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HomeMy WebLinkAbout2009-01-27 City Council Agenda Item No. 5 CITY OF ,. • LAKE OLSINORL DREAM EXTREME REPORT TO CITY COUNCIL TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL FROM: ROBERT A. BRADY CITY MANAGER DATE: JANUARY 27, 2009 SUBJECT: CLAIMS AGAINST THE CITY Background Claims filed against the City of Lake Elsinore are reviewed and handled by Carl Warren & Company, Claims Administrators. When received, each claim is logged in the City Clerk's Office and forwarded to this company for investigation. After initial review and investigation, direction is issued to the City to take one of several actions such as rejection, notification of late claim or reservation of action until further information is obtained. Discussion The following claims have been recommended for rejection by Carl Warren & Company: CL# 2008 -36 — Yesenia Loza 2008 -37 — Nicole Thomas 2009 -1 — Chris Urianza Fiscal Impact None. Recommendation Reject the claims listed above and direct the City Clerk's Office to send a letter informing the claimants of the decision. Agenda Item No. 5 Page 1 of 15 Claims Against the City January 27, 2009 Page 2 Prepared by: Jessica Guzman ∎. Office Specialist Reviewed by: Carol Cowley Interim City Clerk Approved by: Robert A. Brady h, City Manager Agenda Item No. 5 Page 2 of 15 Z January 14, 2009 °9� - */1/ � C / ') 9 ,4_o TO: The City of Lake Elisinore ' � A\ ATTENTION: Jessica Guzman, Office of the City Clerk RE: Claim Loza v Lake Elsinore Claimant : Yesensia. Loza D/Event : 12/19/08 Rec'd Y /Office : 12/22/08 Our File 1488959 DBQ We have reviewed the above captioned claim and request that you take the action indicated below: • CLAIM REJECTION: Send a standard rejection letter to the claimant. Please provide us with a copy of the notice sent, as requested above. If you have any questions please contact the undersigned. Very truly yours, CARL WARREN & COMPANY l Debor een CARL WARREN & CO. CLAIMS MANAGEMENT•CLAIMS ADJUSTERS 770 Placentia Avenue, Placentia, CA 92870 -6832 Mail: P.O. Box 25180 • Santa Ana, Ca 92799 -5180 Phone: (714) 572 -5200 • (800) 572 -6900 • Fax: (714) 961 - 8131 Agenda Item No. 5 Page 3 of 15 CITY OF i/`, LAKE L LSINORE • �-� DREAM EXTREME December 23, 2008 Dwight Kunz Carl Warren & Company P.O. Box 25180 Santa Ana CA 92799 -5180 Dear Mr. Kunz: Enclosed for your handling is a claim received on December 22, 2008 from Yesenia Loza (CL #2008 -36). Please keep me advised of appropriate City Council Action. For further assistance, please contact me at (951) 674 -3124 ext. 269. Sincerely, mr_ SS CA GUZMA , • F I PECIALIST CITY OF LAKE ELSINORE Enclosure 951.674.3124 130 S. MAIN STREET LAKE ELSINORE. CA 92530 WWW.LAKE- ELSINORE.ORG Agenda Item No. 5 Page 4 of 15 CITY OF .N • LAI(E I LSINO E 0 DREAM EXTREME, CLAIM AGAINST THE CITY OF LAKE ELSINORE (For Damages to Persons or Personal Property) Rec . by: .1 Ilk ' ,� i Tune/ ' ` i t t y . R o pr s �, irED A claim must be filed with the City Cler of the City of Lake Elsinore within DEC 2 2 200$ six (6) months after the incident or event occurred. Be sure your claim is against the City of Lake Elsinore, not another public eritity. Where space is insufficient, please use additional paper .and identify information by paragraph number. Completed claims must be mailed or delivered to the i s l id . •,'i._ ER KS OFFICE City Clerk, City of Lake Elsinore, 130 South Main Street, Lake Elsinore, CA 92530. The undersigned respectfully submits the following claim and information relative to damage to persons and /or personal property: viec, Name of Claimant too Lo2a a. Address of Claimant: b. Phone No. .rsart- c. Date of Birth d. Social Security No. e. Drivers Lic. No. 2. Name post office address and telephone to which claimant desires notices to be sent, if other than s ► a l ►� the above: 5 pal.) g 3. Occurrence or event from which this claim arises: a. Date: p9 I I O 7 b. Time: I q00 c. Place (Exact and specific location) TCX t Q n $ r', E T f - , d. How many and under what circumstances did damage or injury occur? Specify the particular occurrences, event, act or omission you claim caused the injury or damage (use additional F paper if necessary). 6 my r) Lt &nC ` /c) UflC do u 0 - • I 4 I_ a rILd ., Gro •c- wce home CDxX12 Y-re (- ov ' oir f e. What particular action by the City of its employees, caused the alleged ged damage or Injury? rf • •. ' - 6 • 1 Agenda Item No. 5 Page 5 of 15 1-E -1� (2 r c?ncl vec�,brh`t i10 mph ig h_+ _ befoe_e • 1.-f-ftv 5 _ `� Ord ,Ltz_ 7 -/ rby 'Ydhiclee,05 we!onfroued ov) vrrcd we -114e rik,cs ctefi / no atoo H t[C ►���Y11 frr2C G � w le, �" f � �; v�k1iGi _Can X10t ,_ab't l+ qd'r _ � 1��2� _it 0 lhs�eEtr via/ 46ad wc toL `the ve,iica, 10 v,-i-- Jfis . _c oft -foe C MoE'rria((y - -z� - coe caw.Ls and titeyQove Qs n asti rr q k _ _ _ � G� � wee fd � ' �{' �tl�_��l �5 �QD�Y) Cry ii)466 i01C' l - F con-f-oci-i--- *pi -0 cfficu ..j1111111111.pm csice_ Agenda Item No. 5 _. _ Page 6 of 15 4. Were ` there any injuries at the time of this accident? If not, state "No Injuries." k ituvi es 5. Give the name(s) of the public employee(s) causing the injury, damage, or loss, if known. 6. Name and address of any person injured: 7. Name and address of the owner of any damaged property: gjon Co v los V76? r+inc 7 8. Damages claimed: a. Amount claimed as of this date: $ or 05 b. Estimated amount of future costs: $ c. Total amount claimed: $ r C p a d. Basis for computation of amounts claimed (include copies of all bills, invoices, estimates, etc ) *it ' a . ✓C' / 16 / 4 Gl " � � s>, . as . mow >r � ZS 9. Names sand addresses of all witnesses, hospital, doctors, etc: a. y_ bc_ )onn e Irk< Vaithcca c. 10. Any additional information that might be helpful in considering this claim: Warning: It is a criminal offense to file a false claim! (Penal Code 72 /Insurance Code 556.1) I 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 state upon information or belief as to such matters, I believe the same to be true. I certify • - -r penalty of perjury that the foregoing is true and correct. d14110 r, io-1-27,2/61 v o ignat re Date Agenda Item No. 5 Page 7 of 15 L ....., C hi January 8, 2009 ✓•9 O v k® rT Op TO: The City of Lake Elsinore f c ATTENTION: Jessica Guzman, Office Specialist RE: Claim Thomas vs. The City of Lake Elsinore Claimant : Nicole Thomas D /Event 12/23/2008 Rec'd Y /Office : 12/31/2008 Our File S- 1489358 -RWQ We have received and reviewed the above claim and request that you take the action indicated below: CLAIM REJECTION: Send a standard rejection letter to the claimant. Please provide us with a copy of the notice sent, as requested above. I f you have any questions please contact the undersig ned. Very truly yours, CARL WARREN & COMPANY . j°}4.0A-7-4.—e--"L----- Richar . Marque cc: CJPIA w /enc. Attn.: Executive Director CARL WARREN & CO. CLAIMS MANAGEMENT CLAIMS ADJUSTERS 770 Placentia Avenue, Placentia, CA 92870 -6832 Mail: P.O. Box 25180 • Santa Ana, Qi 92799 -5180 Phone: (714) 572 -5200 •(800) 572 -6900 *Fax: (714) 961 -8131 Agenda Item No. 5 Page 8 of 15 CITY OF LAKE L LSII`IOKE DREAM EXTREME January 5, 2009 Dwight Kunz Carl Warren & Company P.O. Box 25180 Santa Ana CA 92799 -5180 Dear Mr. Kunz: Enclosed for your handling is a claim received on December 31, 2008 from Nicole Thomas (CL #2008 -37). Please keep me advised of appropriate City Council Action. For further assistance, please contact me at (951) 674 -3124 ext. 269. Sincerely, i JES ICA ' UZIN A ` 0 FILE SPE l?A IST CITY OF L A ELSINO Enclosure 951.674.3124 130 S. MAIN STREET LAKE ELSINORE, CA 92530 WWW.LAKE- ELSINORE.ORG Agenda Item No. 5 Page 9 of 15 CITY OF ic • LADE oLSINOU ler DREAM EXTREME,, CLAIM AGAINST THE CITY OF LAKE ELSINORE (For Damages to Persons or Personal Property) Received by: City Represent: tive D A claim must be filed with the City Clerk of the City of Lake Elsinore within -� six (6) months after the incident or event occurred. Be sure your claim is DEC it 2006 IL)) against the City of Lake Elsinore, not another public entity. Where space is L insufficient, please use additional paper and identify information by Q /2 0 i it oviV tt paragraph number. Completed claims must be mailed or delivered to the CITY CLERKS OFFICE City Clerk, City of Lake Elsinore, 130 South Main Street, Lake Elsinore, CA 92530. The undersigned respectfully submits the following claim and information relative to damage to persons and /or personal property: 1. Name of Claimant %fro // ~ 7 17c /7/ S a. Address of Claimant: _gumwianuNMrillpilkAMIIIIh.___ioiliip b. Phone No. arill1111111111111 c. Date of Birth !_ d. Social Security No. e. Drivers Lic. No. _ 2. Name, post office address and telephone to which claimant desires notices to be sent, if other than the above: 3. Occurrence or event from which this claim arises: a. Date: b. Time: V, „� c. Place (Exact and specific location) 7.1feeci - 7el 7 6. 1i•`f' 01 d. How many and under what circumstances did damage or injury occur? Specify the particular occurrences, event, act or omission you claim caused the injury or damage (use additional paper if necessary). U�� rm raci 0 '/ � J✓ C �L �! I.( G�Z.L:�t'� `L�6L / tG r r�� /t?4 d rC e. What particular action by the City of its employees, caused the alleged damage or injury? Agenda Item No. 5 Page 10 of 15 4. Were there any ( injuries at the time of this accident? If not, state "No Injuries." 5. Give the name(s) of the public employee(s) causing the injury, damage, or loss, if known. 6. Name and address of any person injured: 7. Name and address of the owner of any damaged property: r 8. Damages claimed: / a. Amount claimed as of this date: $ ` ' 7 / L b. Estimated amount of future costs: $ c. Total amount claimed: d. Basis for computation of amounts claimed (include copies of all bills, invoices, estimates, etc.): 9. Names and addresses of all witnesses, hospital, doctors, etc: AMP ellar a. i c .ylo' — % ri it 5 r 7� S 7 t r�7 G b. �': f n � c. ,' a / ,/ 10. Any additional information that might be helpful in considering this claim: . G p / 7 fS t 7( `f /UU 01 a 1/1 `7 I X roc .� / ` o/t 4 lz.vn' rc_i' n f` .7il 0 r'4 a .< id e-r l y4/ /(1 d 9,4 r Warning: It is a criminal offense to file a false claim! (Penal Code 72 /Insurance Code 556.1) I 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 state upon information or belief as to such matters, I believe the same to be true. I certify under penalty of perjury that the foregoing is true and correct. CI imant' S nature Date Agenda Item No. 5 Page 11 of 15 Mil 15k. January 14, 2009 - ` d 6, �� Fg4s <, O AN TO: The City of Lake Elsinore ATTENTION: Jessica Guzman, Office Specialist RE: Claim Urianza vs. The City of Lake Elsinore Claimant : Chris Urianza D /Event : 12/19/2008 Rec'd Y /Office : 1/6/2009 Our File : S- 1489608 -DBQ We have received and reviewed the above claim and request that you take the action indicated below: CLAIM REJECTION: Send a standard rejection letter to the claimant. Please provide us with a copy of the notice sent, as requested above. If you have any questions please contact the undersigned. Very truly yours, CARL._.. ARREN & COMPANY Li__ )-- Richar• b. Marque cc: CJPIA w /enc. Attn.: Executive Director CARL WARREN & CO. CLAIMS MANAGEMENT CLAIMS ADJUSTERS 770 Placentia Avenue, Placentia, CA 92870 -6832 Mail: P.O. Box 25180 • Santa Ana, Ca 92799 -5180 Phone: (714) 572 -5200 • (800) 572 -6900 • Fax: (714) 961 -8131 Agenda Item No. 5 Page 12 of 15 CITY OF in■ • LAD L E LSINO�E -, , `v DREAM EXTREME January 7, 2009 Dwight Kunz Carl Warren & Company P.O. Box 25180 Santa Ana CA 92799 -5180 Dear Mr. Kunz: Enclosed for your handling is a claim received on January 6, 2009 from Chris Urianza (CL #2009 -1). Please keep me advised of appropriate City Council Action. For further assistance, please contact me at (951) 674 -3124 ext. 269. Sincerely, S CA M t y c∎ ' ICE SPECI CITY OF LA L`St Enclosure 951.674.3124 130 S. MAIN STREET LAKE ELSINORE, CA 92530 WWW. LAKE-ELSINORE .ORG Agenda Item No. 5 Page 13 of 15 CITY OF ink LADE 6 LSINQ E L R , ` DREAM EXTREME, - CLAIM AGAINST THE CITY OF LAKE ELSINORE (For D. .i:.es to Persons or Personal Property) i Receive, by: TIL.,,,...,.... _ "lr City Re � Time /Date Received: J ,. RECEIVED A claim must be filed with the City Clerk of the Ci y of Lake Elsinore within six (6) months after the incident or event occurred. Be sure your claim is against the City of Lake Elsinore, not another public entity. Where space is JAN insufficient, please use additional paper and identify information b paragraph number. Completed claims must be mailed or delivered to the City Clerk, City of Lake Elsinore, 130 South Main Street, Lake Elsinore, CITY CLERKS OFFICE CA 92530. The undersigned respectfully submits the following claim and information relative to damage to persons and /or personal property: 1. Name of Claimant C_-h�-1' 3IR Ia--v,2c1 a. Address of Claimant: b. Phone No.;'j c. Date of Birth d. Social Security Nt e. Drivers Lic. No.I 2. Name, post office address and telephone to which claimant desires notices to be sent, if other than the above: c cx-v 3. Occurrence or event from which this claim arises: a. Date: 1 a - 1C1-- a ©O 4 b. Time Fi - Ea -? i ' c. Place (Exact and specific location) -- DP)c - F - P c 1--} 1 4- d. How many and under what circumstances did damage or injury occur? Specify the particular occurrences, event, act or omission you claim caused the injury or damage (use additional paper if necessary). } UIP,c' �(0 hFr }=-FZOn+ -1 i 2 e Gi-vc bc r 1-. c €eL tZA v , . e. What particular action by the City of its employees, caused the alleged damage or injury? (-- oT 401 e \ r) S Agenda Item No. 5 Page 14 of 15 ^ U Z VY r\ a (AI� e - ELS) n je t. ( 4. Were there any injuries at the time of this accident? If not, state "No Injuries." C/A 5. Give the name(s) of the public employee(s) causing the injury, damage, or loss, if known. 6. Name and address of any person injured: N A 7. Name and address of the owner of any damaged property: SQL e d - P 8. Damages claimed: a. Amount claimed as of this date: $ CO S b. Estimated amount of future costs: $ c. Total amount claimed: $ Basis for computation of amounts claimed (include copies of all bills, invoices, estimates, etc ) Co d kj a 4 Qya_. . b,11 9. Names and addresses of all witnesses, hospital, doctors, etc: a. L Uv[k_. \(tom, w� b. c. 10. Any additional information that might be helpful in considering this claim: 5 Gv z x,@ - . Warning: It is a criminal offense to file a false claim! (Penal Code 72 /Insurance Code 556.1) I 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 state upon information or belief as to such matters, I believe the same to be true. I certify under penalty of perjury that the foregoing is true and correct. Claimant's Signatur Date Agenda Item No. 5 Page 15 of 15