Clear Creek ISD · Claim Number Claimant Name Accident Date Stat Claim Type Comp Medical ExpenseTotal Pd Paid to Date Case Base Incurred Total Inc Nature Body Part Cause

Claim

Number Claimant Name

Accident

Date Stat

Claim

Type Comp Medical Expense Total Pd ExpenseMedicalComp

Paid to Date Case Base Incurred

Total Inc Nature

Body

Part Cause

Workers' Compensaton Program

Detail Claims Report - PDF as of April 09, 2019

Accident Date Range: 09/01/2008 thru 09/01/2019

Reserve

Clear Creek ISD

Coverage Period: 2008-09-01 thru 2009-09-01

6,217 321 6,539 0 6,217 321 ICGRIGAR, JACKIE 1111260 0 6,539 52 42 56 0 06/02/09

9,118 3,344 12,463 0 9,118 3,344 ICPINEIRO, TERESITA 1111263 0 12,463 49 90 27 0 06/17/09

3,846 2,112 5,958 0 3,846 2,112 ICTHOMAS, DOROTHY 1111264 0 5,958 10 38 33 0 06/22/09

93,064 73,565 166,660 32 93,064 73,565 ICFELDT, SHARON 1111246 32 166,660 28 51 31 0 05/02/09

6,062 1,701 7,763 0 6,062 1,701 ICJONES, GERALDINE 1111195 0 7,763 90 90 31 0 01/12/09

6,817 893 7,709 0 6,817 893 ICAUSTIN, ALVERNA 1111218 0 7,709 90 90 27 0 03/09/09

7,994 1,575 9,569 0 7,994 1,575 ICSNEIDER, JUNE 1111250 0 9,569 52 53 99 0 05/15/09

3,388 0 3,388 0 3,388 0 ICSHANNON, MICHIAL 1111173 0 3,388 52 90 31 0 12/15/08

1,629 0 1,629 0 1,629 0 ICMERCIER, LISA 1111175 0 1,629 07 10 46 0 01/05/09

8,733 3,668 12,401 0 8,733 3,668 ICSANCHEZ, GILBERT 1111137 0 12,401 28 35 27 0 10/24/08

3,765 0 3,765 0 3,765 0 ICDUNN, TONIA 1111255 0 3,765 90 90 31 0 05/26/09

395 662 1,057 0 395 662 ICTORRES, STEVAN 1111240 0 1,057 28 57 79 0 05/05/09

1,164 0 1,164 0 1,164 0 ICSAMBRANO, LESLI CHERIE 1111245 0 1,164 90 90 31 0 05/11/09

429 0 429 0 429 0 ICGANN, KRISTI 1111142 0 429 49 56 31 0 10/28/08

0 0 0 0 0 0 ICVILLATORO, MARIA 1111194 0 0 01 66 82 0 01/19/09

4,359 536 4,895 0 4,359 536 ICPATEL, MADHU 1111239 0 4,895 49 90 31 0 05/05/09

5,311 3,429 8,740 0 5,311 3,429 ICLONG, NORA 1111170 0 8,740 49 50 31 0 12/11/08

0 0 0 0 0 0 ICSCHWERTNER, BONNIE 1111212 0 0 28 55 99 0 02/28/09

3,806 3,128 7,784 850 3,806 3,128 ICSENTESI, ANITA 1111215 850 7,784 52 34 17 0 03/04/09

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Clear Creek ISD

662 0 662 0 662 0 ICPHAM, DANTRINH 1111131 0 662 49 53 90 0 10/15/08

1,292 0 1,292 0 1,292 0 ICSMOTHERMON, GLENNA 1111234 0 1,292 10 90 75 0 04/14/09

24,183 11,785 35,968 0 24,183 11,785 ICTHOMAS, BARBARA 1111132 0 35,968 52 42 56 0 10/02/08

568 146 714 0 568 146 ICWEAVER, PAUL IV 1111244 0 714 49 90 33 0 05/11/09

2,759 2,250 5,009 0 2,759 2,250 ICPETERSON, KATRINA 1111198 0 5,009 07 19 81 0 02/05/09

53,521 4,153 57,674 0 53,521 4,153 ICHAWLEY, SUSAN 1111254 0 57,674 10 11 46 0 04/02/09

346 0 346 0 346 0 ICALLEN, JENNIFER 1111210 0 346 10 56 99 0 03/04/09

2,818 0 2,818 0 2,818 0 ICGARZA, REUBEN 1111151 0 2,818 52 53 31 0 11/03/08

19,078 28,125 47,203 0 19,078 28,125 ICPOCKLINGTON, SUSAN 1111126 0 47,203 28 63 31 0 10/09/08

621 0 621 0 621 0 ICSTOUT, PATRICK 1111153 0 621 90 90 50 0 11/04/08

41,981 6,565 51,546 3,000 41,981 6,565 ICGEORGE, JOANNE 1111206 3,000 51,546 28 55 31 0 02/19/09

22,909 9,589 38,021 5,523 22,909 9,589 ICMUNOZ, JOSEPH 1111191 5,523 38,021 52 42 17 0 01/19/09

13,993 429 14,421 0 13,993 429 ICGAWLIK, AMY 1111152 0 14,421 90 90 77 0 11/05/08

10,518 1,757 12,275 0 10,518 1,757 ICADAM, KIMBERLY 1111270 0 12,275 10 10 27 0 07/17/09

9,043 156 9,199 0 9,043 156 ICOCHOA, MARY LOU 1111200 0 9,199 90 90 45 0 02/06/09

6,519 3,875 10,394 0 6,519 3,875 ICHAMILTON, TROY 1111135 0 10,394 49 53 53 0 10/06/08

787 209 996 0 787 209 ICGARCIA, PERLA 1111276 0 996 10 61 99 0 08/07/09

129 0 129 0 129 0 ICTYLER, DAVID 1111180 0 129 01 66 50 0 01/09/09

11,781 2,499 14,280 0 11,781 2,499 ICLITTLE, ALMA 1111232 0 14,280 10 90 29 0 04/08/09

2,589 1,182 3,771 0 2,589 1,182 ICRODRIGUEZ, LETICIA 1111279 0 3,771 52 42 99 0 08/12/09

10,566 4,929 15,494 0 10,566 4,929 ICVOCHOSKA, JEFFERY 1111147 0 15,494 34 61 74 0 10/27/08

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Clear Creek ISD

14,565 2,633 17,198 0 14,565 2,633 ICLARSEN, MELODY 1111227 0 17,198 52 31 56 0 03/26/09

36 0 36 0 36 0 ICMAPLE, AMBER 1111242 0 36 10 56 75 0 05/07/09

1,923 4,500 6,423 0 1,923 4,500 ICVINCENT, KAREN 1111283 0 6,423 49 54 60 0 08/20/09

13,698 9,616 23,314 0 13,698 9,616 ICZIMMERER, DONNALEE 1111196 0 23,314 90 90 50 0 02/05/09

19,718 7,530 29,141 1,894 19,718 7,530 ICCASTELLON, DAYSI 1111165 1,894 29,141 52 53 99 0 11/19/08

4,768 2,647 7,415 0 4,768 2,647 ICPATEL, PALLAVI 1111229 0 7,415 90 90 31 0 04/03/09

746 0 746 0 746 0 ICDENOVA, FELIX 1111281 0 746 52 42 31 0 08/13/09

573 0 573 0 573 0 ICHUGGLER, MELONY 1111253 0 573 10 19 99 0 05/18/09

3,517 0 3,517 0 3,517 0 ICCAPLAN, REBECCA 1111214 0 3,517 49 55 31 0 03/05/09

1,260 1,929 3,114 0 1,185 1,929 ICGEISELHART, MARK 1111163 0 3,189 40 56 31 75 11/19/08

196 0 196 0 196 0 ICARMSTRONG, RENEE 1111123 0 196 52 90 56 0 10/01/08

541 0 541 0 541 0 ICMCMULLIN, DINA 1111207 0 541 90 90 31 0 02/23/09

1,536 0 1,536 0 1,536 0 ICAYALA, IRMA 1111125 0 1,536 49 90 31 0 10/08/08

2,890 0 2,890 0 2,890 0 ICGARZA, MARIA 1111172 0 2,890 90 90 31 0 12/10/08

17,994 7,216 25,210 0 17,994 7,216 ICFRIES, JILL 1111168 0 25,210 52 38 17 0 11/06/08

32,514 3,321 35,835 0 32,514 3,321 ICPONTIUS, DEBORAH 1111226 0 35,835 28 51 31 0 04/02/09

844 0 844 0 844 0 ICCHALK, KATHLEEN 1111224 0 844 28 58 31 0 03/31/09

82,709 7,462 90,213 42 82,709 7,462 ICHOLBROOK, MARY ELLEN 1111136 42 90,213 28 51 31 0 10/24/08

244 0 244 0 244 0 MCBAEZ, ELENA 1111261 0 244 90 50 27 0 05/30/09

204 0 224 20 204 0 MCLEAL, LETICIA 1111262 20 224 40 35 16 0 06/15/09

2,071 0 2,071 0 2,071 0 MCLOPEZ, ANDREA 1111167 0 2,071 40 36 16 0 12/05/08

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Clear Creek ISD

10 0 10 0 10 0 MCWEBB, KATIE 1111201 0 10 90 90 77 0 02/12/09

960 0 960 0 960 0 MCRADCLIFFE, ELIZABETH 1111235 0 960 90 90 99 0 04/20/09

1,093 0 1,093 0 1,093 0 MCPEREZ, PAZ 1111265 0 1,093 10 19 33 0 06/22/09

711 0 748 37 711 0 MCGUERRA, SANJUANITA 1111280 37 748 52 54 31 0 08/06/09

2,276 0 2,276 0 2,276 0 MCKOHLER, TANNA 1111268 0 2,276 37 33 97 0 07/09/09

321 0 336 15 321 0 MCAVILA, CORINA 1111269 15 336 10 19 81 0 07/14/09

595 0 595 0 595 0 MCDAVIS, MELISSA 1111284 0 595 52 55 27 0 08/25/09

466 0 466 0 466 0 MCJEANPIERRE, NOELLE 1111216 0 466 40 17 66 0 03/09/09

1,057 0 1,057 0 1,057 0 MCSHEETS, DUANE 1111259 0 1,057 52 38 17 0 06/05/09

327 0 327 0 327 0 MCVINING, JEANNE 1111231 0 327 10 90 31 0 04/06/09

164 0 164 0 164 0 MCMENZE, JAMES 1111251 0 164 07 19 99 0 05/13/09

274 0 274 0 274 0 MCREICHENBACH, LYNNE 1111208 0 274 52 53 31 0 02/18/09

358 0 358 0 358 0 MCALLEN-WILSON, KINA 1111159 0 358 04 33 09 0 11/13/08

369 0 369 0 369 0 MCPATEL, MADHU 1111164 0 369 04 44 09 0 11/20/08

13 0 13 0 13 0 MCWINSLOW, LOGAN 1111183 0 13 65 65 82 0 01/14/09

12 0 12 0 12 0 MCJONES, ANDREW 1111185 0 12 65 65 06 0 01/14/09

169 0 169 0 169 0 MCDAVILA, MARIA 1111192 0 169 10 58 68 0 01/23/09

237 0 237 0 237 0 MCHUDSON, CATHY 1111129 0 237 49 42 56 0 10/14/08

425 0 425 0 425 0 MCWAGGETT, KAREN 1111114 0 425 52 42 60 0 09/02/08

976 0 976 0 976 0 MCHARRIS, KEVIN 1111119 0 976 52 90 31 0 09/23/08

290 0 290 0 290 0 MCRESENDIZ, CECILIA 1111121 0 290 10 90 31 0 10/03/08

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Clear Creek ISD

110 0 135 25 110 0 MCMOSES, GREGORY 1111111 25 135 01 66 90 0 09/04/08

687 0 687 0 687 0 MCALLENDER, LISA 1111120 0 687 52 54 85 0 10/03/08

307 0 307 0 307 0 MCAHERN, LUCY 1111221 0 307 52 34 17 0 03/23/09

302 0 302 0 302 0 MCGRIFFITH, KRISTINE 1111277 0 302 49 56 31 0 08/06/09

135 0 135 0 135 0 MCKING, TACY 1111193 0 135 38 34 99 0 01/27/09

399 0 399 0 399 0 MCMATHEWS, STEPHANIE 1111237 0 399 40 14 87 0 04/23/09

437 0 437 0 437 0 MCWILLIAMS, TAMMYE 1111177 0 437 90 90 31 0 01/06/09

241 0 241 0 241 0 MCWHALEY, RAYMOND 1111143 0 241 25 35 17 0 10/27/08

825 0 825 0 825 0 MCDAMIAN, JOHN 1111274 0 825 52 55 31 0 07/31/09

4,258 0 4,258 0 4,258 0 MCJOHNSON, NANCI 1111252 0 4,258 90 90 27 0 05/12/09

1,013 0 1,013 0 1,013 0 MCLOWERY, CYNTHIA 1111225 0 1,013 90 90 31 0 03/04/09

3,234 0 3,234 0 3,234 0 MCBASSO, PATRICIA 1111178 0 3,234 52 56 31 0 01/08/09

276 0 276 0 276 0 MCSAMADZADEH-ETEHADI, ADELEH 1111179 0 276 10 19 31 0 01/08/09

658 0 685 28 658 0 MCHERNANDEZ, MARIA 1111211 28 685 52 90 56 0 03/03/09

1,280 0 1,280 0 1,280 0 MCNELLUM, WOODROW JR 1111115 0 1,280 52 32 31 0 09/04/08

171 0 171 0 171 0 MCREYNA, JOHNNIE 1111134 0 171 04 33 02 0 10/21/08

814 0 842 28 814 0 MCRAMIREZ, RODOLFO 1111272 28 842 40 36 19 0 07/16/09

288 0 288 0 288 0 MCSCHAUER, ANITA 1111204 0 288 13 38 75 0 02/12/09

1,643 0 1,643 0 1,643 0 MCZIMMER, LANA 1111236 0 1,643 90 90 31 0 03/28/09

231 0 231 0 231 0 MCWAGNER, MICHELLE 1111146 0 231 38 61 99 0 10/30/08

1,773 0 1,773 0 1,773 0 MCOLIVARES, MARISELA 1111187 0 1,773 90 54 31 0 01/09/09

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Clear Creek ISD

101 0 101 0 101 0 MCMILLER, MELINDA 1111182 0 101 10 19 99 0 01/08/09

572 0 572 0 572 0 MCANDERSON, AMANDA 1111190 0 572 40 52 19 0 01/20/09

2,445 0 2,445 0 2,445 0 MCFABLING, LORETTA 1111248 0 2,445 52 42 99 0 05/14/09

371 0 371 0 371 0 MCBLUME, ERIC 1111150 0 371 10 44 81 0 11/03/08

285 0 285 0 285 0 MCRODRIGUEZ, MELISSA 1111230 0 285 49 55 31 0 04/06/09

2,798 0 2,798 0 2,798 0 MCLACOUR, SALLY 1111181 0 2,798 90 40 99 0 01/12/09

353 0 353 0 353 0 MCDELBASSO, MAUREEN 1111118 0 353 49 55 31 0 09/22/08

370 0 370 0 370 0 MCTRAVIS, SHARON 1111278 0 370 10 56 13 0 08/11/09

196 0 196 0 196 0 MCJUAREZ, LIDIA 1111160 0 196 25 14 75 0 11/11/08

203 0 203 0 203 0 MCGUTIERREZ, ELECTA 1111238 0 203 40 36 12 0 04/30/09

1,005 0 1,005 0 1,005 0 MCGRAY, SONJA 1111148 0 1,005 10 19 81 0 10/31/08

239 0 239 0 239 0 MCKILLIAN, SHANNON 1111266 0 239 10 53 31 0 06/05/09

548 0 548 0 548 0 MCSCHNURIGER, CYNTHIA 1111209 0 548 90 90 99 0 02/20/09

298 0 298 0 298 0 MCSPEER, AMY 1111130 0 298 49 32 31 0 10/13/08

690 0 690 0 690 0 MCMAY, NORMA 1111241 0 690 10 53 31 0 05/04/09

286 0 286 0 286 0 MCLIU, CHUNG 1111169 0 286 04 33 02 0 12/09/08

536 0 536 0 536 0 MCARNETT, MELLONY 1111199 0 536 13 35 81 0 02/06/09

1,774 0 1,774 0 1,774 0 MCJACKSON, DIANA 1111247 0 1,774 49 34 58 0 05/12/09

1,366 0 1,366 0 1,366 0 MCHONEYCUTT, TERRI 1111141 0 1,366 90 90 33 0 10/28/08

0 0 0 0 0 0 MCHAMILTON, TROY 1111124 0 0 52 53 26 0 10/06/08

1,150 0 1,150 0 1,150 0 MCCUMMINGS, ANNA 1111257 0 1,150 40 56 17 0 06/03/09

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Clear Creek ISD

416 0 428 12 416 0 MCGOMEZ, YOLANDA 1111217 12 428 04 90 01 0 03/06/09

189 0 189 0 189 0 MCGONZALES, MIGUEL 1111117 0 189 13 35 12 0 09/23/08

0 0 0 0 0 0 MCSCHAUER, ANITA 1111205 0 0 10 38 75 0 02/13/09

573 0 573 0 573 0 MCTAYLOR, JOSEPHINE 1111154 0 573 40 54 31 0 11/05/08

1,002 0 1,002 0 1,002 0 MCLONGORIA, KACI 1111162 0 1,002 52 42 29 0 11/18/08

949 0 949 0 949 0 MCPAGOAGA, NOLVIA 1111243 0 949 90 90 31 0 04/15/09

13 0 13 0 13 0 MCCABALLERO, JOHNNY 1111186 0 13 65 65 82 0 01/14/09

142 0 142 0 142 0 MCDOWNS, MARY 1111155 0 142 52 53 31 0 10/09/08

0 0 0 0 0 0 MCMCCLAIN, CONNIE 1111202 0 0 10 53 31 0 10/20/08

181 0 181 0 181 0 MCRIBB, ELIZABETH 1111275 0 181 49 90 31 0 08/05/09

1,155 0 1,155 0 1,155 0 MCCHAVEZ, ANITA 1111233 0 1,155 43 36 99 0 04/13/09

347 0 347 0 347 0 MCASHTON, LISA 1111273 0 347 49 56 31 0 07/29/09

0 0 0 0 0 0 MCEVANS, DONNA 1111161 0 0 90 90 31 0 11/13/08

1,195 0 1,195 0 1,195 0 MCGORDON, JUDITH 1111122 0 1,195 49 55 31 0 10/03/08

1,394 0 1,394 0 1,394 0 MCSILCOTT, CANDACE 1111171 0 1,394 52 51 26 0 12/09/08

6,466 0 6,466 0 6,466 0 MCKNOCHEL, DAPHNE 1111282 0 6,466 52 42 31 0 07/30/09

524 0 524 0 524 0 MCMATA, MARIA 1111166 0 524 25 14 87 0 12/01/08

417 0 417 0 417 0 MCGARZA, HERMELINDA 1111127 0 417 90 90 56 0 10/03/08

1,293 0 1,293 0 1,293 0 MCALEXANDER, JAN 1111222 0 1,293 52 42 17 0 03/11/09

470 0 497 28 470 0 MCVELASQUEZ, JUANA 1111285 28 497 90 90 31 0 08/28/09

932 0 932 0 932 0 MCPALOSKI, CAROLYN 1111249 0 932 04 35 09 0 05/15/09

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Clear Creek ISD

933 0 933 0 933 0 MCGREEN, KRISTAL 1111149 0 933 10 19 81 0 10/31/08

165 0 165 0 165 0 MCREID, PEARL 1111158 0 165 10 19 46 0 10/28/08

195 0 195 0 195 0 MCEGGART, LISA 1111286 0 195 52 55 25 0 08/22/09

273 0 273 0 273 0 MCKIEU, LOAN 1111116 0 273 40 36 16 0 09/09/08

912 0 912 0 912 0 MCHUYNH, HUNG 1111271 0 912 90 90 25 0 07/27/09

300 0 300 0 300 0 MCBRIONES, JOSE 1111144 0 300 13 37 75 0 10/23/08

441 0 441 0 441 0 MCESTER, RUSSELL 1111267 0 441 40 36 19 0 06/25/09

1,592 0 1,592 0 1,592 0 MCJANOE-ELLINGER, RITA 1111174 0 1,592 52 42 17 0 12/01/08

397 0 397 0 397 0 MCRAYMOND, BARBARA 1111220 0 397 90 90 31 0 03/23/09

167 0 167 0 167 0 MCHERRERA, SUYAPA 1111176 0 167 68 90 01 0 01/05/09

3,364 0 3,364 0 3,364 0 MCLUCAS, DEBRA 1111145 0 3,364 52 56 31 0 10/24/08

212 0 212 0 212 0 MCROHER, DEBORAH 1111140 0 212 49 53 31 0 09/29/08

379 0 379 0 379 0 MCFRONEBERGER, MARTHA 1111197 0 379 10 56 31 0 02/05/09

1,929 0 1,929 0 1,929 0 MCARRIAGA, ALMA 1111113 0 1,929 52 33 31 0 09/04/08

106 0 106 0 106 0 MCAMES, BRIAN 1111139 0 106 10 53 99 0 10/21/08

326 0 326 0 326 0 MCCARMAN, LINDA 1111213 0 326 10 90 13 0 01/13/09

0 0 0 0 0 0 MCSIMMONS, JENNIFER 1111203 0 0 43 36 85 0 02/11/09

1,118 0 1,118 0 1,118 0 MCAGUIRRE, JOSE 1111157 0 1,118 90 90 86 0 11/11/08

162 0 162 0 162 0 MCHENNINGER, LORI 1111228 0 162 38 31 99 0 04/03/09

216 0 216 0 216 0 MCGUENTHER, ANNE 1111219 0 216 10 56 13 0 02/25/09

7 0 7 0 7 0 MCVASQUEZ, GUILLERMO 1111184 0 7 65 65 82 0 01/14/09

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Clear Creek ISD

225 0 225 0 225 0 MCPOORE, DELIA 1111256 0 225 52 53 31 0 05/27/09

556 0 556 0 556 0 MCMONTOYA, ROCIO 1111188 0 556 25 14 87 0 01/14/09

457 0 457 0 457 0 MCGUIDRY, MAXINE 1111223 0 457 49 55 31 0 03/24/09

135 0 135 0 135 0 MCHOBSON, MAURICE 1111112 0 135 32 66 99 0 09/02/08

1,014 0 1,034 20 1,014 0 MCNAVARRETE, GLORIA 1111138 20 1,034 52 90 27 0 10/22/08

759 0 759 0 759 0 MCORTIZ, ROSA 1111258 0 759 07 11 99 0 06/03/09

2,323 0 2,323 0 2,323 0 MCTRAVIS, SHERYL 1111189 0 2,323 90 90 31 0 01/15/09

0 0 0 0 0 0 RCBRABHAM, JENNIFER 1111156 0 0 90 90 31 0 11/11/08

Totals : 174 918,378 11,553 687,390 219,435 918,303 11,553 687,315 219,435 75

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Clear Creek ISD


2,737 1,129 3,865 0 2,737 1,129 ICJACKSON, WILLIE 1111376 0 3,865 90 90 29 0 01/11/10

1,754 719 2,473 0 1,754 719 ICBUENO, FIDELINA 1111443 0 2,473 90 90 17 0 07/15/10

1,409 0 1,409 0 1,409 0 ICROBERTS, TRUDI 1111460 0 1,409 90 90 31 0 08/26/10

53,890 41,247 95,143 7 53,890 41,247 ICBALBOA, GILBERTO 1111408 7 95,143 28 90 26 0 03/30/10

7,034 726 7,760 0 7,034 726 ICSCHROEDER, RACHEL 1111342 0 7,760 90 90 31 0 11/10/09

1,501 555 2,055 0 1,501 555 ICRODRIGUEZ, VERONICA 1111343 0 2,055 52 42 56 0 11/12/09

1,642 586 2,228 0 1,642 586 ICMARSDEN, PAMELA 1111445 0 2,228 49 90 31 0 07/30/10

2,043 1,080 3,123 0 2,043 1,080 ICVERSTEEG, CARRIE 1111425 0 3,123 52 55 31 0 05/03/10

733 401 1,134 0 733 401 ICCANO DE VINSON, MARTA 1111429 0 1,134 28 57 31 0 05/19/10

639 0 639 0 639 0 ICHICKS, KENDRALA 1111409 0 639 52 30 27 0 03/31/10

13,739 1,954 15,693 0 13,739 1,954 ICPHILLIPS, ROBERT JR 1111428 0 15,693 52 32 17 0 05/12/10

1,358 0 1,358 0 1,358 0 ICBLINKA, GAYLN 1111373 0 1,358 52 42 27 0 10/08/09

1,619 161 1,855 75 1,619 161 ICMOSES, KOKO 1111415 75 1,855 10 90 27 0 04/13/10

7,914 0 7,914 0 7,914 0 ICGODWIN, JUDITH 1111384 0 7,914 49 53 99 0 11/17/09

826 0 826 0 826 0 ICTORRES, WILFREDO 1111385 0 826 52 63 17 0 01/25/10

2,897 0 2,947 50 2,897 0 ICDENOVA, FELIX 1111346 50 2,947 49 38 56 0 11/12/09

1,195 1,767 2,962 0 1,195 1,767 ICCAMPBELL, JENNIFER 1111362 0 2,962 90 10 81 0 12/09/09

432 0 432 0 432 0 ICLAVIGNE, BEVERLY 1111317 0 432 59 14 99 0 10/13/09

860 0 860 0 860 0 ICESCUTIA, DOLORES 1111321 0 860 52 33 17 0 10/14/09

1,051 0 1,051 0 1,051 0 ICHANEY, CATHRYN 1111331 0 1,051 52 90 60 0 10/19/09

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Clear Creek ISD

6,018 7,990 14,036 28 6,018 7,990 ICHENDERSON, BILL 1111352 28 14,036 49 51 31 0 11/30/09

9,262 2,117 11,379 0 9,262 2,117 ICMEADOWS, VIRGINIA 1111365 0 11,379 10 90 31 0 12/14/09

7,005 1,308 8,667 355 7,005 1,308 ICCHARLES, PEACHES 1111368 355 8,667 10 90 31 0 12/15/09

472 0 472 0 472 0 ICMARCANTEL, DAWN 1111292 0 472 28 36 13 0 09/09/09

473 0 473 0 473 0 ICBURKHOLDER, LETICIA 1111328 0 473 10 10 17 0 10/22/09

0 0 0 0 0 0 ICGILBERT, ALFRIDA 1111381 0 0 52 61 56 0 09/04/09

24,899 8,854 33,754 0 24,899 8,854 ICDAVIS, TROY 1111329 0 33,754 90 90 28 0 10/27/09

19,975 3,569 23,544 0 19,975 3,569 ICROHLOFF, CONSTANCE 1111420 0 23,544 49 53 31 0 04/22/10

3,701 0 3,701 0 3,701 0 ICVO, KHANH 1111424 0 3,701 52 38 60 0 04/21/10

6,447 958 7,404 0 6,447 958 ICCHAVEZ, MARCOS 1111306 0 7,404 34 61 57 0 09/22/09

912 182 1,094 0 912 182 ICCOBB, DONNA 1111393 0 1,094 10 44 31 0 02/11/10

3,937 1,547 5,485 0 3,937 1,547 ICAZIZ, AITUL 1111441 0 5,485 52 63 17 0 06/07/10

107 0 107 0 107 0 ICADKINS, LESLIE 1111324 0 107 40 90 31 0 10/21/09

3,677 0 3,677 0 3,677 0 ICCHANG, JANINE 1111309 0 3,677 37 32 81 0 09/18/09

749 0 749 0 749 0 ICSAENZ, DESIDERIA 1111440 0 749 10 33 46 0 07/06/10

961 0 961 0 961 0 ICDUPLER, CONSTANCE 1111432 0 961 52 38 99 0 06/02/10

455 1,038 1,493 0 455 1,038 ICGOSS, CHARLEEN 1111327 0 1,493 90 90 31 0 10/22/09

14,862 6,115 20,977 0 14,862 6,115 ICDE HOYOS, MARIA 1111336 0 20,977 49 90 57 0 10/29/09

5,012 1,891 6,903 0 5,012 1,891 ICJONES, NATASHA 1111289 0 6,903 90 90 31 0 09/03/09

671 0 671 0 671 0 ICSCOTT, MARIA 1111314 0 671 10 35 75 0 10/07/09

11,080 7,476 18,555 0 11,080 7,476 ICDURR, MARGARET 1111414 0 18,555 52 90 99 0 04/13/10

Page 11 of 102

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Reserve

Clear Creek ISD

1,327 0 1,327 0 1,327 0 ICVANDYKE, CHERYL 1111418 0 1,327 49 54 60 0 04/20/10

2,366 221 2,587 0 2,366 221 ICNICHOLS, CERESA 1111349 0 2,587 90 90 12 0 11/12/09

1,081 0 1,081 0 1,081 0 ICFRONEBERGER, MARTHA 1111386 0 1,081 52 52 60 0 01/29/10

1,082 0 1,082 0 1,082 0 ICANDERSON, CHRISTINA 1111392 0 1,082 10 90 31 0 02/08/10

368 0 368 0 368 0 ICBLOCK, ALMA 1111377 0 368 90 90 29 0 01/12/10

534 0 534 0 534 0 ICFOOTMAN, FLAMISEAN 1111351 0 534 10 18 81 0 11/18/09

1,775 1,378 3,152 0 1,775 1,378 ICSIMMONS, JOHN 1111358 0 3,152 43 36 16 0 12/08/09

701 0 701 0 701 0 ICDITTMER, SONDRA 1111453 0 701 37 55 31 0 08/19/10

21,275 3,592 24,867 0 21,275 3,592 ICKITCHENS, SHIRLEY 1111337 0 24,867 52 90 31 0 09/22/09

384 1,767 2,151 0 384 1,767 ICDUPLER, CONSTANCE 1111396 0 2,151 10 56 81 0 02/19/10

0 0 0 0 0 0 ICDITZLER, ALICE 1111378 0 0 59 35 19 0 11/12/09

5,506 986 6,491 0 5,506 986 ICPATHAK, FALGUNI 1111394 0 6,491 90 90 31 0 02/12/10

5,562 2,564 8,126 0 5,562 2,564 ICNGUYEN, VUI 1111452 0 8,126 49 30 56 0 08/13/10

473 0 473 0 473 0 ICCARNES, JULIE 1111390 0 473 52 37 99 0 02/05/10

2,631 2,551 5,182 0 2,631 2,551 ICECKLES, TROY 1111448 0 5,182 28 56 99 0 08/06/10

40 0 40 0 40 0 ICKELLEY, DIANA 1111430 0 40 52 90 45 0 05/19/10

696 0 696 0 696 0 ICJANDICK, REBEKAH 1111451 0 696 49 56 31 0 08/18/10

233 0 233 0 233 0 ICNELSON, KAREN 1111389 0 233 49 34 56 0 02/01/10

2,851 0 2,851 0 2,851 0 ICLONA, MARCELINA 1111446 0 2,851 49 39 31 0 08/04/10

844 0 844 0 844 0 ICFARINELLI, GIANCARLO 1111444 0 844 90 90 17 0 07/21/10

630 0 630 0 630 0 ICARNETT, MELLONY 1111459 0 630 10 90 46 0 08/25/10

Page 12 of 102

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Accident

Date Stat

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Body

Part Cause




Reserve

Clear Creek ISD

8,583 0 8,583 0 8,583 0 ICCAMPBELL, JEAN 1111391 0 8,583 10 53 17 0 02/04/10

1,197 0 1,273 76 1,197 0 ICNAVARRETE, GLORIA 1111402 76 1,273 90 90 31 0 02/26/10

1,855 1,407 3,261 0 1,855 1,407 ICCOCHRAN, BRENDA 1111288 0 3,261 90 31 31 0 09/04/09

274 0 274 0 274 0 ICHORONY, STACI 1111450 0 274 52 54 60 0 08/13/10

1,533 1,607 3,140 0 1,533 1,607 ICVILLARREAL, SHELLEY 1111311 0 3,140 49 55 31 0 09/30/09

11,891 9,943 21,834 0 11,891 9,943 ICGELLMAN, LINDA 1111302 0 21,834 90 90 31 0 09/22/09

257 0 257 0 257 0 ICACOSTA, FRANCISCA 1111455 0 257 10 90 31 0 08/19/10

302 0 358 56 302 0 ICPAGOAGA, NOLVIA 1111436 56 358 10 54 17 0 06/09/10

30,308 18,428 48,736 0 30,308 18,428 ICDAHSE, KAREN 1111464 0 48,736 28 52 99 0 08/31/10

1,020 0 1,020 0 1,020 0 ICLAROCCA, LISA 1111454 0 1,020 52 42 56 0 08/18/10

1,719 257 2,256 280 1,719 257 ICQUINONES NIEVES, ANIBAL 1111320 280 2,256 52 41 60 0 10/12/09

1,003 0 1,042 39 1,003 0 ICBAEZ, MARIA 1111410 39 1,042 40 36 19 0 04/05/10

382 79 462 0 382 79 ICWHIPPLE, CHERYL 1111287 0 462 52 53 31 0 09/02/09

725 2,429 3,154 0 725 2,429 ICKARAM, REFUGIO 1111456 0 3,154 49 42 56 0 08/23/10

6,803 221 7,024 0 6,803 221 ICHORAN, LARINDA 1111412 0 7,024 28 34 31 0 04/10/10

1,965 630 2,595 0 1,965 630 ICSENTESI, ANITA 1111398 0 2,595 52 34 56 0 02/03/10

360 0 360 0 360 0 ICGREGORY, STACEY 1111435 0 360 49 53 31 0 06/09/10

903 0 903 0 903 0 MCWOOD, KRISTIN 1111388 0 903 38 34 99 0 02/01/10

1,857 0 1,857 0 1,857 0 MCTHOMPSON, PENNY 1111442 0 1,857 25 16 99 0 07/13/10

1,131 0 1,131 0 1,131 0 MCESQUIVEL, LUIS 1111330 0 1,131 49 42 56 0 10/26/09

303 0 342 39 303 0 MCMARTINEZ, NORA 1111447 39 342 10 11 31 0 08/05/10

Page 13 of 102

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Accident

Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

3,108 0 3,108 0 3,108 0 MCHAWLEY, SUSAN 1111449 0 3,108 10 42 31 0 08/06/10

202 0 202 0 202 0 MCGAONA, MARTHA 1111433 0 202 04 14 31 0 06/07/10

0 0 0 0 0 0 MCROGERS, AMBER 1111379 0 0 59 61 99 0 01/14/10

451 0 451 0 451 0 MCOLIVER, KATHY 1111380 0 451 10 90 31 0 01/18/10

2,854 0 2,854 0 2,854 0 MCROBBINS, BILLYE 1111401 0 2,854 28 33 99 0 02/25/10

324 0 324 0 324 0 MCVIDAL, ANDREA 1111403 0 324 10 19 99 0 02/24/10

188 0 188 0 188 0 MCPEREZ, SERAFIN 1111411 0 188 13 36 13 0 04/01/10

224 0 224 0 224 0 MCSTEPTOE, CLARENCE 1111426 0 224 10 90 99 0 05/06/10

279 0 279 0 279 0 MCREKHA, PATEL 1111427 0 279 10 45 31 0 04/29/10

1,412 0 1,412 0 1,412 0 MCDE HOYOS, MARIA 1111437 0 1,412 49 90 31 0 05/07/10

178 0 178 0 178 0 MCELGUEZABAL, MAUREEN 1111387 0 178 59 65 99 0 02/01/10

1,668 0 1,668 0 1,668 0 MCSTALLINGS, ANA 1111457 0 1,668 10 90 31 0 08/23/10

5,093 0 5,093 0 5,093 0 MCSNOW, ELIZABETH 1111417 0 5,093 49 90 99 0 04/14/10

151 0 151 0 151 0 MCPOORE, DELIA 1111344 0 151 37 42 85 0 11/13/09

1,101 0 1,101 0 1,101 0 MCLAYMON, BONNIE 1111357 0 1,101 10 50 31 0 12/08/09

451 0 451 0 451 0 MCKLEKOTTA, GERALD 1111298 0 451 90 20 56 0 09/11/09

123 0 123 0 123 0 MCROWE, TERRI 1111322 0 123 25 90 99 0 10/14/09

701 0 701 0 701 0 MCSHEPPARD, SHERRI 1111325 0 701 38 90 99 0 10/16/09

425 0 425 0 425 0 MCWILKES, FINA 1111339 0 425 04 33 09 0 11/05/09

301 0 301 0 301 0 MCVUONG, VINNIE 1111291 0 301 40 36 16 0 09/10/09

810 0 810 0 810 0 MCBIRKMEYER, LUCILLE 1111293 0 810 40 36 16 0 09/11/09

Page 14 of 102

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Accident

Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

1,322 0 1,322 0 1,322 0 MCARNETT, MELLONY 1111310 0 1,322 10 38 81 0 10/01/09

232 0 232 0 232 0 MCFORTNER, ROGER 1111295 0 232 43 36 16 0 09/15/09

664 0 664 0 664 0 MCDUNN, TONIA 1111461 0 664 52 90 31 0 08/26/10

615 0 615 0 615 0 MCEDWARDS, KELSAY 1111359 0 615 52 18 81 0 12/07/09

0 0 0 0 0 0 MCWARNER, WILLIAM 1111371 0 0 10 90 31 0 12/17/09

0 0 0 0 0 0 MCMILLER, TRACEY 1111468 0 0 52 55 31 0 08/19/10

298 0 298 0 298 0 MCSAUTER, DEBBIE 1111466 0 298 28 56 13 0 08/20/10

586 0 586 0 586 0 MCLAZARO, DENISE 1111318 0 586 38 35 99 0 10/12/09

84 0 84 0 84 0 MCPATEL, HEMLATAN 1111301 0 84 52 54 60 0 09/21/09

897 0 897 0 897 0 MCCUELLAR, AMINDA 1111299 0 897 90 90 31 0 09/21/09

2,839 0 2,839 0 2,839 0 MCWONDERGEM, DAVID 1111405 0 2,839 52 90 31 0 02/09/10

308 0 308 0 308 0 MCRIVERA, MARY 1111315 0 308 43 33 19 0 10/08/09

3,042 0 3,042 0 3,042 0 MCVEASEY, LORRI 1111338 0 3,042 52 90 31 0 10/30/09

466 0 466 0 466 0 MCKAUFMAN, BEN 1111383 0 466 40 34 99 0 01/21/10

3,860 0 3,860 0 3,860 0 MCSANCHEZ, CYNTHIA 1111313 0 3,860 43 36 19 0 10/07/09

118 0 118 0 118 0 MCREID, PEARL 1111431 0 118 49 38 17 0 05/27/10

300 0 300 0 300 0 MCKIRBY, ANN MARIE 1111319 0 300 10 90 31 0 10/08/09

1,424 0 1,424 0 1,424 0 MCFARINELLI, GIANCARLO 1111332 0 1,424 52 34 17 0 10/29/09

574 0 574 0 574 0 MCANDREWS, DAVID 1111404 0 574 90 90 31 0 03/04/10

190 0 190 0 190 0 MCNEGLEY, SIERRA 1111438 0 190 37 31 85 0 06/14/10

274 0 274 0 274 0 MCKUKURA, KATHY 1111406 0 274 37 14 87 0 03/11/10

Page 15 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

0 0 0 0 0 0 MCOBRIANT, RITA 1111374 0 0 10 38 99 0 01/04/10

284 0 284 0 284 0 MCKOONCE, LORI 1111347 0 284 49 90 31 0 11/10/09

2,438 0 2,438 0 2,438 0 MCMACFARLANE, LISA 1111297 0 2,438 52 90 55 0 09/18/09

384 0 384 0 384 0 MCMIKULICZ, KIMBERLY 1111303 0 384 90 90 81 0 09/11/09

493 0 493 0 493 0 MCROGERS, LORI 1111312 0 493 52 42 17 0 10/02/09

394 0 394 0 394 0 MCKRUEGER, JULIE 1111458 0 394 25 14 17 0 08/24/10

156 0 156 0 156 0 MCLEBOUEF, PAMELA 1111354 0 156 40 90 31 0 12/01/09

366 0 366 0 366 0 MCNGUYEN, THANH 1111439 0 366 25 14 87 0 07/06/10

273 0 273 0 273 0 MCLEMELLE, ANTHONY 1111326 0 273 10 42 31 0 10/19/09

1,742 0 1,742 0 1,742 0 MCKELLY, BRIAN 1111300 0 1,742 52 53 99 0 09/21/09

101 0 101 0 101 0 MCBARAGAS, ANDREA 1111341 0 101 10 10 99 0 11/10/09

210 0 210 0 210 0 MCFAIRCHILD, KATHY 1111304 0 210 49 90 31 0 09/23/09

848 0 848 0 848 0 MCGARZA, RAIMUNDA 1111334 0 848 40 36 19 0 10/29/09

2,419 0 2,419 0 2,419 0 MCCLEMMONS, CATHERINE 1111360 0 2,419 52 36 99 0 12/08/09

535 0 535 0 535 0 MCPOOLE, LATASHA 1111413 0 535 52 63 56 0 04/12/10

492 0 492 0 492 0 MCROBBINS, BILLYE 1111290 0 492 90 90 31 0 09/04/09


1,474 0 1,474 0 1,474 0 MCBARRERA, LYANA 1111335 0 1,474 52 54 31 0 10/30/09

0 0 0 0 0 0 MCFERRANTE, RUDY 1111307 0 0 52 20 50 0 09/08/09

776 0 776 0 776 0 MCKILGORE, MARCETTE 1111422 0 776 10 11 99 0 04/24/10

289 0 289 0 289 0 MCHANEGAN, VALORIE 1111395 0 289 38 34 99 0 02/12/10

Page 16 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

274 0 274 0 274 0 MCCORDOVA, CHERYL 1111345 0 274 52 90 31 0 11/13/09

209 0 209 0 209 0 MCJOHNSON, CONNIE 1111340 0 209 10 54 31 0 11/09/09

312 0 312 0 312 0 MCPONDER, BARBARA 1111400 0 312 52 90 31 0 02/26/10

521 0 521 0 521 0 MCLIGGIO, DAVID 1111353 0 521 40 10 19 0 12/02/09

657 0 657 0 657 0 MCVOLQUARDSEN, STACY 1111305 0 657 90 90 31 0 09/21/09

734 0 734 0 734 0 MCZALAR, THOMAS 1111355 0 734 10 90 31 0 12/04/09

303 0 303 0 303 0 MCSMITH, RACHEL 1111350 0 303 49 90 56 0 11/15/09

343 0 343 0 343 0 MCCORTEZ, MARIA 1111363 0 343 10 54 99 0 12/09/09

497 0 497 0 497 0 MCWRIGHT, LUCIA 1111399 0 497 10 53 99 0 02/19/10

722 0 722 0 722 0 MCCRUZ, JOSE 1111423 0 722 49 38 56 0 04/13/10

302 0 302 0 302 0 MCDELACRUZ-RAMOS, PERLA 1111316 0 302 90 90 27 0 10/09/09

105 0 105 0 105 0 MCNAMPHOLSAEN, YOCHIT 1111397 0 105 10 19 99 0 02/23/10

337 0 337 0 337 0 MCPEREZ, SERAFIN 1111416 0 337 10 38 17 0 04/06/10

7 0 7 0 7 0 MCBENAVIDEZ, CRYSTAL 1111421 0 7 90 90 99 0 04/21/10

0 0 0 0 0 0 MCDITTA, NELDA 1111434 0 0 52 90 99 0 06/03/10

382 0 382 0 382 0 MCPACHECO, LINDA 1111419 0 382 52 42 60 0 04/22/10

968 0 968 0 968 0 MCLEE, LINDA 1111375 0 968 10 53 31 0 01/06/10

101 0 101 0 101 0 MCSTOUT, PATRICK 1111296 0 101 49 53 33 0 09/09/09

1,117 0 1,117 0 1,117 0 MCFRANCOIS, ALICIA 1111407 0 1,117 65 90 82 0 10/07/09

1,351 0 1,351 0 1,351 0 MCRODRIGUEZ, ROXANNE 1111333 0 1,351 10 19 81 0 11/02/09

249 0 249 0 249 0 MCBASNETT, GENA 1111348 0 249 90 90 81 0 11/13/09

Page 17 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

5,445 0 6,005 560 5,445 0 MCMILLER, JUDY 1111294 560 6,005 49 31 56 0 09/03/09

205 0 222 17 205 0 MCGARCIA, MARIA 1111308 17 222 59 18 85 0 09/15/09

280 0 280 0 280 0 MCKRUMREY, JOANN 1111382 0 280 10 35 13 0 01/21/10

0 0 0 0 0 0 RCPEAVEY, COURTNEY 1111370 0 0 59 90 99 0 12/09/09

0 0 0 0 0 0 RCCARPENTER, KAY 1111372 0 0 10 90 31 0 12/16/09

0 0 0 0 0 0 RCGREEN, MELODY 1111366 0 0 52 34 31 0 12/14/09

0 0 0 0 0 0 RCADAMS, SHARON 1111364 0 0 10 53 31 0 12/10/09

0 0 0 0 0 0 RCFIELD, SANDRA 1111361 0 0 25 14 87 0 12/04/09

0 0 0 0 0 0 RCDAWSON, JEANNINE 1111367 0 0 52 42 17 0 12/14/09

0 0 0 0 0 0 RCRICHARDSON, SAMANTHA 1111369 0 0 10 30 99 0 12/15/09

Totals : 177 561,014 1,579 418,004 141,431 561,014 1,579 418,004 141,431 0

Page 18 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD


1,819 3,936 5,755 0 1,819 3,936 ICDUNN, JANET 1111517 0 5,755 28 55 99 0 01/04/11

606 0 606 0 606 0 ICECKLES, TROY 1111557 0 606 37 53 85 0 03/08/11

1,598 0 1,598 0 1,598 0 ICPLANTE, TERRI 1111569 0 1,598 10 90 99 0 03/30/11

314 0 314 0 314 0 ICGADSBY, HEATHER 1111470 0 314 49 42 56 0 09/10/10

32,066 11,212 43,446 167 32,066 11,212 ICMARTINEZ, YASMINA 1111617 167 43,446 49 90 17 0 07/22/11

223 0 223 0 223 0 ICORELLANA, OLGA 1111611 0 223 10 14 12 0 06/22/11

409 0 409 0 409 0 ICCONAWAY, TERRY 1111542 0 409 37 90 82 0 02/17/11

194 0 194 0 194 0 ICZIMMERER, DONNALEE 1111565 0 194 10 90 31 0 03/23/11

2,502 2,340 4,842 0 2,502 2,340 ICDE HOYOS, MARIA 1111566 0 4,842 90 90 77 0 03/23/11

661 37 697 0 661 37 ICMARIN, MARIA 1111511 0 697 49 90 31 0 12/02/10

2,114 843 3,041 85 2,114 843 ICDENOVA, FELIX 1111526 85 3,041 52 33 17 0 01/19/11

20,315 7,354 27,670 0 20,315 7,354 ICTROUTMAN, ANDERIA 1111552 0 27,670 28 90 31 0 03/04/11

807 0 807 0 807 0 ICHUYNH, HUNG 1111514 0 807 10 56 13 0 12/13/10

0 0 0 0 0 0 ICTRUSTY, ELIZABETH 1111491 0 0 40 11 31 0 10/18/10

7,351 5,720 13,072 0 7,351 5,720 ICALANIS, NORMA 1111523 0 13,072 52 42 99 0 01/04/11

629 0 670 41 629 0 ICCRUZ, MACARIO 1111622 41 670 40 54 16 0 08/12/11

17,564 5,511 23,075 0 17,564 5,511 ICFOGARTY, LUCY 1111551 0 23,075 28 33 31 0 03/03/11

4,158 0 4,158 0 4,158 0 ICKORB, JENNIFER 1111562 0 4,158 49 90 17 0 03/21/11

4,364 1,079 5,443 0 4,364 1,079 ICSENTESI, ANITA 1111543 0 5,443 52 90 27 0 02/18/11

10,639 0 10,639 0 10,639 0 ICGRAY, BLAIR 1111493 0 10,639 49 55 31 0 10/20/10

Page 19 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

2,283 221 2,503 0 2,283 221 ICNGUYEN, TAM 1111521 0 2,503 10 11 99 0 01/06/11

7,563 2,093 9,656 0 7,563 2,093 ICMARTINEZ, LAURA 1111486 0 9,656 28 55 10 0 10/05/10

3,316 592 3,909 0 3,316 592 ICDONALDSON, ISABELLE 1111563 0 3,909 52 42 99 0 03/11/11

1,593 0 1,593 0 1,593 0 ICKYTE, CHRISTINE 1111581 0 1,593 52 90 31 0 04/06/11

164 0 164 0 164 0 ICHARLEN, TAMMIE 1111593 0 164 10 19 31 0 05/20/11

585 0 585 0 585 0 ICWALKER, KATHLEEN 1111544 0 585 52 90 56 0 02/23/11

11,074 4,377 15,452 0 11,074 4,377 ICRACKHAM, LAURA 1111550 0 15,452 28 56 70 0 02/23/11

11,967 1,137 13,112 8 11,967 1,137 ICDUNN, TONIA 1111495 8 13,112 90 90 31 0 11/03/10

34,895 29,419 71,602 7,287 34,895 29,419 ICYOUNG, DONNA 1111540 7,287 71,602 90 90 25 0 02/16/11

8,553 2,434 10,987 0 8,553 2,434 ICRODRIGUEZ, ROBERTO 1111608 0 10,987 28 58 75 0 06/17/11

281 0 281 0 281 0 ICKNOCHEL, DAPHNE 1111584 0 281 90 90 99 0 04/29/11

0 0 0 0 0 0 ICAUSTIN, ALVERNA 1111582 0 0 90 90 50 0 03/24/11

875 0 964 89 875 0 ICVIELMA, MARIA 1111605 89 964 52 42 17 0 06/03/11

23,037 7,617 30,653 0 23,037 7,617 ICGORDON, PATRICIA 1111604 0 30,653 90 90 31 0 06/03/11

9,247 3,478 12,726 0 9,247 3,478 ICPEREZ, SERAFIN 1111513 0 12,726 10 56 75 0 12/03/10

363 37 442 43 363 37 ICSARMIENTO, ADRIAN 1111560 43 442 52 56 17 0 03/10/11

1,353 871 2,225 0 1,353 871 ICHAWKINS, CHARLES 1111501 0 2,225 52 38 99 0 11/10/10

499 0 499 0 499 0 ICCLOUGH, WENDY 1111564 0 499 10 90 81 0 03/23/11

2,355 0 2,355 0 2,355 0 ICHARRIS, TIMOTHY 1111571 0 2,355 40 36 19 0 04/04/11

798 82 879 0 798 82 ICDELOSSANTOS, MARIA 1111469 0 879 90 90 31 0 09/08/10

8,387 0 8,387 0 8,387 0 ICCRAVEN, JANET 1111497 0 8,387 10 90 31 0 11/03/10

Page 20 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

1,606 885 2,491 0 1,606 885 ICGONZALES, MIGUEL 1111616 0 2,491 10 54 17 0 07/26/11

39,630 10,667 50,653 355 39,630 10,667 ICAGUILAR, MARIA 1111618 355 50,653 52 90 31 0 07/29/11

1,350 1,168 2,518 0 1,350 1,168 ICMURDOCK, JOLINDA 1111553 0 2,518 49 54 54 0 03/04/11

291 0 291 0 291 0 ICGOODNIGHT, CHARLES 1111489 0 291 10 11 45 0 10/13/10

1,498 0 1,498 0 1,498 0 ICSCULLY, ELIZABETH 1111572 0 1,498 10 90 31 0 04/04/11

353 0 353 0 353 0 ICHUDSON, GLENDA 1111519 0 353 10 90 25 0 01/03/11

0 0 0 0 0 0 ICMONTANO, MARTHA 1111640 0 0 52 56 99 0 08/19/11

548 0 548 0 548 0 ICCORTEZ, MARIA 1111474 0 548 10 11 75 0 09/15/10

977 0 991 13 977 0 ICCOLIVAS, GLENN 1111627 13 991 52 42 60 0 08/29/11

1,535 197 1,732 0 1,535 197 ICRODRIGUEZ, ROBERTO 1111554 0 1,732 52 42 17 0 02/25/11

0 760 760 0 0 760 ICCATO, MILEANE 1111535 0 760 90 90 45 0 02/09/11

1,107 471 1,578 0 1,107 471 ICMARTINEZ, HENRIETTA 1111477 0 1,578 04 44 05 0 09/20/10

2,948 0 2,948 0 2,948 0 ICBROWN, JULIA 1111588 0 2,948 10 90 31 0 05/17/11

878 345 1,223 0 878 345 ICFLOWERS, CARLA 1111525 0 1,223 59 90 31 0 01/07/11

5,897 2,624 8,529 7 5,897 2,624 ICVILLARREAL LUCIO, ERENDIDA 1111482 7 8,529 52 90 31 0 09/15/10

4,391 1,608 5,999 0 4,391 1,608 ICAMELUNG, MEREDITH 1111558 0 5,999 52 55 31 0 03/08/11

562 0 562 0 562 0 ICDAVILA, MARIA 1111610 0 562 90 33 17 0 06/17/11

46,813 11,104 57,937 20 46,813 11,104 ICWATTS, ROBYN 1111590 20 57,937 52 31 17 0 05/19/11

2,637 0 2,637 0 2,637 0 ICVASICHKO, THERESA 1111602 0 2,637 49 56 60 0 05/26/11

2,439 0 2,439 0 2,439 0 ICIRIZARRY, SHARON 1111579 0 2,439 52 90 31 0 04/13/11

2,804 0 2,804 0 2,804 0 ICGADSBY, DEBRA 1111508 0 2,804 52 90 27 0 11/29/10

Page 21 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

1,125 0 1,125 0 1,125 0 ICCRAFT, FRANKIE 1111507 0 1,125 49 53 27 0 11/29/10

704 0 704 0 704 0 ICLEIJA, JAVIER 1111499 0 704 49 42 60 0 11/01/10

1,453 0 1,453 0 1,453 0 ICRICHARDSON, DEANA 1111479 0 1,453 49 56 99 0 09/22/10

2,352 43 2,395 0 2,352 43 ICSINWIROON, SAIPIROON 1111500 0 2,395 28 56 17 0 10/13/10

899 434 1,333 0 899 434 ICPORTILLO, JORGE 1111606 0 1,333 52 90 10 0 06/06/11

14,754 1,622 16,376 0 14,754 1,622 ICWEISS, SHEILA 1111630 0 16,376 90 90 55 0 08/22/11

270 0 270 0 270 0 ICGRAY, BRANDON 1111556 0 270 52 42 17 0 02/28/11

1,362 456 1,817 0 1,362 456 ICRODRIGUEZ, VERONICA 1111512 0 1,817 52 52 99 0 12/10/10

23,239 4,835 28,074 0 23,239 4,835 ICWEBB, STEPHEN 1111574 0 28,074 52 38 99 0 03/28/11

336 0 336 0 336 0 ICMICHAEL, LINDA 1111619 0 336 52 56 17 0 08/08/11

5 0 5 0 5 0 ICCHOSNEK, MALKA 1111484 0 5 28 56 45 0 10/01/10

2,718 0 2,718 0 2,718 0 ICWILSON, ANN 1111580 0 2,718 90 90 33 0 04/19/11

2,611 3,413 6,023 0 2,611 3,413 ICSULLIVAN, DEBORAH 1111506 0 6,023 52 53 31 0 11/17/10

5,333 499 5,832 0 5,333 499 ICCAMACHO, MARIA 1111561 0 5,832 49 42 17 0 03/10/11

5,629 360 5,989 0 5,629 360 ICRADER, DIANNE 1111587 0 5,989 40 11 31 0 05/18/11

9,544 14,010 24,717 1,163 9,544 14,010 ICRICE, SHALIMAR 1111594 1,163 24,717 90 90 31 0 05/23/11

974 0 974 0 974 0 ICWALLACE, MARGARET 1111589 0 974 19 90 84 0 05/12/11

280 1,532 1,812 0 280 1,532 ICRECTOR, SHERRY 1111503 0 1,812 10 54 31 0 11/09/10

8,841 1,254 10,094 0 8,841 1,254 ICVYAS, REKHA 1111483 0 10,094 52 53 31 0 09/07/10

419 109 529 0 419 109 ICARLINGTON, TRACY 1111615 0 529 90 90 31 0 07/25/11

6,998 2,838 9,836 0 6,998 2,838 ICESCUTIA, DOLORES 1111591 0 9,836 52 90 17 0 05/16/11

Page 22 of 102

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Clear Creek ISD

175 0 175 0 175 0 ICREED, KATIE 1111570 0 175 10 11 81 0 03/29/11

1,827 995 2,822 0 1,827 995 ICSANCHEZ, GILBERT 1111568 0 2,822 52 42 50 0 03/22/11

528 0 528 0 528 0 MCCHERRY, CORBIN 1111624 0 528 52 55 99 0 08/22/11

5,361 0 5,361 0 5,361 0 MCSORENSON, EDWARD 1111518 0 5,361 16 32 46 0 12/30/10

499 0 499 0 499 0 MCHART, TAMERA 1111520 0 499 10 56 12 0 01/03/11

940 0 940 0 940 0 MCHENRIQUEZ, MARIA 1111528 0 940 49 90 17 0 01/25/11

208 0 208 0 208 0 MCEDWARDS, KELSAY 1111539 0 208 38 33 99 0 02/15/11

1,679 0 1,685 7 1,679 0 MCMORENO-DENBOW, SANDRA 1111620 7 1,685 52 90 31 0 08/08/11

1,067 0 1,067 0 1,067 0 MCHOUGH, NANCY 1111626 0 1,067 52 90 31 0 08/30/11

819 0 824 5 819 0 MCKAUFMAN, DEBORAH 1111592 5 824 40 11 31 0 05/20/11

361 0 361 0 361 0 MCVANDERSLICE, BARBARA 1111583 0 361 04 20 09 0 04/20/11

997 0 997 0 997 0 MCHUGHES, AMBER 1111559 0 997 10 61 99 0 03/10/11

0 0 0 0 0 0 MCBEAUCHAMP, DONNA 1111533 0 0 52 90 99 0 02/03/11

2,856 0 2,856 0 2,856 0 MCYOUNGMARK, LAURA 1111548 0 2,856 10 11 99 0 02/25/11

280 0 280 0 280 0 MCLEGG, ERIN 1111487 0 280 52 90 27 0 10/07/10

149 0 149 0 149 0 MCPEAVEY, COURTNEY 1111488 0 149 52 90 99 0 10/07/10

405 0 405 0 405 0 MCNEIMEYER, SARAH 1111510 0 405 10 11 99 0 12/07/10

1,231 0 1,231 0 1,231 0 MCDITTMAN, JULIE 1111549 0 1,231 52 53 31 0 03/02/11

426 0 426 0 426 0 MCLEAL, ERIKA 1111502 0 426 52 90 57 0 11/12/10

0 0 0 0 0 0 MCRECTOR, SHERRY 1111504 0 0 37 50 31 0 11/05/10

559 0 559 0 559 0 MCHALL, NICOLE 1111492 0 559 19 90 84 0 10/19/10

Page 23 of 102

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Clear Creek ISD

599 0 599 0 599 0 MCCONRAD, FRITZ JR 1111537 0 599 40 36 17 0 02/09/11

227 0 227 0 227 0 MCANGUIANO, SERVANDO SR 1111505 0 227 40 36 16 0 11/16/10

0 0 0 0 0 0 MCHEDRICK, TYONA 1111515 0 0 49 42 99 0 12/09/10

1,072 0 1,072 0 1,072 0 MCJONES, LISA 1111463 0 1,072 04 90 09 0 09/03/10

0 0 0 0 0 0 MCGRIMES, RICHARD 1111465 0 0 40 18 99 0 09/02/10

601 0 601 0 601 0 MCHOMER, CATHERINE 1111603 0 601 59 44 99 0 05/27/11

0 0 0 0 0 0 MCONEAL, REBECCA 1111595 0 0 38 33 99 0 05/20/11

1,476 0 1,476 0 1,476 0 MCRUSS, TAMMY 1111623 0 1,476 52 42 31 0 08/17/11

2,271 0 2,271 0 2,271 0 MCGALLINI, TONI 1111575 0 2,271 52 90 31 0 04/11/11

1,564 0 1,564 0 1,564 0 MCBAENA, DIANA 1111524 0 1,564 10 11 27 0 01/07/11

680 0 680 0 680 0 MCJEFFERIES, GRETCHEN 1111598 0 680 90 90 99 0 05/26/11

160 0 160 0 160 0 MCMARTIN, ELIZABETH 1111600 0 160 40 31 99 0 05/26/11

217 0 217 0 217 0 MCBREWER, KIMBERLY 1111541 0 217 40 35 19 0 02/16/11

1,060 0 1,067 7 1,060 0 MCYEARY, KRISTEN 1111625 7 1,067 38 36 99 0 08/29/11

1,752 0 1,752 0 1,752 0 MCHAWTHORNE, GRANT 1111532 0 1,752 90 90 12 0 02/03/11

530 0 530 0 530 0 MCSIMON, MARY 1111629 0 530 52 90 31 0 08/31/11

445 0 445 0 445 0 MCCLOUGH, WENDY 1111471 0 445 90 90 99 0 09/13/10

1,715 0 1,715 0 1,715 0 MCHULSE, VIRGINIA 1111585 0 1,715 40 36 19 0 05/05/11

0 0 0 0 0 0 MCSMITH, ANDREA 1111547 0 0 43 36 85 0 02/25/11

1,016 0 1,016 0 1,016 0 MCOLIVER, KESHA 1111546 0 1,016 52 54 31 0 02/23/11

265 0 265 0 265 0 MCTIJERINA, VIRGINIA 1111628 0 265 38 33 99 0 08/26/11

Page 24 of 102

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Clear Creek ISD

145 0 145 0 145 0 MCCHAPMAN, SUSAN 1111545 0 145 38 33 99 0 02/23/11

1,469 0 1,469 0 1,469 0 MCNORMAN, JAMES 1111614 0 1,469 10 19 99 0 07/19/11

578 0 578 0 578 0 MCDAVIS, ROBERT 1111485 0 578 25 14 87 0 10/01/10

3,178 0 3,178 0 3,178 0 MCMYERS, ELIZABETH 1111538 0 3,178 52 42 99 0 02/09/11

529 0 529 0 529 0 MCSAENZ, ADRIANA 1111509 0 529 52 56 31 0 12/01/10

350 0 350 0 350 0 MCGONZALES, CHRISTINA 1111498 0 350 25 14 87 0 11/03/10

1,126 0 1,126 0 1,126 0 MCSWARTZ, MARILYN 1111522 0 1,126 43 37 12 0 01/10/11

247 0 247 0 247 0 MCCHAPMAN, JENNIFER 1111607 0 247 52 90 27 0 05/25/11

2,458 0 2,458 0 2,458 0 MCLANDERS, VICTORIA 1111567 0 2,458 49 90 27 0 03/28/11

502 0 502 0 502 0 MCLOPEZ, MARY 1111612 0 502 25 14 01 0 07/07/11

176 0 176 0 176 0 MCLIEB, SANDRA 1111490 0 176 40 36 16 0 10/14/10

261 0 261 0 261 0 MCARLINGTON, TRACY 1111494 0 261 52 54 99 0 10/20/10

149 0 149 0 149 0 MCHOLDER, TERRI 1111462 0 149 49 90 31 0 09/01/10

106 0 106 0 106 0 MCDOCK, THOMAS 1111467 0 106 38 33 99 0 09/07/10

299 0 299 0 299 0 MCCRAWFORD, SUSAN 1111529 0 299 52 90 31 0 01/28/11

819 0 858 39 819 0 MCLUONG, LAN 1111527 39 858 25 14 87 0 01/24/11

534 0 534 0 534 0 MCDUCKETT, AMY 1111472 0 534 10 33 99 0 09/14/10

479 0 479 0 479 0 MCMORRIS, BELENA 1111531 0 479 90 90 31 0 02/02/11

229 0 229 0 229 0 MCSNOW, ELIZABETH 1111478 0 229 38 35 99 0 09/20/10

0 0 0 0 0 0 MCCOLBURN, NANCY 1111475 0 0 10 11 99 0 09/17/10

362 0 403 41 362 0 MCMENDEZ PONCE, GERTRUDIS 1111613 41 403 49 90 31 0 07/06/11

Page 25 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

663 0 663 0 663 0 MCRAGUS, LEANNE 1111530 0 663 40 37 17 0 01/31/11

320 0 320 0 320 0 MCASH, AMY 1111536 0 320 49 36 99 0 02/09/11

513 0 513 0 513 0 MCWHIPPLE, CHERYL 1111496 0 513 49 56 31 0 11/01/10

1,013 0 1,013 0 1,013 0 MCTAGLE, TAMMY 1111473 0 1,013 10 15 99 0 09/16/10

0 0 0 0 0 0 MCCATO, MILEANE II 1111481 0 0 10 36 13 0 09/22/10

230 0 230 0 230 0 MCMARTIN, XOCHITL 1111599 0 230 10 90 31 0 05/26/11

296 0 296 0 296 0 MCBREWARD, JAYNEL 1111534 0 296 52 90 31 0 01/14/11

1,702 0 1,702 0 1,702 0 MCNGUYEN, DUNG 1111597 0 1,702 52 90 27 0 05/23/11

3,123 0 3,123 0 3,123 0 MCMAKEPEACE, NINA 1111577 0 3,123 25 36 17 0 04/11/11

249 0 249 0 249 0 MCDEMMECK, BABETTA 1111596 0 249 52 90 99 0 05/16/11

3,205 0 3,241 36 3,205 0 MCCARAVES, MELISA 1111621 36 3,241 52 42 27 0 08/04/11

1,333 0 1,333 0 1,333 0 MCTAUB, HOPE 1111601 0 1,333 52 53 99 0 05/26/11

0 0 0 0 0 0 MCBARKHAUSEN, MARIA 1112334 0 0 52 90 31 0 05/18/11

0 0 0 0 0 0 MCSNOW, ELIZABETH 1111476 0 0 90 90 99 0 09/17/10

1,074 0 1,114 40 1,074 0 MCRUIZ, MARIA 1111578 40 1,114 40 36 19 0 04/11/11

2,875 0 2,875 0 2,875 0 MCVANDE HEI, JULIE 1111586 0 2,875 52 32 60 0 05/10/11

0 0 0 0 0 0 MCFORLENZA, NELLY 1111480 0 0 10 90 31 0 09/10/10

382 0 382 0 382 0 MCGEISELHART, MARK 1111555 0 382 10 19 99 0 03/09/11

593 0 593 0 593 0 MCMCCOY, KRISTY 1111576 0 593 10 32 99 0 04/08/11

Totals : 165 675,292 9,453 513,221 152,619 675,292 9,453 513,221 152,619 0

Page 26 of 102

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Reserve

Clear Creek ISD


11,179 3,452 14,656 25 11,179 3,452 ICMCLAREN-YBARRA, MELINDA 1111742 25 14,656 49 53 81 0 04/10/12

14,622 3,823 18,458 13 14,622 3,823 ICZOCH, NINA 1111706 13 18,458 90 90 31 0 02/06/12

247 0 247 0 247 0 ICSCULLY, ELIZABETH 1111790 0 247 49 90 33 0 08/21/12

838 45 883 0 838 45 ICORNELAS, EMMA 1111697 0 883 52 90 31 0 01/24/12

2,042 2,291 4,333 0 2,042 2,291 ICWALLER, LASHAWN 1111712 0 4,333 10 18 99 0 02/17/12

6,341 2,510 8,908 58 6,341 2,510 ICIRACHETA, MARIA DE JESUS 1111674 58 8,908 52 53 31 0 11/08/11

6,018 1,339 7,357 0 6,018 1,339 ICROQUE, ANTONIO 1111682 0 7,357 52 90 17 0 12/09/11

2,819 0 2,819 0 2,819 0 ICGEORGE, JOANNE 1111715 0 2,819 49 55 57 0 02/22/12

3,438 0 3,438 0 3,438 0 ICSPRINGER, SHERYL 1111687 0 3,438 49 30 45 0 01/11/12

1,225 0 1,225 0 1,225 0 ICVASQUEZ, ARLIA 1111690 0 1,225 52 33 31 0 01/12/12

926 0 926 0 926 0 ICNGUYEN, SUONG 1111700 0 926 40 11 17 0 01/31/12

7,989 1,559 9,548 0 7,989 1,559 ICJOHNSON, DAWN 1111703 0 9,548 52 53 31 0 02/02/12

1,966 0 1,966 0 1,966 0 ICCORNEJO, ROSALIO 1111691 0 1,966 40 37 19 0 01/12/12

644 0 644 0 644 0 ICALEXANDER, ALLEN 1111642 0 644 52 90 31 0 09/29/11

0 0 0 0 0 0 ICPINSON, BAMBI 1111657 0 0 52 90 99 0 09/05/11

1,740 487 2,226 0 1,740 487 ICBURNS, HONORE 1111658 0 2,226 49 42 17 0 10/26/11

993 38 1,031 0 993 38 ICCUEVA, MARTINA 1111670 0 1,031 52 30 17 0 11/10/11

1,901 0 1,911 10 1,901 0 ICCREDLE, SAMUEL 1111746 10 1,911 49 53 60 0 04/17/12

224 0 237 13 224 0 ICRODRIGUEZ, ROGER 1111705 13 237 36 35 85 0 02/02/12

16,864 8,565 25,543 115 16,864 8,565 ICGUTIERREZ, MARY 1111686 115 25,543 52 53 17 0 01/06/12

Page 27 of 102

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Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

26,986 6,116 33,221 119 26,986 6,116 ICBLEVINS, DEBBIE 1111721 119 33,221 52 53 60 0 02/23/12

592 368 959 0 592 368 ICVILLAREAL, DONNA 1111755 0 959 52 32 17 0 05/02/12

1,763 611 2,374 0 1,763 611 ICMOORE, CAROL 1111760 0 2,374 28 31 31 0 05/09/12

407 0 407 0 407 0 ICGARCIA ESPITIA, ANA 1111639 0 407 49 31 17 0 09/20/11

514 938 1,461 8 514 938 ICSALINAS, NATALIE 1111694 8 1,461 52 38 99 0 01/18/12

5,972 4,020 9,992 0 5,972 4,020 ICWOODARD, GLADYS 1111631 0 9,992 28 31 31 0 09/07/11

705 1,176 1,881 0 705 1,176 ICGONZALES, LILLIE 1111750 0 1,881 52 42 17 0 04/24/12

2,403 588 2,991 0 2,403 588 ICSUAREZ, MARCUS 1111681 0 2,991 52 90 99 0 12/08/11

1,339 243 1,582 0 1,339 243 ICHENSLEE, JOCEYLN 1111726 0 1,582 52 53 31 0 03/07/12

4,411 58 4,469 0 4,411 58 ICDOWNS, MARY 1111748 0 4,469 90 90 31 0 04/23/12

1,249 0 1,249 0 1,249 0 ICRICH, KARRIE 1111663 0 1,249 28 36 60 0 11/02/11

3,445 1,955 5,399 0 3,445 1,955 ICHERRINGTON, JANA 1111672 0 5,399 49 38 17 0 11/10/11

1,587 545 2,191 59 1,587 545 ICCONTRERAS, SARA 1111661 59 2,191 49 42 17 0 10/28/11

1,377 0 1,377 0 1,377 0 ICSIMMONS, JOHN 1111671 0 1,377 47 36 10 0 11/11/11

1,752 0 1,752 0 1,752 0 ICMUNDEN, SHERRY 1111730 0 1,752 52 90 31 0 03/22/12

2,448 1,101 3,549 0 2,448 1,101 ICJENNINGS, AMY 1111651 0 3,549 28 35 99 0 10/13/11

1,062 1,284 2,455 108 1,062 1,284 ICMORENO, MAGDALENA 1111799 108 2,455 90 90 31 0 08/31/12

11,976 787 12,827 64 11,976 787 ICSTEVENS, BEVERLY 1111791 64 12,827 10 53 31 0 08/21/12

3,890 828 4,717 0 3,890 828 ICSIMMONS, LEAH 1111710 0 4,717 52 42 56 0 10/19/11

6,882 1,486 8,387 20 6,882 1,486 ICMCGAUGHY, ALICIA 1111732 20 8,387 49 90 27 0 03/23/12

18,851 5,709 24,872 312 18,851 5,709 ICSUAREZ, MARCUS 1111744 312 24,872 13 56 13 0 04/16/12

Page 28 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

7,385 0 7,423 38 7,385 0 ICRENFRO, ANTHONY 1111771 38 7,423 49 53 17 0 05/29/12

1,868 0 1,868 0 1,868 0 ICWILLE, SARA 1111637 0 1,868 40 36 16 0 09/15/11

2,367 1,298 3,710 45 2,367 1,298 ICFRANCO, SARA 1111788 45 3,710 28 44 31 0 08/16/12

3,512 76 3,649 61 3,512 76 ICVILLARREAL LUCIO, ERENDIDA 1111775 61 3,649 49 90 10 0 06/04/12

2,455 980 3,434 0 2,455 980 ICRISINGER, GENA 1111762 0 3,434 52 90 99 0 05/09/12

2,022 0 2,022 0 2,022 0 ICTAYLOR, DANA 1111747 0 2,022 07 11 99 0 04/18/12

7,383 3,306 10,689 0 7,383 3,306 ICTHOMAS, TIMOTHY 1111695 0 10,689 90 36 17 0 01/20/12

676 1,251 1,927 0 676 1,251 ICPAETZ, PATRICIA 1111689 0 1,927 52 90 60 0 01/10/12

805 0 805 0 805 0 ICHALE, STEPHANIE 1111749 0 805 16 53 99 0 04/23/12

2,871 0 2,871 0 2,871 0 ICDRES, TARA 1111738 0 2,871 52 55 31 0 04/04/12

154 0 154 0 154 0 ICPIZANA, NATALIA 1111684 0 154 52 61 17 0 01/04/12

790 0 790 0 790 0 ICNGUYEN, NHAT 1111781 0 790 10 14 17 0 07/09/12

759 0 764 5 759 0 ICTULEY, RENEE 1111729 5 764 10 90 31 0 03/22/12

1,237 103 1,380 40 1,237 103 ICSMITH, ROSA 1111736 40 1,380 90 90 27 0 03/29/12

489 0 489 0 489 0 ICBAKER, KHADIJAH 1111756 0 489 04 31 17 0 05/01/12

312 0 312 0 312 0 ICOCHOA, MARY LOU 1111677 0 312 49 42 17 0 11/28/11

2,882 336 3,219 0 2,882 336 ICVAZQUEZ, CARMEN 1111727 0 3,219 90 90 31 0 03/19/12

1,949 0 1,949 0 1,949 0 ICMARONGE, JUSTIN 1111739 0 1,949 90 90 99 0 04/03/12

38,436 8,095 47,479 948 38,436 8,095 ICBARRINGTON, LINDA 1111685 948 47,479 28 55 33 0 01/07/12

204 0 230 26 204 0 ICDELOSSANTOS, MARIA 1111765 26 230 25 14 87 0 05/16/12

301 54 354 0 301 54 ICELKINS, JANICE 1111733 0 354 52 90 31 0 03/22/12

Page 29 of 102

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Accident

Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

413 0 413 0 413 0 ICSENTESI, ANITA 1111645 0 413 59 54 85 0 10/04/11

1,517 374 1,891 0 1,517 374 ICWHITWORTH, BETTY 1111675 0 1,891 40 36 19 0 11/17/11

452 64 516 0 452 64 ICBURT, LAN 1111679 0 516 52 90 17 0 11/30/11

1,123 0 1,123 0 1,123 0 ICMAGALLON, ASHLEY 1111704 0 1,123 13 36 17 0 02/03/12

669 0 669 0 669 0 ICLOPEZ, JUANITA 1111643 0 669 52 90 31 0 09/30/11

8,301 5,726 14,298 271 8,301 5,726 ICDEHOYOS, ROSA 1111783 271 14,298 52 42 17 0 06/28/12

869 0 869 0 869 0 ICBERTRAM, LINDA 1111780 0 869 28 58 12 0 06/26/12

3,221 1,203 4,424 0 3,221 1,203 ICROQUE, ANTONIO 1111652 0 4,424 52 55 99 0 10/11/11

2,510 1,645 4,155 0 2,510 1,645 ICSENTESI, ANITA 1111728 0 4,155 90 90 31 0 03/19/12

273 0 273 0 273 0 MCMILLS, PATRICIA 1111752 0 273 52 36 99 0 04/26/12

135 0 135 0 135 0 MCGARCIA, MARIA 1111772 0 135 52 39 31 0 05/31/12

25 0 35 10 25 0 MCSTEINER, PAMELA 1111784 10 35 90 90 46 0 07/17/12

259 0 259 0 259 0 MCGONZALES, AMANDA 1111743 0 259 10 11 99 0 03/21/12

259 0 259 0 259 0 MCMATA, ELIZABETH 1111753 0 259 52 90 31 0 04/26/12

308 0 308 0 308 0 MCJOACHIMI, ROBIN 1111763 0 308 52 42 99 0 05/04/12

740 0 740 0 740 0 MCSIMMONS, JOHN 1111764 0 740 40 35 16 0 05/16/12

154 0 154 0 154 0 MCMONTALVO, JOHN 1111776 0 154 52 51 17 0 05/25/12

313 0 313 0 313 0 MCSTEED, BENNY 1111779 0 313 40 34 17 0 06/14/12

368 0 375 7 368 0 MCHERRING, RAMONA 1111786 7 375 52 90 27 0 07/27/12

1,667 0 1,680 13 1,667 0 MCAVILA, ILENE 1111787 13 1,680 49 53 99 0 08/09/12

529 0 529 0 529 0 MCCALDWELL, LLOYD 1111731 0 529 52 90 99 0 03/22/12

Page 30 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

498 0 498 0 498 0 MCGONZALEZ, SHEILA 1111768 0 498 38 33 99 0 05/23/12

482 0 482 0 482 0 MCCENTANNI, GAIL 1111793 0 482 52 90 31 0 08/23/12

676 0 676 0 676 0 MCHOUSE, CYNTHIA 1111693 0 676 52 51 99 0 01/12/12

1,074 0 1,100 26 1,074 0 MCBARKER, VALDA 1111797 26 1,100 52 90 27 0 08/23/12

582 0 582 0 582 0 MCGRAY, DANIEL 1111782 0 582 40 36 16 0 07/10/12

1,481 0 1,481 0 1,481 0 MCLANDIS, JILL 1111713 0 1,481 90 90 31 0 02/09/12

538 0 550 11 538 0 MCWONDERGEM, MARC 1111770 11 550 59 14 99 0 05/29/12

213 0 213 0 213 0 MCGONZALES, JESSICA 1111723 0 213 38 33 99 0 03/02/12

246 0 246 0 246 0 MCVASQUEZ, TRACEY 1111734 0 246 04 33 12 0 03/26/12

5 0 24 19 5 0 MCMARONGE, JUSTIN 1111740 19 24 90 90 81 0 04/03/12

3,021 0 3,021 0 3,021 0 MCJERNIGAN, THERESA 1111668 0 3,021 52 42 31 0 11/03/11

4,471 0 4,471 0 4,471 0 MCCRUMP, HELEN 1111636 0 4,471 49 90 31 0 09/12/11

651 0 657 7 651 0 MCGRAY, DANIEL 1111632 7 657 40 35 17 0 09/08/11

550 0 550 0 550 0 MCCROFT, KELLI 1111648 0 550 52 30 27 0 10/10/11

0 0 0 0 0 0 MCCANALES, ANNABEL 1111735 0 0 52 90 31 0 03/27/12

648 0 648 0 648 0 MCSMOCK, JANET 1111757 0 648 52 90 31 0 05/01/12

105 0 112 7 105 0 MCSANCHEZ GALLEGOS, GILBERTO SR. 1111796 7 112 59 65 06 0 08/22/12

591 0 591 0 591 0 MCDESHAZO, EMILY 1111662 0 591 52 53 31 0 10/20/11


188 0 248 59 188 0 MCCRUZ, MIRTALA 1111722 59 248 10 35 12 0 03/01/12

1,328 0 1,328 0 1,328 0 MCDUGGAN, SHIRLEY 1111676 0 1,328 52 55 99 0 11/10/11

Page 31 of 102

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Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

568 0 611 43 568 0 MCHERNANDEZ, EMILIO 1111759 43 611 59 31 17 0 05/08/12

415 0 434 19 415 0 MCROBLES, MARISOL 1111800 19 434 25 14 87 0 08/31/12

249 0 249 0 249 0 MCBURTON, ELLEN 1111673 0 249 49 90 31 0 11/16/11

2,315 0 2,315 0 2,315 0 MCSEEVERS, RENE 1111646 0 2,315 52 65 27 0 09/27/11

392 0 397 5 392 0 MCJOHNICAN, LEEMETHRA 1111634 5 397 52 56 31 0 09/01/11

615 0 646 31 615 0 MCLIZCANO, BEDA 1111792 31 646 10 90 10 0 08/10/12

0 0 0 0 0 0 MCEKSTROM, CYNTHIA 1111698 0 0 52 32 31 0 01/31/12

894 0 894 0 894 0 MCJOHNS, JAMELA 1111655 0 894 52 90 31 0 10/24/11

468 0 468 0 468 0 MCREICHLE, DEBRA 1111773 0 468 59 90 31 0 06/01/12

6,373 0 6,404 31 6,373 0 MCCRENSHAW, KATHLEEN 1111724 31 6,404 52 90 27 0 03/09/12

481 0 481 0 481 0 MCMILLS, LAURA 1111737 0 481 40 36 12 0 04/03/12

0 0 0 0 0 0 MCKORB, JENNIFER 1111644 0 0 52 38 99 0 09/29/11

1,097 0 1,097 0 1,097 0 MCPAETZ, PATRICIA 1111669 0 1,097 90 90 99 0 11/07/11

127 0 127 0 127 0 MCDUNCAN, KATHRYN 1111719 0 127 52 90 27 0 02/27/12

122 0 122 0 122 0 MCDUREL, ROCIO 1111718 0 122 10 90 31 0 02/23/12

1,517 0 1,517 0 1,517 0 MCDILLON, SHARLOTTE 1111707 0 1,517 38 33 99 0 02/09/12

446 0 446 0 446 0 MCJOHNSON, CONNIE 1111633 0 446 10 11 13 0 09/01/11

4,006 0 4,012 7 4,006 0 MCBUTLER, DEBRA 1111778 7 4,012 52 90 26 0 06/08/12

105 0 146 41 105 0 MCRODRIGUEZ, FLOR 1111795 41 146 59 65 06 0 08/22/12


2,417 0 2,417 0 2,417 0 MCGRAY, DANIEL 1111711 0 2,417 40 15 75 0 02/17/12

Page 32 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

617 0 617 0 617 0 MCBASNETT, GENA 1111667 0 617 10 90 99 0 11/02/11

322 0 322 0 322 0 MCEVERIST, PATRICIA 1111761 0 322 40 36 17 0 05/09/12

223 0 223 0 223 0 MCRADICIONI, JOE 1111653 0 223 52 56 13 0 10/14/11

172 0 172 0 172 0 MCMURILLO, VICENTE 1111680 0 172 25 14 87 0 12/07/11

1,604 0 1,604 0 1,604 0 MCECKLES, TROY 1111660 0 1,604 52 38 17 0 11/01/11

281 0 289 8 281 0 MCCALDWELL, LLOYD 1111683 8 289 49 53 99 0 12/13/11

20 0 20 0 20 0 MCMAGEE, SARAH 1111758 0 20 52 90 45 0 05/07/12

318 0 327 9 318 0 MCCORTEZ, MARIA 1111767 9 327 52 53 31 0 05/21/12

216 0 216 0 216 0 MCKEETON, MARINA 1111635 0 216 25 14 99 0 09/13/11

696 0 696 0 696 0 MCJONES, JESSICA 1111716 0 696 40 36 13 0 02/23/12

207 0 225 18 207 0 MCMATA, ELIZABETH 1111785 18 225 13 36 12 0 08/01/12

1,542 0 1,599 58 1,542 0 MCCHAVEZ, MARCOS 1111769 58 1,599 52 61 17 0 05/24/12

679 0 679 0 679 0 MCBRUMMETT, REBECCA 1111699 0 679 90 56 12 0 01/31/12

495 0 495 0 495 0 MCBOROWITZ, STEVEN 1111678 0 495 40 11 19 0 11/28/11

3,587 0 3,587 0 3,587 0 MCWADE, RITA 1111659 0 3,587 52 54 31 0 10/11/11

348 0 348 0 348 0 MCREYNOLDS, CAREY 1111649 0 348 01 66 99 0 10/11/11

0 0 0 0 0 0 MCVELURU, ARUNJYOTHI 1111708 0 0 52 90 31 0 01/30/12

1,073 0 1,073 0 1,073 0 MCEDWARDS, KELSAY 1111702 0 1,073 90 57 99 0 02/01/12

409 0 409 0 409 0 MCTATUM-CALDWELL, MARY 1111798 0 409 40 36 16 0 08/29/12

814 0 814 0 814 0 MCMAGALLON, ASHLEY 1111650 0 814 28 35 13 0 10/12/11

218 0 218 0 218 0 MCGIBBS III, WILLIAM 1111665 0 218 43 34 17 0 11/02/11

Page 33 of 102

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Date Stat

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Body

Part Cause




Reserve

Clear Creek ISD

1,892 0 1,892 0 1,892 0 MCAYALA, IRMA 1111720 0 1,892 52 61 17 0 02/20/12

1,501 0 1,501 0 1,501 0 MCCOOPER, PATTY 1111696 0 1,501 52 90 33 0 01/23/12

784 0 784 0 784 0 MCFLOWERS, NORMA 1111741 0 784 52 55 31 0 04/09/12

423 0 423 0 423 0 MCWEBSTER, REBECCA 1111766 0 423 59 54 85 0 05/17/12

521 0 521 0 521 0 MCMILLARD, NANCY 1111709 0 521 52 90 31 0 02/14/12

1,501 0 1,501 0 1,501 0 MCJAMES, LAJENA 1111654 0 1,501 52 38 31 0 10/18/11

1,003 0 1,003 0 1,003 0 MCYEARY, KRISTEN 1111641 0 1,003 38 54 99 0 09/28/11

911 0 911 0 911 0 MCEKSTROM, CYNTHIA 1111754 0 911 49 53 31 0 04/20/12

1,776 0 1,776 0 1,776 0 MCHINES, CYNTHIA 1111777 0 1,776 52 90 31 0 06/11/12

749 0 749 0 749 0 MCSPRINGER, SHERYL 1111638 0 749 40 18 19 0 09/20/11

285 0 285 0 285 0 MCSOWARD, DAVID 1111664 0 285 10 36 17 0 10/28/11

105 0 155 50 105 0 MCBURUCA, REYNA 1111794 50 155 59 65 06 0 08/22/12

456 0 456 0 456 0 MCFROBEL, BRANDON 1111647 0 456 52 54 31 0 09/26/11

2,012 0 2,012 0 2,012 0 MCADAIR, SANDRA 1111725 0 2,012 49 53 31 0 02/14/12

2,172 0 2,202 30 2,172 0 MCLOVUOLA, MELANIE 1111789 30 2,202 90 91 31 0 08/17/12

265 0 265 0 265 0 MCESCALANTE DE FLORES, PATRICIA 1111774 0 265 52 55 99 0 06/01/12


433 0 433 0 433 0 MCFLORES, ASHLEY 1111717 0 433 38 33 99 0 02/27/12


0 0 0 0 0 0 RCWOODARD, GLADYS 1111692 0 0 52 33 31 0 01/11/12

0 0 0 0 0 0 RCBRISBIN, LAURA 1111751 0 0 52 90 31 0 04/24/12

Page 34 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

0 0 0 0 0 0 RCGASS, CAROLINE 1111745 0 0 52 53 31 0 04/11/12

Totals : 168 436,174 2,911 356,832 76,430 436,174 2,911 356,832 76,430 0

Page 35 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD


0 0 0 0 0 0 ICLAVELLE, MICHELLE 1111944 0 0 90 90 25 0 04/25/13

2,078 74 2,221 70 2,078 74 ICREYNA, GUADALUPE 1111962 70 2,221 90 90 26 0 06/26/13

3,658 160 3,936 118 3,658 160 ICHOLDEN, CAROLE 1111956 118 3,936 10 10 25 0 05/24/13

1,409 423 1,908 76 1,409 423 ICFUNK, KRISTAL 1111959 76 1,908 52 55 99 0 06/06/13

6,690 6,072 16,571 3,809 6,690 6,072 ICRUIZ, ANTONIA 1111964 3,809 16,571 52 63 17 0 06/28/13

1,326 234 1,736 176 1,326 234 ICCHAVEZ, MARCOS 1111865 176 1,736 52 32 56 0 01/07/13

31,555 20,431 52,534 548 31,555 20,431 ICWALTERS, CARLA 1111973 548 52,534 52 90 31 0 08/16/13

13,536 0 13,926 391 13,536 0 ICGERDES, RANDI 1111932 391 13,926 28 39 31 0 04/08/13

1,103 181 1,333 49 1,103 181 ICFLORES, ANAIS 1111935 49 1,333 52 55 31 0 04/17/13

630 1,209 1,878 40 630 1,209 ICMENDEZ PONCE, GERTRUDIS 1111961 40 1,878 90 90 26 0 06/13/13

6,920 435 7,922 567 6,920 435 ICMORRISON, ARACELY 1111901 567 7,922 90 90 27 0 02/20/13

6,326 2,449 9,503 728 6,326 2,449 ICO'BRIEN, DRUSILLA 1111916 728 9,503 40 36 12 0 03/18/13

1,805 773 2,669 91 1,805 773 ICROBLES, ASHLEY 1111822 91 2,669 49 38 55 0 10/22/12

1,593 154 1,823 77 1,593 154 ICFERNANDEZ, MARTHA 1111842 77 1,823 52 90 31 0 11/07/12

414 0 414 0 414 0 ICMARIN, MARIA 1111833 0 414 90 90 56 0 10/26/12

6,991 5,238 13,235 1,006 6,991 5,238 ICLAFFERTY, LIZA 1111811 1,006 13,235 49 42 72 0 09/27/12

24,453 8,353 32,935 129 24,453 8,353 ICMARTINEZ, BALTAZAR 1111802 129 32,935 28 31 13 0 09/18/12

0 123 138 15 0 123 ICADAM, KIMBERLY 1111825 15 138 40 61 72 0 10/23/12

509 109 738 120 509 109 ICLAM, KIM 1111960 120 738 10 31 45 0 06/10/13

4,651 743 5,574 180 4,651 743 ICCHAVEZ, MARCOS 1111815 180 5,574 52 90 27 0 10/11/12

Page 36 of 102

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Date Stat

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Body

Part Cause




Reserve

Clear Creek ISD

9,763 8,071 18,080 246 9,763 8,071 ICSIMMONS, JOHN 1111890 246 18,080 49 53 31 0 02/04/13

2,943 1,084 4,098 71 2,943 1,084 ICORNELAS, EMMA 1111949 71 4,098 40 36 12 0 05/13/13

387 0 400 13 387 0 ICHOLT, KIMBERLY 1111835 13 400 36 31 72 0 10/29/12

1,659 2,726 4,449 65 1,659 2,726 ICOLIVER, SYBIL 1111891 65 4,449 10 44 31 0 02/07/13

0 0 0 0 0 0 ICGAGNON, JANICE 1111958 0 0 52 42 17 0 11/30/12

1,067 0 1,080 13 1,067 0 ICVILLARREAL LUCIO, ERENDIDA 1111921 13 1,080 10 90 29 0 03/08/13

15,987 5,297 26,332 5,048 15,987 5,297 ICCUEVA, MARTINA 1111951 5,048 26,332 52 90 17 0 05/14/13

5,546 4,513 16,910 6,852 5,546 4,513 ICREIL, BRENDA 1111915 6,852 16,910 52 38 60 0 03/08/13

7,880 2,534 10,929 516 7,880 2,534 ICBRYANT, LUZ 1111870 516 10,929 49 36 99 0 10/25/12

296 1,636 1,945 13 296 1,636 ICPEACOCK, JOSEPH 1111816 13 1,945 49 55 31 0 10/10/12

3,812 1,311 5,525 402 3,812 1,311 ICSOTO, JUANA 1111850 402 5,525 52 51 60 0 11/30/12

0 0 0 0 0 0 ICJOHNSON, SANDRA 1111946 0 0 52 63 78 0 05/06/13

8,467 1,953 10,547 128 8,467 1,953 ICMATTHIES, LUTHER 1111869 128 10,547 49 53 29 0 01/09/13

4,576 5,197 10,167 395 4,576 5,197 ICEDWARDS, ANNETTA 1111934 395 10,167 52 35 17 0 03/26/13

2,661 997 3,745 87 2,661 997 ICDIETERICH, JANENE 1111867 87 3,745 07 11 31 0 01/11/13

10,410 2,812 14,225 1,003 10,410 2,812 ICSAAVEDRA, MARGARITA 1111930 1,003 14,225 40 36 17 0 04/05/13

802 0 831 30 802 0 ICWILLIAMS, AMBER 1111911 30 831 40 14 99 0 03/07/13

3,260 1,702 5,449 487 3,260 1,702 ICCUEVA, MARTINA 1111839 487 5,449 52 90 31 0 11/06/12

28,163 117 28,930 650 28,163 117 ICMADRAZO, ANGELA 1111955 650 28,930 52 53 99 0 05/21/13

3,397 0 3,421 25 3,397 0 ICHOFFMAN, REBECCA 1111810 25 3,421 49 55 25 0 09/26/12

535 0 553 18 535 0 ICWOOD, CYNTHIA 1111914 18 553 90 55 31 0 03/07/13

Page 37 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

508 1,983 2,598 107 508 1,983 ICRUIZ, ELVIRA 1111875 107 2,598 53 38 29 0 01/22/13

6,249 0 6,901 652 6,249 0 ICMCANALLY, JENNIFER 1111840 652 6,901 28 32 31 0 11/07/12

491 688 1,211 33 491 688 ICAPARICIO, YOSELIN 1111836 33 1,211 52 55 33 0 10/31/12

404 2,454 2,899 41 404 2,454 ICBROWN, KAREN 1111817 41 2,899 90 90 99 0 10/12/12

852 2,275 3,158 31 852 2,275 ICSCHAAF-RICHARDS, MICHELLE 1111813 31 3,158 90 90 72 0 10/09/12

3,633 2,452 6,188 103 3,633 2,452 ICEBY, DEBORAH 1111841 103 6,188 52 90 17 0 11/07/12

0 0 0 0 0 0 ICTIBAI, YVONNE 1111830 0 0 65 60 82 0 10/19/12

386 0 914 528 386 0 ICDE HOYOS, MARIA 1111989 528 914 52 90 99 0 08/26/13

0 0 0 0 0 0 ICKILLGORE, AMY 1111897 0 0 52 90 31 0 02/14/13

363 63 446 20 363 63 ICMCGREGOR, JANE 1111928 20 446 52 42 99 0 03/25/13

719 1,048 1,793 26 719 1,048 ICLEGG, ERIN 1111852 26 1,793 52 53 60 0 12/05/12

14,966 7,227 22,977 785 14,966 7,227 ICMCCOY, RENEE 1111933 785 22,977 28 34 31 0 04/12/13

304 0 402 98 304 0 ICNGUYEN, HUE 1111832 98 402 13 36 13 0 10/19/12

5,458 2,446 8,058 153 5,458 2,446 ICNIGBUR, DEBORAH 1111848 153 8,058 52 42 99 0 11/09/12

14,628 8,453 25,698 2,617 14,628 8,453 ICULLOA, MARIA 1111943 2,617 25,698 52 42 56 0 04/24/13

757 351 1,133 26 757 351 ICDEMETRIOS, CLAUDIA 1111853 26 1,133 52 90 27 0 12/04/12

180 0 188 8 180 0 MCKINGCAID, SHARON 1111942 8 188 52 53 31 0 04/23/13

262 0 268 7 262 0 MCMALLINSON, MARCY 1111925 7 268 52 90 13 0 03/21/13

2,329 0 2,454 125 2,329 0 MCCORBETT, AMANDA 1111963 125 2,454 49 55 28 0 05/31/13

321 0 364 43 321 0 MCMARIN, MARIA 1111971 43 364 10 54 33 0 08/12/13

1,132 0 1,148 17 1,132 0 MCGIBBS, WILLIAM 1111879 17 1,148 40 35 80 0 01/25/13

Page 38 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

0 0 0 0 0 0 MCDIAZ, NICOLE 1111909 0 0 40 36 16 0 03/05/13

221 0 229 8 221 0 MCPEACOCK, JOSEPH 1111931 8 229 28 33 31 0 04/08/13

1,891 0 1,969 79 1,891 0 MCBROWN, SANDI 1111849 79 1,969 90 38 31 0 11/29/12

503 0 515 12 503 0 MCCOVERT, CLARLYN 1111857 12 515 40 36 16 0 12/11/12

590 0 603 13 590 0 MCMALDONADO, SUSANA 1111877 13 603 90 90 31 0 01/23/13

0 0 0 0 0 0 MCBLANK, SUSAN 1111887 0 0 52 38 57 0 02/06/13

2,650 0 2,812 162 2,650 0 MCFLORES, GLORIA 1111889 162 2,812 52 55 60 0 02/01/13

0 0 0 0 0 0 MCCHERRY, CORBIN 1111895 0 0 90 90 72 0 02/08/13

286 0 318 32 286 0 MCGRAY, KARYN 1111899 32 318 38 33 73 0 02/19/13

679 0 710 31 679 0 MCGRAY, DANIEL 1111902 31 710 52 53 26 0 02/18/13

305 0 348 43 305 0 MCSANCHEZ, ISABEL 1111913 43 348 25 14 87 0 03/06/13

244 0 257 13 244 0 MCRIVERA, MARY 1111904 13 257 59 15 72 0 02/15/13

0 0 0 0 0 0 MCWARDEN, WAYMON 1111804 0 0 49 53 60 0 09/18/12

10 0 17 7 10 0 MCRANDLE, KEYUNTE 1111821 7 17 80 54 85 0 09/28/12

0 0 0 0 0 0 MCPARVEEN, NAHEED 1111837 0 0 10 51 72 0 11/01/12

292 0 305 13 292 0 MCLUERA, SAKNICTE 1111919 13 305 49 55 33 0 03/19/13

0 0 0 0 0 0 MCCHERRY, CORBIN 1111860 0 0 10 54 72 0 12/10/12

607 0 651 44 607 0 MCLOTF, WAFA 1111868 44 651 59 37 72 0 01/14/13

309 0 372 63 309 0 MCDELOSSANTOS, MARIA 1111862 63 372 10 52 75 0 12/18/12


333 0 353 20 333 0 MCSMALL, HELEN 1111872 20 353 59 53 31 0 01/17/13

Page 39 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

326 0 344 18 326 0 MCCHERRY, CORBIN 1111826 18 344 52 42 17 0 10/22/12

4,502 0 4,958 457 4,502 0 MCMARTINEZ, YASMINA 1111828 457 4,958 13 37 12 0 10/16/12

1,272 0 1,295 23 1,272 0 MCRISOLDI, MATTHEW 1111856 23 1,295 43 35 81 0 12/08/12

488 0 519 31 488 0 MCEARLY, SHARON 1111845 31 519 04 33 05 0 11/12/12

702 0 729 28 702 0 MCMARTINEZ, ESPERANZA 1111834 28 729 40 33 16 0 10/27/12

827 0 847 20 827 0 MCHANEY, BARBARA 1111923 20 847 90 90 31 0 03/22/13

105 0 193 88 105 0 MCVO, KHANH 1111803 88 193 52 56 57 0 09/17/12

395 0 435 40 395 0 MCGARCIA ESPITIA, ANA 1111948 40 435 52 50 17 0 05/03/13

1,227 0 1,274 47 1,227 0 MCMARTIN, NANCY 1111969 47 1,274 90 90 29 0 08/07/13

317 0 340 23 317 0 MCSCOTT, JESSE 1111972 23 340 43 34 99 0 08/14/13

501 0 547 47 501 0 MCGARCIA, PERLA 1111823 47 547 10 34 12 0 10/19/12

0 0 0 0 0 0 MCAYALA, IRMA 1111965 0 0 52 90 31 0 05/14/13

169 0 185 17 169 0 MCHOLIDAY-GOURRIER, YOLANDA 1111864 17 185 52 42 13 0 01/07/13

0 0 0 0 0 0 MCMAES, ELENA 1111805 0 0 52 42 72 0 09/20/12

189 0 196 7 189 0 MCBELL JR, HARDY 1111883 7 196 10 11 99 0 02/04/13

147 0 154 7 147 0 MCLEIFESTE, DEBORAH 1111886 7 154 59 56 10 0 02/06/13

494 0 507 13 494 0 MCGOLDMAN, JANIE 1111824 13 507 40 33 31 0 10/23/12

577 0 628 51 577 0 MCVIDAL-ROSADO, JOSE 1111970 51 628 52 34 17 0 03/08/13

0 0 0 0 0 0 MCWEDEKIND, KAREN 1111873 0 0 90 53 31 0 01/17/13

1,893 0 1,947 54 1,893 0 MCRUSHING, MARGARET 1111906 54 1,947 10 53 31 0 02/26/13

887 0 902 15 887 0 MCBRIGHTWELL, JULIA 1111917 15 902 52 90 31 0 03/18/13

Page 40 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

422 0 447 25 422 0 MCSOLIS, GLORIA 1111888 25 447 10 90 31 0 02/06/13

174 0 182 8 174 0 MCFULL, ELISE 1111974 8 182 38 33 73 0 08/26/13

737 0 767 30 737 0 MCSTOCKER, KIMBERLY 1111908 30 767 90 90 72 0 02/28/13

511 0 527 16 511 0 MCRUCKER, MARY 1111941 16 527 49 56 31 0 04/24/13

678 0 705 28 678 0 MCSWINGLE, JOHN 1111978 28 705 66 14 01 0 08/30/13

199 0 207 8 199 0 MCHARRIS, KEVIN 1111983 8 207 52 53 99 0 08/13/13

929 0 942 13 929 0 MCHENNINGER, LORI 1111801 13 942 52 34 60 0 09/14/12

294 0 339 45 294 0 MCCONTRERAS, JOSEFA 1111967 45 339 10 52 31 0 07/30/13

696 0 735 39 696 0 MCGANDIN, KATHLEEN 1111847 39 735 10 54 33 0 11/15/12


292 0 310 18 292 0 MCPIERCE, CHARLES 1111843 18 310 38 33 99 0 11/08/12

227 0 233 7 227 0 MCBOONE, ROBBIE 1111918 7 233 13 56 99 0 03/19/13

473 0 527 55 473 0 MCGARCIA, PERLA 1111968 55 527 10 90 17 0 08/02/13

1,400 0 1,431 31 1,400 0 MCGOLDEN, KELLY 1111808 31 1,431 40 36 99 0 09/23/12

320 0 326 7 320 0 MCCARLUCCI-POWELL, MARY LOU 1111820 7 326 38 36 73 0 10/17/12

3,298 0 3,496 199 3,298 0 MCBELL, LASHASTA 1111976 199 3,496 49 55 29 0 08/27/13


0 0 0 0 0 0 MCHENDERSON, JANELL 1111922 0 0 52 42 56 0 03/21/13

545 0 575 30 545 0 MCBECNEL, MARILYN 1111846 30 575 38 33 73 0 11/15/12

0 0 8 8 0 0 MCSIZELOVE, JAMI 1111827 8 8 90 51 31 0 10/19/12

152 0 158 7 152 0 MCWEATHERSPOON, LAURA 1111892 7 158 59 66 99 0 02/07/13

Page 41 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

932 0 980 48 932 0 MCNAVARRETE, GLORIA 1111854 48 980 59 51 31 0 12/06/12


757 0 772 15 757 0 MCSCHULTZ, ALLEN 1111929 15 772 52 55 17 0 03/27/13

307 0 320 13 307 0 MCMCFATTER, MELISSA 1111896 13 320 38 34 73 0 02/12/13

1,982 0 2,060 78 1,982 0 MCAONA, JESSICA 1111814 78 2,060 49 38 60 0 10/09/12

458 0 471 13 458 0 MCBLANCHARD, KIMBERLY 1111893 13 471 40 56 68 0 02/08/13

174 0 181 7 174 0 MCENOCH, LINDA 1111874 7 181 52 90 31 0 01/21/13

322 0 343 21 322 0 MCPHILLIPS, JANETTE 1111952 21 343 10 36 46 0 05/17/13

623 0 649 26 623 0 MCHARRIS, JULIE 1111861 26 649 52 42 99 0 12/17/12

524 0 542 18 524 0 MCVILLARREAL LUCIO, ERENDIDA 1111900 18 542 25 14 01 0 02/19/13

2,003 0 2,081 78 2,003 0 MCWRIGHT, NANCY 1111907 78 2,081 49 55 27 0 02/27/13

165 0 172 7 165 0 MCHOWIE, KATHY 1111912 7 172 59 53 25 0 03/01/13

332 0 358 26 332 0 MCBRYANT, LUZ 1111903 26 358 43 14 72 0 02/21/13

0 0 0 0 0 0 MCADAMS, HEATHER 1111975 0 0 59 33 99 0 08/28/13

147 0 154 7 147 0 MCSTEINHOFF, ESPERANZA 1111829 7 154 52 50 72 0 10/24/12

729 0 755 26 729 0 MCCRAGER, MARIE 1111855 26 755 10 54 72 0 12/05/12

210 0 223 13 210 0 MCBROWN, JUDY 1111851 13 223 10 61 31 0 11/30/12


354 0 360 7 354 0 MCLOPEZ, MARY 1111812 7 360 52 90 17 0 09/26/12

299 0 312 13 299 0 MCEDWARDS, SARAH 1111920 13 312 10 35 78 0 03/19/13

1,343 0 1,425 82 1,343 0 MCNUNO, ANGIE 1111977 82 1,425 49 51 60 0 08/28/13

Page 42 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

189 0 197 8 189 0 MCGARCIA, PATRICIA 1111953 8 197 59 18 99 0 05/21/13

0 0 0 0 0 0 MCEVERETT, CHARMAINE 1111858 0 0 59 33 99 0 12/04/12

678 0 735 57 678 0 MCBROWNING, COLLEEN 1111938 57 735 49 53 31 0 04/19/13

0 0 18 18 0 0 MCLARA, LILIANA 1111806 18 18 13 33 20 0 09/20/12

2,305 0 2,456 151 2,305 0 MCSMITH, BARBARA 1111880 151 2,456 90 32 33 0 01/25/13

545 0 604 59 545 0 MCALVAREZ, LUCIA 1111807 59 604 90 90 57 0 09/18/12

174 0 182 8 174 0 MCHARPOLD, DAVID 1111957 8 182 59 65 99 0 06/03/13

1,198 0 1,262 64 1,198 0 MCCRAGER, MARIE 1111905 64 1,262 07 11 72 0 02/25/13

0 0 0 0 0 0 MCTHOMPSON, JACQUELINE 1111884 0 0 52 90 31 0 02/05/13

103 0 116 13 103 0 MCYEARY, KRISTEN 1111859 13 116 38 36 73 0 12/12/12

0 0 15 15 0 0 MCRODRIGUEZ, VERONICA 1111910 15 15 52 56 99 0 12/03/12

257 0 265 8 257 0 MCGAONA, MARTHA 1111947 8 265 59 33 19 0 05/06/13

344 0 355 12 344 0 MCBASDEKIS, EVANGELOS 1111878 12 355 25 14 87 0 01/23/13

539 0 572 33 539 0 MCPENN, LAURA 1111866 33 572 52 90 27 0 01/09/13

237 0 248 12 237 0 MCNOWAK, LEE 1111927 12 248 52 42 56 0 03/27/13

1,852 0 1,943 91 1,852 0 MCDUNN, TONIA 1111882 91 1,943 49 36 12 0 02/01/13

1,612 0 1,738 127 1,612 0 MCGONZALEZ, ESPERANZA 1111926 127 1,738 10 52 29 0 03/18/13

0 0 0 0 0 0 MCFOLMSBEE, TANYA 1111881 0 0 52 90 99 0 01/25/13

0 0 0 0 0 0 MCMA, DAVID 1111876 0 0 52 38 56 0 01/21/13

735 0 774 39 735 0 MCROBLES, ALEXANDRA 1111844 39 774 52 55 99 0 11/08/12

145 0 160 15 145 0 MCSASSER, JENNIFER 1111936 15 160 10 51 46 0 04/17/13

Page 43 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

489 0 519 31 489 0 MCGIBBS, WILLIAM 1111945 31 519 04 36 07 0 05/01/13

3,501 0 3,877 377 3,501 0 MCSTALLINGS, ANA 1111939 377 3,877 52 35 12 0 04/22/13

403 0 416 13 403 0 MCMILLARD, NANCY 1111819 13 416 40 18 72 0 10/16/12

3,867 0 3,980 113 3,867 0 MCRHORER, SANDRA 1111898 113 3,980 49 32 57 0 02/11/13

0 0 0 0 0 0 MCCORTEZ, MARIA 1111818 0 0 52 53 31 0 10/12/12


4,920 0 5,266 346 4,920 0 MCBERGAN, SHAWN 1111924 346 5,266 16 38 31 0 03/21/13

0 0 0 0 0 0 RCDUCKETT, AMY 1111885 0 0 40 44 72 0 01/15/13

0 0 0 0 0 0 RCBROWN, DANNY 1111940 0 0 52 38 17 0 04/19/13

0 0 0 0 0 0 RCBENNETT, BERNADETTE 1111937 0 0 52 90 72 0 04/18/13

0 0 0 0 0 0 RCGORDON, PATRICIA 1111863 0 0 52 90 31 0 12/20/12

0 0 0 0 0 0 RCLANDIS, JILL 1111831 0 0 90 19 72 0 10/25/12

0 0 0 0 0 0 RCYEARY, KRISTEN 1111838 0 0 38 35 73 0 11/05/12

Totals : 180 505,057 33,999 354,507 116,551 505,057 33,999 354,507 116,551 0

Page 44 of 102

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Date Stat

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Body

Part Cause




Reserve

Clear Creek ISD


29,142 5,476 36,629 2,011 29,142 5,476 ICGIBBS III, WILLIAM 1112116 2,011 36,629 40 36 10 0 05/12/14

540 353 964 71 540 353 ICGARCIA, PERLA 1112129 71 964 13 35 12 0 05/30/14

1,669 667 2,450 113 1,669 667 ICHERNANDEZ, VERONICA 1112141 113 2,450 52 52 27 0 08/06/14

853 976 1,876 47 853 976 ICGUERRERO, CARMEN 1112108 47 1,876 52 90 27 0 04/28/14

14,269 292 14,788 228 14,269 292 ICMCANALLY, VIRGINIA 1112124 228 14,788 52 54 31 0 05/23/14

1,904 732 2,760 124 1,904 732 ICVARELA, ARELY 1112137 124 2,760 52 90 31 0 06/27/14

0 0 0 0 0 0 ICDIGMAN, KRISTINA 1112067 0 0 36 91 99 0 02/13/14

2,371 1,692 4,211 148 2,371 1,692 ICBURNS, JR., HONORE 1112068 148 4,211 52 42 17 0 02/17/14

756 0 841 85 756 0 ICBROCKWAY, TERI 1112019 85 841 52 53 25 0 11/06/13

2,638 0 2,894 256 2,638 0 ICKNOCHEL, DAPHNE 1112065 256 2,894 52 42 17 0 01/24/14

15,397 15,383 49,286 18,506 15,397 15,383 ICROBERTS, SUNDAY 1112070 18,506 49,286 90 90 72 0 01/29/14

12,043 7,892 21,448 1,514 12,043 7,892 ICPARVEEN, NAHEED 1111992 1,514 21,448 90 90 25 0 09/20/13

1,250 547 1,859 63 1,250 547 ICSMITH, ROSA 1112090 63 1,859 90 90 31 0 03/28/14

606 0 697 91 606 0 ICCHAVEZ, MARCOS 1112037 91 697 52 61 60 0 12/20/13

1,796 1,234 3,284 254 1,796 1,234 ICFAMA, SARAH 1112075 254 3,284 49 53 72 0 02/26/14

8,367 6,671 15,468 430 8,367 6,671 ICLARA, LILIANA 1112038 430 15,468 52 35 17 0 12/19/13

17,172 7,511 24,993 310 17,172 7,511 ICBAEZ, ELENA 1112050 310 24,993 90 39 32 0 01/24/14

1,200 540 1,785 45 1,200 540 ICGERHARDT, MARISA 1112021 45 1,785 37 15 72 0 11/12/13

5,034 889 16,482 10,560 5,034 889 ICSTREBECK, ZONA 1112042 10,560 16,482 28 63 99 0 01/09/14

1,147 1,143 2,345 55 1,147 1,143 ICFARRELL, TERRY 1112029 55 2,345 13 31 14 0 12/02/13

Page 45 of 102

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Clear Creek ISD

436 317 790 37 436 317 ICBAEZ, ELENA 1111995 37 790 10 53 31 0 09/27/13

0 0 0 0 0 0 ICCASTILLO, CECILIA 1111991 0 0 52 55 28 0 09/16/13

15,716 4,890 21,042 437 15,716 4,890 ICMCGREGOR, JANE 1111984 437 21,042 28 33 27 0 09/05/13

526 81 722 116 526 81 ICAMAYA, ELIZABETH 1112136 116 722 37 39 81 0 06/19/14

289 0 332 43 289 0 ICMONCADA, MARIA 1112062 43 332 52 56 12 0 02/05/14

9,975 0 15,208 5,233 9,975 0 ICGARR, KRISTIN 1112002 5,233 15,208 52 90 31 0 09/09/13

532 0 575 44 532 0 ICHOLDEN, CAROLE 1111981 44 575 52 41 72 0 09/03/13

3,259 0 3,591 332 3,259 0 ICFINTO, CHRISTOPHER 1112118 332 3,591 28 33 31 0 05/12/14

690 0 729 39 690 0 ICVASQUEZ RAMOS, VERONICA 1112074 39 729 90 90 33 0 02/24/14

27,693 10,712 40,211 1,807 27,693 10,712 ICHUDSON, CATHY 1112049 1,807 40,211 90 20 25 0 01/17/14

640 0 693 53 640 0 ICALI, ANEES 1111996 53 693 04 33 09 0 10/01/13

10,269 4,371 15,400 760 10,269 4,371 ICHEYDER, JO ANNE 1112034 760 15,400 28 36 31 0 12/12/13

0 0 30 30 0 0 ICTROWEL, ANITA 1112063 30 30 10 53 81 0 02/06/14

1,181 147 1,402 74 1,181 147 ICNGUYEN, MUOI 1112095 74 1,402 13 35 13 0 04/02/14

7,121 1,215 8,466 130 7,121 1,215 ICHARPER, DEBORAH 1112054 130 8,466 13 33 72 0 01/15/14

797 152 1,013 65 797 152 ICZANDER, ZANDRA 1112088 65 1,013 52 35 50 0 03/19/14

421 0 421 0 421 0 ICADAM, KIMBERLY 1111985 0 421 55 12 99 0 09/05/13

407 0 1,148 741 407 0 ICLOWE, SHERI 1112115 741 1,148 52 38 98 0 05/05/14

174 0 182 8 174 0 ICGLASER, CHRISTIE 1112024 8 182 07 11 99 0 11/19/13

3,472 1,257 4,826 97 3,472 1,257 ICJOHNSON, JACQUELYN 1112060 97 4,826 90 65 31 0 02/06/14

0 0 0 0 0 0 ICMARTINEZ, ESPERANZA 1112107 0 0 52 42 31 0 03/20/14

Page 46 of 102

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Part Cause




Reserve

Clear Creek ISD

3,675 1,404 5,525 446 3,675 1,404 ICPONCE, SANTA 1112148 446 5,525 10 10 46 0 08/22/14

1,413 0 1,426 13 1,413 0 ICTORRES, AMY 1111982 13 1,426 46 61 72 0 09/04/13

1,332 679 2,059 48 1,332 679 ICWILLIAMSON, KAYLA 1112125 48 2,059 46 56 99 0 05/23/14

43,100 9,448 53,244 696 43,100 9,448 ICMICHAEL, LINDA 1112123 696 53,244 28 51 29 0 05/19/14

6,418 0 6,885 467 6,418 0 ICDAWSON, CORAL 1111990 467 6,885 49 90 27 0 09/05/13

20,375 6,043 26,860 442 20,375 6,043 ICFRANCO, SARA 1112134 442 26,860 28 56 17 0 06/17/14

60,934 22,701 85,810 2,175 60,934 22,701 ICVASQUEZ, PILAR 1112030 2,175 85,810 28 54 31 0 12/03/13

7,514 6,628 14,730 588 7,514 6,628 ICDELOSSANTOS, MARIA 1112091 588 14,730 52 42 56 0 03/26/14

21,460 6,121 28,493 913 21,460 6,121 ICHAWKINS, TRACY 1112089 913 28,493 90 38 58 0 03/28/14

411 0 469 58 411 0 ICESTRADA, JUANA 1112076 58 469 90 90 31 0 02/27/14

637 246 920 37 637 246 ICGONZALES, JUAN 1112101 37 920 52 90 46 0 04/16/14

786 716 1,570 67 786 716 ICVARELA, ARELY 1112031 67 1,570 52 56 13 0 12/04/13

1,897 1,090 3,071 83 1,897 1,090 ICRAMOS, VIRGINIA 1111987 83 3,071 49 53 99 0 09/05/13

0 0 0 0 0 0 ICTHOMAS, SUZANNE 1112131 0 0 07 11 45 0 05/30/14

2,374 554 3,015 87 2,374 554 ICLAM, KIM 1112113 87 3,015 40 11 13 0 05/07/14

5,890 0 6,375 486 5,890 0 ICLANDIS, JILL 1112014 486 6,375 52 90 72 0 10/23/13

6,700 0 7,377 678 6,700 0 ICTYRRELL, JAMIE 1112119 678 7,377 52 30 72 0 05/13/14

0 0 0 0 0 0 MCAROCHO, MASINA 1112220 0 0 52 90 17 0 06/01/14

687 0 735 48 687 0 MCRAMOS, VIRGINIA 1112133 48 735 13 36 12 0 06/13/14

248 0 269 21 248 0 MCMONCADA, MARIA 1112135 21 269 52 61 17 0 06/13/14

2,173 0 2,250 77 2,173 0 MCSERBANTEZ, MARY 1112146 77 2,250 52 90 27 0 08/20/14

Page 47 of 102

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Body

Part Cause




Reserve

Clear Creek ISD

744 0 807 63 744 0 MCHARRIGAN, SUZANNE 1112150 63 807 10 44 31 0 08/26/14

496 0 512 16 496 0 MCOTTO, SUSAN 1112151 16 512 38 33 72 0 08/25/14

587 0 618 31 587 0 MCKING, JERRY 1112152 31 618 90 90 31 0 08/27/14

270 0 278 8 270 0 MCYEAGENS, DARCIE 1112099 8 278 40 36 16 0 02/03/14

1,594 0 1,711 117 1,594 0 MCMARICI, MARY JO 1112121 117 1,711 52 53 53 0 05/09/14

2,075 0 2,184 109 2,075 0 MCTHOMAS, CHERYL 1112126 109 2,184 10 90 31 0 05/27/14

207 0 229 23 207 0 MCVEGA, ROSA 1112138 23 229 13 56 75 0 07/01/14

1,362 0 1,419 57 1,362 0 MCWILLIAMS, ROBIN 1112055 57 1,419 90 90 72 0 01/29/14

585 0 642 57 585 0 MCDIAZ, LORI 1112056 57 642 52 31 57 0 01/30/14

545 0 576 31 545 0 MCHART, SHELBY 1112078 31 576 40 18 46 0 03/04/14

427 0 449 23 427 0 MCVIDAL-ROSADO, JOSE 1112142 23 449 52 90 31 0 08/08/14

685 0 753 68 685 0 MCRUBIO, BLANCA 1112086 68 753 37 52 99 0 03/26/14

1,009 0 1,046 37 1,009 0 MCNELSON, AUDREY 1112096 37 1,046 10 54 72 0 03/27/14

466 0 482 16 466 0 MCAGUILAR, CYNTHIA 1112100 16 482 04 35 09 0 04/15/14

598 0 629 31 598 0 MCANDERSON, CHRISTOPHER 1112104 31 629 13 57 13 0 04/21/14

174 0 182 8 174 0 MCGREMILLION, SHARON 1112026 8 182 37 18 72 0 11/20/13

174 0 182 8 174 0 MCBLEVINS, DEBBIE 1112027 8 182 38 31 73 0 11/20/13

294 0 342 48 294 0 MCCRUZ, MIRTALA 1112059 48 342 10 90 13 0 02/05/14

115 0 129 15 115 0 MCGRAHAM, AMY 1112064 15 129 52 55 31 0 02/12/14

1,660 0 1,791 132 1,660 0 MCMACFARLANE, LISA 1112017 132 1,791 52 53 31 0 11/04/13

496 0 548 52 496 0 MCFRANCIOTTI, KRISTEN 1112008 52 548 49 55 31 0 10/22/13

Page 48 of 102

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Part Cause




Reserve

Clear Creek ISD

350 0 366 16 350 0 MCGONZALEZ, SHEILA 1112083 16 366 52 42 99 0 03/19/14

291 0 307 16 291 0 MCSTEWART, CHRISTY 1112033 16 307 49 53 31 0 12/10/13

380 0 402 23 380 0 MCBRIONES, JOSE 1112051 23 402 90 42 32 0 01/24/14

187 0 193 7 187 0 MCVASQUEZ, GRENNA 1112000 7 193 52 90 31 0 10/04/13

906 0 1,004 98 906 0 MCSCHLITZBERGER, DARLENE 1112007 98 1,004 90 55 29 0 10/16/13

0 0 0 0 0 0 MCDEFORKE, STEPHANIE 1112022 0 0 90 91 25 0 11/12/13

911 0 971 60 911 0 MCMAGALLON, ASHLEY 1111994 60 971 37 11 20 0 09/26/13

656 0 701 45 656 0 MCRUIZ, RAUL 1112004 45 701 37 30 90 0 10/09/13

447 0 486 39 447 0 MCCOVERT, JENNIFER 1111997 39 486 38 34 73 0 10/02/13

172 0 220 48 172 0 MCDELOSSANTOS, MARIA 1111986 48 220 52 38 60 0 09/05/13

448 0 464 16 448 0 MCLEGG, ERIN 1112011 16 464 10 53 72 0 10/25/13

0 0 0 0 0 0 MCRUBIO, BLANCA 1112111 0 0 66 20 01 0 04/29/14

1,735 0 1,803 68 1,735 0 MCJANDROKOVIC, PAMELA 1112149 68 1,803 52 42 27 0 08/25/14

350 0 385 35 350 0 MCSANCHEZ, DOROTHY 1112147 35 385 07 11 99 0 08/22/14

0 0 0 0 0 0 MCLEONARD, JENNIFER 1112139 0 0 90 90 27 0 07/08/14

206 0 220 15 206 0 MCCRUZ, JOSE 1112110 15 220 52 39 31 0 04/30/14

395 0 411 16 395 0 MCBELL, DAVID 1112132 16 411 13 36 12 0 06/05/14

175 0 177 2 175 0 MCOWENS, MISTY 1112127 2 177 10 90 72 0 05/22/14

499 0 547 48 499 0 MCBEUST, DRENDA 1112098 48 547 01 14 99 0 04/08/14

501 0 530 29 501 0 MCCAPPS, JOETTA 1112079 29 530 28 36 31 0 03/07/14

461 0 504 44 461 0 MCHALL, LISA 1111979 44 504 52 90 27 0 09/03/13

Page 49 of 102

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

476 0 498 23 476 0 MCVASQUEZ, GUILLERMO 1112140 23 498 40 36 31 0 07/28/14

613 0 658 45 613 0 MCCATHEY, ONNALISA 1112009 45 658 10 39 31 0 10/24/13

1,524 0 1,669 145 1,524 0 MCYI, PHAKDEY 1111993 145 1,669 40 19 99 0 09/23/13

0 0 0 0 0 0 MCSCHAFFRINNA, ASHLEE 1112001 0 0 52 42 17 0 09/30/13

279 0 301 23 279 0 MCMCCOY, RENEE 1112013 23 301 52 90 31 0 10/31/13

605 0 637 32 605 0 MCBLEVINS, DEBBIE 1112128 32 637 59 14 72 0 05/23/14

340 0 348 8 340 0 MCCONWAY, KERSTEN 1112114 8 348 90 90 27 0 05/01/14

549 0 572 23 549 0 MCCOTTRELL, RITA 1112097 23 572 90 90 28 0 04/09/14

0 0 0 0 0 0 MCPAYNE, GRACE 1112005 0 0 52 90 27 0 10/10/13

1,285 0 1,327 42 1,285 0 MCCARO, YOLANDA 1112153 42 1,327 52 90 31 0 08/29/14

729 0 829 100 729 0 MCDAVILA, MARIA 1112117 100 829 10 32 17 0 05/09/14

499 0 531 32 499 0 MCNOFFSINGER, DAVID 1112028 32 531 40 36 19 0 11/21/13

336 0 351 15 336 0 MCHENDERSON, SARA 1112061 15 351 52 53 31 0 02/04/14

349 0 365 16 349 0 MCSTALLINGS, ANA 1112145 16 365 13 36 13 0 08/17/14

266 0 274 8 266 0 MCGONZALES, LILLIE 1112025 8 274 40 36 16 0 11/20/13

804 0 905 101 804 0 MCHERNANDEZ CASTRO, NORA 1111999 101 905 25 14 02 0 10/03/13

270 0 286 16 270 0 MCWHITWORTH, BETTY 1112085 16 286 59 11 27 0 03/25/14

527 0 547 20 527 0 MCLINAN, ANA 1111988 20 547 49 56 29 0 09/06/13

541 0 570 29 541 0 MCRODRIGUEZ, ROBERTO 1112015 29 570 13 37 17 0 10/11/13

626 0 673 47 626 0 MCBLOCK, ALMA 1112143 47 673 52 90 31 0 08/15/14

385 0 407 23 385 0 MCGIBBS, CLAUDIA 1112081 23 407 52 42 17 0 03/19/14

Page 50 of 102

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Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

277 0 291 15 277 0 MCSIMON, ROBERT 1112003 15 291 13 36 81 0 10/07/13

269 0 314 45 269 0 MCREAMS, KEVIN 1112158 45 314 49 90 56 0 06/24/14

333 0 341 8 333 0 MCFELTER, CHEYNE 1112043 8 341 40 56 99 0 01/10/14

916 0 964 48 916 0 MCTHOMAS, SANDRA 1112047 48 964 52 54 57 0 01/15/14

191 0 225 34 191 0 MCCERROS, GREGORIA 1112080 34 225 52 90 29 0 03/06/14

0 0 0 0 0 0 MCROBALINO, JENNY 1111998 0 0 52 90 27 0 10/03/13

2,274 0 2,353 79 2,274 0 MCHARDIN, AUDREY 1112040 79 2,353 52 90 31 0 12/03/13

467 0 489 23 467 0 MCPLUM, SUZANNE 1112084 23 489 52 90 60 0 02/27/14

1,032 0 1,083 52 1,032 0 MCSMALLIGAN, MICHELE 1112102 52 1,083 59 54 72 0 04/07/14

0 0 0 0 0 0 MCDAVIS, MATTHEW 1112120 0 0 59 65 13 0 05/10/14

0 0 0 0 0 0 MCHAMM, RACHEL 1112105 0 0 52 53 54 0 02/12/14

1,905 0 1,962 57 1,905 0 MCSOCHA, MATTHEW 1112092 57 1,962 52 54 17 0 03/28/14

618 0 654 36 618 0 MCMATTHIES, CANDICE 1112093 36 654 80 55 29 0 04/01/14

445 0 469 24 445 0 MCPHAM, QUYNH 1112053 24 469 52 90 17 0 01/10/14


2,652 0 2,805 153 2,652 0 MCHIGGINBOTHOM, GISELLE 1112154 153 2,805 52 90 31 0 08/29/14

161 0 183 23 161 0 MCDAO, CHAU 1112018 23 183 25 14 87 0 11/04/13

103 0 153 50 103 0 MCVO, KHANH 1112130 50 153 10 55 12 0 06/03/14

590 0 620 31 590 0 MCMORRIS, BELENA 1112052 31 620 52 55 27 0 01/23/14

457 0 481 24 457 0 MCGLASER, CHRISTIE 1112069 24 481 40 19 72 0 02/19/14

884 0 929 45 884 0 MCRAMIREZ, MARY 1112057 45 929 59 10 72 0 01/30/14

Page 51 of 102

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Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

549 0 585 36 549 0 MCMARTINEZ, MAGALY 1112044 36 585 49 42 31 0 01/13/14

334 0 342 8 334 0 MCGAGNE, TERESA 1112048 8 342 10 14 17 0 01/14/14

309 0 347 39 309 0 MCBODAGHI, MANSOUREH 1112109 39 347 52 36 81 0 04/25/14

608 0 645 37 608 0 MCPONCE, GUSTAVO 1112112 37 645 10 56 17 0 05/02/14

233 0 241 8 233 0 MCGARCIA, JOSE 1112082 8 241 49 55 99 0 03/17/14

331 0 345 15 331 0 MCFINALES, YUSSIMI 1112012 15 345 37 14 85 0 10/29/13

356 0 385 29 356 0 MCSTRICKLAND, MARY 1112045 29 385 28 34 31 0 01/13/14

714 0 767 53 714 0 MCTHOMAS, SUZANNE 1112035 53 767 52 90 13 0 12/11/13

0 0 0 0 0 0 MCJOHNSON, KIMBERLY 1112041 0 0 38 34 73 0 01/07/14

0 0 0 0 0 0 MCTORRES, AMY 1112058 0 0 59 65 72 0 01/31/14

922 0 965 44 922 0 MCUGARTE, ANDRE 1112122 44 965 10 11 31 0 05/15/14

595 0 618 23 595 0 MCWEHMAN, AMY 1112073 23 618 52 30 60 0 02/25/14

1,495 0 1,641 146 1,495 0 MCCARPENTER, LYNN 1112039 146 1,641 10 36 31 0 01/06/14

0 0 0 0 0 0 MCHUSEIN, ABDUL 1112016 0 0 38 35 73 0 11/04/13

1,152 0 1,208 56 1,152 0 MCPELTON, RENDA 1112020 56 1,208 52 38 17 0 11/10/13

431 0 453 23 431 0 MCRAIZADA, NEERA 1112006 23 453 59 36 17 0 10/11/13

351 0 375 24 351 0 MCZAJAC, KELLY 1112094 24 375 90 90 72 0 04/01/14

118 0 126 8 118 0 MCOWENS, MISTY 1112066 8 126 90 44 72 0 02/14/14


321 0 329 8 321 0 MCLOPEZ, ANDREA 1112032 8 329 40 19 17 0 12/11/13

1,306 0 1,398 92 1,306 0 MCMILLS, SHARA 1112071 92 1,398 01 14 99 0 02/24/14

Page 52 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

721 0 751 31 721 0 MCFULL, ELISE 1112046 31 751 90 56 72 0 01/15/14

539 0 559 20 539 0 MCWATSON, NANCY 1112036 20 559 40 35 17 0 12/13/13

824 0 840 16 824 0 MCMEEKS, EDNA 1112077 16 840 90 38 72 0 03/04/14

764 0 804 40 764 0 MCRODRIGUEZ, AMANDA 1112106 40 804 28 36 33 0 04/23/14

333 0 341 8 333 0 MCENRIQUEZ, SANDRA 1112087 8 341 38 43 73 0 03/27/14

0 0 0 0 0 0 MCAPARICIO, YOSELIN 1112156 0 0 52 34 17 0 08/28/14

436 0 473 37 436 0 MCMAGDOS, BRANDY 1112072 37 473 59 56 25 0 02/24/14

0 0 0 0 0 0 RCELIZONDO, DIANNE 1112144 0 0 52 90 27 0 08/19/14

0 0 0 0 0 0 RCPAJAK, MICHELLE 1112103 0 0 52 62 27 0 04/17/14

0 0 0 0 0 0 RCLEGG, ERIN 1112010 0 0 59 53 17 0 10/24/13

Totals : 177 639,170 56,258 452,142 130,770 639,170 56,258 452,142 130,770 0

Page 53 of 102

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Date Stat

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Body

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Reserve

Clear Creek ISD


1,912 485 2,448 52 1,912 485 ICSCONIERS, WILLIAM 1112293 52 2,448 10 11 72 0 05/04/15

0 79 168 89 0 79 ICASTUDILLO, JANETT 1112321 89 168 52 42 60 0 06/11/15

177 0 185 8 177 0 ICRAPPE, CURRAN 1112328 8 185 52 42 17 0 07/13/15

19,570 9,476 31,118 2,071 19,570 9,476 ICSALAZAR, ROMANA 1112330 2,071 31,118 28 90 29 0 07/28/15

1,698 2,583 4,347 66 1,698 2,583 ICEVANS, HEATHER 1112344 66 4,347 28 55 29 0 08/24/15

8,624 861 9,874 390 8,624 861 ICWILSON, AMY 1112317 390 9,874 49 53 31 0 06/03/15

2,388 0 2,454 66 2,388 0 ICSTRICKLAND, MARY 1112313 66 2,454 59 65 72 0 05/28/15

538 0 567 29 538 0 ICSWANSON, BONNIE 1112269 29 567 90 90 72 0 03/23/15

401 0 425 24 401 0 ICMCGURR, JORDAN 1112270 24 425 07 11 68 0 03/23/15

1,451 916 2,448 81 1,451 916 ICSANCHEZ GALLEGOS, GILBERTO SR. 1112277 81 2,448 10 14 19 0 04/10/15

437 0 467 31 437 0 ICATCHISON, THERESA 1112200 31 467 90 30 72 0 11/18/14

0 0 0 0 0 0 ICWILLIAMS, CHRISTIE 1112211 0 0 90 90 45 0 12/08/14

36,656 4,110 45,904 5,138 36,656 4,110 ICWELCH, LEIGH 1112171 5,138 45,904 46 38 56 0 09/19/14

9,359 3,815 13,352 179 9,359 3,815 ICENGEL, JOLENE 1112175 179 13,352 52 53 99 0 09/30/14

2,028 337 2,462 97 2,028 337 ICHADDICK, JODI 1112205 97 2,462 13 35 12 0 12/01/14

2,488 528 3,196 181 2,488 528 ICDE LEON, HILDA 1112331 181 3,196 52 90 33 0 07/28/15

1,349 873 2,269 47 1,349 873 ICSARABIA, GENOVA 1112198 47 2,269 52 63 31 0 10/31/14

5,896 52 6,326 379 5,896 52 ICSANCHEZ GALLEGOS, GILBERTO SR. 1112301 379 6,326 52 90 29 0 05/11/15

17,824 123 18,151 205 17,824 123 ICPHILLIPS, AMY 1112318 205 18,151 13 34 31 0 06/04/15

4,144 0 4,308 164 4,144 0 ICSTOBERL, JULIE 1112169 164 4,308 90 90 31 0 09/23/14

Page 54 of 102

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Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

2,719 0 3,065 346 2,719 0 ICSMITH, TUESDAY 1112275 346 3,065 52 53 33 0 04/07/15

236 0 698 462 236 0 ICGUERRA, SANJUANITA 1112209 462 698 52 65 99 0 12/05/14

2,406 1,403 3,915 107 2,406 1,403 ICBOGGS, SUSIE 1112286 107 3,915 49 31 57 0 04/17/15

3,599 1,446 5,213 169 3,599 1,446 ICGAINEY, GILDA 1112185 169 5,213 52 53 58 0 10/17/14

1,056 937 2,082 90 1,056 937 ICMARTINEZ, NORA 1112290 90 2,082 52 90 31 0 04/01/15

2,073 311 2,525 141 2,073 311 ICTHOMPSON, KAREN 1112214 141 2,525 59 53 31 0 12/09/14

2,490 0 2,632 143 2,490 0 ICCARTER, JOHN 1112263 143 2,632 52 52 17 0 02/26/15

1,885 2,922 4,869 63 1,885 2,922 ICEVERETT, CHARMAINE 1112283 63 4,869 90 44 31 0 04/20/15

0 0 0 0 0 0 ICHOWELL, BRANDY 1112176 0 0 52 55 31 0 09/29/14

2,771 375 3,396 250 2,771 375 ICPADRON, MARIA 1112203 250 3,396 52 90 31 0 11/18/14

0 0 0 0 0 0 ICGIST, JEAN 1112298 0 0 10 62 33 0 05/05/15

8,095 1,398 10,013 520 8,095 1,398 ICRICHARDSON, DEANA 1112202 520 10,013 43 56 70 0 11/18/14

541 218 782 23 541 218 ICSCOTT, JESSE 1112243 23 782 52 44 17 0 01/28/15

422 267 711 23 422 267 ICCOVERT, JENNIFER 1112199 23 711 90 20 72 0 11/18/14

2,042 0 2,113 72 2,042 0 ICESTRADA, DANIEL 1112274 72 2,113 19 36 17 0 04/06/15

5,830 1,135 7,104 139 5,830 1,135 ICSTACHEY, BRYAN 1112302 139 7,104 59 65 50 0 05/12/15

12,455 679 13,410 276 12,455 679 ICWALLACE, CONNIE 1112303 276 13,410 59 65 50 0 05/12/15

955 190 1,163 18 955 190 ICERIKSSON, MARY 1112216 18 1,163 10 90 29 0 12/11/14

13 0 50 37 13 0 ICMARTINEZ, RUBEN 1112324 37 50 52 33 17 0 06/22/15

15,587 7,224 22,924 113 15,587 7,224 ICMCFADDEN, VALERIE 1112222 113 22,924 28 34 31 0 01/06/15

4,243 1,157 5,686 286 4,243 1,157 ICRUSH, KATHLEEN 1112323 286 5,686 52 90 72 0 06/18/15

Page 55 of 102

Claim


Accident

Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

11,076 9,736 21,087 275 11,076 9,736 ICHENDERSON, JR., BILL 1112342 275 21,087 40 33 16 0 08/24/15

489 221 759 50 489 221 ICMORALES, ANGELICA 1112327 50 759 52 25 17 0 07/08/15

239 0 1,555 1,316 239 0 ICBYERLY, CINDY 1112299 1,316 1,555 52 90 99 0 04/15/15

494 0 531 37 494 0 ICANDERSON, CHRISTINA 1112224 37 531 52 55 99 0 01/08/15

1,862 289 2,388 238 1,862 289 ICSOLACHE, MICAELA 1112339 238 2,388 10 38 99 0 08/20/15

2,256 914 3,302 132 2,256 914 ICLORENZ, LATRICIA 1112230 132 3,302 52 42 50 0 01/07/15

344 0 366 23 344 0 ICBODAGHI, MANSOUREH 1112227 23 366 52 53 31 0 01/15/15

512 0 543 31 512 0 ICMILLER, KIMBERLY 1112291 31 543 52 54 29 0 05/04/15

14,447 1,917 16,630 267 14,447 1,917 ICBISHOP, VIRGINIA 1112345 267 16,630 28 34 29 0 08/25/15

2,267 1,350 3,724 108 2,267 1,350 ICMALDONADO VEGA, MARIA 1112285 108 3,724 52 90 60 0 04/20/15

2,770 0 3,181 412 2,770 0 ICSINGLETON, AMY 1112296 412 3,181 10 44 89 0 05/05/15

7,708 4,672 12,532 152 7,708 4,672 ICKELLIS, KIMBERLY 1112271 152 12,532 52 90 31 0 03/26/15

405 3,444 3,862 13 405 3,444 ICMABIE, SHERRY 1112325 13 3,862 52 53 99 0 06/24/15

11,459 2,215 16,773 3,100 11,459 2,215 ICPATEL, PALLAVI 1112233 3,100 16,773 37 53 53 0 01/22/15

3,829 0 4,044 215 3,829 0 ICMUELLER, CHRISTINE 1112335 215 4,044 52 55 31 0 08/12/15

3,973 1,817 5,999 209 3,973 1,817 ICPOWELL, BRETT 1112177 209 5,999 52 42 17 0 10/03/14

771 0 801 31 771 0 MCBRABANDT, JILL 1112343 31 801 40 35 72 0 08/24/15

0 0 26 26 0 0 MCBAENA, MARIA 1112280 26 26 10 19 99 0 04/13/15

38 0 38 0 38 0 MCSOLACHE, JOSEFINA 1112312 0 38 52 90 31 0 05/22/15

427 0 443 16 427 0 MCLEE, TWANNA 1112237 16 443 40 37 16 0 01/27/15

525 0 549 24 525 0 MCLAWRENCE, KRISTIN 1112258 24 549 13 58 72 0 02/20/15

Page 56 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

2,822 0 2,923 101 2,822 0 MCAYALA, IRMA 1112346 101 2,923 10 38 31 0 08/26/15

736 0 766 31 736 0 MCNIETO, ROSA 1112278 31 766 59 11 68 0 04/13/15

315 0 331 16 315 0 MCMARTINEZ, MELISSA 1112207 16 331 52 61 56 0 12/04/14

0 0 0 0 0 0 MCSMALLIGAN, MICHELE 1112242 0 0 40 14 72 0 01/28/15

350 0 366 16 350 0 MCJOHNSON, KIMBERLY 1112188 16 366 10 57 72 0 10/27/14

185 0 205 20 185 0 MCHICKS, KENDRALA 1112212 20 205 10 19 72 0 12/10/14

499 0 515 16 499 0 MCPERDUE, ALEXANDRA 1112221 16 515 40 35 19 0 12/19/14

343 0 359 16 343 0 MCFLORES, ANAIS 1112267 16 359 37 53 31 0 03/13/15

175 0 191 16 175 0 MCMITCHELL, REBECCA 1112163 16 191 49 56 70 0 09/11/14

350 0 372 23 350 0 MCPARKS, CANDICE 1112251 23 372 52 55 60 0 02/16/15

478 0 494 16 478 0 MCMAGDALENO, MELISSA 1112252 16 494 59 90 72 0 02/13/15

351 0 367 16 351 0 MCMCDONALD, LEANN 1112189 16 367 40 35 12 0 10/30/14

0 0 0 0 0 0 MCGARDNER, JACQUELINE 1112190 0 0 52 90 60 0 09/02/14

2,665 0 2,792 127 2,665 0 MCEUBANKS, JUSTIN 1112194 127 2,792 90 90 31 0 10/31/14

394 0 416 23 394 0 MCEVARD, KAREN 1112232 23 416 52 42 17 0 01/21/15

589 0 635 47 589 0 MCYOUNG, DUANE 1112165 47 635 13 36 12 0 09/12/14

674 0 711 37 674 0 MCROLLINS, MARY 1112166 37 711 90 90 29 0 09/12/14

2,385 0 2,768 383 2,385 0 MCREYES, MARGARITA 1112218 383 2,768 90 90 33 0 12/11/14

36 0 46 10 36 0 MCCHAVEZ, JOSE 1112159 10 46 25 14 01 0 09/03/14

305 0 328 23 305 0 MCBASS, RAYFORD 1112161 23 328 16 31 72 0 09/08/14


Page 57 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

422 0 446 24 422 0 MCJACKSON, DIANA 1112168 24 446 13 35 10 0 09/18/14

332 0 354 23 332 0 MCTURNBULL, GLEN 1112162 23 354 04 36 17 0 09/10/14


555 0 571 16 555 0 MCGILLIS, THOMAS 1112287 16 571 40 36 16 0 04/27/15

2,248 0 2,342 95 2,248 0 MCTHORNE, KYRA 1112310 95 2,342 52 53 60 0 05/19/15

0 0 0 0 0 0 MCHUSSEY, DONNA 1112223 0 0 40 32 46 0 11/11/14

1,285 0 1,378 93 1,285 0 MCHART, GIOIA 1112229 93 1,378 37 57 99 0 01/16/15

153 0 161 8 153 0 MCTOWNSEND, JR, HOLLIS 1112307 8 161 25 14 01 0 05/14/15

625 0 654 29 625 0 MCNEWMANN, KARA 1112349 29 654 52 42 72 0 08/31/15

366 0 390 24 366 0 MCMIKESKA, ROSE 1112210 24 390 90 90 31 0 12/08/14

623 0 652 29 623 0 MCGONZALEZ, CYNTHIA 1112174 29 652 52 37 12 0 10/01/14

507 0 539 32 507 0 MCJACKSON, BRIAN 1112326 32 539 52 61 99 0 06/23/15

125 0 163 39 125 0 MCREYES, NORMA 1112225 39 163 52 42 17 0 01/09/15

2,083 0 2,194 111 2,083 0 MCROBINSON, BRIDGET 1112261 111 2,194 52 56 31 0 03/02/15

2,301 0 2,409 108 2,301 0 MCLOPEZ-CHAVEZ, ARACELI 1112316 108 2,409 52 32 17 0 05/18/15


346 0 368 23 346 0 MCIZAGUIRRE-SWIFT, PATRICIA 1112276 23 368 52 65 12 0 04/09/15

350 0 373 23 350 0 MCARCE, MARY 1112272 23 373 49 53 31 0 03/27/15

528 0 557 29 528 0 MCBROWN, ALLISON 1112308 29 557 90 90 31 0 05/05/15

882 0 915 33 882 0 MCWALLACE, CONNIE 1112257 33 915 49 55 29 0 01/28/15

187 0 195 8 187 0 MCMORRISON, AMANDA 1112332 8 195 90 35 99 0 07/29/15

Page 58 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

175 0 183 8 175 0 MCSIMON, JULIA 1112180 8 183 25 33 82 0 10/06/14

133 0 141 8 133 0 MCMCGREGOR, JANE 1112226 8 141 90 14 72 0 01/14/15

1,746 0 1,815 69 1,746 0 MCTULEY, RENEE 1112228 69 1,815 52 90 57 0 11/18/14

205 0 212 7 205 0 MCWATKINS, AMY 1112217 7 212 90 90 31 0 12/12/14

329 0 378 48 329 0 MCHERNANDEZ, VERONICA 1112164 48 378 25 14 87 0 09/12/14

365 0 387 23 365 0 MCTANNER, LAURA 1112273 23 387 10 51 29 0 03/30/15

1,078 0 1,151 73 1,078 0 MCDEGREENE, ROSA 1112284 73 1,151 49 55 31 0 04/20/15

380 0 403 23 380 0 MCHAWKINS, TRACY 1112282 23 403 90 90 29 0 04/20/15

2,771 0 2,889 119 2,771 0 MCMCCARTNEY, AMANDA 1112256 119 2,889 52 90 31 0 01/19/15

0 0 0 0 0 0 MCSHADDOCK, WHITNEY 1112304 0 0 28 57 75 0 05/13/15

301 0 325 24 301 0 MCLOPEZ-CHAVEZ, ARACELI 1112266 24 325 37 32 68 0 01/20/15

1,362 0 1,439 77 1,362 0 MCHARDY, TAMMY 1112281 77 1,439 49 90 31 0 04/16/15

363 0 379 16 363 0 MCPATEL, JYOTI 1112249 16 379 90 90 72 0 02/13/15

409 0 440 31 409 0 MCTAGLE, TAMMY 1112173 31 440 38 34 73 0 09/29/14

629 0 660 31 629 0 MCDEVOLL, ERIC 1112264 31 660 52 42 17 0 03/02/15

436 0 467 31 436 0 MCGRANNON, DENISE 1112240 31 467 10 90 31 0 01/28/15

1,044 0 1,101 58 1,044 0 MCHUBENAK, TYLER 1112238 58 1,101 40 36 19 0 01/27/15


495 0 527 32 495 0 MCMELANCON, MEGAN 1112246 32 527 52 36 12 0 02/09/15

0 0 0 0 0 0 MCSACKETT, COURTNEY 1112292 0 0 40 35 95 0 04/28/15

2,158 0 2,233 76 2,158 0 MCBELL, DAVID 1112250 76 2,233 59 65 01 0 02/12/15

Page 59 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

2,344 0 2,429 85 2,344 0 MCMAGDALENO, MELISSA 1112311 85 2,429 52 90 72 0 05/19/15

270 0 286 16 270 0 MCLYNCH, JANET 1112213 16 286 10 53 31 0 12/09/14

401 0 425 24 401 0 MCSILVAS, SAVAHNA 1112247 24 425 59 10 75 0 02/09/15

506 0 528 23 506 0 MCHENDERSON, NICOLE 1112347 23 528 52 90 17 0 08/29/15

584 0 629 45 584 0 MCWOLLENBERG, MICAH 1112288 45 629 38 44 73 0 04/29/15

486 0 517 31 486 0 MCPICKETT, JENIFER 1112184 31 517 40 35 20 0 10/17/14

967 0 1,002 36 967 0 MCSTEED, BENNY 1112322 36 1,002 37 34 31 0 06/19/15

955 0 1,000 45 955 0 MCDORLAND, BENJAMIN 1112239 45 1,000 04 56 09 0 01/27/15

409 0 433 24 409 0 MCWEDEKIND, KAREN 1112260 24 433 10 53 31 0 02/25/15

0 0 0 0 0 0 MCDOTTER, KATHERINE 1112262 0 0 40 56 19 0 03/05/15

3,332 0 3,433 101 3,332 0 MCKILLGORE, AMY 1112337 101 3,433 28 36 99 0 08/19/15

480 0 503 23 480 0 MCMCCARTY, CANDLE 1112182 23 503 38 35 73 0 10/09/14

524 0 554 31 524 0 MCSANTANA MOJICA, LAURA 1112195 31 554 10 56 13 0 10/08/14

2,024 0 2,133 109 2,024 0 MCRHORER, SANDRA 1112241 109 2,133 52 22 31 0 01/27/15


315 0 339 24 315 0 MCHARDY, TAMMY 1112187 24 339 52 33 25 0 10/27/14

1,373 0 1,423 50 1,373 0 MCTEWELL, DIANE 1112329 50 1,423 43 35 16 0 07/23/15

559 0 581 23 559 0 MCCHAVEZ, MARK 1112193 23 581 38 35 73 0 11/03/14

548 0 570 23 548 0 MCBROWN, FELICITAS 1112341 23 570 52 90 31 0 08/19/15

315 0 331 16 315 0 MCDALEY, HELEN 1112204 16 331 90 65 33 0 11/20/14

668 0 695 28 668 0 MCMORENO, MAGDALENA 1112306 28 695 25 14 17 0 05/13/15

Page 60 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

465 0 487 23 465 0 MCWILSON, ROY 1112268 23 487 49 56 53 0 03/13/15

3,929 0 4,096 167 3,929 0 MCCOOPER, PATTY 1112191 167 4,096 52 38 50 0 10/13/14

371 0 387 16 371 0 MCNELSON, KAREN 1112315 16 387 10 53 25 0 06/01/15

555 0 585 31 555 0 MCMILLION, TRACIE 1112279 31 585 13 90 31 0 04/13/15

236 0 251 15 236 0 MCBRABANDT, JILL 1112196 15 251 37 20 72 0 11/06/14

3,221 0 3,375 154 3,221 0 MCBEDNARZ, ELIZABETH 1112219 154 3,375 28 36 72 0 10/10/14

576 0 600 24 576 0 MCNEUENFELDT, CHERYL 1112201 24 600 40 14 31 0 11/18/14

2,681 0 2,809 128 2,681 0 MCSTOUMBAUGH, MATTHEW 1112265 128 2,809 52 55 31 0 03/11/15

228 0 236 8 228 0 MCTRACHTE, KELLY 1112336 8 236 52 54 99 0 08/18/15

801 0 833 32 801 0 MCMEDINA, VICENTA 1112244 32 833 52 90 31 0 01/30/15

1,550 0 1,646 96 1,550 0 MCSTEWART, CHRISTY 1112300 96 1,646 10 36 81 0 05/08/15


0 0 0 0 0 0 MCGILLEY, REBECCA 1112259 0 0 37 53 74 0 02/24/15

2,303 0 2,310 7 2,303 0 MCFULTZ, STEPHANIE 1112208 7 2,310 59 16 72 0 12/05/14

2,456 0 2,508 52 2,456 0 MCENGLE, KAREN 1112319 52 2,508 59 65 99 0 06/06/15

2,755 0 2,910 156 2,755 0 MCAYALA, IRMA 1112314 156 2,910 52 38 56 0 04/20/15

0 0 0 0 0 0 MCLOPEZ BAUER, MARIA DEL PILAR 1112320 0 0 40 36 12 0 06/09/15

291 0 299 8 291 0 MCFUENTES, LISA 1112245 8 299 49 39 25 0 02/03/15

1,137 0 1,184 47 1,137 0 MCBENITEZ, SABINA 1112338 47 1,184 40 36 13 0 08/20/15

299 0 312 13 299 0 MCARRONA, SALVADOR 1112170 13 312 25 14 87 0 09/23/14

2,058 0 2,200 143 2,058 0 MCPERKINS, SHELBY 1112305 143 2,200 10 56 72 0 05/07/15

Page 61 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

2,418 0 2,481 63 2,418 0 MCLOPEZ BAUER, MARIA DEL PILAR 1112254 63 2,481 10 90 32 0 02/18/15

459 0 481 23 459 0 MCMONTENEGRO, JENNIFER 1112333 23 481 52 42 56 0 08/05/15

399 0 423 24 399 0 MCORNELAS, EMMA 1112206 24 423 59 25 89 0 12/03/14

463 0 479 16 463 0 MCMARIN, MARIA 1112186 16 479 52 33 17 0 10/23/14

315 0 331 16 315 0 MCYOUNG, JOYCE 1112192 16 331 40 36 10 0 11/03/14

512 0 535 23 512 0 MCGREER, CONNIE 1112178 23 535 10 41 72 0 10/06/14

452 0 475 23 452 0 MCOWENS, MISTY 1112289 23 475 90 30 72 0 04/30/15

297 0 312 15 297 0 MCVINCENT, SOMER 1112197 15 312 90 90 72 0 11/11/14

336 0 350 15 336 0 MCLARREA, CLELIA 1112183 15 350 38 36 73 0 10/14/14

642 0 706 65 642 0 MCELIZARDO, MARTA 1112294 65 706 13 56 17 0 05/04/15

379 0 402 23 379 0 MCVINCENT, SOMER 1112235 23 402 59 90 72 0 01/26/15

2,291 0 2,381 90 2,291 0 MCSANCHEZ, JENNIFER 1112179 90 2,381 59 17 72 0 10/06/14

0 0 0 0 0 0 MCSAVAGE, KELLI 1112172 0 0 59 65 99 0 09/23/14

571 0 600 29 571 0 MCREEL, BRITTANY 1112255 29 600 49 55 25 0 02/18/15

550 0 572 23 550 0 MCMCGREGOR, JANE 1112297 23 572 90 41 72 0 05/05/15


726 0 753 28 726 0 MCARREDONDO, JUANA 1112295 28 753 90 90 17 0 05/05/15

1,562 0 1,631 69 1,562 0 MCSTOKES, LILLI 1112340 69 1,631 52 90 27 0 08/23/15

2,234 0 2,305 72 2,234 0 MCPHAM, DANTRINH 1112309 72 2,305 59 11 29 0 05/16/15

208 0 221 13 208 0 MCDAVIS, SUZANNE 1112160 13 221 59 11 31 0 09/05/14

0 0 0 0 0 0 RCMILLER, JUDY 1112215 0 0 90 90 27 0 12/11/14

Page 62 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

Totals : 188 449,859 24,337 355,048 70,473 449,859 24,337 355,048 70,473 0

Page 63 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD


0 0 0 0 0 0 ICSANCHEZ, SACNICTE 1112541 0 0 59 65 99 0 08/05/16

6,332 4,165 11,013 516 6,332 4,165 ICWASHINGTON, JOYCE 1112554 516 11,013 10 90 46 0 08/25/16

20,432 0 20,670 238 20,432 0 ICKRUEGER, MICHAEL 1112526 238 20,670 16 37 13 0 06/09/16

2,563 576 3,267 128 2,563 576 ICVU, CHINH 1112529 128 3,267 13 35 79 0 06/24/16

6,207 1,790 8,682 685 6,207 1,790 ICWESTHELLE, JANELLE 1112543 685 8,682 52 56 31 0 08/12/16

4,595 729 5,523 199 4,595 729 ICLUCAS, REBECCA 1112553 199 5,523 52 53 33 0 08/23/16

991 0 1,013 23 991 0 ICDORCHESTER, HUA 1112517 23 1,013 40 36 19 0 05/27/16

22,776 9,045 32,855 1,034 22,776 9,045 ICCRUZ, MIRTALA 1112544 1,034 32,855 46 38 17 0 08/15/16

4,009 0 4,275 266 4,009 0 ICHART, GIOIA 1112489 266 4,275 10 65 27 0 04/13/16

0 0 0 0 0 0 ICPLOUM, MONTI 1112425 0 0 52 53 17 0 09/28/15

15,796 8,082 24,374 497 15,796 8,082 ICRICHARDSON, DEANA 1112348 497 24,374 52 33 31 0 09/01/15

0 0 71 71 0 0 ICBURT, LAN 1112389 71 71 52 42 17 0 09/15/15

636 254 945 55 636 254 ICRAMIREZ, YESENIA 1112358 55 945 52 37 53 0 09/04/15

855 125 1,006 26 855 125 ICDO, DUC 1112530 26 1,006 52 42 17 0 06/30/16

13,878 28,588 43,027 561 13,878 28,588 ICGOSCH, JAY 1112492 561 43,027 49 34 60 0 04/18/16

861 0 893 32 861 0 ICSANCHEZ MUNOZ, ARTURO 1112444 32 893 52 42 17 0 01/07/16

3,352 2,921 6,359 86 3,352 2,921 ICMENDEZ, DAVID 1112532 86 6,359 52 90 12 0 06/30/16

6,570 5,188 11,921 163 6,570 5,188 ICMA, DAVID 1112363 163 11,921 52 38 55 0 09/16/15

1,787 804 2,641 50 1,787 804 ICPOWELL, CHERYL 1112377 50 2,641 90 53 29 0 10/05/15

5,164 0 5,221 57 5,164 0 ICGIBBS, WILLIAM 1112500 57 5,221 52 90 17 0 04/25/16

Page 64 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

0 0 0 0 0 0 ICVEGA, ROSA 1112490 0 0 52 61 60 0 01/01/16

2,692 1,190 3,982 100 2,692 1,190 ICHALE, STEPHANIE 1112457 100 3,982 13 56 12 0 02/03/16

2,416 1,625 4,107 66 2,416 1,625 ICVALADEZ, CECILIA 1112493 66 4,107 52 32 56 0 04/14/16

1,175 581 1,791 36 1,175 581 ICNGUYEN, VI 1112525 36 1,791 40 37 13 0 06/06/16

0 0 15 15 0 0 ICCRUZ, MARINA 1112495 15 15 90 90 99 0 04/20/16

16,421 34,086 64,275 13,768 16,421 34,086 IOSCOTT, JENNY 1112394 20,043 70,549 28 41 45 6,274 10/20/15

582 0 606 24 582 0 ICTURNBULL, GLEN 1112513 24 606 52 33 56 0 05/23/16

4,689 81 4,968 198 4,689 81 ICVU, CHINH 1112404 198 4,968 52 90 13 0 10/30/15

65 0 147 82 65 0 ICVEGA, ROSA 1112485 82 147 52 61 17 0 04/01/16

25,183 3,580 29,198 435 25,183 3,580 ICBOND, MEGAN 1112520 435 29,198 49 53 54 0 06/02/16

485 0 514 29 485 0 ICTORTORICI, TERESA 1112497 29 514 52 61 17 0 04/20/16

2,834 0 2,885 52 2,834 0 ICGARCIA, SAMANTHA 1112403 52 2,885 40 35 19 0 10/30/15

604 180 823 39 604 180 ICHIME, DENA 1112371 39 823 52 42 56 0 09/25/15

5,411 3,452 9,034 171 5,411 3,452 ICBALTAZAR-ALDAMA, ANA 1112424 171 9,034 52 42 56 0 11/30/15

2,050 0 2,092 42 2,050 0 IOCOOPER, LEONTYNE 1112393 76 2,126 52 90 77 34 10/20/15

1,832 0 1,843 21 1,822 0 IOCARPENTIER, KRISTEN 1112396 23 1,855 52 90 45 12 10/20/15

4,969 0 5,404 436 4,969 0 ICMARTINEZ, YASMINA 1112374 436 5,404 10 90 31 0 09/28/15

4,444 3,736 8,322 143 4,444 3,736 ICHENDERSON, JANELL 1112368 143 8,322 10 90 72 0 09/16/15

0 0 0 0 0 0 ICHICKS, NATALIYA 1112524 0 0 19 35 81 0 06/02/16

18,614 6,560 25,549 375 18,614 6,560 ICHERNANDEZ, BRENDA 1112519 375 25,549 52 90 31 0 05/26/16

7,016 9,405 16,706 286 7,016 9,405 IOCOLLIER, MARINA 1112395 286 16,706 52 25 45 0 10/20/15

Page 65 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

0 0 0 0 0 0 ICMOORE-FIELD, LINDA 1112388 0 0 59 66 99 0 09/29/15

0 0 0 0 0 0 ICCLEMMONS, CATHERINE 1112429 0 0 52 42 99 0 11/03/15

1,184 3,444 4,689 61 1,184 3,444 ICPERKINS, SHELBY 1112366 61 4,689 10 53 72 0 09/18/15

4,991 0 5,144 154 4,991 0 ICSCHULTZ, ALLEN 1112456 154 5,144 10 11 20 0 01/29/16

0 0 0 0 0 0 ICHENDERSON, JR., BILL 1112369 0 0 59 32 99 0 09/22/15

2,074 1,421 3,695 200 2,074 1,421 ICBRANDT, CARI 1112555 200 3,695 37 56 27 0 08/24/16

2,266 188 2,522 68 2,266 188 ICDOBBS, CHRISTINA 1112528 68 2,522 49 55 25 0 06/13/16

0 47 47 0 0 47 ICSANCHEZ GALLEGOS, GILBERTO SR. 1112390 0 47 52 90 99 0 10/13/15

1,870 0 2,181 311 1,870 0 ICEDWARDS, ANNETTA 1112508 311 2,181 90 90 99 0 05/05/16

4,953 1,296 6,848 599 4,953 1,296 ICSAVAGE, KELLI 1112507 599 6,848 28 55 31 0 05/19/16

9,391 11,068 21,194 736 9,391 11,068 ICDENOVA, FELIX 1112452 736 21,194 13 90 31 0 01/21/16

0 0 0 0 0 0 ICBOSQUEZ, STELLA 1112700 0 0 52 38 17 0 08/31/16

3,308 375 3,842 160 3,308 375 ICROMINE, BILAN 1112379 160 3,842 52 90 56 0 10/05/15

3,840 625 4,756 291 3,840 625 ICGUEVARA, MARIA 1112494 291 4,756 10 90 50 0 04/20/16

1,061 522 1,623 40 1,061 522 ICVANDERSLICE, BARBARA 1112362 40 1,623 40 36 12 0 09/15/15

8,785 74 9,415 556 8,785 74 ICCHAVEZ, MARIA 1112479 556 9,415 52 90 17 0 03/10/16

365 0 411 46 365 0 ICROGERS, SHARA 1112411 46 411 52 90 17 0 11/10/15

1,718 0 1,780 63 1,718 0 ICPARSON, BONNIE 1112478 63 1,780 90 90 27 0 03/22/16

5,510 0 5,760 250 5,510 0 ICJOHNSON, TIMOTHY 1112433 250 5,760 52 52 99 0 12/07/15

33,211 13,500 47,010 299 33,211 13,500 ICNGUYEN, LOAN 1112531 299 47,010 28 42 13 0 06/30/16

783 0 799 16 783 0 ICSHUPTAR, DAWN 1112560 16 799 52 51 57 0 08/09/16

Page 66 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

1,126 162 1,381 94 1,126 162 ICMENDEZ PONCE, GERTRUDIS 1112534 94 1,381 52 90 29 0 07/14/16

50,961 34,658 88,818 3,199 50,961 34,658 ICENARD, CHARLOTTE 1112556 3,199 88,818 46 38 31 0 06/03/16

1,723 0 1,764 41 1,723 0 MCSHILOH, DEBRA 1112527 41 1,764 10 18 81 0 06/14/16

150 0 165 15 150 0 MCBELL, KATHLEEN 1112539 15 165 10 19 72 0 05/05/16

1,984 0 2,046 63 1,984 0 MCSMITH, SHERRY 1112502 63 2,046 40 36 19 0 04/29/16

0 0 0 0 0 0 MCROBERTS, PAULINE 1112562 0 0 37 54 99 0 08/30/16

0 0 0 0 0 0 MCCHAVEZ, JOSE 1112471 0 0 25 14 87 0 02/24/16

2,799 0 2,878 79 2,799 0 MCHUTTO, ELLEN 1112516 79 2,878 52 90 27 0 05/06/16

247 0 260 13 247 0 MCVU, BINH 1112535 13 260 52 63 60 0 07/18/16

242 0 258 16 242 0 MCRUIZ RUBIO, NORMA 1112545 16 258 40 11 19 0 08/19/16

930 0 983 53 930 0 MCMINSHEW, MICHELE 1112453 53 983 49 55 30 0 01/26/16

327 0 341 15 327 0 MCHENDERSHOT, VALARIE 1112462 15 341 04 35 09 0 02/05/16

390 0 406 16 390 0 MCVAZQUEZ, MARIA 1112475 16 406 52 42 60 0 03/02/16

217 0 233 16 217 0 MCSIMON, JULIA 1112564 16 233 10 32 46 0 08/10/16

956 0 994 39 956 0 MCMACFARLANE, LISA 1112482 39 994 52 38 17 0 03/28/16

362 0 386 24 362 0 MCGEHRET, CAROLYN 1112551 24 386 10 11 31 0 08/22/16

752 0 812 61 752 0 MCPHAM, SON 1112521 61 812 52 57 80 0 06/01/16

1,062 0 1,113 52 1,062 0 MCWOOD, MARKA 1112426 52 1,113 28 56 17 0 12/01/15


177 0 185 8 177 0 MCWILSON, MAXINE 1112447 8 185 49 34 29 0 01/13/16

286 0 294 8 286 0 MCOSBORN, AMY 1112455 8 294 59 53 33 0 01/29/16

Page 67 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

155 0 163 8 155 0 MCAAL, MARWA 1112496 8 163 59 19 99 0 04/25/16

719 0 735 16 719 0 MCRAMOS, VICTOR 1112383 16 735 40 11 46 0 10/09/15

725 0 748 23 725 0 MCTREECE, SONIA 1112385 23 748 13 52 17 0 10/09/15

0 0 0 0 0 0 MCSANTANA, LAURA 1112448 0 0 38 35 99 0 01/13/16

0 0 0 0 0 0 MCSPRIGGS, DEBRA 1112450 0 0 52 42 17 0 01/15/16

865 0 917 52 865 0 MCRODRIGUEZ FLORES, BERENICE 1112466 52 917 04 50 02 0 02/12/16

152 0 174 23 152 0 MCMORROW, KRISTINE 1112392 23 174 52 30 72 0 10/12/15

5,036 0 5,292 257 5,036 0 MCMATTHIES, CANDICE 1112399 257 5,292 90 90 31 0 10/27/15

478 0 494 16 478 0 MCSAMBRANO, LESLIE 1112435 16 494 90 10 72 0 12/09/15

296 0 312 16 296 0 MCHESTER, MIRANDA 1112436 16 312 10 90 72 0 12/09/15


726 0 742 16 726 0 MCGUIDRY, RITA 1112351 16 742 13 36 13 0 09/03/15


491 0 513 23 491 0 MCMCGEE, BRITTANY 1112355 23 513 10 10 72 0 09/08/15

335 0 350 15 335 0 MCHANLEY, ELIZABETH 1112400 15 350 38 52 99 0 10/29/15

794 0 830 36 794 0 MCCANAS, HENRY 1112401 36 830 90 18 99 0 10/30/15

694 0 748 54 694 0 MCRAMOS, VIRGINIA 1112422 54 748 52 90 17 0 11/16/15

0 0 0 0 0 0 MCWALKER, AARON 1112375 0 0 52 42 77 0 10/02/15

0 0 0 0 0 0 MCMEYER, GRETCHEN 1112487 0 0 10 31 31 0 04/08/16

571 0 601 31 571 0 MCDEAN, KERI 1112505 31 601 37 56 31 0 05/12/16

683 0 713 31 683 0 MCCATERINA, IRMA 1112415 31 713 52 42 17 0 11/13/15

Page 68 of 102

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Clear Creek ISD

191 0 206 15 191 0 MCBOYLE, SANDRA 1112434 15 206 37 14 72 0 12/09/15

1,947 0 1,979 33 1,947 0 MCPLANTE, TERRI 1112454 33 1,979 90 90 31 0 01/28/16

0 0 32 32 0 0 MCMEDINA, BLANCA 1112410 32 32 52 54 31 0 11/10/15

438 0 454 16 438 0 MCRABALAIS, JESSIE 1112458 16 454 90 90 72 0 01/26/16

0 0 0 0 0 0 MCSTEELE, JUDY 1112558 0 0 59 65 99 0 08/23/16

3,040 0 3,265 225 3,040 0 MCGUEVARA, MARIA 1112359 225 3,265 52 90 31 0 09/03/15

1,096 0 1,133 37 1,096 0 MCSTALLINGS, ANA 1112387 37 1,133 10 11 31 0 10/13/15

362 0 378 16 362 0 MCEPPS, MARGARET 1112483 16 378 25 14 87 0 03/30/16


570 0 601 31 570 0 MCHAMPTON, BARBARA 1112408 31 601 65 65 82 0 11/06/15

303 0 319 16 303 0 MCGEHRET, CAROLYN 1112353 16 319 52 90 31 0 09/02/15

0 0 8 8 0 0 MCCABALLERO, ANNETTE 1112540 8 8 52 90 50 0 08/04/16

463 0 503 40 463 0 MCSCHONHORN, LINDA 1112537 40 503 10 90 31 0 07/20/16

2,326 0 2,435 109 2,326 0 MCROSALES, SAMANTHA 1112405 109 2,435 52 90 72 0 11/04/15

119 0 127 8 119 0 MCARAMI, ABBAS 1112512 8 127 10 62 72 0 05/23/16

277 0 285 8 277 0 MCMEDINA, BETTY 1112473 8 285 52 90 31 0 03/01/16

733 0 763 31 733 0 MCHICKS, KENDRALA 1112380 31 763 90 38 98 0 10/08/15

677 0 708 31 677 0 MCREYNA, JOHNIE 1112469 31 708 04 44 05 0 02/25/16

702 0 732 31 702 0 MCKAUP, KAREN 1112416 31 732 52 90 57 0 11/11/15

0 0 0 0 0 0 MCEBERHART, ERIKA 1112440 0 0 59 53 31 0 12/10/15

2,098 0 2,179 81 2,098 0 MCROMERO, SANTOS 1112438 81 2,179 13 37 12 0 12/14/15

Page 69 of 102

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Reserve

Clear Creek ISD

858 0 895 37 858 0 MCGONZALEZ, CYNTHIA 1112538 37 895 52 53 60 0 08/01/16

286 0 294 8 286 0 MCKROYNOVICH, WILLIAM 1112486 8 294 40 37 17 0 04/08/16

896 0 928 32 896 0 MCNORMAN, LOUANNE 1112423 32 928 52 33 46 0 11/18/15

866 0 903 37 866 0 MCRUCKSTUHL, MARK 1112443 37 903 10 35 27 0 01/08/16

0 0 0 0 0 0 MCHERRINGTON, JANA 1112421 0 0 04 33 09 0 11/18/15

466 0 480 15 466 0 MCTURPIN, JENNIFER 1112354 15 480 40 19 17 0 09/04/15

438 0 454 16 438 0 MCJALOMO, ELSA 1112461 16 454 52 38 55 0 02/04/16

0 0 0 0 0 0 MCDICKSON JR, JOE 1112402 0 0 43 14 87 0 10/29/15

872 0 912 40 872 0 MCYAKE REYES, KRISTIN 1112365 40 912 59 22 72 0 09/17/15

3,724 0 3,870 146 3,724 0 MCHOLMES, SHARON 1112460 146 3,870 90 34 29 0 02/04/16

0 0 0 0 0 0 MCSMITHHART, AMANDA 1112523 0 0 19 36 81 0 06/02/16

902 0 934 32 902 0 MCDORCHESTER, HUA 1112468 32 934 04 33 02 0 02/19/16

706 0 746 40 706 0 MCENK, KELLY 1112437 40 746 07 90 72 0 12/10/15

405 0 413 8 405 0 MCCARMICHAEL, CANDLE 1112378 8 413 73 91 98 0 10/05/15

1,082 0 1,112 31 1,082 0 MCHART, GIOIA 1112488 31 1,112 10 31 72 0 04/13/16

166 0 174 8 166 0 MCCANADA, ALTHANESE 1112561 8 174 36 90 99 0 08/30/16

0 0 0 0 0 0 MCWILKERSON, JESSICA 1112518 0 0 90 90 26 0 05/28/16

164 0 180 16 164 0 MCRAMIREZ, YESENIA 1112481 16 180 10 35 99 0 03/22/16

0 0 0 0 0 0 MCBOILY, JERILEE 1112397 0 0 52 90 31 0 10/07/15

1,187 0 1,224 37 1,187 0 MCBALTAZAR-ALDAMA, ANA 1112491 37 1,224 49 65 60 0 04/13/16

0 0 0 0 0 0 MCBUSH, MARTINA-LISA 1112428 0 0 10 15 72 0 12/02/15

Page 70 of 102

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Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

164 0 172 8 164 0 MCMORRISON, AMANDA 1112477 8 172 25 14 15 0 03/08/16

872 0 909 37 872 0 MCONTIVEROS, SANDRA 1112510 37 909 52 42 60 0 05/19/16

0 0 0 0 0 0 MCEDWARDS, CYNTHIA 1112464 0 0 90 30 31 0 02/09/16

758 0 790 32 758 0 MCWELLS, DONNA 1112439 32 790 59 53 27 0 12/10/15

560 0 582 23 560 0 MCHYDE, AMY 1112352 23 582 90 33 60 0 09/04/15

0 0 0 0 0 0 MCGREEN, PATRICIA 1112350 0 0 52 38 99 0 09/01/15

749 0 780 31 749 0 MCUNMUTH, SANDRA 1112504 31 780 49 33 46 0 05/05/16


3,887 0 3,975 88 3,887 0 MCCLUBB, CANDACE 1112506 88 3,975 90 19 31 0 04/29/16

532 0 569 37 532 0 MCBELL, KATHLEEN 1112509 37 569 10 90 72 0 05/13/16

271 0 279 8 271 0 MCGUEVARA, MARIA 1112381 8 279 59 90 99 0 10/07/15


2,975 0 3,087 112 2,975 0 MCJONES, HEATHER 1112522 112 3,087 52 54 99 0 06/02/16

177 0 230 53 177 0 MCCONTRERAS, JOSEFA 1112384 53 230 52 90 17 0 10/09/15

489 0 503 15 489 0 MCPITTS, CHRISTOPHER 1112364 15 503 13 36 10 0 09/14/15

177 0 201 24 177 0 MCDIPARVINE, SARA 1112550 24 201 38 36 73 0 08/22/16

511 0 527 16 511 0 MCMORGAN, MARISHA 1112432 16 527 90 19 72 0 12/08/15


733 0 763 31 733 0 MCBEARD, MEGAN 1112420 31 763 10 19 12 0 11/13/15

432 0 448 16 432 0 MCSANCHEZ, SACNICTE 1112514 16 448 49 34 31 0 05/23/16

1,035 0 1,066 31 1,035 0 MCERIKSSON, MARY 1112463 31 1,066 10 10 31 0 02/08/16

Page 71 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

0 0 0 0 0 0 MCMAZUR, ALEXIS 1112361 0 0 10 38 72 0 09/09/15


731 0 762 31 731 0 MCPIERCE, SHELLEY 1112372 31 762 49 90 31 0 09/28/15

214 0 222 8 214 0 MCRUIZ, JOSHUA 1112552 8 222 37 37 99 0 08/16/16

1,968 0 2,043 76 1,968 0 MCRICHARDSON, DEANA 1112441 76 2,043 40 11 72 0 01/06/16

637 0 682 45 637 0 MCSEDHOM, MELAD 1112511 45 682 37 53 72 0 05/20/16

337 0 351 15 337 0 MCFLORES, OLGA 1112382 15 351 38 35 72 0 10/09/15

1,308 0 1,379 71 1,308 0 MCGANDY, STACY 1112449 71 1,379 40 36 17 0 01/15/16

345 0 361 16 345 0 MCBIONAT, MEGHAN 1112406 16 361 49 56 31 0 11/05/15

434 0 453 20 434 0 MCSENTESI, ANITA 1112536 20 453 59 65 99 0 07/20/16

540 0 563 23 540 0 MCREYES, MARISELA 1112470 23 563 80 91 19 0 02/29/16


296 0 355 60 296 0 MCGUERRA, SANJUANITA 1112391 60 355 52 90 26 0 10/14/15

268 0 276 8 268 0 MCJOHNSON, MINDY 1112549 8 276 38 52 73 0 08/22/16

1,739 0 1,771 32 1,739 0 MCLEE, LINDA 1112548 32 1,771 90 90 31 0 08/22/16

471 0 497 26 471 0 MCVINCENT, SOMER 1112451 26 497 10 61 72 0 01/20/16

490 0 521 31 490 0 MCLEWIS, PATRICIA 1112407 31 521 59 19 46 0 11/06/15


491 0 513 23 491 0 MCWALKER, ELIZABETH 1112412 23 513 49 55 99 0 11/12/15

0 0 0 0 0 0 MCGIBBS, WILLIAM 1112376 0 0 80 13 98 0 10/01/15

818 0 849 31 818 0 MCJORDAN, RUBEN 1112484 31 849 59 54 25 0 03/31/16

Page 72 of 102

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Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

1,160 0 1,181 21 1,160 0 MCJONES, DENNIS 1112373 21 1,181 43 91 85 0 09/28/15

298 0 328 30 298 0 MCVILLATORO, LUIS 1112547 30 328 52 63 13 0 08/18/16

213 0 221 8 213 0 MCPAGEL, ANGELA 1112398 8 221 52 90 55 0 10/05/15

311 0 327 16 311 0 MCBRADFORD II, H 1112417 16 327 10 54 99 0 11/13/15

0 0 0 0 0 0 MCCORTEZ, MARIA 1112557 0 0 52 90 31 0 08/22/16

442 0 458 16 442 0 MCVINCENT, SOMER 1112418 16 458 28 35 72 0 11/16/15

286 0 302 16 286 0 MCMURILLO, MARGARITA 1112360 16 302 04 33 09 0 09/11/15

296 0 312 16 296 0 MCPERRY, DENISE 1112446 16 312 07 10 27 0 01/12/16

293 0 301 8 293 0 MCMCCULLOCH, BETTY 1112367 8 301 10 19 72 0 09/17/15

554 0 578 24 554 0 MCPORTILLO, REINA 1112427 24 578 52 90 13 0 12/01/15

465 0 489 24 465 0 MCPAUL, MELESETE 1112409 24 489 37 36 56 0 10/29/15

553 0 569 16 553 0 MCCHAPMAN, JENNIFER 1112476 16 569 38 33 81 0 03/03/16

323 0 331 8 323 0 MCJONES, LAURA 1112498 8 331 10 19 72 0 04/26/16

509 0 572 63 509 0 MCSANTA BEAUCHAMP, CYNTHIA 1112474 63 572 52 20 60 0 03/02/16

426 0 440 15 426 0 MCREYES, MARISELA 1112430 15 440 38 31 99 0 12/07/15

482 0 505 23 482 0 MCZANDER, ZANDRA 1112515 23 505 10 19 65 0 05/26/16

177 0 185 8 177 0 MCORELLANA, OLGA 1112419 8 185 10 55 10 0 11/16/15

2,488 0 2,630 142 2,488 0 MCGUERRERO, JUANA 1112386 142 2,630 52 90 33 0 10/09/15


554 0 577 23 554 0 MCLOPEZ, MARY 1112442 23 577 52 53 60 0 01/04/16

669 0 701 32 669 0 MCBALTAZAR-ALDAMA, ANA 1112480 32 701 59 42 99 0 03/23/16

Page 73 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

424 0 432 8 424 0 MCESTLING, MARIE 1112542 8 432 40 36 17 0 08/11/16

1,318 0 1,386 68 1,318 0 MCMUELLER, CHRISTINE 1112501 68 1,386 40 14 99 0 04/29/16

224 0 232 8 224 0 MCTRACY, STACY 1112472 8 232 37 56 68 0 02/29/16

221 0 228 7 221 0 MCAROCHO, MASINA 1112533 7 228 52 90 31 0 06/30/16

720 0 758 39 720 0 MCFOREMAN, CRYSTAL 1112503 39 758 52 42 72 0 05/04/16

0 0 0 0 0 0 RCVILLALOBOZ, HEATHER 1112467 0 0 40 35 17 0 02/11/16

Totals : 215 684,015 38,697 451,196 194,123 677,695 32,386 451,186 194,123 6,320

Page 74 of 102

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Reserve

Clear Creek ISD


11,957 2,213 14,603 432 11,957 2,213 ICBELL, KATHLEEN 1112739 432 14,603 38 90 73 0 05/18/17

4,461 1,401 6,331 468 4,461 1,401 ICPHILLIPS, DEBORAH 1112744 468 6,331 52 90 31 0 05/24/17

1,469 1,156 2,706 80 1,469 1,156 ICCRUZ, JOSE 1112753 80 2,706 52 53 56 0 07/14/17

5,004 330 5,867 533 5,004 330 ICLEE, TWANNA 1112644 533 5,867 10 53 72 0 12/13/16

5,179 0 5,451 272 5,179 0 ICWOOD, KARRIE 1112676 272 5,451 16 36 99 0 02/07/17

1,852 317 2,233 64 1,852 317 ICMATSON, BARBARA 1112681 64 2,233 28 34 29 0 02/16/17

4,790 1,454 6,525 280 4,790 1,454 ICSANCHEZ, SACNICTE 1112684 280 6,525 10 53 27 0 02/20/17

0 0 0 0 0 0 ICVERDAHL, TERESA 1112715 0 0 52 44 60 0 04/06/17

2,791 0 2,855 64 2,791 0 ICLUCENTI, CODI 1112628 64 2,855 90 10 72 0 11/16/16

9,471 2,439 12,282 372 9,471 2,439 ICHARJO, GARY 1112591 372 12,282 49 53 60 0 10/03/16

12,000 5,103 23,898 9,815 11,179 2,905 IOGLOVER, EMILY 1112601 9,815 26,918 52 63 72 3,020 10/13/16

455 0 511 56 455 0 ICMINES, AMELIA 1112670 56 511 52 63 60 0 01/31/17

0 0 0 0 0 0 ICCHASE, JOHN 1112612 0 0 52 42 45 0 10/26/16

509 0 581 72 509 0 ICMATTHIES, CANDICE 1112577 72 581 59 65 99 0 09/14/16

4,346 2,793 7,323 184 4,346 2,793 ICEBY, DEBORAH 1112668 184 7,323 10 30 31 0 01/27/17

504 0 536 32 504 0 ICMILLER, VIRGINIA 1112616 32 536 10 11 31 0 10/26/16

5,983 10,304 16,575 288 5,983 10,304 ICTERRAZAS, MARY 1112721 288 16,575 52 31 25 0 04/18/17

428 130 591 32 428 130 ICBREEDLOVE, LACY 1112641 32 591 52 61 29 0 12/06/16

876 636 1,575 64 876 636 ICGRANADOS, MARIA 1112617 64 1,575 52 90 31 0 10/28/16

799 0 847 48 799 0 ICSMART, CHRISTOPHER 1112578 48 847 59 65 99 0 09/15/16

Page 75 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

6,447 2,203 9,183 533 6,447 2,203 ICSPRIGGS, DEBRA 1112662 533 9,183 28 32 31 0 01/24/17

233 56 306 16 233 56 ICSAM, LAKESA 1112629 16 306 90 90 31 0 11/16/16

4,385 0 4,513 128 4,385 0 ICVERDAHL, TERESA 1112706 128 4,513 10 44 28 0 03/29/17

1,335 1,704 3,119 80 1,335 1,704 ICMUELLER, THOMAS 1112708 80 3,119 52 56 60 0 04/03/17

120 0 136 16 120 0 ICGANDOLFO, JOYCE 1112709 16 136 52 38 60 0 03/20/17

1,266 0 1,306 40 1,266 0 ICARMITAGE, DIANA 1112738 40 1,306 49 90 72 0 05/18/17

7,120 8,506 16,336 709 7,120 8,506 ICAYALA, IRMA 1112580 709 16,336 52 90 17 0 09/13/16

429 0 666 237 429 0 ICLOPEZ, MARY 1112665 237 666 37 54 75 0 01/24/17

459 0 483 24 459 0 ICDELOURDES PEREZ, MARIA 1112703 24 483 52 42 57 0 03/27/17

120 0 159 39 120 0 ICSOLACHE, MICAELA 1112755 39 159 10 51 26 0 08/02/17

1,979 0 2,043 64 1,979 0 ICVIRANI, MUSTAFA 1112763 64 2,043 52 53 17 0 08/18/17

685 369 1,078 24 685 369 ICNGUYEN, HIEU 1112764 24 1,078 10 90 72 0 08/22/17

10,225 8,087 18,746 435 10,225 8,087 ICMORENO-DENBOW, SANDRA 1112691 435 18,746 46 55 31 0 02/27/17

2,732 6,047 8,922 144 2,732 6,047 ICPIZANA, NATALIA 1112589 144 8,922 10 34 27 0 09/30/16

19,048 15,025 34,177 104 19,048 15,025 ICBROWN, DANIEL 1112567 104 34,177 13 35 17 0 09/06/16

1,035 566 1,657 56 1,035 566 ICWALKER, CHARITY 1112674 56 1,657 90 90 77 0 02/02/17

4,923 0 5,203 280 4,923 0 IOESCALANTE, ALICIA 1112602 280 5,203 52 41 45 0 10/13/16

2,615 0 2,799 184 2,615 0 ICARIF, AMBREEN 1112705 184 2,799 49 56 13 0 03/29/17

949 0 981 32 949 0 ICRABALAIS, JESSIE 1112656 32 981 52 42 72 0 01/13/17

921 580 1,582 81 921 580 ICORTIZ SANTOS, NIDIA 1112634 81 1,582 52 56 17 0 11/28/16

1,881 43 2,019 96 1,881 43 ICGUERRERO, JUANA 1112625 96 2,019 52 42 17 0 11/04/16

Page 76 of 102

Claim


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Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

2,576 0 2,835 259 2,576 0 ICGONZALEZ, CYNTHIA 1112652 259 2,835 10 11 99 0 01/10/17

0 0 0 0 0 0 ICCOPELAND, JENNIFER 1112731 0 0 59 44 99 0 05/08/17

585 0 601 16 585 0 ICHALL, DEVON 1112689 16 601 52 90 27 0 02/23/17

1,254 27 1,329 48 1,254 27 ICJACKSON, MAUDLENE 1112599 48 1,329 04 33 09 0 10/12/16

2,929 313 3,393 152 2,929 313 ICHERNANDEZ DE CANO, OLGA 1112596 152 3,393 10 53 17 0 10/11/16

0 0 0 0 0 0 ICKAHLICH, VALERIE 1112714 0 0 40 56 81 0 04/06/17

1,829 959 2,884 96 1,829 959 ICFOREMAN, CRYSTAL 1112637 96 2,884 52 42 17 0 11/29/16

1,023 0 1,063 40 1,023 0 ICSIMMONS, JOHN 1112726 40 1,063 52 41 25 0 04/25/17

2,392 0 2,504 112 2,392 0 ICLOCKETT, SIGRID 1112576 112 2,504 52 55 31 0 09/14/16

968 0 968 0 968 0 ICSENTESI, ANITA 1112719 0 968 41 91 99 0 03/28/17

478 0 494 16 478 0 MCCENICEROS, MARIA 1112757 16 494 10 11 13 0 08/10/17

182 0 190 8 182 0 MCDILBERT, EVA 1112737 8 190 40 11 72 0 05/15/17

351 0 367 16 351 0 MCGARCIA, PERLA 1112747 16 367 49 55 57 0 07/03/17

442 0 458 16 442 0 MCTWARDOWSKY, MATTHEW 1112759 16 458 40 36 17 0 08/17/17

182 0 190 8 182 0 MCHUTTO, ELLEN 1112760 8 190 52 42 26 0 08/14/17

456 0 480 24 456 0 MCVILLARREAL, LAILAH 1112716 24 480 90 90 72 0 04/10/17

331 0 347 16 331 0 MCMARTINEZ, MARISOL 1112725 16 347 10 34 31 0 04/26/17

240 0 248 8 240 0 MCGILBERT, ALFRIDA 1112727 8 248 10 53 99 0 04/18/17

587 0 635 48 587 0 MCLENARD, BRENDA 1112730 48 635 52 38 99 0 05/05/17

285 0 293 8 285 0 MCEDWARDS, TAMESHA 1112742 8 293 59 33 85 0 05/19/17

539 0 563 24 539 0 MCDEAN, SUZANNE 1112651 24 563 10 35 99 0 01/09/17

Page 77 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

884 0 932 48 884 0 MCLUCAS, REBECCA 1112701 48 932 59 35 31 0 03/20/17

1,904 0 1,992 88 1,904 0 MCKELLY, TRACY 1112713 88 1,992 52 36 12 0 04/04/17

418 0 442 24 418 0 MCABERNATHY, ROCHELLE 1112643 24 442 52 42 31 0 12/09/16

522 0 546 24 522 0 MCBROWN, MARCELLUS 1112667 24 546 52 54 65 0 01/25/17

178 0 186 8 178 0 MCMILLION, TRACY 1112682 8 186 52 42 17 0 02/16/17

293 0 317 24 293 0 MCREYES, VERONICA 1112694 24 317 38 90 73 0 03/08/17

3,089 0 3,329 240 3,089 0 MCMOODY, KRISTA 1112696 240 3,329 49 90 72 0 03/07/17

0 0 0 0 0 0 MCBURNS, ANTHONY 1112698 0 0 10 63 72 0 03/08/17

1,164 0 1,212 48 1,164 0 MCESTER, MARGIE 1112582 48 1,212 90 90 27 0 09/20/16

363 0 379 16 363 0 MCWILLIAMS, SHARONDA 1112590 16 379 38 35 72 0 10/03/16

296 0 312 16 296 0 MCMOORE, MILA 1112597 16 312 59 42 31 0 10/11/16

608 0 656 48 608 0 MCPICKELL, SARAH 1112608 48 656 37 55 33 0 10/19/16

478 0 494 16 478 0 MCHOFFMAN, REBECCA 1112622 16 494 52 54 31 0 11/02/16

266 0 661 395 266 0 MCPLOUM, MONTI 1112623 395 661 52 38 81 0 11/03/16

665 0 705 40 665 0 MCLAI, CAN 1112638 40 705 52 42 60 0 11/30/16

0 0 0 0 0 0 MCCHAPMAN, LEE 1112702 0 0 52 55 31 0 02/02/17

428 0 460 32 428 0 MCROBLES, ALEXANDRA 1112657 32 460 52 53 29 0 01/16/17


421 0 429 8 421 0 MCHERNANDEZ, RIGOBERTO 1112603 8 429 59 53 31 0 10/13/16

1,333 0 1,373 40 1,333 0 MCBATSON, LISA 1112614 40 1,373 59 56 13 0 10/25/16

510 0 534 24 510 0 MCBLANK, SUSAN 1112630 24 534 59 33 99 0 11/17/16

Page 78 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

503 0 527 24 503 0 MCSWIATKOWSKI, JOAN 1112570 24 527 38 33 99 0 09/12/16

150 0 166 16 150 0 MCSELLERS, MARCIE 1112585 16 166 13 56 13 0 09/23/16

548 0 572 24 548 0 MCUGARTE, ANDREA 1112588 24 572 19 35 99 0 09/27/16

0 0 40 40 0 0 MCJILES, SHUNDA 1112606 40 40 59 65 85 0 10/12/16

521 0 545 24 521 0 MCREYES, VERONICA 1112740 24 545 90 90 19 0 05/19/17

1,106 0 1,130 24 1,106 0 MCLAMONT, NANCY 1112639 24 1,130 28 32 29 0 12/02/16

359 0 383 24 359 0 MCKING, RENEE 1112654 24 383 52 42 99 0 01/12/17

304 0 312 8 304 0 MCGOLDEN, CYNTHIA 1112748 8 312 10 51 27 0 05/22/17

458 0 474 16 458 0 MCJACHIMIEC, LAURA 1112583 16 474 40 18 81 0 09/20/16

340 0 356 16 340 0 MCERVIN, SANDRA 1112710 16 356 10 56 17 0 04/03/17

530 0 562 32 530 0 MCSCULLY, ELIZABETH 1112743 32 562 90 90 31 0 05/22/17

885 0 941 56 885 0 MCMORALES, ESTHER 1112613 56 941 52 90 72 0 10/26/16

2,428 0 2,476 48 2,428 0 MCWEBBER, BRIDGET 1112621 48 2,476 10 11 99 0 11/03/16

4,067 0 4,454 387 4,067 0 MCSMITH, ANNE 1112756 387 4,454 90 90 31 0 08/08/17

214 0 222 8 214 0 MCHESS, JANETTE 1112566 8 222 10 36 99 0 09/02/16

372 0 396 24 372 0 MCHUBSTENBERGER, REBEKAH 1112660 24 396 13 56 72 0 01/18/17

952 0 1,008 56 952 0 MCALVARADO, BRENDA 1112678 56 1,008 52 42 55 0 02/08/17

457 0 481 24 457 0 MCBARDEN, AMY 1112692 24 481 49 55 28 0 02/28/17

533 0 549 16 533 0 MCOSBORN, AMY 1112680 16 549 52 90 31 0 02/13/17

1,099 0 1,123 24 1,099 0 MCBUFFALOE, BRYAN 1112712 24 1,123 40 11 20 0 04/05/17

0 0 0 0 0 0 MCGIACOLETTO, ETHEL 1112672 0 0 59 14 99 0 01/26/17

Page 79 of 102

Claim


Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

2,965 0 3,093 128 2,965 0 MCHERNANDEZ, BRENDA 1112751 128 3,093 49 34 53 0 07/12/17

233 0 249 16 233 0 MCALEXANDER, NICOLE 1112619 16 249 10 38 72 0 11/02/16

608 0 632 24 608 0 MCPILKINGTON, LAUREN 1112631 24 632 40 36 19 0 11/18/16

290 0 314 24 290 0 MCFLORES, GLORIA 1112569 24 314 04 35 02 0 09/07/16

802 0 834 32 802 0 MCHAMMOCK, ANGELA 1112620 32 834 40 36 13 0 11/02/16

1,494 0 1,550 56 1,494 0 MCBALABAN, LAURA 1112728 56 1,550 52 55 31 0 05/02/17

508 0 524 16 508 0 MCBROOKING, MICHELLE 1112761 16 524 40 37 12 0 08/17/17

1,309 0 1,357 48 1,309 0 MCCLOUGH, WENDY 1112734 48 1,357 52 51 31 0 05/16/17

362 0 386 24 362 0 MCDENOVA, FELIX 1112653 24 386 52 42 29 0 01/06/17

766 0 814 48 766 0 MCLAW, ANGELICA 1112610 48 814 52 90 31 0 10/21/16

0 0 107 107 0 0 MCVU, BINH 1112572 107 107 52 42 17 0 09/08/16

902 0 934 32 902 0 MCHAXHIRAJ, ELCA 1112649 32 934 04 33 02 0 01/06/17


276 0 292 16 276 0 MCTRAGNI, LAUREN 1112645 16 292 38 33 73 0 12/14/16

425 0 449 24 425 0 MCKRUEGER, JOANNA 1112722 24 449 13 56 13 0 04/20/17

0 0 0 0 0 0 MCGANDOLFO, JOYCE 1112693 0 0 52 38 60 0 11/28/16

0 0 0 0 0 0 MCYOAKUM, JAMES 1112749 0 0 37 34 85 0 07/10/17

577 0 601 24 577 0 MCMACCARONE, ROBERT 1112664 24 601 40 36 19 0 01/26/17

0 0 0 0 0 0 MCDORLAND, BENJAMIN 1112563 0 0 52 42 17 0 09/01/16


299 0 315 16 299 0 MCESTRADA, JUANA 1112752 16 315 10 53 27 0 07/18/17

Page 80 of 102

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Clear Creek ISD


420 0 477 57 420 0 MCRIVAS, MARIA 1112627 57 477 10 53 29 0 11/07/16

365 0 389 24 365 0 MCBARRINGTON, LINDA 1112650 24 389 10 53 31 0 12/14/16

3,712 0 3,871 159 3,712 0 MCCATO, MILEANE 1112592 159 3,871 52 90 31 0 09/30/16

442 0 458 16 442 0 MCELLIS, CATHERINE 1112669 16 458 49 36 72 0 01/31/17

636 0 684 48 636 0 MCOLGUIN, RENE 1112598 48 684 40 36 19 0 10/12/16

863 0 895 32 863 0 MCLAMBETH, KERI 1112579 32 895 10 53 27 0 09/14/16

1,936 0 2,040 104 1,936 0 MCADAMS, LAURIE 1112647 104 2,040 52 90 31 0 12/15/16

575 0 607 32 575 0 MCSMITH, SYLVIA 1112573 32 607 10 90 31 0 09/12/16

555 0 579 24 555 0 MCTRAN, DINH 1112666 24 579 49 55 33 0 01/25/17

944 0 1,000 56 944 0 MCLOPEZ, MARY 1112571 56 1,000 37 36 99 0 09/12/16

714 0 746 32 714 0 MCRAMIREZ, TERESA 1112646 32 746 40 36 19 0 01/03/17

520 0 536 16 520 0 MCHARRAL, MARY 1112732 16 536 40 36 19 0 05/10/17

385 0 401 16 385 0 MCDIAZ, ABIMAEL 1112683 16 401 52 61 17 0 02/15/17

315 0 323 8 315 0 MCBAKER, MARGARETHA 1112677 8 323 52 32 31 0 02/06/17

295 0 311 16 295 0 MCELLSWORTH, ARTINA 1112723 16 311 49 36 60 0 04/19/17

397 0 413 16 397 0 MCLUCENTI, CODI 1112690 16 413 38 33 73 0 02/23/17

0 0 0 0 0 0 MCLUCENTI, CODI 1112659 0 0 16 37 72 0 01/18/17


2,422 0 2,462 40 2,422 0 MCAYALA, HOLLY 1112611 40 2,462 16 32 25 0 10/20/16

332 0 404 72 332 0 MCLIZCANO, BEDA 1112624 72 404 59 33 85 0 11/02/16

Page 81 of 102

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Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

0 0 0 0 0 0 MCROBINETTE, CARI 1112711 0 0 40 36 16 0 04/04/17

343 0 359 16 343 0 MCBARRINGTON, RODGER 1112565 16 359 59 90 17 0 09/02/16

192 0 216 24 192 0 MCOIAN, KURT 1112642 24 216 40 35 19 0 12/08/16

2,538 0 2,594 56 2,538 0 MCLUCENTI, CODI 1112736 56 2,594 90 61 72 0 05/16/17

177 0 185 8 177 0 MCMILLION, TRACIE 1112604 8 185 90 90 72 0 10/13/16

671 0 695 24 671 0 MCNGUYEN, DANG 1112746 24 695 40 36 15 0 06/14/17

363 0 387 24 363 0 MCGONZALEZ, ANA 1112640 24 387 10 90 17 0 12/02/16

0 0 0 0 0 0 MCRODRIGUEZ, ROGER 1112754 0 0 37 42 81 0 06/09/17

562 0 578 16 562 0 MCBURT, LAN 1112686 16 578 40 36 13 0 02/20/17

302 0 318 16 302 0 MCVINCENT, SOMER 1112626 16 318 10 44 72 0 11/07/16

321 0 337 16 321 0 MCBYERS, JULIE 1112648 16 337 52 51 31 0 01/05/17

177 0 185 8 177 0 MCWEHE, CHERRA 1112568 8 185 10 90 72 0 09/07/16

195 0 211 16 195 0 MCSTOCKTON, SUSAN 1112663 16 211 90 90 72 0 01/23/17

3,890 0 3,970 80 3,890 0 MCTIJERINA, VIRGINIA 1112584 80 3,970 07 11 17 0 09/23/16

193 0 201 8 193 0 MCGEARING, MERRICK 1112574 8 201 52 54 27 0 09/13/16

1,752 0 1,816 64 1,752 0 MCLUONG, LAN 1112758 64 1,816 10 11 75 0 08/16/17

767 0 799 32 767 0 MCRIPPLE, AMANDA 1112595 32 799 49 42 29 0 10/05/16

1,428 0 1,492 64 1,428 0 MCDAVILA, MARIA 1112587 64 1,492 49 36 20 0 09/23/16

550 0 574 24 550 0 MCHATCH, RAY 1112704 24 574 52 42 72 0 03/29/17

0 0 0 0 0 0 MCCOPPOCK, SHANNON 1112673 0 0 07 12 46 0 01/30/17

465 0 489 24 465 0 MCREYES, SOPHIA 1112699 24 489 04 35 02 0 03/09/17

Page 82 of 102

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

3,162 0 3,298 136 3,162 0 MCCHAVEZ, ANITA 1112779 136 3,298 10 53 31 0 07/18/17

0 0 0 0 0 0 MCROUSSEL, TATE 1112679 0 0 40 36 18 0 02/13/17

999 0 1,031 32 999 0 MCBOUNDS, MISTY 1112618 32 1,031 40 54 19 0 11/02/16

0 0 0 0 0 0 MCBROWN, ZONA 1112575 0 0 40 36 19 0 09/14/16

380 0 431 50 380 0 MCWADE, RITA 1112720 50 431 52 53 46 0 04/10/17

350 0 366 16 350 0 MCBUI, DUNG 1112717 16 366 52 35 17 0 04/12/17

466 0 498 32 466 0 MCAMAYA, ELIZABETH 1112605 32 498 49 55 28 0 10/17/16

520 0 536 16 520 0 MCSACKETT, COURTNEY 1112718 16 536 38 53 73 0 04/12/17

1,792 0 1,848 56 1,792 0 MCLOPEZ, MAGALY 1112745 56 1,848 90 90 27 0 04/18/17

2,018 0 2,114 96 2,018 0 MCEDINBURGH, KELLIE 1112685 96 2,114 40 56 12 0 02/20/17

383 0 431 48 383 0 MCAYALA, IRMA 1112609 48 431 68 55 01 0 10/20/16

164 0 172 8 164 0 MCBRUNER, JAMES 1112741 8 172 40 14 81 0 05/19/17

1,366 0 1,414 48 1,366 0 MCSEGURA, ROSA 1112762 48 1,414 52 55 30 0 08/19/17

558 0 590 32 558 0 MCCARLUCCI-POWELL, MARY 1112600 32 590 10 90 31 0 10/07/16

2,839 0 3,155 316 2,839 0 MCSANDERS, CORRINE 1112594 316 3,155 49 90 29 0 10/04/16


510 0 534 24 510 0 MCEDWARDS, CYNTHIA 1112636 24 534 10 35 99 0 11/29/16

731 0 795 64 731 0 MCCOLE-LYNG, COURTNEY 1112735 64 795 43 36 16 0 05/16/17

370 0 386 16 370 0 MCBERGEN, SHAWN 1112697 16 386 52 51 60 0 03/07/17

315 0 331 16 315 0 MCHOXHA, KELLY 1112586 16 331 38 33 73 0 09/26/16

1,122 0 1,154 32 1,122 0 MCPENA, ELOY 1112655 32 1,154 43 35 17 0 01/02/17

Page 83 of 102

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Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

233 0 249 16 233 0 MCCONOVA, ROBERT 1112635 16 249 38 33 19 0 11/29/16

1,545 0 1,617 72 1,545 0 MCFLURY, KIMBERLY 1112675 72 1,617 28 57 46 0 02/07/17

192 0 217 25 192 0 MCGAONA- HERNANDEZ, MARIA 1112733 25 217 04 18 09 0 04/17/17

229 0 237 8 229 0 MCELLIS, CATHERINE 1112687 8 237 52 36 72 0 02/22/17

1,861 0 1,964 103 1,861 0 MCINGRAM, ROBERT 1112661 103 1,964 52 42 79 0 01/19/17

670 0 694 24 670 0 MCRESENDIZ DE FLORES, FRANCISCA 1112695 24 694 40 37 19 0 03/07/17

0 0 0 0 0 0 RCMORRIS, BELENA 1112581 0 0 52 56 72 0 09/16/16

0 0 0 0 0 0 RCCARRIZALES, ROSA 1112750 0 0 10 15 75 0 07/11/17

Totals : 196 353,303 22,831 257,711 72,762 350,284 22,831 256,889 70,564 3,020

Page 84 of 102

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Reserve

Clear Creek ISD


952 339 1,323 32 952 339 ICUGARTE, ANDREA 1112949 32 1,323 52 38 17 0 08/17/18

0 0 0 0 0 0 ICCISNEROS, JOYCE 1112886 0 0 59 65 99 0 03/28/18

306 0 330 24 306 0 ICNGUYEN, THI 1112922 24 330 10 19 12 0 05/29/18

6,872 2,435 9,419 112 6,872 2,435 ICGUERRERO, NORBERTA 1112809 112 9,419 40 35 17 0 11/06/17

808 706 1,562 48 808 706 ICSEROW, SUSAN 1112771 48 1,562 10 42 81 0 09/19/17

2,350 7,682 10,256 223 2,350 7,682 ICVILLARREAL, LAILAH 1112890 223 10,256 37 53 72 0 04/12/18

0 0 0 0 0 0 ICNEWMAN, PATRICIA 1112789 0 0 52 56 99 0 10/12/17

457 0 465 8 457 0 ICECKLES, JACOB 1112803 8 465 90 90 29 0 11/01/17

1,206 0 1,254 48 1,206 0 ICBARRINGTON, RODGER 1112778 48 1,254 52 50 27 0 09/26/17

6,180 5,751 12,107 176 6,180 5,751 ICBLINKA, GAYLN 1112810 176 12,107 28 36 12 0 11/10/17

6,540 5,679 12,602 383 6,540 5,679 ICLUMPKIN, SUZANNE 1112864 383 12,602 52 90 31 0 02/26/18

675 389 1,105 40 675 389 ICVERCHER, DEBORAH 1112947 40 1,105 40 53 31 0 08/16/18

911 0 2,542 1,630 911 0 ICSENTESI, ANITA 1112844 1,630 2,542 52 41 31 0 02/05/18

996 190 1,293 107 996 190 ICNGUYEN, MUOI 1112936 107 1,293 40 33 10 0 07/06/18

2,615 651 3,377 112 2,615 651 ICCHARLES-MCNEAL, CAMELLIA 1112816 112 3,377 10 53 13 0 11/14/17

364 358 738 16 364 358 ICWALKER, CHARITY 1112891 16 738 52 34 17 0 04/06/18

42,600 25,471 48,315 1,039 40,369 6,907 IOJOHNSON, JAMES 1112952 1,600 69,671 28 33 26 21,356 08/22/18

0 0 0 0 0 0 ICOLVERA, CATALINA 1112847 0 0 59 66 99 0 02/13/18

179 0 187 8 179 0 ICDE HOYOS, MARIA 1112957 8 187 52 55 60 0 08/22/18

2,994 2,298 5,508 216 2,994 2,298 ICLE, THUAN 1112939 216 5,508 90 90 27 0 07/16/18

Page 85 of 102

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Total Inc Nature

Body

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Reserve

Clear Creek ISD

1,625 0 1,713 88 1,625 0 ICTHIBODEAUX, PATRICIA 1112943 88 1,713 49 55 53 0 08/02/18

440 0 472 32 440 0 ICDELGADO, MARISOL 1112767 32 472 52 90 45 0 09/13/17

4,979 2,245 7,384 160 4,979 2,245 ICHERRINGTON, JANA 1112876 160 7,384 52 53 32 0 03/22/18

4,994 7,474 13,491 1,022 4,994 7,474 ICGAMEZ, ELVA 1112831 1,022 13,491 90 90 33 0 01/15/18

4,572 3,265 8,037 200 4,572 3,265 ICORSINI, KRISTIN 1112875 200 8,037 28 53 60 0 03/21/18

3,603 0 3,959 356 3,603 0 ICMORA, SAN JUANITA 1112787 356 3,959 90 90 45 0 10/13/17

600 158 678 92 508 79 IOZELAYA ARBAIZA, CLAUDIA 1112909 100 858 90 42 45 180 05/05/18

1,671 0 1,759 88 1,671 0 ICGONZALEZ, GLORIA 1112915 88 1,759 52 90 31 0 05/17/18

5,471 0 6,325 854 5,471 0 ICYOUNGMARK, LAURA 1112790 854 6,325 90 90 99 0 10/17/17

1,194 77 1,311 40 1,194 77 ICCOOKE, TRAVIS 1112925 40 1,311 40 35 12 0 06/04/18

300 0 316 22 295 0 IOTJELMELAND, EMILY 1112806 22 322 52 42 50 6 11/03/17

3,097 2,025 5,234 112 3,097 2,025 ICHANSEN, MARY 1112782 112 5,234 28 55 31 0 10/05/17

2,559 1,958 4,629 112 2,559 1,958 ICHALE, STEPHANIE 1112948 112 4,629 52 90 33 0 08/15/18

655 0 710 55 655 0 ICKUNZAT, GISELLE 1112897 55 710 37 38 56 0 04/24/18

3,979 0 4,219 240 3,979 0 IOHERNANDEZ, ANA 1112882 240 4,219 13 90 13 0 03/28/18

878 0 918 40 878 0 ICCONNOLLY, BRIDGET 1112873 40 918 49 55 29 0 03/19/18

5,548 5,779 11,647 320 5,548 5,779 ICUGARTE, ANDREA 1112777 320 11,647 52 42 56 0 09/14/17

3,127 124 3,418 167 3,127 124 ICSPAIN, MEGHAN 1112921 167 3,418 52 90 99 0 05/29/18

1,776 310 2,143 56 1,776 310 ICPLUM, SUZANNE 1112783 56 2,143 28 56 31 0 10/05/17

539 0 571 32 539 0 ICPICKEL, NICOLE 1112964 32 571 52 90 60 0 08/27/18

5,160 0 5,240 80 5,160 0 ICCORTEZ, MARIA 1112924 80 5,240 32 11 31 0 06/04/18

Page 86 of 102

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Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

4,199 864 5,302 239 4,199 864 ICMILLER, TERI 1112955 239 5,302 52 55 31 0 08/24/18

0 0 31 31 0 0 ICEVARD, KAREN 1113051 31 31 71 14 99 0 08/27/18

4,404 3,834 9,672 1,434 4,404 3,834 ICBROWN FAILS, QUEEN 1112765 1,434 9,672 49 53 31 0 09/11/17

5,702 13,886 19,923 335 5,702 13,886 ICRUNDELL, KRISTY 1112814 335 19,923 52 90 72 0 11/13/17

1,653 0 1,905 252 1,653 0 ICWILSON, ROY 1112829 252 1,905 52 42 17 0 01/07/18

467 284 783 32 467 284 ICHUYNH, THI 1112860 32 783 10 11 99 0 02/19/18

1,670 581 2,368 118 1,670 581 ICGARZA, ASTRID 1112935 118 2,368 10 56 17 0 06/25/18

1,451 1,205 2,697 40 1,451 1,205 ICAGUNBIADE, OLUFEME 1112914 40 2,697 49 35 68 0 05/17/18

5,317 0 5,817 500 5,317 0 ICHAYES-WESTON, MIYOSHA 1112851 500 5,817 10 90 72 0 02/13/18

2,989 715 3,776 72 2,989 715 ICO'ROURKE, BLANCHE 1112811 72 3,776 49 53 31 0 11/13/17

421 0 437 16 421 0 ICPAUL, ANA 1112934 16 437 52 53 27 0 06/22/18

1,420 888 2,396 88 1,420 888 ICCARR, BETTY 1112958 88 2,396 49 90 31 0 08/29/18

9,545 130 9,739 64 9,545 130 ICBROCKMYRE, BROOKE 1112825 64 9,739 59 61 72 0 12/06/17

3,492 1,190 4,914 232 3,492 1,190 ICPONCE, SANTA 1112941 232 4,914 90 90 33 0 07/24/18

444 0 444 0 444 0 ICSCHOLES, GERALD 1112804 0 444 59 65 99 0 11/01/17

821 997 1,899 81 821 997 ICTRAN, DINH 1112950 81 1,899 52 39 97 0 08/09/18

3,458 62 3,792 272 3,458 62 ICLEE, TWANNA 1112877 272 3,792 10 34 46 0 03/23/18

4,772 1,286 6,281 224 4,772 1,286 ICROONEY, CAITLIN 1112874 224 6,281 37 56 17 0 03/20/18

929 0 953 24 929 0 ICBISPECK, MAUREEN 1112953 24 953 90 90 31 0 08/22/18

378 0 402 24 378 0 ICBURNS, ANTHONY 1112793 24 402 52 63 99 0 10/24/17

2,203 233 2,539 104 2,203 233 ICMCCARTY, BRIAN 1112912 104 2,539 04 90 01 0 05/10/18

Page 87 of 102

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Date Stat

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Body

Part Cause




Reserve

Clear Creek ISD

525 544 1,149 80 525 544 ICARANIVA DE AYALA, GLENDA 1112859 80 1,149 52 90 29 0 02/19/18

5,518 2,348 8,026 160 5,518 2,348 ICJOHNSON, TIMOTHY 1112802 160 8,026 28 56 99 0 10/30/17

583 0 607 24 583 0 MCMCGINNIS, MOLLY 1112960 24 607 28 17 72 0 08/29/18


958 0 982 24 958 0 MCWOODDELL, JOHN 1112893 24 982 13 36 99 0 02/16/18

321 0 329 8 321 0 MCFOGLEMAN, CHRISTINA 1112904 8 329 40 15 99 0 05/03/18

348 0 364 16 348 0 MCVARRICCHIO, ACHILLE 1112923 16 364 13 54 17 0 05/30/18

616 0 640 24 616 0 MCJULKS, TRACY 1112841 24 640 07 10 68 0 01/31/18

1,459 0 1,539 80 1,459 0 MCCRUZ, JOANA D'ARC 1112871 80 1,539 25 14 87 0 03/08/18

536 0 575 39 536 0 MCRABAGO, RUTH 1112956 39 575 90 90 31 0 08/17/18


373 0 397 24 373 0 MCBAKER, SUSAN 1112905 24 397 10 11 19 0 05/04/18

1,127 0 1,159 32 1,127 0 MCBARRINGTON, LINDA 1112832 32 1,159 49 53 32 0 01/17/18

516 0 540 24 516 0 MCNICHOLS, CERESA 1112848 24 540 52 37 12 0 02/12/18

813 0 829 16 813 0 MCBUHRER, WAYNE 1112917 16 829 40 18 13 0 05/18/18

0 0 32 32 0 0 MCSALDANA, MARIA 1112911 32 32 52 42 56 0 05/09/18

293 0 317 24 293 0 MCSTRAHAN, GENEVIEVE 1112866 24 317 52 53 31 0 02/19/18

271 0 279 8 271 0 MCPICKENS, TRAVISHIA 1112773 8 279 10 33 72 0 09/20/17

515 0 531 16 515 0 MCMELANCON, MEGAN 1112781 16 531 10 42 72 0 10/03/17

1,879 0 1,919 40 1,879 0 MCBLANK, SUSAN 1112795 40 1,919 10 90 31 0 10/24/17

743 0 775 32 743 0 MCBRENNAN, BETTY 1112798 32 775 52 42 50 0 10/25/17

Page 88 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

507 0 523 16 507 0 MCEAST, BRUCE 1112898 16 523 10 11 99 0 04/25/18

174 0 190 16 174 0 MCHILLIER, JOSHUA 1112835 16 190 37 14 87 0 01/23/18

500 0 158 8 150 0 MOECKLES, TROY 1112837 50 550 59 65 99 392 11/09/17

1,361 0 1,409 48 1,361 0 MCHERRINGTON, JANA 1112867 48 1,409 65 65 82 0 03/01/18

0 0 0 0 0 0 MCESCHENBACH, ELIZABETH 1112869 0 0 90 61 72 0 03/02/18

404 0 420 16 404 0 MCFOOTMAN, FLAMISECEN 1112813 16 420 90 90 31 0 11/02/17

295 0 311 16 295 0 MCDESCHNER, ANGELA 1112822 16 311 52 53 53 0 12/01/17

0 0 0 0 0 0 MCGERMAN, BRANDY 1112823 0 0 38 36 73 0 12/01/17

441 0 465 24 441 0 MCBROWNSON, BRIAN 1112766 24 465 52 33 56 0 09/09/17

0 0 0 0 0 0 MCSCHRECK, JOAN 1112808 0 0 59 53 99 0 11/03/17

2,051 0 2,147 96 2,051 0 MCCOPELAND, PATRICIA 1112792 96 2,147 52 53 33 0 10/19/17

295 0 311 16 295 0 MCFORGENIE, DWAYNE 1112786 16 311 52 44 72 0 10/10/17

0 0 0 0 0 0 MCORELLANA, OLGA 1112824 0 0 52 90 27 0 11/29/17

156 0 188 32 156 0 MCSOTO, LINDA 1112885 32 188 10 90 72 0 04/02/18

213 0 229 16 213 0 MCGUINN, IRIS 1112861 16 229 52 90 31 0 02/21/18

0 0 0 0 0 0 MCMCGEE, DEBRA 1112794 0 0 10 32 99 0 10/24/17

299 0 315 16 299 0 MCYSAGUIRRE, ERICA 1112770 16 315 52 52 29 0 09/18/17

1,909 0 1,973 64 1,909 0 MCWOODDELL, JOHN 1112894 64 1,973 13 36 72 0 04/18/18

255 0 271 16 255 0 MCCATERINA, IRMA 1112862 16 271 52 42 27 0 02/22/18

312 0 328 16 312 0 MCRODRIGUEZ, MARIA 1112807 16 328 49 42 99 0 11/03/17

1,098 0 1,138 40 1,098 0 MCHAYES-WESTON, MIYOSHA 1112858 40 1,138 49 51 56 0 02/02/18

Page 89 of 102

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Accident

Date Stat

Claim



Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

0 0 8 8 0 0 MCQUINLAN, REBECCA 1112785 8 8 65 60 06 0 10/09/17

350 0 366 16 350 0 MCMORENO, DIANA 1112820 16 366 52 53 31 0 11/27/17

1,096 0 1,112 16 1,096 0 MCTEETS, GENE 1112945 16 1,112 40 37 15 0 08/07/18

241 0 249 8 241 0 MCTHORNTON, ANN 1112883 8 249 10 44 46 0 03/27/18

639 0 679 40 639 0 MCBYARS, KRISTEN 1112899 40 679 13 56 12 0 03/28/18

504 0 528 24 504 0 MCHANKINS, DARLA 1112850 24 528 38 35 72 0 02/13/18

412 0 436 24 412 0 MCREYES, CRISTINA 1112910 24 436 37 35 56 0 05/08/18

273 0 289 16 273 0 MCHARRIS, SHELLY 1112959 16 289 52 90 33 0 08/28/18

0 0 114 114 0 0 MCTREVINO, RACHEL 1112931 114 114 59 65 99 0 06/15/18

822 0 862 40 822 0 MCTURNBULL, GLEN 1112903 40 862 49 35 17 0 05/02/18

2,761 0 3,033 272 2,761 0 MCMCGREGOR, JANE 1112833 272 3,033 49 33 13 0 01/18/18

272 0 280 8 272 0 MCGARZA, ASTRID 1112856 8 280 10 90 17 0 02/15/18

0 0 0 0 0 0 MCMUZSLAY, PAMELA 1112772 0 0 90 90 31 0 09/20/17

702 0 734 32 702 0 MCMALDONADO VEGA, MARIA 1112791 32 734 52 63 33 0 10/18/17

301 0 333 32 301 0 MCVILLARREAL, LAILAH 1112868 32 333 10 20 72 0 03/01/18

367 0 407 40 367 0 MCHAYES, CAROL 1112784 40 407 49 53 54 0 10/06/17

267 0 283 16 267 0 MCSALINAS, MONICA 1112821 16 283 04 33 09 0 11/30/17

2,077 0 2,109 32 2,077 0 MCVILLANUEVA, ALEJANDRA 1112826 32 2,109 90 90 29 0 12/11/17

0 0 24 24 0 0 MCSANTA BEAUCHAMP, CYNTHIA 1112901 24 24 59 65 45 0 04/27/18

164 0 172 8 164 0 MCALAM, SARAH 1112919 8 172 25 14 01 0 05/25/18

340 0 356 16 340 0 MCHARMON, JENNIFER 1112819 16 356 52 90 31 0 11/13/17

Page 90 of 102

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Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

164 0 172 8 164 0 MCSANCHEZ, ALICIA 1112843 8 172 04 54 01 0 02/02/18

193 0 201 8 193 0 MCWRIGHT, BETTY 1112800 8 201 10 44 72 0 10/30/17

1,200 0 1,271 71 1,200 0 MCJAFARI-ROUHANI, JESSICA 1112839 71 1,271 52 90 60 0 01/29/18

243 0 259 16 243 0 MCTHORNE, KYRA 1112768 16 259 66 91 01 0 09/15/17

1,442 0 1,490 48 1,442 0 MCSINDERS, LYNNETTE 1112928 48 1,490 52 56 46 0 06/01/18

1,034 0 1,074 40 1,034 0 MCKRENN, AMANDA 1112961 40 1,074 52 42 99 0 08/29/18

164 0 180 16 164 0 MCJESANI, AZMINA SHAHNOOL 1112900 16 180 59 14 99 0 04/24/18

0 0 98 98 0 0 MCLE, THUAN 1112940 98 98 52 31 56 0 06/19/18

1,822 0 1,870 48 1,822 0 MCPORTER, ORA 1112902 48 1,870 59 19 29 0 04/30/18


479 0 495 16 479 0 MCHAWTHORNE, CHRISTINE 1112896 16 495 52 90 31 0 03/29/18

0 0 0 0 0 0 MCMACE, SHEILA 1112845 0 0 52 90 45 0 02/06/18

386 0 402 16 386 0 MCGONZALES, DAHLIA 1112830 16 402 10 18 72 0 01/11/18

566 0 582 16 566 0 MCGOODNIGHT, TAMMIE 1112801 16 582 38 33 99 0 10/30/17

335 0 359 24 335 0 MCRUBIO, IRMA 1112840 24 359 10 44 72 0 01/30/18

500 0 308 16 292 0 MOBLANCHARD, JOAN 1112855 50 550 52 90 45 242 02/15/18

287 0 295 8 287 0 MCGOLDEN, CYNTHIA 1112838 8 295 40 19 25 0 01/26/18

546 0 562 16 546 0 MCSWITZER, SAVANNAH 1112908 16 562 10 53 72 0 05/04/18

295 0 311 16 295 0 MCPORTILLOS, TOMASA 1112796 16 311 66 17 01 0 10/25/17

346 0 390 44 346 0 MCVIELMA, MARIA 1112930 44 390 07 11 46 0 06/07/18

479 0 495 16 479 0 MCOLGUIN, RENE 1112849 16 495 10 54 19 0 02/05/18

Page 91 of 102

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Accident

Date Stat

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Total Inc Nature

Body

Part Cause




Reserve

Clear Creek ISD

133 0 157 24 133 0 MCGONZALEZ, GLORIA 1112881 24 157 49 33 72 0 03/27/18

0 0 0 0 0 0 MCNGUYEN, MUOI 1112942 0 0 13 36 12 0 07/31/18

656 0 680 24 656 0 MCGRABOWSKI, JENNIFER 1112834 24 680 10 53 31 0 01/24/18

694 0 710 16 694 0 MCLUMPKIN, SUZANNE 1112815 16 710 40 36 16 0 11/14/17

1,467 0 1,515 48 1,467 0 MCLANE, KELLY 1112946 48 1,515 52 90 31 0 08/04/18

917 0 957 40 917 0 MCGARCIA, KORINNA 1112929 40 957 13 56 12 0 06/05/18

701 0 741 40 701 0 MOPERRY, JESSICA 1112854 40 741 52 90 45 0 02/15/18


1,885 0 1,989 104 1,885 0 MCO'NEAL, REBECCA 1112775 104 1,989 10 56 17 0 09/25/17

1,337 0 1,406 69 1,337 0 MCFINALES, YUSSIMI 1112938 69 1,406 25 14 06 0 07/13/18

261 0 269 8 261 0 MCRUIZ, LUIS 1112872 8 269 40 19 19 0 03/09/18

263 0 279 16 263 0 MCMARSHALL, CHRISTIAN 1112799 16 279 25 14 87 0 10/26/17


182 0 205 23 182 0 MCMANKIN, TIFFANY 1112836 23 205 90 41 72 0 01/25/18

2,936 0 3,072 136 2,936 0 MCBALTAZAR-ALDAMA, ANA 1112797 136 3,072 52 42 56 0 10/25/17

1,337 0 1,377 40 1,337 0 MCCARROLL, BILLY 1112827 40 1,377 49 55 31 0 12/14/17

289 0 297 8 289 0 MCOWENS, TRACY 1112916 8 297 52 90 31 0 05/17/18

1,273 0 1,517 244 1,273 0 MCBIONDO, DOMENIC 1112828 244 1,517 52 34 12 0 12/20/17

1,575 0 1,655 80 1,575 0 MCPEREZ, IRENE 1112812 80 1,655 90 90 29 0 11/09/17

882 0 922 40 882 0 MCFLORES, ROBERTO 1112776 40 922 52 42 57 0 09/25/17

0 0 0 0 0 0 MCDAVIS, JENNIFER 1112774 0 0 38 33 73 0 09/19/17

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479 0 495 16 479 0 MCFANUIEL, LENORA 1112863 16 495 49 90 31 0 02/23/18

3,414 0 3,638 224 3,414 0 MCHUTCHISON, ANGELA 1112887 224 3,638 59 38 33 0 04/06/18

0 0 0 0 0 0 MCREITZ, BARBARA 1112892 0 0 49 55 25 0 04/02/18

597 0 629 32 597 0 MCSMITH, BARBARA 1112788 32 629 52 38 72 0 10/16/17

818 0 866 48 818 0 MCARIF, AMBREEN 1112805 48 866 52 53 31 0 10/26/17

599 0 615 16 599 0 MCCOVERT, CLARLYN 1112842 16 615 49 90 25 0 02/01/18

456 0 472 16 456 0 MCHILL, JEFFREY 1112932 16 472 40 36 19 0 06/21/18

261 0 269 8 261 0 MCCRESSWELL, JACQUELINE 1112857 8 269 38 35 72 0 02/16/18

534 0 558 24 534 0 MCBERNARD, KELLY 1112926 24 558 37 35 12 0 05/31/18

384 0 416 32 384 0 MCCOLE, CHRISTOPHER 1112954 32 416 36 56 85 0 08/22/18

2,982 0 3,126 144 2,982 0 MCMAGALLON, ASHLEY 1112879 144 3,126 49 35 17 0 03/26/18

375 0 391 16 375 0 MCDELANEY, CRYSTAL 1112920 16 391 49 55 31 0 05/25/18

293 0 301 8 293 0 MCO'BOYLE, CHYREL 1112852 8 301 52 42 31 0 01/24/18

744 0 768 24 744 0 MCGARCIA, MONICA 1112906 24 768 52 90 29 0 04/25/18

910 0 950 40 910 0 MCBALABAN, LAURA 1112846 40 950 04 33 05 0 02/13/18

1,054 0 1,078 24 1,054 0 MCTRAN, QUY 1112907 24 1,078 40 36 17 0 05/03/18

447 0 463 16 447 0 MCSANCHEZ, MARIA 1112918 16 463 10 36 12 0 05/21/18

579 0 603 24 579 0 MCALVARADO, BRENDA 1112870 24 603 38 35 72 0 03/01/18

479 0 495 16 479 0 MCGERONDALE, JENNIFER 1112880 16 495 28 32 81 0 03/26/18

383 0 399 16 383 0 MCDAVIS, JENNIFER 1112962 16 399 49 55 72 0 08/31/18

0 0 0 0 0 0 MCNAVARRO, DELIA 1112944 0 0 52 31 56 0 08/01/18

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0 0 0 0 0 0 MCVASQUEZ BRAVO, JOSE 1112853 0 0 52 41 12 0 01/19/18

350 0 366 16 350 0 MCRESHESKE, ELIZABETH 1112818 16 366 49 53 31 0 11/14/17

410 0 426 16 410 0 MCRUSSELL, SAMUEL 1112769 16 426 59 30 72 0 09/19/17


2,094 0 2,190 96 2,094 0 MCBURROUGHS, DEDRIC 1112878 96 2,190 52 42 56 0 03/21/18

0 0 0 0 0 0 RCJANARTHANAN, CHITRA 1112817 0 0 52 42 17 0 11/16/17

Totals : 194 399,498 17,670 277,417 104,411 377,323 17,024 274,529 85,769 22,175

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323 0 339 16 323 0 ICWICKS, LIDIA 1113082 16 339 90 90 72 0 02/12/19

0 0 0 0 0 0 ICPAUL, ROSEMARY 1113047 0 0 71 65 99 0 12/14/18

354 134 512 24 354 134 ICVO, KHANH 1113076 24 512 49 56 13 0 02/06/19

500 0 319 16 303 0 IOTRAN, LAN 1113066 50 550 52 63 46 231 01/28/19

3,259 2,976 6,450 215 3,259 2,976 ICKENNEDY, DESIREE 1113001 215 6,450 49 34 72 0 10/26/18

16,433 6,377 23,050 240 16,433 6,377 ICSUMMERS, JR., DONALD 1113002 248 23,058 28 44 28 8 10/30/18

2,133 536 2,861 192 2,133 536 ICBALTAZAR, MICHELLE 1113016 192 2,861 90 90 26 0 11/29/18

369 0 393 24 369 0 ICSALINAS, MONICA 1113040 24 393 52 55 28 0 12/20/18

668 0 708 40 668 0 ICCOBB, JOANNA 1113015 40 708 90 55 31 0 11/28/18

377 0 417 40 377 0 ICALDAMA, ABRAHAM 1112985 40 417 10 34 53 0 10/05/18

5,950 6,525 3,021 56 1,387 1,578 IOSHUPE, BELINDA 1113075 450 12,925 52 55 31 9,904 02/06/19

1,400 1,400 839 8 420 411 IOKENNEDY, DESIREE 1113091 200 3,000 90 42 33 2,161 02/25/19

19,500 2,460 1,867 16 913 938 IOGARCIA, SHEILA 1113050 400 22,360 37 15 72 20,493 01/09/19

3,480 336 3,960 144 3,480 336 ICSTOVER, CYNTHIA 1113021 144 3,960 04 56 09 0 12/04/18

3,246 4,127 7,485 112 3,246 4,127 ICLOPEZ, MARY 1112973 112 7,485 52 55 31 0 09/18/18

3,500 2,500 4,651 207 2,344 2,101 IOHILLIER, DALE 1113063 525 6,525 52 42 17 1,874 01/23/19

10,800 5,440 3,777 64 1,480 2,233 IOSENTESI, ANITA 1113084 400 16,640 52 31 66 12,863 02/14/19

21,600 11,256 16,378 216 10,534 5,628 IOFLORES, DIANA 1113012 900 33,756 49 90 33 17,378 11/12/18

2,750 1,178 1,923 56 1,278 589 IOELIZARDO, MARTA 1113078 200 4,128 10 44 29 2,205 02/07/19

500 0 0 0 0 0 IOROSALES, SAMANTHA 1113104 50 550 59 65 99 550 03/21/19

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1,820 2,146 4,054 88 1,820 2,146 ICFLUCKIGER, JEFFREY 1112988 88 4,054 52 42 60 0 10/10/18

500 0 0 0 0 0 IOHOBSON, JOAN 1113093 50 550 10 14 31 550 03/04/19

2,853 6,391 9,479 235 2,853 6,391 ICDALY, SARAH 1112980 251 9,495 10 45 31 16 09/28/18

3,450 266 498 0 308 190 IOMATTHEWS, DONNA 1113102 200 3,916 49 35 46 3,417 03/19/19

0 0 0 0 0 0 ICMYLOTT, BROOKE 1112974 0 0 59 65 99 0 09/21/18

1,373 1,742 3,163 48 1,373 1,742 ICSMITH, DEBRA 1113022 48 3,163 52 53 99 0 12/04/18

32,600 7,304 27,047 488 25,776 783 IOGAULT, CHARLES 1112978 750 40,654 28 55 29 13,607 09/26/18

20,450 13,695 29,628 620 17,791 11,217 IORITCHIE, BRENDA 1112971 700 34,845 52 53 53 5,217 09/18/18

2,786 3,752 6,786 248 2,786 3,752 ICBALTAZAR-ALDAMA, ANA 1112990 256 6,794 52 42 99 8 10/11/18

3,009 0 3,129 120 3,009 0 ICRYALS, LA QUINTA 1112997 120 3,129 52 54 60 0 10/18/18

748 699 1,487 40 748 699 ICUTSEY, SHERRY 1113057 40 1,487 40 33 46 0 01/18/19

0 0 8 8 0 0 ICCHYTKA, ROSALINDA 1112996 8 8 90 91 99 0 10/17/18

459 0 475 16 459 0 ICCONTRERAS OLGUIN, RENE 1113067 16 475 52 38 17 0 01/28/19

4,000 0 2,134 56 2,078 0 IOLONERO, MELANIE 1112998 350 4,350 49 42 33 2,216 10/18/18

11,500 14,070 12,265 80 10,309 1,876 IOCORNOR, TAMARA 1113081 400 25,970 52 42 17 13,705 02/08/19

27,600 4,898 23,818 549 22,161 1,108 IOGOMEZ, GLORIA 1112963 1,220 33,718 52 38 31 9,900 09/06/18

4,000 3,156 5,927 119 2,652 3,156 IOMARTIN, TRANEE 1113005 300 7,456 90 90 60 1,529 10/30/18

3,600 2,204 3,010 280 2,730 0 IOKOZLEK, SOPHIE 1113013 300 6,104 10 55 29 3,095 11/13/18

0 0 0 0 0 0 ICCISNEROS, JOYCE 1113103 0 0 59 65 99 0 03/19/19

500 0 0 0 0 0 MOCAROCCIO, SARAH 1113100 50 550 40 56 19 550 03/18/19

500 0 0 0 0 0 MOPONCE, SANTA 1113101 50 550 52 53 12 550 02/27/19

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500 0 0 0 0 0 MOALEXANDER, NICOLE 1113110 50 550 59 14 99 550 03/28/19

1,200 0 0 0 0 0 MOREED, CHERYL 1113105 75 1,275 40 11 98 1,275 03/22/19

500 0 0 0 0 0 MOPEREZ, GLORIA 1113107 50 550 10 53 29 550 03/22/19

500 0 0 0 0 0 MOYANDA, LEEANN 1113114 50 550 13 56 12 550 04/03/19

500 0 0 0 0 0 MOCHAGOYA, GRACIELA 1113116 50 550 90 90 27 550 04/04/19

500 0 0 0 0 0 MOVALENCIA, DAVID 1113112 50 550 52 38 17 550 03/29/19

545 0 561 16 545 0 MCMARTIN, DONNA 1113068 16 561 52 90 72 0 01/30/19

500 0 30 8 22 0 MOQUINTERO, PATRICIA 1113097 50 550 59 53 29 520 03/07/19

1,003 0 1,059 56 1,003 0 MCRICHARDSON, DEANA 1113036 56 1,059 52 53 25 0 12/13/18

371 0 387 16 371 0 MCGORRELL, SUSAN 1113037 16 387 90 19 72 0 12/13/18

285 0 293 8 285 0 MCBRIDGES, LISA 1113048 8 293 10 54 31 0 01/07/19

0 0 0 0 0 0 MCLEGG, ERIN 1113094 0 0 38 35 73 0 03/05/19

0 0 0 0 0 0 MCBROWN, JUDY 1113054 0 0 49 33 72 0 01/14/19

0 0 0 0 0 0 MCSARMIENTO, MATILDE 1113062 0 0 52 32 60 0 01/15/19

685 0 717 32 685 0 MCRICHARDSON, DEANA 1113073 32 717 40 53 69 0 02/01/19

3,350 0 950 24 926 0 MOBEAUCHAMP, DONNA 1113088 300 3,650 52 90 31 2,700 02/23/19

2,900 0 1,623 72 1,551 0 MOJOHNSON, LINDA 1113056 230 3,130 90 90 31 1,507 01/16/19

560 0 576 16 560 0 MCMYERS, TORRIE 1113032 16 576 40 36 19 0 12/12/18

389 0 405 16 389 0 MCBOUNDS, MISTY 1112970 16 405 10 56 17 0 09/17/18

251 0 259 8 251 0 MCWALLACE, MARLA 1112972 8 259 37 14 72 0 09/19/18

969 0 1,017 48 969 0 MCHENNINGER, LORI 1112982 48 1,017 49 90 27 0 10/01/18

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762 0 794 32 762 0 MCIBARRA VILLA, SALVADOR 1113011 32 794 52 54 17 0 11/09/18

1,865 0 142 8 134 0 MOGRIFFIN, DAVID 1113059 230 2,095 10 90 45 1,953 01/15/19

1,502 0 1,566 64 1,502 0 MCBALTAZAR, MICHELLE 1113045 64 1,566 52 53 29 0 12/21/18

510 0 534 24 510 0 MCRAMIREZ, TERESA 1113029 24 534 43 35 99 0 12/10/18

455 0 471 16 455 0 MCVANCAMP, ERIN 1113030 16 471 10 53 72 0 12/11/18

797 0 821 24 797 0 MCREYNOLDS, JAMIE 1112967 24 821 40 19 25 0 09/12/18

666 0 698 32 666 0 MCGIACOLETTO, ETHEL 1113006 32 698 40 35 70 0 11/05/18

500 0 512 24 488 0 MOSTRAUSSER-LARES, DANA 1113080 50 550 37 53 72 38 02/11/19

500 0 0 0 0 0 MOHOLK, ROBIN 1113095 50 550 52 90 27 550 03/01/19

686 0 718 32 686 0 MCSPRY, LATRICIA 1113023 32 718 04 33 46 0 12/05/18

1,297 0 1,353 56 1,297 0 MCWILLE, SARA 1112989 56 1,353 52 39 12 0 10/08/18

181 0 189 8 181 0 MCELMORE, LEENA 1113004 8 189 52 57 12 0 10/23/18

401 0 417 16 401 0 MCCLEMMONS, LINDSEY 1113014 16 417 59 36 85 0 11/14/18

2,205 0 2,305 100 2,205 0 MCGARCIA, PERLA 1112993 100 2,305 59 24 99 0 10/12/18

324 0 332 8 324 0 MCVIRANI, KIMBERLY 1112999 8 332 59 11 75 0 10/23/18

449 0 473 24 449 0 MCRIZER, DEBORAH 1113027 24 473 10 53 72 0 12/05/18

333 0 357 24 333 0 MCHAYES, HARRIET 1113043 24 357 52 38 31 0 12/20/18

436 0 452 16 436 0 MCUFFMAN, MARY 1113070 16 452 49 36 72 0 01/15/19

462 0 478 16 462 0 MCMILLER, LORHEA 1113087 16 478 10 57 13 0 02/15/19


699 0 723 24 699 0 MCHERNANDEZ, ELIZABETH 1113086 24 723 52 90 31 0 02/20/19

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1,200 0 846 32 814 0 MOSINGLETON, AMY 1113089 70 1,270 10 53 27 424 02/25/19

598 0 622 24 598 0 MCGARZA, ASTRID 1113079 24 622 10 90 27 0 02/11/19

821 0 861 40 821 0 MCMARTINEZ, YASMINA 1113033 40 861 90 90 29 0 12/10/18

347 0 363 16 347 0 MCCASTILLO, MARIA 1112995 16 363 37 17 72 0 10/17/18

302 0 318 16 302 0 MCLOZANO, MARIA 1113060 16 318 90 45 31 0 01/24/19

780 0 820 40 780 0 MCSERVELLON, BRENDA 1113064 40 820 04 19 02 0 01/25/19

0 0 0 0 0 0 MCSPINNER, LEE 1113007 0 0 38 33 72 0 11/08/18

525 0 557 32 525 0 MCZANDER, ZANDRA 1112984 32 557 10 32 70 0 10/05/18

344 0 352 8 344 0 MCSMITHHART, AMANDA 1112986 8 352 52 53 31 0 10/08/18

0 0 0 0 0 0 MCFISH, RHONDA 1112976 0 0 13 36 12 0 09/24/18

0 0 0 0 0 0 MCMORALES, DIANE 1113044 0 0 38 38 73 0 12/21/18

557 0 573 16 557 0 MCLEDET, SHERRIE 1113072 16 573 90 33 72 0 02/04/19

817 0 857 40 817 0 MCRASCON MIJARES, SAIRA 1113026 40 857 52 42 56 0 12/05/18

5,146 0 5,402 256 5,146 0 MCSARMIENTO, MATILDE 1112966 272 5,418 10 32 55 16 09/06/18

183 0 258 76 183 0 MCVALDEZ, CECILIA 1113042 76 258 37 90 01 0 12/19/18

320 0 336 16 320 0 MCBOGGESS, ROSA 1113031 16 336 13 36 13 0 12/11/18

0 0 0 0 0 0 MCCORNEJO FERNANDEZ, YESSICA 1113058 0 0 52 46 29 0 01/17/19

307 0 323 16 307 0 MCSURBER, CHRISTINA 1113077 16 323 10 56 72 0 02/06/19

927 0 959 32 927 0 MCEVANS, CHARNELL 1112987 32 959 10 56 17 0 10/09/18

2,150 0 856 24 832 0 MOBEDOLLA GAONA, MARIA 1113098 200 2,350 52 90 29 1,494 03/07/19

0 0 0 0 0 0 MCRITCHIE, BRENDA 1113085 0 0 52 53 72 0 02/19/19

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668 0 708 40 668 0 MCCOX RAMIREZ, KACEE 1113017 40 708 52 42 55 0 11/29/18

744 0 776 32 744 0 MCCORONADO, BELINDA 1112968 32 776 52 53 60 0 09/13/18

471 0 495 24 471 0 MCKRAKOWIAK, CHELSEA 1112965 24 495 10 42 72 0 09/06/18


295 0 319 24 295 0 MCSMOLKO III, MICHAEL 1113035 24 319 38 33 99 0 12/13/18

800 0 242 8 234 0 MOPETRY, GINA 1113096 100 900 10 11 13 658 03/06/19

485 0 501 16 485 0 MCGARZA, ASTRID 1113061 16 501 90 90 17 0 01/24/19

727 0 759 32 727 0 MCGUEVARA VANEGAS, VILMA 1112975 32 759 52 37 13 0 09/21/18


193 0 201 8 193 0 MCSPINNER, LEE 1113008 8 201 10 11 72 0 11/07/18

231 0 239 8 231 0 MCSOLOMON, SONJIA 1112977 8 239 52 33 72 0 09/25/18

1,800 0 1,223 40 1,183 0 MOAGILLARD MORRIS, ERICA 1113071 80 1,880 59 37 72 657 02/04/19

0 0 0 0 0 0 MCSENTESI, ANITA 1113046 0 0 52 90 31 0 12/18/18

500 0 0 0 0 0 MODENOVA, FELIX 1113113 50 550 49 54 31 550 03/30/19

425 0 433 8 425 0 MCVARGAS, MARIBEL 1113009 8 433 59 17 72 0 11/09/18

1,374 0 1,438 64 1,374 0 MCJONES, SARA 1112981 64 1,438 52 90 33 0 09/28/18

0 0 16 16 0 0 MCOSBORN, AMY 1113020 16 16 38 33 73 0 12/03/18

707 0 739 32 707 0 MCRODRIGUEZ, JUANITA 1113018 32 739 52 42 60 0 11/16/18

965 0 997 32 965 0 MCGREER, ERIKA 1113055 32 997 49 53 25 0 01/15/19

599 0 623 24 599 0 MCSTILLWELL, SHERYL 1113069 24 623 10 90 72 0 02/01/19

477 0 525 48 477 0 MCHARGIS, VERONICA 1113025 48 525 52 30 99 0 12/04/18

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517 0 533 16 517 0 MCMEYER, SYDNEY 1113000 16 533 10 54 29 0 10/25/18

500 0 0 0 0 0 MOSINGH, SONAL 1113111 50 550 49 38 70 550 03/27/19

500 0 0 0 0 0 MOLOZANO, MARIA 1113115 50 550 52 42 55 550 04/03/19

500 0 330 16 314 0 MOGIANNOULES, DARIA 1113090 50 550 10 90 72 220 02/26/19

182 0 247 65 182 0 MCZELAYA ARBAIZA, CLAUDIA 1112994 65 247 52 42 99 0 10/03/18

533 0 557 24 533 0 MCWAINSCOTT, KELLY 1112991 24 557 52 55 31 0 10/11/18

873 0 925 52 873 0 MOSCHOLES, GERALD 1113039 52 925 52 38 50 0 12/17/18

500 0 0 0 0 0 MODAHLHEIM, CAROLINE 1113106 50 550 59 65 99 550 03/22/19

2,300 0 1,661 48 1,613 0 MOCAPLAN, REBECCA 1113083 230 2,530 49 55 28 869 02/15/19

500 0 0 0 0 0 MOHILL, JEFFREY 1113052 50 550 52 90 45 550 01/11/19

0 0 0 0 0 0 MCMCNUTT, THERESA 1113049 0 0 59 65 99 0 01/08/19

667 0 715 48 667 0 MCWESTON, TONI 1113074 48 715 90 90 72 0 02/04/19

620 0 652 32 620 0 MCSLAUGHTER, RENAE 1113019 32 652 37 56 72 0 11/30/18

342 0 358 16 342 0 MCRAMOS, ARLETTE 1112979 16 358 52 40 31 0 09/28/18

500 0 0 0 0 0 MODREDGE, EARL 1113108 50 550 07 10 72 550 03/26/19

655 0 679 24 655 0 MCRODRIGUEZ, ROXANNE 1112992 24 679 90 90 72 0 10/11/18

579 0 679 100 579 0 MCGUERRERO, NORBERTA 1112969 100 679 04 14 02 0 09/14/18

1,513 0 1,577 64 1,513 0 MCMAKEPEACE, NINA 1113010 64 1,577 52 32 31 0 11/09/18

500 0 166 8 158 0 MOMADRAZO, ANGELA 1113092 50 550 49 53 54 384 03/01/19

593 0 625 32 593 0 MCCHAPMAN, LEE 1113034 32 625 10 55 33 0 12/11/18

188 0 196 8 188 0 MCSANDS, ELIZABETH 1113024 8 196 90 19 72 0 12/05/18

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Clear Creek ISD

648 0 672 24 648 0 MCJOHNSON, LINDA 1113038 24 672 90 51 31 0 12/04/18

339 0 355 16 339 0 MCSZANYI, BRANDY 1113003 16 355 13 57 72 0 10/30/18

346 0 354 8 346 0 MCALLEN, ALONZO 1112983 8 354 37 11 99 0 10/04/18

500 0 0 0 0 0 MOSMITH, KATHERINE 1113109 50 550 52 90 31 550 03/28/19

269 0 277 8 269 0 MCCOTTEN, HEATHER 1113041 8 277 49 55 29 0 12/20/18

0 0 0 0 0 0 RCHERNANDEZ, BRENDA 1113099 0 0 52 90 29 0 03/08/19

Totals : 152 412,668 14,184 292,918 105,566 270,775 7,369 202,386 61,021 141,893

1,319,185 4,322,059 219,701 5,860,946 1,384,571 4,416,386 233,472 6,034,429 Report Totals: 1986 173,483

Page 102 of 102

Documents

Clear Creek ISD · Claim Number Claimant Name Accident Date Stat Claim Type Comp Medical ExpenseTotal Pd Paid to Date Case Base Incurred Total Inc Nature Body Part Cause