HomeMy WebLinkAboutCC 5 CLAIM #88-55 11-07-88DATE: 10/21/88
CONSENT CALE'NDAR
NO. 5
11-7-88
Inter-Corn
FROH:
//~HONORABLE MAYOR AND CITY COUNCIL
CITY ATTORNEY
SUBJECT: CLAIgANT: MARIANNA M13SSER; D/L: 7/20/88; DATE FILED
W/CIT~Z: 10/5/88; CLAIN NO: 88-55; CARL WARREN
NO: S 55028 NPB ,
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.
,.
·
City Attorney
JGR (F 4. se )
Enclosure:
Copy of Claim
tepltcli C. t-to I'( r l.
A Law
238 WEST MAIN STREET · SUITE 102 · TUSTIN, CALIFORNIA 92680 ° TELEPHONE (714)'730-8202
October 3, 1988
City Clerk
CITY OF TUSTIN
300 Centennial Way
Tustin, CA 92680
RE: Marianna Musser
Date of Accident: 7/20/88
Dear Clerk:
I represent Marianna Musser with respect to the injuries she
Sustained on July 20, 1988 in a trip and fall accident on
the front sidewalk of the Tustin Public Library.
I am enclosing herewith Ms. Musser's Claim Against the City
of Tustin, which includes five photographs of Ms. Musser's
injuries. Please direct your response to me at the above-listed
address.
Very Sincerely yours,
STEPHEN C. HOSFORD
SCH/sg
Enc.
CERTIFIED MAIL, RETURN RECEIPT REQUESTED
Receipt No. P 910 474 302
Received by ~9~~ ~ ,.l.j~- via
'.S. Mail ~'~-~"~'1 ~- '~
~nter-office M~il
Over ~he Counter
.
!
The law. provides generally.that a claim must De f~led with the City Clerk of
the City of Tustin within 100 days after which the incident or-event occurred.
Be sure your claim is against the City of Tustin, not another public entity·
Where space is insufficient, please use additional paper and identify informa-
tion by paragraph number· Completed claims must be mailed or delivered to the.
City Clerk, The Cit~ 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 reia-
tire to damage to persons and/or personal property:
1. NAME OF CLAIMANT: Marianna Musser
a. ADDRESS OF CLAIMANT-:
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 notices
to be sent, if other than above:
STEPHEN C.- HOSFORD~ INC.~ 238 W. Main St.~ ~1.02~ Tustin~ CA 92680 .
·
..
This claim is submitted against:
a ·
The City of Tustin only.
The following employee(s) of the City of Tustin only:
c. xk
The C-ity of 'Tustin and the following employee(s) of the
City of Tustin only:
Emplo¥.ees responsible for inspecting & maintaining
thesidewalks at the entrance of the Tustin Public
Librar'y~ 345 E. Main St.~ Tustin, CA 92680.
·
,,
4.' Occurrence or event from which the claim arises:
a. DATE: 7/20/88 b. 'TIME: 10:30-11:00 pcm. PLACE (Exact
and specific location): sidewa
Public Libr&r~-'
d. How and under what circumstan damage or injury occur? Specify
the Particular occurrence, event, act or omission you claim caused
the injury or damage (Use additi f necessary).
unlevel sidewalk - claimant uneven Dortion & fell
e. What p'Hr'ticu}ar action by the City, or its employees, caused the
alleged damage or injury?
ne~li~e~ ~ai~tenance o~ s~dewa]k
G~ve a descrlptlon o~ ~ne ~n~u-, ~rcDe~v iamac= or ~ss so ~a~ as ~s
· ~: there were no 'n~'=s, s-a%e "no
known at the time of tnls clalm. ~. . - -
injuries".
bruising, contusions, early onset of arthritis, possible fractures,
broken blood vessels over her entire body
·
Give the name(s) of the City employee(s) causing the.damage or injury:
unknown
7. Name and address of any other person injured:
. .
Name and address of the owner of any damaged property:
Damages claimed:
·
a. Amount claimed as of this date: $15,000.00
b. Estimated amount of future costs: unknown
c. Total amount claimed: $15,000.00
d. Basis for computation of amounts claimed (include copies of all Dill's,
invoices, estimates, etc.: Medical expenses~ pain & suffering
10. Names and addresses of all witnesses, hospitals, doctors, etc.:
a. Health Care Med. Center~ Tustin~ CA 92680
b. Rey Yap~ c/o Tustin Public Library, 345 E, 'Main St,, Tustin. CA 926~0
c.
· ,,
do '
Any additional information that might be helpful in considering this claim:
five (5) 'attached ph. otOgraph~
(four showin9 in~urles~ one showinq accident site).
~ARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM.' (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
~pon 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 (~ ~-~-~.~':~_ , 1988 , at Tustin, California.
9ffice of the City Clerk,
?ustin, California
IM NO:
CLAIMANT ' S SIGNATURE
MARIANNA MUSSER
DATE FILED:
Revised 8/05/81
3GR:se:R:8/5/81 (A)