HomeMy WebLinkAbout15 CLAIM S. EDENS 11-03-97 LAW OFFICES OF
WOODRUFF, SPRADLIN & SM.~
A PROFESSIONAL CORPORATION
NO. 15
11-3-97
TO:
FROM:
DATE:
RE:
MEMORANDUM
i
Honorable Mayor and Members of the City Council
City of Tustin
City Attorney
October 29, 1997
Claim of Samuel Edens; Claim No. 97-24
RECOMMENDATION:
After investigation and review.by this office and by the City's Claims Administrator,
it is recommended that the City Council deny the claim and send notice thereof to the
claimant and the claimant's attorney.
DISCUSSION:
The claimant alleges property damages and economic expenses for plumbing work
to repair his sprinklers and a "future" grass repair. Specifically, the claimant states that
G.R. McKervey, a City hired contractor, caused damage to his. sprinklers While installing
a meter box and fire hydrant. He also claims that the contractor replaced the grass around
the meter box and hydrant with improper grass. This claim has been tendered to the
contractor. ~,..~ ~.. ~,../,,
LOIS E. JEFFREY
Enclosure
cc: William A. Huston, City Manager
1102-9724
54274_1
I
QTY. UNIT EXTENDED
ITEM # DESCRIPTION PRICE · PRICE
1 IHUNTER SPRINKLER HEAD 4' POP UP 3 3.84 11.52
2IRISER 1/2' X 2' 2 0.35 0.70
3 RISER 1/2' X 3" I 0.36 0.36
4 TEE 3/4' TWO ENDS X 1/2' INTERNAL THREADED 2 0.63 1.26
5 ELL 3/4' ONE ENTRY X 1/2' INTERNAL THREADED 1 I 0.61 0.61
6 ISLIP JOINT UNION 3/4' X 4" II 2.72 2.72
7 ICOUPLING 3/4" 2 .. 0.14 0.28i
I
8 . I PVC PIPE 3/4' 1 0.76 0.76
9,0ATLEY PURPLE PRIMER' I1 1.90 1.90
10 OATLEY PVC CEMENT, 1 7.55 7.55
11 PVC PIPE CUTTER I 8.40, 8.40
SUB-TOTAL, 36.06
ITAX @ 7'75 % t 2.79
, TOTAL 38.85
12 ILABOR 3 HOURS @ $125.00 PER HOUR 3 1251 375.00
I GRAND TOTALI. 413.85
Page 1
· City of Tustin
·
C! AGAINST THE CITY OF T~
(For Dama~s to Persons or Personax ~roperty)
The law provides generally that a claim must be filed with the City Clerk of
the city of Tustin within 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 92680
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:
b.' ADDRESS OF CLAIMANT:
c. CITY/ZIP CODE:
d. TE~PHONE NO:
e. DATE OF BIRTH:
f. SOCIAL SECURITY NO:
g. 'DR~VERS LICENSE NO:
2. Name, telephone and post office address to which claimant desires notices
to be Sent (if other than above):
3. This claim is sUbmitted against:
a. / The City of Tustin only.
b. The following employee(s) of the city of Tustin only:
Ce
The City of Tustin and the following employee(s) of the City
of Tustin Only:'
4. Occurrence or~ve0t from which the claim arises:
a. DATE: ~,//~/~ ~
b. TIME: /~, ~ ~/97V-
c. PLACE (Exact and specific location): /~~ ~/~__~_/? ~//~'/~~ ~F~
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 paper if necessary):
employees, caused the
e. WHAT particul~. ction by the City, or ~'
alleged damage ,~ injury?
'"'
5. Give a description of the injury, property damage or loss so far known at
the time of this claim· If there were no injuries, state "no injuries".
6. Give the name(s) of the City employee(s) causing the damage or injury:
7. Name and address of any other person injured:
· , any d~maged prope.rtY:
8Name and address of the owner or
9. Damages claimed:
· a. Amount claimed as'of the date: ~~/~/~
b. Estimated amount of future costs:
c. Total amount claimed:
d. Attach basis for computation of amounts claimed (include copies of
all bills, invoices, estimates, etc.
10. Names and addresses of all 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 under penalty .or perjury that the foregoing is TRUE AND
CORRECT.
Executed this ~ day of ...,19 ~, at Tustin, California.
' /
CLAIMANT' S SIGNATURE
B 1: C LFORM
Revised 4/29/91
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