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HomeMy WebLinkAbout09-08-09 CC Item 04CI'T'Y OF LADE 'LSINO DREAM EXTREME REPORT TO CITY COUNCIL TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL FROM: ROBERT A. BRADY CITY MANAGER DATE: SEPTEMBER 8, 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# 2009-16 - Jesus Valentino Bosquez Fiscal Impact None. Recommendation Reject the claim listed above and direct the City Clerk's Office to send a letter informing the claimant of the decision. CC September 8, 2009 Item No. 4 Page 1 of 6 Claim Against the City September 8, 2009 Page 2 Prepared by: Jessica GuzmaF Office Specialist Reviewed by: Debora Thomsen City Clerk Approved by: Robert A. Brady City Manager CC September 8, 2009 Item No. 4 Page 2 of 6 August 23, 2009 TO: The City of Lake Elsinore ATTENTION: Jessica Guzman, Office Specialist RE: Claim Bosquez vs. The City of Lake Elsinore Claimant Jesus Valentino Bosquez D/Event 7/12/2009 Rec'd Y/Office 8/11/2009 Our File S-1502330-RWQ We have received and reviewed the above claim and request that you take the action indicated below: CLAIM REJECTION: Sender 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, 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 CC September 8, 2009 Item No. 4 Phone: (714) 572-5200 • (800) 572-6900 • Fax: (714) 961-8131 Page 3 of 6 CARL WARREN & COMPANY CITY OF LADE LLSIRORX DREAM August 13, 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 August 11, 2009 from Jesus Valentino Bosquez (CL #2009-16). Please keep me advised of appropriate City Council Action. For further assistance, please contact me at (951) 674-3124 ext. 269. Sincerely, OF Enclosure 951.674.3124 130 S. MAIN STREET LAKE ELSINORE, CA 92530 W W W.LAKE-ELSINOKE.ORG CC September 8, 2009 Item No. 4 Page 4 of 6 CITY OF L14E LSMOI E DREAM p(rREME_ CLAIM AGAINST THE CITY OF LAKE ELSINORE (For Damages to Persons or PeMMa`I Property) Received A claim must be filed with the City Clerk 8f ti, six (6) months after the inciGent or event oo against the City of Lake Elsinore, not anothei insufficient,, plgase, usa. ayloftnai_ paper paragraph number. Compteted claim's must City Clerk, City of Lake Elsinore, 130 Souti ,TATe/ 1 vl~J in D is AUG 11 2Q~9. W e CITY CLERKS OFFICE .11, 11 The undersigned respectfully submits. the_foRdW0 .Claim and information relative to damage to persons and/or personal property: 1. Name of Claimant TLSU< .111} ~PF i I r~J~ 7~ 7),,~ 21i o a Address ©f= ant: b. Phone No c. Date of Birth d. Social Security No. e. lariuers Lic. No. 2. Name, post office ad g ss and tel Iahjz#tg to which ~laimartt desires notices to be sent, if other than the above: ~ 3. Ocpgrrence,or event from which This Claim arises: /J a. Date:lltt b. Time: ~7 D 12~ 196 f..k c. Place (Exact and specific location) _,3 C , - jo r i AG } . d. How many-analtatader "Ut CIr411ffiMarfi`i es dWdamage-or r4jury occur? Specify the particular occurrences, event act or omiss~ioft you claim caused the. injury or 0arnage (use additional paper if necessary) A4 L' ks (O o4l di~) .Ui:.. e. What. part/icular-action by the City of -its employees, c sed the alleged damage or injury? No rts,u si- V 41 iil7 q STi n Cep eptember 8, 2609 Item No. 4 Page 5 of 6 4. Were there any injuries at the time of this accident? If not, state'N'O. Injuries. 5. Give the name(s) of the public employee(s) causing the injury, damage, or toss, if known. 6. Name andaddress of any person ittjul¢; ,1 P~I+I;S 1) . ~i~ t~tAe 2 7. Name and address of the owner of any damaged property: 8. Damages claimod: a. Amount claimed as of this date.: $ b. Estimated amount of future costs: $ c. Total amount claimed., $ d. Basis for computation of amounts pt med (indtitle copies of all bills, invoices, estimates, etc.): 9. Names and addresses of allwitrtaseb, hospital, doictorsi<etc a ~l I)a~-le 1` ~=L~ = tQ~ m b. C. 10. Any add'rtiorial inform ation €ha might be belpful in considpritig=this clairh t.r/ ,I,-. , , V Warning: It is a criminal offense to £tIe a f(ctaimt (f?cttatCodf 721I;nssrra:n.ce Code 556.1) I have read the matte's and statements mart in the above claim and I know the same to be true of my own knowledge, except.as to tflosemattefs-.state upon ia1btmatiVn or b-el'ief as to such matters, I believe the same to be trug,11 certify under penafty, of perjury that the foregoing is true and correct. d 'Date CC September 8, 2009 Item No. 4 Page 6 of 6