HomeMy WebLinkAbout09 CLAIM HINES 00-41 02-05-01AGENDA RE DRT
·
I I I I II II1[ I I I I I I I I I I I II
NO. 09
02-05-01
MEETING DATE'
TO:
FROM'
SUBJECT:
FEBRUARY 5, 2001
HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL
CITY ATTORNEY
CLAIM OF MARALEE J. HINES; CLAIM NO. 00-41
II I II II I I I I I I I II I I I I I I III
SUMMARY:
The City Attorney is recommending that the City Council reject Claim No. 00-41,
Maralee J. Hines.
RECOMMENDATION'
After review and investigation by the City's Claims Administrators and by this office, it is
recommended that the City Council reject the claim and direct the City Clerk to send
notice thereof to the claimant and the claimant's attorneys.
FISCAL IMPACT:
There is no fiscal impact with this action.
BACKGROUND:
The claimant indicates that the front bumper of his 1996 Honda Civic was slit on the
passenger side by an orange and black pole that had been placed in the middle of the
inside lane of Newport Boulevard. The responsible party to address this claim is
whatever contractor was working in the area and placed the pole in the roadway. At the
present time, the City does not have any record of any permits having been issued for
work in this area. The City had no notice of the placement of this pole in the roadway.
In this situation, the City would not be liable for the damage. The amount claimed is
$537.27.
ATTACHMENTS'
Claim
31785\1
CITY OF TUSTIN ' "--
AGAINST THE CiTY O, .. uSTIN
(For Damages to Persons or Personal PropertY)
The law provides generally that a claim must be filed with the City Clerk of the City of.Tustin within six ('6)
months after th.e incident or event occurred. Be sure your claim is against the City of Tustin, not another
public entity.' Where space is insufficient, please use additional paper and identify information by
paragraph number. Completed claims must be mailed or delivered to the City Clerk, City of Tustin, 300
Centennial Way, Tustin, California 92780.
WHEN COMPLETING THIS FORM, PLEASE TYPE OR USE BLACK INK
-.
·
TO the Honorable Mayor and City Council, City of Tustin, California'
Tl~e undersigned respectfully submits the following 'claim and information relative to damage to person
and/or property:
1. a. Name of Claimant: ¢v%P,~ "~ ~,1~ ~ ~. .~_.-~, ~ '1, ~ ~,.~'
b. Address of Claimant:_ ~ ~ '.-7' /R'~)/tI~ A3 '~-,...I". ~.~ ....
c. CitylZipCode: ..%. iR. \.1' ~ ./'0 ~ '.(~./'4- ~ 9, 6'A 0
d. Telephone Number:_.
e. Date of Birth' ~ ~" ~ ~ - -'~ 0 ,.. :', .. '
f. Social SecuritY NU'mber: __~-r../.-7- .~ %.- ,..~"~ ;~ ~ "
g. Driver License Number: /t-- O_..~.. ~'--,'- ! c~ o ~ .
·
.
Name, telephone, and post office address, to which claimant desires notices to be sent (if other than
above): ...... . ....... .. . ....
...
.
This claim is submitted against:
a. ¢' ....The City of Tustin. only.
b. .... The following employee(s)of the City of Tustin only:
C.
. .
The city of Tustin and tl~e foll~,in~ emP'loy;ee(s)o{ th'e"City of Tustin o'n'lY:
.
Occurrence or event from which the claim arises:
a. Date: .... 1, t -- 3_~~- O0
b. Time: .10.'. ~o t2'f~.
C. Place (Exact and Specific Location)'
. _
How and under what circumstances did damage or injury oCcur? Specify the particular
occurrence, event, act or omission you claim caused the injury or damage (use additional
.
0
.
e.
What particular action by the CitY, or its employees, caused the' alleged damage or injury?
_ f'.'l-.~e_,¢~ ~to.-r.. o ?.A.N oRor. tO Or;,. ~- ¢,.~-_~e,~.. ~ L,~ .!/,) T'tq¢
Give a description of the injury, property da?age or loss so far known at the time of this claim. If
there were no injuries,' state "no injuries''. ' ?,d o ~'.cd ~ ~ ~..t. ~ % ,t
Give the name(s) of the City employee(s) causing the damage or injury:
_ ~.'e> '-F/ .~."..~ ~ to .~J . _ ,
Name and address of any other person injured'
rdof~ ~
et
,
Name and address of the Owner of anY damaged property: __ 0/% x/ ' !--:t-~/:V .r') A o M L.,~/.
/o o 0 ~. ,~, ~ .~, V L-'T ?, /-c. .z. ~ I/u !/o Z~, u._~ ~ r.-,.,o. ., ,, ~ .. 5 t ~'. ~ ~. .
Damages Claimed' ~
a.' Amount claimed as of this date: .5' %-'1., ..'~.~
b~ Estimated amount of future costs'
, , ·
·
c. Total amount claimed
d.
Attach basis for comTp'Utation of amounts claimed (inclUde cOpies'of all billS, invOices,
estimates, etc.) ~ ~ T~ ~ f~ T ~- ~'/,00 ~ O .~ ~'O. .
10.
Names.and addresses of all witnesses, hospitals, d°ctors, etc. CA-¢~ ~ fo 6-~' Rs ---
..], n/¢/~¢._ t-.//NE. $.. '~ ~ / / _ (~
~/- aL,,-_ ..-TR '/'~ O-_ o_..,~ 'y' ,,-.//,,u ~.~. ~
=,_-- ,=; .... . , .... ....
WARNING'
IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM
(Penal Code Section 72'; Insurance Code Section 556.0)
I have read the matters and statements made in the above claim and ! know the same to be true of my
own knowledge, except as to those matters stated to be upon information or belief and as to such matters I
·
believe the same to be true. I certify under penalty of perjury that the foregoing is true and correct.
Claimant's Signature: .. ~ ¢_.,_ _- ,-¢~
-- (_/
Executed this .. I ~ day of ~~_o ~ I'~ L~ ~ r~
Date fi'led this.,z ct ,4 day of
2:CLAIM (1/00) ·
SHOP CONTACT'
IRVINE AUTO COLLISION
16101 CONSTRUCTION CIRCLE W. UNIT A
IRVINE, CA 92606
949-552-2885 FAX: 949-552-2887
BAR: AG168050
CD LOG NO 0007176 DATE 11/29/00
VANN, ROBIN INSP DATE
11/29/00
Page
OWNER
ADDRESS
CITY STATE
ZIP
MARALA HINES
POINT OF IMPACT 2
LIC%
BODY COLOR WHITE
CONDITION GOOD
HOME PHONE
WORK PHONE
TYPE OF LOSS
VIN
MILEAGE
ACCT' NG CTL#
(
E=NEW PART
EP=SEE PX REPORT
L=REFINISH
ET=LABOR/PARTIAL REPLACE
RP=RELATED PRIOR DAMAGE
EC=ECONOMY PART.
P=CHECK
N=ADDN'L LABOR OPERATION
IT=LABOR/PARTIAL REPAIR
UP=UNREnTED pRIOR DAMAGE
EU=SALVAGE PART
I =REPAIR/ALIGN/SUBLET
TE=PART/PARTIAL REPLACE
AA=APPEARANCE ALLOWANCE
*=USER ENTERED VALUE
1996 HONDA CIVIC DX 2
OPTIONS-
TWO-STAGE
DOOR COUPE
- EXTERIOR
H0254B/A OPTNS
SURFACES TWO- STAGE
A/34
- INTERIOR SURFACES
OP GDE MC DESCRIPTION
MFG. PART NO.
PRICE' AJ% HOURS R
N
E
L
L
L
L
L
012
006
006
09
FRT BUMPER CVR OVERHAUL
COVER, FRONT BUMPER
COVER, FRONT BUMPER
COLOR MATCH
COLOR SAND & BUFF
HAZ~ WASTE
· FLEX ADDITIVE
CLIPS
ADDNL LABOR
04711S01A00ZZ
REFINISH
REFINISH
REFINISH'
SUBLET
REFINISH
REFINISH
1
153.02 1.8 1
3.64
* 1.0'4'
* 1.0'1'
5.00* '1'
10.00' *4*
10.00' * *
8 ITEMS
MC MESSAGE
09 INCLUDES
0.6
Hours
PANEL TWO- STAGE ALLOWANCE
FINAL CALCULATIONS &
GROSS PARTS
OTHER PARTS
PAI1F~ MATERIAL
PARTS TOTAL
ENTRIES
153.02
20.00 '
ZO'l .20
274.22
HONDA CIVIC DX 2 DOOR COUPE
CD LOG NO 0007176
TAX 'ON PARTS & MATERIAL
LABOR
1.- SHEET METAL
2 -MECH/ELEC
3 - FRAME
4-REFINISH
5- PAINT MATERIAL
LABOR TOTAL
TAX ON LABOR
SUBLET REPAIRS
TOWING
STORAGE
GRoss TOTAL
P~ATE REPLACE HRS
32.00 2.8
55.00
45.00
32.00 4.6
22.00
@ 7.750% 21.25
REPAIR HRS
@ .000%
Pa~e 2
Date 11/29/00
89.60
147.20
236.80
5.00
537.27
NET TOTAL . S 37 . 27
ADP SHOPLINK U4367 ES LOG 0007176 DATE 11/29/00 14'08-38 R4.2 CD 11/00
PXN'NN/O0/O0/O0/O0 CUM'00/00/00/00
Copyright, 2000 Automat-lc Data Processin~
1.1 HOURS WERE ADDED TO THIS'ESTIMATE BASED ON ADP' S Two-STAGE REFINISH
FORMULA- 20% OF REFINISH HOURS, AFTER OVERLAP, PLUS 0.6 HOURS FOR THE FIRST
MAJOR PANEL, WHERE NOTED. '
THE ABOVE IS AN ESTIMATE BASED IN OUR INSPECTION AND DOES NOT COVER ANY
ADDITIONAL PARTS AND LABOR WHICH MAY BE REQUIRED AFTER THE ~WORK HAS BEEN
STARTED. OCCASIONALY, WORN. OR DAMAGED PARTS ARE DISCOVERED WHICH MAY NOT
BE EVIDENT ON THE FIRST INSPECTION. BECAUSE OF THIS, THE ABOVE PRICES ARE
NOT GUARANTEED. QUOTATIONS ON PARTS AND LABOR ARE' CURRENT 'AND SUBJECT TO
CEANGE.
I AUTHORIZE IRVINE AUTO coLLISION TO PERFORM REPAIRS ON'MY VE~ICLE AS
ESTIMATED, INCLUDING AN~ SUBLET WORK. I .GIVE IRVINE AUTO COLLISION POWER'
OF ATTORNEY TO SIGN PAYMENT CHECKS FROM THE INSURANCE COMPANY.
DATE: INSURED: ..........