HomeMy WebLinkAboutCC 3 CLAIM #81-27 11-02-81DATE:
TO:
FROH:
SUBJECT:
10/15/81
CONSENT CA~.WNDAR
NO..3
Inter-Corn
HONORABLE MAYOR AND CITY COUNCIL
JAMES G. ROURKE, CITY ATTORNEY
CLAIMANT: ELLIOTT, ROBERT L.; D/L: 8-16-81; FILED W/CITY:
10-1-81; CLAIM NO: 81-27; CARL WARREN FILE NO: 30038 AB~
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
(For Damages to Pers6n~ or Personal Property) .........
geceived by '~ ~ via .. OCT.1 1981
U.S.. Mail · ~ace-'iu~iin Giy ~ierk
interJof lice Hail
0vet the Counter X ~Y ~--~£'~~
The law provzdes generally that a clazm must De ~led wzth the Czty Cier~ o:
the City of Tustin within i00 days after which ~e incident or event occu~ed.
Be s6re your claim is against the City of Tustin, 'not ano~er public entity·
Where space is insufficient, please use additional paper and identify info~a-
tion by paragraph numar.. Completed claims must be mailed or delivered' to the
City Clerk, The City of Tustin, 300 Centennial Way, Tustin, California 92680
TO THE HONO~LE [~YOR A~ CITY COUNCIL, City of Tustin, California:
The undersigned res~ctfully-submits ~e foll'owin~ claim and info,etlon rela-
tive to damage to persons and/or personal property:
a. ADDRESS OF CLAII~ANT: ///~ ~ )$~
b. PHONE NO: { - c.
d. SECURITY NO: ~ e.
DATE OF BIRTH:
DRIVERS
LICENSE NO:
Name, telephone and post office address to which claimant desires notices
to be sent, if other than above:
Thi~ cZaim i's submitted against:
a.
b.
The City of Tustin only.
The following employee(s) of the City of Tustin only:
The City of Tustin and the following employee(s) of the
city of Tustin only: ', .
Occurrence or event from which the claim arises:
a. Da E: b. T .E: ornln$
and Specific location)':
c. PLACE (Exact
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 (Us~ additional paper if necessary)·
e. What particular action by the City, or its employees, caused the
alleged damage or i-nj~r~?l-,
Give a d.escription 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
Give the name(s), of the City employee(s) causing the damage or injury:
Name and address of any other person injured: ~O~--
Name and address of the owner of. any damaged property: ~0~
a. Amount claimed a.s of this date: , .
b. Estimated amoun, t: of future costs:
d. Basis for computation of amounts claimed (include-.copies o~ ~11 .bills,
Names ano addresses of ail wi~esses, hospitals, doctors, etc.:
a.
1. Any additional info£mation that ~.ight be helpful in considering this claim:
ARNING: IT IS A CRIMINAL OFFENSE TO FILE A FLASE CLAIM! (Penal Code
Section 72; Insurance Code Section 556.0)
I have read the matters and statements made in 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.
I certify under penalty of perjury that the foregoing is TRUE AND CORRECT.
-~ecuted this I day of' O~O~- ., 19 ~1 , at Tustin, California·
· =~ffice of the City Clerk,
'~s_.~tin, California
NO: FI- 7
CLAI~2' S SIGNATURE
Revised 8/05/81
'GR: se : R: 8/5/81 (A)
As a r~suzt of this nichap, i au su~-ittinE this cl~~2 to hsve the
repaired. I had no choice but to use the bicycle trail. If i had used the road
desired for ~ctor driven vehicles, it ~7ould have been haz~do~ to beth myself
~d the notor vehicle's ~iver.
~=c~ of action by the City of ~stin resulted in the d~age to the
bicycl~ tires, 'The bio-role trolls and avenues of travel -.~ere not clesr~d of
kzr:~_~ul rock and broken glass ~uatter.
~ .... ~ ......... aft~=r the z!ish~p, I .... "-,~+~-~ 3ob
trysil i ' ....... ~o bs litt~L~ed '.~ith ~ro~en ~"aasz cn taa .vcel:e~zd (du~ to ~ott!es
t0 the ~'-~- t~es, I :';i~ ~void ~isiP~ that ~ .... ~= trail :/nenever Dosslb!e
Claim of Robert Elliott, Page 3