HomeMy WebLinkAboutCity Council Item No. 4CITY OF
LAKE G
� ` DREAM EXTREME
REPORT TO CITY COUNCIL
TO: HONORABLE MAYOR
AND MEMBERS OF THE CITY COUNCIL
FROM: ROBERT A. BRADY
CITY MANAGER
DATE: JUNE 9, 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# 2009 -8 -
2009 -10 -
Fiscal Impact
None.
Recommendation
Dawn Berning
Melissa Marquardt
Reject the claims listed above and direct the City Clerk's Office to send a letter
informing the claimants of the decision.
CC June 9, 2009 Item No. 4
Page 1 of 16
Claim Against the City
June 9, 2009
Page 2
Prepared by: Jessica Guzma
Office Specialist
Reviewed by: Debora Thomsen
City Clerk
Approved by: Robert A. Brady
City Manager 1�
CC June 9, 2009 Item No. 4
Page 2 of 16
TO: The City of Lake Elisinore
ATTENTION: Jessica Guzman, Office of the City Clerk
RE: Claim Dawn Berning v Lake Elsinore
Claimant Dawn Beming
D/Event 04/18/09
Recd Y /Office 04/30/09
Our File 1496197 DBQ
We have reviewed the above captioned claim and request that you take the action indicated
below:
• CLAIMREJECTION. 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,
C NoBeen
N & COMPANY
D
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 CC June 9, 2009 Item No. 4
Page 3 of 16
CITY OF
LADE L LSIIYOI -E
I DaEA
�..
April 30, 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 April 30, 2009 from
Dawn M. Berning (CL #2009-8). Please keep me advised of appropriate
City Council Action.
For further
Sincerely,
Enclosure
951.674.3124
130 S. MAIN STREET
LAKE ELSINORE. CA 92530
W W W. LAKE -E LS I NOKE.OKG
me at (951) 674 -3124 ext. 269.
IALIST
CC June 9, 2009 Item No. 4
Page 4 of 16
CITY 0F
LAKE LSINOBJEt
IV DREAM EXTREME
AGAINST T I HE CITY OF LAKE ELSINORE
Damagam Persons or Personal Property)
A claim must 111004111
six (6) months after the
agaInst the City Of Lake
Insufficient plane um
paragraph number. Cor
Cilty Clerk, City of Lake
jk,Clo C ft City of Lake Elsinore wifflin
or event oommul. Be sure your claim Is
i, not anot pubilo entity. Whomapitoo Is
Deal paper and 10w* Information by
claims must be malled or delivered. to the
a, 130 South Main Street Lake EWM*,
APR 3 0
CITY CLERKS OFFICE
The undersigned respectfully submits the following claim and Information relative to damage to persons and/or
personal property;
1. Name of Claimant Dauala IT; f, (- ri i ia
a. Addres
b. Phone
d. Social �
2. Name, post office address and telephone to which claimant desires notices to be sent, if other than
the above: � A
3. Occurrence or event from which this claim arises:
a.
C.
d. How many and under what circumstances did damage or injury occur? Specify the particular
oocurrGnces, event, act or omission
paper If necessary). �. p e -e-
a. Mat particular 7ti �OLon by thp City of Its at
/ Q b4e
OLVL U14 1/2
caused the injury or damage (use additional
I C
A � I'M
nployees, caused the alleged damage or injury?
?A
k'
J
CC June 9, 2009 Item No. 4
Page 5 of 16
d .
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:
1
y i . , 1�
7. Name and address of the owner of any damaged property:
i ccUO r'1 i' >'`l ? er 0 � i` k",
8. Damages claimed:
a. Amount claimed as of this date: $ x
b. Estimated amount of future costs:
c. Total amount claimed: $ _ ! i 1 "LL d •_1 {' ) � + .' � 2. r
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 �-
a.
b.
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 72Hnsurance 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.
Claimant's Signature Date
CC June 9, 2009 Item No. 4
Page 6 of 16
City of Lake Elsinore
City Clerk's Office
130 E. Main St.
Lake Elsinore, Ca 92530
To whom it may concern,
At around 5:30 p.m. on April 18` I was driving Southbound on Corydon
St. in Lake Elsinore shortly after turning from Mission Trail I encountered
several vehicles veering to both the right and left. 1, not being able to see that
far slowed down and proceeded straight down Corydon only to feel a huge
thud to my vehicle. The vehicles in front of me were going all over the road
trying to avoid several square shaped freshly dug holes into the street and I
trying to avoid the other vehicles could not miss the hole. My vehicle then
lost tire pressure to my right front tire. I immediately pulled over and called
AAA. As myself and several others were on the side of the road checking
our cars I decided to take pictures because to have so many deep holes left
unfilled and unmarked was ridiculous. There were no signs, no cones
nothing to warn anyone. And there easily could have been a head on
collision the way people were swerving. As I got back to my car a man from
one of the frontal shops on Corydon, Performance Glass had come down to
see if I needed help. I got his card and he said he had placed some cones to
warn upcoming vehicles of the danger. AAA showed up and replaced my
rim and tire with the spare. The damage to my rim is a bend and a crack and
the tire is blown all at a slow rate of speed. I have attached photos of the
holes and street showing no warning signs or cones of any kind. Also, no
temporary filling of the holes, just wide open holes. There are also pictures
of the rim damage and all estimates of replacement costs and services.
Thank You;
CC June 9, 2009 Item No. 4
Page 7 of 16
4-26-09
To whom it may concern,
On April 18, 2009 around 5:45 I saw several cars swerving to the left
and right of the road on Corydon. Come to find out, these cars were
swerving because of a huge pot hole. Dawn Berning hit that pot hole.
Because of it she popped a tire and cracked a rim. If there were cones out
like there should have been she would not of had this problem. I find this
very irresponsible of the workers who just left a huge pothole in the middle
of the street with no cones or sign or anything. If you have any questions
you may reach me at 909 -583 -1293.
Melanie Wright
CC June 9, 2009 Item No. 4
Page 8 of 16
To whom it may concern;
My name is Estefani Garcia, on April 18` at about 5:30 p.m. I was on
Corydon St. in Lake Elsinore and had witnessed Dawn Berning hit a hole
dug and left unfilled in the middle of Corydon St. There were cars going
everywhere and many hit the holes. Many people pulled over to see the
damage and Dawn's car had a flat tire and when the Auto Club showed it
turned out the rim had been cracked and bent. She could not have avoided
hitting it, as there were cars going all over trying and nearly hitting each
other. The man came down from the glass shop and said so many people had
hit the holes so he had placed some of his cones out there to try to help,
being the people who were working just left it unmarked. If there are any
questions please feel free to call me at (951)225 -2660.
Estefani Garcia
G'
CC June 9, 2009 Item No. 4
Page 9 of 16
JW
W IN E E L. S
Name:
Address:
City:
Tel.:
WORK REQUEST
JAW � [ m �� �+i
Date: F :1741 ^i 7 !` G7 ? Type of Car. ' .
t n- Year: -- '!�'-�'� Mileage:
m ;�� _ p �+
Stat @: �' Q Zip: FORM OF PAYMENT - G.
[] Cash El Check
Tech.: A y � G:
❑ Credit Card ❑ Finance
HOW DID YOU FIND OUT ABOUT US7
QTY I MFG
20
❑ MOUNT
❑ BALANCE
❑ Recycler t] Pacific Bell ❑ Newspaper 3'Referral 0Other
Scar, P 1
`.`.'. ^^TAX
❑OEM WHEELS ❑USED TIRES ❑SHOCKS '-°"
(A TIRE 0.ECY
� —_ TOTAL '? t`!?
CUSTOMER SIGNATURE X y� / �_. DEPOSIT
i
ll 1 �-� BALANCE
WARRANTY IS LIMITED TO MANUFACTURERS DEFECTS, CUSTOMER ACKNOWLEDGES JW MOTORSPORTS IS NOT RESPONSIBLE FOR DAMAGE CAUSE' NY CUSTOM WHEELS. CUSTOMER
REALIZES THEY ARE NOT ORIGINAL EQUIPMENT AND THEY MAY AFTER PERFORMANCE OF AUTOMOBILE. JW MOTORSPORTS WILL NOT BE RESPONSIBLE FOR CLEARANCE OF WHEELS ON
AUTOS OR TRUCKS WITH LOWERED OR ALTERED SUSPENSIONS. 20 %CHARGE8 FOR RESTOCKING ON CANCELLED SPECIAL ORDEfl
Customers are restricted from m.,im,a led $20 additional charge on all returned checks. Please check lug nuts after25 miles. Not responsible for goods left behind. No refunds or exchange on custom wheels
17119 Bellflower Blvd., Bellflower CA. 90706 Tel. 562 . 866 • 1761 Fax 562 e 867. 9316
N mm ' �i/I ®T /ON "C
961 E. Holt Blvd. • Pomona CA 91 Name: Lr N 1' 3�X?A /t'
909.622.1232 �� ,
Address:
s_6;+ mp�'�i� t ai_..
i
� 1�v l�h ..'� � y
_ , .. / � ,�. !' � Phone:
Re: Terms: Type of Sale;
— 7
Qty Order
iJ
Description
v li_.
Unit
t. .i .. If
Amount
i rf
J�
CC June 9, 2009 Item No. 4
Page 10 of 16
Tax
Deposit TOTAL --
Ne,c 1 ar+e rcei,iuGmpvy ppL ppee,e,he lellarie{ muGeme o! pJCWa�mT ep vba4 iu 4meu!,o mmM�[mn Eclair [uumn ¢lvoali6b mu WAet4 NMarin� a pm mpeuible fw Euuge ouN by pq w,am pw q rbN ;WMN NMO,un vet
dewl kh ke N ew', wwumtl,ri ne.N,w ouWuN mp m, im aawwmWa vetmlbe, w e a w b+ w L w 6 1 a % ge W M, All w n w sse Se rw No Io+GWomip,epy,vyup lo,bc cunume ,p
N¢k am Iwal uC xme hew ,9ueier.eLide,eav4vm,. Ne rpnwy, No eeM6 No 6NVpu m W purtbue. e, u+ad Lwu we we u e.l ehn eFee le pY. SS.W urvi¢ aeebe lm e11 renwM fnxta. plue a 14 burn, pc-0 en YI upped be —. plm
avll¢tlm ppd u,pmry !ss i! cpYaaiw tawrcp pem,ry. CON, wd Ma+que, d1 N{ pub pp YI rbeeL e!w J$ p,lln Net rt•pweTk!er W Own, Idl wa R M.
n, ocomiipilcici
T I R E S - S O S P E N S 1 0 N S
Customer Signature ; - Date
MC
PAOTORSPORTS
18532 Pasadena Street
Lake Elsinore, CA 92530
Name / Address
dawn berning
29902 angler lane menifee ca 92584
Quote
Date
Quote #
4/20/2009
17
June em o.
Page 11 of 16
Rep
Project
BD
Description
Qty
Cost
Total
20 inch Asanti 20 x 9 #AF 143 CUSTOM WHEEL
1
700.00
700.00T
245 35820 toyo TIRES
I
395.00
395.00T
Sates Tax
8.75%
95.81
Total
$1,191.81
June em o.
Page 11 of 16
wswNTl
ASAN T I M: 1 43
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FoN 1:
AIANJ
flM 1j,tl
OiEl 1111!11111'oa"',
IIINI.�IIUIY
ASAN T I M: 1 43
May 27, 2009
TO: The City of Lake Elsinore .
ATTENTION: Jessica Guzman, Office Specialist
RE: Claim Marquardt vs. The City of Lake Elsinore
Claimant Melissa Marquardt
D /Event 5/14/2009
Recd Y /Office 5/20/2009
Our File . S- 1497198 -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. I f you have any questions please
contact the undersigned.
Very truly yours,
& COMPANY
cc: CJPIA w /enc.
Attn.: Executive Director
CARL WARREN & CO.
CLAIMS MANAGEMENT CLAIMS ADJUSTERS
770 Placenta Avenue, Place CA 92870 -6832
Mail: P.O. Box 25180 Santa Ana, Ca 92799 -5180
Phone: (714) 572 -5200 • (800) 572 -6900 • Fax: (714) 961 -8131
CC June 9, 2009 Item No. 4
Page 13 of 16
CITY OF
LADE LSINORI
DREA
May 20, 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 May 20, 2009 from Melissa Marquardt
(CL #2009 -10). Please keep me advised of appropriate City Council Action.
Fo Cely,
'ur sist -a ance, please contact m p at (951) 674 -3124 ext. 269.
Si
J M N. OFF �SPIST
Enclosure
951.674.3124
130 S. MAIN STREET
LAKE ELSINORE, CA 92$30
WWW. LAKE- ELSINORE.ORG
CC June 9, 2009 Item No. 4
Page 14 of 16
CITY OF ) rte
LAME f�LSII�O
DREAM EXTREME"
CLAIM AGAINST THE CITY OF LAKE ELSINORE
to Persons or Personal Property)
Received by{ I Tirn B eej
A claim moist tWffie with the City Clerk of the City of Lake Elsinore within MAY 2 p <3
six (fy) morp1 21tarifae incident or event occurred. Be sure your claim is
agams VW6 2tfil ke Elsinore, not another public entity. Where space Is
Insufficient,
O 406 atlditbnat paper and identify information by
paragraph i Complated claims must be mailed or delivered to the CITY CLERKS OFFICE
City Clerk, City Of ;Lake Elsinore, 130 South Main Street, Lake Elsinore,
Ca ua551n
The undersigned submits the following Claim and information relative to damage to persons and /or
personal property:
Name of'Olaimant
a. Address
¢. Phone No.
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: '—�omP.
3. Occurrence or event from which this Claim arises:
a. Date: 5l1 1 f0q b. Time: 1:?n
c. Place (Exact and .specificlocation) Or D��J- SZJA risL,+ I,e -cue ' tie_+
0" - He, deJ Nvrik Ivy tie. + -e&- (:,L— vv, cl A. I
d. How many and under whatcircumstances 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). M�j -V-1 re oonrne) an obNPC L
5 n -Yh p4m T+ I N Q SJn5: na 1 1 Iro 0Y�f EC7
aLnnj 2 . neheN Ih e)NA �rY i5'yr -1 . i n c i, F fl
e. What particular action by the City of its employees, caused the alleged damage or injury?
Rl C06 WW rin- e ttilh ie reh clCS .WU ^mrnlsSuy.
CC June 9, 2009 Item No. 4
Page 15 of 16
4.
5.
M
DA
1
Were there:any injuries at the time of this accident? If not, state "No Injuries."
Give the name(s) of the public employee(s) causing the injury, damage, or loss, if known.
C'OM &n J W.0 ( t64 R A on (C> A�
Name and address of any person injured:
Damages claimed:
a. Amount claimed as of this date: $ Z G S • 7S
c. 'total amount claimed: $ 2 7 8
b. Estimated amount of future costs:
d. Basis for computation of amounts claimed (include copies of all bills, invoices, estimates, etc.)
Nai
a:
b,
C.
Any additional information that might be helpful in considering this claim
�� Ghcylc�tilu `�'j'+ei� '�+� GtSO.�etn �GisJ afc7„'L. `�hYA�k1h
�1-e �gcrne S�I-
Warning: It is a criminal offenseho file a false claiml (P.enal 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.:ike true. I certify under penalty of perjury that the foregoing is true and correct.
5 1IgIog
OpimanYs Sig�re / Date
CC June 9, 2009 Item No. 4
Page 16 of 16
Name and address of the owner of any damaged property: