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Home My WebLink About06 CLAIM(PAINTER)01-34 09-17-01AGENDA REPORT NO. 6 0'~9.~1,?.01 MEETING DATE' TO' FROM' SUBJECT: SEPTEMBER 17, 2001 180-10 HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL CITY ATTORNEY CLAIM OF STATE FARM (PAINTER); CLAIM NO. 01-34 SUMMARY: The City Attorney is recommending that the City Council reject Claim No. 01-34, State Farm (Painter). RECOMMENDATION' After investigation and review by this office and by the City's Claims Administrators, it is recommended that the City Council deny the claim and direct the City Clerk to send notice thereof to the claimant and the claimant's attorneys. FISCAL IMPACT' There is no fiscal impact with this action. BACKGROUND: State Farm Insurance has paid a claim on behalf Jimmie and Sean Painter for damage to a 1971 Mercury Cougar XR7. The amount paid to repair the car was $4,843.13. The Painters allege that the car was parked in front of 1071 Bonita when a tree planted in the parkway fell on the car. As it turns out, this tree is a private tree. The owner of the property a number of years ago, while doing improvements, requested that the private tree be left and for the sidewalk to go around the tree. This is a case of no City liability. it is recommended that the City Council reject the claim. ATTACHMENTS' Claim 41406\1 State Farm Insurance Companies July 2, 2001 Subrogation Department P.O. Box 5036 Thousand Oaks, CA 91359 City Of Tustin 300 Centennial Way Tustin, CA 92780 RE- Our Claim Number- Our Insured- ~Jim Date of Loss. May 3[ 2-001 Amt. State Farm Paid. $4,843.13 Insured's Deductible' $0.00 Total · $4,843.13 JUL 1 0 2001 OFFlc~'~$~N crr~ CLERK Your Insured- Address- Claim Number- Policy Number. City Of Tustin 300 Centennial Way /City Clerk Tustin, CA 92780 Dear City Of Tustin- We have been informed that you are the insuranCe carrier for the party designated as your insured in the above caption. Our investigation indicates your insured is responsible for the loss. In order to assist you in evaluating and processing the subrogation claim we are asserting, we may provide nonpublic personal information about our customer. We are sharing this information to effect, administer, or enforce a transaction authorized by the consumer. However, you are neither authorized nor permitted to- (1) use the customer information we provide for any purpose other than to evaluate and process the subrogation claim, or (2) disclose or share the customer information we provide for any purpose other than to evaluate and process the subrogation claim. Please accept this letter as a notice of our subrogation rights and communicate with us in regard to your position on this matter. ~ Sincerely, Jo Ann Sponable Claim Specialist (818) 707-5209 State Farm Mutual Automobile Insurance Company Enclosure HOME OFFICES' BLOOMINGTON, ILLINOIS 61710-0001 OIL1 · . .... · . REMARKS 5/03/200, '?i " .:ii'!.'.".ENTERED SY VEGA, RUBEN ... ."..:i AUT. HORIZED E~¥ DILDAY, DEBY · ?.':.. ..:::':.: PHONE (949) 365-3763 :~.~i:'i"i:~:'::. . ,i?:'i?:') ~ ';'~.".'"..::'..-:i':i{i PAYMENT NO DATE AMOUNT TIN 1 23215506J 5/17/2001 $4,843.13 75-953677493 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY SOUTH COAST OFFICE BANK OF AMERICA, N.A. 64-1278/611 WESTLAKE VILLAGE CA CUSTOMER CONNECTION ' : ::.,;. i: : . '!:' "" .:.": ), ~ CROt4N VALLEY 23-131 L084 ATLANTA DEKALB CNT¥, GA ?i'. .:':: · :.-.....:.:'.?:';':'.',".:.::!:'.-.,. .., ;-::: ... .,.-".'.i:..,:"' :'""-::~;. ::!;il, ..... ,......:...:':ii':':-' INSURED PAINTER, JIIVI CLAIM ~40 .:::75:A'359-562--:'::":'::':-- '::":- ::':"::': :':."!,:..:' **********************************************Y FOUR THOUSAND E I'GXIf:~!:HUNDRED .'I~!bRTI'y:':~;~II~IE~::!:~I~'ND 13/100 DOLLARS 'ay to the i.,!~:::!i:' ':!'~iii!. ":!?i::: Order of: CALIFORNIA C:LASSi:CS:i!& JIM PAINTER:,.:&.'.:~s~EAN PAINTER 1650 E. EDING-i':E';'R:''~' .... ?'":'?:~:: -,?,:"'::"~ ....... ::':'"'; .... ''':''''~' ..... SANTA ANA CA. 92705:'502'"i:i!::i?:~''!!::'-'''''''::''''' · :.:.':,: ... 1 23 .,: .,. ....: .. '.:LOSS DATE .,.. 215506 5/17/2001 J 5/03/2001 ,, APPROVED BY o. .. .. 'CITY OF TUSTIN CLAIM AGAINST THE CiTY OF TUSTIN (For Damages to Persons or Personal Property) _ The law provides generally that a claim must be filed with the City Clerk of the City of Tustin within six (6) months after th.e 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, City of Tustin, 300 Centennial Way, Tustin, California 92780. ,. WHEN COMPLETING THIS FORM, PLEASE TYPE OR USE BLACK INK To the Honorable Mayor and City Council, City. of Tustin, California: The undersigned respectfully submits the following claim and information relative to damage to person and/or property: o ac Name of Ciaimant:_~C- Address of Claimant: CitYlZipCode: _ Telephone Number: Date of Blah' Social Security Number: Driver License Number: . . Name, telephone, and post office address to which claimant desires notices to be sent (if.other than ..... ~ , .-¥:-.~* ' ,'.. , ~ F=; ...~. ~ This claim is submiEed against: a. '~ The City of Tustin onlY. b. The following employee(s) of the Ci~ of Tustin only: . c. The City of Tustin and the following employee(s)of the City of Tustin only: ' Occurrence or event from which the claim arises: b. Co d. Date: ~t"Et_,! % """ Place ~Exa~t and Specific L~cation)' ?i .':.~%. ' :2'~:.. '.,~¢ · ": t:':~. ."" '"'""' ,,~,.~.t,; How and under what circumstances did damage °r inju~ occur? Specie the pa~icular occurrence, event, act or omission you claim caused the injuw or damage (use additional I ,loM T~ o ~o .,top ! d o ,~ ,~- k ,~ d 04- Tu~ ~* w u flo~ Tv3 7'/to .~\~o t,,~ k:4- b,~ +kc 4o (~o too ~3 e. paper if necessary:_ What particular action by the City, or its employees, caused the' alleged damag ....... (,~ ~ ~' e Give a 'description of the injury, property damage or loss so far known at the time of this claim. If there were no injuries, state "no injuries". . Give the name(s) of the City employee(s) causing the damage or injury: . Name and address of any other person injured: o ,, 10. Name and address of the owner of any damaged property: / _ Damages Claimed" a. Amount claimed as of this date' _ · b. Estimated amount of future costs: c. Total amount claimed' d. Attach basis for computation of amounts claimed (include copies of all bills, in~;°i'ces, estimates, etc.) · Names and addresses of all witnesses, hospitals, doctors, etc. WARNING' IT iS A CRIMINAL OFFENSE TO FILE A FALS-E C~LAIM (Penal Code Section 72; Insurance Code Section 556.0) Claimant's Signatu '_.__.-,_ ~ ...... Executed this ~'~ day of rY~/~ ,,¢ ! have read the matters and statements made in the above claim and I know the same to be true of my own knowledge, except as to those matters stated to be upon information or belief and as to such matters i believe the..., same to be true. I certify under penalty of perjury that the foregoing is true and correct. .. ,200~ Date filed this . day of ........ , 20 . 2:CLAIM (1/00) Date: Estimate ID: Estimate Version: Committed Profile ID: 05111/2001 08>{0 AM 75-A359-56201 0 CALIFORNIA CLASSICS State Farm Insurance 3333 Hyland Avenue Costa Mesa, CA 92626 (714) 241-1000 Damage Assessed By: STEVE BILLS .. Type of Loss: Comprehensive Date of Loss: 05/03/2001 Deductible: 50.0.0 Claim Number: 75-A359-56201 Insured; Address: Telephone: JIM PAINTER Work Phone: ( Claim Rep: Christine Hauser (949) 365:3757 · Home Phone: ( .. Description: VlN: Mileage: OEMIALT: Color: Options: Mitchell Service: 911000 71 MERCURY COUGAR XR7 License: 30,476 A ..... Search Code: COSTA,MESA MUSTARD AIR CONDITIONING, POWER STEERING, POWER BRAKES, AM-FM STEREO COMPACT. DISC PLAYER, CENTER CONSOLE, MANUAL REMOTE MIRROR, REAR VINYL TOP Line Entry Labor item Number Type I 900500 BDY * 2 900500 BDY * 3 9O050O BDY * Line Item Part Type/ Operation Description Part Number REPAIR REVIEWED AND ACCEPTED SHOPS ITEMIZED ExislJng REPAIR ESTIMATE AS BASIS FOR A POTENTAIL Existing REPAIR TOTAL LOSS. SEE ATTCHED SHEET. Sublet *- Judgement Item Dollar Labor Amount Units 0.0' 0.0' 4,843.13 * 0.0' Labor Subtotals Body Add'! Labor Sublet Units Rate Amount Amount Totals 0.0 32.00 0.00 4,843.13 4,843.13 Non-Taxable Labor 4,843.13 Labor Summary 0.0 4,843.13 I!. Part Rel~cement Summary Total Replacement Parts Amount I!1. Additional Costs Amount IV. Total Additional Costs ' 0.00 Adjustments Insurance Deductible cUStOmer Responsibility ESTIMATE RECALL NUMBER: 05/11/2001 08:39:53 75-A359-5620t UltraMate is a Trademark of Mitchell intemati(~nal Mitchell Data Version: APR 01 A Copyright (C) 1994 - 2000 Mitchell International UltraMate Version: 4.7.0-~6 - Ali Rights Reserved Page 1 of 2 Amount 0.00 Amount 50.00- 50.00- Date: Estimate ID: Estimate Version: Committed Profile ID: 05111/2001 08:40 AM 75-A359-56201 0 CAUFORNIA CLASSICS I[. Iii. Total Labor: Total Replaceme~ Parts: Total Additional Costs: Gross Total: 4,843.13 0.00 0.00 4,843.13 Total Adjustments: Net Total: 50.00- 4,793.13 Point(s) of Impact 16 Non-Collision (P) Inspection Site: Inspection Date: REPAIR FACILITY 05/11/2001 Body Shop: CALIFORNIA CLASSICS Address: 1650 E EDINGER SANTA ANA, CA 92705 Telephone: (714) 542-9811 Fax Phone: (714) 542-4210 "NOTICE WELDING - REPAIRS TO THIS VEHICLE MAY REQUIRE SPECIFIC EQUIPMENT AS RECOMMENDED BY THE MANUFACTURER" THIS IS NOT AN AUTHORIZATION TO REPAIR. ALL SUPPLEMENTS REQUIRE PRIOR APPROVAL, BY A STATE FARM CLAIM REPRESENTATIVE. ESTIMATE RECALL NUMBER: 05/11/2001 08:39:53 75-A359-56201 UltraMate is a Trademark of Mitchell International Mitchell Data Version: APR._01_A Copyright (C) 1994- 2000 Mitchell International UltraMate Version: 4.7.006 All Rights Reserved Page of Date: 5/10101 09:08 AM Estimate ID: 75-A359-56201 Estimate Version: 0 Preliminary Profile ID: SF BAR#146574 CALIFORNIA CLASSICS PAINT & BODY 1650 E. ED. INGER SANTA ANA, CA 92705 (714) 542-9811 Fax: (714) 542-4210 Condition Code: Good Date of Loss: 5/3101 Deductible: WAIVED Claim Number: 75-A359-56201 Insured: JIM PAINTER Address: Telephone: Work Phone: ( Home Phone: Mitchell Service: 911000 Description: 71 MERCURY COUGAR XR-7 YiN: Mileage: 30,476 Color: yellow Type of Loss: Comprehensive ( License: Line Entry Labor Item Number Type Operation t 931004 BDY REMOVE/REPLACE 2 REF REFINISH/REPAIR 3 4 931062 BDY REMOVE/REPLACE 5 REF REFINISH/REPAIR 6 7 931063 BDY REPAIR 8 REF REFINISH/REPAIR 9 931065 REF * REFINISH/REPAIR 10 931066 REF * REFINISH/REPAIR 11 931068 BDY REPAIR 12 REF REFINISH/REPAIR 13 931078 REF * REFINISH/REPAIR 14 931079 REF * REFINISH/REPAIR 15 900500 REF * REPAIR 16 REF REFINISH/REPAIR 17 900500 REF * REFINISH/REPAIR 18 900500 BDY * REMOVE/REPLACE t9 Line item Description HOOD HOOD LINE MARKUP %20.00 RIGHT FENDER PANEL RIGHT FENDER PANEL LINE MARKUP %20.00 LEFT FENDER PANEL LEFT FENDER PANEL RIGHT FRONT DOOR ASSY LEFT FRONT DOOR ASSY ROOF ROOF RIGHT QUARTER PANEL LEFT QUARTER PANEL REAR COWL PANEL REAR COWL PANEL BLEND TRUNK LID VINYL TOP LINE MARKUP %20.00 ESTIMATE RECALL NUMBER: 5/9101 15:32:34 75-A359-56201 UltraMate is a Trademark of Mitchell International Mitchell Data Version: MAY_01_A Copyright (C) 1994 - 2000 Mitchell International UitraMate Version: 4.7,006 All Rights Reserved Part Type/ Dollar Labor Part Number Amount Units Qual Recycled Part 250.00 * 1.0' 3.0* 50.00 Qual Recycled Part 250.00 * 2.5* "" 2.5* 50.00 Existing 4,0' 2.5*_., Existing 2,5'~ Existing 2,5* -' Existing 30.0'- 3,0* .- Existing 3.0* Existing 3.0* Existing 6.0* =~ t.5' Existing 1.5' -- Sublet 300.00 * 0,0' 60.00 :-- .. ESTIMATING DEP . of 3 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 9O050O 900500 900500 900500 900500 900500 9O0500 933003 933012 933017 933018 AUTO AUTO BDY * BDY * BDY * GLS * GLS * BDT * BDY * BDY * BDT * REF REF REF REF REMOVE/REPLACE REMOVE/REPLACE REMOVE/INSTALL REMOVE/INSTALL REMOVE/INSTALL REMOVE/INSTALL REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE ADD'L OPR ADD'L OPR ADD'L OPR ADD'L OPR ADD'L COST. ADD'L COST VINYL TOP MOULDING LINE MARKUP %20.00 LEFT SIDE ROOF MOULDING UNE MARKUP %20.00 ' PARTS FOR PAINTING FRONT W/S GLASS REAR GLASS HEAD UNER LKQ PARTS (EST ONLY) CLARK-AUTO-528-8662 Date: Estimate ID: Estimate Version: Preliminary Profile ID:. Qual Recycled Part Qual Recycled Part Existing Sublet Sublet Sublet Qual Recycled Part VINYL TOP PRICE-MILTON UPHOLSTERY 258-3531 Sublet ANTANA Qual Recycled Part UNE MARKUP %20.0~ TINT COLOR STRIPE COLOR SAND & BUFF MASK FOR OVERSPRAY PAINT/MATERIALS HAZARDOIJS WASTE DISPOSAL 5/10101 09:08 AM 75-A359-56201 0 SF 25.0O * 0.0' ,-. 5.00 25.00 * 5.00 45.00 * 75.00 * 45.00 * 9.00 693.00 * 5.00 * 8.0' ~ 0.0' ~,, 0.0'" 0.0' ---' 0.0' ~ 0,0' .- 0,0' -,-" 8.0* 0.5* * - Judgement Item I!1. Labor Subtotals Body Refinish Glass Units Rate 45.8 32.00 40.0 32.00 0.0 32.00 Non-Taxable Labor Labor Summary 85.8 Additional Costs Taxable Costs Sales Tax Non-Taxable Costs Total Additional Costs · Add'l Labor Sublet Amou~ Amount Totals 0.00 75.00 1,540.60 55.00 0.00 1,335.00 0.00 90.00 90.00 2,965.60 2,965.60 Amount 693.00 ?,500% 51.98 5.00 749.98 IV. Part Replacement Summary Taxable Parts Parts Adjustments Sales Tax Non-Taxable Parts Parts Adjustments Total Replacement Paris Amount Adjustments Insurance Deductible Customer Responsibility 7.500% Amount 595.00 119.00 53.55 300.00 60.00 1,127.55 Amount WAIVED 0.00 I. Total Labor: II. Total Replacement Parts: III. Total Additional Costs: Gross Total: 2,965.60 1,t27.55 749.98 4,843.13 IV. Total Adjustments: Net Total: 0.00 4,843.13 This is a preliminary estimate. Additiona!_chanqes to the estimate may be required for the actual repair_ ESTIMATE RECALL NUMBER: 5/9101 15:32:34 75-A359-56201 UltraMate is a Trademark of Mitchell International Mitchell Data Version: MAY_01_A Copyright {C) 1994 - 2000 Mitchell International UltraMate Version: 4.7.006 All Rights Reserved ESTIMATING DEPT. HAY 1 12001 ""'° · COSTA 'MESA S/C Date: Estimate ID: Estimate Vemion: Preliminary Profile ID: 5/10101 09:08 AM 75-A359-56201 0 SF Point(s) of Impact Non-Collision (S) Insurance Co: State Farm .Insurance Address: P.O. Box 1269 Placentia, CA 92871 Telephone: (714) 572-5151 Fax Phone: (714) - , Inspection Site: Address: CALIFORNIA CLASSICS WITH INSURED Body Shop: Address: Work Phone: CALIF CLASSICS PAINT BODY SHOP 1650 E EDINGER AVE SANTA ANA, CA 9270S (714) 542-9811 ESTIMATE RECALL NUMBER: 5/9101 15:32:34 75-A359-56201 UltraMate is a Trademark of Mitchell International Mitchell Data Version: MAY_01_A Copyright (C) 1994 - 2000 Mitchell International UltraMate Version: 4.7.006 Ali Rights Reserved ESTIMATING DEPT. COSTA MESA $/C Page 3 of