HomeMy WebLinkAboutCC 5 CLAIM #83-22 06-20-83OATE:
TO:
FROM:
SUBJECT:
6/9/83
CONSENT CALENDAR
NO. §
6-20-83
Inter-Com
~ONORABLE MAYOR AND CITY COUNCIL
JAMES G. ROURKE, CITY ATTORNEY
CLAIMANT: PACIFIC TELEPHONE; D/L: 3/30/83; FILED W/CITY:
5/20/83; CLAIM NO: 83-22; CARL WARREN FILE 3NO: S34916AB
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:se
Enclosure
1. Copy of Claim
cc: OCCRMA
R, M. Hin~h~w
Case No. H346-0116
· c ele h ne
~l~o~wn. ~nt~ Rc~.~ oom 202
Anaheim. Califorflil g280~
Phone (714} 937-1271
May 17, 1983
City Clerk
The City of Tustin
300 Centennial Way
Tustin, California 92680
Dear Sir:
On March 30, 1983 our underground facilities were struck
and damaged by a tree stump grinder, 'owned by Buchanan
Stump Removal, while working for the City of Tustin.
This damage occurred at the front of 1101 E. First Street,
Tustin, while removing a tree stump.
The estimated cost of repairing ou~ facilities is $1,600.00.
When our itemized bill is ready, it will be forwarded to you.
We are sending you this notice pursuant to Section 910 of
the Government Code. Please send notices to the above
address.
Sincerely,
D. E. MacDonald
Manager
DEM:pb
Enclosures
'" ,' . CLAIM AGAINST THE Cl~"v OF TUSTIN
"'(.Fo, Damages to Persons or,~ sonaI Property)
sceived By via
U.S. Mail
Inter-office Mail
Over the Counter
Clerk's Time Stamp
The law provides generally that a claim must be filed with the City Clerk of the City
of Tustin within i00 days after which the incident or event occurred. Be sure your claim is against the
City of Tustin, not another public entity. Where space is insufficient, please use additional paper and
identify information by paragraph number. Completed claims must be mailed or delivered to the City
Clerk, The City of Tustin, >00 Centennial Way, Tustin, California 92680. '
/
TO THE HONOP~ABLE MAYOR AND CITY COUNCil_, City of Tustin, California
The undersigned respectfully'submits the.following claim and information relative to damage to
persons and/or personal property:
1. NAME O¢ CLAIMANT: Pacific Telephone
a. ADDRES$ OF CLAIMANT: '2150 Towne Centre Pl.,Rm.202, Anaheim, CA 9280~
b. PHONE NO: (714 937-1271 c. DATE OF 8IRTH:
d. SOCIAL SECURITY NO:
e. DRIVEJ~J LICENSE NO:
-'. Name, telephone and post office address to which claimant desires notices to be sent, if othe~
than above=
Occurrence or event from which the claim arises:
a. DATE: 3-30-83 b. TIME: 12:.30 p.m. c. PLACE (exacl' and specifir
location) Front of 1101 E. First St (east of Newport Ave.), Tustin
d. How and under what circumstances 'did damage or injury occur? Specify the particula!
occurrence, event, act or omission you qlaim caused the injury or damage (use additiona
paper if nece=sary).
Damage was apparently caused by a tree ~ump grinder removing
a stump, for the'City of Tustin. Sub-contractor, Buchanan Stump
Removal.
What particular action by the City, or its employees, caused the alleged damage c
injury?
Sub-Contractor, Buchanan StumD Removal, workinq for the City.
~'' ~.' ''*Give a description of t' injury, property damage or loss,"' far as is known at Lh~ time o
this claim. If there we~ie ,~0 injuries, stale "no injuries". '-
400-pair buried cable severed. No injuries.
Give the name(s) of the City employee(s) causing the damage or injury: Sub-Contractor of
City of Tustin - Buchanan StllmD Removal.
Name and address of any other person injured:
Name and address of the owner of any damaged property:
2150 Towne Centre Pl., Rm. 202,
Pacific
Anaheim, CA 92806
Telephone
Damages claimed:
a. Amount claimed as of this date: $1600. O0
b. Estimated amount of future costs:
c. Total amount: claimed: $1600.00
d. Basis for computation of amounts claimed [include copies of ail bills, invoices, estimate:-
Employee's time sheets and Outside Contractor's bill.
Names and addresses of all witness, hospitals, doctors, etc.
a.
b.
Any additional informalHon that might be helpful in considering this claim:
WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIN4! (Penal Code Section 72;
Insurance Code Section 556,0)
! have read the matters and statements made in the above claim and I know the same to be ~ue of r
own knowledge, except as to those matters stated to be upon information or belief as to such matter.
believe the same to be true.
CORRECT.
Executed this /8 day of
Office of the City Clerk,
Tustin, California
CLAIM NO. K~ ~7 2
3CR:se:D:215/80~
I certify under penalty of perjury that the foregoing is TRUE a'
, 19~_, at ~/~/~,~//~ , California.
THE PACIFIC TELEPHONE AND TELEGRAPH CO.
Claimant's Signature
DATE FILED: