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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)