HomeMy WebLinkAbout10 CLAIM JEFF PITTMAN 09-05-00AGENDA RE ORT
NO. 10
09-05-00
MEETING DATE: SEPTEMBER 5, 2000
TO:
FROM:
SUBJECT:
HONORABLE MAYOR AND MEMBERS OF THE CI"I-Y COUNCIL
CITY ATTORNEY
CLAIM OF JEFF PITTMAN; CLAIM NO. 00-21
SUMMARY:
The City Attorney is recommending that the City Council reject Claim No. 00-21, Jeff
Pittman.
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 is alleging approximately $3,000 in damages to the convertible top of his
Mercedes due to a tree branch from a City owned tree dropping on his car. City
investigation shows that the tree had just been trimmed weeks prior to the accident.
There is no evidence of a dangerous condition of public property.
ATTACHMENTS:
Claim
CITY OF TUSTIN
CLA..,I AGAINST THE CITY OF T' :TIN
(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 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:
The undersigned respectfully submits the following claim and information relative to damage to person
and/Or property:
1. a. Name of Claimant: ~~ /~/'~/--~a.~ .
b. Address of Claimant:
c. City/ZipCode:
d. Telephone Number: " ~
e. ' Date of Birth:
o
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):.
o
This claim is submitted 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: ..r//7/~ °
b. Time: ~f-~'~,r' ~' 2. -".¢ Cf,,,,,,,
c. Piace(Exac, t and Specific Location): ~(,,-,.,.rj' -f--~-,~ ~'/-,'-~" ~,,.~,,,,,, /~/~rz.;,,'~
d. 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
e.
What particular action by the City, or its,e, mployees, caused.tl')e alleged damage or injury?
5~
Give a description of the injury, property damage or loss so far known at the time of this claim.
there were no injuries, state "no injuries".
e
Give the name(s) of the City- employee(s) causing the damage or injury:
o
Name and address of any other person injured:
8. Name and address of the owner of any damaged property:
'o
10.
Damages Claimed:
a. Amount claimed as of this date: /t,'~ ~ ~
b. Estimated amount of future costs:
c. Total amount claimed'
d. Attach basis for computation of amounts claimed (include copies of all
estimates, etc.)
bills, invoices,
Names and addresses of ali~ witnesses, hospitals, doctors, etc.
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 I 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~of perjury that the foregoing is true and correct.
Claimant's Signature:_
Executed this i ? day of ~ ,20 ~ .
Date filed this / ~ day of ~ , 20 ¢ '¢ .
2:CLAIM (1/00)