HomeMy WebLinkAboutCC 5 CLAIM #81-6 03-16-81DATE:
2/27/81
3-16-81
Inter-Corn
TO:
FROM:
SUBJECT:
HONORABLE MAYOR & CITY COUNCIL
JAMES G. ROURKE, CITY ATTORNEY
APPLICATION OF JACQUE JOSEPH CONSENZ TO FILE LATE
CLAIM (CLAIM NO. ALC 81-6)
Upon review and investigation we recommend that per-
mission be denied to file the above-referenced claim and that
the City Clerk be directed to advise the applicant and the
applicant's attorney of the denial.
JGR:se:D:2/23/81
Enclosure
1. Claim of Jacque Joseph Consenz
'(F;or D~,mages to Perssns or.~ersonal ProperLy)
Eeceived {By via
U.S. Mail
l-' ~r-offiee Mail
C~.er the Counter
Clerk's Time Stamp
The law provides generally that a claim must be filed with the City Clerk of the cat
of Tustin within 1OD days after which the incident or event occurred. Be sure your claim is against th
City of Tustin, not anot. her public entity. Where space is insufficient, please use additional paper an
identify information by p~ragreph number. Completed claims must be mailed or delivered to the cat
Clerk, The City of Tustin, 300 Centennial Way, Tustin, California 92880.
TO THE HONORABLE MAYOR AND CITY COUNCIL, City of Tustin, California
The undersigned respectfully submits the following claim and information relative to damage
persons ~nd/or personal proper~y:
1. NAME OF CLAIMANT: JACQUE JOSEPH CONSENZ
a. ADDRESS OF CLAIMANT: 2825 N. Righter '
b. PHONE NO: ( c. DATE OF- BIRTH:
d. SOCIAL SECURITY NO:
'~" Name, telephone and post office address to which claimant desires notices to be sent, if othm
Boyd, Attorney at Law,
-' ~.,an above:
c/o John R.
Occurrence or event from which the claim arises:
a. DATE: 4/8/80 b. TIME:
location) Intersection of Newport Blvd.
d.
385 Second St., Laguna Be'Ach, CA
926
6':50 P.~:. c. PLACE (exact and specifi[
and First St., Tustin
How and under what circumstances did damage or injury occur? 5peci'fy the particula~
occurrence, event, act or omission you claim caused the injury or damage (use additional
paper if necessary).
Tustin police car impacted my truck in an intersection while
chasing someone. Did not have emergency siren or lights on in..
sufficient time prior to entering intersection.
What particular action by the city, or its employees, caused ~he alleged damage or
injury?
· The Tustin Police unit driven by David B. Kreyling failed to turn
on 'its emergency red lights and. siren while traveling at high spee,
into an intersection.
this claim. If there we'._ no injuries, slate "no injuries".
_pa?._a_ge t~o 1977 Chevrolet truck; unknown nerve damaae causinq__l_qss of
.m~mnry and headaches.
Give Lh~ name(s) of [he City e'mployee(s) causing the damage or injury:
David B. Kreyling
Name And ~ddre~ of any other person injured: Unknown.
10.
Name and address of the owner of any damaged property: Jacque J. Consenz, 2825 N.
Ri~hfmr Circle, S~nta Ama, California 92701
Damages claimed:
a. Amount claimed as of this date: $20,000.00
b. Estimated amount of future costs: Medical cost unknown.
c. Toro! amount claimed: $25,000.00
d. Basis for computation of amounts claimed (include copies of ail bills, invoices, estimates,
etc.):
Previously turned over to insurance carrier who has filed a claim
against the city of Tustin.
Namesandaddre~esofaH w]tne~,hospitals, doctors, etc.
a. Gordon Grey, owner of McDonald's Restaurant, 1st
b. Gilbert Kelley,
1001 N. Tustin Ave.,.~anta An
9210
los Mares, Suite 109,
San Clemente,CA
9267
as a result of
this accident.
WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM! (Penal Code Section 72;
Insurance Code Section 556.0)
I have read the matt'er.s and statements made in the above claim and I know the same to be true of my
own knowledge, except as to those matters stated to be upon information or belief as to such matters I
believe the same to be tru. e. I certify under penalty of perjury that the foregoing is TRUE and
CORRECT.
Executed this 12 day of Februa~ry , 19_8,1 , at Laguna Beach ~ ~-C-a44f~rnia.
'fice of the City Clerk, '
,ustin, California
DATE FILED:
CLAIM NO.
3GR:se:D:2/5/80
T/Claim Form D:ll