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RPVCCA_CC_SR_2015_06_02_P_Claim_Brubaker_and_LawrenceCITYOF MEMORANDUM tiRANCHO PALOS VERDES TO: HONORABLE MAYOR AND CITY COUNCIL MEMBERS FROM: CARLA MORREALE, CITY CLER �_— DATE: JUNE 2, 2015 SUBJECT: CLAIM AGAINST THE CITY BY ROBERT BRUBAKER AND ROXANNE LAWRENCE REVIEWED: DOUG WILLMORE, CITY MANAGER Vlx—� RECOMMENDATION Reject the claim and direct staff to notify the claimant. DISCUSSION The claimants allege that on June 9, 2014 and during the construction of the San Ramon Project, damage occurred from the heavy equipment dropping and shaking the ground directly adjacent to their home over the course of the tunneling project. They noted that the heavy equipment traffic and construction caused the need for interior and exterior repair, painting, and leveling of their home. The claimants included photographs (attached) and video clips with the claim. The City's Claims Administrator, Carl Warren and Company, has reviewed the claim and advised the City to reject the claim, as this claim was tendered to the contractor, L.H. Woods & Sons, Inc., for resolution of the claim directly with the claimants; and the City's liability is doubtful. Attachment: Claim (page 2) Photographs only (page 6) 17 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 I. 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 n . axt,, e, :- er'r ak 1�ekd�2l� P.. l?, RESERVE FOR FILING STAMP jh CLAIM NO. O % i�D► COAL* RECEIVED -D&k CITY OF RANCHO PALOS VERDES S s AJ MAR 12 2015 cAn, wllcb� CITY CLERK'S OFFICE i of Birth of Claimant _ nt Home usiness Address of Claimant City and Slate I Home City and State Give address and telephone number to wpich you desire notices or communications to be sent a arding this claim: d I.01� .- en did 1)4MAUt or INJURT og�ur?A� '� � Names of any city employees involved In INJURY or DAMAGE Date (%" `t�Ly _ Time If claim Is for Equitable Indemnity, give date C✓ claimant served with the complaint: --Date Where did DAMAGE or INJURY occur? Describe fully, and locate on diagram on Page 2. Where appropriate Ive e names and address ar neasr r m©nts fromrtcirparks:� � ./l�� /%✓�� �_ w„/B� Describe in detail how the bAMAGE or INJU Y occurred, 6�� Why do you claim the city is responsible? � Describe in detail each INJURY or DAMA E.f,�f ,/ �r Eiri'Cl� 'A "'P �!�C /" �Cf� C� / dt'alii llrf This Claim Must Be Signed on Page 2 Robert Brubaker 4 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 .................... $ Ali Future expenses for medical and hospital care - 3 Expenses for medical and hospital care ... % Future loss of earnings ..................... S Loss of earnings .................. . ... $ Other prospective special damages .......... $ Special damages for ................... $ Prospective general damages ... ........... $ Total estimate prospective damages....... `&� General damages ... . ..... ..... � Total damages Incurred to date ........ J Total amount claimed as of date of presentation oft s c I : $ Was damage and/or injury Investigated by p lice? f VO If so, what city? Were paramedics or ambulance called? �V fJ if so, name city or ambulance _ If Injured, state date, time, name and address of doctor of your first visit - f WITNESS 5 to DAM or INJURY: List a!t persons and addresses of V NameAddress NameAddress Name Address DOCTORS and HOSPITALS: Hospital Address Doctor Address Doctor Address kn ,wn to have Information: Phone Phone !'hone Date Hospitalized Date of Treatment Date of Treatment READ CAREFULLY For all accident claims place on following diagram names your vehicle when you first saw City vehicle; location of of streets, Including North, East, South, and West; indicate City vehicle at time of accident by "A-1" and location of place of accident by "X" and by showing house numbers yourself or your vehicle at the time of the accident by or distances to street corners. If City Vehicle was "13-1" and the point of Impact by '%" NOTE: If diagrams Involved, designate by letter "A" location of City Vehicle below do not fit the situation, attach hereto a proper when you first saw It, and by "B" location of yourself or 'diagram signed by the claimant. 4 r SIDEWALK -- - CURB -' CURB PARKW l SIS ALK i Signature of Claimant or person filing oryTyped Name: / Date: Jhiseh,,,kJ11lp-foalf giving relationClaims t: �� y r� GCaL�%/'("a /t OTE. CLAIMS MUST BE FILED WITH CITY CLERK (Gov. Code Sec. 915a). Presentation of a false claim Is a felony (Pan. Code Sec. 72.1 3 GEORGE D'AMBROSI CONSTRUCTION COMPANY LICENSE NUMBER 379917 r� 3637 GREVE DRIVE RANCHO PALOS VERDES, CA 90275 Phone: (310) 541-5947 Cell: (310) 941-3956 INVOICE and BID S. 1604_,d r y d.o- ,� �l©o s<:a O H L 1 0_ P., T T O O- :USTOMER NO. lirS OF TAKI RDER BY '-Or ,%, F TAX CKEMPT 0aaCRIPTI0N - I-112% SERVICE VIA 0 DAYS CHAROK AFER 3 j SUGG,LIST G ✓'•? `' f�S� Y"�L'- T-�Y� Q-6 / I'e•� J G A � f '� 1'`'.�✓•^,� �L .V---tcJ e— f .s.i P c:, 12 ossa•.. > c< `�G. �.�•� c� res c�>s 3 > l -t �.ktt.�, "''ted. �P .►� sem. Y � /'nth -,S �e --^ %� ��.:�,�.�,µ-,.. �� gyp' •"+,� Pee, 1-60,1�m.2-,� A/c / /�,a-S D � 144D b �tL �� i- -- r� r So ✓ �� .') S T T,9 1cA'-/ DAM DISC.I NET --_ jI r y. ! 7 5 . oa El . .. . - -• •—. nnV7 5 AMP t _ ANoli 4r r CAS� '-%if a ley; PAr1 t"474 `' ti e j '9 I 12 Nil w 10 5 rl �� �i l ` d•�_. .:-VOW • m P&-, m (/r}F '�{ l� y�V • Y• w f it $' !!Id\ �fYl....— r�1'1slr- .�i �'ys �• �� s •s d � � iii. .. 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