW
FIRE DESTROYED BUIDLING
COMPLETE LOSS OF MAIN OIL SWITCH
GROUND WATER SEEPING INTO BASEMENT
547,259.30
8,517.36
2,173.41
2,374.38
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF CORRECTIONS, STATE PRISON
DEPARTMENT OF CORRECTIONS, STATE PRISON: 4 Claims 4,547.79 555,776.66
Claimant SUBROGATED
4,223.34
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
13 of 77
AGENCY: DEPARTMENT OF CORRECTIONS
P-27739
P-27820
CORRECTIONS, PINE HILLS
CORRECTIONS, PINE HILLS
11/06/2017
06/28/2018
07/12/2018
4,854.15
SCHEDULED POWER SHUTDOWN DAMAGED CAMERAS
MAJOR HAIL STORM
1,269.25
30,145.85989.13
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF CORRECTIONS, PINE HILLS YOUTH CORRECTIONAL FACILITY
DEPARTMENT OF CORRECTIONS, PINE HILLS YOUTH CORRECTIONAL FACILITY: 2 Claims
989.13 31,415.10
Claimant SUBROGATED
4,854.15
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
14 of 77
AGENCY: DEPARTMENT OF CORRECTIONS
P-26491 CORRECTIONS - MSP, FARM
09/30/2016 11/29/2016 FIRE IN ENGINE COMPARTMENT DESTROYED UNIT
13,000.0014,000.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF CORRECTIONS, MONTANA CORRECTIONAL ENTERPRISES
DEPARTMENT OF CORRECTIONS, MONTANA CORRECTIONAL ENTERPRISES: 1 Claims
14,000.00 13,000.00
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
15 of 77
AGENCY: DEPARTMENT OF CORRECTIONS
P-26970 CORRECTIONS, PROBATION & PAROLE
05/31/2017 09/05/2018 ELEVATOR GATE CAUGHT, WIRES BROKE CONTROLLER BURNED
137,189.60
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF CORRECTIONS, PROBATION & PAROLE
DEPARTMENT OF CORRECTIONS, PROBATION & PAROLE: 1 Claims
137,189.60
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
16 of 77
AGENCY: DEPARTMENT OF CORRECTIONS
P-27527 RIVERSIDE YOUTH CORRECTIO
02/08/2018 04/06/2018 PIPE BREAK3,851.69
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF CORRECTIONS, RIVERSIDE YOUTH CORRECTIONS
DEPARTMENT OF CORRECTIONS, RIVERSIDE YOUTH CORRECTIONS: 1 Claims
3,851.69
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
17 of 77
AGENCY: DEPARTMENT OF CORRECTIONS
P-25956
P-27232
YesCORRECTIONS, WOMEN'S PRISON
CORRECTIONS, WOMEN'S PRISON
03/06/2016
02/17/2017
05/13/2016
11/16/2017
VEHICLE STRUCK FENCE
ROOF LEAK DURING HEAVY SNOW BUILD-UP
5,826.00
12,950.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF CORRECTIONS, WOMEN'S CORRECTIONAL CENTER
DEPARTMENT OF CORRECTIONS, WOMEN'S CORRECTIONAL CENTER: 2 Claims
18,776.00
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
18 of 77
AGENCY: DEPARTMENT OF CORRECTIONS
P-23890 CORRECTIONS, WATCH EAST
07/08/2013 07/02/2014 MAJOR HAIL STORM1,751.61409.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DEPARTMENT OF CORRECTIONS: 12 Claims 14,000.00 5,945.92 761,760.66
DIVISION: DEPARTMENT OF CORRECTIONS, WATCH EAST
DEPARTMENT OF CORRECTIONS, WATCH EAST: 1 Claims 409.00 1,751.61
Claimant SUBROGATED
.00
9,077.49
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
19 of 77
AGENCY: DEPARTMENT OF ENVIRONMENTAL QUALITY
P-27872
P-28204
P-26202
ENVIRONMENTAL QUALITY, AIR MONITORING
ENVIRONMENTAL QUALITY, AIR QUALITY MONITOR
ENVIRONMENTAL QUALITY, DIRECTORS OFFICE
07/04/2018
12/03/2018
06/22/2016 09/15/2016
2,400.00
2,000.00
AMBIENT AIR MONITOR INSTRUMENTS STOLEN, DAMAGED, BOYD PARK
STOELN BILLINGS AIR QUALITYMONITORING EQUIPMENT
UNMANED AERIAL VEHICLE CRASHED TO THE GROUND
1,057.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DEPARTMENT OF ENVIRONMENTAL QUALITY: 3 Claims 1,057.00
DIVISION: DEPARTMENT OF ENVIRONMENTAL QUALITY
DEPARTMENT OF ENVIRONMENTAL QUALITY: 3 Claims 1,057.00
Claimant SUBROGATED
4,400.00
4,400.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
20 of 77
AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS
P-26268
P-25430
P-26806
P-27017
P-26850
P-23901
P-27068
P-28253
P-26523
P-27842
P-26307
P-26085
FWP
FWP, BANNACK
FWP, BANNACK
FWP, BANNACK B16 - 3
FWP, BANNACK MGR HOUSE
FWP, BANNACK SP
FWP, BEARTOOTH WMA
FWP, BIG SPRING HATCHERY
FWP, BILLINGS REGIONAL HQ
FWP, BRUSH LAKE
FWP, CHIEF PLENTY COUPS
FWP, ENFORCEMENT
06/11/2016
07/05/2015
03/14/2017
06/24/2017
04/05/2017
07/17/2013
07/10/2017
12/22/2018
10/27/2016
07/09/2018
08/07/2016
05/10/2016
02/16/2017
08/13/2015
09/19/2018
09/26/2017
06/28/2017
02/22/2018
06/30/2018
05/25/2018
11/13/2018
08/30/2016
1,861.45
GREAT FALLS HAIL, VEHICLE DAMAGE
FIRE SYSTEM
GRASSHOPPER CREEK OVERBANK
COTTONWOOD FELL ONTO B16-3
TOILET BACKED UP UP AND DOWNSTAIRS
HANGMAN GULCH FLOOD
EARTHQUAKE RATTLED QUADS DORMS, BEARTOOTH WMA
BIRD BROKE PICTURE WINDOW, BIG SPRINGS HATCHERY
THEFT OF 3 MOTORCYCLES FROM BILLINGS OFFICE
WIND/HAIL
WATER FROM WATER TREATMENT SYSTEM
THEFT FROM VEHICLE PARKEDAT WARDEN RESIDENCE
10,088.90
8,481.80
121,238.40
6,525.00
4,933.22
1,923,426.24
1,622.80
2,070.00
2,438.55
125.00
775.58
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
21 of 77
AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS
P-26269
P-24097
P-24393
P-24572
P-24456
P-27694
P-27713
P-24055
P-28073
P-27723
P-26317
Yes
FWP, ENFORCEMENT
FWP, ENFORCEMENT
FWP, ENFORCEMENT
FWP, ENFORCEMENT
FWP, ENFORCEMENT
FWP, ENFORCEMENT
FWP, ENFORCEMENT KALISPEL
FWP, ENFORCEMENTBLOCK MGT
FWP, FAS LARGENT BEND/SUN
FWP, FINANCE
FWP, FINANCE
06/18/2016
08/31/2013
08/27/2013
04/05/2014
03/14/2014
02/07/2018
04/19/2018
09/07/2013
06/18/2018
03/13/2018
05/18/2016
01/12/2017
01/13/2014
04/08/2015
01/21/2015
04/02/2014
09/11/2018
02/05/2014
05/07/2018
09/01/2016
3,500.00
15,000.00
HAIL FWP 1973 2014 F 250 -47477
THEFT FROM PARKED UNATTENDED VEHICLE
LAPTOP STOLEN FROM FWP VEHICLE
SMASHED 2012 GMC WINDOW, STOLE LAPTOP, SCOPE
THEFT FROM FWP VEHICLE 1GTGK29R0WE529238
95 NOMAD CAMPER CRUSHED BY WEIGHT OF SNOW, SPOTTED BEAR RS
TRAILER, 2 SNOWMOBILES BURNED AT RICK ANDERSON SNOW/DIRT
PARKED VEHICLE BROKEN INTO ITEMS STOLEN
FLOOD MID CANON
CONTENTS HOUSED AT BEER JUG TAVERN IN GLENDIVE BURNED
TOTAL LOSS FIRE AT MISSION MOUNTAIN MERCANTILE
449.24
151.15
2,240.14
8,653.00
1,002.57
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
22 of 77
AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS
P-26949
P-26602
P-24123
P-24507
P-25567
P-27828
P-28048
P-28118
P-27547
P-25244
P-25547
P-26205 Yes
FWP, FIRST PEOPLES BUFFAL
FWP, FISHERIES
FWP, FISHERIES
FWP, FISHERIES
FWP, FISHERIES
FWP, FISHERIES
FWP, FISHERIES ELK ISLAND
FWP, FISHERIES- BLKFT WMA
FWP, FISHERIES/HATCHERGF
FWP, FORT PECK FISH HATCH
FWP, GIANT SPRINGS
FWP, GIANT SPRINGS
05/24/2017
12/19/2016
08/01/2013
03/09/2014
03/21/2015
06/23/2018
03/26/2018
05/08/2018
08/01/2017
03/26/2015
08/26/2015
06/26/2016
08/31/2017
04/10/2017
07/14/2015
01/30/2017
12/11/2015
04/30/2015
09/28/2015
05/11/2018
7,390.00
90,980.00
68,000.00
50,000.00
WIND DAMAGED MAINTENANCE SHOP SHINGLES, SOFFIT
WIND DAMAGED TOPPER
THEFT FROM VEHICLE
ABRUPT ICE OUT
TELEMETRY FELL IN YELLOWSTONE RIVER DURING 14-15 WINTER
TELEMETRY FELL IN TETON RIVER:RECEIVER, SWITCHBOX
ICE JAM, WATER BACKED UP, FLOODED LATRINE, VAULT
IMPROVED IRRIGATION DITCH WASHED OUT
HAIL TO HOUSE ROOF
WATER LOSS, VALVE BREAK ON UNITARY HEATER
YARD SPRINKLER LEAK DAMAGED PATH
PICNIC SHELTER VANDALIZED
500.00
268.00
3,451.35
63,971.27
9,475.00
4,610.00
6,020.00
3,527.00
8,550.00
2,857.01
1,730.26
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
23 of 77
AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS
P-23929
P-26059
P-23849
P-24093
P-26410
P-24509
P-27203
P-23963
P-26871
P-26261
P-26885
P-26707
FWP, GIANT SPRINGS SP
FWP, GIANT SPRINGS SP
FWP, GIANT SPRINGS SP
FWP, GIANT SPRINGS SP
FWP, GREAT FALLS R 4 HQ
FWP, HARO
FWP, LAKE ELMO SHOP
FWP, LES MASON
FWP, LEWIS CLARK CAVERNS
FWP, MAKOSHIKA SP
FWP, MAKOSHIKA STATE PARK
FWP, MISSOULA HQ
07/24/2013
04/26/2016
07/08/2013
09/30/2013
08/18/2016
03/26/2014
09/06/2017
08/03/2013
04/13/2017
07/06/2016
07/21/2016
02/06/2017
08/19/2013
08/02/2016
08/21/2013
10/11/2013
04/05/2018
04/24/2014
12/13/2017
05/26/2017
07/21/2017
09/09/2016
11/20/2017
4,340.82
WIND CRACKED TREE LIMBS
FLICKERS DAMAGED RANGER STATION, SIGN
WIND DAMAGED MULTIPLE LANDSCAPE TREES
WIND DAMAGED TREE AT LOWER PICNIC AREA
HAIL DAMAGE TO SKYLIGHT ATR4 HQ
TOILET TANK IN MENS RESTROOM OVERFLOWED
TOOL THEFT FROM MAINTENANCE SHOP, LAKE ELMO
NEIGHBOR'S DAM BROKE, FLOODED PARK
ATV CAUGHT FIRE WHILE PARKED UNATTENDED
HAIL 2008 GMC 1GTEK19018223180
HAIL TO ROOF AND FENCE
ICE DAM LED TO LEAKS IN 7 OFFICES
8,263.00
1,280.00
10,343.00
226.40
1,319.86
4,162.50
960.00
32,659.18
6,680.90
1,058.37
840.00
914.86
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
24 of 77
AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS
P-25206
P-24260
P-25962
P-25133
P-24156
P-25708
P-25973
P-25243
P-24929
P-27758
P-26296
P-24028
FWP, MISSOULA REGIONAL
FWP, MONTANA WILD
FWP, PARKS
FWP, PICTOGRAPH
FWP, PIROGUE ISLAND SP
FWP, PLACID LAKE PARK
FWP, PLACID LAKE SP
FWP, REGION 1 HQ
FWP, REGION 7
FWP, ROOKERY WMA
FWP, ROSEBUD BATTLEFIELD
FWP, ROSEBUD BATTLEFIELD
02/13/2015
12/08/2013
03/02/2016
12/28/2014
11/04/2013
11/02/2015
03/13/2016
03/25/2015
10/19/2014
04/15/2018
07/31/2016
08/23/2013
09/15/2015
12/30/2013
07/15/2016
04/15/2015
11/13/2013
04/14/2016
11/09/2016
04/16/2015
11/18/2014
09/13/2016
03/13/2014
6,083.00
THEFT OF CONTENTS FROM TRUCK AND FISHERIES BOAT SHED
PIPE BURST IN WALL BETWEENKITCHEN/ANIMAL HOLD AREA
THEFT OF CAMERAS, LAPTOP FROM KALISPELL CONFERENCE
ROCKSLIDE AT PICTOGRAPHS, BELOW EDGE OV OVERHANG
GATE STRUCK BY UNK. VEHICLE
CHANGE MACHINE STOLEN
LIVE TREE FELL ON DAY USE BOAT DOCK
DROVE INTO MIDDLE LOT GATEAND FENCE
THEFT OF CONTENTS FROM VEHICLE
HIGH RIVER WASHED OUT PARKING, ACCESS, DITCH
LIGHTNING FIRE
LIGHTNING CAUSED GRASSLAND FIRE
2,527.57
2,629.53
465.00
12,555.00
9,946.75
499.71
845.41
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
25 of 77
AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS
P-27766
P-24556
P-24216
P-26295
P-24346
P-24866
P-25841
P-27224
P-26270
P-27292
P-25660
FWP, ROUNDUP HAIL
FWP, SMITH RIVER
FWP, THOMPSON FALLS SP
FWP, TONGUE RIVER SP
FWP, WALL CREEK WMA
FWP, WASHOE PARK HATCHERY
FWP, WAYFARER SP
FWP, WEST KOOTENAI WMA
FWP, WILDLIFE
FWP, WILDLIFE
FWP, YELLOWSTONE HATCHERY
05/31/2018
03/15/2014
11/30/2013
07/28/2016
01/25/2014
07/08/2014
12/09/2015
09/02/2017
06/09/2016
10/22/2017
06/03/2015
10/22/2018
05/19/2015
07/02/2014
10/31/2016
11/18/2014
01/28/2015
01/03/2017
08/29/2018
10/17/2016
04/06/2018
04/13/2016
ROUNDUP HAIL, NON-SCHEDULED VEHICLES 2053,1947
SMITH RIVER RAPID ICE OUT
BREAK IN, THEFT OF CASH DRAWER AND MOWER
FIRE AT LEASED CONCESSIONAIRE BUILDING
ROOF SHINGLES MISSING
CHILD THREW ROCK, CRACKED WINDOW
THEFT OF CONTENTS FROM SHED, WAYFARERS SP
WILDFIRE BURNED 2-3 MILES OF FENCE,4 STRAND BARB, STEEL POST
FWP2053, 2016 F 250 1FT7XSB63GEB97489
FWP2057 WIND DOOR HINGE
HAIL AT YELLOWSTONE RIVER TROUT HATCHERY
30,524.69
2,147.40
2,387.66
35,733.57
3,290.69
159.44
34,000.00
285.40
1,992.33
19,354.86
323.95
2,712.10
771.86
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF FISH, WILDLIFE & PARKS
DEPARTMENT OF FISH, WILDLIFE & PARKS: 70 Claims 13,454.11 2,417,588.36
Claimant SUBROGATED
247,155.27
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
26 of 77
AGENCY: DEPARTMENT OF FISH, WILDLIFE & PARKS
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DEPARTMENT OF FISH, WILDLIFE & PARKS: 70 Claims 13,454.11 2,417,588.36
Claimant SUBROGATED
247,155.27
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
27 of 77
AGENCY: DEPARTMENT OF JUSTICE
P-24414
P-25081
P-25857
P-28014
P-27189
P-26659
P-25505
JUSTICE - CRIME LAB
JUSTICE - CRIME LAB
JUSTICE - CRIME LAB
JUSTICE, FORENSIC SCIENCE
JUSTICE, FORENSIC SCIENCE
JUSTICE, STATE CRIME LAB
JUSTICE- CRIME LAB
03/04/2014
01/06/2015
01/14/2016
08/12/2018
09/04/2017
01/15/2017
07/13/2015
05/01/2014
04/17/2015
04/10/2017
10/22/2018
02/26/2018
06/27/2017
10/13/2015
DRAINS ON ROOF FROZE, PIPES BURST
SNOW AND RAIN
ROOF DRAINS FROZE, ICE MELTING, BUILDING FLOODING
AIR HANDLER FAILED DURING HIGH TEMPERATURES
WATER COMING THROUGH VENTS FROM AIR HANDLER
BOTH BOILERS DOWN, SPRINKLER HEADS POPPED, WET FLOOR
ROOF LEAK, 7/13 AND 7/27, DAMAGED CONTENTS
15,346.87
4,012.72
2,040.15
15,002.29
37,270.36
2,865.00
1,240.00
1,082.82
1,592.66
2,325.17
4,389.00
868.55
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF JUSTICE, FORENSIC SCIENCE
DEPARTMENT OF JUSTICE, FORENSIC SCIENCE: 7 Claims 11,498.20 76,537.39
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
28 of 77
AGENCY: DEPARTMENT OF JUSTICE
P-25537
P-27603
P-24538
P-25877
P-25008
P-28088
P-27004
P-28089
YesJUSTICE - HIGHWAY PATROL
JUSTICE - HIGHWAY PATROL
JUSTICE - HIGHWAY PATROL
JUSTICE - HIGHWAY PATROL
JUSTICE - HIGHWAY PATROL
JUSTICE - HIGHWAY PATROL, HIGHWOOD BALDY SITE
JUSTICE - HIGHWAY PATROL, LOST CREEK COMM.
JUSTICE - HIGHWAY PATROL, MT ROYAL COMM. SITE
07/22/2015
03/06/2018
02/11/2014
01/09/2016
11/18/2014
01/01/2017
06/03/2017
10/31/2016
11/24/2015
06/13/2018
05/01/2014
07/28/2016
05/28/2015
12/20/2018
25,000.00
40,000.00
PRIVATE VEHICLE BACKED INTO FLAG POLE
MHP INCINERATOR BUILDING BURNED
HEATER SYSTEM BROKE, WATER LINES BURST
K9 STRUCK AND KILLED ON THE HIGHWAY
TROOPER BACKED INTO PILLAR
HEAVY SNOW & ICE TORE FABRIC ON HP RADIO TOWER ANTENNA
LIGHTNING STRUCK POWER LINE AND TOWER
HEAVY SNOW & ICE TORE FABRIC & CAUSED ANTENNA TO FALL
1,511.00
1,273.65
7,367.11
440.00
9,702.00
2,273.65
1,440.00
1,364.09
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF JUSTICE, HIGHWAY PATROL
DEPARTMENT OF JUSTICE, HIGHWAY PATROL: 8 Claims 3,713.65 1,364.09 20,293.76
Claimant SUBROGATED
65,000.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
29 of 77
AGENCY: DEPARTMENT OF JUSTICE
P-27092
P-25331
P-26348
JUSTICE - LAW ACADEMY
JUSTICE - MLEA
JUSTICE, MLEA
06/20/2017
04/22/2015
07/29/2016
10/17/2017
07/21/2015
12/29/2016
LIGHTNING STORM SHORTED OUT CONTROL TO WATER TOWER
LIGHTNING STRIKE HIT WEST FIELD
VOLTAGE DROP CAUSED EQUIPMENT TO FAIL
3,256.00
11,147.61
5,540.32
4,256.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DEPARTMENT OF JUSTICE: 18 Claims 7,969.65 12,862.29 116,775.08
DIVISION: DEPARTMENT OF JUSTICE, LAW ENFORCEMENT ACADEMY
DEPARTMENT OF JUSTICE, LAW ENFORCEMENT ACADEMY: 3 Claims
4,256.00 19,943.93
Claimant SUBROGATED
.00
65,000.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
30 of 77
AGENCY: DEPARTMENT OF LABOR & INDUSTRY
P-24203
P-23891
P-26673
P-26805
P-26997
P-26672
P-27693
DEPT OF LABOR & INDUSTRY, JOB SERVICE
DEPT OF LABOR & INDUSTRY, JOB SERVICE
LABOR & INDUSTRY, JOB SERVICE
LABOR & INDUSTRY, JOB SERVICE
LABOR & INDUSTRY, UI - BILLINGS
LABOR AND INDUSTRY, BUTTE JOB SERVICE
TRANSPORTATION, MOTOR POOL - LEASE
11/07/2013
07/08/2013
01/12/2017
02/08/2017
06/16/2017
01/17/2017
04/08/2018
05/06/2014
05/20/2015
03/30/2017
04/07/2017
05/29/2018
04/27/2017
07/25/2018
SEWER LINE BACK-UP
LARGE HAIL CAUSED ROOF AND SIDING DAMAGE
ROOF LEAK AROUND HVAC SYSTEM
ROOF DRAINS PLUGGED WITH ICE
TOILET OVERFLOWED
U/G DOMESTIC SUPPLY LINE FROZE
12-C18 VIN 2C4RDGCG9ER260570 VEHICLEBREAK-IN & THEFT
5,599.90
250.00
230.00
934.00
519.72
2,314.70
1,822.99
186.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DEPARTMENT OF LABOR & INDUSTRY: 7 Claims 186.00 11,671.31
DIVISION: DEPARTMENT OF LABOR & INDUSTRY
DEPARTMENT OF LABOR & INDUSTRY: 7 Claims 186.00 11,671.31
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
31 of 77
AGENCY: DEPARTMENT OF LIVESTOCK
P-24915
P-25126
P-25391
LIVESTOCK
LIVESTOCK
LIVESTOCK, MILES CITY
09/07/2014
11/01/2014
06/13/2015
06/02/2015
02/13/2015
09/30/2016
BROWNOUT ALLEGEDLY DAMAGED ANA 6600
HISTORIC BLUEPRINTS MISSING AFTER CONTRACTED WORK FINISHED
CONTENTS FIRE AT SUPPLIED OFFICE
137.10
12,416.60
220.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DEPARTMENT OF LIVESTOCK: 3 Claims 220.00 12,553.70
DIVISION: DEPARTMENT OF LIVESTOCK
DEPARTMENT OF LIVESTOCK: 3 Claims 220.00 12,553.70
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
32 of 77
AGENCY: DEPARTMENT OF NATURAL RESOURCES
P-27728
P-27023
P-27419
P-24850
P-25053
P-24789
P-25182
P-28012
P-27642
P-26231
YesNATURAL RESOURCES
NATURAL RESOURCES, FORESTY & TRUST LAND
NATURAL RESOURCES, LIBBY UNIT
NATURAL RESOURCES, NWLU
NATURAL RESOURCES, SWLO
NATURAL RESOURCES, TRUST LANDS
NATURAL RESOURCES, TRUST LANDS
NR - TOSTON DAM
NR - TOSTON DAM
NR, FORESTRY
05/01/2018
06/27/2017
09/13/2017
08/03/2014
11/10/2014
07/17/2014
01/10/2015
05/14/2018
03/16/2018
06/30/2016
11/06/2017
01/18/2018
09/16/2014
03/19/2015
08/28/2014
03/06/2015
07/04/2018
05/01/2017
210.00
1,500,000.00
PRIVATE VEHICLE RAN INTO FENCE
NEW FLOORING BEING STORED
DNR-1942 VINFD0X5HY6BEA47814 - ENGINE STRUCK DEER
PERSONAL VEHICLE CONTAINING STATE PROPERTY BROKE INTO
TREE FELL ON BUILDING
DEBRIS FROM RIVER DAMAGED SCREEN ON PUMP
ICE DAMMED IN VALLEY GABLED ROOF, MELTED
HIGH WATER FULL OF SEDIMENT DESTROYED TURBINE SEAL
POWER SURGE, CIRCUIT BOARD FAILED, DAM NOT PRODUCING ELECTRI
DNR-2028 VIN 1FD0X5HT9DEA64193- ROAD GAVE OUT, ENGINE ROLLED
985.00
2,867.92
1,561.02
6,330.00
14,255.00
991.30
247,547.12
53,154.69
10.00
1,164.76
1,450.55
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF NATURAL RESOURCES
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
33 of 77
AGENCY: DEPARTMENT OF NATURAL RESOURCES
P-25735
P-25975
P-26712
P-26099
NRC - CTR LAND OFFICE
NRC - FORESTRY
NRC, NWLO
NRC, OIL AND GAS
11/30/2015
03/13/2016
02/06/2017
05/21/2016
04/28/2016
05/13/2016
08/15/2017
4,965.33
HOT WATER PIPE BURST
WATER HEATER BOTTOM RUSTED OUT
ICE DAM ON ROOF
MAJOR HAIL STORM BILLINGS AREA
16,511.24
1,164.16
2,325.94
85,034.67
584.87
995.44
1,275.31
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DEPARTMENT OF NATURAL RESOURCES: 14 Claims 5,480.93 432,728.06
DIVISION: DEPARTMENT OF NATURAL RESOURCES
DEPARTMENT OF NATURAL RESOURCES: 14 Claims 5,480.93 432,728.06
Claimant SUBROGATED
1,505,175.33
1,505,175.33
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
34 of 77
AGENCY: DEPARTMENT OF TRANSPORTATION
P-26545 YesMDT, AERONAUTICS DIVISION
10/31/2016 3,826.00DRIVER STRUCK FENCE1,174.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF TRANSPORTATION
DEPARTMENT OF TRANSPORTATION: 1 Claims 1,174.00
Claimant SUBROGATED
3,826.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
35 of 77
AGENCY: DEPARTMENT OF TRANSPORTATION
P-25119 TRANSPORTATION, DRILL RIG TRUCK
12/10/2014 04/07/2015 CORE DRILL RIG BREAK-IN & THEFT
6,343.50
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF TRANSPORTATION, BILLINGS
DEPARTMENT OF TRANSPORTATION, BILLINGS: 1 Claims 6,343.50
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
36 of 77
AGENCY: DEPARTMENT OF TRANSPORTATION
P-27326
P-27492
P-26837
MDT, REST AREAS
MDT, RESTAREA DIVIDE FELY
TRANSPORTATION, HELENA MAINTENANCE
11/04/2017
11/13/2017
03/24/2017 05/01/2017
128.72
5,509.22
VANDALISM/FIRE TROY REST AREA
VANDALISM/FIRE LIMA RED ROCK DIVIDE FEELY I-15 REST AREA
WIND DAMAGE TO AIR DUCT
6,371.28
490.78
596.30
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF TRANSPORTATION, BUTTE
DEPARTMENT OF TRANSPORTATION, BUTTE: 3 Claims 596.30 6,862.06
Claimant SUBROGATED
5,637.94
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
37 of 77
AGENCY: DEPARTMENT OF TRANSPORTATION
P-25854
P-27494
MDT, LIVINGSTON QUONSET
MDT, REST AREAS HOMESTAKE
01/13/2016
12/27/2017
02/22/2018
02/15/2018
HEART ATTACK DRIVER STRUCK QUONSET
VANDALISM/FIRE BEARMTH HOMESTK BOZ LIVNGSTNREST AREAS
111,310.671,512.39
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF TRANSPORTATION, BOZEMAN
DEPARTMENT OF TRANSPORTATION, BOZEMAN: 2 Claims 1,512.39 111,310.67
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
38 of 77
AGENCY: DEPARTMENT OF TRANSPORTATION
P-23909
P-26280
MDT - GLENDIVE SHOP
TRANSPORATION - GLENDIVE, MAINTENANCE
07/08/2013
07/10/2016
08/21/2014
11/28/2016
MAJOR HAIL STORM
MAJOR HAIL STORM
5,583.76
31,856.96
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF TRANSPORTATION, GLENDIVE
DEPARTMENT OF TRANSPORTATION, GLENDIVE: 2 Claims 37,440.72
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
39 of 77
AGENCY: DEPARTMENT OF TRANSPORTATION
P-26492
P-24581
P-27632
TRANSPORTATION, EAST GLACIER
TRANSPORTATION, EAST GLACIER SECTION
TRANSPORTATION, ST MARY
08/15/2016
04/13/2014
05/31/2017
12/09/2016
09/18/2014
07/25/2018
BREAK-IN AT EAST GLACIER SHOP
DAMAGED DOORS & STOLEN PROPERTY
ROLLER ON TRAILER HIT OVERHEAD DOOR
729.51
2,387.33
7,172.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF TRANSPORTATION, HAVRE
DEPARTMENT OF TRANSPORTATION, HAVRE: 3 Claims 10,288.84
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
40 of 77
AGENCY: DEPARTMENT OF TRANSPORTATION
P-27493
P-25376
P-25374
MDT, REST AREA TROY DCMBR
TRANSPORTATION, KALISPELL
TRANSPORTATION, KALISPELL
12/18/2017
05/26/2015
04/26/2015
02/15/2018
06/17/2015
10/15/2016
VANDALISM/FIRE TROY I-15 REST AREAS DECEMBER
SOMEONE BROKE INTO SHOP AND LAB
SOMEONE GAINED ACCESS TOSHOP
5,110.98250.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF TRANSPORTATION, KALISPELL
DEPARTMENT OF TRANSPORTATION, KALISPELL: 3 Claims 250.00 5,110.98
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
41 of 77
AGENCY: DEPARTMENT OF TRANSPORTATION
P-26497
P-24840
P-26487
TRANSPORTATION, LEWISTOWN
TRANSPORTATION, LEWISTOWN
TRANSPORTATION, WINNETT/ROY SECTION
06/02/2016
08/18/2014
07/10/2016
02/02/2017
11/24/2014
02/02/2017
PERSONAL AND STATE TOOLS STOLEN FROM VEHICLE
PERSONAL AND STATE TOOLS STOLEN FROM VEHICLE
WINNETT & ROY SECTION BUILDINGS / MAJOR HAIL STORM
5,597.11
6,771.50
8,531.22
12,630.86
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: DEPARTMENT OF TRANSPORTATION, LEWISTOWN
DEPARTMENT OF TRANSPORTATION, LEWISTOWN: 3 Claims 12,630.86 20,899.83
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
42 of 77
AGENCY: DEPARTMENT OF TRANSPORTATION
P-26449 MDT, MISSOULA MAINTENANCE
09/07/2016 03/02/2017 FUSION MACHINE STOLEN FROM LOCKED TOOL ROOM, MISSOULA
3,000.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DEPARTMENT OF TRANSPORTATION: 19 Claims 12,880.86 2,108.69 202,430.60
DIVISION: DEPARTMENT OF TRANSPORTATION, MISSOULA
DEPARTMENT OF TRANSPORTATION, MISSOULA: 1 Claims 3,000.00
Claimant SUBROGATED
.00
9,463.94
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
43 of 77
AGENCY: HISTORICAL SOCIETY
P-24469 MONTANA HISTORICAL SOC, MOSS MANSION
03/20/2014 09/05/2017 ROOF LEAK, WATER DAMAGE 3RD AND 2ND FLOORS
10,983.03577.27
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
HISTORICAL SOCIETY: 1 Claims 577.27 10,983.03
DIVISION: HISTORICAL SOCIETY
HISTORICAL SOCIETY: 1 Claims 577.27 10,983.03
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
44 of 77
AGENCY: MONTANA STATE LIBRARY
P-24170 MONTANA STATE LIBRARY 11/06/2013 11/20/2013 FIRE DESTROYED ARCHIVAL MATERIAL HELD BY CONTRACTOR OFF SITE
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
MONTANA STATE LIBRARY: 1 Claims
DIVISION: MONTANA STATE LIBRARY
MONTANA STATE LIBRARY: 1 Claims
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
45 of 77
AGENCY: MULTIPLE AGENCIES
P-24587
P-24039
P-24631
P-25478
P-25514
P-25410
P-25719
BILLINGS HAIL 2014
BILLINGS STORM
CORRECTIONS, WOMEN'S PRISON
GLENDIVE STORM, CORRECTIONS, PH-EMVH
MISSOULA - WIND STORM
MSU, NARC
MSU-NORTHERN, GYM
05/18/2014
09/07/2013
05/18/2014
07/27/2015
08/10/2015
07/04/2015
11/17/2015
06/27/2018
08/01/2014
06/04/2015
12/30/2015
10/18/2017
12/21/2018
07/31/2018
HAILSTORM
STORM WITH WIND/RAIN STRUCK MULTIPLE LOCATIONS
MAJOR HAIL STORM DAMAGE
120 MILE WINDSTORM TORE FENCE DOWN
HIGH WINDS BLEW ROOFS & DOWNED TREES
TORNADO DAMAGED BUILDINGS
WIND DAMAGE
842,498.85
540,429.71
3,538.67
24,726.35
119,874.77
450,973.32
57,724.00
34,595.59
7,819.33
626.40
200.75
4,363.10
1,599.50
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
MULTIPLE AGENCIES: 7 Claims 49,204.67 2,039,765.67
DIVISION: MULTIPLE AGENCIES
MULTIPLE AGENCIES: 7 Claims 49,204.67 2,039,765.67
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
46 of 77
AGENCY: PUBLIC HEALTH & HUMAN SERVICES
P-24830 PUBLIC HEALTH, COMMODITIES
08/28/2014 08/11/2016 4 MAJOR WATER LINES BLEW UP
782.00956.66
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: PUBLIC HEALTH & HUMAN SERVICES
PUBLIC HEALTH & HUMAN SERVICES: 1 Claims 956.66 782.00
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
47 of 77
AGENCY: PUBLIC HEALTH & HUMAN SERVICES
P-27221
P-25353
MDC
MONTANA DEVELOPMENTAL CTR
03/01/2016
05/26/2015
11/22/2017
01/07/2016
CLIENT DAMAGED BRICK BUILDING
LIGHTNING STORM DAMAGED FIRE PANEL, TIME CLOCK, PHONES
2,000.00
15,538.19
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: PUBLIC HEALTH & HUMAN SERVICES, MONTANA DEVELOPMENTAL CENTER
PUBLIC HEALTH & HUMAN SERVICES, MONTANA DEVELOPMENTAL CENTER: 2 Claims
17,538.19
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
48 of 77
AGENCY: PUBLIC HEALTH & HUMAN SERVICES
P-24173
P-27789
PHHS - VETERANS HOME,COLUMBIA FALLS
PHHS - VETERANS HOME,COLUMBIA FALLS
11/11/2013
04/01/2018
12/30/2013
10/01/2018
GREASE FIRE ON GRILL PUT OUT WITH FIRE EXTINGUISHER
LEAKING PIPE HAS CAUSED DAMAGE TO WALLS, CABINETS
19,961.66
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - COLUMBIA FALLS
PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - COLUMBIA FALLS: 2 Claims
19,961.66
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
49 of 77
AGENCY: PUBLIC HEALTH & HUMAN SERVICES
P-26834
P-24287
P-23855
YesEMVH
PHHS, EVMS
PHHS, EVMS
03/31/2017
01/06/2014
07/08/2013
06/09/2017
07/07/2014
07/07/2014
AIR HANDLERS, DISHWASHER, CONTROL PANEL, SMALL FIRE
WATER VALVE BROKE LOOSE
MAJOR HAIL STORM
6,782.40
685.00
255.00
213.00
196.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
PUBLIC HEALTH & HUMAN SERVICES: 8 Claims 1,620.66 45,749.25
DIVISION: PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - GLENDIVE
PUBLIC HEALTH & HUMAN SERVICES, VETERANS' HOME - GLENDIVE: 3 Claims
664.00 7,467.40
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
50 of 77
AGENCY: STATE BOARD OF EDUCATION
P-24759
P-27801
SCHOOL - DEAF & BLIND, GEYSER COTTAGE #1
SCHOOL - DEAF & BLIND, POWER LINE OUTAGE
08/01/2014
04/22/2018
01/11/2016
09/25/2018
TOILET WATER LINE BROKE
POWER LINE DAMAGE
42,888.15
28,765.50
825.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
STATE BOARD OF EDUCATION: 2 Claims 825.00 71,653.65
DIVISION: STATE BOARD OF EDUCATION, SCHOOL FOR THE DEAF & BLIND
STATE BOARD OF EDUCATION, SCHOOL FOR THE DEAF & BLIND: 2 Claims
825.00 71,653.65
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
51 of 77
AGENCY: UNIVERSITY SYSTEM
P-25480 MSU BILLINGS, CITY COLLEGE LIBRARY
06/20/2015 10/21/2015 RAINWATER ENTERED THRU WALL PIPE
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, DIVISION OF TECHNOLOGY - BILLINGS
UNIVERSITY SYSTEM, DIVISION OF TECHNOLOGY - BILLINGS: 1 Claims
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
52 of 77
AGENCY: UNIVERSITY SYSTEM
P-26530
P-27362
P-24460
P-26078
P-24326
P-24661
P-25298
P-26480
P-27307
P-27397
P-27764
P-27922
Yes
Yes
MSU B, 424 SILVER
MSU B, NATIVE AM. ACHV. CTR
MSU BILLINGS, HOUSING AND RES LIFE
MSU BILLINGS, PE BUILDING
MSU BILLINGS, POLICE
MSU-BILLINGS, TENNIS BUBBLE
MSUB ART
MSUB PD
MSUB, 243 N RIM
MSUB, 2718 NORMAL
MSUB, 339 1/2 N RIM
MSUB, 439 SILVER
11/05/2016
11/25/2017
03/19/2014
05/12/2016
11/01/2013
06/29/2014
04/03/2015
10/09/2016
11/05/2017
12/09/2017
05/31/2018
05/31/2018
03/02/2017
04/20/2018
05/06/2015
01/20/2017
05/13/2014
09/22/2015
02/09/2016
01/23/2017
01/23/2018
01/23/2019
08/01/2018
1,678.89
SEWER BACKUP 424 SILVER
FIRE SPRINKLER LEAK
LAPTOP AND TABLET STOLEN FROM VALET LUGGATE SERVICE
ELECTRICAL FIRE IN PE BUILDING, FIRE SUPPRESSION ACTIVATED
DISAPPEARANCE OF HANDHELD TICKET WRITING UNIT
TENNIS BUBBLE DEFLATE
COPPER WATER LINE LEAK, DAMAGED ART WORK
HOT WATER HEATER FAILED, WATER LOSS IN UPD
VEHICLE INTO RENTAL HOUSE
BASEMENT SEWAGE BACKUP, CITY LINE
STORM WATER FLODDED BASEMENT 339 N RIM
DAMAGE DISCOVERED AFTER TENANT EVICTED
5,474.66
22,476.85
1,500.00
11,025.43
4,342.60
37,468.54
507.36
8,939.57
19,821.11
3,939.67
817.18
870.86
811.11
583.94
489.44
632.31
893.48
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BILLINGS
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
53 of 77
AGENCY: UNIVERSITY SYSTEM
P-25396
P-26405
P-27999
P-26751
P-25395
P-27786
P-24242
P-26909
MSUB, ADMINISTRATION
MSUB, APSARUKE
MSUB, CC TECH BUILDING
MSUB, FACILITY SERVICES
MSUB, GOLF
MSUB, MCMULLEN HALL
MSUB, PETRO THEATRE
MSUB, SCIENCE BUILDING
06/05/2015
09/16/2016
07/27/2018
02/21/2017
05/06/2015
06/02/2018
12/09/2013
04/09/2017
12/16/2015
04/07/2017
10/04/2017
06/30/2015
08/29/2018
04/25/2014
05/17/2017
1.00
SMARTBOARD PROJECTOR SMASHED ON WHITEBOARD
GLYCOL LEAK 3RD FLOOR APSARUKE, FITTING
HAIL TO SKYLIGHT CC TECH BUILDING
WATER SUPPLY LINE BROKE, NORTH MCMULLEN LOT
BROKE INTO, STOLE CASH FROM RENTAL CAR
MCMULLEN HALL WATER, POSSIBLY WATER FILTER
FIRE SPRINKLER FROZE
FREEZER DOES NOT WORK FOLLOWING ROOF LEAK
19,531.82
3,473.70
3,101.24
9,320.09
995.04
436.04
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BILLINGS
UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BILLINGS: 20 Claims
6,529.40 150,922.64
Claimant SUBROGATED
1,679.89
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
54 of 77
AGENCY: UNIVERSITY SYSTEM
P-24967 UM - HELENA COLLEGE 11/05/2014 06/04/2015 STOLEN TOOLS AND DISPLAY BOX FROM CAMPUS
3,311.01
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, HELENA COLLEGE OF TECHNOLOGY OF UM
UNIVERSITY SYSTEM, HELENA COLLEGE OF TECHNOLOGY OF UM: 1 Claims
3,311.01
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
55 of 77
AGENCY: UNIVERSITY SYSTEM
P-26980
P-27247
P-27880
P-26735
P-27795
P-27933
P-24201
P-26285
P-25406
P-25994
P-25908
P-25907
MSU - NARC, RESEARCH BARN
MSU AES, BART FARM
MSU AES, CARC
MSU AES, NWARC
MSU AG EXPT, CARC
MSU CARC, CARC
MSU NARC, RESIDENCE 9 5401
MSU, CARC
MSU, EARC
MSU, EARC
MSU, EARC
MSU, EARC
06/08/2017
10/06/2017
07/06/2018
02/01/2017
06/16/2018
06/30/2018
11/22/2013
07/23/2016
06/19/2015
03/23/2016
02/12/2016
02/11/2016
01/29/2018
09/12/2017
10/27/2014
01/05/2017
05/10/2016
09/02/2016
07/20/2016
03/07/2016
174,102.56
2,200.00
798.00
3,670.62
MICRO BURST - WIND DAMAGE
CAR STRUCK ELECTRONIC GATE
WIND BLEW STACKED SIDDING INTO CHEM BUILDING
GUTTER, FASCIA DAMAGED DUE TO ICE DAM
BREAK IN CARC DAIRY BARN, STOLEN LAPTOP, PROJECTOR
LIGHTNING DAMAGED PHONE, INTERNET, SUB 80 FREEZER
PIPE FROZEN 5401 2ND FLOOR
WIND DAMAGED METAL AND SHINGLES, SEED BARN
HAIL AND WIND TO VARIOUS BUILDINGS
FIRE, CHEMICAL STORAGE BLDG 8417
WATER THROUGH IMPROPERLY VENTED WALL
RUBBER ROOF LIFTED, INTERIOR MOIOSTURE DAMAGE
20,897.44
1,118.75
1,431.25
1,202.00
1,829.38
20,767.40
1,805.00
89,002.20
35,320.64
765.30
446.15
2,100.00
1,460.80
1,399.80
441.24
122.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, AG.EXPT.
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
56 of 77
AGENCY: UNIVERSITY SYSTEM
P-24250
P-24292
P-26648
P-24067
P-27839
MSU, EARC
MSU, EARC
MSU, NARC
MSU, WTARC
MSU, WTARC
08/10/2013
12/24/2013
01/13/2017
08/13/2013
07/09/2018
10/03/2014
07/03/2014
05/04/2017
01/22/2014
08/02/2018
HAIL MULTIPLE BUILDINGS
FURNACE FAILED, PIPES FROZE/BROKE DURING WINTERBREAK
WATER PIPE BURST, LARGE CONFERENCE ROOM
LIGHTNING STRIKE POWER POLE, PHONES AND COMPUTERS
FIRE IRRIGATION MOTOR PUMP SYSTEM
63,342.00
1,444.89
5,284.37
2,218.18
1,749.78
1,286.26
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, AG.EXPT.
UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, AG.EXPT.: 17 Claims
8,021.55 247,413.28
Claimant SUBROGATED
180,771.18
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
57 of 77
AGENCY: UNIVERSITY SYSTEM
P-26765 MSU, FIRE SERVICES TRAIN
03/01/2017 12/20/2018 THEFT FROM SECURED TRAILERS IN GREAT FALLS
14,177.88
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, FIRE TRNG.
UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN, FIRE TRNG.: 1 Claims
14,177.88
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
58 of 77
AGENCY: UNIVERSITY SYSTEM
P-25030
P-26481
P-27782
P-26282
P-24365
P-25087
P-27881
P-26864
P-27421
P-26614
YesMSU - LANGFORD HALL
MSU CHEM BIO ENGR
MSU FAMILY HOUSING
MSU, 102 E MCINTOSH CT
MSU, 103 C MCINTOSH CT
MSU, 104 E MCINTOSH CT
MSU, 105 1E GRANT CHAMBER
MSU, 105 GRANT CHAMBERL
MSU, 107 B BRANEGAN
MSU, 53 GLACIER CT FGH
12/04/2014
10/09/2016
06/07/2018
07/25/2016
02/08/2014
12/31/2014
07/17/2018
03/28/2017
11/27/2017
12/16/2016
04/08/2015
10/24/2018
10/26/2016
04/15/2015
06/26/2015
12/21/2018
11/09/2017
04/05/2018
02/07/2017
26,830.00
STUDENTS HORSING AROUND WITH AEROSOL CAN
CEILING WATER LEAK LED TO DAMAGE TO DAMAGE TO THERMOGRAPHIC
PIPE INSIDE BATHROOM WALL LONG TERM DRIP, 102 J PAISLEY
TOILET OVERFLOW, FAILED FLOAT AND WATER INTAKE VALVE
HEAT TURNED OFF IN HOUSING UNIT, PIPES FROZE
FAILED TO MAINTAIN HEAT IN BUILDING OVER BREAK, FROZEN PIPE
KITCHEN SINK BACKED UP, UPPER LEVEL
T CONNECTOR BROKE 3RD FLR, BATH SINK DRAIN INTO WALL
WATER HEATER FAILED IN UPSTAIRS UNIT
FURNACE FAILED IN UNOCCUPIED APARTMENT, BURST PIPE
16,025.59
12,170.00
4,561.78
69,654.96
66,844.96
8,602.79
4,545.48
588.22
484.02
3,522.61
928.50
766.71
601.66
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
59 of 77
AGENCY: UNIVERSITY SYSTEM
P-25220
P-25617
P-27286
P-27410
P-24671
P-24205
P-27773
P-26174
P-23844
P-24329
P-24991
Yes
MSU, ATHLETICS
MSU, AUX SERVICES
MSU, AUX SERVICES TENNIS
MSU, AUX. BOBCAT COURT
MSU, AUXILIARY SERVICES
MSU, AUXILLIARIES
MSU, BART FARM
MSU, BART FARM
MSU, BASEMENT MT HALL
MSU, BRUNO HALL
MSU, CELL BIOLOGY
02/06/2015
09/14/2015
10/20/2017
12/18/2017
06/28/2014
11/10/2013
06/06/2018
06/08/2016
07/05/2013
01/15/2014
08/02/2014
04/08/2015
10/21/2015
10/22/2018
01/04/2018
07/21/2014
04/01/2014
12/21/2018
06/23/2016
11/07/2013
02/26/2014
03/10/2015
MACBOOK PRO STOLEN FROM ATHLETICS OFFICE
VANDAL GLUED PIANO KEY AND HOOD, LEIGH LOUNGE
WIND BLEW INSANE INFLATABLES UNIT: LIGHTS, FENCE
MECHANICAL COOLER FAILURE, SUB, BOBCAT COURT, FOOD LOSS
WATER SUPPLY LINE FAILED, WATER TO 3 UNITS
SCOREBOARD FELL DURING LIFTING
MSU MOWER STRUCK SIDE OF AG ED BLDG
WIND CARRIED QUONSET SHED TO COLT PEN, HORSE INJURY
CONDENSATE PIPE WEST BASEMENT RUSTED OUT
CLOSED OVERHEAD DOOR ON EQUIPMENT
LAPTOP STOLEN FROM VEHICLE IN OAKLAND CA
249.00
8,853.85
149.65
8,149.64
294.51
2,996.89
2,523.27
899.00
566.46
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
60 of 77
AGENCY: UNIVERSITY SYSTEM
P-27110
P-26434
P-26384
P-26876
P-26291
P-24010
P-25827
P-24363
P-25026
P-24809
P-25471
Yes
MSU, CENTER FOR BIOFILM
MSU, CHEM BIO ENGINEER
MSU, CHEM BIOCHEM
MSU, CHEM BIOCHEM 354
MSU, ECE
MSU, ECE
MSU, ECOLOGY
MSU, ENGINEER PHYSCL SCI
MSU, ESCI
MSU, FACILITIES
MSU, FACILITIES
07/29/2017
07/14/2016
09/09/2016
04/19/2017
07/25/2016
08/16/2013
12/29/2015
02/08/2014
11/28/2014
08/08/2014
07/27/2015
09/26/2017
02/02/2017
12/14/2018
03/14/2018
02/18/2015
01/20/2016
07/02/2014
01/15/2015
03/04/2015
11/06/2015
13,634.93
TEMPORARY ELECTRICAL SRVC SET UP WRONG, FRIED LOW FREEZER
BIOREACTOR BROKEN, UNKNOWN CAUSE
INSTRUMENTS DAMAGED, LAB WORK DISRUPTED DUE TO CONSTRUCTION
WATER LOSS RM 354 CHEM BIOCHEM
CHARGING BATTERY EXPLODED, SMOKE DAMAGE
EXTERNAL PUMP CAUGHT FIRE, AEROSOLS MEASURE EQUIPMT DAMG
CONTENTS IN PICKUP DAMAGED DURING VEHICLE ROLL
INJECTION PUMP FAILED, FLOODED BASEMENT
SMASH AND GRAB LAPTOP THEFT
CV STRUCK FOOT BRIDGE WALLY BYAM
HEAVY RAIN WITH SMALL HAIL
1,384.26
36,365.07
861,843.16
23,310.51
24,998.50
33,500.80
699.00
8,100.20
3,546.04
13,685.77
387.76
507.13
2,643.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
61 of 77
AGENCY: UNIVERSITY SYSTEM
P-24200
P-28091
P-27287
P-25734
P-25676
P-25177
P-24281
P-24849
P-27015
P-25831
P-24364
Yes
Yes
MSU, FACILITIES
MSU, FACILITIES
MSU, FACILITIES - STAIRS
MSU, FACILITIES HYDRANT
MSU, FACILITIES SERVICES
MSU, FACILITIES SERVICES
MSU, FAM & GRAD HOUSING
MSU, FAT CAT BAKERY
MSU, FGH
MSU, FGH 113 JULIA MARTIN
MSU, FILM AND PHOTOGRAPHY
11/14/2013
09/04/2018
10/13/2017
12/01/2015
10/08/2015
01/14/2015
12/30/2013
08/27/2014
06/24/2017
01/05/2016
02/08/2014
11/21/2013
12/12/2018
10/23/2018
11/28/2016
12/30/2015
05/18/2015
04/11/2014
02/11/2015
10/27/2017
06/24/2016
04/11/2014
CUSTODIAN LOST MASTER KEYCHEMISTRY BIOCHEM
2 BIKES, SNOW BLOWER DISCOVERED MISSING DURINGINVENTORY
AUTO DRIVEN DOWN 11TH STREET STAIRS AT MALL
OTHER PARTY DROVE INTO FIRE HYDRANT
0004456 VIN 3N6M0KN3FK710468 - HIT BY TRAILER
DROPPED SUFACE PRO
ELECTRIC SHORT LEAD TO STEAM DAMAGE
SEWAGE WATER BACKED UP IN CENTER DRAIN
WATER OVERFLOW, WATER NOT TURNED OFF
CONNECTOR SHEARED OFF ATTOILET RISER, MULTIPLE UNITS WET
OFF CAMPS STORAGE FIRE TO FILM EQUIPMENT
385.00
3,589.49
1,306.00
549.00
5,448.56
458.00
17,365.22
1,120.23
430.53
805.47
1,173.31
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
62 of 77
AGENCY: UNIVERSITY SYSTEM
P-26940
P-25392
P-27179
P-26175
P-27083
P-24941
P-27195
P-24231
P-24377
P-24232
P-24237
P-25718
Yes
MSU, FOOD SERVICE
MSU, HANNON HALL QUADS AF
MSU, HARRISON DINING
MSU, HARRISON DINING
MSU, HARRISON DINING
MSU, HARRISON DINING
MSU, HARRISON DINING
MSU, INFO TECHNOLOGY
MSU, LANDSCAPE AND GROUND
MSU, LANGFORD FACILITIES
MSU, LANGFORD ROOM 235
MSU, LEON JOHNSON
03/08/2017
06/21/2015
08/27/2017
06/11/2016
09/04/2017
10/17/2014
08/27/2017
12/09/2013
02/16/2014
12/10/2013
12/07/2013
11/18/2015
12/05/2017
10/19/2015
09/11/2018
11/09/2016
09/28/2017
03/26/2015
09/28/2017
12/30/2014
02/27/2014
02/07/2014
11/24/2014
12/03/2015
HANNON DINING FREEZER FAILED, LOST FOOD PRODUCT
LIGHTNING STRIKE HANNON HALL & QUADS A - F
HARRISON WALKIN FREEZER FAILURE, FOOD SPOILAGE
FREEZER FAILURE, CONTENTS DESTROYED
COOLER BEHIND TACO BAR LOST TEMP, FOOD LOSS
ELECTRIC TRANSFORMER FAILED, FOOD SPOILAGE
HARRISON COOLER, FOOD SPOILAGE-TACO BAR
NORTH HEDGES
STRUCK BOLLARD WITH TRACTOR
PIPE FREEZE LANGFORD, DRYWALL DAMAGED
STUDENTS LEFT WINDOW OPEN, PIPES FROZE
ROOF LEAK
579.32
121,429.86
5,908.25
2,991.15
3,509.09
1,875.00
1,056.48
1,120.18
771.30
454.86
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
63 of 77
AGENCY: UNIVERSITY SYSTEM
P-27809
P-25272
P-25709
P-26478
P-24870
P-28042
P-27436
P-27807
P-25961
P-26848
P-25205
MSU, LETTER AND SCIENCE
MSU, LETTERS & SCIENCE
MSU, LEWIS AND TIETZ
MSU, LEWIS AND TIETZ
MSU, LEWIS HALL
MSU, LRES
MSU, MARSH MODULARS 1
MSU, MICROBIOLOGY & IMMUN
MSU, MICROBIOLOGY IMMUNOL
MSU, MILLER DINING
MSU, MILLER DINING
06/25/2018
04/05/2015
11/14/2015
10/12/2016
09/16/2014
08/11/2018
12/29/2017
06/16/2018
03/01/2016
03/27/2017
01/23/2015
06/27/2018
05/19/2015
11/02/2016
12/15/2016
07/21/2015
10/22/2018
02/13/2018
03/24/2016
11/16/2018
04/23/2015
1,100,000.00
LEAKING NITROGEN FROM VALVE, PIPES
DROPPED SURFACE PRO, SCREEN DAMAGED
DOMESTIC WATER LINE PLUG RUSTED, LEWIS AND TIETZ HALLS
PIPE LEAK FIRST LEVELTIETZ 128, 129
HOSE FROM PUREWATER TECHNOLOGY SYSTEM POPPED OFF
SMALL SHIPPED PACKED THEFT, LEON JOHNSON
ICE DAM MARSH MODULAR 1
BREAKERS OFF, CONTENTS 2 MINUS 80 C FREEZERS CONTENTS
WIND BLEW SHINGLES AND SOFFIT OFF MARSH/MODULAR 2
MILLER A3 COOLER SOLENOID FAILED, FOOD SPOILAGE
UNMAINTAINED SEWER LINE BACKED UP
78,445.82
2,958.11
1,529.48
4,783.54
326.37
3,780.90
377.07
1,679.63
9,576.99
434.66
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
64 of 77
AGENCY: UNIVERSITY SYSTEM
P-26599
P-26525
P-24893
P-27304
P-24230
P-25690
P-27152
P-24249
P-24982
P-23916
P-26607
MSU, MILLER DINING
MSU, MILLER DINING
MSU, MILLER DINING
MSU, MILLER DINING BSMT
MSU, MILLER FOOD SERVICES
MSU, MSU BOOKSTORE
MSU, MUSEUM OF ROCKIES
MSU, N HEDGES S LOBBY STE
MSU, PLANT BIOSCIENCES
MSU, PLANT SCIENCE PATHO
MSU, QUAD C BASEMENT
12/17/2016
11/02/2016
09/03/2014
10/15/2017
12/08/2013
10/19/2015
08/14/2017
12/13/2013
11/16/2014
07/22/2013
12/23/2016
02/07/2017
02/03/2017
12/12/2014
12/01/2017
03/14/2014
12/18/2015
05/14/2018
04/22/2014
04/09/2015
09/19/2014
06/23/2017
COOLER GLYCOL LEAK AT MILLER, CONTENTS DAMAGED
SPRINKLER BURST AFTER FACILITIES CHANGE OUT, FOOD SPOILAGE
SEWER BLOCKAGE MECHANICAL ROOM
SUMP FAILED, SEWAGE MILLERBASEMENT
2 PIPES BURST MILLER DINING
STADIUM FIRE SUPPRESSION BAD, DRY LINES FILL AND LEAK
CHAFING DISH LEFT UNATTENDED, KNOCKED OVER, BURNED CARPET
N HEDGES S LOBBY STEAM
FROZEN WATER PIPES
WALK IN FREEZER DID NOT RESTART AFTER POWER OUTBREAK
WINDOW LEFT OPEN, PIPE FROZE
2,227.12
1,261.85
4,008.28
2,740.35
997.46
1,668.89
3,664.00
7,031.20
6,358.11
33,538.98
7,881.85
892.79
314.15
556.59
918.27
1,377.35
976.00
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
65 of 77
AGENCY: UNIVERSITY SYSTEM
P-27655
P-24075
P-24233
P-28210
P-24245
P-27187
P-26740
MSU, RESIDENCE LIFE
MSU, ROMNEY GYM
MSU, SOUTH HEDGES
MSU, STADIUM CAT SHACK
MSU, STADIUM HOME LOCKER
MSU, SUB
MSU, UNIVERSITY SERVICES
03/08/2018
09/08/2013
12/09/2013
12/08/2018
12/10/2013
08/31/2017
01/31/2017
05/23/2018
11/04/2013
04/15/2014
12/18/2018
05/19/2014
04/02/2018
07/05/2017
SEWER BACKUP, KITCHEN DRAIN CLOGGED
LEAK FROM PLASTIC CONNECTOR GOING TO TOILET
SPRINKLER AT NORTH STAIRWELL
DRY FIRE SYSTEM WENT WET, FROZE, BURST
FAILED TO MAINTAIN ADEQUATE HEAT, PIPES FROZE
RECYCLING TRUCK STRUCK SUB CANOPY
ICE DAM, INTERIOR LEAKING MULTIPLE ROOMS, SRM
2,670.50
1,466.00
1,478.67
7,066.77
1,549.86
487.36
685.22
658.29
325.28
344.95
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN
UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - BOZEMAN: 84 Claims
54,411.48 1,539,904.28
Claimant SUBROGATED
1,140,464.93
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
66 of 77
AGENCY: UNIVERSITY SYSTEM
P-25218
P-25217
P-24635
P-25175
P-24397
P-24234
P-25507
P-26030
P-24636
P-26482
P-27851
Yes
MONTANA BUTTE TECH, BIOLOGY DEPT.
MONTANA BUTTE TECH, GEOLOGICAL DEPT.
MONTANA BUTTE TECH, HEALTH SCIENCE BLDG
MONTANA BUTTE TECH, HIGHLANDS COLLEGE
MONTANA BUTTE TECH, MAIN HALL
MONTANA BUTTE TECH, RESIDENCE LIFE
MONTANA BUTTE TECH, SUB
MONTANA TECH
MONTANA TECH - BUTTE, MINES & GEOLOGY
MT BUTTE TECH, ADMIN OFFICES
MT BUTTE TECH, AGENCY VEHICLES
06/01/2014
09/08/2014
03/06/2014
11/12/2014
02/17/2014
12/10/2013
06/29/2015
11/19/2014
12/20/2013
10/15/2016
05/21/2018
04/29/2015
04/29/2015
10/07/2015
07/21/2015
11/07/2015
10/07/2015
10/07/2015
05/13/2016
02/03/2015
04/10/2017
10/18/2018
LAPTOP MISSING FROM BIOLOGY DEPT OFFICE
STOLEN FROM HIS PERSONAL VEHICLE
BROKEN WATER HEATER
HVAC COIL UNITS FROZE AND BROKE
TOILET WATER LINE BROKE
FIRE SUPPRESSION PIPE FROZE AND BROKE
WINDOW IN SUB DINING AREA
BURIED FIBER OPTIC CABLE DAMAGED IN EXCAVATION
VANDALIZED WELL & STOLEN MONITORING EQUIPMENT
HEATING VALVE BROKE IN OFFICE
MULTIPLE VEHICLES WERE VANDALIZED
1,472.09
525.24
1,992.31
16,682.00
16,275.40
2,321.11
625.00
9,187.95
4,944.73
1,078.63
10,000.00 1,049.60
1,062.03
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA TECH OF THE UM
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
67 of 77
AGENCY: UNIVERSITY SYSTEM
P-28169
P-26536
P-26176
P-26178
P-27554
P-26027
P-28105
P-25875
P-26981
P-27705
P-26610 Yes
MT BUTTE TECH, APARTMENT HOUSING
MT BUTTE TECH, CHEMISTRY & BIOLOGY
MT BUTTE TECH, ENGINEERING LAB
MT BUTTE TECH, ENV ENGINEERING
MT BUTTE TECH, GEOPHYSICAL DEPT
MT BUTTE TECH, HIGHLANDS CAMPUS
MT BUTTE TECH, MAIN HALL
MT BUTTE TECH, MAIN HALL
MT BUTTE TECH, MINING ENGINEERING
MT BUTTE TECH, MINING ENGINEERING
MT BUTTE TECH, STUDENT HOUSING
11/14/2018
08/18/2016
04/22/2016
03/29/2016
05/24/2017
10/07/2015
06/12/2017
11/30/2015
12/04/2016
01/02/2018
12/30/2016
11/30/2016
01/26/2017
07/31/2016
07/13/2018
01/23/2017
04/06/2016
08/01/2017
07/13/2018
07/31/2018
12,632.50
KITCHEN STOVETOP FIRE - STUDENT HOUSING
COMPUTER CRESTRON CONTROLLER DAMAGED DURING POWER OUTAGE
WATER DAMAGE FROM HOT WATER TOWER
MISSING WATER SAMPLING EQUIPMENT
DAMAGED WHILE PULLING ALONG ROADWAY
HAIL DAMAGE
WATER DAMAGE FROM ROOF DRAINS
STEAM TRAP MALFUNCTION
UNKNOWN VEHICLE STRUCK MINE YARD FENCE
UNKNOWN VEHICLE STRUCK MINE YARD FENCE
FIRE CAUSED BY UNATTENDEDBBQ
590.00
16,469.09
13,405.00
20,360.00
25,401.00
8,988.00
236.61
135.95
22,475.873,900.09
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA TECH OF THE UM
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
68 of 77
AGENCY: UNIVERSITY SYSTEM
P-26995 MT BUTTE TECH, SUB BUILDING
05/31/2017 06/20/2018 UNDERGROUND SPRINKLER PIPE LEAK
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA TECH OF THE UM
UNIVERSITY SYSTEM, MONTANA TECH OF THE UM: 23 Claims 10,000.00 6,011.72 163,165.98
Claimant SUBROGATED
12,632.50
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
69 of 77
AGENCY: UNIVERSITY SYSTEM
P-25912 UM - MISSOULA COLLEGE, EAST CAMPUS
02/27/2016 04/26/2016 VANDALS THREW LARGE ROCKS THROUGH WINDOWS AND DOORS
1,468.16
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, COLLEGE OF TECHNOLOGY - MISSOULA
UNIVERSITY SYSTEM, COLLEGE OF TECHNOLOGY - MISSOULA: 1 Claims
1,468.16
Claimant SUBROGATED
.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
70 of 77
AGENCY: UNIVERSITY SYSTEM
P-25334
P-27309
P-25279
P-27271
P-28149
P-25280
P-27432
P-27431
P-27227
P-24639
P-26499
P-25937
Yes
Yes
MSU - NORTHERN
MSU - NORTHERN
MSU - NORTHERN
MSU - NORTHERN, GYM
MSU - NORTHERN, LOANED EQUIPMENT
MSU - NORTHERN, SUB
MSU - NORTHERN, SUB BASEMENT
MSU - NORTHERN, SUB BASEMENT
MSU NORTHERN
MSU-NORTHERN, FACILITIES
MSU-NORTHERN, FAMILY HOUSING
MSU-NORTHERN, FARM MECH BUILDING
03/28/2015
10/02/2017
11/10/2014
07/14/2017
05/31/2018
03/20/2015
01/02/2018
01/02/2018
09/25/2017
07/12/2013
01/05/2016
02/06/2016
07/21/2015
05/20/2015
08/03/2018
12/11/2018
10/07/2015
01/05/2018
07/25/2018
07/25/2018
07/03/2014
01/31/2017
07/28/2016
6,185.00
POWER OUTAGE/SURGE DUE TO HIGH WINDS
HEAVY SNOW & ICE STORM
VEHICLE STRUCK TENNIS COURT FENCE
GROUNDS CREW BURNING WEEDS ALONG EXTERIOR WALL
ROCK FROM ROADWAY BROKEREAR WINDOW
DELIVERY TRUCK BACKED INTO SUB ROOF
MAIN WATER LINE BREAK
WATER METER / LINE BREAK
UNDERGROUND TRANSMISSION LINE
HIT & RUN DAMAGE - UNKNOWN VEHICLE
FROZEN HEATER PIPE IN APARTMENT
WIND DAMAGE
6,871.55
113,815.00
350.00
9,786.11
893.93
979.00
70,067.25
3,627.50
700.90
769.82
1,385.34
1,335.39
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - NORTHERN
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
71 of 77
AGENCY: UNIVERSITY SYSTEM
P-27629 MSU-NORTHERN, STUDENT HOUSING
11/05/2017 08/02/2018 FROZEN/BROKEN WATER LINE53,674.04
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - NORTHERN
UNIVERSITY SYSTEM, MONTANA STATE UNIVERSITY - NORTHERN: 13 Claims
3,490.55 260,765.28
Claimant SUBROGATED
6,185.00
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
72 of 77
AGENCY: UNIVERSITY SYSTEM
P-24930
P-26843
P-24448
P-24072
P-26872
P-26979
P-27054
P-27743
P-26172
P-27540
P-26154
U M - ADAMS CENTER
U M - DALY MANSION
U M - MISSOULA, ART ANNEX KILN ROOF
U M - MISSOULA, BIOLOGICAL SCIENCES
U M - MISSOULA, BIOLOGICAL SCIENCES
U M - MISSOULA, BOOK STORE
U M - MISSOULA, BRANTLEY HALL
U M - MISSOULA, CLAPP BUILDING
U M - MISSOULA, CLINICAL PSYCH
U M - MISSOULA, DINING -CATERING
U M - MISSOULA, EUREKA APARTMENTS
10/23/2014
03/20/2017
03/02/2014
08/15/2013
01/12/2017
06/08/2017
06/16/2017
05/14/2018
05/30/2016
02/08/2018
06/12/2016
08/20/2015
08/08/2017
07/28/2014
11/20/2013
12/18/2017
11/06/2017
08/31/2017
11/20/2018
07/22/2016
05/23/2018
12/28/2017
SEWAGE BACK UP AT GREEN ROOM
WATER LEAKED INTO COLUMNS
LARGE AMOUNT SNOW CAUSED ROOF TO COLLAPSE
FREEZER WAS UNPLUGGED
CIRCUIT SWITCH BROKE CAUSING COLD ROOM TO BECOME WARM
MAJOR WATER LINE ABOVE BOOK STORE BURST
CAPPED WATERLINE, FITTING BROKE LOOSE
CONTRACTOR CUTTING CONCRETE, WATER LEAKED INTO BASEMENT
STEAM LINE FAILED SPRAYING HEATING SYSTEM GLYCOL
SEWER PIPE BURST ABOVE KITCHEN SPILLING SEWAGE
FIRE AT APARTMENT COMPLEX
14,632.67
1,381.55
12,993.09
8,596.11
2,751.54
52,233.10
48,232.95
3,003.67
15,766.80
687,982.98
486.06
857.98
1,003.86
1,440.91
416.14
2,412.21
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
73 of 77
AGENCY: UNIVERSITY SYSTEM
P-26003
P-26942
P-25545
P-27207
P-27008
P-26869
P-24086
P-25510
P-24770
P-28097
P-25711
Yes
U M - MISSOULA, GEOSCIENCES
U M - MISSOULA, HHP/WPEM
U M - MISSOULA, LOMMASSON CENTER
U M - MISSOULA, NEW DIRECTIONS WELL
U M - MISSOULA, SCIENCE CENTER
U M - MISSOULA, SOCIAL SCIENCES BLDG
U M - MISSOULA, SPECTR UM MUSEUM
U M - MISSOULA, STUDENT HOUSING
U M -MISSOULA, REGISTRAR
UM - BIOLOGICAL SCIENCES
UM - MISSOULA
03/17/2016
05/15/2017
06/17/2015
08/03/2017
06/14/2017
03/30/2017
09/27/2013
08/10/2015
07/27/2014
09/07/2018
09/29/2015
04/19/2017
08/14/2018
10/06/2015
11/27/2017
05/22/2018
09/13/2017
12/04/2013
11/16/2016
10/03/2014
04/04/2016
14,270.50
WINCH AND CRANE BOLTED TOBED OF PARKED TRUCK
DENTED TOP OF TRAILER LED TO SLOW LEAK
SEWER LINE UNDER ZOO KITCHEN RUSTED
PT BIKE STOLEN FROM SHED IN SECURED AREA
DI UNIT LINE FAILED 4TH FLOOR
-20 FREEZER LEFT UN-PLUGGED DURING CONSTRUCTION
RIVER TABLE ARTWORK OVERFLOWED WITH WATER
HOT WATER RETURN LINE LEAKING
BREAK IN AT SEVERAL OFFICES, FILES AND STAMPS STOLEN
INFRARED CAMERA STOLEN FROM LAB
RESEARCH STOLEN OUT OF RENTAL VEHICLE
6,641.44
551.29
3,687.00
9,206.19
8,121.41
14,534.99
3,035.95
15,161.46
3,051.29
480.21
622.52
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
74 of 77
AGENCY: UNIVERSITY SYSTEM
P-27461
P-24598
P-24858
P-26349
P-26812
P-25520
P-24914
P-26845
P-25293
P-26729
Yes
UM - MISSOULA, 1809 IMMIGRANT CT
UM - MISSOULA, ADAMS CENTER
UM - MISSOULA, CAMPUS RECREATION
UM - MISSOULA, CHEMISTRY DEPARTMENT
UM - MISSOULA, COLLEGE OF FORESTRY
UM - MISSOULA, COLLEGE OF FORESTRY
UM - MISSOULA, FAMILY HOUSING
UM - MISSOULA, FOOD ZOO
UM - MISSOULA, GOLF COURSE
UM - MISSOULA, GOLF COURSE
01/17/2018
03/10/2014
08/13/2014
06/20/2016
12/28/2016
08/10/2015
10/12/2014
03/23/2017
04/21/2015
02/09/2017
09/23/2014
08/26/2015
04/25/2017
11/03/2015
04/08/2015
08/21/2017
07/06/2015
06/06/2017
7,373.00
21,000.00
APARTMENT POSITIVE FOR METH RESIDUE
LARGE AMOUNT OF DRIFTED SNOW ON ROOF CAUSED DAMAGE TO DRAIN
BREAK-IN AT THE GOLF COURSE PRO SHOP
POWER SURGE CAUSED SPECTROMETERS TO FAIL
WEIGHT OF SNOW CAUSED ROOF STRUCTURE TO FALL
SECURE LOCATION BURGLARIZED
USE OF BUTANE FLUID
DOUGH PRESS SLID OFF CART WHEN CLEANING TECH MOVEDIT
ICE MACHINE LEAKED WATER REACHED SUBFLOOR
TILE CRACKING AND POPPING UP
7,627.00
1,902.76
617.42
6,683.88
21,569.17
1,049.18
1,220.25
13,374.28
4,123.40
3,609.90
2,500.00
2,700.00
851.71
1,423.06
445.50
1,407.14
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
75 of 77
AGENCY: UNIVERSITY SYSTEM
P-25235
P-28267
P-26783
P-27293
P-27564
P-26293
P-25304
P-26044
P-26447
P-25891
Yes
UM - MISSOULA, LAW SCHOOL BUILDING
UM - MISSOULA, MCGILL HALL
UM - MISSOULA, MTES, UNIVERSITY CTR
UM - MISSOULA, PHYLLIS J.EDU. BLDG.
UM - MISSOULA, RESIDENCE LIFE
UM - MISSOULA, RESIDENCE LIFE
UM - MISSOULA, UC - CATTERING
UM - MISSOULA, WILDLIFERESEARCH
UM, ADAMS CENTER
UM, FACILITIES SERVICES
03/06/2015
12/13/2018
02/12/2017
10/26/2017
01/03/2018
06/25/2016
04/28/2015
04/07/2016
09/05/2016
08/30/2015
08/21/2015
08/29/2017
03/14/2018
09/14/2016
12/29/2015
01/12/2017
09/29/2016
04/07/2016
7,000.00
27,557.36
SEWAGE EJECTION PUMPS DAMAGED DUE TO FEMININE PRODUCTS
ASBESTOS CIRCULATED LOOSE ASBESTOS
THEFT OF UM EQUIPMENT OUTOF THE BALLROOM
CONTRACTOR EXCAVATOR HITA WATER MAIN
EXH. PIPE SEPARATED CREATING HIGH MOISTURE LEVEL
HIT A RUN
SEWER LINE ABOVE CATERINGKITCHEN BROKE
CUSTODIAN THREW AWAY BOXCONTAINING VERY SMALL TRANSMITTERS
WATER DRIP FROM PIPE IN CEILING, NORTH B GYM FLOOR
FLUSH VALVE STUCK CAUSED FLOODING
20,633.90
364.93
222,442.64
116,044.99
51,600.00
4,633.64
3,050.00
2,562.07
7,558.06
2,505.43
383.30
617.94
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA
UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA: 47,352.13 15,353.97 1,360,080.82
Claimant SUBROGATED
77,200.86
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
76 of 77
AGENCY: UNIVERSITY SYSTEM
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
DIVISION: UNIVERSITY SYSTEM, UNIVERSITY OF MONTANA - MISSOULA
42 Claims
Claimant SUBROGATED
MONTANA STATE GOVERNMENTProperty Claims
Printed 01/28/2019 Activity
Note: (1) Loss adjustment expenses equal legal fees, court costs, adjuster fees, and other miscellaneous expenses. (2) Indemnity equals expenditures for judgements and settlements. (3) For Claimant ID: A=Automobile Liability, B=Boiler/Machinery, C=Foster Care Liability, G=General Liability, H=Helicopter, I=Inland Marine M=Fine Art, P=Property Insurance, R=Comp/Collision Vehicle, S=Aircraft/Airport, L=Liquor Loss, F=Fidelity Bond. (4) An '*' after the Claimant ID represents a Lawsuit.
REPORT PARAMETERS
Agency Id
Classification
All (Claims, Potential Claims and Lawsuits)
Expense Limits
No LimitsClaimant
Coverage Code
P
Report Order
LossDate from 07/01/2013 to 01/28/2019
Query Date
77 of 77
TOTAL: 408 Claims 116,184.34 191,433.37 10,260,013.62
AGENCY: UNIVERSITY SYSTEM
P-24985
P-26217
P-26918
P-24888
P-26362
U M - WESTERN
U M - WESTERN
U M - WESTERN
U M -WESTERN, P E COMPLEX
UM-WESTERN
10/21/2014
03/28/2016
05/08/2017
09/23/2014
08/30/2016
05/25/2017
07/13/2016
05/09/2018
12/04/2014
01/03/2017
WATER ENTERED BUILDING BETWEEN BASEMENT & FIRST FLOOR
POWER OUTAGE CAUSED BY NWE EQUIPMENT FAILURE
IRRIGATION PIPE FROZE DURING WINTER, LEAK ONCE TURNED ON
FLOOR IS RISING, BUBBLING UP
GREASE FIRE CAUSING SMOKEDAMAGE TO APARTMENT
13,804.75
2,314.70
21,004.96
3,314.70
1,096.51
2,326.73
CLAIM ID
LOSSDATE
REQUESTEDAMOUNT
RESOLVEDDATE
LAE TOTAL RESERVEINDEMNITY Claim Description
UNIVERSITY SYSTEM: 208 Claims 60,666.83 97,241.91 3,778,333.74
DIVISION: UNIVERSITY SYSTEM, WESTERN MONTANA COLLEGE OF THE UM
UNIVERSITY SYSTEM, WESTERN MONTANA COLLEGE OF THE UM: 5 Claims
3,314.70 3,423.24 37,124.41
Claimant SUBROGATED
.00
1,418,934.36
3,284,786.75