HomeMy WebLinkAboutCC 4 CLAIM #90-03 03-05-90CONSENT CALENDAR NO. 4
3-5-90
Inter PM
(Wer T N
DATE:
2/13/90 V E- F)
HONORABLE MAYOR AND CITY COUNCIL FEB 2 0 199W
TO:
FROM: CITY ATTORNEY
CLAIMANT: CARLOS IBARRA; D/L: 11/10/89; DATE FItED
SUBJECT: W/CITY: 2/8/90; CLAIM NO: 90-03; CARL WARREN FILE NO:
S60182CLB
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.
JQ.-ROU*RE
A*SSb'T.�
City Attorney
JGR (F4)
Enclosure: copy of Claim
CLAIM AGAINST T`it; 1. iTy Ur '1'U ---)-.LI 1N
(IFF - Da,nages to Persons or Personal Property)
Received by via
DS_- . Mail
er-office Mail
r the Counter
T e law provides generally that a claim must be sled with the City Clerk o
the City of Tustin within 100 days after which the incident or event occurre
Be sure your -claim is against the City of Tustin, not another public entity.
Where space is insufficient, please use additional paper and identify inform
tion by•paragraph number. Completed claims must be mailed or delivered to t
City Clerk, The City of Tustin, 300 Centennial Way, Tustin, California 92680
TO THE HONORABLE t1AYOR AND CITY COUNCIL, City of Tustin, California:
The undersigned respectfully submits the following claim and information rel
tive to damage to persons and/or personal property:.
1. NAME OF CLAIMANT: CARLOS GOMBZ IBARRA
a. ADDRESS OF CLAIMANT:
b. PHONE NO: ( C. DATE OF BIRTH:
SOCIAL DRIVERS
d. SECURITY NO: N/A e. LICENSE NO: N/A
2. Name, telephone and post office address to which claimant desires notice
to be sent, if other than above:
c/o Nielsen & Carpenter, 222 West 4th St-, Suite A Santa Ana-. CA 9?7nl
This claim is submitted against:
a. The City of Tustin only.
b. The following employee(s) of the City of Tustin only:
C. XXX The City of Tustin and the following employee(s) of the
City of Tustin only:
City of Tustin Police Department, Officer John R. Hoffman
4. Occurr� e or event from which the claim arises:
a. DATE: 11/10/89 b. •TIME: 4:40 p.m. C. PLACE (Exact
and specific location): 14262 Newport Ave., Tustin, California
d. Flow and under what circumstances did damage or injury occur? Specif
the particular occurrence, event, act or omission you claim caused
the injury or damage (Use additional paper if necessary).
Officer John R. Iioffman struck claimant Carlos Gomez.Ibarra, while
exiting. trom a driveway at the location of 14262 Newport Ave., in tr
i y Tustin. Claimant was riding a bic cle at the time of the
acct. en .
e. What particular action by the City, or its employees, caused the
alleged damage or injury?
Officer John P. Hoffman ne li�entl� o erated a vehicle owned bCity of Tustin and its o icetment.
officer was driving in an excessive aoee
• % .J L V C,: UA %.A — .J \- J.. J. L-. � L. \/ . A u d.. — - - — — .. J + — z / L .J L. — —.,L — ..... "' J " " .. _.
known. at the time of this claim. If there were no injuries, stat
injuries".
_ Claimant sustai., injuries to his Head, both legs. Claimant
also sustained property damage to his bicycle.
6. Give the name(s) of the City employee (s ) causing the damage qr injury -
Officer John R. Hoffman
7. Name and address of any other person injured:
N/A
8. Name and address of the owner of any damaged property: Claimant
9. Damages claimed:
a. Amount claimed as of this date: unknown
b. Estimated amount of future costs: unknown
C. Total amount claimed: unknown
d. Basis for computation of amounts claimed (include copies of all bills,
invoices, estimates, etc.:
10. Names and addresses of all witnesses, hospitals, doctors, e'tc.:
a. Dr. Morris Skinner
b.
C.
d.
11. Any additional information that might be helpful in considering this claim:
Traffic Collision Report #89-14459
WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIPZ! ( 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 of perjury that the foregoing is TRUE AND CORRECT •
Executed this (Q da of /'17 19 at Tustin, California.
E Y
� •J1
Office of the City Clerk,
Tustin, California
ITZ NO:
Revised 8/05/81
JGR:se:R:8/5/81 (A)
f SIGNAT URL
Gary D. Carpenter
Attorney of record for the Claimant
DATE FILED: