The Republic Group Policy Experience Report
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1 Experience Report 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 / Period/ : RGP /15/2011 to 4/15/2012 of s: 16 $66, $0.00 $19, $0.00 $86, /16/2011 $1, $0.00 $10, $0.00 $12, $1, $0.00 $10, $0.00 $12, DEWEY; LANCE IV SIDESWIPED CV. AUTO BI/PD SNG $0.00 $0.00 $10, $0.00 $10, DUNBAR; TAKIYAH IV SIDESWIPED CV. AUTO BI/PD SNG $1, $0.00 $ $0.00 $1, /6/2011 $21, $0.00 $0.00 $0.00 $21, $21, $0.00 $0.00 $0.00 $21, BAILEY; KAREN SUIT -TRIP AND FALL $ $0.00 $0.00 $0.00 $ BAILEY; KAREN SUIT -TRIP AND FALL $11, $0.00 $0.00 $0.00 $11, BAILEY; KAREN SUIT -TRIP AND FALL BAILEY; KAREN SUIT -TRIP AND FALL $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 $ Thursday, December 12, 2013 Page 1 of 9
2 Experience Report / CARTER; INDIA Period/ CLMT SLIPPED IN OPEN PIPE $0.00 $0.00 $ $0.00 $ PUISSEGUR; PHYLLIS IV BACKED INTO OV AUTO BI/PD SNG $0.00 $0.00 $ $0.00 $ /26/2011 $0.00 $0.00 $3, $0.00 $3, MYERS; LEW AND LINDA PETITION TO FIX BOUNDARY $0.00 $0.00 $1, $0.00 $1, DANNY E. BECNEL, JR. SEWAGE BACKUP $0.00 $0.00 $1, $0.00 $1, /16/2011 $0.00 $0.00 $ $0.00 $ : RGP /15/2011 to 4/15/2012 of s: 16 $66, $0.00 $19, $0.00 $86, $0.00 $0.00 $39.00 $0.00 $ /13/2011 $0.00 $0.00 $1, $0.00 $1, $0.00 $0.00 $3, $0.00 $3, $0.00 $0.00 $3, $0.00 $3, /4/ GAYNEAUX; ROBIN I/V SCRAPED C/V AUTO BI/PD SNG 10/17/ SCOTT; ALBERT JR CLMT FELL FROM MOTORIZED CHAIR Thursday, December 12, 2013 Page 2 of 9
3 Experience Report / SCOTT; ALBERT DUHE BROTHERS, LLC SHEXNAYDER; CONSTANCE JACKSON; ANGELA Period/ 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/ /15/2011 $0.00 $0.00 $2, $0.00 $2, : RGP /15/2011 to 4/15/2012 of s: 16 $66, $0.00 $19, $0.00 $86, /18/2011 $0.00 $0.00 $2, $0.00 $2, $0.00 $0.00 $2, $0.00 $2, /6/2012 $42, $0.00 $ $0.00 $42, WASHINGTON; DOROTHY WASHINGTON; DOROTHY IV ANV COLLIDED AUTO BI/PD SNG IV ANV COLLIDED AUTO BI/PD SNG PABLO; BLANCHE IV ANV COLLIDED AUTO BI/PD SNG $42, $0.00 $ $0.00 $42, $4, $0.00 $ $0.00 $4, $32, $0.00 $ $0.00 $32, $5, $0.00 $0.00 $0.00 $5, Thursday, December 12, 2013 Page 3 of 9
4 Experience Report PITTMAN; JAMAL IV R/E OV AUTO BI/PD SNG KOVANA; REESE IV R/E OV AUTO BI/PD SNG 3/22/ / KOVANA; REESE IV R/E OV AUTO BI/PD SNG PARQUETTE; CLEVELAND Period/ IV R/E OV AUTO BI/PD SNG UNKNOWN ETHICS VIOLATION $ $0.00 $ $0.00 $ SIMON; LESTER BACKHOE HIT CV $ $0.00 $ $0.00 $ SIMON; LESTER BACKHOE HIT CV 3/15/2012 $0.00 $0.00 $ $0.00 $ : RGP /15/2011 to 4/15/2012 of s: 16 $66, $0.00 $19, $0.00 $86, /15/2012 $ $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 $40, $118, $214, $0.00 $373, /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, Thursday, December 12, 2013 Page 4 of 9
5 Experience Report / TRICE; EUGENE ELAINE YOUNG AND TROY TREBUCQ Period/ PD FROM SEISMIC TESTING POSESSORY ACTION TREPASS BOVIE; OSCAR ALLEGED TRESPASS Open : RGP /15/2010 to 4/15/2011 of s: 16 $40, $118, $214, $0.00 $373, /17/2010 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, $24, $0.00 $32, $0.00 $8, $24, $0.00 $32, $0.00 $8, $24, $0.00 $32, /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 SHAVERS; ANGELICA $0.00 $0.00 $16, $0.00 $16, Thursday, December 12, 2013 Page 5 of 9
6 Experience Report / SHAVERS; KIARA KENDRICK; GLORIA KENDRICK; GLORIA Period/ CLMT TRIPPEN SIDEWALK CLMT TRIPPEN SIDEWALK PIERRE; THIA M IV REARENDED CV. AUTO BI/PD SNG PIERRE; THIA M IV REARENDED CV. 7/12/2010 $40, $0.00 $34, $0.00 $74, ERIC KELLER LAWN MOWER HIT CV. AUTO BI/PD SNG 6/22/2010 $0.00 $0.00 $3, $0.00 $3, : RGP /15/2010 to 4/15/2011 of s: 16 $40, $118, $214, $0.00 $373, /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, $40, $0.00 $34, $0.00 $74, ERIC KELLER LAWN MOWER HIT CV. $40, $0.00 $34, $0.00 $74, /9/ HOLLYWOOD DOOR COMPANY SUIT-TAX DISPUTE Thursday, December 12, 2013 Page 6 of 9
7 Experience Report / BARNES; PEGGY BARNES; PEGGY LANAUX; KERRY LANAUX; KERRY MILLET SR; DAVID W Period/ 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 $40, $118, $214, $0.00 $373, /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, $79, $0.00 $189, $0.00 $110, $79, $0.00 $189, PITTMAN; EMMA PITTMAN; EMMA CLMT FELL INTO AN OPEN VALVE S CLMT FELL INTO AN OPEN VALVE S Open Open $0.00 $10, $0.00 $0.00 $10, $0.00 $100, $79, $0.00 $179, Thursday, December 12, 2013 Page 7 of 9
8 Experience Report / STEWART; ISAAC STEWART; ISAAC LAPLACE INDUSTRIAL PROPERTIES 4/8/2011 $ $0.00 $0.00 $0.00 $ NOBLE; NEHEMIAH NOBLE; NEHEMIAH Period/ CLMT STEPPED INTO UNCOVERED UT CLMT STEPPED INTO UNCOVERED UT 2/22/2011 $0.00 $0.00 $33, $0.00 $33, SUIT INJUNCTIVE RELIEF CLMT FELL DOWN STEPS CLMT FELL DOWN STEPS : RGP /15/2010 to 4/15/2011 of s: 16 $40, $118, $214, $0.00 $373, /14/2011 $0.00 $0.00 $ $0.00 $ $0.00 $0.00 $ $0.00 $ $0.00 $0.00 $ $0.00 $ $0.00 $0.00 $33, $0.00 $33, $0.00 $0.00 $33, $0.00 $33, $ $0.00 $0.00 $0.00 $ $ $0.00 $0.00 $0.00 $ of s: $107, $118, $234, $0.00 $459, Thursday, December 12, 2013 Page 8 of 9
9 Experience Report / Period/ Thursday, December 12, 2013 Page 9 of 9
The Republic Group Policy 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 0000844 0001238 / DEWEY; LANCE
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