HomeMy WebLinkAboutC.C. 08 CLAIM 90-36 01-06-92+� CONSENT CALENDAR NO. 8
E1}��1 N D A/- 1-6-92
n t e r -Com�\-'�,, �..,.,-
DATE: DECEMBER 2, 1991
TO: HONORABLE MAYOR AND CITY COUNCIL
FR011MICITY ATTORNEY
SUBJECT: CLAIMANT: DONALD SCHENKER; D/L: 07-14-90; DATE FILED W/CITY:
11-04-91; CLAIM NO: 90-36; CARL WARREN FILE NO: S 63750 CLB
After investigation and review it is recommended that the
above -referenced claim be rejected and the City Clerk directed to
give proper notice of the rejection to the claimant and to the
claimant's attorney.
xv
JAMES O RKE, City Attorney
J G R: jab:120291(CL-9036-jab)
Enclosure: Copy of Claim
cc: Carl Warren & Co.
Finance Director
City Manager
0
City of Tustin
TM AGAINST THE CITY OF TL N
(For Dan._4es to Persons or Personal _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
not another public occurred.
entitye
sure your claim is against the City of Tustin,
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, 15222 Del Amo Avenue, Tustin,
California 92680
WHEN COMPLETING THIS FORM, PLEASE TYPE OR USE BLACK INR
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: Donald Andrew Schenker
b. ADDRESS OF CLAIMANT:
d. TELEPHONE NO:
e. DATE OF BIRTH:
f. SOCIAL SECURITY NO:
g. DRIVERS LICENSE NO:
2. Name, telephone and post office address to which claimant desires notices
to be sent (if other than above):
James Robinson, Esq., LAW OFFICES OF PAUL R. STEINMAN,
2677 North MainStreet, Suite -900, Santa Ana,
3. This claim is submitted against:
a. x The City of Tustin only.
b. The following employee(s) of the City of Tustin only:
C. The City of Tustin and the following employee(s) of the City
of Tustin only:
4. Occurrence or event from which the claim arises:
a. DATE: 7/14/90
b. TIME: 4:24
C. PLACE (Exact and specific location): Intersection of Redhill Avenue
and Bryan Avenue
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 nt occurred due to sig al lights at tyhe intersectior
Automobile acct
ot Redhiiivenue and Bryan Avenue not working.
e, WHAT particul- action by the City, or i` employees, caused the
• alleged damag 7 injury?lights at the inter_ -ton
nctionin ,ignal iof Redhill Avenue
Malfu y
and Bryan Avenue
5. Give a descp
ri tion of the injury, property damage or loss so far known at
ll -
the time of this claim. If there were no
injuries
Sfiled by J lie 3Leiviska
Claimant Schenker has been served aiman c tc
in Oran e County Superior our ase •n,
'le a cross-complaint or equita e 11 emni y agalnsdama e or injury:
e City
file causing the g
6. Give the name(s) of the city employee(s) g
of other person injured:Julie and James Leiviska
7. Name and addressany
claim injuries.
q property: Julie and James
8. Name and address ofe owner ine any am x4 d prop y
Leiviska, 238 Streamwood,
9. Damages claimed: Unknown
a. Amount claimed as of the date.
b. Estimated amount of future costs: Unknown
C. Total amount claimed: Unknown
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.
Kelley Sta ner,
Randolph Maurice Vi a or,
Schenker, see address provide erein; ,
Patricia Froncza
#
WARNING: IT IS A CRIMINAL OFFENSE TO FILE AFALSE CLAIM!!ction .0)
(Penal Code Section 72; Insurance Code
I have read the matters and statements made in the above claim
s $ atedand I ow -the be
same -to be true of my own knowledge, except as to those mat
upon information or belief and as to such matters I believe .the
ls same
oAbe
p that the foregoing
true. I certify under penalty or perjury
ND
CORRECT.
/:>,r
day of ,19 � at Tustin, California.
Executed this
DATE FILED:05&
Wig; COUNSEL FOR DONALD SCHENKER
JAMES'ROBINSON, ESQ.
B1:CLFORM
Revised 4/29/91