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Home My WebLink About12 CLAIM NO. 96-12 09-16-96 LAW OFFICES OF WOODRUFF~ SPRADLIN & SMA~. MEMORANDUM NO. 12 9-16-96 TO: Honorable Mayor and Members of the City Council City of Tustin FROM: City Attorney DATE: RE: September 11, 1996 Claim of Robert Wimbush; Claim No. 96-12 RECOMMENDATION: After investigation and review it is recommended that the City Council deny the claim and direct the City Clerk to give appropriate notice to the claimant and the claimant's attorney. DISCUSSION: This is a claim for economic damages in the amount of $3,288.34. The claimant alleges that the City caused a backup to the sewer lateral to claimant's home when the City installed a water main in the street. This appears to be a case of no liability on the part of the City. The City's claims adjuster has tendered the defense of this claim to the City's contractor that was working in the area. LOIS E. JE ~, "' Enclosures cc: William A. Huston, City Manager Ron Nault, Finance Director 1100-9612 35039_1 City of Tustin ', ~l CLAIM AGAINST THE CITY OF TUSTIN (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 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 propert 1. a. NAME OF C~IMANT: ~~ b. ADD, SS OF C~IMAN' c. CITY/ZIP CODE: 'd. TE~PHONE NO: e. DATE OF BIRTH: f. SOCIAL SECURITY NO: g. DRIERS 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 ev.e~Tt from which the claim arises: a. b. TIME: c. PLAC~ (Exact and specific location): /2/// 63~- /~, ~w~ ~ ~- 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 (L~e a~ditional p~Der if necess~rw]. . r% J e. =mployees, caused the WHAT particular -'ion by the City, or it alleged damage or injury? 5. Give a description of the injury, property damage or loss so far known at the ~e ef this glaim. 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 (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 ~~~__z___,19 ~ , at Tustin, California. DATE FI~: CLAIMANT ' S SIGNATURE BI. · CLFORM Revised 4/29/91 I N V O IC E , Roto-Rooter Service & Plumbi~zg Co. 23311 MADERO ST., MISSION VIE JO, CA 92691 (714) 859-6053 STATE CONTRACTOR'S LICENSE NC. 290688 CUSTOMER SO 65835 DATE ,,-,,-) SERVICEMAN NO. ,_,,A_-~ JOB ME DRESS Y STATE CITY . /~ ' STATE PHONE NO. ( ) ZiP ~ ,.ONE NO. ( ) ZIP CODE · MAIN LINE ......... ~=ANEb. TOILET ................. ~,..., ~^~ s,.~ ...........O ~,~'~k.:.6~ (~C~:~'~6 v,*:.ii ~'~. ^US~ .oo.s ................ O KITCHEN SINK ..... O FLOOR.'SINK..~.':..:O ~'. : DRAIN~.'::.:::'.' .... :.i.O' -; L.~[' OF GREASE...: .......... O :-.....':-jr. BATHTUB ............ O .LAUNDRY,,,:,,: .... O AREA DRAIN ...... O · ' CLEAN OUT ........ O i ST~'PPAGE' oTHER";'"'""': .... O .:. ...... i;'" SHowER ........ : .... O. URINA.L.,i...: ..... ' O. O.I?IE_R ....:..-.'.:--.. O . VENT .................. ~O" - . '..- _,d~'~,/""L--- ' PART NO. QTY.xoDESCRIPTION PRICE ~ ~,o y~ f,,'",,4..~.~ £ ~ .39 .oo /o/. fDRAIN CLEANING ADDITIONAL FOOTAGE ( ADDITIONAL FIXTURE(S) TRAP / TOILET REMOVAL PLUMBING LABOR PARTS ,, CHEMICAL VIDEO INSPECTION ~ /-.//"~ $.. HYDRO-JET[ER ROD I~[[1 REAK LOCATION ENTAL TOILET PUMPING PUMPING .. AIR CONDITIONING/-7/¢ ~_ ~:~ r-' ,o¢.,....,:.. ;r. .o~. ,//~,- z:.'~,,,,.,-/ .~..: .... ...., , · . : "-- ..... :. ~'~ '::::'A '" TAX ." ..,~....~.: CUSTOMER DAY GUARANTEE SIGNATURE TRUST l::tOTO-l:tOOTEl:t FOI:~ ALL(Z4ouI~ PLUI~/kI~ING NEEDs IS; NET 10 DAYS a FINANCE CHARGE will be computed on the unpaid balance by a single period rate of 1-1,'2',~ per month, which is an ANNUAL PERCENTAGE RATE OF 18%. 'U?der th.e Mechan, ics' .Lien Law (California Code. of Civil Procedure. Section 1181 et seq.), any contractor, su~-contractor, laborer, supplier or other person who helps to improve your property but is CIO lid for nis won( or suppfies, nas a right to emorce a c~aim against your properly. This means that, alter a court nearing· your property could be sold by a court officer and the proceeds of the sale used to the indebtedness. This can happen even if you have paid your ow~ contractor in full, if the subcontractor, laborer, or supplier remains unpaid." I N V O IC E Roto-Rooter Service & Plu,zbing Co. ~3311 MADERO ST., MISSION VIE JO, CA 92691 (714) 859-6053 STATE CONTRACTOR'S LICENSE NO. 290688 CUSTOMER SO 65834 ,lAME ~,DDRESS ;tTY STATE SERVICEMAN NO. -.-..-.~ ~ -- >HONE NO. ( ) ZiP CODE iACCESSi~D VIA~:. ~! ;! :CAUSE ROOTS ................ 0 TIME ;'l~l~lN:..b.~:'.. ..... ~'.0' '2-;-':i~/".._.. OF. GREASE ........... :..0 IN c~ ou~ ........ o °2~_~ ................ vENT..: ................ O STOPPAGE · ~ Lrz ~..,.:. ~,~"/- OUT FIXTURE MAIN UNE .......... 0 BATH SlNK ........... 0 FLC)~R'~RAIN!.:O.! CLEANED TOILET ................. O KITCHENS INK ..... O FLOOR SINK:-.:.... ,,,, - BATH TUB ........",O' LAUNDRY ........... O AREA DR:AIN ...... O ~._ .' SHOWER.: ........ L..O'. URINAL...' ............ O OTHER .... : ......... :. O PART NO. QTY. 2o t~"' / DESCR"~PTION PRICE "~ I TOTAL DRAIN CLEANING ADDITIONAL FOOTAGE ( ADDITIONAL FIXTURE(S) TRAP / TOILET REMOVAL PLUMBING LABOR PARTS CHEMICAL VIDEO INSPECTION HYDRO-JETrER ROD LINE / LEAK LOCATION TOILET RENTAL TOILET PUMPING PUMPING AIR CONDITIONING TRAVEL - ' OTHER ... .. ERMS; NET 10 DAYS a FINANCE CHARGE will be computed on the unpaid balance by a single period rate of 1-1,"2',; per month, which is an ANNUAL PERCENTAGE RATE OF 18%. 'Under the Mechanics' Lien Law (California Code of Civil Procedure, Section 1181 et seq.), any contractor, sub-contractor, laborer, supplier or other person who helps to improve your properly but is paid lot his work or supplies, has a right to e .n. force a claim against your property. This means that. afler a court hearing, your property could be sold by a court officer and the proceeds of the sale used to ~tisfy the indebtedness. This can happen even i~ you have paid your own contractor in full, if the s~bcontractor, laborer, or supplier remains unpaid.' CUSTOMER : ~: .... ),.' / / ~ /' DAY GUARANTEE SIGNATURE IC.... T'O TA L ' C}EDIT CARD OCASH