HomeMy WebLinkAbout13 CLAIM JORGE GARCIA 03-17-03AGENDA REPORT
Agenda Item
Reviewed:
City Manager
Finance Director
13
MEETING DATE: MARCH 17, 2003
TO:
FROM:
SUBJECT:
HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL
CITY ATTORNEY
CLAIM OF JORGE GARCIA; CLAIM NO. 03-01
SUMMARY:
The City Attorney is recommending denial of the claim.
RECOMMENDATION:
Deny the claim and direct the City Clerk to send notice thereof to the claimant and the
claimant's attorneys.
FISCAL IMPACT:
None.
DISCUSSION:
The claimant alleges $3,559.93 property damage to his vehicle when a City-owned tree
fell on his 1995 Chevy Tahoe SUV. On January 5 and 6, 2003, 50-75 mph winds blew
through Orange County. Damage was reported from Yorba Linda to San Clemente.
The alleged damage occurred on January 5, approximately 11:30 p.m. There is no
evidence that the City had failed to maintain the tree on a timely trim schedule. Based
on the investigation of the City's claims administrator and review by this office, we
recommended denial of the claim.
ATTACHMENT:
Copy of the Claim
165754.1
Office of the City Clerk
I I I
January 7, 2003
Carl Warren & Co.
P. O. Box 25180
Santa Ana, CA 92799-5180
Re:
Transmittal of Document(s)
Claimant : _]orge Garcia
City Claim No: 03-01
Filed With City: 01-07-03
X Receipt of Claim/Summons/Complaint
By: Personal Service
I
City of Tustin
300 Centennial Way
Tustin, CA 92780
714.573.3026
FAX 714.832.0825
The enclosed records were presented to this office as indicated above and have been
referred to the appropriate City department for investigation and also to the offices of
Woodruff, Spradlin and Smart, Attn: Lois E. Jeffrey, City Attorney. By this letter, you are
authorized to commence the necessary investigation of this claim on behalf of the City.
We request that you give such notices as may be appropriate to the City's insurance
carrier(s) and further request that you submit your preliminary and all subsequent reports
to the City, with a copy to the City Attorney and to the insurance carrier(s) if they so
request. Upon receipt of advice from the City Attorney, we will plan to present this
matter to the City Council and/or take such other steps as are directed by the City
Attorney.
A copy of this letter and enclosures were sent on .lanuary 7, 2003 to the City Attorney
and Department Head, and the original was forwarded to the Finance Department.
sincerely,
Linda Davider
City Clerk's Office
Enclosures: (as above)
C:
City Attorney ,
Department
Finance Department (orig copies)
CITY OF TUSTIN
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 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: , ~.¢"'~_ c:~¢'- ~
b. Address of Claimant: / :) ,~)~ ~ ~ ¢
c. City/ZipCode: --?
d. Telephone Number: '- ~_ ,~_~"--- ~ ~
e. Date of Birth: / .,
f. Social Security Number: (_~ ~.
g. Driver License Number: ~ -
2. Name, telephone, and post office address to which claimant desires notices to be sent (if other than_
above): ,_~-~ ~ (~,~-¢;_~ _~ ~ _% ~~~.~,-, '~,.~.~_ ~~ ~/-~
,
This claim is submitted against:
a. ~," 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:
.
Occurrence or event from which the claim arises:
a. Date: /- S-'- (:~ ~
b. Time: ' //.' ,*~) O~
c. Place(E_xactand~pecific-Loca{bn): lt~Lf-~¢,~[ ,~, ~."~.~,.¢~v' I'),(I~'L
How and under v~hat circUrr{stanc-es did d~ma~e (~r injury occur? -,~pecify the particular
occurrence, event, act or omission you claim caused the injury or damage (use additional
do
paper if necessary:
,
o
e.
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".
What particular action by the City, or its employees, caused the' alleged damage or injury?
If
Give the..~.name(s,) of the City em. ployee(s) causing the damage or injury:
7. Name and address of any other person injured'
8. Name and address of the owner of any damaged property:
o
10.
Damages Claimed'
a.
b.
C.
d.
Amount claimed as of this date: '.-~_ ~ ~ % ~1. ,, ~ '~
Estimated amount of future costs:
Total amount claimed: '3~ '5'~~¢[ ,, ff ~'
Attach basis for computation of amounts claimed (include copies of all bills,
estimates, etc.)
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 under penalty of perjury that the foregoing is true and correct.
__Claimant's Signature: --,~"~ ~ ¢¢ ('~,
Executed this I~-~,~¢~ day of
Date filed this .~..~ day of
2:CLAIM (1/00)
,20 O~
,20 ~:) "%
12/31/2002 at 03:44 PM
28016
Job Number:
COSTAMESA COACH CRAFT
License %:AF184009
EPA 9:CAL00017371
2888 9C HARBOR BLVD.
COSTA MESA, CA 92626
(714)825-0730 Fax: (714)825-0737
PRELLMINARY ESTIMATE
Written by:
Adjuster:
Insured: GARCIA JORGE
Owner: GARCIA JORGE
Address:
Day:
Evening:
Claim #
Policy #
Deductible:
Date of Loss:
Type of Loss:
Point of Impact:
Inspect
Location:
Insurance
Company:
Days to Repair
1995 CHEV TAHOE 4X4 8-5.7L-FI 4D UTV Int:
VIN: Lic:
Air Conditioning
Intermittent Wipers
Custom Interior
Clear Coat Paint
Power Windows
Anti-Lock Brakes (4)
Recline/Lounge Seats
Prod Date:
Tilt Wheel
Body Side Moldings
Privacy Glass
Power Steering
Power Locks
Driver Air Bag
Aluminum/Alloy Wheels
Odometer:
Cruise Control
Dual Mirrors
Luggage/Roof Rack
Power Brakes
Power Mirrors
Cloth Seats
NO.
1
2
3
4
5
6
7
8
9
10
11
OP. DESCRIPTION
REAR BUMPER
O/H rear bumper
Repl Face bar production chrome
Repl Step pad upper
Repl LT Mount brace
REAR LAMPS
Repl LT Tail lamp assy
TAIL GATE
Repl Tail gate
Add for Clear Coat
Repl Nameplate Blazer, fuel
injected TAHOE
QTY EXT. PRICE LABOR
1.4
1 262.00 Incl.
1 47.49 Incl.
1 29.90 Incl.
1 117.50 0.5
1 409.84 3.0
1 30.99 0.2
PAINT
3.5
1.4
12/31/2002 at 03:44 PM Job Number:
28016
PRELI/~INA/~Y ESTATE
1995 CHEV TAHOE 4X4 8-5.7L-FI 4D UTV Int:
NO. OP. DESCRIPTION QTY EXT. PRICE LABOR
Repl Handle, outside w/o Denali,
Escalade
LIFT GATE
Repl Frame
Overlap Major Adj. Panel
Add for Clear Coat
Repl Glass GM, tinted w/rear wiper
w/rear defogger
Repl Wiper arm
Repl Blade
QUARTER PANEL
Repl LT Applique w/end gate
Rpr LT QUARTER INNER CORNER RIENF.
Subl TAPESTRIPE
WINDSHIELD
Rep1 Glass GM tinted
12 1 32.25 Incl.
13
14
15
16
17
18
19
20
21
22%
239
24
25
26%
279
289
29%
COVER CAR
COLOR MATCH
COLOR SAND AND BUFF _
HAZARDOUS WASTE
Subtotals ==>
1 230.86 3.5
1 655.63 Incl.
1 23.72 0.3
1 17.00 0.1
1 39.27 0.3
3.0
1 35.00 X
1 389.14 3.5
1 10.00 X 0.5
1 X 1.0
1 1.0
1 5.00 X
PAINT
1.8
-0.4
0.3
0.5
2335.59 18.3 7.1
Parts
Body Labor
Paint Labor
Paint Supplies
Sublet/Misc.
2285.59
18.3 hrs @ $ 34.00/hr 622.20
7.1 hrs @ $ 34.00/hr 241.40
7.1 hrs @ $ 24.00/hr 170.40
50.00
$ 3369.59
$ 2455.99 @ 7.7500% 190.34
$ 3559.93
SUBTOTAL
Sales Tax
GRAND TOTAL
ADJUSTMENTS:
Deductible
CUSTOMER PAY
INSURANCE PAY
0.00
$ 0.00
$ 3559.93
12/31/2002 at 03:44 PM Job Number:
28016
PRELIMINARY ESTIMATE
1995 CHEV TAHOE 4X4 8-5.7L-FI 4D UTV Int:
THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO
DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR
ABBREVIATIONS/SYMBOLS: D=DISCONTINUED PART A=APPROXIMATE PRICE LABOR TYPES:
B=BODY LABOR D=DIAGNOSTIC E=ELECTRICAL F=FRAME G=GLASS M=MECHANICAL P=PAINT
LABOR S=STRUCTURAL T=TA×ED MISCELLANEOUS X=NON TAXED MISCELLANEOUS PATHWAYS:
ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND CAPA=CERTIFIED AUTOMOTIVE
PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT. PRICE=UNIT
PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NAGS=NATIONAL
AUTO GLASS SPECIFICATIONS NON-ADJ=NON ADJACENT O/H=OVERHAUL OP=OPERATION
NO=LINE NUMBER QTY=QUANTITY QUAL RECY=QUALITY RECYCLED PART QUAL REPL=QUALITY
REPLACEMENT PART RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND
INSTALL R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET
LT=LEFT W/O=WITHOUT W/ =WITH/ SYMBOLS: %=MANUAL LINE ENTRY *=OTHER [IE..MOTORS
DATABASE INFORMATION WAS CHANGED] **=DATABASE LINE WITH AFTERMARKET N=NOTES
ATTACHED TO LINE.
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from
the Guide DR1GC92 Database Date 7/2002 and the Rarts selected are OEM-parts manufactured by the
vehicles Original Equipment Manufacturer. Asterisk (*) or Double Asterisk (**) indicates that the
parts and/or labor information provided by MOTOR may have been modified or may have come from an
alternate data source. Non-Original Equipment Manufacturer aftermarket parts are described as AM
or_Qual Repl Parts. Used parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned
parts are described as Recon. Recored parts are described as Recore. NAGS Part Numbers and Prices
are provided from National Auto Glass Specifications, Inc. Pound sign (#) items indicate manual
entries.
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