HomeMy WebLinkAbout19 CLAIM #94-26 07-18-94 NO. 19
" . 7---~8-94
Inter-Corn
DATE: July 8, 1994
TO:
FROM:
SUBJECT:
HONOPJ%BLEMAYORANDMEMBERS OF THE CITY COD-NCIL
CITY ATTOP. NEY
CLAIMANT: KIM MORGAN; CLAIM NO.: 94-26; D/L: 4/7/94; DATE
FILED W/CITY: 5/12/94; CARL WARREN FILE NO. S 78297 PRL
This claim was proposed for rejection at the last City Council
meeting. Sinre that time, we have investigated the incident
further with ~he City's Risk Manager, Ron Nault. There is no
evidence that any City crews were working in the area at the time
of the inciden=, and accordingly, it is City staff's belief that
the paint in the roadway was deposited there by another party. If
there was any potential City liability, given the small amount of
this claim, we would recommend that the City consider granting the
claim. However, upon further investigation, it is our
recommendation that the claim be rejected.
LEJ: cas: D: 07/08/94: (T24
cc: William A. Huston, City Manager
Ron Nau!t, Finance Director
AGENDA__
DATE: JUNE 21, 1994
TO:
FROM:
SUBJECT:
HONOR3~BLEMAYORAND CITY COUNCIL
CITY ATTORNEY
CLAIMANT: KIM MORGAN; CLAIM NO: 94-26; D/L: 4/7/94; DATE FILED
W/CITY: 5/12/94; CARL WARREN FILE NO: S 78297 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'th~ rejection to the claimant and to ;he
claimant's attorney.
Enclosure: Copy of Claim
cc:
Carl Warren & Co.
Finance Director
City Manager
city of Tustin
C'--A. IK AGAINST T?F- CITY OF TUE%-K
(For Da_~ages %0 Persons or Personal Property)
The law provides generally that a claim must be filed with the city Clerk o~
the City of'~cstin ='~thin 6 months after the incident or event occurred. Be
sure your claim is against the City of Tustin, not another public entity.
~ere 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 92£30
~EN COKPLETING T~I$ FOR/{, PLEASE TYPE OR USE BLAC~ INK
~TO THE HONOP~A3LE ¥~YOR A~D CITY COUNCIL, city of Tustin, California:
The undersigned respectfully submits the following
relative to damage to person and/or property:
claim and information
b. ADD,LESS OF CLAiFJtNT: ~ -~ ~ ~-
c. CITY/ZiP CODE:
e. DATE CF BIRTH:
g. DRI~P3 LICENSE NO:~ ~-~
Name, telephone and post office address to ~hich claimant desires notices '
%o be sent (if ouher ~han above):
This clain is submitted against:
a. ~< The City of Tustin only.
b. The foi!o~ing employee(s)
of the city of Tustin only:
The City of Tustin and =he fo!lo~'ing employee(s) of the City
Occurrence or event from %'hich the claim arises:
Pi--ACE 'E>~acu and specific location):
HOW an! unier ~'ina~ circumstances ~id dar, ace or injury occur? Speci
~he part!ct!ar occurrence, even%, act or omission you claim caus~
~he iniur>' cr damage (Use addiuiona! paper if necessary):
~ ~-i~N~'~ '~ .... ~ ~. C~ C
qTT i ~693.2. 95~615145 Est: D. TRI ~'LETT
FREFWAY ~UTO
B( ~F~Y / SF:~ r~lT A
~N~ L · NC MER
28 AUTO C~NT~R DR.
TUST I N, CA
(714> 544-7:~34--258
7wrier: KlM MORGAN Day ~-'hone: ( -
qdd~ese:
Deductible: s N/A
Claim No. :
Phone
~3 NISS AI_TIMA GLE 4D SED BLACK 4-2.4L-FI
J~n: Licenso: ~ P'rod Da~e: 6/92: Odometer:
:'ower steering
:'ower locks
"~1 mirrors
t wheel
inert deter/alarm
~Tiectric glass sunroof
~e~iine/I oun_oe se~ts
Air conditionin9
Cruis~ control
Dr~ver airba~
Cloth seats
Clear c~at ~aint
Body side mo]dings
Rear defog~er
Climate ~ontrol
· ' RE~'R/ ~'ART L~R PAINT
~C. RE~:'L DESCRI~'T~0N OF DAM~PE (~,TY COST HRS HR$
1 FENDFR & LAMC'S
2' Rep1 LT Wheel liner
3 Repl. LT Splash shield
4 CENTER PILl_AR & ROCKER
5* Refin LT Orr rckr pnl X, GX, (~L
6 Add for Clear Coat
?~- COLOR SAND & BLiFF
8~ DETAIL CAR
29. 00 0. 4
19. 84 0. 2:
1.~
0.5
'Subto%~Is ===> ~8.54 5.7 1.8 -'-,.
eo
'~:-'.~T par:icu!~ ='-ion by :he City, o: e---plcyees, cause~
a!lege~ damage o~ inju~?
Give a description of the inju~, property damage or loss so far known at
~the zime of this claim. If there were no injuries, state "no injuries".
6. Give the name(s) of the~employee(s) causing the damage or
7. Name and address of any other person injured: ~5/~
injury:
!0.
Name and address of the owner or any damaged property:
Damages claimed: '. -r' -' "
a. ~ount claimed as of the date: ~(?0
b. Estimated amount of future costs:
c. Total amoun~ claimed: --~-~0
d. Attach basis for computation of a~ounts~-~cclaimed (include copies
all bills, invoices, estimates, etc.
Names and addresses of all witnesses, hospitals, doctors, etc.
of
W;_RNiNG: ZT IS A CRIMINAL OFFENSE TO FILE A FALSE CLJ, ZMI!
(Penal Code Section 72; Insurance Code Sec%ion 555.0)
I have read the matters and statements made in the above claim and i Know the
same to be tl-ue of my own knowledge, except as ~o those mat~ers stated to be
upon information or belief and as to such matters.I believe the same to be
t~ue. I certify under penalty or perjuFy ~hat the foreccinc is TRUE ~D
CORP~ECT. - -
Executed ~his % ~ day of ~
DATE
mG~ATURm
.' (
S l: CLFOR_M
Revised 4/29/91