HomeMy WebLinkAboutCC 3 CLAIM #80-18 09-02-80DATE:
August 18,
CONSENT CALENDAR
1 8o Inter-Com
TO:
FROH:
SUBJECT:
HONORABLE MAYOR AND CITY COUNCIL
JAMES G. ROURKE, CITY ATTORNEY
Claim No. 80-18, Gregory Becker, D/L: 6/3/80
Carl Warren File No. 26319 LS
After investigation and review, it is recommended that the
above-referenced claim be denied and the City Clerk be
directed to give proper notice of the denial to the claimant
and the claimant's attorney, if any.
JGR:se
Enclosure
1. Claim of Gregory Becket
(FT' Damages to Persons or~sonal Property)
Received By via
U.S. Mail
~nter-office Mail --
C r the Counter
CIerMs Time S~lJ~2 ? 1980
· O:~:c~-lu~!n CiU Clerk
The law provides generally that 'a claim must be filed with the City Clerk of the-.City
of Tustin within lO0 days after wh|ch 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, 300 Centennial Way, Tustin, California 92680.
TO THE HONORABLE MAYOR AND CITY COUNCIL, City of Tustin, California
Th~ undersigned respectfully submits the following claim and information relative to damage to
_ persons and/or personal property:
i.
NAME OF CLAIMANT: GREGORY ROSS~BECKER
a. ADDRESS OF CLAIMANT: 537 North Tustin, Santa Ana, Ca. ,
b. PHONE NO: (714) 547-1378 c. DAlE OF BIF~TM: 2-26-59
d. SOCIAL SECURITY NO:
e. DRIVE~5 LICENSE NO: Cai. N5753648
Nam-=, telephone and post office address to which claimant desires notices to be sent, if other
. ~n above:
Robert J. Moss, 1200 N. Main' Street, Suite 716, Santa Ana, Ca. 92701
Occu~ence ct event from which the claim arises:
a. DATE: 6-3-80 b. TIME: l:00'a.m.
location)
d.
· c. PLACE (exact and specific
on Vanderloop, in Tustin
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 necessary).
The street was inadequately lit and there were no warning
siqns nor lights causing my motorcycle to go out of control.
What particular action by the City, or its employees, caused the alleged damage
injury?
See above.
' '-~.' ' "ci~/e a .description of ~.~, injury, property dame. ge or los~.o
this claim. If there we~no inluries, state "no Inluries".
Leg injury
far as is known at £ne time ol
Give the name(s) of the City employee(s) causing the damage or injury:
Unknown
· Name and address of any other person injured.:
Not applicable.
Name and address of :he owner of any damaged property:
Myself
Damages claimed:
a. Amount claimed as of this ~late:
b. Estimated amount of future costs:
e. Total amount claimed:
d.
$100,000
.Unknown
$100,000
Ba~sfor computation of amounts claimed(include copiesofallbills, inv°ices, estimates,
etc.~
Estimate by my attorney
Names and addresses of all witness, hospitals, doctors, etc.
a. Unknown'
b.
d.
Any additional information that might be helpful in considering this claim:
Unknown
WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM[ (Penal Code Section 72;
Insurance Code Section 556.0)
believe the same to be true.
CORRECT.
Executed this ~L~ d'ay of
ffice of the City Clerk,
Tustin, California
I have read the matters and statements made in the above claim and I know the same to be true of m
own knowledge, except~ as to those matters stated to be upon information or belief as to such matters
I certify under penalty of perjury that the foregoing is TRUE an:
June ,19 a , California.
vCl~ant's;ig,n~ture ROBERT J. MO~
~%ttorney ' s
CLAIM NO.
DATE FILED:
3GR:se:D:2/ 5/80
T/Claim Form D:ll