HomeMy WebLinkAboutCC 6 CLAIM #80-11 05-19-80DATE: May 9,~9g0
CONSENT CALRNDAR
No. 6 ..
5-19-80
TO:
HONORABLE MAYOR AND CITY COUNCIL
FROM:
0AMES G. ROURKE, CITY ATTORNEY
SUBJECT: JACK GOESSEL; CLAIM ~'/$0-i1; D/L: 3-20-80; DATE RECEIVED BY
CITY OF TUSTIN: #-15-80; CARL WARREN FILE t! 25730 AB
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 denial to the
claimant and his attorney.
3GR:se
Enclosure
1. Claim of
3ack Goessel
-'1
CARL WARREN & CO,
INSURANCE ADJUST E R.~.
~,O~ P^R~ COURT t=t.A¢~:
SANTA ANA, CALIFORNIA 927OI
April 23, 1980
Jack Goessel
Re:
O/principal:
D/Loss:
Claimant:
Our File:
City of Tustin
3-20-~0
Jack C~essel
25730 ~B
Dear F~. Goessel.:
We are the claims administrators for the City of Tustin in
connection with the above captioned claim.
We have given careful consideration to the facts of this loss
and are of the opinion that the City of Tustin is not legally
responsible fcr the captioned occurrence. Based on our inves-
tigation we cannot reconu?.end settlement of your claim.
The weed spray, "Diquat" has been analysed by a ch~ist of the
Ortho Chemical Company. It is a clear chemical that does not
stain. The City has ~lso tested this chemical on various metals,
including metals painted white, and they are also of the opinion
that it ~ill.not stain. The ch~ist for O~tho Chemical Company
is Peggy Marner at telephone 800-472-1785.
We trust the above will be of assistance to you.
Very truly yours,
CAPJ~ WARREN & C0~43D_NY
CC:
.City of Tustin
Arlen~ Birdsell
SANT/~ ANA OFFICE SERVES ORANGE COUNTY
CLAIM AGAINST THE CITY OF' TLJSTIN
(F~r Damages to Persons of'~ersona] Property)
Received By via
U.S. Mail
-inter-office Mail
3ver the Counter ._~__
The law provides generally that a claim must be fll~.w~Lh the City Clerk of the City
of Tustin within 100 days after which the incident or event ncnU;Ted. ,~3. e ~ure your :~ls against the
City of Tustin~ not another public entity. Where space isin~ufficient, please use additional paper and
identify information by paragraph number. Compieted claims musL be m~iIed or dative;ed to the City
Clerk, The City of Tustin, ~00 Centennial Way, Tustin, California 92680.
TO THE HONORABLE MAYOR AND CITY COUNCIL, City of Tu~tin, California
The undersigned respectfully submits the folio,wing claim and information relative to damage to
persons and/or personal property:
NAME OF CLAIMANT:
b.
d.
e.
--2.
~.han above:
ADDRESS OF CLAIMANT:
PHONE NO: (~ ~,/-_~__~__~._~/ e, DA[E' OF BIitTi-t: /__--__~_~
SOCIAL SECURITY NO: ~ ¢ /_¢ - ~,~ ~._~
DRIVELS5 LICENSE NO: ~./
Name, I:elephone and post office address [o which elai:;,3nt -;~ ~-- be
.... s..~s not. ices to sent, if oU~er
Occurrence or event from which ~he claim ari~rs:
a. DATE: /'~/'~/'~0 ;/-"/~Z-~_ N~ .... - c. PLACE ~exac~ 'and specific
d. How and under what circumstances did damage or injury occur? Specify the pnrticular
occurrence, event, act or omission you claim caused Ehe injury or damage (use additions]
paper if necessary).
eo
What particular action by Lhe City, or its employees, caused the alleged damage or
injury?
10.
Civea description of/.~he injury, property damage or ]os~. so far as is known ar. the time~
this claim. If there wk_ . no injuries, stale "no injuries". Ik
Give the name~s) of the City employee(s) causing the daJnage or injury:
Name and addre~ of any other person injured: ~0 ~
Name and address of the owner al~ any damaged property:
) ,'
Damages claimed:
a. Amount claimed asof this daLe:
b. Estimated amount of future costs: ~.t /L, /~/t~/~ o_~ ~ /~.~ .7t-~/_5~
c. Total amount claimed: rT=(~,'/t~ ~7' /,n.7 ~'~
d. Basis for computation of amounts claimed(include copies of all bills, invoices, estimate:
eLc.):
Names and addre~es of all witness, hospitals, doctors, etc.
Co
d=
Any additional information that might be helpful in considering this claim:
WARNING: 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 rr
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 under penalty of perjury that the foregoing is TRUE ar
CORRECT.
Executed this_ / .5'-- , day of ¢/¢~ ~P ;' L..
Office of the City Clerk,
Tustin, California
CLAIM NO.
Claimant's Signature
, California.
DATE FILED:
3GR:se:D:2/SJBO
T/Claim Form D:ll