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Home My WebLink About06 DENY CLAIM 05-09 03-07-05 8 AGENDA REPORT Agenda Item ReWewed: ~ City Manager Finance Director 6 MEETING DATE: MARCH 7, 2005 TO: WILLIAM A. HUSTON, CITY MANAGER FROM: RONALD A. NAULT, FINANCE DIRECTOR SUBJECT: CONSIDERATION OF CLAIM OF DALIDA KARATAS, CLAIM NO. 05-09 SUMMARY: Staff is recommending denial of the claim. RECOMMENDATION: That the City Council deny Claim Number 05-09 and direct the Finance Director to send notice thereof to the Claimant. FISCAL IMPACT: None. DISCUSSION: The Claimant states that debris which appeared to have been left on the street from an earlier traffic accident caused damage to her vehicle. She reports that a spark plug went into a tire, resulting in a flat, and the tire had to be replaced. A search of Tustin Police Department records revealed that no accident had been reported in the vicinity for the date of this incident. It was also determined by the City's Claims Administrator that it is extremely unlikely a spark plug would be expelled from a car's engine during a traffic collision in the manner suggested by the Claimant. It has been concluded that as the City had no notice of any debris on the roadway at the time the damage occurred, the City is not liable for the repair to the Claimant's vehicle. Staff is recommending denial of Ms. Karatas' claim. RofbA~ o.Jf Finance Director ATTACHMENT: Copy of Ciaim No. 05-09 U : \ C LA I M S \ Cons i de rali 0 n Of Cia i mOIOa II d a Ka rata s ,d DC CLAIM AGAINST THE CITY OF TUSTIN (For Damages to perso,n or Personal pr"o"p.. e'k '.,...k" G"" ~lc"\ '> CITY OF TUSTIN ~,.," eivedVia: O.R", ,\ "'~ " eStamp: )2 U.S. Mati ,w.,', , D Inter-OfficeMail.J ", lO05 F£B -l.¡ A II: 10 D Over the Counter Claim No: PLEASE NOTE: A Read entire claim before filing, 8, 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), 0, 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 shail 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 ofthe Claimant: Name of Claimant: Social Security No,: Post Office Address: Ì)ALII)A ~~ <Ol~jD~l.ß-------o;;t;;;¡--~-~l.'f.: \ (""í i '0---- \ :.1.(pQ Ho.,,\<:: ~lèPt..o \u.~~ I/ù c..A "t;z.. ì <¿ L -.-------.- --------------------'-------- -----------., ---,---- 2, Post Office address to which the person presenting the claim desires notices to be sent: t>J_arne of Addressee: ]) A-t ¡JI\-, KA-~~ P,,-st()fficE)~cJcjress: ! J.Io.Lo_Ji Om IZS T t-f\.O Telephone: '7f'þ..-SO'f-9 :I. <iO(¡jst r¡'ú.!>D.Ù <OÅ" C¡;;;l. 7'& 'L -----------,- 3. The date. place and other circumstances of the occurrence or transaction from which the claim arises. D_"teo~gc(1'rE)'1~,_,~,-12t .Lllo -5::._--------, -,-- Tim, e °.r. Occu!-,enc~.,,-,\ J,c>catlon~- t.:)oR.iH iN,,>' CQQI~_--OÇ I.<..V/",)!':' ßL8'~O1.er Circumstances giving rise to this claim: \)t"J>,ÆÇ-t' IFF, DC\..) STr¿Ç£'T raD:.'" '->Jr-t.A-1 --~Q~~.--..f\ fR(,,-\/IOu ~ CA-t\. Art IDM<>I. TH£ C12ëw :;:¡:¡';u?D --;-0 r-r.£-ìt-,o T;.\~ ,,::-Q.éì::) Î~ u..>..éfl.té t. LQ;:"_~.J)-...-f';¡n:fCF. r-.Û:>õt:\C""' -"';i:.\..fi.-:;::-~-~"" ti A-.,œ-1. ~----¡,,;}Ù_Q~'LL ...): ~A11..l) '"" '1 _""--"Ük£_,__~ A'~ !>n,..,~) "r" T'_H_.vc:Q.__:~-~--c,r'-..i--~ 4, General description of the indebtedness, obiigation. injury, damage or loss incurred so far as you now know. _;;w..n_-Ît' (' ù-Lq, i1:f.~- Î ~iL.._?d ~ÌlH:.. fill ç 1'.-f..+'Í --'-"l~:L~j""32.... ---'d'i-~(; --~jU (Ic-,~L~__A: F U4--'Í - ..l:/fi{LJo c.e-r ,>U. ~-Íld"" --i...åLltcfD-- -- ---~- ------- -.------ ------ Page 1 of4 5. The name or names of the public employee or empioyees causing the injury, damage, or loss. if known. n '" ------ --------~- -- --- ---- ------,,~--'" 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.) Amount Claimed and basis for computation: j; '3 ß'j.? \-r --- ---~-,,---------' -- -------,"-~-"---~'"~--'" If amount claimed exceeds $10,000: If the amount claimed exceeds len thousand dollars ($10,000). do not provide a dollar amount in the claim, However, your claim must indicate whether it would be a limited civil case. A limited civii case is one where the recovery sought, exclusive of attorney fees, interest and court costs, does not exceed $25.000. An unlimited civil case is one in which the recovery sought is more than $25.000. (See CCP § 86,) 0 Limited Civil Case 0 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 Cit of Tustin re uests that ou answer the followln uestions. 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: - -~ -,-----" ~-------- --_._------------~------_.._---------_.. ----- If applicable, please attach any medical bills or reports or similar documents supporting your claim. 9, If the claim reiates to an automobile accident: ..£Ia~rnant(E;l.. Auto in~~___,"___.._~lephone:- Address: ----------- ___~_n -----~- ----------... Insurance Policy No.: ------,-------- ---_.._----------------~~~- Telephone: Insurance Broker/Agent: Address: ---------,-----'----- ----------'---'--~- Claimant's Drivers Lic. No.: Vehicle Make/Year: Expiration: --_.,------------------------ Claimant's Veh. Lic. No,: -,------ Page20f4 If applicable, please attach any repair bills, estimates or similar documents supporting your claim. 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 corners. 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 iocatlon 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. J (;I.I«/<:,'L -f/¡(I-"~,~,,~-- I ~ L CURB~ ~ ' Wi !j 'v""",.- ~:::;',:; n ¡ co,,~ /d..s.ÎI,u ¡2.hJcf( I,D ---.-----------'.-------- Warning: Presentation of a false claim is a felony (Penal Code §72). Pursuant to CCP §1038, the CityiAgency may seek to recover all costs of defense in the event an action is filed which is later determined not to have been brought in good faith and with reasonable cause. Signature; ¿¡j~(~ Date ¡lOt 10:: Page 3 of4 TUSTIN RÅ.~CH TIRE & AU-I 0 CTR GOODYEAR DEALER, 2541 EL CAMINO REAL TUSTIN, CA 92782 . (714)573-2727, BAR REG# AM197585, I.D. CAROOO033290 FEDERAL TAX ID# 330388241 INVOICE T-113368 01/12/05 01/12/05 09:48 AM 09:49 AM TERR: 7585 NONSIG: 195945 PAGE: 01 BILL TO: DALIDA KARATAS 12620 HOMESTEAD TUSTIN, CA 92782 PHONE 1....... (714)505-9290 PHONE 2....... DATE REQUESTED 01/12/05 TIME REQUESTED RETURN PARTS.. NO SALESÞffiN...... 046/046 VEH YEAR/MAKE. 03 INFINITI TRUCK VEHICLE MODEL. FX35 VEHICLE COLOR. SILVER LICENSE/STATE. 5CLA373 / CA ODOMETR IN/OUT 027997 / 027997 ACCOUNT # COB TC CUST# TYPE/STATE AUTHORIZATION CREDIT CARO NO. 758500051 M 01 14783 0 CA 015064 HOC 6242 SLSM TECH PRODUCT CODE BC QTY DESCRIPTION 046 732-278-500-0 R 1 P265/5OR20 106V S2 EAG RS-A VSBRPTL QTY. 1 NO. M6HR5RWR4561 046 001 040-204 TIRE DISPOSAL CHARGE 046 060 041-263 NEW VALVE STEM 046 060 044-263 WHEEL BALANCE - COMPUTER SPIN PARTS LBR/EXCISE LINE TOTAL 339.99 .00 339.99 2.00 .00 2.00 3 00 .00 3.00 2.50 7.25 9.75 PARTS: ( ALL PARTS ARE NEW UNLESS OTHERWISE NOTED) WE WISH TO THANK YOU FOR YOUR BUSINESS JIM CROWEL ******SAVE 25% ON ALL GOODYEAR TIRES*******WITH PURCHASE OF 4 TIRES*********REC. 50% OFF BALANCE & STEMS** =ya2.L l~ ieuyd A,,'¡{, ii.. c~1Lle ~ PaLfY"-~! ~ ~- 9-<=,OÚ1d ~ . .øl !¿Ø~~-k x--------------------------------- CUSTOMER AUTHORIZATION FOR TOTAL CHARGED AMOUNT 383.27 STATE TIRE FEE 1.75 TAXABLE AMOUNT 345.49 INVOICE TOTAL PARTS TOTAL. 347.49 LA8OR TOTAL. 7.25 SU8 TOTAL. ........ 354.74 SA~~a3'~.2..,.78