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04 CLAIM OF MICHAEL MARK, #07-20 08-07-07
Agenda Item ~_ +~ Reviewed: AGENDA REPORT City Manager f ~~~ Finance Direct MEETING DATE: August 7, 2007 TO: William A. Huston, City Manager FROM: Ronald A. Nault, Finance Director SUBJECT: CONSIDERATION OF CLAIM OF MICHAEL MARK, CLAIM NO. 07-20 SUMMARY: The Claimant reported that he was driving on Tustin Ranch Road and made a right turn onto Irvine Boulevard in an area where the City was repaving the street. The lane his car was traveling in had a change in levels where asphalt had been removed -described as an abrupt large "wall" as he drove on it -without any ramp or grading. He stated his vehicle's passenger side wheels and chrome would need to be repaired or replaced, at an estimated cost of $2,300.00. RECOMMENDATION: That the City Council deny Claim Number 07-20, Michael Mark, and direct Staff to send notice thereof to the Claimant. FISCAL IMPACT: None. DISCUSSION: The City's Claims Administrator has confirmed that All American Asphalt was the Contractor performing the asphalt rehabilitation work on Irvine Boulevard when the damage occurred to the Claimant's vehicle. The Claim has been tendered to All American Asphalt for handling and Staff is recommending denial at this time. ATTACHMENT: Copy of Claim No. 07-20 Consideration OfClaimOfMichaelMark. doc rinancc unCC;wi L~AIM AGAINST THE CITY OF TUS~I ~N (For Damages to Person or Personal Property) Received Via: ^ U.S. Mail Inter-Office Mail Over the Counter TiCi~T~a~~: T U S T I !'! ~~n,11~,:21 P I = 2 u PLEASE NOTE: A. Read entire claim before filing. B. Be sure your claim is against the Citv of Tustin, not another public entity. C. Claims for death, injury to person or to personal property must be filed no later than 6 months after the occurrence (Government Code § 911.2). D. Claims for damages to real property must be filed no later than one year after the occurrence (Government Code § 911.2). E. If additional space is needed to provide your information, please attach sheets, identifying the paragraph(s) being answered. F. A claim must be presented, as prescribed by the Government Code of the State of California, by the claimant or a person acting on his/her behalf and shall provide the information shown below and must be signed by the claimant or a person on his behalf (Government Code § 910.2). G. This form is for the convenience of those desiring to present claims against the city. Claimant is advised to consult a private attorney if legal advice is desired. No employee of the City may give legal advice to any claimant relating to private claims. H. Completed claims must be mailed or delivered to the City of Tustin, City Clerk's Office, 300 Centennial Way, Tustin, California 92780. 1. Name and Post Office address of the Claimant: •3. Name of Claimant: M ~~j~~i ,~~t'~4-~/~- Home Address: ~ Home Telephone: ~ Work Telephone: ,5~-yam Post Office address to which the person presenting the claim desires notices to be sent: (If different from above) Name of Addressee: Telephone: Post Office Address: The date, place and other circumstances of the occurrence or transaction from which the claim arises. .~ ~- 3~ Date of Occurrence: ~ L ,p Time of Occurrence: ~,~., Location: ~~y/,~~ f.~L • .~i% .rte ° ~u~ ©s~~~h%oc:. ~¢~ 7-a.~/r.~l~ ~ 6i~f o.v ~~i~~ Circumstances giving rise to this claim: ~°'`'~ ~s'`~"~ `~'~- /~/I~ ~' ?vim' 0~ /'•e' y,•,y~ ~l~z.~-. c ~~siyEr z~ou~itr t "vs?iy 2~ ~~. ~= ~r~ rv~4 ~ ~~f'~ivd.-. .T~i ,5'T~L ti ~-~': u~ ~Q ~ C: ~ ~w 5 L ~ ~ ?' ~~~ f/~(ii¢ 77i=iLd.~' ~ ~T 5iD ~ ~~4-f~ic c~ .g-~/~" .~ ~''~-S 7~A~~ G~~G- /~/ h~~~ ~} ~!~/~i(i6-~ ~N L ~`~s~"Z.s cU %r7to v ~ ~4~ Y /2~iG' 4 ~c (~4 p~yC~ /,v c~f~S r~ Nx,¢~' ~ ~~i~l~r` Gv~s ~~Mrx/ -~',o~ .~ ~ 7~{ ~- ~ ~` ~~~~~ ~5/~~j~ Tl`~l3 ~9~~v!>>' ~ ~iLG~ "~.vRcL " i>,4a~r~4G~ .~i~ 1/~:~ic.~-E~,G~, ,~ D,~v~oti l >, General description of the indebtedness, obligation, injury, damage or loss incurred so far as you now know. S~~ ~~~~ D~ ~i/!/O / C~ .310 ~yr./6- ~J' E/t~'l (~Cf~~E,S Page 1 of 4 t , 5. The name or names of the public employee or employees causing the injury, damage, or loss, if known. ~~~ ~ ~ ~ ~5T/~ 6. If amount claimed totals less than $10,000: Provide the amount claimed if it totals less than ten thousand dollars ($10,000) as of the date of your claim, including the estimated amount of any related potential future injury, damage, or loss, insofar as it may be known as of the date of your claim, together with the basis of computation of the amount claimed (include copies of all bills, invoices, estimates, etc.) ~~~~s ~~ ~aHN ,~r i¢~~Ii~iw Rt `~ ~,~ ~ ~t~,~e~Z '`8a o M~~~c ~ o ~ s g~z~~ ~/~z ~/o ~ ~ Amount Claimed and basis for computation: ~Rr` ~~'~"' ~~'~°'~~+~~ r r ,~~~ ~N~~ a g If amount claimed exceeds $10,000: If the amount claimed exceeds ten thousand dollars ($10,000), do not provide a dollar amount in the claim. However, your clai ust indicate whether it would be a limited civil case. A limited civil case is one where the recovery sougk- ,, ex#~~e of attorney fees, interest and court costs, does not exceed $25,000. An unlimited civil case i,~..art`e in which the recovery sought is more than $25,000. (See CCP § 86.) ~~-' ^ Limited Civil Case ^ Unlimited Civil Case You are required to provide the information requested above in order to comply with Government Code §910. Additionally, in order to conduct a timely investigation and possible resolution of your claim, the City of Tustin requests that you answer the following questions. 7. Name, address and telephone number of any witnesses to the occurrence or transaction from which the claim arises: 8. If the claim involves medical treatment for a claimed injury, please provide the name, address and telephone number of any doctors or hospitals providing treatment: r If applicable, please attach any medical bills or reports or similar documents supporting your claim. 9. ff the claim relates to an automobile accident: Claimant(s) Auto Ins. Co.: Telephone: Address: ,;-'" ,.- Insurance Policy No.: Insurance Broker/Agent: Telephone: Address: Claimant's Veh. Lic. No.: ~ Vehicle Make/Year: Claimant's Drivers Lic. No.: Expiration: If applicable, please attach any repair bills, estimates or similar documents supporting your claim Page 2 of 4 READ CAREFULLY For all accident claims, place on following diagram name of streets, including North, East, South, and West; indicate place of accident by "X" and by showing house numbers or distances to street comers. If City/Agency Vehicle was involved, designate by letter "A" location of City/Agency Vehicle when you first saw it, and by "B" location of yourself or your vehicle when you first saw City/Agency Vehicle; location of City/Agency vehicle at time of accident by "A-1" and location of yourself or your vehicle at the time of the accident by "B-1" and the point of impact by "X." NOTE: If diagrams below do not fit the situation, attach hereto a proper diagram signed by claimant. ~/ CURB '// SIDEWALK CURB PARKWAY 31DEWALK ~~' .' ~- ~i~lovC`i, ~STiiv ~D /r~~~~~-rats, ~~~. i~i~~o~~~ ~ /~~fo~~ ~~~~~ ~•v ...5~-.~; /~ov~. ~4 ~ ~0.~0~ ~-r~-~-r~t~~) - y 0~~~~~ ~-G.~ •A~i ~Q~c~ /t~O~~' ~.~ y`~ ~ ~Fs~~r ~ r~~h', ~0'o~vED 7~i~T~~/ !~O ~/L~ 7~ n/s c ~ 5s /f`z~s ,4~,v , (s~~ ~ G'ffs~r/~- .2~ ~xc~~ faz ~~--. c:.~-5~ XlVarning: Presentation of a false claim is a felo (Penal to recover all costs of defense in the event an ion is fi faith and with reasonable cause. ~~ n ~ . _, /, / Signature: r Date: (j~' ~ ~-? ~ d ~~~~ ~- 5 P~~~r Rat o v~~ ~~~ ~. ~ ~iN~ /L c ~ L ©i~ SUS ~' ff } ~ ~[4 c~ m ~ ~ r ~`'r ~ W ~~~ . ~~~~vs ,~---- ~ ~,~, Page 3 of 4 ~~~~,~-~-~ S I ~ [ ~~v.~ ~ ~ rsuant to CCP §1038, the City/Agency may seek ~r determined not to have been brought in good 4 5 286 E PAGE: 01 COPY: O1 BILL T0: MIKE MARK PHONE 1....... ( EXT PI~ONE 2....... RETURN PARTS.. YES PRIOR INVOICE. 145201 DATE REQUESTED 06/02/07 ACCOUNT # COB TC CUST# TYPE/STATE 866400001 2 O1 14588 0 CA J UST T IRE S 3097 EDINGER AVE #E TUSTIN. CA 92780 BAR REG# AG179339. I.D. CAL000160883 FEDERAL TAX ID# 340253240 (949)262-0616 HOURS 8-SMON-FRI.8-7SAT,9-6SUN VEH YEAR/MAKE. 05 MERCEDES BENZ VEHICLE MODEL. C55 VEHICLE COLOR. BLACK LICENSE/STATE. TIME REQUESTED ~. ~, aim mss; .. Near sst ODOMETER IN/OUT027299 / 027299 VEHICLE IN.....06/02/07 01:06 PM VEHICLE OUT....06/02/07 01:06 PM TERR/NONSIG....8664/908664 SALESMAN...... 020 / 020 SLS TECH PRODUCT CODE BC QTY DESCRIPTION UNIT PRICE LBR/EXCISE LINE TOTAL 020 020 046-100 R 1 2 REAR TIRES WERE INSTALLED .00 .00 .00 020 020 046-100 R 1 R/R AND R/F RIMS ARE BENT .00 .00 .00 020 020 046-100 R 1 REFER TO INVOICE #145201 .00 .00 .00 SUMMARY: -------------------- PARTS TOTAL........ .00 LABOR TOTAL........ .00 TAXABLE AMOUNT .00 SUB TOTAL.......... .00 ~"-"---"------------'------------- SALES TAX( 7.750X) .00 CUSTOMER AUTHORIZATION FOR TOTAL I N VO I C E TOTAL. $ _ pp THANK YOU FOR CHOOSING JUST TIRES, WE APPRECIATE YOUR BUSINESS PLEASE TELL YOUR FRIENDS. OUR 30 MINUTE GUARANTE DOES NOT APPLY WHEN SERVICES OTHER THAN TIRE INSTALATION PERFORMED ALIGNMENT PROBLEMS MUST BE REPORTED WITHIN 48 HOURS THANK YOU FOR YOUR BUSINESS! IF YOU ARE NOT 100X SATISFIED. PLEASE CONTACT THE STORE MANAGER. CHARLES KEENEY, AT (949)262-0616 SALES ASSOC(S): 020 MARTIN E. TREAD DEPTH L/F..... 6/32 R/F.... 6/32 TECHNICIAN(S): 020 MARTIN E. TREAD DEPTH L/R..... 10/32 R/R.... 10/32 ISSUE REASON.. NOTE-RIMS BENT ***ALL PARTS ARE NEW UNLESS OTHERWISE SPECIFIED*** SEE REVERSE SIDE FOR IMPORTANT SAFETY WARNING AND WARRANTY INFORMATION Quality brands, Unbeatable prices, Professionally Installed...ln minutes _. ~~tl ` l;fCMllfe#Ct. art retain to help cover our costs related to lundiny and complying with r~tlilte~s, programs and obligations. Total Charges a _ v . LONG DISTANCE and INTERNATIONAL CaARype ~pf"fIME , , prsUnation Time Number :~;. ~' plarentia, CA 12:14 PM ~ ~"Iacentia, CA 12:20 PM Losangeles, CA 12:22 PM fanchviejo, CA 12:23 PM : 1t Incoming 12:45 PM 1:01 PM , ,~~' Incoming ~~ ' 1:05 PM ' Nq7 Incoming ~~ 1:09 PM (F} ~ Incoming rl~a;f~l Santa Ana, CA 1:15 PM +t~.~lU7 Santa Ana, CA 3:20 PM ~, 31Q7 Incoming 3:22 P 3:33 PM 4123107 Incoming 4123107 Losangeles, CA 3:52 PM 4123/07 Ranchviejo, CA 3:54 PM 4123107 Santa Ana, CA 3:57 P ~F} 4123107 Incoming 6:53 PM ~F} 4/23107 Incoming 7:20 PM 4124107 Anaheim, CA 10:16 AM gJ24/07 Incoming 10:20 AM 4124107 Santa Ana, CA 10:25 AM 4124107 Ranchviejo, CA 1:06 PM 4124/07 Ranchviejo, CA 1:38 P 4124107 Santa Ana, CA 1:46 PM ~F} 4124107 Long Beach, CA 3:11 PM (F} 4/24/07 Long Beach, CA 3:12 PM 5:37 PM 714-573-3240 4124107 Santa Ana, CA 4124107 Incoming 6:16 PM 7:11 PM ~F} 4124/07 Incoming 7:59 PM (F} 4124/07 Incoming 8:02 P ~F} 4/24107 Incoming 4/25107 Omaha, NE 9:33 AM 4125107 Omaha, NE 10:16 AM 4125/07 Newton, BC 11:44 AM 4/25/07 Incoming 11:46 AM 4125107 1-888 # 11:48 AM 4/25/07 Ranchviejo, CA 1:49 PM 4/25107 Downey, CA 1:54 PM 4:28 PM ~F} 4125107 Incoming 4125107 Long Beach, CA 5:01 PM ~F} 4/25/07 Santa Ana, CA 5:03 PM ~F} 4/25107 Incoming CA nta Ana S 9:27 P 11:47 AM , a 4!26/07 4/26/07 Santa Ana, CA 11:49 AM 4126107 Incoming 4/26107 Santa Ana, CA 11:54 AM 11:58 AM 4!26/07 1-800 # 12:03 PM 800.373-3411 12:07 PM 626-256-0436 4/26/07 Monrovia, CA CA rona C 12:08 PM 951-736-7600 . , o 4/26107 4126/07 Anaheim, CA 2:48 PM '~! ~F} 4126107 Incoming 2:56 PM 4:20 PM 4/26107 Temecula, CA 5:15 PM 4126/07 Incoming 4!27107 Santa Ana, CA 8:33 AM 4127107 Santa Ana, CA 8:33 AM 4/27107 Incoming 8:58 AM 9:28 AM 4127107 Incoming 4/27/07 Garden Grv, CA 4127/07 Santa Ana, CA 10:54 AM ~A) 4!27!07 Anaheim, CA CA nta Ana S 11:36 AM 11:44 AM 714-573-3225 , a 4127107 4127107 Westminstr, CA 12:59 PM 4/27107 Santa Ana, CA 1:32 PM 4!27107 Dir Asst 1:34 PM Minutes .Airtime Page 4 of 12 22.87 Toll Total 6 - ' 2 - 2 - 4 - _ _ - 2 _ _ - 1 - _ - 1 6 - - - - 2 - ' 1 5 _ _ - 3 - 5 - - _ 2 1 - - - 4 - - - 16 3 _ o ~~D ' ~~ 4 _ ~'- /'~ - - "~ - - (~v ~~ ~ G' N -v ST/ -- 2 _ - _ _.1..D ~ _ -%~. 1 _ 1 - 44 - - _ 43 2 - ' _ 0.40 0.40 2 - - 12 - 4 - - 3 " - - - 1 - ' 2 - 1 3 4 - - " ~ t.l Jtry~ei'cr4~ - - '~-~ 11 VET ~k. 2 _ - - ~,,._ REpo2 T~ 12 _ - _ -~ ~L ~ t~.kAN 3 21 - - - 1 - - - 14 - 1 - - 29 - - - 2 - - ~ 2 1 _ _ - t N ~ "(1~ - - ~•~-t N ?~ 2 _ 1.49 1.49 ... _ _T„ ,~..~.:, oR 7~ar~a~r;~„=nr;nt&allowed=3000&app=UserMain... 6/25/2007