HomeMy WebLinkAboutCC 5 CLAIM #80-13 05-19-80DATE: May 5, /980
CONSENT Ck~ T.I~NDAR
No. 5
5-19-80 ~
Inter Corn
TO:
HONORABLE MAYOR AND CITY COUNCIL
FROM:
JAMES G. ROURKE, CITY ATTORNEY
SUBJECT: BRUCE A. AKINS; CLAIM NO. 80-13; D/L: ~/I1/80; DATE OF
FILING CLAIM WITH CITY: 1~/2~/80
After investigation and review, it is recommended that the above-referenced claim
be denied and .the City Clerk is directed to give proper- notice of the denia! to the
claimant and his attorney.
JGR:se
Enclosure
1. Claim of
Bruce A. Akins
-- -"-~.T, oCL['AIM AGAINST TIlE C? 3 OF TUSTIN
"· '. ~'(Fo~ Damages to Persons or'Personal Property)
U.~S. Mail v
b r-office Mail
-"Over the Counter /~
_The law provides generally that a claim must be
~y
filed with the City Clerk of 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 information by paragraph number. Completed claims must be mailed or delivered to the City
Clerk, The City of Tustin, 300 Centennial Way, Tustin, California 926B0.
TO THE HONORABLE 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:
NAME OF CLAIMANT: Bruce K. Akins
ADDRESS OF CLAIMANT:
PHONE NO: (
SOCIAL SECURITY NO:
DRIVElerS LICENSE NO:
c. DATE OF BIRTH:
.,
2. Name, telephone and post office addre~ to which claimant desires notices to be tent, if other
than above:
Bruce K. Akins,
Occurrence or event from Which the claim arises:
a. DATE: April ll, 1980 b. TIME: 3:10 c. PLACE (exact and specific
location) 3]0 W. First Street, Tustin, Parking lot
'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 necessary).
My car was parked in the parking lot at the above address.
extremely w~ndy that day anH a dead brmnrh frnr0 one of the
city's trees was broken fnom the wind and fell nn th~ *rip nf my ca~
What particular action by the City, or its employees, caused the alleged damage or
injury? ..
Lack of proper frimming of'the tree's dead branchc~.
..Give a description of t .... injury, properly damage or loss
this claire. If there were no injuries~ state "no injuries".
far as is known at the time c
No personal injuries. Damage was to the top of my car. a dent and'a ~£ratrh
Give the name(s) of the City employee(s) causing the damage or injury:
Maintenance Department
Name and address of any other person injured: N/A
.7.
- Name and address of the owner of any damaged properS)':.
Damages claimed:
a. Amount claimed as of this date: $332.28
b. Estimated amount of future costs: N/A
c. .Total amount claimed:
d.
Rrilrp K AKins,
$332.28
Basis for compUtation of amounts claimed (include copies of all biliS, invoic~s~ estimates,
etc.):
Estimate attached
Names and addre~es of all witne~, hospitals, doctors, etc.
a. Sherry Jankanish,
b.
.1.O. Any additional information that might be helpful in considering this claim:
WARNINQ: IT IS A CRIMINAL OFFENSE TO FILE A FALSE 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 same to be true of ml
own knowledge~ except as to those matters stated to be upon information or belief as to such matters
believe the same to be true. I certify udder penalty of perjury that the foregoing is TRUE an
CORRECT.
Executed this 23 day of April ,1980 . , at - Tu~tin ,California.
·
· ClaimAnt's Signature
office of the City Clerk~
Tustin, California ' '
CLAIM NC).
DATE FILED:
3GR:se:D:2/S/80
Tlrl=;m ~-nrm F):ll
In]ports
DEALEr REG. =31231
1301 Quail Streel
Newport Beach, CA 92660
714/833-9300
E.STIMJ,.T E OF. R E PA! RS
BILLING R. O.:
PARTS PRICES
SUB._I~CT TO
INVOICF
ur._ers;Dned aDrees to complete the above repairs for
__ . Of this amount the above named insured
[ Y
$
insurance deductible (To be paid upon delivery of car)
..
depreciation
_._---~ ~ ,o0
I
t
I
i
I
I
1
I
I
. Hrs. of Labor at $ Per Hr.
Parts
Paint Materials
Sublet
Sales Tax
7onot covered by insurance
¢., ,2,, .~ FZ .~._~,..~' ............................. c ...... o ooc ................... Estimate Total
Advance
-- ESTIMATE EXPIRES 30 DAYS AFTER DATE. Grand Total