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HomeMy WebLinkAboutCC 7 CLAIM #90-44 01-07-91/-7- 71 DATE: DECEMBER 13, 1990 TO: HONORABLE MAYOR AND CITY COUNCIL FROM: CITY ATTORNEY CONSENT CALENDAR NO. 7 1-7-91 Inter - Com SUBJECT: CLAIMANT: OSCAR FLORES; D/L: 9/11/90; DATE FILED W/CITY: 12/3/90; CLAIM NO: 90-44; CARL WARREN FILE NO: S 64023 CLB 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. JAMES G. ROURKE City Attorney JGR:kbg(claim.frm) Enclosure: Copy of Claim CJA. ~l..V of 'I'Ustin CL. AGAINST THE CITY OF TUS'I (For Damages to Persons or Personal Property) law provides generally that a claim must be filed with the incident or event City occurred. Clerk of Be City of Tustin within 6 months after the is against the City of Tustin, not another public entity. sure your claim is insufficient, please use additional paper and identify Where space information by paragraph number. Completed Centennial tbe ma l d for 3claims delivered to the City Clerk, City of Tustin, California 92680 WHEN COMPLETING THIS FORM, PLEASE TYPE OR USE DLACR 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: Oscar M. Flores b. ADDRESS OF CLAIMANT: d. TELEPHONE NO: f. SOCIAL SECURITY NO: g. -g. DRIVERS LICENSE NO: -- post office address to which claimant desires notices 2. Name, telephone and to be sent (if other than above): Robert Pacheco. Attorney at Law, 957 S Villa (- Qalts nri 7 ('Q�Tina, a• -� 3. This claim is submitted against: a. X 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: Sent:- 11 1990 b. TIME: 12:00 noon location): Near Santa Ana Frew -way and - c. PLACE (Exact and specific RPdh i 11 f f ramp pecify d. HOW and under what circumstances did damage or omisinjusion you claimSccaused the particular occurrence, event, act or y the injury or damage (Use additional paper if necessary): Cave-infn on imorovement to city ropert\7. e. WHAT particular tion by the City, or it mployees, caused the alleged da„age or i::jur1 Ne 1 i en ins " W 1 t h 2 'a f eY i Y E` Til E` 1Z T `' C1 f � � L� �1 r� T1 C� C' 1 f- 1.- � Tf�� t rec u1 5. Give a description of the injury, property damage or loss so far kno%..n at the time of this claim. If there were no injuries, state no injuries". Injury to 7_e neck bead back. 6. Give the names) of the City employee(s) causing the damage or injury: Unknown 7. Name and address of any other person injured: Carlos Barrios S. Name and address of the owner or any damaged property: City of Tush -n 9. Damages claimed: a. Amount claimed as of the date: $80,000 00 b. Estimated amount of future costs: 5100 000.00 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, doctoruptures,detc. t . fracturedt ent under treatment os- -�� . • n -i _s tent is by James Moore 5 Santa 7;na, CA WARNING: IT IS A CRIMINAL OFFENSE TOFILE AFALSE Code Section 556.0) (Penal Code Section 72; Insurance I have read the matters and statements made in the above claim and I knowed the same to be true of my own knowledge, except as to those matters upon information or belief and as to such matters ye le believe hesame tobe true. T certify under. penalty or perjury that foregoing is ND CORRECT. Executed this DATE FILED: 28th day of November CLAIKANT'S SIGNATURE B1:CLFORM Revised 10/23/90 19 90 , at Tustin, California.