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04 CLAIM 09-23, YOUNG HA 10-06-09
Agenda Item 4.~ ~ Reviewed: AGENDA REPORT City Manager Finance Director N/A MEETING DATE: OCTOBER 6, 2009 TO: WILLIAM A. HUSTON, CITY MANAGER FROM: KRISTI RECCHIA, DIRECTOR OF HUMAN RESOURCES SUBJECT: CONSIDERATION OF CLAIM OF FARMERS INSURANCE FOR YOUNG HA, CLAIM NO. 09-23 SUMMARY: The Claimant alleges that aCity-owned tree fell onto the vehicle of Young Ha, causing damage in the amount of $1,505.79. RECOMMENDATION: That the City Council deny Claim Number 09-23, Farmers Insurance for Young Ha, and direct Staff to send notice thereof to the Claimant. FISCAL IMPACT: None. DISCUSSION: The City's Claims Administrator, NovaPro, has completed their investigation and concludes that there is no liability on the part of the City. The City had not received any prior complaints regarding the tree at issue, it is well maintained, and the general health of the tree canopy was very good at the time the tree fell. Upon inspection, it appears that an unknown third party hit and damaged a major lateral branch, which could have severed or weakened the root system. The City is not liable for the negligent acts of third parties, and had no notice of any problems with the tree involved in this claim. Staff is recommending denial of the claim. I,cll~~~~~'~Gi%~~. Kristi Recchia Director of Human Resources ATTACHMENT: Copy of Claim No. 09-23 s:\general liability\claims\farmers insurance for young ha 09-23\agenda report - gl claim denial 09.17.09.doc CLAIM AGAINST THE CITY OF TUSTIN (For Damages to Person or Personal Property) ~' T Y of rus rlw Received Via: Time Stamp: ^ U.S. Mail 1QQ9 ~ ^ Inter-Office Mail ~U~ - U A ~ Z ~ ^ Over the Counter Claim No: ~ ---Z.3 PLEASE NOTE: A. Read entire claim before filing. B. Be sure your claim is against the City of Tustin, not another public entity. C. Claims for death, injury to person or to personal property must be filed no later than 6 months after the occurrence (Govemment Code § 911.2). D. Claims for damages to real property must be filed no later than one year after the occurrence (Govemment Code § 911.2). E. If additional space is needed to provide your information, please attach sheets, identifying the paragraph(s) being answered. F. A claim must be presented, as prescribed by the Government Code of the State of California, by the claimant or a person acting on his/her behalf and shall provide the information shown below and must be signed by the claimant or a person on his behalf (Govemment Code § 910.2). G. This form is for the convenience of those desiring to present claims against the city. Claimant is advised to consult a private attorney if legal advice is desired. No employee of the City may give legal advice to any claimant relating to private claims. H. Completed claims must be mailed or delivered to the City of Tustin, City Clerk's Office, 300 Centennial Way, Tustin, California 92780. Name and Post Office address of the Claimant: Name of Claimant: /'il~r7e~s /~suru+~ce Sti hr~~J f~ ~or Yvun~, ~A Home Address: pr, I~~x Z6~~9 ~/ dr(Cl~,~c,.Y.~ C~~fN , (}K ~~/ Z ~ Home Telephone: ~ gV 5) d'G j - 33/ p Work Telephone: 2. Post Office address to which the person presenting the claim desires notices to be sent: (If different from above) Name of Addressee: {=c,~,r1ens /nsurunce Telephone: ~ `/C y~ ~ ~1- 33/ b Post Office Address: /gyp j~e~{ 2.6 ~ ~9 ~/ ~`c~al~~.~•-~o, C%fy~ ~K 73/26 3. The date, place and other circumstances of the occurrence or transaction from which the claim arises. Date of Occurrence: ~3 ~~ e /200 Time of Occurrence: QroZ/ Location:_ _ 1 `7 L7 Z W~ l N kt Ya.re. -C~~-t'; ~ ~ G i4 9 27 ~ O Circumstances giving rise to this claim: T~tx'- :gel/ ~t~i c~u-~ 1/t.1NlP~ ve~,~f~S 4. General description of the indebtedness, obligation, injury, damage or loss incurred so far as you now know. ~.~au e "t ~ U u r /n~.~., ~e 7v c.7~~. cr/d ~~ c, Page 1 of 4 5. The name or names of the public employee or employees causing the injury, damage, or loss, if known. /~~~- 6. If amount claimed totals less than $10,000: Provide the amount claimed if it totals less than ten thousand dollars ($10,000) as of the date of your claim, including the estimated amount of any related potential future injury, damage, or loss, insofar as it may be known as of the date of your claim, together with the basis of computation of the amount claimed (include copies of all bills, invoices, estimates, etc.) Amount Claimed and basis for computation: ~.U~~ ~ C{weo~,,~- ~`/~©.S, ~G( re pc„~S 7'0 V~~ic~P If amount claimed exceeds $10,000: If the amount claimed exceeds ten thousand dollars ($10,000), do not provide a dollar amount in the claim. However, your claim must indicate whether it 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 You are required to provide the information requested above in order to comply with Government Code §910. Additionally, in order to conduct a timely investigation and possible resolution of your claim, the City of Tustin requests that you answer the following questions. 7. Name, address and telephone number of any witnesses to the occurrence or transaction from which the claim arises: /~Gvl~ S7rAv-GZY ~ Crt`1 0~ ~4S th rr.-p~c v1P ~'. ~71`I , S73 l..~b b L $. If the claim involves medical treatment for a claimed injury, please provide the name, address and telephone number of any doctors or hospitals providing treatment: If applicable, please attach any medical bills or reports or similar documents supporting your claim. 9. If the claim relates to an automobile accident: Claimant(s) Auto Ins. Co.: lUrrYlcrS /hlc~rti.7G~ Telephone: ~ yo ~1 SAO/ ' 33 / b Address: pv 130 ~. frig l y 5/ 4 k./a ~, y~,ct ~ f H U /~ 73/ Z ~, Insurance Policy No.: Insurance Broker/Agent: Telephone: Address: Claimant's Veh. Lic. No.: Vehicle Make/Year: Zl~UC~ `Ty~,t~ Curr/ly Claimant's Drivers Lic. No.: Expiration: If applicable, please attach any repair bills, estimates or similar documents supporting your claim. Page 2 of 4 READ CAREFULLY For all accident claims, place on following diagram name of streets, including North, East, South, and West; indicate place of accident by "X" and by showing house numbers or distances to street comers. If City/Agency Vehicle was involved, designate by letter "A" location of City/Agency Vehicle when you first saw it, and by "B" location of yourself or your vehicle when you first saw City/Agency Vehicle; location of City/Agency vehicle at time of accident by "A-1" and location of yourself or your vehicle at the time of the accident by "B-1" and the point of impact by "X." NOTE: If diagrams below do not fit the situation, attach hereto a proper diagram signed by claimant. SIDEWALK CURB CURB ~, PARKWAY SIDEWALK Warning: Presentation of a false claim is a felony (Penal Code §72). Pursuant to CCP §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. Signature: / ~////i Date: ~ 7 ~ y U /' ~~G'( C~~~trr' /NS~r~r1~ e Page 3 of 4