RPVCCA_CC_SR_2013_09_03_D_Claim_Against_City_McCannTO:
FROM:
DATE:
SUBJECT:
REVIEWED:
CITYOF
HONORABLE MAYOR & CITY COUNCIL MEMBERS
CARLA MORREALE, CITY CLER@i
SEPTEMBER 3, 2013
CLAIM AGAINST THE CITY BYMARIAN McCANN
CAROLYN LEHR, CITY MANAGER Q)L
RECOMMENDATION
Reject the claim and direct staff to notify the claimant.
BACKGROUND
The claimant alleges that on May 25, 2013, she was driving on Palos Verdes Drive
South near Terranea Resort and a low-hanging wire from a construction area caught
her roof rack and damaged it.
The City's Claims Administrator, Carl Warren and Company, has reviewed the claim
and advised the City to reject the claim as the wire is owned and maintained by the
telephone company, not the City of Rancho Palos Verdes. ,
Attachment:
Claim
D-1
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
I -· RESERVE FOR FILING STAMP
CLAIM NO. J.o/2 .. dr
RECEIVED
l.J/Y
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INSTRUCTIONS CITY OF RANCHO PALOS VERDES
1. Claims for death, injury to person 01r to personal property must be filed not
later than six months after the occurrence. (Gov. Code Sec. 911.2.) ,JUN 12 2013 .fr'
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2. Claims for damages to real property must be filed not later than 1 year after
the occurrence. (Gov. Code Sec. 91 ·1.2.)
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 SIGNE:D ON PAGE 2 AT BOTTOM.
&"
CITY CLERK'S OFFICE ;
6. Attach separate sheets, if necessai;f, to give full details. SIGN EACH SHEET.
Names of any city employees involved in INJURY or DAMAGE
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Where did DAMAGE or INJURY occur? Describe fully, and locate on diagram on Page 2. Where appropriate, give
street names and address and measurements from landmarks: . f m_o-:::, \J~E7<2J~ ·~>a_. @ ·-re-e..i£...A-w&rt-
Describe in detail how the DAMAGE or !INJURY occurred. ":::'\. . . _ . /1 , . , r;,., \ w -Pr;S -t-\:'E7fcl~ 1 ~G-I\.) D ~11+" ( w~'I' .J OW f>"\/ · ~?\ V'E" / P::> Y '-J.JUJ ~
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t\-0 \t'-A .:t;o 0 , \ ·--r CJA-0 c:nrr o µ t-~\\:'>PED ur__:;p t-il '"/ l2.--Ct..)=-12..:Att . \ :-»&Vt: A-'"'Po~ ·ruc.. .... u.:--:::> _ CSu LO\;\./ f tt_.o A pe;· ('fa(_)
Why do you claim the city is responsibh~?
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Describe in detail each INJURY or DAMAGE.
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This Claim Must Be Signed on Page 2
D-2
I
The amount claimed, as of the date c. :esentation of this claim, is computed as fo 1s:
Damage to property •.•................. $ tf 0 1 · Future expenses for medical and hospital care . $
Damages incurred to date (exact): O OC) Estimated prospective dam~ges as far a~ known: ±:
Expenses for medical and hospital care ..• $~ Future loss of earnings ..................... $ -
Loss of earnings .••........•.•........ $ Other prospect,ive special damages .......... $~
Special damages for ................... $ Prospective general damages .......•....... $ 0 ltCO DO Total estimate prospective damages ....... $
General damages ...................... $ • ~·
Total damages incurred to date ........ $ LJ()(), 00 . c_lfhJ t£ T ~ S'E
Total amount claimed as of date Of pre!1entation of this claim: $ lf roo ! Oc-.J ft>O\ AA-e!.Jt-tti 0 1. z._.)
Was damage and/or injury Investigated by police? tJ 0 If so, what city?\lt'e"Y D lj) N 0\ ~i?OLb
Were paramedics or ambulance called'i' If so, name city or ambulance===------------------
If injured, state date, time, name and adldress of doctor of your first visit-------------------
WITNESSES to DAMAGE or INJURY: List all persons and addresses of persons known to have information:
Name Address Phone _______ _
Name Address Phone _______ _
Name! _Aqdret?s_ K1:i\::::i::MO'E7 ~ ? ~Jlett:;::r-/).y.,, nz:;5 _) \ \) G o·+--,~ vvf\,.....-u;b ....;> ~ ~ ·~"n. I rue I V'I,,_,
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 "8·1" and the point of impact by "X." 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 "8" location of yourself or diagram signed by the claimant.
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SllJEW K
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PARKWAY
SIDEWALK
Typed Name:
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Date:
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D-3
Thule Traverse Foot Pack 480 -Timle http://www.thule.coml en-us/us/products/ carriers-and-racks/roof-racks/ ...
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