HomeMy WebLinkAboutItem No.6REPORT TO CITY COUNCIL
TO: MAYOR 6 CITY,COUNCIL
FROM: RON`MOLENDYR'
r CITY MANAGER
r ,
DATE:` July 13,1993
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.
_The following claim has been recommended-for rejection by Carl
Warren & Company:
Claim 193 -13 r. Anthony Amaro dba Amaro Construction.":
t,
FISCAL IMPACT
None.
RECOMMENDATION
Reject-the Claim listed above and direct the City Clerk7to send a
letter informing the Claimant of. this - 'decision•.
I
PREPARED BY:
V_ CKI , CITY' .CLERK
APPROVED FOR
AGENDA LISTIN
N MO NDYK, CITY MANAGER
ry
AOEPZA ITEM! NO
PAGE Op J
CLAIM AGAINST
.(For Damages ;
Received By
E CITY OF LAKE ELSINORE
Persons or Personal Property)
F.
#93- l3
�7? ff '�..__'>
if fN
V�7t7l.�l! U
(Ti;a /Date Received)
A claim must be filed with the'City Clerk of the City of Like Elsinore
within six (6) months after which the incident or.event oc,urred. Be sure
Your claim is against the City of Lake Elsinore, not anoth.r public entity.
Where space is insufficient, please use additional paper a,3 identify
information by paragraph number. Completed claims must be .nailed or
delivered to the City Clerk, City of Lake Elsinore, 130 Soi th Main Street,
Lake Elsinore, California 92330.
TO THE HONORABLE MAYOR AND CITY COUNCIL, CITY OF LAKE ELSI13RE, CALIFORNIA:
The undersigned respectfully submits the following claim aiI information
relative to damage to persons and /or, personal property:
1. NAME OF CLAIMANT A_ nr_ 7� a tidba "Amarn (nnctrnr�'n
a. Address of Claimant 9513 S.V.L.Box Viciorvil - 92392
b. Phone No. (619) 951 -2009 c. Date of Birth n /a.
d. Social Security No. n/a e. Drivers Lic. Nc._ n/a
2. Name, post office address and telephone to which claima,t desires notice_
to be sent, if other than the above:
same
3. Occurrence or event from which this claim arises:
a. Date 2 -10 -93 b. Time
c. Place (Exact and specific location),
Lake Elsinore,Ca.
783 .Lake St.
d. How and under what circumstances did damage or "inju'r; occur? Specify
the particular occurrence, event, act or omission yo, claim caused tht
injury or damage (use additional paper if necessary).
Egineering Dept. used the City -of Lake Elsinore's
aurthority to Threathen work stonDave without n use. `
e. What particular action by the City or its employees, caused the
alleged damage or injury?
Inspectors Randy Huber and Andy, endrade demanded that
site improvements'comnleted and aD'n-rove
d b removed and redone.
lm:
AGENDA ITE M NO
PAGE OF�t-
4. Were there any injuries at'the time of this incident? If
there were no injuries, state "No Injuriesn
n/a
,5. Give- he name(s) of the City'employee(s) cat :ing the
damage or injury: Andy Anirade
.City Manger.Ron Molendyk
Frank'Tecca /'`Councilman Alongi /B.S.I Consultants /Randy Huber
6. Name and address of any other person. n ure(..
n/a
7. Name and address of the owner of any damaged property:
n/a
8. Damages Claimed:
a. amount claimed as of this date: $ 4,8)0.00
b. Estimated amount of future.costse. $
c. Total amount claimed: $7-80).00
d. Basis for computation of - amounts clai a (Include
copies of all bills, invoices, estimate: etc):
9. Names and addresses of all witnesses, hospit ifs, ,doctors,
etc:
a. Mick Hill
b. Syvert Heala
C.
10. any additional reformation that might be -hei - u - 1 i
considering this claim:
WARPING: IT IS A CRIMINAL OFFENSE TO FILE A FAI E CLAIM!
(Petal Code 72 /Insurance Code 556.1) .
I heve read the matters and statrements made_in t e above claim
and I know the same to be true of my own knowled e, except as
to;t'hose matters stated upon information or beli f as to such
matters, I believe the same to be true. I certi y under
penrIty Of perjury that the foregoing is-TRUE Al:, CORRECT.
SIGYED THIS 7th DAY OF June 1993
, 1990, AT
San. Bernardino- ; CALIFORNIA.
CLIIMANT'S SIGNATURE:
6 '
Gberg /LC
AGENDA ITEM NO.
PAGE OF
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Mick Hill Enterprises
P.O. Box 1731 Apple Valley
Ca. . 92307
619 - 240 -5299
619 - 240 -9542
It% >IC E
Date 2S-- 93
Number _ . �U.IS2,
Lic. # 532071 KE. : THIS sup
lee
FOn'.cF�R6NCE
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SOLD BY
CASH
C.O.D.
I CHARGE I
ON AL
QUAN.
DESCRIPPON
6
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4
Thank You
MDSE RETD RAID OJT
AMOUNT
TO L I`%i d o I Q a
AGENDA !TEM NO. __ 0
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Mick Hill Enterprises
P.O. Box 1731 Apple Valley
Ca. , 92307
619 - 240 -5299
619- 240 -9542
Lic. # 532071
In .i1Ch
FumGer V w; v
99, TAUS bL/P
Fos% •cftliF.l�Gt
TO: A kil •QO �n� /N S7R�c.T�dnf
SOLD by
CASH
C:O.D.
rQMRGE
I ON lu
OUAN.
DESCRIPTION
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Thank You
�11f 1T m,
Tt L f0 ,?00 1
AGENDA ITEM NO..�.
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