HomeMy WebLinkAboutCC 5 CLAIM #90-36 11-19-90AGEr��? -'yyi
DATE: OCTOBER 29, 1990
' ENT CALENDAR N0. 5
1
.9-90
-,
Inter - Com
TO: HONORABLE MAYOR AND CITY COUNCIL
FROM: CITY ATTORNEY
SUBJECT: CLAIMANT: SCHENKER, DONALD; D/L: 7/14/90; DATE FILED W/CITY:
10/17/90; CLAIM NO: 90-36; CARL WARREN FILE NO: S 63750 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.
JAME G. ROURKE
City Attorney
JGR:kbg(claim.frm)
Enclosure: Copy of Claim
=, L1A L L'1 t1l3r_% L 114 J 1 1 11 L, L. 1 A. 1 %J I: 1 V J t l 1v
(For Damages to Person, it Personal Property)
Received by
U.S. Mail
Inter -office Mail
Over the Counter X
via
e law provides generally 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 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 MAYOR 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: DONALD SCHENKER
a. ADDRESS OF CLAIMANT:
b. PHONE NO: ( C. DATE OF BIRTH:
SOCIAL DRIVERS
d. SECURITY NO: Unknown e. LICENSE NO:
2. Name, telephone and post office address to which claimant desires notice;
to be sent, if other than above:
WYNN LAWRENCE LAW CORP. 5554 Wilshire Blvd., n 1402, L.A., CA 90036
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:
NQ F
4. Occurrence or event from which- the- claim arises:----
a.
rises:- --a. DATE: 07-14-90 b. 'TIME: 4:30 p.m. C. PLACE (Exact
and specific location): Red Hills Ave. & Bryan Ave., Tustin, CA
d. Flow and under what circumstances did damage or injury occur? Specify
the particular occurrence, event, act or omission you claim caused
the injury or damage (Use additional paper if necessary).
The signal lights at the intersection of Bryan Ave. and Red Bill Ave.
were not working. A transformer had lost power on Wass St. The
transformer's loss of power rendered some signal igzts inoperative.
This mall -function caused the traffic .-ollision among all parties invol-
e. What particular action by the City, or its employees, caused the Vend
alleged damage or injury?
The city failed to mal n a i a, SUL2ervi se xoT to the tr,� f f i c sigl-lu.1 lic,11
t- 1 }1E' 111f-C'7-sC�C�t-1Cln nJ �1"V 3}l [\J(I
�-
S i on
If .
5. Give a description of '-,e injury, property damag,- -)r loss so far as is
known at the time of s claim. If there were injuries, state "no
injuries".
Personal injuries • oain to 1 f �hc�u 1 c3Pu, ri qhf lnwer_�, nr Ck " lQ_ ft rim
lower back, left wrist, headaches.
6 Give the name(s) of the City employee(s) causing the damage or injury:
NONE
7. Name and address of any other person injured: Kelly L. Stagner,
James F. Leiviska, Julie Leiviska
8. Name and address of the owner of any damaged property: Kelly Stagner,
Randolph Villador, James Leiviska, Patricia Fronczak
9. Damages claimed: total medical bills as of.this date
a. Amount claimed as of this date: (Claimant is still under medical trea
b. Estimated amount of future costs: Unknown. $2,404.00 ment
C. Total amount claimed:
d. Basis for computation of amounts claimed (include copies of all bills,
invoices, estimates, etc.: copy of.Dr.Einbund's report and bill for
$1,276.00; Santa Ana Tustin Physical Therapy $1,128.00.
10. Names and addresses of all witnesses, hospitals, doctors, etc.:
a • -ISIi 1'nQfi P - YvnnnA TLl? ae;1mpG PIE) Gk
b.
C.
d.
11. Any additional information that might be helpful in considering this claim:
A courtesy copy of the traffic colission report is attached.
Photographs of Claimant's . aph e ci l l e -Y Lynn
Stagner's vehicle_
`rJARNING : IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIPI! ( 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
ipon 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 17th day of October
19 90 , at Tustin, California.
CLAIMANT'S
Office of the City Clerk,
Austin, California
LAIT1 NO: �;L' " `?� DATE FILED:
-sed 8/05/81
JGR:se:R:8/5/81 (A)
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