CC SR 20170801 E - Claim against the City RamseyRANCHO PALOS VERDES CITY COUNCIL MEETING DATE: 08/01/2017
AGENDA REPORT AGENDA HEADING: Consent Calendar
AGENDA DESCRIPTION:
Consideration and possible action regarding a claim against the City by Tamara Lynne
Ramsey.
RECOMMENDED COUNCIL ACTION:
1) Reject the claim and direct Staff to notify the claimant.
FISCAL IMPACT: None
Amount Budgeted: N/A
Additional Appropriation: N/A
Account Number(s): N/A
ORIGINATED BY: Emily Colborn, City Clerk 7t�c?
REVIEWED BY: Gabriella Yap, Deputy City Manager
APPROVED BY: Doug Willmore, City Manager `,f.,1_'
ATTACHED SUPPORTING DOCUMENTS:
A. Tamara Lynne Ramsey claim (page A-1)
BACKGROUND AND DISCUSSION:
The claimant states that she was walking on the public sidewalk that fronts St. John
Fisher Catholic Church in Rancho Palos Verdes, when she tripped over ivy and a
damaged chain-link fence that extended onto the sidewalk. The alleged incident
occurred on May 22, 2017, and the claim was filed on May 23, 2017.
The City's Claims Administrator, Carl Warren and Company, has reviewed the claim
and advised the City to reject it, due to the determination that the ivy and fencing belong
to the church. Therefore, it does not appear as though the City has any liability for the
accident.
1
FILE WITH: CLAIM FOR DAMAGES
RESERVE FOR FILING STAMP
CITY CLERK'S OFFICE
City of Rancho Palos Verdes
CLAIM NO.
30940 Hawthorne Blvd. TO PERSON OR PROPERTY
Rancho Palos Verdes, CA 90275
RECEIVED
CITY OF RANCHO PALOS VER[
INSTRUCTIONS
1. Claims for death, injury to person or to personal property must be filed not
later than six months after the occurrence. (Gov. Code Sec. 911.2.)
2. Claims for damages to real property must be filed not later than 1 year after
MAY 2 3 2017
the occurrence. (Gov. Code Sec. 911.2.)
3. Read entire claim form before filing.
4. See Page 2 for diagram upon which to locate place of accident.
I ,.;
5. THIS CLAIM FORM MUST BE SIGNED ON PAGE 2 AT BOTTOM.
6. Attach separate sheets, if necessary, to give full details. SIGN EACH SHEET.
TO: CITY OF RANCHO PALOS VERDES
Date of Birth of Claimant
Name of Claimant
Occupation of Claimant
cfln > MSCC
.
Home Address of Claimant C(tJ and State
Home Telephone Number
Business Addr ss of Claimant City and State
Business Telephone Number
Give address and telephone number to which you desire notices or
Claimant's Social Security No.
communications to be sent reaardina this claim:
AA,h-�Ar �aSVaS�f
When did DAMAGE or INJURT occur?
Names of any city employees involved in INJURY or DAMAGE
Date 5'M 2-Z_ 2-o i--1- Time B,::,p Aoo
If claim is for Equitable Indemnity, give date
claimant served with the complaint:
Date
1 E S
I
Where did DAMAGE or INJURY occur? Describe fully, and locate on diagram on Page 2. Where appropriate, give i
street names and address and measurements from laqndmarks: �Pr � ., 4-ke
i
e:. 0 rn or) S -22.-I")
Describe in detail how the DAMAGE or INJURY occurred.
sic l�,-) 5 o04 -
'C
04 -
!re cgiL- � [t) sl)lr��
Wh d . 1 th 't l 1
c>r\ 44w- G i .tomuw�-�- l��f c sr\ r,n� :ctiaris
�11.�'�_�•�.�,.�' �'_(n.t-' My S cl � �4_ r-c�t.51C:� � H �=� X15
� y o you c aim VV y �s response e. C -- 4L[5e, L ,� 1 r,�c . J .
:cotf',1�c�
,Z:� bcz, L--,,
Describe in detail each INJURY or DAMAGE.
ctit _ % c=- Iia f -A S'lon� (11-1 C.D FIS+
This Claim Must Be Signed on Page 2
A-1
The amount claimed, as of the date of presentation of this claim, is computed as follows:
Damages incurred to date (exact):
�
Estimated prospective damages as far as known:
Damage to property ....................
$
Future expenses for medical and hospital care.
$
Expenses for medical and hospital care ...
$ "TA ()
Future loss of earnings .....................
$
Loss of earnings ......................
$ —t6 b
Other prospective special damages ..........
$
Special damages for ...................
$
Prospective general damages ...............
$
Total estimate prospective damages.......
$ �1-r
General damages ...................... $-'"C�3 D
Total damages incurred to date........ $ 7`0 IN kA ve_ 6k tis ��Kc
Total amount claimed as of date of presentation of this claim: $ ca'�. oc'
Was damage and/or injury investigated by police? 4-N0 If so, what city?
Were paramedics or ambulance called? ft 0 If so, name city or ambulance
If injured, state date, time, name and address of doctor of your first visit -Os- _}y--Nc� ,P' � eA Tore<y,re- M0.4ai91 N-ev
WITNESSES to DAMAGE or INJURY: List all persons and addresses of persons known to have information:
Name R�c.l� „ a I Address Phone
Name Address C LAA j 4i (c.nc L cin rler Phone
Name ' I -c - y t n Address Phone
IJ
-_ (MO
DOCTORS and HOSPITALS:
Hospital �'i< �,r rAoce-('1evici2tAl 146<o Address 1 nrnr-Ae. s(UCI Date Hospitalized 12- - 1-7
Doctor Address Date of Treatment
Doctor Address Date of Treatment
READ CAREFULLY
For all accident claims place on following diagram names
of streets, including North, East, South, and West; indicate
place of accident by "X" and by showing house numbers
or distances to street corners. If City Vehicle was
involved, designate by letter "A" location of City Vehicle
when you first saw it, and by "B" location of yourself or
CURB __+
your vehicle when you first saw City vehicle; location of
City vehicle at time of accident by "A-1" and location of
yourself or your vehicle at the time of the accident by
"13-1" and the point of impact by "X." NOTE: If diagrams
below do not fit the situation, attach hereto a proper
diagram signed by the claimant.
SIDEWALK
PARKWAY
SIDEWALK
Signature of Claimant or person filing on Typed Name: Date:
his behalf giving relationship to Claimant: f T
NOTE: CLAIMS MUST BE FILED WITH CITY CLERK (Gov. Code Sec. 915a). Presentation of a false claim is a felony (Pen. Code Sec. 72.)
A-2