HomeMy WebLinkAboutCC 5 CLAIM #85-3 03-04-85CONSENT CALENDAR
$ UBJ [CT:
HONORABLE MAYOR AND CITY COUNCIL
JAMES G. ROURKE, CITY ATTORNEY
CLAIMANT: PACIFIC TELEPHONE; D/L: 12/13/84; DATE
FILED W/CITY: 1/10/85; CLAIM NO: 85-3; CARL WARREN FILE
NO: S40713CVH
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.
JGR (F4.se)
Enclosure:
Copy of Claim
:" ~' - CLAIM AGAINST Ti~' CITY OF TUSTIN
(F'o, Oamages to Persons or Personal Property)
Received By
U.S. Mail
Inter-office Mail
Over the Counter
via
Clerk's Time Stamp
The law provides generally that a claim must be filed with the City Clerk of the I
of Tustin within 100 days after which the incident or event occurred. Be sure your claim is against
City of Tustin, not another public entity. Where space is insufficient, please use additional paper
identify information by paragraph number. Completed claims must be mailed or delivered to the i
Clerk, The City of Tustin, ~)00 Centennial Way, Tustin, California 92680.
!
TO THE HONORABLE: MAYOR AFID CITY COUNCL, City of Tustin, Catiforoia
The undersigned reapectfuUy sub~rdt~ the following claim and information relative to damag~
persons and/or personal property-.
NAME OF CLAIMANT:
a.
b.
e.
ADDRESS OF' CL.AIIvlANT: 2150
PHONE NO: (714) 937-1271
SOCIAL SECURITY NO:
PACIFIC BELL
Towne Centre Pl. r Rm.
~ DATE OF 8~TH:
DR/VE~ LICENSE NO:
202,AnaheimrCa.
92806
?.. Name, telephone and post office address to which claimant desires notices to be sent, if o
than above:
Pacific Bellr2150 Towne Centre Pl. r Rm. 202rAnaheimrCa. 92806
Occurrence ar event from which the claim arises:
a. DATE: Prior to 12-13-84 b. TIME: Unk:
location) Front of 137 S. Prospect, Tustin, Ca.
c. PLACE (exact and spe~
How and under what circumstances did damage or injury occur? Specify the partic
occurrence, event, act or omission you claim caused the injury or damage (use additi
paper if necessa'y).
Our 100 pair aerial cable was cut by a chainsaw, operated by
employees of the City of Tustin, Public Works, while tri,Lu,ing
trees.
What patticula- action by
injury?
Cable was cut
the City, or i~ employees, caused the alleged damag
by a chainsaw, while trimmin~ trees.
Give a description of the injury, property damage or loss, so far as is known at the tin
this claim. %f the~e wets no injuries, state "no injuries".
100 pair aerial cable cut.
Give the name(s) of the City employee(s) causing the damage or injury:
Unk.
Name and address of any other person injured=
Name and add[ess of the owner of any damaged property: Pacific Bell
Towns Centre Pl., Rm. 202, Anaheim, Ca. 92806
2150
Damages claimed=
a. Amount claimed aa of this date:
b. Estimated amount of future costs: $ 300.00
c. Total amount claimecE
d. Basis for computation of amounts claimed Cinctucte copies of att bills, invoices, estim
10. .
Names and addresses of aB witness, hospitals, doctors, etc.
d.
Any add~tional information that might be helpful in considering this claim:
WARNING: [T IS A CRIM~'qAL OFFE. NSE TO FILE A FALSE CLAII~! (Penal Code Section 72;
Insurance Code Section 556.13)
! have read the mattet~ and statements made in the above claim and ! know the same to be true
own knowledge, except as to those matters stated to be upon information or belief as to such ma~
believe the same to be true. I certify under penalty of perjury that the foregoing is TRU
CORRECT.
Executed this . day of
Office of the City C%etk,
Tustin, California
.~GR:se:O:Z/5/SO
Tit':loire Form-D:ll
]3 , at , California.
PACIFIC BELL
~ _~'~'--_ ~: ~ .[U/~~ D.E. MacDonald
· Claimant s ~[gna Manager
DATE - - -