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HomeMy WebLinkAboutCC 8 CLAIM #92-53 02-16-93CONSENT CALENDAR NO. 8 AGENDA.�-�� _ 93 112-16-93 , y G . ,ATE: JANUARY 27# 1993 Inter -Com USV , TO: HONORABLE MAYOR AND CITY COUNCIL FROM: CITY ATTORNEY SUBJECT: CLAIMANT: GEORGIA ERICKSON; CLAIM NO: 92-53; D/L: 11-3-92; DATE FILED W/CITY: 11-17-92; CARL WARREN FILE NO: S 72899 PRL 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. rl 1, JAMEP.,O. `1*6LMKE, City Attorney JGR Jab: (CL -9253 jab) Enclosure: Copy of Claim cc: Carl Warren & Co. Finance Director City Manager City of Tustin C AGAINST THE CITY OF TUP (For Dal.:_,es cis to Persons or Personal~,:._ _ operty ) Thelaw 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 identif} 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: GEORGIA L. ERICKSON b. ADDRESS OF CLAIMANT: C. CITY/ZIP CODE: d. TELEPHONE NO: e. DATE OF BIRTH: 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: yhm ,•; �- -c Tu t nand the fclyowing empl.oy�^e (s) of the City o , �..• }_ e %_J.%..� f 1 sl�• of Tustin only: '�'a intenance crew. 4. Occurrence or event from which the claim.arises: a. DATE: Nov. 3,1992 b. TIME: Approximately 1 p.m. C. PLACE (Exact and specific iocatisn) I,�_ d. HOW and under what circumstances did damage or injury the particular occurrence, event, act or omission you claim caused the injury or damage (Use additional paper if necessary): See attached document: e. WHAT particular- action by the City, or its employees, causen :.ne alleged damagt :injury? if the city' tees had beer. trim: e^ int pore timely m. anner �_ _.... t ►1ev t-oU1C1+ IlOY' 1�aVE' oeen so ove!" +'elCl::t E'G J klien t ne �1= s rains 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". Too many to list. See Attached list. No INJUR=S. 6. Give the name(s) of the City employees) causing the damage or injury: Tustin Citv Maintenance crew. 7. Name and address of any other person injured: i�Or:E 8. Name and address of the owner or any damaged property:Georaia Erickson, Volvo . 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 all bills, invoices, estimates, None amounts claimed (include copies or etc. 20. Names and addresses of all witnesses, hospitals, doctors, etc. John W. Ruppert, Tustin Police took Pictures. I, Georgia Erickson, took pictures, Before and aster Tree limbs were removed. 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 `knowthe n be same to be true of my own knowledge, except as to those matters stated upon information or belief and as to such matters I betheeve same ame o be :.rue. certify under penalty or perjury that the foregoing ND �. at Tustin, Califo-, Executed this day of •%' - DATE FILED: '-- CLAIMANT S ZGNATURE B1:CLFORM Revised 4/29/91 1 4. c. PLAC%:(exact and specific location): - 2 1. At 3 d. How and under what circumstances did damage or 4 injury ? Specify the particular occurrence, event, act or 5 omission you claim caused the injury or damage: 6 1. My car was parked under the city's Jacaranda 7 Tree that is planted in the city's side walk box. Two (2) g limbs fell on and across my car. 9 2. If the city of Tustin's Maintenance crew had .10 cut the city's trees in a more timely manner they would not 11 have been so heavy from the rain. 12 3. The OMISSION of this duty caused the act of 13 my car's damage. 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 1. JOE MAC PHERSON BODY & PAINT �-- B. A. R. # AF 1402_l 7 T "'-R # ; AUTO CENTER DRIVE, TUST I N, Cr► Phone: (I �+ i X4121-� %�0 ► UST I N AUTO CENTE E , ,. • .K li/i '!S:_ TIMATE PREPARED FOR Date Time: 161:04:40 ,`ORC+H "-RICKSON Est. No. 1235 REPAIR A VOLVO/ VOLVO 2401/260/75-8 C. Z7. E, � L E : 1. - uh-l\- ILL G. r -i it 1 �• _D r- _ r% # : TW •t' .._. I Y r ►_� a i n :. Labor Part / i= e e -L.aC -�� Sc�=;, i art De �cr i p Y an — _yj _..---_.__....__..._.._.__.. 1 �Oti FRT BUMP-cn FILLER K11DING • i 0. k 1 ::•R. •�--- i�:cL1`7' : 10lSIE, I. FRi GT"r, 13Ji;;EF; il4�'tt1.T aT 0. 0. 1 21. E- •_; t•: C: =:0-1 ' i : .JJ1C L UPI FE14DER FRO, {h0i;,.tlltl% 1 3 4 • � { �. C. 1 it 0. 0 Q -. - �• i > OU i 1{D6 H035 �`AN=L to I 01 0141 .E i BOD L FE PAPEi. i *10. LA 1 * 4. 3 1 � ►T. O -.n-%f 1' 41C' ROOF PANL L FRT ROW DRIP RAIL pIOi1' INia I t 4:{ . { �: . c g .i�D4 1 12563 1 L FRT DOOR REPAIR PAt� I* 1.01-r `.11 1.0� I BvDY 1121k�60 k . Off{ c� I BODY 1 123110 L REAR DOOR REPAIR PANEL 1 � 1- ` j 0. 0 1 } 0. 00 F' I BODY 1 12148 ► L FRT DOOR OUTS IDE MOLE �► 1. O I c:. 4 I O. 00 E, t BODY 1 130130L O'JARTr_ OVER PANELt � I i. kl l 0. 0 1 9 0. 01A R t BODY 113�13D ROOF RACK LKQ 816-336-45212 1 = =. ! I at i�T body ha';erial: -, - _ t t -i I -i :: � 1 •_`. � t k. . ►:. l k� . L{til t- 0 '.•• 4►c: moi. r�rlir- 1. t• �!` uh-l\- ILL G. TW •t' .._. I Y r _:� V� 1 11 •t _yj r�rlir- -3- A E. L 11 L��w�L�� I �r�. • _ U .••• .•.• l0•.►'•,iE I,J611J1'1=n Frll;,.•.•••••...•....•.•....•.•......•..• •• . •. -r-. .. .. • .. .. v• 1.'c 1. t• �!` uh-l\- G. TW -3- A E. L 11 L��w�L�� I �r�. • _ U .••• .•.• l0•.►'•,iE I,J611J1'1=n Frll;,.•.•••••...•....•.•....•.•......•..• •• . •. -r-. .. .. • .. .. v• 1.'c TOYOTA - VOLVO y` OF COSTA MESA 1966 HARBOR BLVD COSTA MESA, CA 92627 VOLVO ESTIMATE OF REPAIRS SHEET NO. OF gHEETS C - OWNER TEL. CITY AODREss ADJ. TEL. INS. CO. _ ` avallaDle iocauy. vn w-wv ­. --- - - otherwise in writing. ADDITIONAL partlabor. required s. or may be occasionally after the work has started. and '� ooened up. as damaged or broken parts are then discovered which were not evident on the first inspection. Hrs. [ Labor S SUCH ADDITIONAL LABOR AND MATERIAL WILL BE CHARGED FOR IN ADDITION TO THE ABOVE. ESTIMATE ,� EXPIRES 30 DAYS AFTER DATE. Parts S '' Est. of Repairs O Sublet $ Authorization to Repair ❑ X Paint S SIGNATURE 5 Final Invoice ❑ X Sales Tax S SIGNATURE ADV. CHARGES B.,:.R.= 153981 F.I.D.= 93088000 � GRAND TOTA 9Y DATE PARTS AND INSPECTED BY MATERIAL CAR AT - — ; r..RW4- 91V11254"00, 02 ffr4p ;2"d, SuBLET-NET & PAINT Elm 00 no Elm W" M1 115 11 SIMON ZAP "100 avallaDle iocauy. vn w-wv ­. --- - - otherwise in writing. ADDITIONAL partlabor. required s. or may be occasionally after the work has started. and '� ooened up. as damaged or broken parts are then discovered which were not evident on the first inspection. Hrs. [ Labor S SUCH ADDITIONAL LABOR AND MATERIAL WILL BE CHARGED FOR IN ADDITION TO THE ABOVE. ESTIMATE ,� EXPIRES 30 DAYS AFTER DATE. Parts S '' Est. of Repairs O Sublet $ Authorization to Repair ❑ X Paint S SIGNATURE 5 Final Invoice ❑ X Sales Tax S SIGNATURE ADV. CHARGES B.,:.R.= 153981 F.I.D.= 93088000 � GRAND TOTA 9Y DATE