24-84131514-ITB Government Crime Attachment J Historical Loss Run.pdf
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- Solicitation number
- ITB-10823
- Issued by
- Leon County, Florida
About this file
This document is a Loss Detail Report for the Crime Commercial insurance policy of the State of Florida Department of Management Services. The report covers multiple policy periods from 2018 to 2025 and details several claims filed under the policies, including incidents of employee dishonesty, burglary, and funds transfer fraud. The total incurred losses across the policies amount to $32,573, with the largest single claim being $17,922 for an employee dishonesty incident in 2018.
The report provides a summary of the claims by policy period, including the number of open and closed claims, outstanding reserves, and total paid losses and expenses. The policies have deductibles ranging from $0 to $10,000. There are no indications of any ongoing or unresolved claims as of the report date of October 3, 2024.
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Solicitation No. 24-84131514-ITB Government Crime Insurance
Attachment J Historical Loss Experience
A loss run dated October 3, 2024, is provided on the following pages.
Page 1 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
Loss Detail ReportLoss Detail Report
THE STATE OF FLORIDA DEPARTMENT OF MANAGEMENT SERVICESTHE STATE OF FLORIDA DEPARTMENT OF MANAGEMENT SERVICES
| 4050 | Esplanade | Way, | #360 |
| Tallahassee, | FL | 32399 |
Account #: 1068294
| Report | Filters: | Report | Filters: | |||||||
| Created | by: | Created | by: | Purushottam.Chame@cfins.com | ||||||
| Policy | #'s:Policy | #'s: | Crime | Commercial-626039836, | 626039239, | 626038626, | 626037986, | 626037436, | 626036876, | 626036402 |
| Claim | Status:Claim | Status: | Open, | Closed, | Re-opened | |||||
| Feature | Status:Feature | Status: | Open, | Closed, | Re-opened | |||||
| Note:Note: | Feature | status | is | only | applicable | for | non | worker's | compensation | claims |
| Incurred | Range | From:Incurred | Range | From: | $0 | |||||
| Incurred | Range | To:Incurred | Range | To: | $0 | |||||
| Accident | Description | Type:Accident | Description | Type: | Defined | Description | ||||
| Accident | State:Accident | State: | All | |||||||
| Location:Location: | All | |||||||||
| Department:Department: | All | |||||||||
| Show | Notification/Report | Only | Claims:Show | Notification/Report | Only | Claims: | N | |||
| Show | Billed | Deductible:Show | Billed | Deductible: | N |
Page 2 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Producer | InformationProducer | Information | |
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | CommercialCrime | Commercial | ||||||||
| Insured | Name:Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Note: | Total | incurred | loss | includes | ALAE | minus | Subro | Recovery.Note: | Total | incurred | loss | includes | ALAE | minus | Subro | Recovery. |
| There | are | no | claims | for | this | policy. |
Policy Number: 626039836 Policy Number: 626039836 1/1/2024 - 1/1/20251/1/2024 - 1/1/2025
Page 3 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Producer | InformationProducer | Information | |
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | CommercialCrime | Commercial | ||||||||
| Insured | Name:Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Note: | Total | incurred | loss | includes | ALAE | minus | Subro | Recovery.Note: | Total | incurred | loss | includes | ALAE | minus | Subro | Recovery. |
| There | are | no | claims | for | this | policy. |
Policy Number: 626039239 Policy Number: 626039239 1/1/2023 - 1/1/20241/1/2023 - 1/1/2024
Page 4 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Producer | InformationProducer | Information | |
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | CommercialCrime | Commercial | ||||||||
| Insured | Name:Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
Note: Total incurred loss includes ALAE minus Subro Recovery.Note: Total incurred loss includes ALAE minus Subro Recovery.
| Accident | Location: | Accident | Location: | KISSIMMEE, | FL |
| Accident | Description:Accident | Description: | NOT | CLASSIFIED | |
| Claim | Status:Claim | Status: | C | ||
| Date | Closed:Date | Closed: | 4/25/2023 |
Claimant NameClaimant Name Policy NumberPolicy Number Claim NumberClaim Number Claim TypeClaim Type Damage TypeDamage Type Date of LossDate of Loss Date ReportedDate Reported Loc/ DeptLoc/ Dept Claim/ FeatureClaim/ Feature StatusStatus
| OS | ReserveOS | Reserve Paid | LossPaid | Loss Paid | ALAEPaid | ALAE Total | IncurredTotal | Incurred |
| inc | ALAEinc | ALAE |
The State Of Florida Department Of Management Services. 626038626 NJU00743114 INSI 8/20/2022 9/1/2022 C $0.00 $0 $2,430 $0.00
Totals:Totals: $0.00$0.00 $0$0 $2,430$2,430 $0.00$0.00
* Denotes undisclosed reserves
Policy Number: 626038626 Policy Number: 626038626 1/1/2022 - 1/1/20231/1/2022 - 1/1/2023
Page 5 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Accident | Location: | Accident | Location: | UNKNOWN, | FL |
| Accident | Description:Accident | Description: | NOT | CLASSIFIED | |
| Claim | Status:Claim | Status: | C | ||
| Date | Closed:Date | Closed: | 5/9/2023 |
Claimant NameClaimant Name Policy NumberPolicy Number Claim NumberClaim Number Claim TypeClaim Type Damage TypeDamage Type Date of LossDate of Loss Date ReportedDate Reported Loc/ DeptLoc/ Dept Claim/ FeatureClaim/ Feature StatusStatus
| OS | ReserveOS | Reserve Paid | LossPaid | Loss Paid | ALAEPaid | ALAE Total | IncurredTotal | Incurred |
| inc | ALAEinc | ALAE |
The State of Florida Department of Management Services. 626038626 NJU00743516 EMDH 4/19/2022 9/13/2022 C $0.00 $0 $770 $0.00
Totals:Totals: $0.00$0.00 $0$0 $770$770 $0.00$0.00
* Denotes undisclosed reserves
Page 6 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Producer | InformationProducer | Information | |
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | CommercialCrime | Commercial | ||||||||
| Insured | Name:Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Deductible:Deductible: | $10,000 | ||||
| Total | Claims:Total | Claims: | 2 | ||
| Report | Only | Features:Report | Only | Features: | 0 |
| Claim | TypeClaim | Type Average | Per | ClaimAverage | Per | Claim Open | Claim | FeaturesOpen | Claim | Features Total | Claim | FeaturesTotal | Claim | Features Outstanding | ReservesOutstanding | Reserves TotalTotal |
| Paid | LossPaid | Loss |
| Paid | ALAEPaid | ALAE Total | IncurredTotal | Incurred |
| inc | ALAEinc | ALAE |
Fidelity- Employee Dishonesty
$0.00 0 1 $0.00 $0 $770 $0.00
Fidelity- Inside Premises $0.00 0 1 $0.00 $0 $2,430 $0.00
TotalsTotals 00 22 $0.00$0.00 $0$0 $3,200$3,200 $0.00$0.00
* Denotes undisclosed reserves
Summary for Policy Number: 626038626 Summary for Policy Number: 626038626 1/1/2022 - 1/1/20231/1/2022 - 1/1/2023
Page 7 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Producer | InformationProducer | Information | |
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | CommercialCrime | Commercial | ||||||||
| Insured | Name:Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
Note: Total incurred loss includes ALAE minus Subro Recovery.Note: Total incurred loss includes ALAE minus Subro Recovery.
| Accident | Location: | Accident | Location: | UNKNOWN, | FL |
| Accident | Description:Accident | Description: | FUNDS | TRANSFER | FRAUD |
| Claim | Status:Claim | Status: | C | ||
| Date | Closed:Date | Closed: | 11/22/2021 |
Claimant NameClaimant Name Policy NumberPolicy Number Claim NumberClaim Number Claim TypeClaim Type Damage TypeDamage Type Date of LossDate of Loss Date ReportedDate Reported Loc/ DeptLoc/ Dept Claim/ FeatureClaim/ Feature StatusStatus
| OS | ReserveOS | Reserve Paid | LossPaid | Loss Paid | ALAEPaid | ALAE Total | IncurredTotal | Incurred |
| inc | ALAEinc | ALAE |
The State Of Florida Department Of Management Services 626037986 NJU00727280 INSI 7/21/2021 7/28/2021 C $0.00 $0 $0 $0.00
Totals:Totals: $0.00$0.00 $0$0 $0$0 $0.00$0.00
* Denotes undisclosed reserves
Policy Number: 626037986 Policy Number: 626037986 1/1/2021 - 1/1/20221/1/2021 - 1/1/2022
Page 8 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Accident | Location: | Accident | Location: | TALLAHASSEE, | FL |
| Accident | Description:Accident | Description: | BURGLARY | / | THEFT-DISAPPEARANCE |
| Claim | Status:Claim | Status: | O | ||
| Date | Closed:Date | Closed: | N/A |
Claimant NameClaimant Name Policy NumberPolicy Number Claim NumberClaim Number Claim TypeClaim Type Damage TypeDamage Type Date of LossDate of Loss Date ReportedDate Reported Loc/ DeptLoc/ Dept Claim/ FeatureClaim/ Feature StatusStatus
| OS | ReserveOS | Reserve Paid | LossPaid | Loss Paid | ALAEPaid | ALAE Total | IncurredTotal | Incurred |
| inc | ALAEinc | ALAE |
The State of Florida Department of Management Services 626037986 NJU00730298 INSI 2/10/2021 10/1/2021 O * $0 $6,441 *
Totals:Totals: ** $0$0 $6,441$6,441 **
* Denotes undisclosed reserves
Page 9 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Producer | InformationProducer | Information | |
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | CommercialCrime | Commercial | ||||||||
| Insured | Name:Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Deductible:Deductible: | $0 | ||||
| Total | Claims:Total | Claims: | 2 | ||
| Report | Only | Features:Report | Only | Features: | 0 |
| Claim | TypeClaim | Type Average | Per | ClaimAverage | Per | Claim Open | Claim | FeaturesOpen | Claim | Features Total | Claim | FeaturesTotal | Claim | Features Outstanding | ReservesOutstanding | Reserves TotalTotal |
| Paid | LossPaid | Loss |
| Paid | ALAEPaid | ALAE Total | IncurredTotal | Incurred |
| inc | ALAEinc | ALAE |
Fidelity- Inside Premises * 1 2 * $0 $6,441 *
TotalsTotals 11 22 ** $0$0 $6,441$6,441 **
* Denotes undisclosed reserves
Summary for Policy Number: 626037986 Summary for Policy Number: 626037986 1/1/2021 - 1/1/20221/1/2021 - 1/1/2022
Page 10 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Producer | InformationProducer | Information | |
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | CommercialCrime | Commercial | ||||||||
| Insured | Name:Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Note: | Total | incurred | loss | includes | ALAE | minus | Subro | Recovery.Note: | Total | incurred | loss | includes | ALAE | minus | Subro | Recovery. |
| There | are | no | claims | for | this | policy. |
Policy Number: 626037436 Policy Number: 626037436 1/1/2020 - 1/1/20211/1/2020 - 1/1/2021
Page 11 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Producer | InformationProducer | Information | |
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | CommercialCrime | Commercial | ||||||||
| Insured | Name:Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
Note: Total incurred loss includes ALAE minus Subro Recovery.Note: Total incurred loss includes ALAE minus Subro Recovery.
| Accident | Location: | Accident | Location: | UNKNOWN, | FL |
| Accident | Description:Accident | Description: | BURGLARY | / | THEFT-DISAPPEARANCE |
| Claim | Status:Claim | Status: | C | ||
| Date | Closed:Date | Closed: | 9/26/2019 |
Claimant NameClaimant Name Policy NumberPolicy Number Claim NumberClaim Number Claim TypeClaim Type Damage TypeDamage Type Date of LossDate of Loss Date ReportedDate Reported Loc/ DeptLoc/ Dept Claim/ FeatureClaim/ Feature StatusStatus
| OS | ReserveOS | Reserve Paid | LossPaid | Loss Paid | ALAEPaid | ALAE Total | IncurredTotal | Incurred |
| inc | ALAEinc | ALAE |
Florida A&M - FL Department Of Management Services 626036876 NJU00687276 INSI 2/22/2019 3/13/2019 C $0.00 $0 $0 $0.00
Totals:Totals: $0.00$0.00 $0$0 $0$0 $0.00$0.00
* Denotes undisclosed reserves
Policy Number: 626036876 Policy Number: 626036876 1/1/2019 - 1/1/20201/1/2019 - 1/1/2020
Page 12 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Accident | Location: | Accident | Location: | TALLAHASSEE, | FL |
| Accident | Description:Accident | Description: | NOT | CLASSIFIED | |
| Claim | Status:Claim | Status: | C | ||
| Date | Closed:Date | Closed: | 2/11/2020 |
Claimant NameClaimant Name Policy NumberPolicy Number Claim NumberClaim Number Claim TypeClaim Type Damage TypeDamage Type Date of LossDate of Loss Date ReportedDate Reported Loc/ DeptLoc/ Dept Claim/ FeatureClaim/ Feature StatusStatus
| OS | ReserveOS | Reserve Paid | LossPaid | Loss Paid | ALAEPaid | ALAE Total | IncurredTotal | Incurred |
| inc | ALAEinc | ALAE |
Dept of Children and Families 626036876 NJU00692439 OUTS 6/6/2019 6/11/2019 C $0.00 $0 $0 $0.00
Totals:Totals: $0.00$0.00 $0$0 $0$0 $0.00$0.00
* Denotes undisclosed reserves
Page 13 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Producer | InformationProducer | Information | |
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | CommercialCrime | Commercial | ||||||||
| Insured | Name:Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Deductible:Deductible: | $0 | ||||
| Total | Claims:Total | Claims: | 2 | ||
| Report | Only | Features:Report | Only | Features: | 0 |
| Claim | TypeClaim | Type Average | Per | ClaimAverage | Per | Claim Open | Claim | FeaturesOpen | Claim | Features Total | Claim | FeaturesTotal | Claim | Features Outstanding | ReservesOutstanding | Reserves TotalTotal |
| Paid | LossPaid | Loss |
| Paid | ALAEPaid | ALAE Total | IncurredTotal | Incurred |
| inc | ALAEinc | ALAE |
Fidelity- Inside Premises $0.00 0 1 $0.00 $0 $0 $0.00
Fidelity- Outside Premises $0.00 0 1 $0.00 $0 $0 $0.00
TotalsTotals 00 22 $0.00$0.00 $0$0 $0$0 $0.00$0.00
* Denotes undisclosed reserves
Summary for Policy Number: 626036876 Summary for Policy Number: 626036876 1/1/2019 - 1/1/20201/1/2019 - 1/1/2020
Page 14 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Producer | InformationProducer | Information | |
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | CommercialCrime | Commercial | ||||||||
| Insured | Name:Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
Note: Total incurred loss includes ALAE minus Subro Recovery.Note: Total incurred loss includes ALAE minus Subro Recovery.
| Accident | Location: | Accident | Location: | FLINT, | FL |
| Accident | Description:Accident | Description: | OBSOLETE-DEFAULT-SURETY | ||
| Claim | Status:Claim | Status: | C | ||
| Date | Closed:Date | Closed: | 6/28/2020 |
Claimant NameClaimant Name PolicyPolicy NumberNumber
ClaimClaim NumberNumber
ClaimClaim TypeType
DamageDamage TypeType
Date ofDate of LossLoss
DateDate ReportedReported
Loc/Loc/ DeptDept
Claim/Claim/ FeatureFeature StatusStatus
OSOS
ReserveReserve
PaidPaid LossLoss
PaidPaid
ALAEALAE
TotalTotal IncurredIncurred inc ALAEinc ALAE
THE STATE OF FLORIDA DEPARTMENT OF MANAGEMENT
SERVICES
626036402 FIT00711260 EMDH 4/17/2018 6/28/2020 C $0.00 $10 $0 $0.00
Totals:Totals: $0.00$0.00 $10$10 $0$0 $0.00$0.00
* Denotes undisclosed reserves
Policy Number: 626036402 Policy Number: 626036402 1/1/2018 - 1/1/20191/1/2018 - 1/1/2019
Page 15 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Accident | Location: | Accident | Location: | TALLAHASSEE, | FL |
| Accident | Description:Accident | Description: | EMPLOYEE | DISHONESTY | |
| Claim | Status:Claim | Status: | C | ||
| Date | Closed:Date | Closed: | 1/27/2022 |
Claimant NameClaimant Name Policy NumberPolicy Number Claim NumberClaim Number Claim TypeClaim Type Damage TypeDamage Type Date of LossDate of Loss Date ReportedDate Reported Loc/ DeptLoc/ Dept Claim/ FeatureClaim/ Feature StatusStatus
| OS | ReserveOS | Reserve Paid | LossPaid | Loss Paid | ALAEPaid | ALAE Total | IncurredTotal | Incurred |
| inc | ALAEinc | ALAE |
Department of Citrus/Matthew McDermott 626036402 NJU00665632 INSI 4/16/2018 4/17/2018 C $0.00 $17,922 $5,000 $0.00
Totals:Totals: $0.00$0.00 $17,922$17,922 $5,000$5,000 $0.00$0.00
* Denotes undisclosed reserves
Page 16 of 16 Account #: 1068294 1068294 - Loss Detail Report Valuation Date: 10/3/2024
| Producer | InformationProducer | Information | |
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | CommercialCrime | Commercial | ||||||||
| Insured | Name:Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Deductible:Deductible: | $0 | ||||
| Total | Claims:Total | Claims: | 2 | ||
| Report | Only | Features:Report | Only | Features: | 0 |
| Claim | TypeClaim | Type Average | Per | ClaimAverage | Per | Claim Open | Claim | FeaturesOpen | Claim | Features Total | Claim | FeaturesTotal | Claim | Features Outstanding | ReservesOutstanding | Reserves TotalTotal |
| Paid | LossPaid | Loss |
| Paid | ALAEPaid | ALAE Total | IncurredTotal | Incurred |
| inc | ALAEinc | ALAE |
Fidelity- Employee Dishonesty
$0.00 0 1 $0.00 $10 $0 $0.00
Fidelity- Inside Premises $0.00 0 1 $0.00 $17,922 $5,000 $0.00
TotalsTotals 00 22 $0.00$0.00 $17,932$17,932 $5,000$5,000 $0.00$0.00
* Denotes undisclosed reserves
Summary for Policy Number: 626036402 Summary for Policy Number: 626036402 1/1/2018 - 1/1/20191/1/2018 - 1/1/2019
File details come from the government source that posted it. Updated .