HomeMy WebLinkAboutCC 3 CLAIM #90-24 08-06-90DATE:
TO:
FROM:
SUBJECT:
July 11, 1990
• Consent Calendar No. 3
8-6-90
Inter - Com
HONORABLE MAYOR AND CITY COUNCIL
CITY ATTORNEY
CLAIMANT: Nellie Foreman; D/L: 5/10/90; DATE FILED
W/CITY: 7/3/90; CLAIM NO: 90-24; CARL WARREN FILE NO:
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
..LAIM AGAINST THE (:iTY ur' luD11w
(For Damages to Persons-"* Personal Property)
apoeived by
S. Mail
,iter -off ice Mail
Over the Counter
XX
via
11
The law prove es genera ly that a claim must be filed 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 inforr
tion by paragraph number. Completed claims must be mailed or delivered to
City Clerk, The City of Tustin, 300 Centennial Way, Tustin, California 9268.,
TO THE HONORABLE MAYOR 1% -ND 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 CLAIPANT: Nellie Foreman
a. ADDRESS OF CLAI[tA�IT:
b. PHONE NO: ( C. DATE OF BIRTH:
SOCIAL DRIVERS
d. SECURITY NO: e. LICENSE NO:
�2. Name, telephone and post office address to which claimant desires notice
to be .sent, if other than above:
CD Hollins, Schechter & Feinstein, P.Q.- 1027, Orange, CA 92668
0 This claim is submitted against:
r--
'""� a. XX 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: 511Of 90 b. 'TIME: _8 - 1!L_p_ m C. PLACE ( Exact
and specific location) : Intersection of Redbi I I Ave and Iruinn L�?�rd,
northwest corner
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).
Claimant began to walk across crosswalk with the "walk" si7nal�
vehicle traveling southbound Redhill Ave., turned righ_ onto Truinn
Blvd. striking claimant in crosswalk.
e. What particular action by the City, or its employees, caused the
alleged damage or injury?
Failed to maintain proper -interseetian of
Redhill Avenue, and Trtri nn _B],y , - -
;. Gi.ve a description of injury, property damagE loss so far as is
• known at the time of, his claim. If there were injuries, state "no
,.njur ies" .
6. Give the name (s) of the City employee (s) causing the damage or injury:
7. Name and address of any other person injured:
N/A
8. Name and address of the owner of any damaged property: N/A
9. Damages claimed:
a. Amount claimed as of this date: Unknown at this time, trea ment
r -nn
b. Estimated amount of future costs: [lnknnwn nt- this time
c. Total amount claimed: iTnkn
d. Basis for computation of amounts claimed (include copies of all bills,
invoices, estimates,'etc.:
10. Names and addresses of all witnesses, hospitals, doctors, etc.:
a• Michael Grahm,
b• Medix Ambulance Service, P.O. Box 3783, Tustin, CA 92.680
c• Western Medical Center, P.O. Box 92198, Los Angeles, CA 90009
d.
li Any additional information that might be helpful in considering this claim:
WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIf1! (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 _ day of Q wro 19 90 at Tustin, California.
7
Office of the City Clerk,
Tustin, California
Cr .r1 NO:
Revised 8/05/81
JGR : se : R : 8/ 5/ 81 (A)
CLAIHANT �Z SIGNATUR
DATE FILED: