HomeMy WebLinkAboutCC 4 CLAIM #90-10 05-07-90AGENDA
DATE:
TO:
FROM:
SUBJECT:
SIS-�10
April 16, 1990
CONSENT CALENDAR NO. 4
5/7/90
Inter - Com
HONORABLE MAYOR AND CITY COUNCIL
CITY ATTORNEY
CLAIMANT: Sally Brown; D/L: 1/21/90; DATE FILED W/CITY:
4/3/90; CLAIM NO: 90-10; CARL WARREN FILE NO: S63320PRL
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. A, 4
City Attorney
JGR:kbg(F4)
Enclosure: Copy of Claim
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Farmers Insurance
•:,•; v. 3-28-90
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P. OF COMPANIES
ORANGE BRANCH CLAIMS OFFICE
3707 WEST GARDEN GROVE BLVD
STE 100 P.O. BOX 1447
ORANGE, CA 92668 r
714-740-2355
CLAIMI OF SHELLY,.. BROWN,; & .
FARMERS INSURANCE GROUP
CITY OF TUSTIN VERIFIED CLAIMI FOR PROPERTY DAMAGE
TO: CITY OF TUSTIN COUNTY CLERK
YOU ARE HEREBY NOTIFIED that Shelly Brown whose address is .2334 -"Paseo
Circulo, 2ustin, .California.. and Farmers . Insurance Group whose-
address is 2800 N. Farmers Drive, Santa Ana,California claim
damages Lroithe City o•Yuma ithe amount computed as of the
n n
date of presentation of this claim, ,$2,63.14.,
This claim is based on property damage sustained by the claim-
ant on or about January 21,1990 at 8:55 A.M.,on PArk Center Lane
in ri'uatin; a mai
cover."w* as off of the hole, insured tried to
n
swerve to miss it but it hit her left rear tire.
The damage sustained by the claimant-, as far as is known as of
the•, date of presentation...of...this,, claim, consists of dainages to
the vehicle in the amount of Two HUndred"Sixty THree Dollars and
fourteen cents. .Attached is a copy of the repair bill.
All notices of other communications with regard to this claim
chould be sent to Farmers Insurance Group, 2800 N Farmers Drive, �
Santa Ana,California.
DATEDSIGNED
,,• Farmers • nsura c G�ru p-
.:�:
Subrogation MAnager
Ord this �9, day of , 1990, personally appeared before
me to,.me known to be•.the indiv-idual_•who_.
executed the foregsing instrument and duly acknowledge signing
the same.
0FF. ic:IAL sFAL
?�ONITA AA GIB80NS
NOTARY PUBLIC - CALIFORNIA
r.t
ORANGE COUNTY
' My comm. expires AN 24, 1990
Policy # 97 100347935
Notary Publ6c in and for the
State of California residing
at Santa Ana.