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HomeMy WebLinkAboutCC 20 CLAIM #91-24 06-17-91CONSENT CALENDAR NO. 20 6-17-91 %AGENDA -/7--1/ ATE.: JUNE 10, 1991 TO: HONORABLE MAYOR AND CITY COUNCIL FROM: CITY ATTORNEY SUBJECT: CLAIMANT: ORANGE COAST TITLE CO. ; D/L: 03-09-90; DATE FILED W/CITY: 05-20-91; CLAIM NO: 91-29; CARL WARREN FILE NO: S --- 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. Very ur JA S . ROUR E City Attorney JG1Z:jab:6-10-91(C1.-9124 ;jab) Enclosure: Copy of Claim City of Tustin Cl AGAINST THE CITY OF TUS'. (For Damages to Persons or Personal Property) e law provides generally that a claim must be filed with the City Clerk of 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, 15222 Del Amo Avenue, 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: Orange Coast Title Company b. ADDRESS OF CLAIMANT: 640 North Tustin Avenue, Suite 106 C. CITY/ZIP CODE: Santa Ana, California 92705 d. TELEPHONE NO: ( 714 ) 558-2836 e. DATE OF BIRTH: N/A f. SOCIAL SECURITY NO: N/A g. DRIVERS LICENSE NO: N/A 2. Name, telephone and post office address to which claimant desires notices to be sent (if other than above): H. James Keathley, Esq., Law -offices of Davis, Punelli & Willard 10 Newport Center Drive, Suite 1000, Newport Beach, CA 92660 (714) 640-0700 3. This claim is submitted against: a..XXXXXXX 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: 4. Occurrence or event from which the claim arises: a. DATE: December 14, 1990 b. TIME: NIL C. PLACE Exact and specific location):,/A 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 (Use additional paler if necessary): Orange Coast Title Company ("Orange Coast') was sued in Orange County Superior Court Case Num5er X b4 31 U3. it is Orange coast's con en -ion that it is owed equitabie and imn lett in emni v trom t5e city of Tustin as the City ot Tustin is a so a Co-Detendant in that action. .e. WHAT particular tion by the City, or it, mployees, caused the alleged damage injury? Arc -()re -3 i nq to the a 1 1 ecj a t ti sz ;ont-a-ner1 in t-he—eempla int- , the Ci- to in�ure the plaintiff Inty the of . S. Give a description of the injury, property damage or loss so fdr known at the time of this claim. If there were no injuries, state "no injuries". Equitable and implied indemnification. 6. Give the name(s) of the City employee(s) causing the damage or injury: Unknown at this time 7. Name and address of any other person injured: N/A 8. Name and address of the owner or any damaged property: Feridoun Rezai, address unknown 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, Unknown Unknown Unknown amounts claimed (include copies of etc. 10. Names and addresses of all witnesses, hospitals, doctors, etc. N/A 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 /%7h- day of , 19at Tustin, California. DATE FILED: 6_--,17 CLA NT' SIGNAT RE ..J_ : CLFORM Revised 4/29/91