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Home My WebLink About2008-12-23 CC Agenda Item No.4 C ITY OF L . LAU L3LSJNOR E '= DREAM EXTREME REPORT TO CITY COUNCIL TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL FROM: ROBERT A. BRADY CITY MANAGER DATE: DECEMBER 23, 2008 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 -28 — Carlos Romero 2008 -32 — Rocio Vargas 2008 -33 — Maria Navarro 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. 4 Page 1 of 14 Claims Against the City December 23, 2008 Page 2 Prepared by: Jessica Guzma 40, Office Specialist Reviewed by: Carol Cowley Interim City Clerk Approved by: Robert A. Brady' )r City Manager 1� Agenda Item No. 4 Page 2 of 14 December 10, 2008 TO: The City of Lake Elisinore RECEIVED ATTENTION: Jessica Guzman, Office of the City Clerk DEC 1 5 2008 CITY CLERKS OFFICE RE: Claim : Romero v Lake Elsinore Claimant : Carlos Romero D/Event 10/26/08 Rec'd Y /Office : 10/30/08 Our File : 1486314 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 Debor Been 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. 4 Page 3 of 14 CITY OF �/►c� LAKE , LSINOR - -, DREAM E/TREME ` - November 3, 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 October 30, 2008 from Carlos Romero (CL #2008 -28). Please keep me advised of appropriate City Council Action. For further assistance, please contact me at (951) 674 -3124 ext. 269. Sin - ely, `--- -- ESS A GUZMAN, OFFIC SPECIALIST CITY OF LAKE ELSINORE Enclosure 951.674.3124 130 S. MAIN STREET LAKE ELSINORE. CA 92530 WWW. LAKE- ELSINORE.ORG Agenda Item No. 4 Page 4 of 14 CITY OF iN LADE LLSINORE DREAM EXTREME, CLAIM AGAINST THE CITY OF LAKE ELSINORE (For Damages to Persons or Personal Property) Received b : ' - ? 'e. AM., ARIA Time /Date Received: City 'epresentative RECEIVED 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 ()CT 3 0 2008 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 City Clerk, City of Lake Elsinore, 130 South Main Street, Lake Elsinore, CITY CLERKS OFFICE CA 92530. —J The undersigned respectfully submits the following claim and information relative to damage to persons and /or personal property: 1. Name of Claimant 0-,,DS) a. Address of Claimant: b. 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: 3. Occurrence or event from which this claim arises: rte, " o ,--- a. Date: / / (.� b. Time: 42 f S S py12 c. Place (Exact and specific location) 00 ' .,'&)b tV E g-1 // 31 D e 2--. d. How many and under what circumstances did damage or injury occur? Specify the parti cular occurrences, event, act or omission you claim caused the injury or damage (use additional paper if necessary). Lt/ r/tJ 7 D tl JJ 0 1/1 71 76) l )13 i`bt (sU /o- Ficitflb rev T X15 D p(vi .sSi b it l a_ 13 . S 2.)E- p L 7_ Xr ;. e. What particular action by the City of its employees, caused the alleged damage or injury'? A 0_411 779 Sl9,vS � T`t Milp3 S Agenda Item No. 4 Page 5 of 14 4. Were there any injuries at the time of this accident? If not, state "No Injuries." No /U/ 5. Give the name(s) of the public employee(s) causing the injury, damage, or loss, if known. C/ 7 V P : n CoN S 7 vc.�7DR > 6. Name and address of any person injured: 7. Name and address of the owner of any damaged property: 8. Damages claimed: a. Amount claimed as of this date: $ b. Estimated amount of future costs: $ c. Total amount claimed: $ / /f/// AJO7AJ 1J 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. gj CA LO b. c. 10. Any additional information that might be helpful in considering this claim: (S 7? r 77-tt etirwri3O7 y A1/1,- 0)1 f 1 )1 S I 1 C pc 7 o 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 Al own kno -dge, except as to those matters state upon information or belief as to such matters, I believe the sa - • be true. I certify under penalty of perjury that the foregoing is true and correct. / OI:�ant's Signature Da e Agenda Item No. 4 Page 6 of 14 c / �/ December 4, 2008 TO: The City of Lake Elsinore ATTENTION: Jessica Guzman, Office Specialist RE: Claim : Vargas vs. The City of Lake Elsinore Claimant : Rocio Vargas D /Event 10/28/2008 Rec'd Y /Office : 11/24/2008 Our File : S- 1487477 -DBQ We have received and reviewed the above claim and request that y ou 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 .� / 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, Ca 92799 -5180 Phone: (714) 572 -5200 •(800) 572 -6900 *Fax: (714) 961 -8131 Agenda Item No. 4 Page 7 of 14 CITY OF • LADE 5 LSINORJ DREAM EXTREME November 25, 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 November 24, 2008 from Rocio Vargas (CL #2008 -32). Please keep me advised of appropriate City Council Action. For further assistance, please contact me at (951) 674 -3124 ext. 269. Since ely, - I Ni UZMA . _ • SPECIALIST CITY OF LAKE ELSINORE Enclosure 951.674.3124 130 S. MAIN STREET LAKE ELSINORE, CA 92530 W W W. LAKE-ELSINORE ORG Agenda Item No. 4 Page 8 of 14 CITY OF LAKE 6LSJNORE DREAM EXTREME - CLAIM AGAINST THE CITY OF LAKE ELSINORE �--( • Damages to Persons or Personal Property) s ./ Received • l _�,�, t "_� T'D,�t� yre¢., 1 111Ma TI - serrtaUve h C, l...r C C U A claim must be filed with the City Clerk of the City of Lake Elsinore within Nn , 2008 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 insufficient, please use additional paper and identify information by paragraph number. Completed claims must be mailed or delivered to the CITY CL, ,q' 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. Name of Claimant ( t ,..,\,,., \I r.,,r a. Address of Claimant: b. 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: O,f fl O 3 at) 0 3. Occurrence or event from which this claim arises: a. Date: _: r) c^, v r 9, . - 0 b. y Time: L \ 2.0 P • k c. Place (Exact and specific location) Ch�� r� )O I' \ �(� � Q (' d. How many and under what circumstances did damage or injury occur? Specify the particular occurrences, event, act or omission o claim cause the injury or damage n (use a ditional paper if necessary). L in11 1 l2Ni 00 r 1 , `1 l�l 1 e. Wha k_ particular action by the City of its employees, caused the alleged damage or injury? . CfI,C A k )\ Q . i Agenda Item No. 4 Page 9 of 14 4. Were there any injuries at the time of this accident? If not, state "No Injuries." 1\\c) Tj S 5. Give the name(s) of the public employee(s) causing the injury, damage, or Toss, if known. 6. Name and address of any person injured: flOn2 7. Name and address of the owner of any damaged property: FIX 8. Damages claimed: a. Amount claimed as of this date: $ b. Estimated amount of future costs: $ c. Total amount claimed: $ Un \KWO ,Y0 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. C) /CA 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 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. e-c, 0 \i AY d 04_. P ^ 2, ( Clai ant's Signature 10 Date Agenda Item No. 4 Page 10 of 14 December 5, 2008 TO: The City of Lake Elsinore ATTENTION: Jessica Guzman, Office Specialist RE: _ Claim : Navarro vs. The City of Lake Elsinore Claimant : Maria L. Navarro D /Event 12/1/2008 Rec'd Y /Office : 12/2/2008 Our File : S- 1487773 -DBQ We have received and reviewed the above claim and request that y ou 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 Richard '4. 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. 4 Page 11 of 14 CITY OF LAKE eLSINOR DREAM EXTREME December 2, 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 2, 2008 from Maria Navarro (CL #2008 -33). Please keep me advised of appropriate City Council Action. For further assistance, please contact me at (951) 674 -3124 ext. 269. Sincerely, Writ% - S"ICA G A N, OFFICE SPECIALIST CITY OF LAKE ELSINORE Enclosure 951.674.3124 130 S. MAIN STREET LAKE ELSINORE, CA 92530 WW W. LAKE -E LS I NORE.ORG Agenda Item No. 4 Page 12 of 14 CITY OF • LAKE O LS I NO FEE DREAM EXTREME,, CLAIM AGAINST THE CITY OF LAKE ELSINORE (For Damages to Persons or Personal Property) Receiv:d by: /1 ► - : ` ;_ FILett Orgi5d : � City _ •_,., („� A claim must be filed with the City Clerk of the City of Lake Elsinore within DEC ® 2008 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 insufficient, please use additional paper and identify information by 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 Mour(Ot L /I/Gi.va. {'r0 a. Address of Claimant: b. Phone No. 411111 c. Date of BirthaINIIII 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: 11- ) — o ? b. Time: CP a b p)- c. Place (Exact and specific location) • d. How many and"tInder 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). o _ 11A11 U . . C 1. . X11" 1rl - L1 •' N ■a,a. • Iwo a. a a ►. ,0 C`. 0 S l 1 11'Y1 0 1`1 Cc cx.5e o 5 e e _. c q x i t u h.y r .}- p;-. \-e._ c\ e . f e. What particular action by the Oity of its employees, caused the al damage or injury? Agenda Item No. 4 Page 13 of 14 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: A/La ti‘ 06 11111111111_41111111111111 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, doctors, etc: a. On &LA--IA.0 p et - v - d ^. 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 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 e. I certify under penalty of perjury that the foregoing is true and correct. Claima 's Signature Date Agenda Item No. 4 Page 14 of 14