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File #: 24-0132    Version: 1
Type: Agenda Item Status: Adopted
File created: 2/15/2024 In control: Judiciary Committee
On agenda: 3/7/2024 Final action: 3/7/2024
Title: Authority to settle the Illinois Workers’ Compensation Claim of Keith Zirbes vs. MWRDGC, Claim Number 24WC00284 in the sum of $53,344.99, Account 901-30000-601090

TRANSMITTAL LETTER FOR BOARD MEETING OF MARCH 7, 2024

 

COMMITTEE ON JUDICIARY

 

Mr. Brian A. Perkovich, Executive Director

 

Title

Authority to settle the Illinois Workers’ Compensation Claim of Keith Zirbes vs. MWRDGC, Claim Number 24WC00284 in the sum of $53,344.99, Account 901-30000-601090

Body

 

Dear Sir:

 

Keith Zirbes was a Truck Driver working at the O’Brien Water Reclamation Plant at the time of his accident. The employee has since retired from the District effective May 1, 2022. On October 2, 2021, the employee reported that he was on a tractor mowing the lawn at the Hanover Park Plant when he struck a rut causing the steering wheel to pull to the left, injuring right shoulder. He went to the industrial clinic on October 2, 2021, at which time he was initially treated with restricted work and medications. The employee underwent a procedure to repair his right shoulder on February 24, 2022, at which time he was disabled from work. Following his surgery, he underwent a course of physical therapy. He was able to return to work on April 11, 2022.      

 

The employee was paid 6.40 weeks of lost time benefits totaling $6,708.57.     

 

Subject to the approval of the IWCC, this Pro-Se case can be settled for $53,344.99, representing approximately 11.385% loss of use of the person as a whole. This settlement will close out any future lost time benefits associated with this injury.

 

The Director of Human Resources believes this settlement is in the best interest of the District and requests payment of that sum be approved and he be authorized to execute such documents as may be necessary to effect the settlement.

 

Requested, Thaddeus J. Kosowski , Director of Human Resources, TJK:BLW:RG

Disposition of this agenda item will be documented in the official Regular Board Meeting Minutes of the Board of Commissioners for March 7, 2024