HomeMy WebLinkAboutCC 8 CLAIM #82-2 03-01-82DATE:
2/~2/82
CONSENT CALENDAR
Inter-Corn
TO:
FROM:
SUBJECT:
HONORABLE MAYOR AND CITY COUNCIL
JAMES G. ROURKE, CITY ATTORNEY
CLAIMANT: EDWARDS, GEORGE; D/L: 11/2/81; FILED W/CITY:
1/15/82; CLAIM NO: 82-2; CARL WARREN FILE NO: 30983 RR
After investigation and review it is recommended
that the above-referenced claim be denied and the City Clerk
directed to give proper notice of the denial to the claimant
and to the claimant's attorney.
JGR:se
Enclosure
1. Copy of Claim
Cf2%IM AGAINST THE CIT TUSTIN
(For Damages to persons or Personal Property)
ECE ¥ED
Received by via JAN 1 :$ 1982
U.S. Mail ~-' ~ica-'~u~i~lCi~ C~erk
Inter-office Mail
Over the Counter
T~e law provides generally that a claim must be ~lled with the Czty Clerk
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, Tustin, California 92680
TO THE HONORABLE ~YOR 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. NA~E OF CLAImaNT: G~ORG~ B. ~DWARDS
a. ADDRESS OF CLAImaNT:
b. PHONE NO: ( c. DATE OF BIR~H:
SOCIAL DRIVERS
d. SECURITY NO: e. LICENSE NO:
Name, telephone and post office address to which claimant desires notices
to be sent, if other than above:
c/o James W. Edson,
3. This claim is submitted against:
a. X
b.
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:
4. Occurrence or event from which the claim arises:
a. DATE: Nov. 2~ 1981 b. TIME: Approx. 5:40 pm:. PLACE (Exact
and specific location): Irvine Blvd. just north of Newport Blvd.
d. 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 necessar
s bicycle on Irvine Blvd. j Ne~ort
Blvd. in front of ihe State Farm Ins. bldg. and ran into an open
manhole· The City of Tustin was negligent in allowing this condition
to exist.
e. W ar action by the City, or its employees, caused the
alleged damage or injury?
The City of Tustin was negligent in not inspecting this area, and
was also negligent in excav~tin~
~ ' ~n area where people operate'~, motor ve~icle.
~¥~%~s. aJ~ walked as pedestrians.
'~. 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, state "no
injuries".
Facial and head injuries including bruises, abrasions, and
lacerations requiring sutures, hemorrhaged eye, assorted bruises and
C6~t~/slons on other par~s o~ the body, damaged and destroyed bicycle.
6. Give the name(s) of the City employee(s) causing the damage or injury:
.-. Unknown
7. Name and address of any other person injured: None
Name and address of the owner of any damaged property:
Claiman~
Damages claimed:
a. Amount claimed as of this date: $100,000
b. Estimated amount of future costs: $,000
c. Total amount claimed: $10b,000
d. Basis for computation of amounts claimed (include copies of all bills,
invoices, estimates, etc.: See attached. Most bills un-
available as yet.
0. Names and addresses of all witnesses, hospitals, doctors, etc.:
a. Kathy Edwards, Groom Creek Rt., Prescott, AZ 86301
b. Western. Medical Center, 1001 N. Tustin Ave.. Santa Aha. CA 92711
c. Leonard G. Prutsok. M.D.. CA 92704
d.
Any additional information that might be helpful in considering this claim:
'ARNING: tT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM:
Section 72; Insurance Code Section 556.0)
(Penal Code
have read the matters and statements made i~n the above claim and i know the
-~ame 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.
certify under penalty of perjury that the foregoing is TRUE AND CORRECT.
:xecuted this day of ., 19 ~2-9, at ~f-~I~XX]C~X~XX0~(~
SIGNATURE
Office of the City Clerk,
'ustin, California '
CL..M NO: ~--~
GEORGE E. EDWARDS
DATE FILED:
Revised 8/05/81
JGR:se:R:8/5/81 (A)