HomeMy WebLinkAboutCC 4 CLAIM #88-67 02-06-89 CONSENT CALENDAR
i'!,.-!'\ !~ ,," ,"~ ,: ,
.
TO:
FROM:
SUBJECT:
.'L ....... HONORABLE MAYOR AND CITY COUNCIL
CITY ATTORNEY
CLAIMANT= PACIFIC BELL; D/L=
~ ~ JAN I319.~
10/24/88; DATE FILED
W/CITY: 12/20/88; CLAIM NO: 88-67; CARL WARREN FILE
,NO: ~575~{CS9
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.
C~y Attorney
JGR (F4.se)
Enclosure:
Copy of Claim
· (Fo, O~mages to Pers~ '~',~'F'e~sonal Property)
Received By
U.S. Mail
Inter-office Ivlai~
Over the Count. er
via
Clerk's Time Stamp
The law pro~ides generally that a claim must be filed with the City Clerk of the (
of Tustin within 100 days after_which the incident or event occurred. Be sure your claim is againsL
. City of Tustin, not another public entity. Where space is insufficient, please use additional paper
.identify information by paragraph number. Ccmpleted claims must be mailed or delivered to the (
Clerk, The City of Tustin, ~)00 Centennial Way, Tustin, 'California 926813.
1
i
TO THE HONORABLE MAYOR AND CITY CQUNCll_, City. of Tustin, California
The undersigned respectfully submits the .following claim and information relative to damage
persons and/or personal' property-.
NAME OF CLAIMANT:
a.
b.
d.
e.
PACIFIC BELL
, ,
ADDRESS OFCLAIMANT.- 1010 Wilshire Blvd, Rm. 621, !.os Angeles, CA 90017
·
PHONE NO: (213) 975-3305 c. DATE OF BIRTH:
._
SOCIAL SECURITY NO:
i
DRIVER~ LICENSE NO:
Name, telephone and post office address to which claimant desires notices to be sent, if. o
than above:
Same
Occurrence or event from which the claim arises-.
a. DATE: October 24, 1988 b. TIME: ' ' c. PLACE (exact and spec
location) Front of 13011 Newport AvE.~ Tl~Ktin
d. How and under what circumstances did damage or injury occur? Specify the partic
occurrence, event, act or omission you claim caused the injury or damage (use addlti
paper if necessary).
Our 600-pair buried cable was struck and d0moged by an ,,~ger.
while .in the process of installinq a traffic sional control~ for
the City of Tustin. General Contractor-F.J. Johonsop Inc,
1195 N. Vanhorn Way, Anaheim.
What particula- action by
injury?
the City, or its employees, caused the alleged damag
' ' Give a description
this claim. If there
:he injury, property damage or ....... :=, =o far ns is known at the tin
'lo injuries, state "no injuries"
Damage to our 600-pair buried cabie
e
,,= o
Give the name(s) of the City employee(s) causing the damage or injury:
Name and address of any other person injured=
·
Name and address of the owner of any damaged property:
SI
Damages claimed:
a. Amount claimed as of thi-. da re: $ 2,279.07
b. Estimated amount of future costs:
c. Total amount claimed: $2,279.07
d. Basis for computation of amounts claimed (include copies of all bills, invoices, estir~
' etc.):
10.
Names and addresses of all witness, hospitals, doctors, etc.
_
·
b.
d.
Any additional information that might be helpful in co. nsidering this claim:
WARNING: I'1' IS A CRIiVlIINAL OFFENSE TO FILE A FALSE CLAtN4! (Penal Code Section 72;
Insurance Code Secti on 5 56.0)
! have read the matters and statements made in the above claim and I know the same to be true
own knowledge,'except as to those matters state~! to be upon information or belief as to such ma~
believe the same to be true. i certify under penalty of perjury that the foregoing is TF~U
CORRECT.
Executed this 16th day of
Office of the City Clerk,'
Tustin, California
CLAIM NO.
December
,19 88 ,at Los Angeles ,Califcrnia.
__
-- , . _ ~.._ ~ ~.- -~
'J. W. Jones-
Ciaimant'~ Signature
-Regional Claims Mg~
HR:at
DATE FILED:
CIFIC 'a BEL
· A Pacific Telesis Group Company
4am! Payment to:
- PACIFIC BELL -1
1010 WILSF'IIRE BLVD. o,,, 11/17/88
ROOM 621 , cwso .o. 46CH081078
~' LOS ANGELES, CA. 90017 _J .... dF8461078 ....
Total Amount Due
F' -1- $ 2~279.07.
City Clerk .. "'
City of Tustin
300 Centennial Way
Tustin, California- 92680
L j Payment Due By:
.~..sE ..~u....,s .o.,,o. o, ,,.~ w,,, ,,.-,., D U E U P 0 N R E C E I P T
ii mi i i i i i i i i m i m i i iii - - -
For Questions Call CWBO No. JAN RAO DATE
213-975-7231 46CH081078 182 11/17/88
FOR THE COST OF REPAIR TO PACIFIC BELL
PLANT FACILITIES DAMAGED AT
LOCATION: .
F/13011 NEWPORT AVE, TUSTIN, CA
DATE OF DAMAGE: 1(>/24/88
CHARGES'
PACIFIC BELL LABOR
.TROUBLE REPORT HANDLING'
39.00 HOURS
TOTAL 'AMOUNT DUE
BC
046
Pacific Bell
AC 111
$2,090.88
$188.19
$2,279.07
.1/17/88
19:48
REPORT
ARC-RPT
JCWO14
SOCAL
WORK DETAIL FOR CWBO
City Clerk
City of Tustin
300 Centennial Way
Tustin, CaTifornia
92680
FOR THE COST OF REPAIR TO PACIFIC
PLANT FACILITIES DAMAGED AT
LOCATION:
F/13011 NEWPORT AVE, TUSTIN, CA
DATE OF DAMAGE: 10/24/88
46CH081078
BELL
PAGE
PROGRAM
1
dOF?lO
DATE
10/24/88
_10/24/88
3/24/88
.0/24/88
10/25/88
10/25/88
10/25/88
10/25/88
LABOR/ENGINEERING
RC/FC REGULAR AND EXTRA HRS HOURLY RATE
42XC 4.00 3.50 $54.00
42XC 8.00 $54.00
42XC 1.00 $54.00
42XC 2,50 $54.00
42XC 6.50 1.50 $54.00
42XC 8.00 $54,00.
40XX 4.00 $50,22
LABOR/ENGINEERING TOTAL
ADDITIONAL EXPENSES
41T TROUBLE REPORT HANDLING
TOTAL AMOUNT DUE
SUB- TOT AL
$405,00
$432,00
$54,00
$135.00
$432.00
$432,00
$200.88
$2,090.88
$188.19
S2,279.07