HomeMy WebLinkAbout11 CLAIM 94-44 01-15-96 LAW OFFICES OF
ROURKE. WOODRUFF & SPR---~LIN
A PROFESSIONAL COI~POI~ATION
NO. 11
1-15-96
MEMORAINDUM
TO:
Honorable Mayor and Members of the City Council
City of Tustin
FROM: City Attorney
DATE:
RE:
January 8, 1996
Claim of Rocio Zandate; Claim No. 94-44
RECOMMENDATION:
After investigation by the City's claim adjustors and review by this office, it is
recommended that the above-referenced claim be rejected and that the City Clerk be
directed to give proper notice of the rejection to the claimant and to the claimant's
attorneys.
DISCUSSION:
a large City pine tree fell on the claimant's vehicle for no apparent reason, causing
substantial damage. Although the claimant submitted an estimate for $6,620.94, the
claimant's insurer has informed us that the repair should be somewhere in the $4,000
range. The claimant has a $500 deductible. This appears to be a case of no liability on a
part of the City. The City tree had been trimmed in accordance with City policy. Our
investigation show that the area around the tree was heavily saturated with water and either
there was a leak in the property owner's waterline or in the property owner's sprinkler,
causing the area to be full of water. In addition to there being no negligence on the part of
the City, the City had no prior notice of this condition.
LOiS E. JEFFI~ ~/~/
Enclosure
cc: William A. Huston, City Manager
Ronald Nault, Finance Director, Treasurer
Pamela Stoker, City Clerk
1100-09544
22880_1
City of Tustin
-C~.£M AGAINST THE CITY OF · 21~,
(For Damages to Persons or Personal Property)
The law provides generally that a claim must be filed with the City Clerk o!
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-Tustinp 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:
1. a. NAME OF CLAIMANT:
b. ADDRESS OF CLAIMANT: /
c. CITY/ZIP CODE: ?~/~
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 notice-
to be sent (if other than above):
3. This c%aim 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 event from ~hich the claim arises:
a. DATE: . /'/'- ~ _.~.' - ,~'~--
b. T I ME: ~d'.; d,"./7-//~ /'".-' ~ ~-- ,/32...
c. PLACE (~xac.~ and speci'fic location): ~ .~_~'~,,P'7'- C"~7C
d. ~W and u~der ~at circumstances did-damage or inju~ occur? Specify
the particular occurrence, event, act or omission you claim caused
the injur~ or damage (Use additional paper if necessary): ·
e. WHAT particula' ;tion by the City, or ~.mployees, caused the
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:
8. Name and address of the owner or.any damaged property:
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 (in61ude 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 S ~=~ATURE
BI - CLFORM
Revised 4/29/91
CONSOLIDATION REPORT
[] CRIME REPORT'
JZ~ INCIDENT REPORT
J~ SUPPLEMENTAL. REPORT
~ 0 ~ C0,O[ S[CTIO. N/OtSCAIPTION
-'-' '°TIN POLICE DEPARTMENT
;00 CENTENNIAL WAY
~C~CJ'Cl, CA0302~00 CO~SOt~' tft~O 121~ ~ev.
JCODE V - VICTIM W - WITNESS R o RJPORTI#r, PARTT.
!' - I"~'R[NT SS - ~UBJ[Cr
Jt~ 00~
CI1Y ~'~AT E 71~'
[] IW~0
J28 wOR~. I,'eqS 2g OPERATC~'S LIC NO/STATE
30 %rlC'TIIvI'S AC"TfVITY AT TIFF.. OF OFFENSE
VEA~
, ,~o~t aooY ~YtE ~oto.
crt'r
CITT
STATE
STATE
j4S OPERATOR'S LIE NO/gATE .
j 53 P;aE~ISES.....:..... ...
.-.- .'. : -:: ..: ........ .
5:5 SEX-C~I~'S.:.:-::*:*
5 $ PO~'~I' OF ENTRY
.. ..
-.
56 Sg'SP~'I-'''j' AC'TI~:)NS
~2 ll,tLrJ'l'O00-~ '[NTRT
..j 53 YE~cLE ENTRY
j $8 vICT~I~OFIL~'
'..'
J 5~ VIC"tI~. S PI'ffSICAL CONOI':K:)N
·
60 P"ROPERTT COOE~ J 6 I S1OL£a PROPERTY
L.- LOS1' J TYP~
-'S - STO~E~
A - CL~RENC'~INOTL~
C - C1.OT~WG~Ft,~S
F -- TVlRAOIO/C.~I'V'-ERAS
~ -~-OuSE~OLO GOOOS
! -CONSL, le~LE GOOOS
J -L~VESTOC[
MI~,,C[LLAN EOL,~
IWCLLX) E S B IC"Y C'1. E S.
AU'TO PARTS. ETC..
CODE TYPE ITEM OTY
k,~KF~ ~K:)01rL. AJqT~,CLE N*~F.. SERL~t. NU~4BER. MISCELLAnEOuS OESCRIPTION
APe v~Lt~
66
67
.6~J
7O
OFF1Ci~L
~,,,.,r i TV ~ .... - .' ~' '"' "-"'
or FURNISHED to .any other
Dgency except as orovid%d by. [sv..,
without the express
Tustin Police Department and is [c b~
mand.
JT) OOLL,~.~ LOSS
77 A~v'O;~! nECOv.
'STIN POLICE DEPARTMENT~
CONTINUATION/PROPERTY REPORT
NClC/Ctl CA 0302200 CONTPROP(TPO127P)Rt. (190 PAGE
H -- ~-eOUSEMOL0 GO00S
! -CONSU~,~BLE GOOOS
J -LrVES'T, OCK
ir, - MISCELLANEOUS
IINCLIJ~E S 81C¥CL ES.
AUTO PARTS.~TC.
MAI.[. M'OOEL. A~II'ICLE NAM[. SE~IIAL NUltdlS[l~..%IISC[L~.ANCOUS 01[SCRIPTIO#
VAL~E
, .. pu (kS ~,- t'"t.-
· ¢o..,.~}",\~ b.uv,,-fi ¼,,J'W A Cc¢~,% r, JJ--u~¢_.,:?.
14
2~
28
OffiCiAL Cur ,
NOT TO BE DUPLICATED. COPIED
u, FURNISHED to any other per.--,on
.genc~ except es provided by
.Tustin Police Depanment and is
returned to the Oepa~ment upon de-
DEALERS SERVICE CO., INC. 2 0 6 4 5
1343 East Borchard
SANTA ANA, CALIFORNIA 92705
(714) 543-8458
FAX (714) 543-1714
STREET I CI~ ,
I
REGISTRATION NO. SERIAL NO. ~ OOOMETER ~ ESTIMATE PREPARED BY
.
IN$URANCE CO. ~ ADJUSTOR
I REPAIR OESCRIP~ON ~ PARTS ~BOR REFINISH SUBLET
REP~CE
I
~ ,
,
. J '
t ~' ~~ ~' , ' !/'~ l~-S ~/'t~
i i~ ii _ i~ i i i i .11
The above is an estimate based on our inspection and does' not TOTAL PARTS ................
cover any additional parts or labor which may be required after the
work, has been started. Occasionally, worn or damaged parts are TOTAL LABOR ................
discovered which may not be evident on the first inspection. Because '~
of this, the above prices are not guaranteed. Quotations on parts and TOTAL REFINISH ..............
labor are current and subject to change.
TOTAL SUBLET ...............
AUTHORIZATION FOR REPAIR. You are hereby authorized to
make the above repairs' TAX .........................
s
SIGNED:
DATE: TOTAL .......................
° Pagec,~ Of ~' Pages
DEALERS SERVICE CO., INC.
1343 East Borchard
SANTA ANA, CALIFORNIA 92705
(714) 543-8458
FAX (714) 543-1714
20646
NAME
STREET
PHONE
CITY
...
Y EA.,~,. COLOR MAKE MODEL
REGISTRATION NO. SERIAL NO. ODOMETER ESTIMATE PRE.~,RED BY
INSURANCE CO. ADJUSTOR
REPLACE
REPAIR
The above is an estimate based on our inspection and does not
cover any additional parts or labor which may be required after the
work has been startec. Occasionally, worn or damaged parts are
discovered which may not be evident on the first inspection. Because
of this, the above prices are not guaranteed. Quotations on Darts and
labor are current and subject to change.
JTHORIZATION FOR REPAIR. You are hereby authorized to
.,ake the above repairs'
SIGNED:
DATE:
REFINISH
SUBLET
TOTALS
I I I
TOTAL PARTS ................ $,
TOTAL LABOR ................ $
TOTAL REFINISH .............. $
TOTAL SUBLET ............... $ /'_'
TAX .........................