The Republic Group Policy Experience Report

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1 Insured: ST. JOHN THE BAPTIST PARISH Agency: STONE OAK UNDERWRITERS INC COUNCIL Address: PO BOX Address: 1801 W. AIRLINE HWY SAN ANTONIO, TX LAPLACE, LA / DEWEY; LANCE IV SIDESWIPED CV. AUTO BI/PD SNG DUNBAR; TAKIYAH IV SIDESWIPED CV. AUTO BI/PD SNG BAILEY; KAREN SUIT -TRIP AND FALL BAILEY; KAREN SUIT -TRIP AND FALL BAILEY; KAREN SUIT -TRIP AND FALL : RGP /15/2011 to 4/15/2012 of s: 16 $49, $18, $13, $0.00 $80, /16/2011 $1, $0.00 $5, $0.00 $6, $1, $0.00 $5, $0.00 $6, $0.00 $0.00 $4, $0.00 $4, $1, $0.00 $ $0.00 $1, /6/2011 $9, $0.00 $0.00 $0.00 $9, $9, $0.00 $0.00 $0.00 $9, $ $0.00 $0.00 $0.00 $ $9, $0.00 $0.00 $0.00 $9, /3/2011 $ $0.00 $39.00 $0.00 $ $ $0.00 $39.00 $0.00 $ CARTER; INDIA CLMT SLIPPED IN OPEN PIPE $ $0.00 $0.00 $0.00 $ CARTER; INDIA CLMT SLIPPED IN OPEN PIPE $0.00 $0.00 $39.00 $0.00 $39.00 Wednesday, February 27, 2013 Page 1 of 9

2 / MYERS; LEW AND LINDA PETITION TO FIX BOUNDARY DANNY E. BECNEL, JR. SEWAGE BACKUP PUISSEGUR; PHYLLIS IV BACKED INTO OV AUTO BI/PD SNG GAYNEAUX; ROBIN I/V SCRAPED C/V AUTO BI/PD SNG : RGP /15/2011 to 4/15/2012 of s: 16 $49, $18, $13, $0.00 $80, /13/2011 $0.00 $0.00 $1, $0.00 $1, $0.00 $0.00 $1, $0.00 $1, $0.00 $0.00 $1, $0.00 $1, /16/2011 $0.00 $0.00 $ $0.00 $ $0.00 $0.00 $ $0.00 $ $0.00 $0.00 $ $0.00 $ /26/2011 $0.00 $0.00 $3, $0.00 $3, $0.00 $0.00 $3, $0.00 $3, $0.00 $0.00 $3, $0.00 $3, /4/ /17/2011 $0.00 $5, $0.00 $0.00 $5, $0.00 $5, $0.00 $0.00 $5, SCOTT; ALBERT JR SCOTT; ALBERT JR CLMT FELL FROM MOTORIZED CHAIR CLMT FELL FROM MOTORIZED CHAIR $0.00 $5, $0.00 $0.00 $5, Wednesday, February 27, 2013 Page 2 of 9

3 / SCOTT; ALBERT DUHE BROTHERS, LLC SHEXNAYDER; CONSTANCE JACKSON; ANGELA CLMT HIT POTHOLE WITH SCOOTER LAND DMG FROM PUMP STATION SEWER BACKED UP IN HOME 2/3/2012 CLMT FELL IN HOLE EXITING CAR 1/28/2012 : RGP /15/2011 to 4/15/2012 of s: 16 $49, $18, $13, $0.00 $80, /18/ /15/2011 $0.00 $0.00 $2, $0.00 $2, $0.00 $0.00 $2, $0.00 $2, $0.00 $0.00 $2, $0.00 $2, /6/2012 $36, $13, $ $0.00 $49, WASHINGTON; DOROTHY IV ANV COLLIDED AUTO BI/PD SNG PABLO; BLANCHE IV ANV COLLIDEpen AUTO BI/PD SNG WASHINGTON; DOROTHY IV ANV COLLIDED Re AUTO BI/PD SNG $36, $13, $ $0.00 $49, $4, $0.00 $ $0.00 $4, $0.00 $5, $0.00 $0.00 $5, $32, $8, $0.00 $0.00 $40, Wednesday, February 27, 2013 Page 3 of 9

4 / PARQUETTE; CLEVELAND UNKNOWN ETHICS VIOLATION SIMON; LESTER BACKHOE HIT CV SIMON; LESTER BACKHOE HIT CV KOVANA; REESE IV R/E OV AUTO BI/PD SNG IV R/E OV AUTO BI/PD SNG PITTMAN; JAMAL IV R/E OV AUTO BI/PD SNG KOVANA; REESE IV R/E OV AUTO BI/PD SNG 3/22/2012 : RGP /15/2011 to 4/15/2012 of s: 16 $49, $18, $13, $0.00 $80, /15/2012 $ $0.00 $ $0.00 $ $ $0.00 $ $0.00 $ $ $0.00 $ $0.00 $ /15/2012 $0.00 $0.00 $ $0.00 $ $0.00 $0.00 $ $0.00 $ $0.00 $0.00 $ $0.00 $ : RGP /15/2010 to 4/15/2011 of s: 16 $ $183, $155, $0.00 $340, /16/2010 $0.00 $0.00 $5, $0.00 $5, ANDERSON; EVETTE AND MARK DOL ST NOTICE SUIT - $0.00 $0.00 $5, $0.00 $5, $0.00 $0.00 $5, $0.00 $5, Wednesday, February 27, 2013 Page 4 of 9

5 / TRICE; EUGENE ELAINE YOUNG AND TROY TREBUCQ PD FROM SEISMIC TESTING POSESSORY ACTION TREPASS BOVIE; OSCAR ALLEGED TRESPASS : RGP /15/2010 to 4/15/2011 of s: 16 $ $183, $155, $0.00 $340, /17/2010 $0.00 $1.00 $0.00 $0.00 $1.00 $0.00 $1.00 $0.00 $0.00 $1.00 $0.00 $1.00 $0.00 $0.00 $1.00 4/27/2010 $0.00 $0.00 $3, $0.00 $3, $0.00 $0.00 $3, $0.00 $3, $0.00 $0.00 $3, $0.00 $3, /23/2010 $0.00 $8, $13, $0.00 $21, $0.00 $8, $13, $0.00 $21, $0.00 $8, $13, $0.00 $21, /4/2010 $0.00 $0.00 $16, $0.00 $16, $0.00 $0.00 $16, $0.00 $16, BURKE; KENNEDRA FAVORITE SHAVERS; ANIYA SHAVERS; LEOLA BORNE; LESTER $0.00 $0.00 $16, $0.00 $16, SHAVERS; ANGELICA Wednesday, February 27, 2013 Page 5 of 9

6 / SHAVERS; KIARA KENDRICK; GLORIA KENDRICK; GLORIA CLMT TRIPPEN SIDEWALK CLMT TRIPPEN SIDEWALK PIERRE; THIA M IV REARENDED CV. AUTO BI/PD SNG PIERRE; THIA M IV REARENDED CV. AUTO BI/PD SNG 6/22/2010 $0.00 $0.00 $3, $0.00 $3, /12/2010 $0.00 $45, $18, $0.00 $63, KELLER; ERIC LAWN MOWER HIT CV. KELLER; ERIC LAWN MOWER HIT CV. : RGP /15/2010 to 4/15/2011 of s: 16 $ $183, $155, $0.00 $340, /7/2010 $0.00 $0.00 $8, $0.00 $8, $0.00 $0.00 $8, $0.00 $8, $0.00 $0.00 $7, $0.00 $7, $0.00 $0.00 $ $0.00 $ $0.00 $0.00 $3, $0.00 $3, $0.00 $0.00 $ $0.00 $ $0.00 $0.00 $3, $0.00 $3, $0.00 $45, $18, $0.00 $63, $0.00 $ $0.00 $0.00 $ $0.00 $45, $18, $0.00 $63, /9/ HOLLYWOOD DOOR COMPANY SUIT-TAX DISPUTE Wednesday, February 27, 2013 Page 6 of 9

7 / BARNES; PEGGY BARNES; PEGGY LANAUX; KERRY LANAUX; KERRY MILLET SR; DAVID W CLMT TRIPPEN SIDEWALK CLMT TRIPPEN SIDEWALK BOBCAT BACKED INTO CV. BOBCAT BACKED INTO CV. MANDAMUS TO RESTORE ELECTRICIT 1/12/2011 $0.00 $0.00 $1, $0.00 $1, : RGP /15/2010 to 4/15/2011 of s: 16 $ $183, $155, $0.00 $340, /10/2010 $ $0.00 $0.00 $0.00 $ $ $0.00 $0.00 $0.00 $ $ $0.00 $0.00 $0.00 $ /14/2010 $0.00 $0.00 $2, $0.00 $2, $0.00 $0.00 $2, $0.00 $2, $0.00 $0.00 $2, $0.00 $2, $0.00 $0.00 $1, $0.00 $1, $0.00 $0.00 $1, $0.00 $1, /14/2011 $0.00 $110, $61, $0.00 $171, $0.00 $110, $61, $0.00 $171, PITTMAN; EMMA CLMT FELL INTO AN OPEN VALVE S $0.00 $10, $0.00 $0.00 $10, PITTMAN; EMMA CLMT FELL INTO AN OPEN VALVE S $0.00 $100, $61, $0.00 $161, Wednesday, February 27, 2013 Page 7 of 9

8 / STEWART; ISAAC STEWART; ISAAC LAPLACE INDUSTRIAL PROPERTIES NOBLE; NEHEMIAH NOBLE; NEHEMIAH : RGP /15/2010 to 4/15/2011 of s: 16 $ $183, $155, $0.00 $340, /14/2011 $0.00 $0.00 $ $0.00 $ CLMT STEPPED INTO UNCOVERED UT CLMT STEPPED INTO UNCOVERED UT 2/22/2011 $0.00 $20, $20, $0.00 $40, SUIT INJUNCTIVE RELIEF 4/8/2011 $ $0.00 $0.00 $0.00 $ CLMT FELL DOWN STEPS CLMT FELL DOWN STEPS of s: $0.00 $0.00 $ $0.00 $ $0.00 $0.00 $ $0.00 $ $0.00 $20, $20, $0.00 $40, $0.00 $20, $20, $0.00 $40, $ $0.00 $0.00 $0.00 $ $ $0.00 $0.00 $0.00 $ $49, $201, $169, $0.00 $420, Wednesday, February 27, 2013 Page 8 of 9

9 / Wednesday, February 27, 2013 Page 9 of 9

The Republic Group Policy Experience Report

The Republic Group Policy Experience Report Experience Report Insured: ST. JOHN THE BAPTIST PARISH Agency: STONE OAK UNDERWRITERS INC COUNCIL Address: PO BOX 782209 Address: 1801 W. AIRLINE HWY SAN ANTONIO, TX 78278 LAPLACE, LA 70068 / Period/ :

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