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HomeMy WebLinkAboutConsent Calendar #5 7-20-87After 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 (F4. se) ' Enclosure: Copy of Claim "CLAIM AGAINST THE CIT '~ TUSTIN ~For Damages to Person= or Personal Property) received by via U.S. Mail Inter-office Mail Over the Counter - ORt iNAL The law provides generally that a claim must be ~iled 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 City of Tustin, 300 Centennial Way, TugriK, California 92680 TO THE HONORABLE MAYOR AND CITY COUNCIL, City of Tustin, California: The undersigned respectfully submits the following claim and information rela- tive to damage to persons and/or personal property: 1. NAME OF CLAIMANT: DEVON BO~MAN a. ADDRESS OF CLAIMANT: 364Z Wes= Park Central, Orange, CA 92668 b. PHONE NO: (714) 971-7822 c. DATE OF BIRTH: 2/1/69 SOCIAL DRIVERS /d. SECURITY NO: -{'~-A~-67~o e. LICENSE NO: C545671 2. Name, telephone and post office address to which claimant desires notices to be. sent, if other than above: WILLIAM SPECTORt I1611 San Vicente'Blvd.t Ste. 820t Los An~elest CA 90049 3. This claim is submitted against: ae The City of Tustin only. The following employee(s) of the City of Tustin only: The City of Tustin and the following employee(s), of the City of Tustin only: Names of ~ossible employees unknown at this time. Occurrence or event from which the claim arises: a. DATE: 3/22/87 b. 'TIME: app. 5:50 p.m.c. PLACE (Exact and specific location): Intersection of I--vine Bi. & Fashion Lane How 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). Claimant, riding a motorcycle, was struck by a left-turning vehicla. de ee What particular action by the City, or its employees, caused the alleged damage or injury? City of Tustin'.neg!igentl¥ desiqned and/or'maintained said ~nter- section so same became a danoerous cond4tion o~ ~B]JC 9ro~-tl~, therefore c~n~~ +~ +~ ~j,.r~9~ ~u~t~incd-~y claimant. 0 Give a description of the injury~ property damage or loss so far as is known at 'the time of this claim. If there Were no injuries,.stPte "no injuries". Extensive bodily injuries including, but not limited to, numerous leg Iractures. Also, total loss of 1986 Kawasaki motorcycle. Give the name(s) of the City employee(s) causing the damage or injury: Unknown at this time. ?. Name and address-of any other person injured: None 8. Name and address of the owner of any damaged property: < Devon Bowmanr 3642 W. Park Central~ Or~qe, CA 92668 9. Damages claimed: a. Amount claimed as of this date: $5~000~000.00 b. Estimated amount of future costs: 'Unknown c. Total amount claimed: . $5f000~000.00 d. Basis for computation of amounts claimed (include copies of all bills, invoices, estimates, etc.: The onlybill we have at present is f or Western Medical F~spiua~inexcess oz ~uu,ouu.uu 10. Names and addresses of all witnesses, hospitals, doctors, etc.: a. Suzie Elizabeth Emelf 17 Ensueno~ Irvine~ CA 92720 b. Graiq Mattel Drubin, 255 Owens~ Anaheim~ CA~ 92801 c. Western Medical HosDital, 1001 N. Tustin Avenue, Santa Aha, CA d. Any additional info=mation that might be helpful in considering this claim: WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM! Section 72; Insurance Code Section 556.0) (Penal Code 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 cert£fy under penalty of perjury that the foregoing is TRUE AND CORRECT. L/Executed this /~ day of June , 19 87 , at ~.~L~ California. Orange, Office of the City Clerk, Tustin, California Revised 8/05/81 JGR:se:R:8/5/81 (A) "'--~I~NT ' S SIGNATURE DEVON BOW!3LAN