ORIGINAL

?(1le delivered C(?mikJ/


CITY OFFICE

File Ciaim With:
Office of City Clerk 1
City of Redding JAN 22 20.9
777 Cypress Avenue, 3rd Floor
P.O. Box 496071 CLAIM FOR MONEY OR

BY: 
Redding, CA 96049-6071 DAMAGES AGAINST

THE CITY OF REDDING City Claim 9 8 

 

 

 

 

 

 

A claim must be presented to a public agency, as required by the Government Code of the State of California,
Section 910. Before completing this form, please read the attached instructions. You must complete each section

of this form or your claim may be returned to you as insufficient.

If additional space is needed to provide your information, please attach sheets, identifying the paragraph(s)
being answered. For questions concerning this form or the information requested, please contact Cameron
Dewey, Claims Adjuster, at either of the following: (530) 276-5322 or cameron.dewey@georgehills.com.

1. Name and address of the Claimant:

Name of Claimant: Nationwide Insurance *See List Attache, Date of Birth: 

Addr9533 Clo Berqer Kahn ALC lCraiq S. Simon Home Ph0n6949-474-1880

1 Park Plaza, Ste. 340, Irvine, CA 92614 CellPh0n61949-300-7628
seCUI'Ity Number: Ema?. csimon@bergerkahnucom

Please note that the Social Security Number is required for all personal injury or bodily injury claims pursuant to the
MMSEA (Medicare, Medicaid, and Extension Act of 2007)

 

Address to which the person presenting the claim desires notices to be sent if different from above:

 

 

 

 

 

 

 

 

2.
Name of Addressee: Same as above Telephone:
Address:
Relationship: Attorney
3. The date, place and other circumstances of the occurrence or transaction which gave rise to the claim
asserted.
Date of Occurrence: July 23, 2018 Time of Occurrence?Afternoon
Location 1 Near the intersection of Highway 299 and Carr Powerhouse Road, in the Whiskeytown district of the Whiskeytown?Shasta?Trinity National Recreation Area
Circumstances giving rise to this claim:
See attachment hereto describing the circumstances giving rise to this Claim.
4. Generai description of the indebtedness, obligation, injury, damage or loss incurred so far as it may be

known at the time of the presentation of the claim. What speci?c damage or injury are you claiming?

Claimants are insurance carriers authorized to carry on the business at insurance within the State of Calitornia. As a result ol the Carr Fire, claimants paid for repair and/or replacement

at property and in some cases additional living expenses (including loss of rent) to its insureds pursuant to various homeowners, automobile, business/commercial and property insurance policies.

 

Revised 09/29/2016 Page 1 of 5

JOB ORDER NUMBER: I?gtu 

10.

The name or names of the public employee or employees causing the injury, damage, or loss, if known.
Unknown

 

Was the Police Department or other law enforcement agency contacted? If yes, please provide a police
report number and name of agency.



Yes No Police Report No. Name of Agency

 

 

 

 

 

 

Names and addresses of all witnesses, hospitals, doctors, or other individuals having knowledge relevant
to the claim:

Unknown at this time. Includes all witnesses and fire investigators listed in the Carr Fire

 

Cause and Origin Report, Incident Reports or other investigative reports related to the

 

cause and spread of the Carr Fire in and through the City of Redding.

 

 

 

If auto accident, please complete the following: ..



Claimant?s Vehicle License No. Year/Make/Model

City's Vehicle License No. Year/Make/Model Name of Department

If amount claimed totals less than $10,000: The amount claimed, if less than ten thousand dollars ($10,000)
as of the date of presentation of the claim, including the estimated amount of any prospective injury, damage, or
loss, insofar as it may be known at the time of the presentation of the claim, together with the basis of
computation of the amount claimed.

Amount Claimed and basis for computation (include receipts, estimates, or other documents):

 

$8,127,820.58 Paid: $982,989.71 Reserves: $39,110.810.29 Total Claim; Payments made by the insurance carrier to its policyholders lor damage to property and loss of use.

 

Amount also includes reserved funds for damages incurred but not yet paid. Amount are estimated and may change based upon actual payments made on the individual claims.

 

.lf amount claimed exceeds $10,000: If the amount claimed exceeds ten thousand dollars no dollar

amount shall be included in the claim. However, it shall indicate whether the claim would be a limited civil case.
A limited civil case is one where the recovery sought, exclusive of attorney fees, interest and court costs does not
exceed $25,000. An unlimited civil case is one in which the recovery sought is more than $25,000. (See CCP 
86.)

Limited Civil Case Unlimited Civil Case

Are you receiving Medicare or will you be receiving Medicare in the next three years: YES or
Warning: Presentation of a false claim is a felony (Penal Code Pursuant to GOP ?1038, the City/Agency
may seek to recover all costs of defense in the event an action is filed which is later determined not to have been

brought in good faith and with reasonable cause. I declare under penalty of perjury that the foregoing is true and
correct. Please sign below.

Signature: I Date: 

Revised 09/29/2016 Page 2 of 5

d"

?9

Exhibit A

Attachment to Government Claim

Nationwide? List of Claims

 

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W186: lift-484831? 2.5-2 ".114. A?adf?'i'syi .. .1 017 gm '1 La 2151,1514 13518155 15.. . amages
DENNIS BRIFFA 10022 CHATEAU WOODS

617382-GH DR REDDING California 96001?8701 5 1,067,054.67 - 1,067,054.67
MARK TODD 10045 CHATEAU 

642352-GH DR REDDING California 96001-8701 5 30,817.73 5 - 5 30,817.73

629756-611 AILENE GENOFF 10049 TILTON MINE RD REDDING California 96001?8709 5 78.24 - 78.24

654577-GH EARL FISK 1007 RIVER RIDGE DR REDDING California 96003-5356 - - 5 -

617438-GH STEVEN 10144 VICTORIA DR REDDING California. 96001-9409 914,564.10 5 - 914,564.10

622752-GH CHARLES NORMAN 1017 MOSS CREEK RD REDDING California 96003-4408 5 5,382.51 - 5 5,382.51

624076-GH LOUIS GERARD 10194 VICTORIA DR REDDING California 96001?9409 1,278,570.42 - 1,278,570.42

687784-GH MARK ROHR 10209 VICTORIA DR REDDING California 96001-9410 532,625.62 5 - 532,625.62
1841246 MICHAEL MEDLEY 10249 CARROUSEL DR REDDING CA 96001-9757 55 373,208.29 296,221.71 5 669,430.00
1841247 TANYA EHORN 10255 CARROUSEL DR REDDING CA 96001?9757 55 344,757.44 8 211,242.56 556,000.00
IAROD ABRAHAM 1050 ALBION AVE RED DING California 96003?5370 188,197.32 5 - 188,197.32
631102-GH ROBERT SMITH 1057 COGGINS ST RED DING California 96003?5375 5 614,526.08 5 - 614,526.08
638388-GH LBVR LLC 1072 LAKE 8LVD REDDING California 96003-1752 5 37,193.26 5 - 5 37,193.26
NYGARD ENTERPRISES INC -

620036-GH DBA 1072 LAKE BLVD STE A REDDING California 96003-1752 5 9,789.50 - 5 9,789.50
BRENCAM INC 1090 CYPRESS AVE STE

690122-GH A RED DING California 96002-1163 5 8,640.97 5 - 5 8,640.97

653738-GH RONALD RINKER 1091 SUNRNER LN REDDING California 96001-0186 5 25,650.25 - 25,650.25
STEPHEN AND CASSIDY

624192-GH COUGHLIN 1103 SUNRIVER LN REDDING California 96001-0189 45,090.68 - 45,090.68

207742-19 MARK MEANS 1109 SHASTA WAY SHASTA LAKE California 96019-9775 5 2,340.07 - 5 2,340.07
Norman E. Nelson and Jessica 

628585-GH Nelson 11340 BENSON DRIVE SHASTA California 96087 953,237.30 5 - 5 953,237.30

670061-GH RESIN LLC 11410 CORTEZ DR REDDING California 96003-1616 26,189.34 5 - 26,189.34

RICK AND BONNIE POOL 11416 PUFFIN WAY REDDING California 96003-1691 18,777.98 - 18,777.98

657001-611 CRAIG AND PENNY POWERS 1143 SUNRIVER LN REDDING California 96001?0189 22,920.86 - 22,920.86

630324-GH COMPLEX LLC 1145 WHISKEYTOWN Ci" REDDING California 96001-0227 66,857.06 5 - 66,857.06

621509-614 Steven Smith 11480 PROSPERITY LN REDDING California 96003?1602 5 6,812.45 - 6,812.45

JOSEPH HANSEN 1149 KELLINGER ST REDDING California 96003-5380 583,299.53 5 - 583,299.53

650888-GH WILLIAM REED 11557 WIELAND ST REDDING California 96001?9611 26,488.71 5 - 26,488.71

620470-GH ALBERT PHILBRICK 1169 KELLINGER ST REDDING California 96003-5380 5 618,515.55 - 618,515.55
STANLEY 8: ROXANNA LEACH 11799 DRUNKEN GULCH 95033

1842550 RD FRENCH GULCH CA 548,274.25 5 148,860.75 5 697,135.00

RUVEND JEET SUMAN 
JEET TRUSTEES OF THE

630574-GH RUVEND 8: SUM 1191 PRESTIGE WAY REDDING California 96003-1465 25,859.60 - 25,859.60

769082-GH Boyce Muse 1192 SUNRIVER LN REDDING California 96001-0189 5 3,739.65 5 - 3,739.65
BARRY BILLINGTON

624047-GH 12516 WHISKEY CREEK RD WHISKEYTOWN California 96033 1,143,802.78 - 1,143,802.78
CONTINENTAL STREET -

678591-GH PROPERTIES LP 1255 LIBERTY ST REDDING California 96001-0814 5 39,181.98 - 39,181.98
BREWING

641740-GH COMPANY LLC 1257 OREGON ST REDDING California 96001-0414 15,640.25 5 - 15,640.25
THE SHAW FAMILY 2001

792046-GH TRUST ROBERT SHAW 12693 Platina RD Igo California 96047-9715 3 3,791.39 - 3,791.39

638984-611 KERRI RUSSELL 12780 WILLIAMSON RD REDDING California 96003-0391 5 19,492.29 - 19,492.29

632177-GH KUMAR 8: SONS INC 12886 LAKE BLVD REDDING California 96003-0396 5 59,291.98 5 - 59,291.98
Rockview Inc Money Purchase 96003-5373
PL James and Jeannette Holt,

1841189 Trus 1295 COGGINS ST REDDING CA 402,545.08 103,783.56 506,328.64
681529-GH JIM CAMPBELL 12995 BENDER ROAD IGO California 96047 - 5 - -
802991-GH Lorraine Day 1301 NORTH BLVD SHASTA LAKE California 96019-9540 14,492.46 5 - 14,492.46
748589-GH EVENTS INC - DBA 1325 EUREKA WAY REDDING Caiifornia 96001-0626 10,081.11 - 10,081.11

Marvin O'Deii as Trustee and

864202-GH Marvin O'Dell 13313 TIERRA OAKS DR RED DING California 96003-8006 5 25,443.70 5 - 25,443.70
618319-GH MONTE ACQUISTAPACE 1363 SPINNAKER DR RED DING California 96003-5389 782,097.64 - 782,097.64
674494-GH KEN HATHAWAY 13695 KIRKELIE LN SHASTA LAKE California 96019 - - -

684796-GH RICHARD WALSH 13703 PIT ST SHASTA LAKE California 96019 5 4,838.28 5 - 5 4,838.28
616949-GH DONALD LINN 1400 WHITE WATER CIR REDDING California 96003-2185 5 637,318.15 - 5 637,318.15
619167-GH RON MHOON 1421 SPINNAKER DR REDDING California 96003-5312 111,430.35 5 - 111,430.35
659798-GH KATHLEEN YOUNG 1430 SPINNAKER DR REDDING California 96003-5308 5 12,472.56 5 - 12,472.56
720451-GH AMY DODGE 1450 ORANGE AVE REDDING California 96001-1505 5 268.13 - 268.13
655627-GH AUSTIN PRELLER 1457 LAKESIDE DR REDDING California 96001?2248 5 508.00 - 5 508.00
772567-GH AUSTIN PRELLER 1457 LAKESIDE DR REDDING California 96001-2248 5 5,243.57 5 - 5 5,243.57

1842291 ALBERT RENOWDEN 15 3RD AVE CA 96052 8 11,714.02 - 11,714.02
617693-GH CODY MCCOY 15005 ROCKCREEK RD SHASTA California 96087 619,248.70 - 619,248.70
632698-GH MICHELLE SAGER 15151 Brunswick Old Shasta California 96001 1,258,750.00 - 1,258,750.00

JASON PARKER 15167 MOUNTAIN
636895-GH SHADOWS DR REDDING California 96001-9544 5 129,235.88 5 - 129,235.88

 

Page 1

 

0?

Exhibit A

Attachment to Government Claim

Nationwide" List of Claims

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

airman-1353:3883- f: Giro: .: 39?2?, $313253,ng i'Pbaid f2? ~R?e'swfe??0: ?t?tiLDag?ages?

619241-GH JOSEPH FURNARI 15241 RUGGLES RD SHASTA California 96087 5 1,258,305.12 - 1,258,305.12
William Hunter and Paula 15271 MOUNTAIN

858804-611 Hunter SHADOWS DR REDDING California 96001-9571 5 50,461.24 5 - 50,461.24
Dawn Cieliand 15285 PINES

630538-GH DR SHASTA California 96087 22,499.69 5 - . 22,499.69
GREGORY LAMBERT 15292 WHISPERING PINES

637968-GH DR SHASTA California 96087 31,137.73 5 - 31,137.73

641463-GH TARRO DUSSAULT 15296 RUGGLES RD SHASTA California 96087 737,957.14 5 - 5 737,957.14

638006-GH GREGORY LAMBERT 15300 ROCK CREEK RD OLD SHASTA California 96087 70,242.64 5 - 70,242.64
GREGORY LAMBERT 15302 WHISPERING PINES

637986-GH DR SHAST A California 96087 21,456.84 5 - 5 21,456.84

637944-GH GREGORY LAMBERT 15306 ROCK CREEK RD SHASTA California 96087 25,139.03 5 - 25,139.03

863607-GH James Bahler 15317 ROCK CREEK RD SHASTA California 96087 31,129.00 5 - 31,129.00

618296-611 LAURA SANFORD 15345 FAWNRIDGE RD FRENCH GULCH California 96033-9715 5 448,742.84 - 448,742.84

644552-GH T. FISHER 15397 PROSPECT DR REDDING California 96001-9558 5 53,732.58 5 - 5 53,732.58
BENNETT 2008 REVOCABLE 15430 STATE HIGHWAY

632539-GH LIVING TRUST 299 SHASTA California 96087-9998 38,981.91 - 38,981.91
FRANK THOMAS

620134-GH 15455 MIDDLE CREEK RD SHASTA California 96087 637,675.44 5 - 637,675.44

Michelle Sager 15470 VANTAGE PT REDDING California 96001-8710 5 10,000.00 5 10,000.00

617010-GH ALAN DEMSHER 15480 CABOOSE COURT SHASTA California 96087 1,340,445.50 - 5 1,340,445.50

684732-GH FREDRICH 15538 PROSPECT DR REDDING California 96001-9504 9,562.70 - 5 9,562.70

678831-GH GREGORY CAMPION 15578 PROSPECT DR REDDING California 96001-9504 5 24,793.83 5 - 24,793.33
MICHAEL DRALE 15585 MOUNTAIN

687456-GH SHADOWS DR REDDING California 96001-9594 5 - 5 5 
Humor Family Trust Dated

783776-GH 7/15/ 1992; Homer Phillip 15600 SOL SEMETE TRL REDDING California 96001-4388 5 8,690.22 - 5 8,690.22

636675-GH ROBERT SHUFELBERGER 15608 BROOK DRIVE California 96087 428,010.00 5 - 428,010.00
Don Murrlson 15609 STATE HIGHWAY

637639-GH 299 SHASTA California 96087 858,104.48 5 - 5 858,104.48

CRAIG AND PENNY FOWERS 1565 BANTRY Ci" REDDING California 96001?6022 5 83,434.50 5 - 5 83,434.50

286003-61 MARGARET RESENDEZ 15674 RANCHLAND DR REDDING California 96001-9503 5 14,063.85 - 14,063.85
James Parnell 15761 OLD STAGE COACH

628587-GH RD REDDING California 96001-9625 5 49,685.39 5 - 49,685.39
DESSA AND AARON

622054-GH EAGLESON 15785 HIGHLAND CIRCLE REDDING California 96001-8723 5 57,633.37 5 - 57,633.37
Donald Arnett and Twila

634786-GH Arnett 15790 HIGHLAND CIR REDDING California 96001-8722 5 59,759.19 5 - 59,759.19
JEWEL FOSTER 15864 TRINITY

632265-GH MOUNTAIN RD FRENCH GULCH California 96033-9704 5 329,680.00 5 - 329,680.00

1841258 TERRI ZAMBROVITZ 15884 LOG CABIN RD FRENCH GULCH CA 96033-9716 5 440,792.76 5 125,292.24 566,085.00

Andrea Hoheisel and Tyson

619817-GH Hoheisel 15894 GANIM LN REDDING California 96001-9407 5 894,125.33 5 - 894,125.33
COLIN PRICE 15898 LOWER SPRINGS

620153-GH RD REDDING California 96001-8704 5 361,305.71 5 - 361,305.71
Richard G. Falier and Sandra 

618700-GH Faller 15901 CINDEE LN REDDING California 96001-9406 5 719,020.85 - 719,020.85

617383-GH Frank Sebat 15907 CINDEE LN REDDING California 96001-9406 5 76,735.38 5 - 76,735.38

628271-GH BARRY BYRNE 15963 HIGHLAND CT REDDING California 96001-9738 5 36,313.66 - 36,313.66
Jamie T. and Cindy L. 96001-1719

1848137 1600 OREGON ST REDDING CA - 40,000.00 5 40,000.00

628552-GH GREGORY LAMBERT 16028 NORTH ST REDDING California 96001-9660 5 236,311.00 - 236,311.00

760136-614 KATHY CARPENTER 16103 SCHOOL ST REDDING California 96001?9606 5 340,704.46 5 - 5 340,704.46
Ban?il, Linda - DBA Linda's

729946-GH Hallmark 1615 HILLTOP DR REDDING California 96002-0240 5 1,523.00 5 - 5 1,523.00

677547-GH DEREK PARSONS 1615 RECORD LN REDDING California 96001-9401 5 3,197.13 5 - 5 3,197.13
Katherine Gardner

637814-GH 16225 TEXAS SPRINGS RD REDDING California 96001-4394 24,642.46 - 24,642.46
WILLIAM AND SHARON

745511-GH RUTLEDGE 1624 GALWAY DR REDDING California 96001-6013 5 9,221.27 5 - 5 9,221.27

629735-GH Paul Zedonis 16245 VALPARAISO WAY REDDING California 96001-8742 5 53,281.34 5 - 53,281.34

620493-GH DAVE TATE 16280 LAURIE ANN LN REDDING California 96001-9626 5 632,817.48 5 - 5 632,817.48

641829-GH WILLIAM SPRINGHORN 16375 SOUTHVIEW CT RED DING California 96001-9637 5 1,814.13 5 - 1,814.13

693300-GH ELIZABETH SCHROEDER 1640 OLIVE AVE RED DING California 96001-1421 5 1,614.40 5 - 5 1,614.40

672190-GH MICHAEL COLBERT 16602 VLADIMIR CT REDDING California 96001-9700 5 - 5 5 
Edward Prader and Annette

911957-GH Prader 1664 OLIVE AVE REDDING California 96001-1421 5 7,439.44 5 - 7,439.44

862733-GH NORTH STATE GROCERY INC 1665 Main St Weaverville California 96093 161,841.87 - 161,841.87

658387-GH TARA BRAEMER 1685 EL CAPITAN DR REDDING California 96001-2975 5 24,423.40 5 - 24,423.40

Page 2

 



x4

Attachment to Government Claim

Exhiblt A

Nationwide' List of Clalms

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Emma 444531.51. 3.23 0193.34.31.31} s51? .. 21in. ?7 151338 
FRANKLIN, CARL 
FRANKLIN, CARL A-
SR-PARTNER 15932 PALM AVE ANDERSON California 95007-8238 5 9,171.24 - 9,171.24
579841-GH CRAIGTRAUGOTT 1597 EL CAPITAN DR REDDING California 95001-2975 14,331.10 - 14,331.10
705173-GH JASON HART 1714 MILO AVE California 95001-3f18 - 5 - '5 -
696230-GH 1735 RECORD LN REDDING California 95001-0000 5 2,885.32 5 - 5 2,885.32
718155-5H JAMES AND DIANE DEGEN 17425 PITTIM DR REDDING California 950033594 5 9,122.37 - 9,122.37
539309-5H KEVAN AARONS 17838 DEAN RD California 95003-0455 8 - - -
VINE BARREL 95003-0303
(DBA) VINE AND BARREL ETAL 17900 CONSTRUCTION
1842409 WAY STEA REDDING CA 54,391.00 15,109.00 5 79,500.00
WEST HARBOR HEALTHCARE
515182-GH LLC 1835 GOLD RUSH ST REDDING California 95001 53,717.00 5 - 53,717.00
524992-GH DENNIS DIEMER 1872 LAKESIDE DR REDDING California 95001-5019 5 - - -
518505-GH ELLA BLY-GUEST 1895 KINGSWOOD WAY REDDING California 95003-2158 5 1,220.35 5 - 5 1,220.35
1855550 JAMES ROACH 19149 KAMLOOP RD if LAKEHEAD CA 95051-9551 5,945.50 - 5 5,945.50
755014-GH BRENT VAN AUKEN 1928 CHESTNUT ST REDDING California 95001-1738 5 - - 5 -
Brent Van Auken and Rachel
756038-GH Van Auken 1928 CHESTNUT ST REDDING California 95001-1738 5 4,129.54 5 - 5 4,129.54
528548-GH CAMERON MIDDLETON 1944 MARY LAKE DR REDDING California 95001-5518 5 - 5 - -
CHRISTOPHER AND LISA
712017-GH CHITWOOD 1953 KINVARRA WAY REDDING California 95001-5585 12,704.81 5 - 12,704.81
551273-GH ANDREW HOWES 2034 10TH ST California 96001-0322 33,089.27 5 - 33,089.27
REDDING PATHOLOGIST A
548142-GH PARTNERSHIP 2035 RAILROAD AVE REDDING California 95001-1801 5 - 5 - -
MEDICAL HOME CARE
779990-5H PROFESSIONALS INC 2115 CHURN CREEK RD REDDING California 95002-0732 5 - - 5 -
152294-GI JOSHUA MILLER 2135 ALDEN AVE California 95002-2338 5 18,010.13 - 18,010.13
537284-GH DAVID SHAFER 2158 KILDARE DR IREDDING California 95001-5542 5 - - -
518874-5H NOREEN DOYAS 220 MOONSTONE WAY IREDDING California 95003-3325 5 25,978.32 5 - 25,978.32
519751-5H GLENNEDA EVANS 220 OLEANDER CIR BEDDING California 95001-4841 5 12,022.72 5 - 12,022.72
703585-5H JACKIE HARRIS 2249 HARLAN DR REDDING California 95003-3475 5 304.38 - 5 304.38
Andego Jeanplerre and
916472-GH Hannah Jeanpierre 2271 AVE California 96001-0922 5 6,698.81 5 - 6,698.81
531055-5H DREW PETERSON 2320 DARTMOUTH DR REDDING California 95001-5818 5 - 5 - -
641946-GH CAPITOLA CARMONA 240 MORA CT REDDING California 95003-3400 5 7,828.49 5 - 5 7,828.49
1845925 MARILYN SADERLUND 2418 HENDRICKS RD LAKEPORT CA 95453-9488 56,407.82 5 42,479.89 5 98,887.71
742369-GH FARLEY 2453 SNOW LN California 95003-3420 5 3,589.94 5 - 5 3,589.94
572358-5H BRIAN CAMP 2587 REDDING California 95003-3484 5 11,295.32 5 - 11,295.32
535808-5H JEPEERY GORDER 2548 LAKE REDDING 0R REDDING California 95003-3405 5 12,921.18 5 - 12,921.18
1842085 PINE LLC 25500 HIGHWAY 243 CA 92549 2.21 i .02 5 2,211.02
Jim Ostarday and Tracy
704958-5H Osterday 2571 LAKE REDDING DR REDDING California 95003-3405 5 23,417.47 5 - 23,417.47
558407-5H GARY 2702 LAKE REDDING DR California 95003-3404 5 7,510.52 5 - 5 7,510.52
590123-GH DAVID LANPORD 277 CT REDDING California 95003-2155 5 5,792.05 5 - 5 5,792.05
624384-GH JERRY AVERY 2792 TREE DR REDDING California 95001-3773 23,501.75 - 23,501.75
535524-GH DOUGLAS CAMPBELL 2838 URANIUM CT Caiifornia 95003-3338 5 37,055.80 5 - 37,055.80
704722-GH DENNIS BROWN 2859 VIRGINIA AVE SHASTA LAKE California 95019-2305 5 15,272.93 5 - 15,272.93
SEVEN HILLS LAND CATTLE,
732447-GH 28740 INWOOD RD SHINGLETOWN California 95088-9588 5 19,332.55 5 - 19,332.55
755808-GH SEVEN HILL LLC-DBA 28740INWOOD RD SHINGLETOWN California 95088-9588 5 11,414.34 - 5 11,414.34
547853-GH ROBERT MIDDLETON 2894 FANTENELLCT REDDING Caiifornia 95003-5435 5 14,557.92 5 - 14,557.92
Brent Van Auken and Rachel
750813-5H Van Auken 2925 MAHAN ST REDDING California 95001-3519 5 9,348.40 - 5 9,348.40
558422-GH JR. WHARTON 2955 SHASTA ST REDDING California 95001-1332 5 7,192.22 5 - 7,192.22
527481-GH Gary Brown 2981 BALATONAVE REDDING California 95001-5055 5 - - -
517240-5H SUSANNE LUNSFORD 2985 HARLAN DR REDDING California 95003-3314 355,831.71 5 - 355,831.71
TIMOTHYVANNI 2989 HOWARD DR REDDING California 95001-5104 5 2,788.21 5 - 5 2,788.21
GREG AND KATHY
624947-GH RASMUSSEN 2992 QUARTZ HILL RD REDDING California 535003-1137 12,015.35 5 - 12,015.35
871985-GH BLAINE NEAL 3000 STONECREST PL REDDING California 95001-5122 5 12,281.42 5 - 12,281.42
789532-GH PHIL MITSUEDA 3037 TWIN BLVD SHASTA LAKE California 95019-2324 5 1,241.00 5 - 5 1,241.00
Margaret Cabalar and
188155-51 Anthony Cabaiar 3045 VALENTINE LN REDDING California 95001-3903 5 255.17 - 5 255.17
887266-GHJoseph 3050 RYAN LN REDDING California 95003-0000 5 597.54 5 - 5 597.54
515855-5H LORI WILBER 3050 HARLAN DR REDDING California 95003-3347 5 514,929.99 5 - 514,929.99
551031-511 WILLIAM BARBER 3113 QUARTZ HILL RD REDDING California 95003-1107 5 741.31 - 5 741.31
517883-5H STEVE 3158 WAY SHASTA LAKE California 95019-2405 5 - - -
855525-5H Linda Krtek 3193 HOWARD DR REDDING California 95001-5114 5 5,881.31 5 - 5 5,881.31
619838-GH Joshua Lahey 3247 NICOLET CT BEDDING California 96001-4647 5 - - 
791512-5H DOUGLAS HAY 3255 LAKE REDDING 0R REDOING California 95003-3311 5 - - -

 

Page 3

?r



-GH HARRIS
-GH
-GH BOBBIE GRAY
Richard Weaver and Usana
and Richard Weaver

SHEARS - DBA GREAT
FOR HAIR
171-GH CHESTER CRAWFORD
BETH MEIER

AND KATHLEEN

DOUGLAS HAY
ERIC DARLING
MCKINNON
FERRARA
Collins
4217 Collins
7228-GH DOLE
BROWN
WATSON
-GH AUTOMOTIVE
1985-GH
CHINA 333 INC.
COON

PERRY
RYAN
Landis
TTHEW MCOMBER

AKIN
PHILLIP DOROTHY
- DBA
BALKOVEK
om
ARD
Harris and The 
Trust
Luedee
NACH REINER
Jones
GRUBBS

SAHOTA DBA JKSD
RIVER
Southwick
AN
and
AND ROBERT

KANDHOLA
REUTHER
DOPKINS
Hareid
CHIEPPO
MOORE
DIVINE
TEAGUE
167 MARK CHITWOOD
MANAGEMENT
- DBA 
CENTER
STEWART
LIM
D. Miller and Toni

74765-6!

Miller

in x?

77 LAKE REDDING DR
LN
STAFFORD DR
DR

MOUNTAIN OAK DR

PLACER ST
LANTERN DR
GOLDEN HEIGHTS

TOU RMALINE WAY

WAY

SANTA ROSA WAY
WASATCH DR

78 TUS ST
ALTUS ST
AMERICANA WAY
ALTURA AVE
MAGNUMS WAY
SHASTA DAM VD
MAGNUMS WAY
EUREKA WAY
MAGNUMS WAY
ROSITA DR
OLIVE ST

43 FERRERO AY

46 SUNDAY CT
GREENHAVEN LN
MARIO AVE

LOMA VISTA DR

WASATCH DR

ORO ST
DR
FORT PECK ST
1170 LN

180 TRAVONA ST
1 FORT PECK
WAUSHARA AVE
SPIRE DR
EMILY WAY
WAY

HWY 299 EAST
IMPRESSION WAY
SAN MARTIN PL
IA MESA AVE

TRINITY ST

RIVER PARK DR
ENCHANTED WAY
KILKEE DR

1 TRINITY ST
NANTUCKET DR
MAYO COURT
TRALEE LN
RED BLUFF ST

44 FERRINGTON CT

760 CEDARS RD
762 FERRINGTON CT
BASALT CT

1 FE RRINGTON CT

Exhibit A

Attachment to Government Claim

Nationwide' List of Claims

DDING

IAKE

REDDING
REDDING
A LAKE
LAKE

NG

ALAKE

REDDING
REDDING

A LAKE
DING

A LAKE
RIVER MILLS

RIVER MILLS
A LAKE

A LAKE

A LAKE

A LAKE

REDDING

REDDING
NG California
A LAKE

REDDING
DING

REDDING

18,

13

7 1.15
784.00
271.94

74
542.00

7 760.9E
700.0C
452.05



1.2

25 158.8
7

 

Exhibit A
Attachment to Government 
Nationwide" List of Claims



4

Bradley LewIs and Sylvia Lewis

PLACER RD
MIGHTY 411
TION - DBA
PIZZA MARKET ST
LORI NEWMAN CEDARS RD
BANPHOTH PHOUANSAVANH-
LAKE BLVD. REDDING
Velure ROYAL OAKS DR REDDING
PETERSON DR REDDING
1 CHURN CREEK RD REDDING
STORE (DEA) SCHLENKER,
OMMY PLACER RD 
-GH Reed CHANCELLOR BLVD REDDING
AMMY WOISKI RIDGE RD
BORLAUG 49 PLACER RD
LANGER RECTOR CREEK RD
76-GH RAYMOND STUPEK SUNRIVER LN
BUTERA JR RD
LEISHA LN
KRAFT ROYAL OAKS DR
REHBERG MONTGOMERY CIR
8: KHAMTANG
VONG - DBA THAI

Butte ST
KHAMTANG
BUTTE ST
PETRAS NORTHRIDGE DR REDDING
7-GH ZELLER REDBUD DR
GITCHEI. SAINT MARKS ST APT
4752-GH REDDING
45-GH CAMPBELL PALATINE CT REDDING
CARROLL ROCKLIN WAY REDDING

PERI DR
THAN FRISCH 8479 ROCKLIN WAY
Schulz Jr SANTA DR REDDING 27 12.29
RIDEOUT SANTA CRUZ DR REDDING
-GH BOTTS 7 LEISHA LN
WAXER REDBUD DR REDDING
48-GH JOHNSON KNOBHILL CIR REDDING
-GH LANDMARK CIR REDDING
Pnder and Annette
LOMA ST
MARLER SUNRIVER LN REDDING
KINGSLEY SANTA CRUZ DR
GIFFORD SWASEY DR
ZANNI LEISHA LN
CHARLES ERNEST
AND JUDITH
NACHREINER 198 PLACER RD
ENTERTAINMENT II INC
HILLTOP DR
HURLBERT CHAPARRAL DR
CHIMENTI BELLAGID TER REDDING
BRANSON SUGARLOAF DR REDDING
RICHARD KILZER DBA KILZER
Richlson Ranch Rd
COX SANTA CRUZ DR
184041 AND JESSICA WALKER ADOBE CREEK RD
BARBARA GRAVES MORNING GLORY

MOSS SIERRA VISTA DR REDDING
Moss SIERRA VISTA DR REDDING
LYNN RECORD RANGE RD NG
KRINKEL SWASEY DR DING
CHARLES JOHNSON SWASEY DR REDDING
STRECKER COGGINS ST REDDING Californla 587 754.
KIRKPATRICK REDWOOD BLVD California -
EILER 1 TILTON MINE RD 867

 

Attachment to Government Claim

I:
9

BROWN TRUST

ARSUS FOODS INC. - DBA
GOODWIN
LETENDRE
RHODES
EVENTS INC - DBA
AN ANDERSON
OSTERDAY
SHUFELBERGER
EILER
LONG
STRECKER
617920-GH 
619090-GH Stone
MHOON
JENSEN
GERARD
SAMBASIVAN
1265-GH ROBERT SMITH
HENRY SCHULZ
GERALD CROFT
LONG
LONG
ABRAHAM
ES BEARD
BANNISTER
HANSEN
LONG
RICHARD CROSS
LARREL LONG
MOUNTAIN MINE
-GH REMEDIATION TRUST 1

674115-GH

621687-GH

656428-GH
666339-GH

'Nationwide Carriers Include:

Nationwide Mutual Insurance Company

AMCO Insurance Company, a Nationwide company
Allied Property and Casualty insurance Company, a Nationwide company
Depositors Insurance Company, a Nationwide company
Nationwide insurance Company of America

Allied Texas Agency Inc MGA Through CCM, a Nationwide company
Nationwide Assurance NO

Nationwide Property Casualty Insurance Company
Nationwide Agribusiness insurance Company
Nationwide Agribusiness Insurance - NAIC

Nationwide Af?nity Insurance Company

Nationwide General Insurance Company

Nationwide indemnity Company

Nationwide Mutual Fire insurance Company
Nationwide Lioyds Insurance Company

Nationwide insurance Company of Florida

Nationwide Atlantic insurance Company

Nationwide Assurance Company of Florida

Colonial County Mutual Insurance Company

Texas Lioyds Company

Exhibit A

Nationwide? List of Claims

REDDING
REDDING

California
California
California
California
A

Shasta

REDDING

California
California

California

76

27 442.88 27 442.88

1.60
7.72
.14

1.84

8,201.17

 

Nationwide Joint Underwriting

Harleysvilie Pennland insurance Company
Worcester Insurance Company
Preferred Insurance Company
Harleysviile insurance Company of New Jersey
Harieysvliie Insurance Company

Harieysviile insurance Company of New York
Harleysviile Lake States insurance Company
National Casualty Company

Scottsdale Insurance Company

Scottsdale indemnity Company

Scottsdale Surplus Lines insurance Company
Western Heritage Insurance Company
Freedom Specialty Insurance Company
Colonial County Mutual Insurance Company
Crestbrook Insurance Company

Employers insurance of Wausau

Page 6

any in

mm.? ?am ?Hi no Hu-

4

Exhibit to Claim Filed Against the City of Redding
Detailed Reponse to Question #3

Circumstances giving rise to this claim: The Carr Fire started when a flat tire on a
vehicle caused the wheel's rim to scrape against the asphalt, creating sparks that set off the
?re. The rapid and uncontrollable spread ofthe fire into and through the City of Redding was
due to the existence of a dangerous condition consisting of overgrown, uncleared brush in an
area under the control of the City of Redding, resulting in various degrees of damages. The
existence of the dangerous condition was previously known by the City of Redding as an
extreme fire danger as early as 2010, when the City devised a vegetation plan to reduce fire
hazards. The City of Redding failed to implement the proposed vegetation plan in 2010, or in
any year thereafter, leading to the damages suffered by Claimants' insureds.

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5

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