CC SR 20160405 I - Claim Against the City - MorrowRANCHO PALOS VERDES CITY COUNCIL MEETING DATE: 04/05/2016
AGENDA REPORT AGENDA HEADING: Consent Calendar
AGENDA DESCRIPTION:
Consideration and possible action regarding a claim against the City by Richard Morrow
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: Teresa Takaoka, Deputy City Clerk C
REVIEWED BY: Carla Morreale, City Clerk �
APPROVED BY: Doug Willmore, City Manager..-`""
ATTACHED SUPPORTING DOCUMENTS:
A. Claim (page A-1)
BACKGROUND AND DISCUSSION:
The claimant alleges that, on January 21, 2016, his daughter was driving his car along
Palos Verdes Drive East, just above Palos Verdes Drive South, and drove over
boulders in the roadway, resulting in damage to his vehicle.
The City's Claims Administrator, Carl Warren and Company, has reviewed the claim
and advised the City to reject it since the road was properly maintained and the City is
not responsible for boulders/rocks that fall into the roadway during a natural event.
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FILE WITH:
CITY CLERK'S OFFICE
City of Rancho Palos Verdes
30940 Hawthorne Blvd.
Rancho Palos Verdes, CA 90275
CLAIM FOR DAMAGES
TO PERSON OR PROPERTY
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
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.
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
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Home
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Home Address of Claimant
Business Address of Claimant
City and State
RESERVE FOR FILING STAMP
CLAIM NO. dDl6 - 35
RECEIVED koro
TY OF RANCHO PALOS VERDES Cµ,4
MAR 0 3 2016
CLERK'S OFFICE
Of
Occupation of Claimant
Home Telephone Number
City and State I Business Telephone Number
Give address and telephone number to which you desire notices or
communications to be sent regarding this claim:
or
any city employees
oc
in INJURY or DAMAGE
Date J ! i=1 1 I I Time-- PTY [
If claim is for Equitable Indemnity, give date
claimant served with the complaint:
Date
Where did DAMAGE or INJURY occur? Describe fully, and locate on diagram on Page 2. Where appropriate, give
street na�m,Ses and address and me surementsjfroom� landmarks: �`� ZZ�45;1 ')-�
Describe in detail how the DAMAGE or INJURY occurred.
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Why do you claim the city is responsible? P )c
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Describe in detail each INJURY or DAMAGE.
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This Claim Must Be Signed on Page 2
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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:
Damaa to roe '�
g property rty .................... $��[e, Future expenses for medical and hospital care . $
Expenses for medical and hospital care ... $ Future loss of earnings ..................... $
Loss of earnings ...................... $ Other prospective special damages .......... $
Special damages for ................... $ Prospective general damages ............... $
Total estimate prospective damages....... $
General damages ...................... $
Total damages incurred to date ........ $
Total amount claimed as of date of presentation of this claim: $ Soo
Was damage and/or injury investigated byo ice? C : `� If so, what city? Lw4
Were paramedics or ambulance called? If so, name city or ambulance
If injured, state date, time, name and address of doctor of your first visit
WITNESSES to DAMAGE or INJURY: List all per
Name�a.�.�d+ (tL.,,E,Addres
Name Addres
Name ?d:. .3 ,rc. '.tv) kik Addrws
DOCTORS and HOSPITALS:
Hospital
Doctor
Doctor
Address Date Hospitalized
Address Date of Treatment
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
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
"B-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.
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Signature of Claimant or person filing on
hi behalf ivin r I i nshi to
SIDEWALK
SIDEWALK
Typed Name:
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CURB--+
Date:
NOTE: CLAIMS MUST BE FILED WITH CITY CLERK (Gov. Code Sec. 915a). Presentation of a false claim is a felony (Pen. Code Sec. 72.)
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