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Home My WebLink About08 CLAIM KARI WATSON 09-05-00 NO. 8 AGENDA RE?ORT o -o -oo MEETING DATE: SEPTEMBER 5, 2000 TO: FROM: SUBJECT: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL CITY ATTORNEY CLAIM OF KARl WATSON; CLAIM NO. 00-18 SUMMARY: The City Attorney is recommending that the City Council reject Claim No. 00-18, Kari Watson. 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: Claimant alleges damages of $1,546.50 due to a tree branch falling on top of her car and scratching the surface. City investigation indicates that regular maintenance had been performed on the tree and there is no evidence of a dangerous condition of public property. ATTACHMENTS: Claim CITY OF TUSTIN CLaiM AGAINST THE CITY OF '1 oSTIN (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 the incident or event occurred. Be sure your claim is against the City of Tustin, not another public entity. Where sp. ace 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: The undersigned respectfully submits the following claim and information relative to damage to person and/or property: 1. a. Name of Claimant:' t~1~ ~ b. Address of Claimant: .. (' c. City/ZipCode: .~/~.~,-,-~ ,~ d. Telephone Number: '"') / ~!- e. Date of Birth:' f. Social Security Number: g. Driver License Number: . Name, telephone, and post office address to which claimant desires notices to be sent (if other than above): , This claim i~ubmitted against: a. ~ The City Of Tustin only. b. The following employee(s) of the City of Tustin only: Co The City of Tustin and the following employee(s) of the City of Tustin only: . · OccUrrence or event from which the claim arises: a. Date: "~ ¢W'o/'~ D..-( ~ Ri~ b. Time:' "' / ~ :,'~ .~-¢---/-~.--- c. 'Place (Exact and Spe. cific 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 do . . , Give the name(s) of the City employee(s) causing the damage or injury: . ' ""'6 " ' Name and address of any other person injured' /~ ~ ,~ ~,-~-. / 'K/'~z,,' ~ . Na. me and address of the owner of any damaged prop. erty: ,q-~_.¢ /_~ r~'=--,-x -~_~ / (~ ,~ ~ ,~ ~ ~ ~ . o 10. Damages Claimed: a. Amount claimed as of this date: b. Estimated amount offuturb costs: c. Total amount claimed: /.~'-~"..~o d. Attach basis for computation of amounts claimed.' (include copies of all bills, invoices, estimates, etc.) Names and addresses of all witnesses, hospitals, doctors, etc. ~l'c'~.r~ 5 "F~-'~~-t° ~ i ~', 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./) certify under penalty of perjury that the foregoing is true and correct. Claimant's Signature:` .(~;~ ." Executed this ~'t--~ ~ ~_ ,{ day of '~ Cfi ~ ,20 '~ ~ . / ' Date filed this day of ,,, 20~ 2:CLAIM (1/oo) 04/21/2000 at 04:07 PM 53325 lob Number' PERRY ' S AUTOBODY INC. License #:AM084056 Federal ID #'330215077 I-CAR CERTIFIED TECHINICANS 6441 INDUSTRY WAY WESTMINSTER, CA 92683 (714)895-2809 Fax: (714)892-9219 '. PRELIMINARY ESTIMATE written by: Adjuster' Insured: KARI WILLIAMS Owner: KARI WILLIAMS Address: Day: ( Claim # Policy # Deductible: Date of Loss: 04/21/2000~ Type of Loss: Comprehensive Point of Impact: Inspect Location: Insurance Company: Days tO Repair 1989 TOYO COROLLA SR5 4-1.6L-2 2D RED Iht' v~: Lic: CA Prod Date: Rear Defogger Tinted Glass Clear Coat Paint Power Brakes Bucket Seats Recline/Lounge Seats Odometer: 'Body si de Mol dings cloth seats NO. OP. _ DESCRIPTION HOOD Refn Hood Add for clear coat FENDER Refn RT Fender Overlap Major Adj. Panel Add for clear coat Refn LT Fender Overlap Major Adj. Panel QTY EXT. PRICE LABOR PAINT 2.6 1.0 2.5 -0.4 0.4 2.5 -0.4 04/21/2000 at 04'07 PM Job Number' 53325 PRELIMINARY ESTIMATE 1989 TOYO COROLLA SR5 4-1.6L-2 2D RED Int: DESCRIPTION NO. OP.' ~0 ~2 ~3 ~4 ~5 ~6 ~7 ~8' ~9 20 2~ 22* 23 24 25* 26 .27 28 29* 30 3~ 32 33* 34 '35 36 37* 38 39 40* QTY EXT. PRICE LABOR Add for clear coat FRONT BUMPER Refn Cover w/o u-rs w/o urethane overlap Major Adj. Panel Add for clear coat ROOF & BACK GLASS .Refn Roof panel w/o sunroof Overlap Major Non-Adj. Panel Add for clear coat DOOR Refn RT ooOr shell Overlap Ma~or Adj. Panel Add for clear coat Refn LT Door shell - Overlap Ma~or Adj. Panel Add' for clear coat TRUNK LID Refn Trunk lid w/o spoi 1 er overlap Ma~or Adj. Panel Add for clear coat REAR BUMPER Refn Cover w/o urethane overlap Ma~or Ad~. panel Add for clear coat QUARTER PANEL Refn RT Outer panel DX, SR5 Overlap Major Ad~. Panel Add for clear coat Refn LT Outer panel DX, SR5 Overlap Ma~or Ad~. Panel Add for clear coat subtotals ::> 0.00 0.0 PAINT 0.4 2.4 -0.4 0.4 4.0 -0.2 0.8 2.S¸ ,0.4 0.4 2.5 -0.4 0.4 2.5 -0.4 0.4 2.3 -0.4 0.4 2.3 -0.4 0.4 2.3 -0.4' 0.4 30.0 04/21/2000 at 04'07 PM 3ob Number' 53325 PRELIMINARY ESTIMATE 1989 TO¥O COROllA 5R5 4-1.6[-2 2D RED Int' Parts Paint Labor Pal nt Suppl i es SUBTOTAL sal es Tax 0.00 30.0 hfs 0 $ 30.00/hr 900.00 30.0 hrs 0 $ 20.00/hr 600.00 $ 1500.00 $ 600.00 0 7.7500% 46.50 GRAND'TOTAL $ 1546.50 AD3 USTMENTS ' Deductible CUSTOMER PAY INSURANCE PAY 0.00 0.00 1546.50 Estimate based on MOTOR CRASH ESTIIV~ATING GUIDE. Non-asterisk(*) items are derived from the Guide AEM8405. Database Date 1/2000. Double asterisk(**) items indicate parts supplied by a supplier other than the original equipment manufacturer. Pound sign {#) items indicate manual entries. CAPA items have been certified for fit and finish by the certified Auto Parts Association. NAGS Part Numbers, Prices and Labor Times are provided from National Auto Glass specifications, znc. Pathways. A product of ccc Information services Inc.