HomeMy WebLinkAboutCity Council Agenda Item No. 4CITY OF
LADE ~ LSINO
D PLEAM EXTREME
REPORT TO CITY COUNCIL
TO: HONORABLE MAYOR
AND MEMBERS OF THE CITY COUNCIL
FROM: ROBERT A. BRADY
CITY MANAGER
DATE: MAY 12, 2009
SUBJECT: CLAIM 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 claim has been recommended for rejection by Carl Warren & Company:
CL# 2009-5 -
Fiscal Impact
None.
Recommendation
Joann Stewart
Reject the claim listed above and direct the City Clerk's Office to send a letter informing
the claimant of the decision.
Agenda Item.No. 4
Page 1 of 6
Claim Against the City
May 12, 2009
Page 2
Prepared by:
Jessica Guzman
Office Specialist
Reviewed by:
Approved by:
Debora Thomsen ~
City Clerk d ~
Robert A. Brady
City Manager
:Agenda; Item No. 4
Page 2 of 6
April 23, 2009
City of Lake Elsinore
130 S. Main Street
Lake Elsinore, CA. 92530
Attn: Jessica Guzman, Office Specialist
RE: Principal
City
Date of Incident
Rec'd Y/Office
Claimant
Our File
Dear Ms. Guzman:
CJPIA
City of Lake Elsinore
10/19/08
3/5/09
Joann Stewart
1492736 SDQ
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's attorney
and send a copy to the claimant. The attorney's name and address is as follows:
Law Offices of Robert Koenig
3345 Newport Blvd., Suite 200
Newport Beach, CA. 92663
As a matter of information, we have not received a representation letter from Attorney
Koenig and he has not responded to our requests for a representation letter.
Please provide us with a copy of the rejection notice. Please also contact the undersigned
should y rave any questions.
Susan Diotte
(714) 572-5264
CARL WARREN & CO.
An Empfoyee-Owned Company
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. 4..
Page 3 of 6
C I TY O F
LADE LSIHOKE
DREAM EXTREME
March 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 March 5, 2009 from the
Law Office of Robert Koenig on behalf of Joann Stewart (CL #2009-5).
Please keep me advised of appropriate City Council Action.
For further assistance, please contact me at (951) 674-3124 ext. 269.
Enclosure
951.674.3124
130 S. MAIN STREET
LAKE ELSINORE, CA 92530
W W W. LAKE-E L51 NORE.ORG
Agenda Item No. 4
Page 4 of 6
CITY OF
LAVE LS1N0 E
y DPLEAM EXT'kEM.E.
CLAIM AGAINST THE CITY OF LAKE ELSINORE
(~aaakes to Persons or Personal Property)
Receivt a v
A claim must be filed with the City Clerk of the City of Lake Elsinore within
six 16) months after the incident or event occurred. Be sure your claim is MAR 0 ~C._C i,)
against the City of Lake Elsinore, 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 lil_T-Y CLERK'S 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. NameofClaimant
a. Address of laimanot
b. Phone No.
d. Social Security No.
2. Name, post {office addr s and telephon to
the above: 1 1AW I 'c
3. Occurrence or event from which this claim arises:
a. Date: 1 1 ulT '
c. Place (Exact and specific location)
r
nant desires notices to be sent, if other than
...r'
b. Time. viii
d. How many and under what circumstances did damage or injury occur? Specify the prtlcuiar l ' ° ;
occurrences, event, act or omission you claim ca sed the injury or damage (use additional
paper if necessary). ~If~~~LtV16'1~1 (i~tra 4~- . Sl~h~•~ _a.- Fa ie. what particrular action by the City of
~_r;
Uy 13~r era 0,,VW"(1 jA-
caused the (a' Ileged pdamage or injury?
Agenda Item No. 4
Page 5 of 6
4. Were there any injuries at the time of this accident? If not, state "No Injuries."
5. Give the names of the public employee(s) causing the in u ama e, or to , i known.
6. Name and address of any person injured:
7. Name and address of the owner of any damaged property:
I -
8. Damages claimed
a. Amount claimed as of this date: $
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,
11 "I
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)
1 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.
WN
t~-
lai an't s ignature Date
Agenda Item No. 4
Page 6 of 6