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AUTO SCHEDULE
Pearland ISO - Auto Schedule
VIN (last 4 Class
Veh # Year Make Model digits) Codes* Cost New Valuation Deductibles Comp Coll
1 2007 Dodge Rarr Pickup 1978 014-99 $23,708 ACV 1,000 1,000
2 1991 Chevrolet Pickup 8030 014-99
3 1971 Ford Wrecker 1725 014-99
4 1996 Ford Pickup 2042 014-99 $14,000 ACV 1,000 1,000
5 1997 Dodge Pickup 8852 014-99 $13,000 ACV 1,000 1,000
6 1997 Dodge Pickup 4813 014-99 $12,500 ACV 1,000 1,000
7 2000 Ford Pickup 6542 014-99 $12,000 ACV 1,000 1,000
8 2000 Ford Pickup 6541 014-99 $12,090 ACV 1,000 1,000
9 2003 Ford E150 3614 014-99 $22,550 ACV 1,000 1,000
10 2003 Ford E150 3610 014-99 $22,550 ACV 1,000 1,000
11 2003 Ford E150 3613 014-99 $22,550 ACV 1,000 1,000
12 2003 Ford E150 3612 014-99 $22,550 ACV 1,000 1,000
13 2004 Ford F150 9641 014-99 $13,163 ACV 1,000 1,000
14 2004 Ford F150 8934 014-99 $13,163 ACV 1,000 1,000
15 2004 Chevrolet Suburban 5046 014-99 $27,712 ACV 1,000 1,000
16 2004 Chevrolet Silvera do 5538 014-99 $26,636 ACV 1,000 1,000
17 2005 Ford F150 4320 014-99 $35,000 ACV 1,000 1,000
18 2005 Ford F350 7395 014-99 $35,000 ACV 1,000 1,000
19 2005 Ford Pickup 6431 014-99 $12,000 ACV 1,000 1,000
20 2005 Ford Pickup 6432 014-99 $12,000 ACV 1,000 1,000
21 2005 Ford Pickup 6433 014-99 $12,000 ACV 1,000 1,000
22 2005 Ford Pickup 6434 014-99 $12,000 ACV 1,000 1,000
23 2005 Ford E250 2449 014-99 $15,993 ACV 1,000 1,000
24 2005 Ford E150 9572 014-99 $16,356 ACV 1,000 1,000
25 2005 Ford E150 9571 014-99 $16,356 ACV 1,000 1,000
26 2005 Ford Econoline \ 2446 014-99 $15,500 ACV 1,000 1,000
27 2006 Ford F150 747 014-99 $15,078 ACV 1,000 1,000
28 2006 Ford Econoline \ 8185 014-99 $15,705 ACV 1,000 1,000
29 2008 Ford Pickup 8663 014-99 $18,536 ACV 1,000 1,000
30 2008 Ford Expedition 253 014-99 $35,000 ACV 1,000 1,000
31 2008 Ford Expedition 254 014-99 $35,000 ACV 1,000 1,000
32 2007 Chevrolet 2500 Van 4803 014-99 $20,110 ACV 1,000 1,000
33 2004 Ford Truck 9564 214-99 $46,000 ACV . 1,000 1,000 34 1999 lnternation Truck 9537 214-99 $25,000 ACV - 1,000 1,000 35 1999 lnternation 4700 918 214-99 $23,000 ACV 1,000 1,000 36 2006 Freightline1 Bus 9068 6183- $72,977 ACV 1,000 1,000 37 1996 lnternation Bus 309 6183- $37,000 ACV 1,000 1,000 38 1999 IHC Bus 9844 6183- $45,000 ACV 1,000 1,000
~
39 2002 Freightline1 Bus 1581 6183- $62,159 ACV 1,000 1,000 40 2002 Freightline1 Bus 1864 6183- $62,197 ACV 1,000 1,000 41 2002 Freightline1 Bus 1865 6183- $62,197 ACV 1,000 1,000 42 2004 Freightline1 Bus 7727 6183- $67,795 ACV 1,000 1,000
1
Pearland ISD - Auto Schedule I
VIN (last 4 Class
Veh# Year Make Model digits) Codes* Cost New Valuation Deductibles
Comp Coll
43 2004 Freightline1 Bus 7728 6183- $67,795 ACV 1,000 1,000
44 2005 Freightline1 Bus 1974 6183- $70,879 ACV 1,000 1,000
45 2006 Freightline1 Bus 1705 6183- $76,721 ACV 1,000 1,000
46 2006 Freightline1 Bus 1706 6183- $76,721 ACV 1,000 1,000
47 2006 Freightline, Bus 1716 6183- $71,264 ACV 1,000 1,000
48 2006 Thomas Bus 9067 6183- $72,977 ACV 1,000 1,000
49 2006 Thomas Bus 9069 6183- $80,631 ACV 1,000 1,000
so 2006 Thomas Bus 9070 6183- $80,631 ACV 1,000 1,000
51 1997 lnternation Bus 608 6184- $41,000 ACV 1,000 1,000
52 1997 lnternation Bus 609 6184- $41,000 ACV 1,000 1,000
53 1997 lnternation Bus 610 6184- $41,000 ACV 1,000 1,000
54 1997 lnternation Bus 611 6184- $41,000 ACV 1,000 1,000
55 1997 lnternation Bus 612 6184- $41,000 ACV 1,000 1,000
56 1997 lnternation Bus 613 6184- $41,000 ACV I 1,000 1,000
57 1999 IHC Bus 9837 6184- $45,000 ACV 1,000 1,000
58 1999 IHC Bus 9839 6184-'
$45,000 ACV 1,000 1,000
59 1999 IHC Bus 9840 6184- $45,000 ACV 1,000 1,000
60 1999 lnternation Bus 9838 6184- $45,000 ACV 1,000 1,000
61 2000 Blue Bird Bus 6188 6184- $48,194 ACV 1,000 1,000
62 2000 Blue Bird Bus 6189 6184- $48,194 ACV I 1,000 1,000
63 2000 Blue Bird Bus 6190 6184- $48,194 ACV 1,000 1,000
64 2000 Blue Bird Bus 6191 6184- $48,194 ACV 1,000 1,000
65 2000 Blue Bird Bus 6192 6184- $48,194 ACV 1,000 1,000
66 2000 Blue Bird Bus 6193 6184- $48,194 ACV 1,000 1,000
67 2000 Blue Bird Bus 6194 6184- $48,194 ACV 1,000 1,000
68 2002 Freightline1 Bus 1582 6184- $56,872 ACV 1,000 1,000
69 2002 Freightline1 Bus 1583 6184- $56,872 ACV 1,000 1,000
70 2002 Freightline1 Bus 1584 6184- $56,872 ACV 1,000 1,000
71 2002 Freightline1 Bus 1585 6184- $56,872 ACV 1,000 1,000
72 2002 Freightline1 Bus 8705 6184- $62,197 ACV 1,000 1,000
73 2002 Freightline, Bus 8678 6184- $62,197 ACV ! 1,000 1,000 74 2002 Freightline, Bus 8688 6184- $53,844 ACV 1,000 1,000 75 2002 Freightline1 Bus 8702 6184- $57,357 ACV 1,000 1,000 76 2002 Freightline1 Bus 8708 6184- $57,357 ACV 1,000 1,000 77 2002 Freightline1 Bus 8701 6184- $57,357 ACV 1,000 1,000 78 2002 Freightline1 Bus
+ 8703 6184- $57,357 ACV 1,000 1,000
79 2002 Freightline1 Bus 8704 6184- $57,357 ACV 1,000 1,000 80 2002 Freightline1 Bus 8706 6184- $57,357 ACV 1,000 1,000 81 2002 Thomas Bus I 8707 6184- $57,357 ACV 1,000 1,000 82 2002 Thomas Bus 8709 6184- $57,357 ACV 1,000 1,000 83 2002 Freightlinet Bus I 3848 6184- $62,197 ACV 1,000 1,000
2
Pearland ISO - Auto Schedule
-VIN (last 4 Class
Veh # Year Make Model digits) Codes* Cost New Valuation Deductibles Comp Coll
84 2002 Freightline1 Bus 3849 6184- $62,197 ACV 1,000 1,000
85 2002 Freightline1 Bus 3850 6184- $62,197 ACV 1,000 1,000
86 2002 Freightline1 Bus 3851 6184- $62,197 ACV 1,000 1,000
87 2002 Freightline, Bus '
3852 6184- $62,197 ACV 1,000 1,000
88 2002 Freightline1 Bus '
3853 6184- $62,197 ACV 1,000 1,000
89 2002 Freightline1 Bus . 3854 6184- $62,197 ACV 1,000 1,000
90 2003 Freightline1 Bus 31 6184- $63,700 ACV 1,000 1,000
91 2003 Freightline1 Bus 5718 6184- $63,700 ACV 1,000 1,000
92 2003 Freightline1 Bus 5719 6184- $63,700 ACV 1,000 1,000
93 2003 Freightline1 Bus 5720 6184- $63,700 ACV 1,000 1,000
94 2003 Freightline1 Bus 5721 6184- $63,700 ACV 1,000 1,000
95 2003 Freightline1 Bus 5722 6184- $63,700 ACV 1,000 1,000
96 2003 Freightline1 Bus 5723 6184- $63,700 ACV 1,000 1,000
97 2003 Freightline1 Bus 5724 6184- $63,700 ACV 1,000 1,000
98 2003 Freightline1 Bus 6989 6184- $63,700 ACV 1,000 1,000
99 2003 Freightline1 Bus 6990 6184- $63,700 ACV 1,000 1,000
100 2003 Freightline1 Bus 9334 6184- $63,700 ACV 1,000 1,000
101 2003 Freightline1 Bus 9335 6184- $63,700 ACV 1,000 1,000
102 2003 Freightline1 Bus 9336 6184- $63,700 ACV 1,000 1,000
103 2003 Freightline1 Bus 9337 6184- $63,700 ACV 1,000 1,000
104 2003 Freightline1 Bus 9338 6184- $63,700 ACV 1,000 1,000
105 2003 Freightline1 Bus 9339 6184- $63,700 ACV 1,000 1,000
106 2003 Freightline1 Bus 9340 6184- $63,700 ACV I 1,000 1,000
107 2004 Freightline1 Bus 479 6184- $63,785 ACV 1,000 1,000
108 2004 Freightline1 Bus 483 6184- $63,785 ACV I 1,000 1,000
109 2004 Freightline1 Bus 481 6184- $67,000 ACV 1,000 1,000
110 2004 Freightline, Bus 486 6184- $67,000 ACV 1,000 1,000
111 2004 Freightline1 Bus 480 6184- $67,000 ACV 1,000 1,000
112
113
2004 Freightline, Bus
2004 Freightline1 Bus •
476
477
6184-
6184-
$67,000
$67,000
ACV
ACV
1,000
1,000
1,000
1,000
114 2004 Freightline1 Bus 482 6184- $67,000 ACV 1,000 1,000
115 2004 Freightline1 Bus 489 6184- $67,000 ACV 1,000 1,000
116 2004 Freightline1 Bus 490 6184- $67,000 ACV 1,000 1,000 117 2004 Freightline1 Bus
-491 6184- $67,000 ACV 1,000 1,000
118 2004 Freightline1 Bus 487 6184- $67,000 ACV 1,000 1,000 119 2004 Freightline1 Bus - 485 6184- $67,000 ACV 1,000 1,000 120 2004 Freightline1 Bus - 484 6184- $67,000 ACV 1,000 1,000 121 2004 Freightline1 Bus 478 6184- $67,000 ACV 1,000 1,000
~
122 2004 Freightline1 Bus 493 6184- $70,000 ACV 1,000 1,000 123 2004 Freightline1 Bus 494 6184- $67,000 ACV 1,000 1,000 124 2004 Freightline1 Bus
' 488 6184- $65,000 ACV 1,000 1,000
3
I
Pearland ISO - Auto Schedule '
- -
VIN (last 4 Class
Veh # Year Make Model digits) Codes* Cost New Valuation Deductibles Comp Coll
125 2004 Freightline1 Bus 495 6184- $65,000 ACV 1,000 1,000
126 2004 Freightline1 Bus 492 6184- $67,000 ACV 1,000 1,000
127 2005 Freightline1 Bus 1987 6184- $68,621 ACV 1,000 1,000
128 2005 Freightline1 Bus 1988 6184- $68,621 ACV 1,000 1,000
129 2005 Freightline1 Bus 1989 6184- $68,621 ACV 1,000 1,000
130 2005 Freightline, Bus 1990 6184- $68,621 ACV I 1,000 1,000
131 2005 Freightline1 Bus 1993 6184- $68,621 ACV 1,000 1,000
132 2005 Freightline1 Bus 1994 6184- $68,621 ACV 1,000 1,000 "
133 2006 Freightline1 Bus 1697 6184- $74,342 ACV 1,000 1,000
134 2006 Freightline1 Bus 1698 6184- $74,342 ACV 1,000 1,000
135 2006 Freightline1 Bus 1699 6184- $74,342 ACV 1,000 1,000
136 2006 Freightline1 Bus 1700 6184- $74,342 ACV 1,000 1,000
137 2006 Freightline1 Bus 1701 6184- $74,342 ACV 1,000 1,000
138 2006 Freightline1 Bus 1702 6184- $74,342 ACV 1,000 1,000 ~
139 2006 Freightline1 Bus L
1703 -
6184- $74,342 ACV 1,000 1,000
140 2006 Freightline1_ Bus 1704 6184- $74,342 ACV 1,000 1,000
141 2006 Freightline1 Bus 9071 6184- $76,321 ACV 1,000 1,000 ~
142 2006 Freightline1 Bus 9072 6184- $76,321 ACV 1,000 1,000
143 2006 Freightline1 Bus 9073 6184- $76,321 ACV 1,000 1,000 I
144 2006 Freightline1 Bus . 9074 6184- $76,321 ACV 1,000 1,000
145 2006 Freightline1 Bus I 9075 6184- $76,321 ACV 1,000 1,000
146 2006 Freightline1 Bus I 9076 6184- $76,321 ACV 1,000 1,000
147 2006 Freightline1 Bus 9077 6184- $76,321 ACV 1,000 1,000
148 2006 Freightline1 Bus 9078 6184- $76,321 ACV 1,000 1,000
149 2006 Freightline1 Bus 9079 6184- $76,321 ACV 1,000 1,000
150 2006 Freightline1 Bus 9080 6184- $76,321 ACV 1,000 1,000
151 2006 Freightline1 Bus 9081 6184- $76,321 ACV 1,000 1,000
152 2006 Freightline, Bus 9082 6184- $76,321 ACV 1,000 1,000
153 2006 Freightline, Bus 9083 6184- $76,321 ACV 1,000 1,000
154 2006 Freightline1 Bus I I 9084 6184- $76,321 ACV 1,000 1,000
155 2006 Freightline1 Bus 9085 6184- $76,321 ACV 1,000 1,000
156 2006 Freightline1 Bus I 9086 6184- $76,321 ACV 1,000 1,000
157 2007 Freightline1 Bus 3268 6184- $76,916 ACV 1,000 1,000
158 2007 Freightline1 Bus 3269 6184- $76,916 ACV 1,000 1,000
159 2007 Freightline1 Bus 3270 6184- $76,916 ACV 1,000 1,000
160 2007 Freightline1 Bus I 4484 6184- $76,916 ACV - 1,000 1,000
161 2007 Freightline1 Bus l 3261 6184- $76,916 ACV ~
1,000 1,000 162 2007 Freightline1 Bus I 3262 6184- $76,916 ACV 1,000 1,000 163 2007 Freightline1 Bus 3263 6184- $76,916 ACV 1,000 1,000 164 2007 Freightline1 Bus 3264 6184- $76,916 ACV 1,000 1,000 165 2007 Freightline1 Bus 3265 6184- $76,916 ACV 1,000 1,000
4
Pearland ISD - Auto Schedule I
-VIN (last 4 Class
Veh# Year Make Model digits) Codes* Cost New Valuation Deductibles Comp Coll
166 2007 Freightline1 Bus 3266 6184- $76,916 ACV 1,000 1,000
167 2007 Freightline1 Bus 3267 6184- $76,916 ACV 1,000 1,000
168 1979 Home Mad Trailer 0 684-99
169 1998 Falcon Trailer 4018 684-99 $3,200 ACV 1,000 1,000
170 1999 Wells Cargc Trailer 6932 684-99 $5,200 ACV 1,000 1,000
171 1979 Home Mad Trailer 0 684-99 I 172 1996 CM Trailer 4703 684-99 $4,000 ACV I 1,000 1,000
173 2002 Sooner Trailer 657 684-99 $18,895 ACV I 1,000 1,000
174 2003 Utility Trailer 902 684-99 $2,650 ACV I 1,000 1,000
175 1979 Stock Trailer 3594 684-99 . 176 2004 Featherligh Trailer I 2474 684-99 $6,459 ACV 1,000 1,000
177 2004 Featherligh Trailer 6147 684-99 $6,459 ACV 1,000 1,000
178 1989 Great Dane Trailer +
43 684-99 $30,000 ACV 1,000 1,000
179 2004 Ford E150 4498 014-99 $22,000 ACV 1,000 1,000
180 2004 Ford E150 I 4499 014-99 $22,000 ACV 1,000 1,000
181 2005 Freightline1 Bus I 1992 6184 $68,000 ACV 1,000 1,000
182 2008 Freightline1 Bus 4004 6184 $78,000 ACV 1,000 1,000
183 2008 Freightline1 Bus 4005 6184 $78,000 ACV 1,000 1,000
184 2008 Freightline1 Bus +
4006 6184 $78,000 ACV 1,000 1,000
185 2008 Freightline1_ Bus +
4008 6184 $78,000 ACV 1,000 1,000
186 2008 Freightline1 Bus 4009 6184 $78,000 ACV 1,000 1,000
187 2008 Freightline1 Bus 4010 6184 $78,000 ACV 1,000 1,000
188 2008 Freightline1_ Bus . 4011 6184 $78,000 ACV 1,000 1,000
189 2005 Chevrolet Van 3663 014-99 $78,000 ACV 1,000 1,000
190 2006 Ford Bus 2602 6184 $40,000 ACV 1,000 1,000
191 2006 Ford Van +
2603 014-99 $24,000 ACV . 1,000 1,000
192 2006 Ford Van 2604 014-99 $24,000 ACV 1,000 1,000
193 2008 Ford Van 3135 014-99 $24,000 ACV 1,000 1,000
194 2008 Ford Van 3136 014-99 $24,000 ACV 1,000 1,000
195 2008 Ford Van I 3137 014-99 $24,000 ACV 1,000 1,000
196 2007 Freightline1 Van 1547 014-99 $76,916 ACV 1,000 1,000
197 2008 Dodge Pickup I 9479 014-99 $25,000 ACV 1,000 1,000
198 2008 Ford F350 3389 014-99 $28,000 ACV 1,000 1,000
199 2008 Freightline1 Bus 3992 6184 $78,000 ACV 1,000 1,000
200 2008 Freightline1 Bus +
4007 6184 $78,000 ACV 1,000 1,000
201 2009 Ford E250 1359 014-99 $18,685 ACV 1,000 1,000
202 2009 Ford E250 1362 014-99 $18,685 rACV 1,000 1,000
203 2008 Ford Van 4272 014-99 $26,034 ACV 1,000 1,000
204 2010 IHC Bus 8178 6184 $94,438 ACV 1,000 1,000 205 2010 IHC Bus 8179 6184 $94,438 ACV 1,000 1,000 206 2010 IHC Bus 8180 6184 $94,438 ACV 1,000 1,000
5
Pearland ISO - Auto Schedule
VIN (last 4 Class
Veh# Year Make Model digits) Codes* Cost New Valuation Deductibles Comp Coll
207 2010 IHC Bus I
8181 6184 $94,438 ACV 1,000 1,000
208 2010 IHC Bus 8182 6184 $94,438 ACV 1,000 1,000
209 2010 IHC Bus 8183 6184 $94,438 ACV 1,000 1,000
210 2010 IHC Bus 8184 6184 $94,438 ACV 1,000 1,000
211 2010 Ford E20 Cargo' 2941 014-99 $16,648 ACV 1,000 1,000
212 2010 Ford F-350 Ml' 117 214-99 $23,134 ACV 1,000 1,000
213 2010 Ford F-450 Ml' 166 214-99 $27,347 ACV 1,000 1,000
214 2011 IHC CE 4999 6184 $98,783 ACV 1,000 1,000
215 2011 IHC CE 5015 6184 $92,904 ACV 1,000 1,000
216 2011 IHC CE 5016 6184 $92,904 ACV 1,000 1,000
217 2011 IHC CE 5017 6184 $92,904 ACV I 1,000 1,000
218 2011 IHC CE 5018 6184 $92,904 ACV 1,000 1,000
219 2011 IHC CE 5019 6184 $92,904 ACV 1,000 1,000
220 2011 IHC CE 5020 6184 $92,904 ACV 1,000 1,000
221 2011 IHC CE 5021 6184 $92,904 ACV 1,000 1,000
222 2010 Ford E-250 8345 014-99 $18,071 ACV 1,000 1,000
223 2010 Ford E-250 8344 014-99 $18,071 ACV 1,000 1,000
224 2010 Ford E-250 8346 014-99 $18,071 ACV 1,000 1,000
225 2010 Ford F-250 Ml~ 6892 014-99 $24,462 ACV 1,000 1,000
226 2010 Ford Convent 9132 014-99 $62,238 ACV 1,000 1,000
227 2009 Ford E-250 6035 014-99 $18,685 ACV I 1,000 1,000 ·-
228 2009 Ford E-250 6036 014-99 $18,685 ACV 1,000 1,000
229 2010 IHC Bus 8185 6184 $94,438 ACV 1,000 1,000 ' 230 2004 Ford F-150 8935 014-99 $13,163 ACV 1,000 1,000
231 2004 IHC 8600 9435 6184 $24,500 ACV 1,000 1,000
232 2004 IHC 8600 9439 6184 $24,500 ACV 1,000 1,000
233 2011 Ford F-250 1014 014-99 $22,374 ACV 1,000 1,000
234 2012 IHC CE 8214 6184 $99,721 ACV 1,000 1,000
235 2012 IHC CE 8215 6184 $99,721 ACV 1,000 1,000 236 2012 IHC CE 8216 6184 $99,721 ACV 1,000 1,000 237 2012 IHC CE 8217 6184 $99,721 ACV I 1,000 1,000 238 2012 IHC CE 7437 6184 $105,570 ACV 1,000 1,000 239 2012 IHC CE 7438 6184 $117,953 ACV 1,000 1,000 240 2012 IHC CE 7439 6184 $117,953 ,ACV 1,000 1,000 241 2011 Ford E250 60919 014-99 $18,500 ACV 1,000 1,000 242 2011 Ford E250 M20~ 60918 014-99 $21,472 ACV 1,000 1,000 243 2011 Ford F350 6670 014-99 $29,405 ACV 1,000 1,000 244 2008 Ford E250 1944 014-99 $28,000 ACV 1,000 1,000 245 2009 JLG UT612 4315 684-99 $7,900 ACV 1,000 1,000 246 2011 Tophat ITWG40x8. 10066 684-99 $11,885 ACV 1,000 1,000 247 2011 Chevrolet Equinox 6188 014-99 $19,409 ACV 1,000 1,000
6
I Pearland ISD - Auto Schedule
!
I
VIN (last 4 Class
Veh # Year Make Model digits) Codes* Cost New Valuation Deductibles Comp Coll
248 1991 Kentucky Band Traile 8972 684-99
249 2012 Chevrolet Equinox 9066 014-99 $19,000 ACV 1,000 1,000
250 2013 IHC #260 - 6239 6184 $123,130 ACV 1,000 1,000
251 2013 IHC #259 6249 6184 $99,758 ACV 1,000 1,000 t
252 2013 IHC #258 - 6250 6184 $99,758 ACV 1,000 1,000
253 2012 Ford F550 8470 314-99 $81,117 ACV 1,000 1,000
254 2011 Home Mad Trailer CUL012 684-99 $2,500 ACV 1,000 1,000
255 2013 IHC #261 6248 6184 $106,846 ACV 1,000 1,000
256 2012 Ford 2416 214-99 $30,972 ACV 1,000 1,000
257 2012 Chevrolet Tahoe 8503 014-99 $25,807 ACV 1,000 1,000
258 2013 Chevrolet Suburban 1305 014-99 $32,425 ACV I 1,000 1,000
259 2013 Chevrolet Suburban 3621 014-99 $32,425 ACV 1,000 1,000
260 2013 Chevrolet Equinox 9444 014-99 $20,549 ACV 1,000 1,000
261 2014 IHC 262 1751 6184 $107,842 ACV I 1,000 1,000
262 2014 IHC 263 1776 6184 $100,145 ACV I 1,000 1,000
263 2014 IHC 264 1778 6184 $100,145 ACV 1,000 1,000
264 2013 Ford F250 2078 014-99 $21,751 ACV 1,000 1,000
265 2014 IHC 265 1779 6184 $100,145 ACV - 1,000 1,000
266 2014 IHC 266 1777 6184 $100,145 ACV 1,000 1,000 '
267 2014 IHC 267 1764 6184 $124,331 ACV . 1,000 1,000
268 2014 Chevrolet Suburban 5197 014-99 $32,925 ACV 1,000 1,000
269 2014 Ford Expedition 9715 014-99 $33,000 ACV 1,000 1,000
270 2015 lnternation 268 2844 6184 $111,454 ACV 1,000 1,000
271 2015 lnternation 269 3021 6184 $104,686 ACV 1,000 1,000
272 2015 lnternation 270 3022 6184 $104,686 ACV 1,000 1,000
273 2015 lnternation 271 3023 6184 $104,686 ACV i 1,000 1,000
274 2014 Ford Explorer 2591 014-99 $23,328 ACV i 1,000 1,000
275 2014 Ford FS104 2589 014-99 $23,328 ACV 1,000 1,000
276 2014 Ford FS105 2590 014-99 $23,328 ACV - 1,000 1,000
277 2015 lnternation 292 3024 6184 $104,686 ACV 1,000 1,000
278 2014 lnternation 273 4093 6184 $74,348 ACV 1,000 1,000
279 2014 Chevrolet Suburban 6950 014-99 $32,896 ACV 1,000 1,000 280 2014 Ford FS106 4324 014-99 $18,584 ACV 1,000 1,000 281 2015 lnternation 274 4092 6184 $74,348 ACV I 1,000 1,000 282 2015 Ford M208 2118 014-99 $25,638 ACV
I
I 1,000 1,000 283 2015 Ford F350 A713 5364 014-99j $32,467 ACV 1,000 1,000 284 2015 lnternation 275 9515 6184 $104,686 ACV 1,000 1,000
~
285 2015 lnternation 276 9514 6184~ $104,686 ACV 1,000 1,000 ,-
286 --'---
2015 lnternation 277 9513 ----L
6184 $104,686 ACV 1,000 1,000 287 2015 lnternation 278 9516 6184 $104,686 ACV 1,000 1,000 288 2015 lnternation 279 9517 6184 $104,686 ACV 1,000 1,000
7
i
Pearland ISD - Auto Schedule -
VIN (last 4 Class Veh # Year Make Model digits) Codes* Cost New Valuation Deductibles
Comp Coll
289 2015 lnternation 280 9518 6184 $104,686 ACV 1,000 1,000
290 2015 Ford F250 M209 1522 014-99 $24,662 ACV 1,000 1,000
291 2015 lnternation 281 9602 6184 $111,454 ACV 1,000 1,000
292 2015 Ford F250 M210 9480 014-99 $29,568 ACV 1,000 1,000
293 2014 JLG4-TECH FB Trailer 6543 684-99 $10,275 ACV 1,000 1,000
294 2017 lnternation 286 2407 6184 $103,242 ACV 1,000 1,000
295 2017 lnternation 288 2409 6184 $103,242 ACV 1,000 1,000
296 2017 lnternation 282 3503 6184 $107,455 ACV 1,000 1,000
297 2017 lnternation 284 2405 6184 $103,242 ACV 1,000 1,000
298 2017 lnternation 287 2408 6184 $103,242 ACV 1,000 1,000
299 2017 lnternation 283 2404 6184 $103,242 ACV 1,000 1,000
300 2017 lnternation 285 2406 6184 $103,242 ACV 1,000 1,000
301 2016 Ford M212 7038 014-99 $31,973 ACV 1,000 1,000
302 2016 Chevrolet Suburban #i 750 014-99 $39,715 ACV 1,000 1,000
303 2016 Ford M213-Tran 2684 014-99 $26,275 ACV 1,000 1,000
304 2004 GM364 Utility Trail 3229 684-99 $22,039 ACV 1,000 1,000
305 2017 Ford F250 M214 232 014-99 $34,247 ACV 1,000 1,000
306 2018 lnternation 289 4803 6184 $104,476 ACV 1,000 1,000
307 2018 lnternation 290 4783 6184 $99,580 ACV 1,000 1,000
308 2018 lnternation 293 4786 6184 $99,580 ACV 1,000 1,000
309 2018 lnternation 294 4787 6184 $99,580 ACV 1,000 1,000
310 2018 lnternation 295 4788 6184 $99,580 ACV 1,000 1,000
311 2018 lnternation 292 4785 6184 $99,580 ACV 1,000 1,000 312 2018 lnternation 291 4784 6184 $99,580 ACV 1,000 1,000
313 2017 Ford F250 M215 8379 014-99 $33,580 ACV 1,000 1,000 314 2017 Ford Transi M216 7815 014-99 $29,928 ACV 1,000 1,000
8
PROPERTY SCHEDULE
Pearland lndeE!!_ndent School D1stnct
Pro~ Schedule 2018/2019
·orig Personal • Bldg Construction Year • Real Property Property Value "Square
No. Location Name • Street Address "City Description Built Value($) ($) "Total TIV ·occuoancv Footaae
1 Administration 2337 N. Galveston Poar1and SFR/WR 1957 2,194,996 150,000 $2,344,996 Administration Buildina 19,879 2 High School 3775 South Main Poar1and SFR/WR 1990 48,283,200 5,673,646 $53,956,846 Main Building 344,880
3 Hiah School 3775 South Main Poar1and SFR/WR 1990 495,000 83,865 $578,865 Mechanical 5,500 4 Hiah School 3775 South Main Pearland SFR/WR 1998 35,663,880 7,132,776 $42,796,656 9th & 10th Grade 254,742 5 High School 3775 South Main Peartand CD 57,500 8,500 $66,000 Portable Building #06
6 Hiah School 3775 South Main Poar1and CD 57,500 8,500 $66,000 Portable Buildina #07 7 High School 3775 South Main Pearland CD 57,500 8,500 $66,000 Portable Building #08
8 High School 3775 South Main Poar1and CD 57,500 8,500 $66,000 Portable Building #09
9 High School 3775 South Main Poar1and CD 57,500 8,500 $66,000 Portable Building #1 0
10 High School 3775 South Main Poar1and CD 57,500 8,500 $66,000 Portable Building # 11
11 High School 3775 South Main Pearland ICM 1982 150,000 $150,000 Old Ag Bldg at High School 4,300
12 PACE 2324 Old Alvin Road Poar1and SFR/WR 2002 5,881 ,680 1,176,336 $7,058,016 Main Building 42,012
13 Jr. Hiah South 4719 Bailey Road Pearland SFR/WR 2002 62,370,980 12,474,196 $74,845,176 Main Buildina 445,507 14 Jr. High South 4719 Bailey Road Pear1and SFR/WR 2002 450,000 103,361 $553,361 Mechanical Building 5,000
15 Jr. High South 4719 Bailey Road Poartam CD 57,500 8,500 $66,000 Portable Building # 13
16 Jr. High South 4719 Bailey Road Pearland CD 57,500 8,500 $66,000 Portable Building # 14
17 Jr. Hiah South 4719 Bailey Road Poar1and CD 57,500 8,500 $66,000 Portable Buildina # 15 18 Jr. Hiah South 4719 Bailey Road Poar1and ICM 2002 1,092,250 10,000 $1 ,102,250 New Aaa Facilitv Buildina #1 12,850 19 Jr. Hiah South 4719 Bailey Road Pear1and ICM 2002 204,000 10,000 $214,000 New Aaa Facilitv Buildina #2 2.400 20 Jr. Hiah South 4719 Bailey Road Poar1and CD 57,500 8,500 $66,000 Portable Buildina # 12 21 Jr. Hiah South - Athletics 3901 Veterans Drive Pear1and 2007 225,000 $225,000 Football Field Fences 22 Jr. Hiah South - Athletics 3901 Veterans Drive Pear1and 2007 250,000 $250,000 Football Field Home Bleachers 23 Jr. High South - Athletics 3901 Veterans Drive Poar1and 2007 75,000 $75,000 Football Field Visitor Bleachers
24 Jr. Hiah South - Athletics 3901 Veterans Drive Poar1and 2007 300,000 $300,000 Football Field Pressbox 2,455 25 Jr. Hiah South - Athletics 3901 Veterans Drive Pearland 2007 600,000 $600,000 Football Field Lights 4 @ 150,000
26 Jr. Hiah South - Athletics 3901 Veterans Drive Pearland 2007 140,000 50,000 $190,000 Concession Building 1,400 27 Jr. Hiah South - Athletics 3901 Veterans Drive Poar1and 2007 150,000 $150,000 Athletic Fields Fences
28 Jr. Hiah South - Athletics 3901 Veterans Drive Poar1and 2007 75,000 $75,000 Athletic Fields Home Bleachers
29 Jr. Hiah South - Athletics 3901 Veterans Drive Pear1and 2007 75,000 $75,000 Athletic Fields Visitor Bleachers 30 Jr. High South - Athletics 3901 Veterans Drive Poar1and 2007 300,000 $300,000 Softball Field Fences
31 Jr. Hiah South - Athletics 3901 Veterans Drive Poar1and 2007 200,000 $200,000 Softball Field Home Bleachers 32 Jr. Hiah South - Athletics 3901 Veterans Drive Poartand 2007 200,000 $200,000 Softball Field Visitor Bleachers
33 Jr. Hiah South - Athletics 3901 Veterans Drive Pear1and 2007 100,000 $100,000 Softball Field Home Duaout 34 Jr. Hiah South - Athletics 3901 Veterans Drive Poar1and 2007 100,000 $100,000 Softball Field Visitor Dugout 35 Jr. Hiah South - Athletics 3901 Veterans Drive Poar1and 2007 225,000 5,000 $230,000 Softball Field Pressbox 36 Jr. Hiah South - Athletics 3901 Veterans Drive Poar1and 2007 320,000 $320,000 Softball Field Lights - 4 @ 80,000 37 Jr. Hiah South - Athletics 3901 Veterans Drive Poar1and 2007 400,000 $400,000 Baseball Field Fences 38 Jr. Hiah South - Athletics 3901 Veterans Drive Pearland 2007 200,000 $200,000 Baseball Field Home Bleachers 39 Jr. High South - Athletics 3901 Veterans Drive Poal1ancl 2007 200,000 $200,000 Baseball Field Visitor Bleachers 40 Jr. High South - Athletics 3901 Veterans Drive Pearland 2007 100,000 $100,000 Baseball Field Home Duaout 41 Jr. High South - Athletics 3901 Veterans Drive Poar1and 2007 100,000 $100,000 Baseball Field Visitor Duaout 42 Jr. High South - Athletics 3901 Veterans Drive Poar1and 2007 225,000 5,000 $230,000 Baseball Field Pressbox 43 Jr. High South - Athletics 3901 Veterans Drive Pearland 2007 480,000 $480,000 Baseball Field Liahts - 6 @ 80,000 44 Jr. High South - Athletics 3901 Veterans Drive Poar1and 2007 160,000 $160,000 Tennis Courts - Courts - 8 45 Jr. High South - Athletics 3901 Veterans Drive Poar1and 2007 240,000 $240,000 Tennis Courts - Liahts - 12 46 Jr. High South - Athletics 3901 Veterans Drive Pearland 2007 80,000 $80,000 Tennis Courts - Fence 47 Jr. Hiah East 2315 Old Alvin Road Pear1and SFR/WR 1972 13,289,360 2,657,872 $15,947,232 Main Buildina 94,924 48 Jr. Hiah West 2337 N. Galveston Pear1and SFR/WR 1968 16,954,280 3,390,856 $20,345,136 Librarv/Classrooms 121,102 49 Jr. Hiah West 2337 N. Galveston Poar1and MNC 1959 336,000 67,200 $403,200 SAC Buildina 3,360 50 Jr. Hiah West 2337 N. Galveston Pear1and NC 1968 268,800 53,760 $322,560 Weicht Room 3,360 51 Jr. Hiah West 2337 N. Galveston Pear1and HT 1965 1,606,500 249,449 $1 ,855,949 Girls Gvm 11,475 52 Jr. Hiah West 2337 N. Galveston Pear1and SFR/HC 1965 2,135,000 356,270 $2,491 ,270 Bovs Gvm 15,250 53 Jr. Hiah West 2337 N. Galveston Poar1and SFR/WR 1978 2,688,000 537,600 $3,225,600 Classroom Bide # 12 19,200 54 Jr. Hiah West 2337 N. Galveston Poat1and NC 1967 1,118,740 167,811 $1,286,551 Field House 7,991 55 Jr. Hiah West 2337 N. Galveston Pear1and NC-ICM 80,000 $80,000 Covered Student Area 56 Jr. Hiah West 2337 N. Galveston Poar1and 60,000 $60,000 Tennis Court Liahls 57 Jr. Hiah West 2337 N. Galveston Poal1ancl CD 57,500 8,500 $66,000 Portable - Storaae #30 58 Jamison Middle School 2506 Woody Road Poartand SFR/WR 1982 11 ,755,520 2,351 ,104 $14,106,624 Main Building & Gym 83,968 59 Jamison Middle School 2506 Woody Road Poar1and CD 115,000 17,000 $132,000 Portable - Double #31 60 Rooers Middle School 3121 Manvel Road Poar1and SFR/WR 2002 15,456,840 3,091,368 $18,548,208 Main Building 110.406 61 Sablatura Middle School 2201 North Galveston Ave. Poar1and SFR/WR 1996 12,655,720 2,531 ,144 $15,186,864 Main Building 90,398
Page 1 of 3
Pearland lnde_eendent School District
Pro~ Schedule 2018/2019
·orig Personal • Bldg Construction Year • Real Property Property Value "Square
No. Location Name • Street Address ·cuv Description Built Value (Sl ($) "Total TIV ·occuoancv Footaoe
62 Carleston Elementary 3010 Harkey Road Pearland SFR/WR 1980 8,847,160 1,769,432 $10,616,592 Elem. Main Buildino 63,194
63 Carleston Elementary 3010 Harkey Road Paartand SFR/WR 2004 900,000 90,000 $990,000 Gvm 64 Carleston Elementary 301 O Harkey Road Pear1and CD 64,000 1,000 $65,000 Portable Restrooms # 16
65 Carleston Elementary 3010 Harkey Road Peartand CD 57,500 8,500 $66,000 Portable Classrooms # 17
66 Carleston Elementary 301 O Harkey Road Peartand CD 57,500 8,500 $66,000 Portable Classrooms # 18
67 Carleston Elementary 301 O Harkey Road Pear1and CD 57,500 8,500 $66,000 Portable Classrooms # 19
68 Carleston Elementary 301 O Harkey Road Peartand CD 57,500 8,500 $66,000 Portable Classrooms #20
69 Challenoer Elementary 9434 Huohes Ranch Road Pear1and SFR/WR 1993 11,120,200 2,224,040 $13,344,240 Elem. Main Buildino 79,430 70 C.J. Harris Elementary 2314 Schleider Drive Pear1and SFR/WR 1997 11 ,120,200 2,224,040 $13,344,240 Elem. Main Buildino 79,430
71 C.J. Harris Elementary 2314 Schleider Drive Paar1and CD 57,500 8,500 $66,000 Portable Buildino #04
72 C.J. Harris Elementary 2314 Schleider Drive Pear1and CD 57,500 8,500 $66,000 Portable Buildino #05
73 Lawhon Elementary 581 O Brookside Road Peartand SFR/WR 1962 9,604,560 1,920,912 $11 ,525,472 Elem. Main Buildino 68,604
74 Lawhon Elementary 5810 Brookside Road Peartand CD 57,500 8,500 $66,000 Portable Buildino #25 75 Lawhon Elementary 581 O Brookside Road Pearland CD 57,500 8,500 $66,000 Portable Buildino #26
76 Lawhon Elementary 5810 Brookside Road Poal1and CD 57,500 8,500 $66,000 Portable Buildino #27 77 Massey Ranch Elementary 3900 Manvel Road Peartand SFR/WR 2006 12,180,000 2,436,000 $14,616,000 Elem. Main Buildino 87,000
78 Massey Ranch Elementary 3900 Manvel Road Peartand CD 115,000 17,000 $132,000 Portable Double #28 1,345
79 Rustic Oak Elementary 1302 Rustic Lane Peartand SFR/WR 1993 11 ,120,200 2,224,040 $13,344,240 Elem. Main Buildino 79,430
80 Rustic Oak Elementary 1302 Rustic Lane Peartand CD 57,500 8,500 $66,000 Portable Buildino #01 1,536
81 Rustic Oak Elementary 1302 Rustic Lane Pearland CD 57,500 8,500 $66,000 Portable Buildina #02 1,536
82 Shadycrest Elementary 2405 Shadybend Pearland SFR/WR 1968 8,804,600 1,760,920 $10,565,520 Elem. Main Buildina 62,890
83 Shadycrest Elementary 2405 Shadvbend Pear1and SFR/WR 2004 900,000 90,000 $990,000 Gym
84 Shadycrest Elementary 2405 Shadvbend Pear1and CD 57,500 8,500 $66,000 Portable Classroom #03
85 Silvercrest Elementary 3003 Southwvck Parkwav Pear1and SFR/WR 2002 11 ,616,220 2,323,244 $13,939,464 Main Buildina 82,973
86 Silvercrest Elementary 3003 Southwvck Parkwav Pear1and CD 57,500 8,500 $66,000 Portable Buildina #23
87 Silvercrest Elementary 3003 Southwvck Parkwav Paar1and CD 57,500 8,500 $66,000 Portable Buildina #24
88 Silverlake Elementarv 2550 Countrv Road 90 Pear1and SFR/WR 1997 11,120,200 2,224,040 $13,344,240 Elem. Main Buildina 79,430
89 Silverlake Elementarv 2550 Countrv Road 90 Pearland CD 57,500 8,500 $66,000 Portable Buildina #21
90 Silverlake Elementarv 2550 Countrv Road 90 Pear1and CD 57,500 8,500 $66,000 Portable Buildina #22
91 Transoortation Facilitv 3202 Plum Street Pear1and NC 1980 911 ,020 182,204 $1 ,093,224 T ransoortation Blda 8,282 92 Transoortation Facilitv 3202 Plum Street Pear1and NC 2006 1,169,026 233,805 $1 ,402,831 Buildina Addition 9,907
93 Transoortation Facilitv 3202 Plum Street Pear1and NC 2008 1,286,000 257,200 $1 ,543,200 Buildina Addition 10,908
94 Transoortation Facilitv 3202 Plum Street Peartand NC 2006 280,000 $280,000 Wash & Fuel Dock Canopy 9,122
95 Transoortation Facility 3202 Plum Street Peartand 2006 75,000 $75,000 Fuel Tank & Dispensers
96 Transoortation Facility 3202 Plum Street Peal1and CD 57,500 8,500 $66,000 Portable Building #33 1,536
97 Transoortation Facility 3202 Plum Street Pearland CD 64,000 1,000 $65,000 Portable Restrooms #34 1,536
98 ESC Annex 2304 Old Alvin Road Peartand NC 1964 1,938,000 200,000 $2,138,000 Special Programs 34,069
99 District Warehouse & Maintenance 1702 Mvkawa Road, #A Pearland NC-ICM 1995 1,265,600 253,120 $1 ,518,720 District Warehouse 15,820 100 District Warehouse & Maintenance 1702 Mvkawa Road, #8 Peartand NC-ICM 1995 1,540,000 462,000 $2,002,000 Maint./Food Service 19,250
101 District Warehouse & Maintenance 1702 Mvkawa Road Peartand CD 57,500 8,500 $66,000 Portable - Maint. #32 102 Presnar Field - Old Stadium 2337 N. Galveston Road Pear1and ICM 1986 310,000 5,000 $315,000 Home Bleacher/Press 103 Presnar Field - Old Stadium 2337 N. Galvoston Road Peartand ICM 1986 200,000 $200,000 Visitor Bleacher 104 Presnar Field - Old Stadium 2337 N. Gatveston Road Pear1and SFR/WR 1986 15,000 $15,000 Home Concession Stand 105 Presnar Field - Old Stadium 2337 N. Gatvoston Road Pear1and ICM 1986 6,500 $6,500 Home Restrooms 106 Presnar Field - Old Stadium 2337 N. Galveston Road Pear1and ICM 1986 8,400 $8,400 Visitor Mens Restroom 107 Presnar Field - Old Stadium 2337 N. Galveston Road Pear1and ICM 1986 4,600 $4,600 Visitor Ladies Restroom 108 Presnar Field - Old Stadium 2337 N. Galvoston Road Pear1and ICM 1986 4,600 $4,600 Visitor Concession Stand 109 Presnar Field - Old Stadium 2337 N. Galveston Road Pearland 1986 12,500 $12,500 Scoreboard 110 Presnar Field - Old Stadium 2337 N. Galveston Road Peartand 1986 125,000 $125,000 Liohts & Licht Poles 111 Presnar Field - Old Stadium 2337 N. Gatveston Road Peartand 200,000 $200,000 Svnthetic Track 112 Presnar Field - Old Stadium 2337 N. Galveston Road Pear1and CD 64,000 1,000 $65,000 Portable Restrooms #29 113 Pearland Hioh School - Soorts Comolex 3775 South Main Peartand NC-ICM 2,800,000 50,000 $2,850,000 Football - The Rio - Home Bleachers/Pressbox 114 Pearland Hioh School - Soorts Comolex 3775 South Main Pearland 500,000 $500,000 Football - The Rio - Visitors Bleachers 115 Pearland Hioh School - Soorts Comolex 3775 South Main Peartand 25,000 6,000 $31 ,000 Football - The Ria - Ticket Booth - Home 116 Pearland Hioh School • Soorts Comolex 3775 South Main Pear1and 10,000 4,000 $14,000 Football • The Rio • Ticket Booth • Visitors 117 Pearland Hioh School - Soorts Comolex 3775 South Main PAar1and 150,000 10,000 $160,000 Football - The Rio - Home ResVConcession 118 Pearland Hiah School • Soorts Comolex 3775 South Main Peartand 150,000 10,000 $160,000 Football • The Ria • Visitors ResVConcession 119 Pearland Hiah School • Soorts Comolex 3775 South Main Peartand 400,000 50,000 $450,000 Football • The Ria • Locker Rooms 120 Pearland Hiah School • Soorts Complex 3775 South Main Poar1and 60,000 $60,000 Football • The Ria • Fence 121 Pearland Hiah School • Soorts Comolex 3775 South Main Peartand 80,000 $80,000 Football • The Ria • Scoreborad 122 Pearland Hiah School • Soorts Comolex 3775 South Main Pear1and 400,000 $400,000 Football • The Ria • Lights • 4
Page 2 of 3
Pearland lnde~ ndent School District
Pro~ Schedule 2018/2019
·orig Personal • Bldg Construction Year • Real Property Property Value ·Square
No. Location Name • Street Address "Citv Descriotion Built Value (S) (S) ·Total TIV ·occuoancv Footaae 123 Pearland Hiah School • Soorts Comolex 3775 South Main Pear1and 100,000 $100,000 Football· The Ria - Track 124 Pearland Hiah School • Soorts Comolex 3775 South Main Pear1and 200,000 $200,000 Football - The Ria - Svnthetic Turf 125 Pearland Hiah School - Searls Comolex 3775 South Main Peartand 280,000 20,000 $300,000 Baseball Field • Concession/Restrooms 126 Pearland Hiah School - Soans Comolex 3775 South Main Peartand 250,000 5,000 $255,000 Baseball Field • Home Bleachers/Pressbox 127 Pearland Hiah School • Searls Comolex 3775 South Main Poar1and 100,000 $100,000 Baseball Field - Home Bleachers/Pressbox 128 Pearland Hiah School - Searls Comolex 3775 South Main Pearland 100,000 $100,000 Baseball Field - Visitors Bleachers 129 Pearland Hiah School - Searls Comolex 3775 South Main Poar1and 25,000 $25,000 Baseball Field - Home Duaout 130 Pearland Hiah School - Snorls Comolex 3775 South Main Pearland 25,000 $25,000 Baseball Field - Visitors Duoout 131 Pearland Hiah School - Soorls Comolex 3775 South Main Pearland 200,000 $200,000 Baseball Field - Fence 132 Pearland Hiah School - Snorts Comolex 3775 South Main Peartand 35,000 $35,000 Baseball Field - Scoreboard 133 Pearland Hiah School - Snorts Camolex 3775 South Main Pearland 270,000 S270,000 Baseball Field - Liahts - 6 134 Pearland Hiah School - Snorts Camalex 3775 South Main Peartand 40,000 $40,000 Baseball Field - Battino Caaes 135 Pearland Hiah School - Snorts Comolex 3775 South Main Poartand 250,000 5,000 $255,000 Softball Field - Home Bleachers/Pressbox 136 Pearland High School - Soorts Comolex 3775 South Main Pear1and 100,000 $100,000 Softball Field • Visitors Bleachers 137 Pearland High School • Searls Comolex 3775 South Main Poar1and 25,000 $25,000 Softball Field • Home Duaout 138 Pearland High School - Soans Comolex 3775 South Main Pear1and 25,000 $25,000 Saflball Field - Visitors Duaout 139 Pearland Hiah School • Searls Comolex 3775 South Main Paartand 125,000 $125,000 Softball Field - Fence 140 Pearland Hiah School - Searls Comolex 3775 South Main Poar1and 35,000 $35,000 Softball Field - Scoreboard 141 Pearland Hiah School - Soorts Comolex 3775 South Main Pear1and 180,000 $180,000 Softball Field - Liahts - 4 142 Pearland Hiah School - Soorts Comolex 3775 South Main Pearland 200,000 $200,000 Tennis Courts - Fences 143 Pearland Hiah School - Soans Comolex 3775 South Main Pear1and 140,000 $1 40,000 Tennis Courts - Courts· 6 144 Pearland Hiah School - Soorts Comolex 3775 South Main Pear1and 150,000 S150,000 Tennis Courts - Liahts - 5 145 Miller Baseball Field 2315 Old Alvin Road Pearland 1981 150,000 $150,000 Liahts & Licht Poles 146 Miller Baseball Field 2315 Old Alvin Road (rear) Pearland CD 1981 6,500 $6,500 Pressbox 147 New Adm. Building 1928 N. Main Pearland SFR/WR 2008 16,075,920 3,215,184 $19,291 ,104 Buildina 114,828 148 Barbara Cockrell Elem. 3500 McHard Road Pearland SFR/WR 2007 12,271 ,000 2,454,200 $14,725,200 Elem. Main Buildina 87,650 149 Magnolia Elementary 5350 Magnol ia Pear1and SFR/WR 2007 12,271 ,000 2,454,200 $14,725,200 Elem. Main Buildina 87,650 150 Alexander Middle School 3001 Old Alvin Road Pearland SFR/WR 2007 15,680,000 3,136,000 $18,816,000 Main Buildina 112,000 151 Berrv Miller Jr. High 3301 Manvel Road Pear1and SFR/WR 2008 23,764,160 4,752,832 $28,516,992 Main Buildina 169,744 152 Glenda Dawson High School 2050 Cullen Blvd. Pear1and SFR/WR 2009 55,968,850 4,924,800 $60,893,650 Main Buildina 360,000 153 Glenda Dawson Hioh School 2050 Cullen Blvd. Pear1and 2009 80,000 $80,000 Comouterized Sien Board - Freestandina 154 Glenda Dawson Hioh School 2050 Cullen Blvd. Poar1and 2009 720,000 $720,000 60 Metal Parkina Lot Lights 155 Glenda Dawson Hioh School 2050 Cullen Blvd. Pearland 2009 225,000 $225,000 Football Field Fences 156 Glenda Dawson Hioh School 2050 Cullen Blvd. Poar1and 2009 250,000 $250,000 Football Field Bleachers 157 Glenda Dawson Hiah School 2050 Cullen Blvd. Poar1and SFR/WR 2009 300,000 5,000 $305,000 Football Field Pressbox/restrooms 2,400 158 Glenda Dawson Hiah School 2050 Cullen Blvd. Pearland 2009 600,000 $600,000 Football Field Lights 4 @ 150,000 159 Glenda Dawson Hiah School 2050 Cullen Blvd. Poar1and 2009 80,000 $80,000 Football Field Scoreboard 160 Glenda Dawson Hioh School 2050 Cullen Blvd. Poar1and 2009 300,000 $300,000 Softball Field Fences 161 Glenda Dawson Hiah School 2050 Cullen Blvd. Pearland 2009 200,000 $200,000 Softball Field Home Bleachers 162 Glenda Dawson Hiah School 2050 Cullen Blvd. Pearland 2009 200,000 $200,000 Softball Field Visitor Bleachers 163 Glenda Dawson Hiah School 2050 Cullen Blvd. Pearland 2009 100,000 $100,000 Softball Field Home Dugout 164 Glenda Dawson Hiah School 2050 Cullen Blvd. Peal1and 2009 100,000 $100,000 Softball Field Visitor Duoout 165 Glenda Dawson Hioh School 2050 Cullen Blvd. Poal1and 2009 100,000 $100,000 Softball Field Battino Caoes - 2 166 Glenda Dawson Hiah School 2050 Cullen Blvd. Pearland SFR/WR 2009 225,000 5,000 $230,000 Softball Field Pressbox 1,000 167 Glenda Dawson Hiah School 2050 Cullen Blvd. Poar1and 2009 320,000 $320,000 Saflball Field Liohts - 4 @ 80,000 168 Glenda Dawson Hiah School 2050 Cullen Blvd. Pear1and 2009 80,000 $80,000 Softball Field Scoreboard 169 Glenda Dawson Hiah School 2050 Cullen Blvd. Pearland 2009 400,000 $400,000 Baseball Field Fences 170 Glenda Dawson High School 2050 Cullen Blvd. Poar1ond 2009 200,000 $200,000 Baseball Field Home Bleachers 171 Glenda Dawson High School 2050 Cullen Blvd. Pearland 2009 200,000 $200,000 Baseball Field Visitor Bleachers 172 Glenda Dawson High School 2050 Cullen Blvd. Pear1and 2009 100,000 $100,000 Baseball Field Home Duaout 173 Glenda Dawson High School 2050 Cullen Blvd. Poar1and 2009 100,000 $100,000 Baseball Field Visitor Duaout 174 Glenda Dawson High School 2050 Cullen Blvd. Peartand 2009 100,000 $100,000 Baseball Field Ballina Caaes - 2 175 Glenda Dawson Hioh School 2050 Cullen Blvd. Pear1and SFRWR 2009 225,000 5,000 S230,000 Baseball Field Pressbox 1,000 176 Glenda Dawson Hiah School 2050 Cullen Blvd. Poar1and 2009 360,000 $360,000 Baseball Field Liahts - 6 @ 60,000 177 Glenda Dawson Hiah School 2050 Cullen Blvd. P98rtand 2009 80,000 $80,000 Baseball Field Scoreboard 178 Glenda Dawson Hiah School 2050 Cullen Blvd. Pear1and SFR/WR 2009 420,000 20,000 $440,000 Baseball Field Concession/Reslroams 3,000 179 Glenda Dawson Hiah School 2050 Cullen Blvd. Poal1and 2009 60,000 $60,000 Tennis Courts Fences 180 Glenda Dawson Hiah School 2050 Cullen Blvd. Poartand 2009 100,000 $100,000 Tennis Courts - Courts 181 Glenda Dawson Hiah School 2050 Cullen Blvd. Poal1and 2009 180,000 $180,000 Tennis Courts LiQhts - 6 @ 30,000
Page 3 of 3
CASUALTY LOSS RUNS
(GENERAL LIABILITY, AUTO, AND
EDUCATOR'S LEGAL LIABILITY)
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State = 'TX'
Group 1: Policy Effective Date is 2012/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-07
File Number
Loss Date
TNT-0098565
Feb 17, 2012 12:00 am
Reserve Type
Adjuster Expense
Property Damage
TNT-0098565 Totals
TNT-0099958
Apr 2, 2012 12:00 am
Reserve Type
Appraiser Expense
Bl Accidental
Collision
Property Damage
TNT-0099958 Totals
TNT-0100123
Apr 5, 2012 12:00 am
Reserve Type
Property Damage
TNT-0100123 Totals
TNT-0100371
Apr 14, 2012 12:00 am
Reserve Type
Appraiser Expense
Property Damage
Tier Claim Number Contact Name
Brent Duvall
Reserve
$0.00
$0.00
$0.00
$0.00
Delores Rodriguez
unknown
Reserve
$0.00
$0.00
$0 00
$0.00
$0.00
Reserve
$0.00
$0.00
$0.00
Christine Gwosdz
Reserve
$0 00
$0.00
$0.00
Party Name Party Type
Pearland ISD, TX
Insured
I!!!!! $0.00
$38.00
$4,506.43
$4,544.43
Deductible Reserve
$0.00
Received Date Claim Status
Feb 21, 2012
Closed
Deductible Paid
$0.00
$0.00
$0.00
$0.00
Pearland Independent School District, T> Apr 03, 2012
Insured Closed
Paid Deductible Reserve Deductible Paid
$535.37 $0.00
$3,275.00 $0.00
$000 $0.00
$1,008.20 $0.00
$4,818.57 $0.00 $0.00
Pearland ISD, TX Apr 09, 2012
Insured Closed
Paid Des!uctible Reserve Deductible Paid
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00 $0.00
Pearland Independent School District, T> Apr 17, 2012
Insured Closed
Paid Deductll!le B!S!rve Deductible Paid
$0.00 $0 00
$38 00 $0.00
$2,737.98 $000
Loss Cause Claim Type
Recovered
$0.00
$0.00
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
$0.00
Collision - With Fixed Object
Recovered
$0.00
$0.00
$0.00
Backing Up
Recovered
$0.00
$0.00
$0.00
File Handler Polley Number
Pam Oleson
BA4612000-07
Net Incurred
$4,544.43
Belinda Villarreal
BA 4612000-07
Net lncumid
$4,818.57
Elizabeth A. Barbera
BA 4612000-07
Net Incurred
$0.00
Olivia Ballesteros
BA 4612000-07
Net Incurred
Page 1 of 22
Gross Incurred$
$0.00
$38.00
$4,506.43
$4,544.43
Gross Incurred$
$535.37
$3,275.00
$0.00
$1,008.20
$4,818.57
Gross Incurred$
$0.00
$0.00
$0.00
Gross lncumidS
$0.00
$38.00
$2,737.98
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2012/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-07
File Number
Loss Date
TNT-0100371 Totals
TNT-0104700
Aug 27, 2012 12:00 am
Reserve Type
Appraiser Expense
Collision
Property Damage
TNT-0104700 Totals
TNT-0105176
Sep 14, 2012 12:00 am
Reserve Type
Property Damage
TNT-0105176 Totals
TNT-0105193
Sep 15, 2012 12:00 am
Reserve Type
Adjuster Expense
Appraiser Expense
Bl Accidental
Property Damage
TNT-0105193 Totals
TNT-0105899
Oct 10, 2012 12:00 am
Reserve Type
Adjuster Expense
Tier Claim Number Contact Name
$0,00
Jody Kanenicky
Reserve
$0.00
$0.00
$0.00
$0.00
Kathryn Marlow
Blair Gray
.B!!!!!:l!!! $0.00
$0.00
$0.00
Reserve
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Penny Schener
~
$0.00
Party Name Party Type
$2,775.98
Pearland ISO
Insured
Paid
$38.00
$0.00
$2,483.18
$2,521.18
Pearland ISO
Insured
Paid
$000
$278.49
$278.49
$0.00
Deductible Reserve
$0.00
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$0.00
$38.00
$50,000.00
$3,374.82
$53,412.82
Pearland ISO
Insured
Paid
$1 ,075.07
Deductible Reserve
$0.00
Deductible Reserve
Received Date Claim Status
Aug 30, 2012
Closed
Sep 17, 2012
Closed
Sep 17, 2012
Closed
Oct 10, 2012
Closed
$0.00
Deductible Paid
$0.00
$0.00
$0.00
$0.00
Deductible Paid
$0.00
so:oo
$0.00
Deductible Paid
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Deductible Paid
$0 00
Loss Cause Claim Type
$0.00
Rear End Other Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
Backing Up
Recovered
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
File Handler Policy Number
$2,775.98
Josie G. Serna
BA 4612000-07
Net Incurred
$2,521.18
Pam Oleson
BA 4612000-07
Net Incurred
$278.49
Vicki Chumbley
BA 4612000-07
Net Incurred
$53,412.82
Vicki Chumbley
BA 4612000-07
Net Incurred
Page 2 of 22
$2,775.98
Gross Incurred$
$38.00
$0.00
$2,483.18
$2,521.18
Gross Incurred$
$0,00
$278.49
$278.49
Gross Incurred$
$0.00
$0.00
$38.00
$50,000.00
$3,374.82
$53,412.82
Gross Incurred$
$1,075.07
October 27, 2016 Loss Run by Claim by Reserve Type Page 3 of 22
8:01 am Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2012/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-07
FIie Number Tier Claim Number Party Name Received Date Loss Cause FIie Handler Loss Date Contact Name Party Type Claim Status Claim Type Polley Number
TNT-0105899 Penny Schener Pearland ISO Oct 10, 2012 Collision - With Another Vehicle Vicki Chumbley
Oct 10, 2012 12:00 am Insured Closed BA 4612000-07
Reserve Tl£Q!! Reserve Paid !2!s!uctlble Reserve Deductible Paid Recovered Net Incurred Gr2ss lncurredl
Appraiser Expense $0.00 $97.43 $0.00 $0.00 $97.43
Bl Accidental $0.00 $4,000.00 $0.00 $0.00 $4,000.00
Collision $0.00 $0.00 $0.00 $0.00 $0.00
Property Damage $0.00 $7,660.46 $0.00 $0.00 $7,660.46
TNT-0105899 Totals $0.00 $12,832.96 $0.00 $0.00 $0.00 $12,832.96 $12,832.96
TNT-0105903 Christian Castellon Pearland ISO Oct 10, 2012 Collision - With Another Vehicle Olivia Ballesteros
Oct 10, 2012 12:00 am Insured Closed BA 4612000-07
Reserve Tl£!!!! Reserve Paid !2!s!uctlble Reserve Deductible Paid Recovered Net Incurred Gross lncurredl
Appraiser Expense $0.00 $38.00 $0.00 $0.00 $38.00
Collision $0.00 $0.00 $0.00 $0.00 $0.00
Property Damage $0.00 $1,663.89 $0.00 $0.00 $1,663.89
TNT-0105903 Totals $0.00 $1 ,701 .89 $0.00 $0.00 $0.00 $1,701.89 $1,701 .89
TNT-0107138 Alexander Lewis Pearland ISO Nov 19, 2012 Collision - With Another Vehicle Josie G. Serna
Mar 7, 2012 12:00 am Insured Closed BA 4612000-07
Reserve Tl£Q!! R!!!Q'.!! f.!!!!. Deductible Reserve Deductible Paid Recovered Net Incurred Gross lncurredl
Appraiser Expense $0.00 $0.00 $0.00 $0.00 $0.00
Collision $0.00 $0.00 $0.00 $0.00 $0.00
Legal Expense $0.00 $0.00 $0.00 $0.00 $0.00
Property Damage $0.00 $3,608.63 $0.00 $0.00 $3,608.63
TNT-0107138 Totals $0.00 $3,608.63 $0.00 $0.00 $0.00 $3,608.63 $3,608 63
TNT-0108377 Tommy Redding Pearland ISO Jan 08, 2013 Collision - With Another Vehicle Josie G. Serna
Jan 8, 2013 12:00 am Insured Closed BA 4612000-07
Reserve Tl£!!!! Reserve Paid Deductible Reserve Deductible Paid Recovered Net Incurred !;z[OSS 1ai.ur!!!!!I
$0.00 $0,00 $0 00 $0.00 $0.00
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2012/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-07
File Number
Loss Date
TNT-0108377
Jan 8, 2013 12:00 am
Reserve Type
Appraiser Expense
Property Damage
TNT-0108377 Totals
TNT-0108597
Jan 11, 2013 12:00 am
Reserve Type
Appraiser Expense
Property Damage
TNT-0108597 Totals
BA 4612000-07 Totals
Automobile Totals
Tier Claim Number Contact Name
Tommy Redding
R!!!m'.! $0.00
$0.00
$0.00
Brian Hyman
Open: 0
Open: o
Reserve
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Group 2: LOB is General Liability
Group 3: Policy# is PE 4612000-07
File Number
Loss Date
TNT-0105858
Oct 4, 2012 12:00 am
Reserve Type
TNT-0105858 Totals
Tier Claim Number Contact Name
Reserve
$0.00
$0.00
Party Name Party Type
Pearland ISD
Insured
Paid
$0.00
$556.35 ---$556.35
Pearland ISD
Insured
Paid
$0.00
$38.00
$1,657.69
$1,695.69
$88,746.99
Closed:
$88,746.99
Closed:
Party Name Party Type
12
12
Megan Whitehaed
Claimant
Paid
$0.00
$0.00
Deductible Reserve
$0.00
Deductible Reserve
$0,00
$0.00
$000
Deductible Reserve
$0.00
Received Date Claim Status
Jan 08, 2013
Closed
Jan 14, 2013
Closed
Deductible Paid
$0.00
$0.00
$0.00
Deductible Paid
$0.00
$0.00
$0.00
$0 00
$0.00
Reopened: 0
Reopened:
Received Date Claim Status
Oct 09, 2012
Closed
$0.00
0
Deductible Paid
$0.00
$0.00
Loss Cause Claim Type
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
Collision - With Another Vehicle
Loss Cause Claim Type
Other
Recovered
$0.00
$0 00
$0.00 --$0.00 = $0.00
Total:
---$0.00
Total:
Recovered
$0.00
$0.00
12
12
File Handler Policy Number
Josie G. Serna
BA 4612000-07
Net Incurred
$556.35
Olivia Ballesteros
BA 4612000-07
Net Incurred
$1,695.69
$88,746.99
$88,746.99
File Handler Policy Number
Laura Wigley
PE 4612000-07
Net Incurred
$0.00
Page 4 of 22
Gross Incurred$
$0 00
$556.35
$556.35
Gross Incurred$
$0.00
$38.00
$1,657.69
$1,695 69
$88,746.99
$88,746.99
Gross Incurred$
$0.00
$0.00
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State = 'TX'
Group 1: Policy Effective Date is 2012/02/04
Group 2: LOB is General Liability
Group 3: Policy# is PE 4612000-07
File Number
Loss Date
TNT-0106023
Oct 12, 2012 12:00 am
Reserve Type
Bl Accidental
TNT-0106023 Totals
TNT-0106527
Oct 25, 2012 12:00 am
Reserve Type
TNT-0106527 Totals
TNT-0107642
Nov 29, 2012 12:00 am
Reserve Type
Bl Accidental
TNT-0107642 Totals
PE 4612000-07 Totals
General Liability Totals
2012/02/04 Totals
Tier Claim Number Contact Name
Open: 0
Open: 0
Open: 0
B!!l!!lll!! $0.00
$0.00
Reserve
$0.00
$0.00
Reserve
$0 00 -$0,00 --$0.00
$0 00
$0.00
Party Name Party Type
Cameron Griffin
Claimant
Paid Deductible Reserve
$300.00
$300.00 $0.00
Jada D. Tomlinson
Claimant
Paid Deductible Reserve
$0.00
$0.00 $0.00
Unknown
Claimant
Paid Deductible Reserve
$0 00
$0,00 $0.00
$300.00 $0.00
Closed: 4
$300 00 $0.00
Closed: 4
$89,046.99 $0.00
Closed: 16
Received Date Loss Cause File Handler Claim Status Claim Type Policy Number
Oct 15, 2012 Falling Object Kara M. Cho
Closed PE 4612000-07
Deductible Paid Recovered Net Incurred
$0.00 $0.00
$0.00 $0.00 $300.00
Oct31,2012 Other Gill Eastland
Closed PE 4612000-07
Deductible Paid Recovered Net Incurred
$0.00 $0.00
$0.00 $0 00 $0.00
Dec 07, 2012 Sexual Abuse Kara M. Cho
Closed PE 4612000-07
Deductible Paid Recovered Net Incurred
$0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $300.00
Reopened: 0 Total: 4
$0.00 $0.00 $300.00
Reopened: 0 Total: 4
$0 00 $0.00 $89,046.99
Reopened: 0 Total: 16
Page 5 of 22
Gross Incurred$
$300.00
$300.00
Gross Incurred$
$0 00
$0.00
Gross Incurred$
$0.00
$0.00
$300.00
$300.00
$89,046.99
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >=
'02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2013/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-08
File Number Loss Date
TNT-0109823
Feb 5, 2013 12:00 am
Reserve Type
Appraiser Expense
Collision
Property Damage
TNT-0109823 Totals
TNT-0109824
Feb15,2013 12:00am
Reserve Type
Appraiser Expense
Property Damage
TNT-0109824 Totals
TNT-0111385
Apr 2, 2013 12:00 am
Reserve Type
Appraiser Expense
Collision
Property Damage
TNT-0111385 Totals
TNT-0113052
May 22, 2013 12:00 am
Reserve Type
Appraiser Expense
Tier Claim Number Contact Name
Patrick Joy
Unknown
Reserve
$0.00
$0.00
$0.00
$0.00
$0.00
Reserve
$0.00
$0 00
$0.00
$0.00
Luann Rhodes
Reserve
$0.00
$0.00
$0.00
$0.00
Jamie Moreno
R!!!!l!! $0.00
$0 00
Party Name Party Type
Pearland Independent School District
Insured
f!l!! $0.00
$0.00
$0.00
$852.21
$852.21
Pearland ISD
Insured
Paid
$0.00
$125.35
$4,029.83
$4,155.18
Pearland ISD
Insured
~
$151 .55
$0.00
$5,848.99
$6,000.54
Deductible Reserve
$0.00
Deductible Reserve
$0.00
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$38.00
Deductible Reserve
Received Date Claim Status
Feb 20, 2013
Closed
Feb 20, 2013
Closed
Apr 02, 2013
Closed
Deductible Paid
$0.00
$0.00
$0.00
$0.00
$0.00
Deductible Paid
$0.00
$0 00
$0.00
$0.00
Deductible Paid
$0.00
$0.00
$0.00
$0.00
May 23, 2013
Closed
Deductible Paid
$0.00
$0.00
Loss Cause Claim Type
Collision - With Another Vehicle
Backing Up
Recovered
$0.00
$0.00
$0.00
$0.00
$0.00
Recovered
$0.00
$0.00
$0.00
$0.00
Hit Parked Vehide
Backing Up
Recovered
$0.00
$0.00
$0.00
$0.00
Recovered
$0.00
$0.00
File Handler Polley Number
Josie G. Serna
BA 4612000-08
Net Incurred
$852.21
Josie G. Serna
BA 4612000-08
Net Incurred
$4,155.18
Olivia Balesteros
BA 4612000-08
Net Incurred
$6,000.54
Teresa Villarreal
BA 4612000-08
Net Incurred
Page 6 of 22
Gross Incurred$
$0.00
$0.00
$0.00
$852.21
$852.21
Gross Incurred$
$0.00
$125.35
$4,029.83
$4,155.18
Gross Incurred$
$151.55
$0.00
$5,848.99
$6,000.54
Gross Incurred$
$0.00
$38.00
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2013/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-08
File Number
Loss Date
TNT-0113052
May 22, 2013 12:00 am
Reserve Type
Property Damage
TNT-0113052 Totals
TNT-0113111
May 23, 2013 12:00 am
Reserve Type
Appraiser Expense
Property Damage
TNT-0113111 Totals
TNT-0113139
May 23, 2013 12.00 am
Reserve Type
Collision
Property Damage
TNT-0113139 Totals
TNT-0113357
May 31, 2013 12:00 am
Reserve Type
TNT-0113357 Totals
TNT-0116477
Oct 2, 2013 12:00 am
Reserve Type
Tier Claim Number Contact Name
Jamie Moreno
Reserve
$0.00
$0.00
Michael Cllelund
Reserve
$0.00
$0.00
$0.00
$0.00
Barbara Dolan
Unknown
Reserve
$0.00
$0.00
$0.00
Reserve
$0 00
$0.00
Daniel Estes
Reserve
Party Name Party Type
Pearland Independent School District
Insured
Paid
$1,036 14
$1,074.14
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$38.00
$927.13
$965.13
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$331 .22
$331 .22
Pearland ISD
Insured
Paid
$0.00
$0.00
Deductible Reserve
$0.00
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid Deductible Reserve
Received Date Claim Status
May 23, 2013
Closed
May 28, 2013
Closed
May 28, 2013
Closed
Jun 04, 2013
Closed
Deductible Paid
$0.00
$0.00
Deductible Paid
$0.00
$0.00
$0.00 -$0.00
Deductible Paid
$0.00
$0.00 -$0.00
Deductible Paid
$0.00
Oct 03, 2013
Closed
$0.00
Deductible Paid
Loss Cause Claim Type
Backing Up
Recovered
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
Collision - With Fixed Object
Recovered
$0.00
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
Collision - With Another Vehicle
Recovered
File Handler Policy Number
Teresa Villarreal
BA 4612000-08
Net Incurred
$1,074.14
Teresa Villarreal
BA 4612000-08
Net Incurred
$965.13
Olivia Ballesteros
BA 4612000-08
Net Incurred
$331.22
Teresa Villarreal
BA 4612000-08
Net Incurred
$0.00
Josie G. Serna
BA 4612000-08
Net Incurred
Page 7 of 22
Gross Incurred$
$1,036.14
$1,074.14
Gross Incurred$
$0.00
$38,00
$927.13
$965.13
Gross Incurred$
$0.00
$331.22
$331.22
Gross Incurred$
$0.00
$0.00
Gross Incurred$
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2013/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-08
File Number
Loss Date
TNT-0116477
Oct 2, 2013 12:00 am
Reserve Type
Appraiser Expense
Collision
Property Damage
TNT-0116477 Totals
TNT-0116660
Oct 1, 2013 12:00 am
Reserve Type
Adjuster Expense
Appraiser Expense
Bl Accidental
Collision
UM/UIM
TNT-0116660 Totals
TNT-0116855
Oct 15, 2013 12:00 am
Reserve Type
TNT-0116855 Totals
TNT-0116873
Oct 21, 2013 12:00 am
Reserve Type
Adjuster Expense
Bl Accidental
Tier Claim Number Contact Name
Daniel Estes
Unknown
Reserve
$0.00
$0.00
$0.00
$0.00
B!!!.!!!l!! $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Harold Prince
Unknown
Reserve
$0.00
$0.00
Reserve
$0.00
$0.00
Party Name
Party Type
Pearland Independent School District
Insured
Paid
$38.00
$0.00
$2,451.11
$2,489.11
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$1,422.42
$450 05
$0.00
$25,162.39
$38,500.00
$65,534 86
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$0.00
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$2,145.72
$3,000.00
Deductible Reserve
Received Date Claim Status
Oct 03, 2013
Closed
Deductible Paid
$0.00
$0.00
$0.00
$0.00
Oct 11, 2013
Closed
Deductibl!...!!!!!!
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Oct 22, 2013
Closed
Deduc!!.!!l!.!!!!.!!
$0.00
$0.00
Oct 23, 2013
Closed
Deductible Paid
$0.00
$0.00
Loss Cause Claim Type
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
$24,935.00
$0.00
$24,935.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
Rear End Other Vehicle
Recovered
$0.00
$0.00
File Handler Policy Number
Josie G. Serna
BA 4612000-08
Net Incurred
$2,489.11
Belinda Villarreal
BA 4612000-08
Net Incurred
$40,599.86
Teresa Villarreal
BA 4612000-08
Net Incurred
$0.00
Vicki Chumbley
BA 4612000-08
Net Incurred
Page 8 of 22
Gross Incurred$
$38.00
$0.00
$2,451.11
$2,489.11
Gross Incurred$
$0.00
$1,422.42
$450.05
$0.00
$227.39
$38,500.00
$40,599.86
Gross Incurred$
$0.00
$0.00
Gross Incurred$
$2,145.72
$3,000.00
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State = 'TX'
Group 1: Policy Effective Date is 2013/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-08
FIie Number
Loss Date
TNT-0116873
Oct 21, 2013 12:00 am
Reserve Type
Collision
Property Damage
TNT-0116873 Totals
TNT-0117380
Nov 11, 2013 12:00 am
Reserve Type
Appraiser Expense
Collision
TNT-0117380 Totals
TNT-0119089
Jan 23, 2014 12:00 am
Reserve Type
Appraiser Expense
Property Damage
TNT-0119089 Totals
TNT-0119352
Jan 31, 2014 12:00 am
Reserve Type
Property Damage
TNT-0119352 Totals
Tier Claim Number Contact Name
Unknown
Reserve
$0.00
$0.00
$0.00
Donald Hennesey
Reserve
$0.00
$0.00
$0.00
$0.00
Linda Almagear
Hermann
Reserve
$0.00
$0.00
$0.00
$0.00
Reserve
$0.00
$0.00
$0.00
Party Name Party Type
Pearland Independent School District
Insured
Paid
$14,002.14
$1,465.69
$20,613.55
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$38.00
$2,303.95
$2,341.95
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$0.00
$185.15
$185.15
Pearland ISD
Insured
f!J!! $0.00
$0.00
$000
Deductible Reserve
$0.00
Deductible Reserve
$0.00
Received Date Claim Status
Oct 23, 2013
Closed
Deductible Paid
$0.00
$0.00
$0.00
Nov 13, 2013
Closed
Deductible...!!!!.!!!
$0.00
$0.00
$0.00
$0.00
Jan 24, 2014
Closed
Deductible Paid
$0.00
$0.00
$0.00
$0.00
Feb 03, 2014
Closed
Deductible Paid
$0.00
$0.00
$0.00
Loss Cause Claim Type
Rear End Other Vehide
Recovered
$0.00
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
Rear End Other Vehicle
Recovered
$0.00
$0 00
$0 00
File Handler Policy Number
Vicki Chumbley
BA 4612000-08
Net Incurred
$20,613.55
Teresa Villarreal
BA 4612000-08
Net Incurred
$2,341.95
Josie G. Serna
BA 4612000-08
Net Incurred
$185.15
Pam Oleson
BA 4612000-08
Net Incurred
$0.00
Page 9 of 22
Gross lacurredS $14,002.14
$1,465.69
$20,613.55
Gross lncurredS
$0.00
$38.00
$2,303.95
$2,341 .95
Gross lncurredS
$0 00
$0.00
$185.15
$185.15
Gross Incurred$
$0 00
$0 00
$0 00
October 27, 2016
8:01 am
Report Criteria:
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2013/02/04
Group 2: LOB is Automobile
Page 10 of 22
=============================================== BA 4612000-0B Totals $0.00
Open: 0
Automobile Totals $0.00
Open: o
Group 2: LOB is Educator's Liability
Group 3: Policy# is PE 4612000-08
File Number Loss Date
TNT-0117621
Nov 1, 2013 12:00 am
Reserve Type
Legal Expense
Wrongful Act
TNT-0117621 Totals
PE 4612000-0B Totals
Educator's Liability Totals
2013/02/04 Totals
Tier Claim Number Contact Name
Reserve
$0.00
$0.00 -$0.00 = $0.00
Open: 0
$0.00
Open: 0
$0.00
Open: 0
$104,543.04
Closed:
$104,543 04
Closed:
Party Name Party Type
14
14
Simone N. Bailey
Claimant
Paid
$16,663.20
$0.00
$16,663.20
$16,663.20
Closed:
$16,663.20
Closed:
$121 ,206.24
Closed: 15
$0.00
$0.00
Deductible Reserve
$0.00
$0.00
$0.00
$0.00
Reopened:
Reopened:
Received Date Claim Status
Nov 22, 2013
Closed
$0.00
0
$0.00
0
Deductible Paid
$10,000.00
$0.00
$10,000.00
$10,000.00
Reopened: 0
$10,000.00
Reopened: 0
$10,000.00
Reopened: 0
Loss Cause Claim Type
Other
$24,935.00
Total:
$24,935.00
Total:
Recovered
$0.00
$0.00
$0.00
$0.00
Total:
$0.00
Total:
$24,935.00
Total:
14
14
15
$79,608.04
$79,608.04
File Handler Policy Number
Craig Wilder
PE 4612000-0B
Net Incurred
$6,663.20
$6,663.20
$6,663.20
$86,271 .24
$79,608.04
$79,608.04
Gross Incurred$
$16,663.20
$0.00
$16,663.20
$16,663.20
$16,663.20
$96,271 .24
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State = 'TX'
Group 1: Policy Effective Date is 2014/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-09
File Number
Loss Date
TNT-0119733
Feb 11, 2014 12:00 am
Reserve Type
Appraiser Expense
Bl Accidental
Collision
Property Damage
TNT-0119733 Totals
TNT-0120275
Feb 28, 2014 12:00 am
Reserve Type
Appraiser Expense
Property Damage
TNT-0120275 Totals
TNT-0120833
Mar 19, 2014 12:00 am
Reserve Type
Adjuster Expense
Appraiser Expense
Bl Accidental
Collision
Expert Expense
Legal Expense
Property Damage
TNT-0120833 Totals
Tier Claim Number Contact Name
Georgia Timmons
Reserve
$0.00
$0.00
$0.00
$0.00
$0.00
Kelly Krauss
Unknown
Reserve
$0.00
$0.00
$0.00
$0.00
B.!!!!!! $0.00
$0.00
$42,500.00
$0.00
$2,625.00
$12,877.10
$0.00
$58,002.10
Party Name
Party Type
Pearland Independent School District
Insured
Paid
$35.00
$249.61
$0.00
$969.63
$1,254.24
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$35.00
$1,071 .23
$1,106.23
Deductible Reserve
$0.00
Pearland Independent School District
Insured
f!J!! $688.48
$0.00
$0.00
$0.00
$5,415.00
$18,335.98
$1,108.25
$25,547.71
Deductible Reserve
$0.00
Received Date
Claim Status
Feb 17, 2014
Closed
Mar 03, 2014
Closed
Mar 20, 2014
Reopened
Deductible Paid
$0.00
$0.00
$0.00
$0.00
$0.00
Deductible Paid
$0.00
$0.00
$0.00
$0.00
Deductible Paid
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Loss Cause ClalmType
Collision - With Another Vehicle
Backing Up
Recovered
$0.00
$0.00
$0.00
$0.00
$0.00
Recovered
$0.00
$0 00
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
FIie Handler Policy Number
Olivia Ballesteros
BA 4612000-09
Net Incurred
$1,254.24
Pam Oleson
BA 4612000-09
Net Incurred
$1,106.23
Belinda Villarreal
BA 4612000-09
Net Incurred
$83,549.81
Page 11 of 22
Gross lncurredS
$35.00
$249.61
$0.00
$969.63
$1,254.24
Gross lncurredS
$0.00
$35.00
$1,071 .23
$1 ,106.23
Gross Incurred$
$688.48
$0.00
$42,500.00
$0.00
$8,040.00
$31 ,213.08
$1,108.25
$83,549 81
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State = 'TX'
Group 1: Policy Effective Date is 2014/02/04
Group 2: LOB is Automobile
Group 3: Policy # is BA 4612000-09
File Number
Loss Date
TNT-0122489
May 30, 2014 12:00 am
Reserve Type
Appraiser Expense
Collision
Property Damage
TNT-0122489 Totals
TNT-0124178
Aug 27, 2014 12:00 am
Reserve Type
Appraiser Expense
Property Damage
TNT-0124178 Totals
TNT-0125090
Oct 16, 2014 12:00 am
Reserve Type
Appraiser Expense
Property Damage
TNT-0125090 Totals
TNT-0125258
Oct 20, 2014 12:00 am
Reserve Type
Adjuster Expense
Appraiser Expense
Tier Claim Number Contact Name
Robert Allen
Reserve
$0.00
$0.00
$0.00
$0.00
Debbie Russell
Reserve
$0.00
$0.00
$0.00
$0.00
Kenneth K Hulsey
.B.!!!!!Q!!
$0.00
$0.00
$0.00
$0.00
Lee A Blackshire
Reserve
$0.00
$0.00
$0.00
Party Name
Party Type
Pearland Independent School District
Insured
Paid
$0.00
$0.00
$191.38
$191.38
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$75.00
$5,213.67
$5,288.67
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$35.00
$1,495.97
$1,530.97
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0 00
$0 00
$124.49
Deductible Reserve
Received Date Loss Cause Claim Status Claim Type
May 30, 2014 Collision - With Another Vehicle
Closed
Deductible Paid Recovered
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
---Aug 27, 2014 Collision - With Another Vehicle
Closed
Deductible Paid Recovered
$0.00 $0.00
$0.00 $0 00
$0.00 $0.00
$0.00 $0.00
Oct 16, 2014 Collision - With Another Vehicle
Closed
Deductible Paid Recovered
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
$0.00 $0.00
Oct 28, 2014 Collision - With Another Vehicle
Closed
Deductible Paid Recovered
$0.00 $0 00
$0.00 $0.00
$0.00 $0.00
File Handler Policy Number
Josie G. Serna
BA 4612000-09
Net Incurred
$191.38
Teresa Villarreal
BA 4612000-09
Net Incurred
$5,288.67
Teresa Villarreal
BA 4612000-09
Net Incurred
$1,530.97
Elizabeth A. Barbera
BA 4612000-09
Net Incurred
Page 12 of 22
Gross Incurred$
$0.00
$0.00
$191.38
$191.38
Gross Incurred$
$0.00
$75.00
$5,213.67
$5,288.67
Gross Incurred$
$0.00
$35.00
$1,495.97
$1,530.97
Gross Incurred$
$0.00
$0.00
$124.49
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State = 'TX'
Group 1: Policy Effective Date is 2014/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-09
File Number
Loss Date
TNT-0125258
Oct 20, 2014 12:00 am
Reserve Type
Property Damage
TNT-0125258 Totals
BA 4612000-09 Totals
Automobile Totals
Tier Claim Number Contact Name
Lee A Blackshire
Reserve
$0.00
$0.00
$58,002.10
Open: O
$58,002.10
Open: O
Group 2: LOB is General Liability
Group 3: Policy# is PE 4612000-09
File Number
Loss Date
TNT-0124135
Aug 19, 2014 12:00 am
Reserve Type
TNT-0124135 Totals
TNT-0124684
Sep 9, 2014 12:00 am
Reserve Type
TNT-0124684 Totals
TNT-0126339
May 16, 2014 12:00 am
Reserve Type
Tier Claim Number
Contact Name
Reserve
$0.00
$0.00
Reserve
$0.00
$0.00
Reserve
Party Name
Party Type
Pearland Independent School District
Insured
Paid Deductible Reserve
$2,756.00
$2,880.49 $0.00
$37,799.69 $0.00
Closed: 6
$37,799.69 $0.00
Closed: 6
Party Name
Party Type
Paul Catoe
Claimant
Paid Deductible Reserve
$0.00
$0.00 $0.00
Alannah K. Ashbey
Claimant
Paid Deductible Reserve
$0.00
$0.00 $0.00
Kailey Home
Claimant
Paid Deductible Reserve
Received Date
Claim Status
Oct 28, 2014
Closed
Deductible Paid
$0.00
$0.00
$0.00
Reopened:
$0.00
Reopened:
Received Date
Claim Status
Aug 25, 2014
Closed
Deductible Paid
$0.00
$0.00
Sep 24, 2014
Closed
Deductible Paid
$0.00
$0.00
Jan 06, 2015
Closed
Deductible Paid
Loss Cause
Claim Type
Collision - With Another Vehicle
Recovered
$0 00 -$0.00 = $0 00
Total: 7 ---------
$0.00
Total: 7
Loss Cause
Claim Type
Other
Recovered
$0 00
$0.00
Falling Object
Recovered
$0.00
$0 00
Falling Object
Becovered
File Handler
Polley Number
Elizabeth A. Barbera
BA 4612000-09
Net Incurred
$2,880.49
$95,801.79
$95,801 79
File Handler
Polley Number
Teresa Villarreal
PE 4612000-09
Net Incurred
$0 00
Brian Smith
PE 4612000-09
Net Incurred
$0 00
Gill Eastland
PE 4612000-09
Netlncu_ITl!_<I
Page 13 of 22
Gross Incurred$
$2,756.00
$2,880.49
$95,801.79
$95,801 .79
Gross Incurred$
$0.00
$0.00
Gross Incurred$
$0,00
$0 00
Gross Incurred$
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2014/02/04
Group 2: LOB is General Liability
Group 3: Policy# is PE 4612000-09
File Number
Loss Date
TNT-0126339
May 16, 2014 12:00 am
Reserve Type
TNT-0126339 Totals
PE 4612000-09 Totals
General Liability Totals
2014/02/04 Totals
Tier Claim Number
Contact Name
Reserve
$0.00 -$0.00
--$0.00
Open: 0
$0.00
Open: 0
$58,002.10
Open: 0
Party Name
Party Type
Kailey Home
Claimant
Paid Deductible Reserve
$0.00
$0.00 $0.00
$0.00 $0.00
Closed: 3
$0.00 $0.00
Closed: 3
$37,799.69 $0.00
Closed: 9
Received Date Loss Cause File Handler
Claim Status Claim Type Policy Number
Jan 06, 2015 Falling Object Gill Eastland
Closed PE 4612000-09
Deductible Paid Recovered Net Incurred
$0.00 $0.00
$0.00 $0.00 $0.00
$0.00 $0.00 $0.00
Reopened: 0 Total: 3
$0.00 $0.00 $0.00
Reopened: 0 Total: 3
$0.00 $0.00 $95,801.79
Reopened: 1 Total: 10
Page 14 of 22
Gross lncurredi
$0.00
$0.00
$0.00
$0.00
$95,801.79
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State = 'TX'
Group 1: Policy Effective Date is 2015/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-10
File Number Tier Claim Number
Loss Date Contact Name
TNT-0128226 Unknown
Mar 9, 2015 12:00 am
Beserve Tl,!l!e Reserve
$0.00
Appraiser Expense $0.00
Property Damage $0.00
TNT-0128226 Totals $0.00
TNT-0128231 Unknown
Mar 6, 2015 12:00 am
Reserve Tl,!Q!! Reserve
$0.00
Appraiser Expense $0.00
Property Damage $0.00
TNT-0128231 Totals $0.00
TNT-0128872 Unknown
Mar 30, 2015 12:00 am
Reserve Tl,!Q!! Reserve
$0.00
Appraiser Expense $0.00
Property Damage $0.00
TNT-0128872 Totals $0.00
TNT-0129263 Carlos Saenz
Apr 11, 2015 12:00 am
Reserve Tl,!l!e Reserve
$0.00
Appraiser Expense $0.00
Property Damage $0.00
Party Name Party Type
Pearland Independent School District
Insured
f!!!! $0.00
$102.50
$1,385.34
$1,487.84
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$102.50
$3,679.02
$3,781 .52
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$102.50
$3,816.34
$3,918.84
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$35.00
$1,634 68
Deductible Reserve
Received Date Claim Status
Mar 09, 2015
Closed
Mar 09, 2015
Closed
Mar 31, 2015
Closed
Apr 15, 2015
Closed
Deductible Paid
$0.00
$0.00
$0.00
$0.00
Deductible Paid
$0.00
$0.00
$0.00
$0.00
Deductible Paid
$0.00
$0.00
$0.00
$0.00
Deductible Paid
$0.00
$0.00
$0.00
Loss Cause Claim Type
Backing Up
Recovered
$0.00
$0.00
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
Hit Parked Vehicle
Backing Up
Recovered
$0.00
$0.00
$0.00
$0.00
Becovered
$0.00
$0.00
$0 00
File Handler Policy Number
Vicki Chumbley
BA 4612000-10
Net Incurred
$1,487.84
Vicki Chumbley
BA 4612000-10
Net Incurred
$3,781 .52
Vicki Chumbley
BA 4612000-10
Net Incurred
$3,918.84
Josie G. Serna
BA 4612000-10
Net Incurred
Page 15 of 22
Gross Incurred$
$0.00
$102.50
$1,385.34
$1,487.84
Gross Incurred$
$0.00
$102.50
$3,679.02
$3,781 .52
Gross Incurred$
$0.00
$102.50
$3,816.34
$3,918.84
Gross Incurred$
$0.00
$35.00
$1,634.68
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State = 'TX'
Group 1: Policy Effective Date is 2015/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-10
File Number Tier Claim Number
Loss Date Contact Name
TNT-0129263 Totals $0.00
TNT--0129788 Andrew Shuenenman
May 6, 2015 12:00 am
Reserve Tl,!l!e Reserve
$0.00
Adjuster Expense $0.00
Appraiser Expense $0.00
Bl Accidental $0.00
Property Damage $0.00
TNT-0129788 Totals $0.00
TNT-0130023 Unknown
May 8, 2015 12:00 am
Reserve Tl,!l!e Reserve
$0.00
Appraiser Expense $0.00
Property Damage $0.00
TNT--0130023 Totals $0.00
TNT--0131101 Unknown
Jul 2, 2015 12:00 am
Reserve Tl,!I!! .B!!!!!! $0.00
Appraiser Expense $0.00
Comp - all other $0.00
TNT-0131101 Totals $0,00
TNT-0132190 Synnove Coutway
Sep 18, 2015 12:00 am
Reserve TXJ!! Reserve
Party Name Party Type
$1 ,669.68
Pearland ISO
Insured
Paid
$0.00
$2,077.98
$0.00
$800.00
$4,200.00
$7,077.98
$0.00
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0 00
$35,00
$1,306.60
$1,341 60
Deductible Reserve
$0 00
Pearland Independent School District
Insured
Paid
$0.00
$221 ,92
$2,124 40
$2,346.32
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid Deductible Reserve
Received Date Claim Status
$0.00
May 06, 2015
Closed
Deductible Paid
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
May 13, 2015
Closed
Deductibl! ei!ld
$0.00
$0.00
$0.00
$0,00
Jul 14, 2015
Closed
Deductible Paid
$0.00
$0.00
$0.00
$0.00
Sep 18, 2015
Closed
Deductible Paid
Loss Cause Claim Type
Intersection
$0.00
Recovered
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Hit Parked Vehide
Recovered
$0.00
$0.00
$0 00
$0 00
Comprehensive - Total Theft
Recovered
$0 00
$0.00
$0.00
$0.00
Collision - With Fixed Object
Recovered
File Handler Polley Number
$1 ,669.68
Gill Eastland
BA 4612000-10
Net Incurred
$7,077.98
Olivia Ballesteros
BA 4612000-10
Net Incurred
$1 ,341 .60
Josie G. Serna
BA 4612000-10
Net Incurred
$2,346 32
Teresa Villarreal
BA 4612000-10
Net Incurred
Page 16 of 22
$1 ,669.68
Gross Incurred$
$0.00
$2,077.98
$0.00
$800.00
$4,200.00
$7,077.98
Gross Incurred$
$0.00
$35.00
$1,306.60
$1,341 .60
Gross lncurntdS
$0.00
$221 .92
$2,124.40
$2,346 32
Gross Incurred$
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2015/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-10
File Number
Loss Date
TNT-0132190
Sep 18, 2015 12:00 am
Reserve Type
TNT-0132190 Totals
TNT-0133000
Nov 9, 2015 12:00 am
Reserve Type
Appraiser Expense
Collision
Property Damage
TNT-0133000 Totals
TNT-0133390
Dec 10, 2015 12:00 am
Reserve Type
Property Damage
TNT-0133390 Totals
TNT-0133786
Jan 5, 2016 12:00 am
Reserve Type
Appraiser Expense
Property Damage
TNT-0133786 Totals
BA 4612000-10 Totals
Tier Claim Number Contact Name
Synnove Coutway
Reserve
$0,00
$0.00
Brandi Winans
Unknown
Reserve
$0.00
$0,00
$0.00
$0.00
Reserve
$0.00
$0.00
$0.00
Ray Aldridge
Open: 0
Reserve
$0.00
$0.00
$0 00
$0.00
$0.00
Party Name Party Type
Pearland Independent School District
Insured
f!!sl $0,00
$0,00
Deductible Reserve
$0,00
Pearland Independent School District
Insured
Paid
$0,00
$0.00
$795,05
$795.05
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$444,94
$444.94
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0,00
$181 61
$219 34
$400,95
$23,264.72
Closed:
Deductible Reserve
$0,00
$0.00
11
Received Date Claim Status
Sep 18, 2015
Closed
Deductible Paid
$0.00
$0.00
Nov 11 , 2015
Closed
Deductible Paid
$0.00
$0.00
$0.00
$0,00
Dec 11, 2015
Closed
Deductible Pal!!
$0,00
$0.00
$0.00
Jan 12, 2016
Closed
Deductible Paid
$0.00
$0.00
$0.00
$0.00
$0,00
Reopened: 0
Loss Cause Claim Type
Collision - With Fixed Object
Recovered
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0,00
$0,00
Collision - With Another Vehicle
Recovered
$0.00
$0,00
$0,00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0 00
$0.00
$0.00
Total: 11
File Handler Policy Number
Teresa Villarreal
BA 4612000-10
Net Incurred
$0,00
Josie G. Serna
BA 4612000-10
Net Incurred
$795.05
Teresa Villarreal
BA 4612000-10
Net Incurred
$444,94
Elizabeth A. Barbera
BA 4612000-10
Net Incurred
$400.95
$23,264.72
Page 17 of 22
Gross Incurred$
$0,00
$0,00
Gross Incurred$
$0.00
$0.00
$795,05
$795,05
Gross Incurred$
$0.00
$444.94
$444.94
Gross Incurred$
$0.00
$181,61
$219.34
$400 95
$23,264.72
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2015/02/04
Automobile Totals $0.00
Open: O
Group 2: LOB is Educator's Liability
Group 3: Policy# is PE 4612000-10
FIie Number
Loss Date
TNT-0131845
Aug 25, 2015 12:00 am
Reserve Type
TNT-0131845 Totals
PE 4612000-10 Totals
Educator's Llablllty Totals
Tier Claim Number Contact Name
Reserve
$0.00 -$0.00
--$0.00
Open: 0
$0.00
Open: 0
Group 2: LOB is General Liability
Group 3: Policy# is PE 4612000-10
FIie Number
Loss Date
TNT-0129059
Mar 28, 2015 12.00 am
Reserve Type
Property Damage
TNT-0129059 Totals
TNT-0129985
Apr 30, 2015 12:00 am
Reserve Type
TNT-0129985 Totals
Tier Claim Number Contact Name
.B!!!!Q'.!
$0.00
SO.DO
Reserve
SO.DO
$0.00
$23,264.72
Closed:
Party Name Party Type
Jeff Heumann
Claimant
Paid
$0.00
$0.00
$0.00
Closed:
$0.00
Closed:
Party Name Party Type
11
1
1
Linda q. Fletcher
Claimant
Paid
SO.DO
$0.00
Rachel Eliozondo
Claimant
Paid
$0.00
$0.00
$0.00
Deductible Reserve
$0.00
$0.00
S0.00
Deductible Reserve
$0.00
Deductible Reserve
S0.00
$0.00
Reopened: 0
Received Date Claim Status
Aug 28, 2015
Closed
Deductible Paid
Reopened:
Reopened:
Received Date Claim Status
Apr 07, 2015
Closed
$0.00
$0.00
$0.00
0
$0.00
0
Deductible Paid
$0.00
May 12, 2015
Closed
$0.00
Deductible Paid
SO.OD
$0.00
$0.00
Total: 11
Loss Cause Claim Type
D-IDEA/FreeAppropriate Public Education
Loss Cause
Claim Type
Road Defect
Recovered
$0.00
$0.00
$0.00
Total:
SO.OD
Total:
Recovered
SO.DO
$0.00
Slip and Fall - Inside
Recovered
so 00
$0,00
$23,264.72
FIie Handler Polley Number
Rob St. Jean
PE 4612000-10
Net Incurred
$0.00
$0.00
SO.DO
FIie Handler
Polley Number
Olivia Ballesteros
PE 4612000-10
Net Incurred
$0.00
Laura Wigley
PE 4612000-10
Net Incurred
$0 00
Page 18 of 22
$23,264.72
!:?r2H Incurred$
$0.00
$0.00
$0.00
$0.00
Gross Incurred$
$0.00
SO.DO
Gmss Incurred$
$0 00
S0.00
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2015/02/04
Group 2: LOB is General Liability
Group 3: Policy# is PE 4612000-10
File Number
Loss Date
TNT-0133228
Nov 12, 2015 12:00 am
Reserve Type
TNT-0133228 Totals
PE 4612000-10 Totals
General Llabllity Totals
2015/02/04 Totals
Tier Claim Number Contact Name
Reserve
$0.00 -$0.00 = $0.00
Open: 0
$0.00
Open: 0
$0.00
Open: 0
Party Name Party Type
Michelle Richards
Claimant
Paid
$0.00
$0.00
$0.00
Closed: 3
$0.00
Closed: 3
$23,264.72
Closed: 15
Received Date Loss Cause File Handler Claim Status Claim Type Policy Number
Nov 30, 2015 Slip and Fall - Inside Gill Eastland
Closed PE 4612000-10
Deductible Reserve Deductible Paid Recovered Net Incurred
$0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
Reopened: 0 Total: 3
$0.00 $0.00 $0.00 $0.00
Reopened: 0 Total: 3
$0.00 $0.00 $0.00 $23,264.72
Reopened: 0 Total: 15
Page 19 of 22
Gross lncurredl
$0.00
$0.00
$0.00
$0.00
$23,264.72
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State = 'TX'
Group 1: Policy Effective Date is 2016/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-11
File Number
Loss Date
TNT-0134300
Feb 4, 2016 12:00 am
Reserve Type
Appraiser Expense
Collision
Property Damage
TNT-0134300 Totals
TNT-0134401
Feb 17, 2016 12:00 am
Reserve Type
Appraiser Expense
Collision
Recovery Expense
TNT-0134401 Totals
TNT-0135416
Apr 16, 2016 12:00 am
Reserve Type
Appraiser Expense
Collision
Property Damage
TNT-0135416 Totals
TNT-0135602
Apr 29, 2016 12:00 am
Reserve Type
Appraiser Expense
Collision
Tier Claim Number Contact Name
Abrey Jefferson
Unknown
~
$0.00
$0.00
$0.00
$0.00
Reserve
$0.00
$0.00
$0.00
$0.00
$0.00
Larry Dean Butler
Unknown
Reserve
$0.00
$0.00
$0.00
$0.00
Reserve
$0.00
$0.00
Party_Name Party Type
Pearland Independent School District
Insured
Paid
$136.57
$0.00
$794.93
$931.50
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$113.66
$3,839.88
$1,148.06
$5,101.60
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$35.00
$0.00
$4,834.16
$4,869.16
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$35.00
$0.00
Deductible Reserve
Received Date
Claim Status
Feb 12, 2016
Closed
Feb 17, 2016
Closed
Apr 20, 2016
Closed
May 02, 2016
Closed
Deductible Paid
$0.00
$0.00
$0.00
$0.00
Deductible Paid
$0.00
$0.00
$0.00
$0.00
$0.00
Deductible Paid
$0.00
$0.00
$0.00
$0.00
Deductible Paid
$0.00
$0.00
Loss Cause Claim Type
Hit Parked Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
Rear End Other Vehicle
Recovered
$0.00
$0.00
$3,826.88
$0.00
$3,826.88
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0,00
$0.00
File Handler Policy Number
Josie G. Serna
BA 4612000-11
Net Incurred
$931.50
Kara M. Cho
BA 4612000-11
Net Incurred
$1,274.72
Olivia Ballesteros
BA 4612000-11
Net Incurred
$4,869.16
Josie G. Serna
BA 4612000-11
Net Incurred
Page 20 of22
Gross Incurred$
$136.57
$0.00
$794.93
$931.50
Gross Incurred$
$0.00
$113.66
$13.00
$1,148.06
$1,274.72
Gross Incurred$
$35.00
$0.00
$4,834.16
$4,869.16
Gross Incurred$
$35.00
$0.00
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State= 'TX'
Group 1: Policy Effective Date is 2016/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-11
File Number
Loss Date
TNT-0135602
Apr 29, 2016 12:00 am
Reserve Type
Property Damage
TNT-0135602 Totals
TNT-0135830
May 16, 2016 12:00 am
Reserve Type
Appraiser Expense
Collision
Property Damage
TNT-0135830 Totals
TNT-0136052
May 27, 2016 12:00 am
Reserve Type
Appraiser Expense
Collision
Property Damage
TNT-0136052 Totals
TNT-0137167
May 16, 2016 12:00 am
Reserve Type
Property Damage
TNT-0137167 Totals
Tier Claim Number Contact Name
Unknown
Reserve
$0.00
$0.00
Jennifer Torres
Reserve
$0.00
$0.00
$0.00
$0.00
$0.00
Wayne Simon
Reserve
$0.00
$0.00
$0.00
$0.00
Brian Wukasch
Reserve
$0.00
$0.00
$0.00
Party Name Party Type
Pearland Independent School District
Insured
Paid
$825.87
$860.87
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$475.72
$0.00
$2,378.72
$2,854.44
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$175.80
$0.00
$5,963.26
$6,139.06
Deductible Reserve
$0.00
Pearland Independent School District
Insured
Paid
$0.00
$0 00
$0.00
Deductible Reserve
$0.00
Received Date Claim Status
May 02, 2016
Closed
Deductible Paid
$0.00
$0.00
May 17, 2016
Closed
Deductible Paid
$0.00
$0.00
$0.00
$0.00 -$0.00
Jun 01, 2016
Closed
Deductible Paid
$0.00
$0.00
$0.00 -$0.00
Aug 18, 2016
Closed
Deductible Paid
$0.00
$0.00 -$0.00
Loss Cause Claim Type
Collision - With Another Vehicle
Recovered
$0.00
$0.00
Rear End Other Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
$0.00
Hit Parked Vehicle
Recovered
$0.00
$0.00
$0.00
$0.00
Collision - With Another Vehicle
Recovered
$0.00
$0.00
$0.00
File Handler Policy Number
Josie G. Serna
BA 4612000-11
Net Incurred
$860.87
Vicki Chumbley
BA 4612000-11
Net Incurred
$2,854.44
Josie G. Serna
BA 4612000-11
Net Incurred
$6,139.06
Olivia Ballesteros
BA 4612000-11
Net Incurred
$0.00
Page 21 of 22
Gross Incurred$
$825.87
$860.87
Gross Incurred$
$0,00
$475.72
$0.00
$2,378.72
$2,854,44
Gross Incurred$
$175.80
$0.00
$5,963.26
$6,139.06
Gross Incurred$
$0.00
$0.00
$0.00
October 27, 2016
8:01 am
Loss Run by Claim by Reserve Type
Financials As Of 10/27/2016
Report Criteria: Filter: Tier 2 Name in (Pearland Independent School District, Pearland Independent School District) and Policy Effective Date >= '02/04/2012' and Tier 2 State = 'TX'
Group 1: Policy Effective Date is 2016/02/04
Group 2: LOB is Automobile
Group 3: Policy# is BA 4612000-11
FIie Number
Loss Date
TNT-0137980
Sep 6, 2016 12:00 am
Reserve Type
Appraiser Expense
Collision
Property Damage
TNT-0137980 Totals
BA 4612000-11 Totals
Automobile Totals
2016/02/04 Totals
Grand Totals
Tier Claim Number Contact Name
Helen Rodriguez
Reserve
$500.00
$80.97
$0.00
$580.97
$580.97
Open: 1
$580.97
Open: 1
$580.97
Open: 1
$58,583.07
Open: 1
Party Name
Party Type
Pearland Independent School District
Insured
Paid Deductible Reserve
$0.00
$6,919.03
$0.00
$6,919.03 $0.00
$27,675.66 $0.00
Closed: 7
$27,675.66 $0.00
Closed: 7
$27,675 66 $0.00
Closed: 7
$298,993.30 $0.00
Closed: 62
Received Date Claim Status
Oct 14, 2016
Open
Deductible Paid
$0.00
$0.00
$0.00
$0.00
$0.00
Reopened: 0
$0.00
Reopened: 0
$000
Reopened: 0
$10,000.00
Reopened: 1
Loss Cause
Claim Type
Collision - With Another Vehicle
Recovered
$000
$0.00
$0 00
$0 00
$3,826.88
Total: B
$3,826.88
Total: B
$3,826.88
Total: B
$28,761.88
Total: 64
File Handler
Policy Number
Josie G. Serna
BA 4612000-11
Net Incurred
$7,500.00
$24,429.75
$24,429.75
$24,429.75
$318,814.49
Page 22 of 22
Gross Incurred$
$500.00
$7,000.00
$0.00
$7,500.00
$24,429.75
$24,429,75
$24,429.75
$328,814 49
BOILER & MACHINERY LOSS RUNS
--®
Munich RE:;:_ The Hartford Steam Boiler Inspection and Insurance Company
Hanford S1eam Boller
Wednesday, October 11, 2017
A J Gallagher Risk Mgmt Svcs P.O. Box 1890 Pearland, TX 77588
Named Insured: Policy Number: Policy Status: Coverage: Policy Term(s):
Pearland Independent School District FBP7317285 Active Equipment Breakdown 2/4/2010 - 2/4/2011 2/4/2011 - 2/4/2012 2/4/2012 - 2/4/2013 2/4/2013 - 2/4/2014 2/4/2014 - 2/4/2015 2/4/2015 - 2/4/2016 2/4/2016 - 2/4/2017 2/4/2017 - 2/4/2018
The above referenced account has had no paid Equipment Breakdown Coverage losses or open claims for the above listed policy terms.
The Hartford Steam Boiler Inspection & Insurance Co. One State Street P.O. Box 5024 Hartford, CT 06102-5024 Page 1 of 1
INLAND MARINE LOSS RUNS
PEARLAND ISO
PO BOX 7
PEARLAND, TX 77588
ACCOUNT: P5642621
-· -CIM 5642621 00
Totals For Polley Period
CIM 5642621 01
Totals For Polley Period
CIM 5642621 02
Totals For Policy Period
CIM 5642621 03
Totals For Polley Period
CIM 5642621 04
Totals For Polley Period
CIM 5642621 OS
Totals For Polley Period
CIM 5642621 06
Totals For Polley Period
CIM 5642621 07
Totals For Polley Period
CIM 5642621 08
Totals For Polley Period
CIM 5642621 09
Totals For Policy Period
CIM 5642621 10
EQUIPMENT STOLEN
VICTORY INSURANCE AGENCY, INC.
PO BOX 1890
PEARLAND, TX 77588
------Policy Period from 02/04/2005 to 02/04/2006
Number of Claims: O
Policy Period from 02/04/2006 to 02/04/2007
Number of Claims: 0
Policy Period from 02/04/2007 to 02/04/2008
Number of Claims: 0
Policy Period from 02/04/2008 to 02/04/2009
Number of Claims: 0
Policy Period from 02/04/2009 to 02/04/2010
Number of Claims: 0
Policy Period from 02/04/2010 to 02/04/2011
Number of Claims: 0
Policy Period from 02/04/2011 to 02/04/2012
Number of Claims: 0
Policy Period from 02/04/2012 to 02/04/2013
Number of Claims: 0
Policy Period from 02/04/2013 to 02/04/2014
Number of Claims: 0
Polley Period from 02/04/2014 to 02/04/2015
Number of Claims: 0
Policy Period from 02/04/2015 to 02/04/2016
07/02/2015 08CPP0802569 PEARLAND 15D GeneralDamag No Claim e
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
r! Republic Group
An AmTrust Financial Company
VALUED AS OF: 10/17/2017
........ I
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
PEARLAND ISO
PO BOX 7
PEARLAND, TX 77588
ACCOUNT: P5642621
-· LOSS DESC
Totals For Polley Period
CIM 5642621 11
Totals For Polley Period
CIM 5642621 12
Totals For Polley Period
Totals for Policy: CIM 5642621
VICTORY INSURANCE AGENCY, INC.
PO BOX 1890
PEARLAND, TX 77588
DOL CLAIM NBR CLAIMANT COVERAGE STATUS TYPE
Number of Claims: 1
Policy Period from 02/04/2016 to 02/04/2017
Number of Claims: 0
Policy Period from 02/04/2017 to 02/04/2018
Number of Claims: 0
L Number of Claims: I I Number of Claims: I Report Totals I
Tuesday, October 17, 2017
r! Republic Group
An AmTrust Financial Company
VALUED AS OF: 10/17/2017
-----$0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00
PROPERTY LOSS RUNS
• ~ ts-mRisc.1.1·:
0 Print Date:10/16/2017
Loss Run Dated - 09/30/2017
Pearland Independent School District Account No: 435599
Policy Term: 01/31/2017 - 01/31/2018
Policy Numbers: 1 0T029659-03403-17-02 AMR-41331-02 USl-13448-02
Broker Company: CRC Insurance Services Inc. No Claims found for this policy
Pearland Independent School District Account No: 372734
Policy Term: 01/31/2016 - 01/31/2017
Policy Numbers: 1 0T029659-03403-16-01 7DA3CM0003296-01 AMP7520395-03 AMR-41331-01 CPP9190324-07 HAN-13381-01 MSP-10299-07 USl-13448-01
Broker Company: CRC Insurance Services Inc. No Claims found for this policy
Pearland ISD
Policy Term:
Account No: 305022
01/31/2015 - 01/31/2016
Policy Numbers: 1 0T029659-03403-15 7DA3CM0003296-00 AMP7520395-02 AMR-41331 CPP9190324-06 HAN-13381 -00 MSP-10299-06 USl-13448-00
Broker Company: CRC Insurance Services Inc. No Claims found for this policy
Pearland ISD
Policy Term:
Policy Numbers:
01/31/2014 - 01/31/2015
AMP7520395-01 AMR-35904 CPP9190324-05 MSP-10299-05
Broker Company: CRC Insurance Services Inc. No Claims found for this policy
Pearland ISD
Policy Term:
Policy Numbers:
01/31/2013 - 01/31/2014
AMP7520395-00 AMR-32201 CPP9190324-04 MSP-10299-04
Broker Company: CRC Insurance Services Inc. No Claims found for this policy
Account No: 253276
Account No: 213788
This is not to be construed as an absolute statement of claims, but as a history located for this insured with the listed policy numbers. The loss runs do not necessarily reflect all new claims, transactions or changes applicable within the last 30 days.
Page 1 of 2
Pearland ISO
Policy Term: 01/31/2012 - 01/31/2013
Policy Numbers: AMR-29551 CPP9190324-03 D7A3CM0000404-03 MSP-10299-03
Broker Company: CRC Insurance Services Inc. No Claims found for this policy
Loss Paid Expense Paid Loss Reserve
Total All Years:
Account No: 181896
Expense Reserve Total Incurred
This is not to be construed as an absolute statement of claims, but as a history located for this insured with the listed policy numbers. The loss runs do not necessarily reflect all new claims, transactions or changes applicable within the last 30 days.
Page 2 of 2
.JA A hSpecialty ~fr f C Insurance Company
Insured Name: Pearland ISO Polley Number: ESP004236801 Polley Period: 01/31/2012 - 01/31/2013
Clalm Handler Date Closed
Total Clalms: 0
Claimant
Arch Claims Loss Run Report
Additional State Date Insured/ of Location Loss
Date Reported
Report ran by: JHom Report run date: Oct 13, 2017 10:17:50 AM
Loss Description Indemnity Expense Medical Recoveries Paid Paid Paid
$0,00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
The reserves reflected on this loss run represent estimates of exposure and expenses based upon currently available mformat1on. Final incurred amounts for these claims may be less than, equal to, or greater than currently posted reserves as investigation and/or litigation continues. No representation is therefore made as to their ultimate accuracy. Arch Insurance Group considers these reserve figures to be proprietary information, that should not be disclosed to third parties without the express written consent of Arch.
FILES LISTED ARE THOSE FILES REPORTED TO ARCH PURSUANT TO THE POLICY. THIS POLICY IS AN EXCESS OR UMBRELLA POLICY AND THIS RUN DOES NOT REFLECT CLAIMS WHICH MAY HAVE BEEN REPORTED BY THE INSURED TO A PRIMARY CARRIER.
Oct 13, 2017 10:17:S0AM
,~A A hSpecialty J,-f ~ r C Insurance Company
Insured Name: Pearland Independent School Distnct Polley Number: ESP004236802 Polley Period: 01/31/2013 - 01/31/2014
Claim Handler Date Closed
Total Claims: 0
Claimant
Arch Claims Loss Run Report
Addltlonal State Date Insured/ of Location Loss
Date Reportad
Report ran by: JHom Report run date: Oct 13, 2017 10:17:50 AM
Loss Description Indemnity Expense Medical Recoveries Paid Paid Paid
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
The reserves reflected on this loss run represent estimates of exposure and expenses based upon currently available information. Final incurred amounts for these claims may be less than, equal to, or greater than currently posted reserves as investigation and/or litigation continues. No representation is therefore made as to their ultimate accuracy. Arch Insurance Group considers these reserve figures to be proprietary information, that should not be disclosed to third parties without the express written consent of Arch.
FILES LISTED ARE THOSE FILES REPORTED TO ARCH PURSUANT TO THE POLICY. THIS POLICY IS AN EXCESS OR UMBRELLA POLICY AND THIS RUN DOES NOT REFLECT CLAIMS WHICH MAY HAVE BEEN REPORTED BY THE INSURED TO A PRIMARY CARRIER.
Oct13,2017 2 10:17:S0AM
,~A A h Specialty "-t? f C lnsuranceCompany
Insured Name: PEARLAND INDEPENDENT SCHOOL DISTRICT Policy Number: ESP004236803 Policy Period: 01/31/2014 - 01/31/2015
Clalm Handler Date Closed
Total Claims: o
Claimant
Arch Claims Loss Run Report
Additional State Date Insured/ of Location Loss
Date Reported
Report ran by: JHom Report run date: Oct 13, 2017 10:17:50 AM
Losa Description Indemnity Expense Medical Recoveries Paid Paid Paid
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
The reserves reflected on this loss run represent estimates of exposure and expenses based upon currently available information. Final incurred amounts for these claims may be less than, equal to, or greater than currently posted reserves as investigation and/or litigation continues. No representation is therefore made as to their ultimate accuracy. Arch Insurance Group considers these reserve figures to be proprietary information, that should not be disclosed to third parties without the express written consent of Arch.
FILES LISTED ARE THOSE FILES REPORTED TO ARCH PURSUANT TO THE POLICY. THIS POLICY IS AN EXCESS OR UMBRELLA POLICY AND THIS RUN DOES NOT REFLECT CLAIMS WHICH MAY HAVE BEEN REPORTED BY THE INSURED TO A PRIMARY CARRIER.
Oct 13, 2017 3 10:17:50 AM
.JA A hSpecialty ~'fr f C Insurance Company
Insured Name: PEARLAND INDEPENDENT SCHOOL DISTRICT Policy Number: ESP004236804 Policy Period: 01/31/2015 - 01/31/2016
Claim Handler Date Closed
Total Claims: 0
Claimant
Arch Claims Loss Run Report
Addltlonal State Date Insured/ of Location Loss
Date Reported
Report ran by: JHom Report run date: Oct 13, 2017 10:17:50 AM
Loss Description Indemnity Expense Medical Recoveries Paid Paid Paid
$0.00 $0.00 $0.00 $0 00
$0.00 $0.00 $0.00 $0.00
The reserves reflected on this loss run represent estimates of exposure and expenses based upon currently available information. Final incurred amounts for these claims may be less than, equal to, or greater than currently posted reserves as investigation and/or litigation continues. No representation is therefore made as to their ultimate accuracy. Arch Insurance Group considers these reserve figures to be proprietary information, that should not be disclosed to third parties without the express written consent of Arch.
FILES LISTED ARE THOSE FILES REPORTED TO ARCH PURSUANT TO THE POLICY. THIS POLICY IS AN EXCESS OR UMBRELLA POLICY AND THIS RUN DOES NOT REFLECT CLAIMS WHICH MAY HAVE BEEN REPORTED BY THE INSURED TO A PRIMARY CARRIER.
Oct 13, 2017 4 10:17:50 AM
,~ A A h Specialty ~,t re lnsuranceCompany
Insured Name: PEARLAND INDEPENDENT SCHOOL DISTRICT Polley Number: ESP004236805 Polley !'eriod: 01/31/2016 - 01/31/2017
Claim Handler Date Closed
Total Claims: 0
Claimant
Arch Claims Loss Run Report
Addltlonal State Date Insured/ of Location Loss
Date Reported
Report ran by: JHom Report run date: Oct 13, 2017 10:17:50 AM
Loss Description Indemnity Expense Medical Recoveries Paid Paid Paid
$0.00 $0 ,00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
The reserves reflected on this loss run represent estimates of exposure and expenses based upon currently available information. Final incurred amounts for these claims may be less than. equal to. or greater than currently posted reserves as investigation and/or litigation continues. No representation is therefore made as to their ultimate accuracy. Arch Insurance Group considers these reserve figures to be proprietary information. that should not be disclosed to third parties without the express written consent of Arch.
FILES LISTED ARE THOSE FILES REPORTED TO ARCH PURSUANT TO THE POLICY. THIS POLICY IS AN EXCESS OR UMBRELLA POLICY AND THIS RUN DOES NOT REFLECT CLAIMS WHICH MAY HAVE BEEN REPORTED BY THE INSURED TO A PRIMARY CARRIER.
Oct13,2017 5 10:17:50 AM
~A A hSpecialty ~{r re lnsuranceCompany
Insured Name: PEARLAND INDEPENDENT SCHOOL DISTRICT Polley Number: ESP004236806 Polley Period: 01/31/2017 - 01/31/2018
Clalm Handler Date Closed
Total Claims: 0
Claimant
Arch Claims Loss Run Report
Additional State Date Insured/ of Location Loss
Date Reported
Report ran by: JHom Report run date: Oct 13, 2017 10:17:50 AM
Loss Description Indemnity Expense Medical Recoveries Paid Paid Paid
$0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00
The reserves reflected on this loss run represent estimates of exposure and expenses based upon currently available information. Final incurred amounts for these claims may be less than, equal to, or greater than currently posted reserves as invest1gat1on and/or litigation continues. No representation is therefore made as to their ultimate accuracy. Arch Insurance Group considers these reserve figures to be proprietary information, that should not be disclosed to third parties without the express written consent of Arch.
FILES LISTED ARE THOSE FILES REPORTED TO ARCH PURSUANT TO THE POLICY. THIS POLICY IS AN EXCESS OR UMBRELLA POLICY AND THIS RUN DOES NOT REFLECT CLAIMS WHICH MAY HAVE BEEN REPORTED BY THE INSURED TO A PRIMARY CARRIER.
Oct 13, 2017 6 10:17:50 AM
1~Arch Arch Claims Insurance Group Inc: Policy Limits Retention -
Policy Policy limit Policy Retention Coverage Application Limit Amount Part of Excess of SIR/ SIR/Deductible SIR/Deductible Aggregate Number Defense Cost Defense Cost Type Amount Amount Deductible Amount Amount
ESP004236801 •unknown• •unknown• Policy Per $2,500,000.00 $10,000,000.00 $0.00 Deductible $300,000.00 $0.00 Occurrence
ESP004236802 •unknown• •unknown• Policy Per $2,500,000.00 $10,000,000.00 $0.00 Deductible $300,000.00 $0.00 Occurrence
ESP004236803 •unknown• •unknown• Limit Other $5,000,000.00 $25,000,000.00 $0.00 Deductible $0.00 $0.00
ESP004236804 •unknown• •unknown• Limit Other $5,000,000.00 $25,000,000.00 $0.00 Deductible $0.00 $0.00
ESP004236805 •unknown• •unknown• Limit Other $5,000,000.00 $25,000,000.00 $0.00 Deductible $0.00 $0.00
ESP004236806 •unknown• •unknown• Limit Other $2,500,000.00 $25,000,000.00 $0.00 Deductible $0.00 $0.00
Oct 13, 2017 7 10:17:50 AM
AXIS INSURANCE LOSS RUN Page 1 Of 2
INSURED: PEARLAND INDEPENDENT SCHOOL DISTRICT REPORT RUN DATE: 10112/2017
PRODUCER: CRC INSURANCE SERVICES INC [HOUSTON] # OF POLICY TERMS: 5
Loss Run Summary
Polley Term Polley Type # of Open Losses Paid Expenses Paid Recovered Total Incurred Claims Claims
Policy#: 724452/01/2009/0000IOOO
2/4/2009 - 1/31/2010 PROPERTY 0 0 $0.00 $0.00 $0.00
Policy#: 724452/01/2010/0000/000
1/31/2010 - 1/31/2011 PROPERTY 0 0 $0.00 $0.00 $0.00
Policy #: 724452/01/2011/00001000
1/31/2011 - 1/31/2012 PROPERTY 0 0 $0.00 $0.00 $0.00
Policy#: 724452/01/2012/0000/000
1/31/2012 - 1/31/2013 PROPERTY 0 0 $0.00 $0.00 $0.00
Policy#: 724452/0112013/0000/000
1/31/2013 - 1/31/2014 PROPERTY 0 0 $0.00 $0.00 $0.00
TOTALS: 0 0 $0.00 $0.00 $0.00
IMPORTANT NOTICE
The information in this report IS the property of AXIS The information contained herein 1s provided "as IS" and had not been audited or reviewed. AXIS makBs no representalion as to the accuracy of this information It is being made available for information purposes only and is not intended to and should not be relied on to comply with any statute, reguatlon or other legal or regulatory requirement AXIS reserves the right at our discretion to withhold specific loss information. By receiving this information, recipient acknowledges and agrees that· 1) AXIS is providing this information based on the recipient's expressed representation that recipient Is requesting such Information on behalf of and/or with the consent of recipient' customer; 2) Recipient will use this information only for its own internal purposes or for such purposes authorized by recipient's customer, 3) Such information is confidential and proprietary and may be subject to privacy laws, regulations or other legal requirement. 4) Recipient agrees to protect and safeguard the Information from unauthorized use or disclosure
Please contact your AXIS representative/office with any questions regarding the content of this AXIS Loss Run report
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
AXIS INSURANCE LOSS RUN
INSURED: PEARLAND INDEPENDENT SCHOOL DISTRICT
PRODUCER: CRC INSURANCE SERVICES INC [HOUSTON]
Loss Run Detail - Policy Term: 2/4/2009 - 1/31/2010 Policy#: 724452/01/2009/0000/000
REPORT RUN DATE:
# OF POLICY TERMS:
Page 2 012
1011212017
5
----------------------~ Claim#: Loss State: LOH Date: Claims Status: Claimant(s):
Total Losses Paid: Total Expenses Paid: Total Recovered: Total Incurred:
Covera e: Loss Deserl Ion:
No losses for this period
Loss Run Detail - Policy Term: 1/31/2010 - 1/31/2011 Policy#: 724452/01/2010/0000/000 Claim#: Loss State: Loss Date: Clalms Status: Clalmant(s):
Total Losses Paid: Total Expenses Paid: Total Recovered: Total Incurred:
Covera e: Loss Desert tlon: ---------- -~------~~-No losses for this period
Loss Run Detail - Policy Term: 1/31/2011 - 1/31/2012 Policy#: 724452/01/2011/0000/000 ----- ---------------------Claim#: LOH State: Loss Date: CI a I ms Status: Clalmant(s):
otal Losses Paid: Total Expenses Paid: Total Recovered: Total Incurred: Covera e: Loss Desert on:
No losses for this period
Loss Run Detail - Policy Term: 1/31/2012 - 1/31/2013 Policy#: 724452/01/2012/0000/000 ------Claim#: Loss State: Loss Date: Clalms Status: Claimant(s):
Total Losses Paid: Total Expenses Paid: Total Recovered: Total Incurred:
Covera e: LOH Desert Ion:
No losses for this period
Loss Run Detail - Policy Term: 1/31/2013 - 1/31/2014 Policy#: 724452/01/2013/0000/000 Clalm#: Loss State: Loss Date: Clalms Status: Clalmant(s):
Total Losses Paid: Total Expenses Paid: Total Recovered: Total Incurred:
Covera e: Loss Dnerl Ion:
No losses for this period
IMPORTANT NOTICE
The information in this report is the property of AXIS . The information contained herein is provided "as Is" and had not been' audited or reviewed. AXIS makes no representation as lo the accuracy of this information. It is being made available for information purposes only and is not intended to and should not be relied on to comply with any statute, regulation or other legal or regulatory requirement AXIS reserves the right al our discretion to VYithhold specific loss information. By receiving this information, recipient acknowledges and agrees that: 1) AXIS is providing this information based on the recipient's expressed representation that recipient Is requesting such information on behalf of and/or with the consent of recipient' customer, 2) Recljjent will use this information only for ils own internal purposes or for such purposes authorized by recipient's customer, 3) Such information is confidential and proprietary and may be subject lo privacy laws, regulations or other legal requirement, 4) Recipient agrees to protect and safeguard the lnformallon from unauthorized use or disclosure
Please contact your AXIS representative/office with any questions regarding the content of this AXIS Loss Run report
O.iJ Berkshire Hathaway I!:!! U Specialty Insurance
100 Federal Street, 20th Floor Boston MA 02110
No Oaims Reported 10/12/2017
Pearland Independent School District 42-PRP-000142-01 01/31/2014-01/31/2015
Toul $ $ $ $
R.iJ Berkshire Hathaway I!:!! u Spccialcy Insurance
I I
100 Federal Street, 20th Floor Boston MA 02110
10/12/2017 Pearland Independent School Dlstrlct 42-PRP-000142-02 01/31/2015-01/31/2016 Commerclal Pro rt - Prlmar
Clalml I Glalmant
I eported
10/12/2017
I Loss Description I Loss Loclltlan Is':: I D/L I D/R I Loss Cause I :: =~ jCAr coc1el status I I I I I I I I I
Closed I.A£ Paid
Indemnity/Loss Wllesene
Indemnity/Loss Realvaries Total Paid Toul
Date Paid Resm,e Incurred
TOUI $ $ - $ $ $ - $ - $ -
R.iJ Berkshire Hathaway I,!!! u Specialty Insurance
I I
100 Federal Street, 20th Floor Boston MA 02110
Loss value as of 10/12/2017 Insured Name Pearland lndeaendent School District l'allcvNumller 42-PRP-000142-03 -... ......... 01/31/2016-01/31/2017
Commercial Property - Primary
Oahnl I ClallllMt
I •ported
10/12/2017
I Loss Daalpllon I Loss Location Is': I o/L I D/R I 1.oss cause I = = ICAT Cadel Status
I I I I I I I I I
Closed IAEPald
lndamnlty/1.Dss IAEReserve
mdemnlty/loss Recoveries Total Paid
Total Date Paid Reserve lnamed
Total $ - $ - $ - $ - $ $ $
D.iJ Berkshire Hathaway I!!! u Specialty Insurance
100 Federal Street, 20th Floor Boston MA 02110
LiliValiiNif i ----Niiiii~·--~w., ............. I!.""~
" -~~
No Claims Reported 10/12/2D17
10/12/2017 Pearland Independent School District 42-PRP-000142-()4 0l/31/2017-01/31/2018 Commercial Property - Primary
.Tc.odelStalllll ~ IWl'lld Date
Total I $ $ $ $ $ $ $
Lossrun Page 1 of 1
_J' ...,,,,,. COLONY
Loss run report
Effective March 4, 2015, Colony National Insurance Company was renamed Peleus Insurance Company.
As of: 10/12/2017
Policy
Name insured:
Policy #:
Agent name:
Claims
PEARLAND INDEPENDENT SCHOOL DISTRICT
XP262537
CRC INSURANCE SERVICES, INC. (HOUSTON)
Policy period: 1/31/2015 - 1/31/2016
Agent name: CRC INSURANCE SERVICES, INC. (HOUSTON)
No claims
As of: 10/12/2017
Policy
Name insured:
Policy#:
Agent name:
Claims
PEARLAND INDEPENDENT SCHOOL DISTRICT
XP263217
CRC INSURANCE SERVICES, INC. (HOUSTON)
Policy period: 1/31/2016 - 1/31/2017
Agent name: CRC INSURANCE SERVICES, INC, (HOUSTON)
No claims
As of: 10/12/2017
Policy
Name insured:
Policy#:
Agent name:
Claims
PEARLAND INDEPENDENT SCHOOL DISTRICT
XP263950
CRC INSURANCE SERVICES, INC. (HOUSTON)
Pol icy period: 1/31/2017 - 1/31/2018
Agent name: CRC INSURANCE SERVICES, INC. (HOUSTON)
No claims
rhossel.deleon Web service ts acbve
https :/ /portal.argolimited. com/LossRun/index. aspx
Company name:
Source
Company name:
Source
Company name:
Source
COLONY INSURANCE COMPANY
C
COLONY INSURANCE COMPANY
C
COLONY INSURANCE COMPANY
C
10/1 2/2017
IFG Companies
CRC Insurance Services, Inc.
AccountlD: 2172913
Reported Loss Ratio: 0.00%
'
Policy Number:
Line Of Business:
HSL0001266
Shared & Layered Property
Insured Name:
Predominant State:
I
Policy Number: HSL0001123 Insured Name:
Line Of Business: Shared & Layered Property Predominant State:
** Reported Numbers Exclude Incurred But Not Reported $ (IBNR)
ProducerWeblossRun.rdl
Account Experience Exhibit
Pearland Independent School District
TX
No Reported Losses I
Pearland Independent School District
TX
No Reported Losses
Page 1 of 1
Policy Term: 0113112017 • 0113112018
Policy Term: 0113112016 - 0113112017
Paid:
Account Totals I Reserve: Total:
0 0 0
0 0 0
Report Date: 1011212017
0 0 0
I
IFG Companies
CRC Insurance Services, Inc.
AccountlD: 2172913
r•po'1ed Loss Rat~ • . 00% I Policy Number: HSL0001266 Insured Name:
Line Of Business: Shared & Layered Property Predominant State:
Policy Number: HSL0001123 Insured Name:
Line Of Business: Shared & Layered Property Predominant State:
•• Reported Numbers Exclude Incurred But Not Reported $ (IBNRJ
ProducerWeblossRun.rdl
Account Experience Exhibit
Pearland Independent School District
TX
No Reported Losses
Pearland Independent School District
TX
No Reported Losses
Page 1 of 1
Policy Term: 01/31/2017 - 01/31/2018
Policy Term: 01/31/2016 - 01/31/2017
Paid:
Account Totals I Reserve: Total:
0
0 0
0
0 0
Report Date: 10/12/2017
0 0 0
~ JAMES RIVER
INSURANCE
Claims Listing for: Pearland Independent School District
Summary
Underwriting Division Polk:y Number
Excess Property 00065060-2 Excess Property 00065060-1
Excess Property QQQfi5QfiQ-O
Detail
Polk:y# 00066060-2
Company: James Rfver Insurance Company
0 Polley Totals
Polk:y # 00066060-1
Company: James Rfver Insurance Company
0 Polley Totals
Polk:y# 00066060-0
Company: Jamas Rfver Insurance Company
0 Polley Totals
0 Account Totals
Loss Run
Poley Effective Date Polk:y Expiration Data
01/31/2017 01/31/2018
01/31/2016 01/31/2017
01/31/2015 01/31/2016
Polk:y Effective Data: 01/31/2017
Policy Expiration Data: 01/31/2018
NO CLAIMS FOUND 10/12/2017
0.00 0.00 0.00 0.00 0.00
Polk:y Effective Date: 01/31/2016
Polk:y Expiration Date: 01/31/2017
NO CLAIMS FOUND 10/12/2017
0.00 0.00 0.00 0.00 0.00
Polk:y Effective Date: 01/31/2016
Policy Expiration Date: 01/31/2016
NO CLAIMS FOUND 10/12/2017
0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00
Totals:
As of Date: 10/12/2017 Today's Date: 10/12/2017
Broker: CRC Insurance Services, Inc. (Houston)
Incurred Number of Claims
0.00 0
0.00 0
0.00 0
0,00 0
Underwriting Dfvlslon: Excess Property
0.00 0.00 0.00
Underwriting Dfvlslon: Excess Property
0.00 0.00 0.00
Underwriting Dfvlslon: Excess Property
0.00 0.00 0.00
0.00 0.00 0.00
The information contained within the James River Loss Run is proprietary. The express purpose of the Loss Run is to aid the insured and its brokers in understanding the performance of their account and in the placement of their insurance coverage. Any other use or distribution is strictly prohibited by James River. Reserve amounts shown in this report are estimates only and are based on information known about the loss at the time estimates are made. Reserve amounts shown should not be construed as an admission of coverage or liability or a confirmation that any payment will be made. Reserve amounts are established at James River's sole discretion and are subject to change at any time without notice.
Page 1 of 1
ROCKHILL INSURANCE COMPANY
October 13, 2017
CRC Insurance Services, Inc. Candice Wise Candace Wise (TX) <[email protected]>
Re: Rockhill Loss Information
Dear Candice:
PO IOX 18 2122
COLUMIUS , OH 4J2 11 · 2122
816 412 2100
116 •12 7550 (FAX)
WWW IHl(C COM
As of today, we have had no claims/losses reported on any of the following policies:
Policy Nos. Named Insured
Pearland Independent
School District RCPXRU0000l 9-00
Thanks Much!
Vicki Douridas (614) 917-4088 Phone (614) 827-2459 Fax [email protected]
Effective Dates
01/31/2017 -01/31/2018
(@ Loss Run for NHD399164- - Pearland Independent School District
Insured Name: Pearland Independent School District Policy No: NHD399164 0 Term: 1/31/2017 - 1/31/2018 Underwriter: Adamson, Mike
Poli~ Limit: $5,000,000 Claim Prof: N/a
No claims exist for this policy year.
Insured Name: Pearland Independent School District Policy No: NHD395356 0 Term: 1/31/2016 - 1/31/2017 Underwriter: Adamson, Mike
Poli~ Limit: $5,000,000 Claim Prof: _ J\JLa
Na claims exist for this policy year.
Insured Name: Pearland Independent School District Policy No: NHD390365 0 Term: 1/31/2015 - 1/31/2016 Underwriter: Adamson, Mike
Poli~ Limit: $10,000,000 Claim Prof: N/a
No claims exist for this policy year.
Insured Name: Pearland Independent School District Policy No: NHD385675 0 Term: 1/31/2014 - 1/31/2015 Underwriter: Adamson, Mike
Poli~ Limit: $12,500,000 Claim Prof: N/a
No claims exist for this policy year.
Insured Name: Pearland Independent School District Policy No: NHT380004 0 Term: 1/31/2013 - 1/31/2014 Underwriter: Adamson, Mike
Poli~ Limit: $8,750,000 Claim Prof: N/a
Na claims exist for this policy year.
Insured Name: Pearland Independent School District Policy No: NHD374827 0 Term: 1/31/2012 - 1/31/2013 Underwriter: Adamson, Mike
Poli~ Limit: $15,000,000 Claim Prof: -----
N/a
No claims exist for this policy year.
Insured Name: PearlandlndependentSchoolDistrict Policy No: NHD370190 0 Term: 1/31/2011 - 1/31/2012 Underwriter: Adamson, Mike
Poli~ Limit: $15,000,000 Claim Prof: N/a
No claims exist for this policy year.
Insured Name: Pearland Independent School District ( Policy No: NHD365485 0 Term: 1/31/2010 - 1/31/2011 Underwriter: Adamson, Mike Primary)
Poli~ Limit: $25,000,000 Claim Prof: N/a
-Pagel of2 RSUI Group, Inc. CLMSRSOOlE-3; 10/12/2017 10·01 AM
(@ Loss Run for NHD399164 - Pearland Independent School District
No claims exist (or this policy year.
Insured Name: Pearland Independent School District ( Primary}
Policy Limit $17,500,000
No claims exist (or this policy year.
Policy No: LHT360826 0 Term: 2/4/2009 - 1/31/2010
Insured Name: Pearland Independent School District Policy No: LHD356219 0 Term: 2/4/2008 - 2/4/2009
Policy Limit: $2,000,000 Deductible: 2% Named Storm W&H / $250,000 Minimum
Claim No: 7030024275 Status: C Date of Loss: 9/13/2008 Location of Loss: Pearland, TX Date Reported: 9/ 15/2008 Loss Description: Damages to various locations
Underwriter:
Claim Prof:
Underwriter:
Claim Prof:
fB.id $1,022,258.56
Insured Name: Pearland Independent School District ( $25M xs $SOM )
Policy Limit: $5,0Q0,000
No claims exist for this policy year.
Insured Name: Pearland Independent School District ( $15M xs $25M )
Policy Limit: $7,500,000
No claims exist (or this policy year.
Page2of2
Policy No: LHD350653 0
Policy No: LHD345603 0
RSUI Group, Inc.
Policy Gross Incurred Indemnity
~ Total
Paid $961,247.64
$61,010.92 $1,022,258.56
Term: 2/4/2007 - 2/4/2008
Term: 2/4/2006 - 2/4/2007
Total Gross Incurred
Indemnity Expense
Total
Paid $961,247.64
$61,010.92 $1,022,258.56
Underwriter:
Claim Prof:
Underwriter:
Claim Prof:
Reserve $0.00
Reserve $0.00 $0.00 $0.00
Reserve $0.00 $0.00 $0.00
Adamson, Mike
NLa
Adamson, Mike
Jordan
Incurred $1,022,258.56
~ $961,247.64
$61,010.92 $1,022,258.56
Adamson, Mike
N/a
Adamson, Mike
NLa
Incurred $961,247.64 $61,010.92
$1,022,258.56
CLMSRSOOlE-3; 10/12/2017 10:01 AM
LOSS RUN AS OF 10/13/2017
INSURANCE COMPANY: EASIC
INSURED NAME: Pearland Independent Scho
POLICY NUMBER: CPN1001057'300
POLICY EFFECTIVE DATES: 01/31/2017 - 01/31/2018
-::,a:,. ::. :.~ ,. 1• 1• 1r>r!'r· · !' ':. ' JI,~~ :::-J'.<:: -~ , Date '.':·a !C' Ciil r-1 ~ ~rr r) ;'.1'." :•, ·1'i'i Cla1r1 :. ':''Vi ;•eser.-e Lc'i.S ;, J 1rJ :: ~pense E:iq::ense r.11:! Re:o·:ere:J T :-: ' ,J' !~:;: ,:· •ec Elet1m1rier ·~ '.:'.is ~.er,or!eC .:: .os£1:! S!a!e Reserve Loss
No Losses Reported
Endurance U ,S Insurance Operations I 725 South Figueroa Street, Suite 2100 I Los Angeles , CA 90017 Telephone 213 270-7000 I Fax 213 270-7020
To11ls
Pnnted 10/1312017 10 1 B AM Page 1 of 1
"t, ·- -./,,.
Policy Year
1/31/2014-1/31/2017
Total
Total
Total All Policy Years
STARR SPECIALTY LINES INSURANCE AGENCY, LLC
Pearland Independent School District SLSTPTY10916817
44734028-03 T0234451703291
Loss History
-
-
DOL Description of Loss Status Total Paid
No Known or Reported Losses $ 0.00
$0.00
-$0.00
**As of 10/10/2017 *No reserve numbers will be give on Open status claims
-
-·
Loss Run Report Page 1 of 8
Policy Number D37374581 Policy Term 01/31/2010 - 01/31/2011
Insured Name Pearland Independent Scho
Division W - WESTCHESTER PAC EXF - EXCESS FIRE
Master/Subsidiary Producer 271319 - CRC INSURANCE SERVICES INC MCC 0080200 - Property-Exclud Westchest A&E
BCO Adjuster
Claim Supervisor
Plant / Div Location Cd
Sub Ltr Occurrence ID Proc Event Made Report Close Reopen State Desc Claimant Status Gross Paid Loss Gross Paid Gross Gross Incurred
AIM Date Date Date Date Date Expense Outstanding Loss
$0 $0 $0 $0
Subtotal I $01 $01 $01 $01
Valuation Date: 9/14/2017 Report Generated: 10/12/2017 11:25:28
Loss Run Report Page 2 of 8
Policy Number D37374581 Policy Term 01/31/2011 - 01/31/2012
Insured Name Pearland Independent Scho
Division W - WESTCHESTER PAC PMF - PRIMARY FIRE
Master/Subsidiary Producer 271319 - CRC INSURANCE SERVICES INC MCC 0080200 - Property-Exclud Westchest A&E
BCO Adjuster
Claim Supervisor
Plant/ Div Location Cd
Sub Ltr Occurrence ID Proc Event Made Report Close Reopen
State Desc Claimant Status Gross Paid Loss Gross Paid Gross Gross Incurred
AIM Date Date Date Date Date Expense Outstanding Loss
$0 $0 $0 $0
Subtotal{ $0I $0I $0I $0]
Valuation Date : 9/14/2017 Report Generated: 10/12/2017 11 : 25: 28
Loss Run Report Page 3 of 8
Policy Number D37374581 Policy Term 01/31/2012 - 01/31/2013
Insured Name Pearland Independent Scho
Division W - WESTCHESTER PAC PMF - PRIMARY FIRE
Master/Subsidiary Producer 271319 - CRC INSURANCE SERVICES INC MCC 0080200 - Property-Exclud Westchest A&E
BCO Adjuster
Claim Supervisor
Plant / Div Location Cd
Sub Ltr Occurrence ID Proc Event Made Report Close Reopen
State Desc Claimant Status Gross Paid Loss Gross Paid Gross Gross Incurred
AIM Date Date Date Date Date Expense Outstanding Loss
$0 $0 $0 $0
Subtotal I $01 $01 $01 $01
Valuation Date: 9/14/2017 Report Generated: 10/12/2017 11:25:28
Loss Run Report Page 4 of 8
Policy Number D37374581 Policy Term 01/31/2013 - 01/31/2014
Insured Name Pearland Independent Scho
Division W - WESTCHESTER PAC PMF - PRIMARY FIRE
Master/Subsidiary Producer 271319 - CRC INSURANCE SERVICES INC MCC 0080200 - Property-Exclud Westchest A&E
BCO Adjuster
Claim Supervisor
Plant / Div Location Cd
Sub Ltr Occurrence ID Proc Event Made Report Close Reopen State Desc Claimant Status Gross Paid Loss Gross Paid Gross Gross Incurred
AIM Date Date Date Date Date Expense Outstanding Loss
$0 $0 $0 $0
Subtotal I $01 $01 $01 $0]
Valuation Date : 9/14/2017 Report Generated : 10/12/2017 11 : 25: 28
Loss Run Report Page 5 of 8
Policy Number D37374581 Policy Term 01/31/2014 - 01/31/2015
Insured Name Pearland Independent Scho
Division W - WESTCHESTER PAC PMF - PRIMARY FIRE
Master/Subsidiary Producer 271319 - CRC INSURANCE SERVICES INC MCC 0080200 - Property-Exclud Westchest A&E
BCO Adjuster
Claim Supervisor
Plant/ Div Location Cd
Sub Ltr Occurrence ID Proc Event Made Report Close Reopen
State Desc Claimant Status Gross Paid Loss Gross Paid Gross Gross Incurred AIM Date Date Date Date Date Exoense Outstanding Loss
$0 $0 $0 $0
Subtotal I $01 $01 $01 $01
Valuation Date : 9/14/2017 Report Generated : 10/12/2017 11 : 25: 28
Loss Run Report Page 6 of 8
Policy Number D37374581 Policy Term 01/31/2015 - 01/31/2016
Insured Name Pearland Independent Scho
Division W - WESTCHESTER PAC PMF - PRIMARY FIRE
Master/Subsidiary Producer 271319 - CRC INSURANCE SERVICES INC MCC 0080200 - Property-Exclud Westchest A&E
BCO Adjuster
Claim Supervisor
Plant/ Div Location Cd
Sub Ltr Occurrence ID Proc Event Made Report Close Reopen
State Desc Claimant Status Gross Paid Loss Gross Paid Gross Gross Incurred
AIM Date Date Date Date Date Expense Outstanding Loss
$0 $0 $0 $0
Subtotal I $01 $01 $01 $01
Valuation Date: 9/14/2017 Report Generated: 10/12/2017 11: 25: 28
Loss Run Report Page 7 of 8
Policy Number D37374581 Policy Term 01/31/2016 - 01/31/2017
Insured Name Pearland Independent Scho
Division W - WESTCHESTER PAC PMF - PRIMARY FIRE
Master/Subsidiary Producer 271319 - CRC INSURANCE SERVICES INC MCC 0080200 - Property-Exclud Westchest A&E
BCO Adjuster
Claim Supervisor
Plant/ Div Location Cd
Sub Ltr Occurrence ID Proc Event Made Report Close Reopen State Desc Claimant Status Gross Paid Loss Gross Paid Gross Gross Incurred
AIM Date Date Date Date Date Expense Outstanding Loss
$0 $0 $0 $0
Subtotal I $01 $01 $01 $01
Valuation Date: 9/14/2017 Report Generated: 10/12/2017 11 :25:28
Loss Run Report Page 8 of 8
Policy Number D37374581 Policy Term 01/31/2017 - 01/31/2018
Insured Name PearlandindependentScho
Division W - WESTCHESTER PAC PMF - PRIMARY FIRE
Master/Subsidiary Producer 271319 - CRC INSURANCE SERVICES INC MCC 0080200 - Property-Exclud Westchest A&E
BCO Adjuster
Claim Supervisor
Plant/ Div Location Cd
Sub Ltr Occurrence ID Proc Event Made Report Close Reopen
State Desc Claimant Status Gross Paid Loss Gross Paid Gross Gross Incurred AIM Date Date Date Date Date Expense Outstanding Loss
$0 $0 $0 $0
Subtotal $0 $0 $0 $0
Grand Total $0 $0 $0 $0
Valuation Date: 9/14/2017 Report Generated: 10/12/2017 11:25:28
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