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Specs Exibit H
j* \ TRUCKEE-CONNER PUBLIC UTILITY DISTRICT SPECIFICATIONS EXHIBIT "H" LOSSES I Jp Loss Information: I You will find a Company Loss run attached. Losses are coded and unfortunately a description of the code was not forthcoming before the Specifications were released. A more detailed explanation of these losses will be forthcoming by addendum. We can state that these losses are Bodily Injury and Property Oarage losses, with a small portion being Auto Physical Damage losses. In addition, we wish to point out two reserves outstanding: $100,000 is .in reserve for the Dart Industries claim of 1976. This is described in the 1979 Financial Statement Exhibit "0". $150,000 is in reserve on a claim by an individual who hit a utility line with his boom. Date of accident was 11/8/80. It is doubtful that any liability exists on the part of the District. I ■ • ■ * • 1 0 O LiMcfmi AGENCY RESULTS LOSS ANALYSIS ACRAMENTQ OFFICE 33 PAGE 079 AS OF DECEMBER 1978 PAGE 07019 I l N c f 0 I c 0 1 POLICY CLAIM NUMBER « 0 » t N N i T TMAt.flJND. IOSS DATE REPORTED DATE D E P T. s T A T E ■MISCELLANEOUS STATISTICAL INFORMATION LOSS S ALLOC. EXPENSE PAID CURRENT 0/5 LOSSES PREVIOUS O/S LOSSES LOSS & ALLOC. EXPENSE INCURRED IYM NUMBER fOUC IFF. DATE hi ITAf ft P P P P P P :,' | . | «F! i ! ■.■•TNS;;J ar Y * *«■ ft.I:.-.!..- is.ri B'!*^MW '■*'". ' '■ '• TRUCKEE ! '•■•'•••: CA 32055 ptpsa 32033 32056 32{)56 A" iftst/HEE YAl 14904 YA114904 YA114904 YAil49d4~ VAl 14964 YA114904 "RAMS"."' ' 0Q4A1319200 804A1319201 004A1323000 804Ai36Sidd B04A1367700 804A1382700 J J J J J J .1 - ~',i' 03/78 03/78 0 3/78 63^78" 03/76 03/78 f' * • ' t 06/78 06/78 07/78 64/fa 67/78 li/78 07/78 07/78 07/78 i'677B 10>78 12/78 c c c c c c 04 04 04 04" 04 04 I i i . ■ i 9^UD211I 111 93U12J231J l|l 931 122111 liO ■;>\ 93|i 1323H .to ;:• 'T93jll^l3li l|0 ' 300 .;••>.!■•■' 64 • - 18500 405 ..' 4 05 4750 — •■y.-— T* ■ ■ 1B500 405 .. „.. 300J 64' 4750 J V ■ , • ■■ \ .«-r . -f "r< :;, :»'••*■ :*T • '•:•- ■ 8 F"«<"> :'.:<\ $&V. AGENCY RESULTS LOSS ANALYSIS SACKAMENTO OFFICE ""'.'-'.33 .,. ..',?. PAGE 032 AS OF DECEMDE* 1979 PAGE 06526 ! N E o !; M ! ,' POUCY . .CUIM . NUMBER ti T 1 It 0 * I NN S t HEAT./USD. YEAR HOSS DATE REPORTED DATE D E P T. 5 T A T E "AISCELUNEOUS STATISTICAL INFORMATION IOSS & AllOC. EXPENSE PAID CURRENT 0/S LOSSES PREVIOUS LOSS 4 *ll°C EXPENSE O/S LOSSES INCURRED NUMOER foncr ill. DAT! ' L333£ft^> -- INNEH 304A1319200 J 03/78 06/70 07/70 C 04 'III 93J112j2lli 111 Ut, .- _ g i S2J055 PYA1149 04 2500 13500 I6000-- .52056 PYA114904 604A13J920! J 03/70 06/7Q 07/78 C 04 i— 9ail2|23lj- ijj ■•-.-.- 1, ■- :•■ 500 ,. - 405 .- 951 S2J0S6 PYA114904 804A1365100 J D3/7Q 04/76 10/70 TC 04 '; . «>3.|l 1EI1321 'SO'' 632 4 OS 227 52056 PYA114904 804A1382700 J 03/76 It 1/73 3 2/7fi c 04 .'. 93.:112JJ3i| lb •■ ' 4750 | 4750-H 520 56 i PYA1149 04 S04A1451S00 J 03/715 02/79 0«/7? c o<v 93jl 122311 JO cv;p 02056 jpYA114904 804A147I900 J 03/73 02/79 06/79 c 04 93ill223l| :o 633 653 5 20 55 PYAJ14904 8Q4A15102C0 1 03/78 02/79 OS/79 c 04 93ll»2j231l 10 cap 52056 PYA114904 804A1O349 00 J 03/70 10/79 11/79 c 04 .. 93l»12«3l!-.-lJ0-.-.. . ,f. _„.. „ 200 . -.,- > .. ...... . - 2 00 5 2056 PYA14490* 804A15S0SO0 J o©/7a 03/70 12/79 c 04. ,.,'-93!H213Ji-.;-10-r^-.- ^..,^^^rr ~,^.~S00 l"!M'."?:-1i.^,;' -•-. -f-200 sabsi PYA114904 804A1S38400 J 03/78 12/79 12/79 c 04 93:1 12230i. 10 4 00 ' 400 ', V - '■< :.',Wt:l£>Vs? ■>;••> ■ii.'.:,\:t!s" ''<i J\ 1 tfTt ||6/7V !.;, ",. : «fl S'J.J . ., ) .. ,.,! :\«.fH ,.::;svy;.> ,.•••• ; | -./ j. -.-• -,.■; j j , j • ■■ . i i -J --j rt'a/7 n-h f / ' AGENCY RESULTS LOSS ANALYSIS L,ACDAM!iNTO OPKlCt 33 ■>,^u t<»5 POMCY MUCH CLAIM NUMBER TlClI f. WCLLll INii'utiAKiCE Af-tiliCV {NC POllC EH P»'( LOSS DATE PA()t oe.e REPORUD DATE MISCELLANEOUS STATISTICAL :N?0"IMATION a, OF. . LOSS I. AUOC SXfENS' PAID ?£1K CURRENT 07! ICsSfS CBtvioUS oc, inws PAC,E osi»|j lOSS 4 »HOC IXWNSE P t.. ITRUCKIifc LA |fj2J03ft is>2DS6 102]oSI |52'0C>6 | 3 £}j I 1 S2040 TMUCK PYAll PYAll PYAll PTA1I PYAll PYAlt PYAll £.£ O 4904 4 9 04 4 90'. 4 90 4 4 VG4 4904 4904 804Ai:>34soo 0 0* AiCiSOOOO 504Ai'jSI)400 eOAAlttUUlM OOAHJ'J<>7 4 00 004D15071OJ 90.SA4tI.gi 100 0 3/7B 0 3/76 0 3/ 7U 03/76 0 3/70 0 3/76 03/70 10/79 09/79 12/79 01/80 O'J/79 OB/74 04/60 11/T9 C i 04 12/7<Z c 04 i 2 / VS c 04 03/ttU c 04 01/1)0 c 04 04/00 c 04 05/BO c 04 v^i iiiti'ji! to il) l|» "»'3i 12 1 wi 13b 93*12*20 j [l 1)3,1 >2>:30! 10 ¥3,; 3 21311 *3i 52230j 93112^311 39^ CwP CwP 200 TOO A 00 10000 T ;>oo- 19 3 ••.oo- lwuOo 1 \ TP/V