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.