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RPVCCA_CC_SR_2014_09_02_G_Claim_Against_City_Ming_GongTO: FROM: DATE: SUBJECT: REVIEWED: CITY OF RANCHO PALOS VERDES HONORABLE MAYOR & CITY cou~ /MEMBERS CARLA MORREALE, CITY CLERK ~ SEPTEMBER 2, 2014 CLAIM AGAINST THE CITY BY MING GONG CAROLYNN PETRU, ACTING CITY MANAGER© RECOMMENDATION Reject the claim and direct staff to notify the claimant. BACKGROUND The claimant alleges that she was driving downhill on Hawthorne Blvd. between Silver Spur Road and Palos Verdes Drive North, when she encountered a fallen median tree branch lying on the roadway. She attempted to avoid the branch but was unable to do so, which resulted in the branch scratching the left side of her vehicle. The alleged incident occurred on March 26, 2014 and the claim was filed on April 8, 2014. The City's Claims Administrator, Carl Warren and Company, has reviewed the claim and advised the City to reject the claim, as the City's liability is doubtful. Attachment: Claim G-1 ,, , FILE; '-:VITH: CITY CLERK'S OFFICE City of Rancho Palos Verdes 30940 Hawthorne Blvd. CLAIM FOR DAMAGES TO PERSON OR PROPER/'-t) "''<.-..-,,,/ Rancho Palos Verdes, CA 90275 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 flied 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 Name of Claimant /\JI. lt\J 6\ GON Kt~l:.KVt l"UK l"ILIN\:i ;:>I AMI" CITY OF RANCHO PALOS VERDES APR 08 2014 CITY CLERK'S-OFFICE Date of Birth of Claimant Where did DAMAGE or INJURY occur? Describe fully, and locate on diagram on Page 2. Wt.lere appropriate, give street names and address and measurement.s1 from landrvarr;: . .. / \he ck~e occu.lfE>J o~ ~o.Wmv<V\ e!K«. ~ <;~ lvtr Sr!At' °'Y\o\ pV I/rive N .. Th~ c~ ~s ~~ Jowf\ ~~ll {o"\hA~s PV Vr; ve N ... The ~ !A,'Ct> kt1J'£e'1 Describe In detail how the DAMAGE or INJURY occurred -kk e_ ""-~ trAV\ D\ -t e_ ~f (</\Y theie_ \JJ¢'\S, °' bJ ~ d._.,.,,n '."-+lie_ l'll~da."' , wkrc .. h bloc~c\ . CA ~1r 1 a:J-•;l ~l-l of -f:he_ ~00..,\ I W I th ()\ ( ~ larztll ch ')f\cb, CM{:. ~\_ sc~-lc~ec\ tL e Let--s \ ·~ e ~ ""'Y (O\r f~ ~ -to ~"cl whe11 -t:k CPf" WU\S ao (':) obvW\ k; d . UJ~ r V€. t~ tu C\.vo\z,{ \-l b~l (L ~ l/.,fb>> Why do you claim the city is responsible? 1he_ voe\~ ,0\V\.J ~s Ol~ mo\li1tif 11eJ by Pub('IL WD{Ls Defc~{:ilf\(l,n-t, 1 ~'1. c..K '(-Th~ _ ~ _ vte..> dew{\ ii t ( ~ ...Jie 1/1 ""'/. _c tN! pcv s~ Lr ( l Dd o~ t -· 'r'>f"' . r he ~ \MA<, ~ '1?rllO\lll~ Wot;\ +M. ~x:~ tky / cJ~ postec\ °' J.,.'.'fy -l-o o-.{( ~Y5 3to~"(t-tl-,(o":j~ -d.sm:... Describe in detail each INJURY or DAMAGE. · M'/ co.v--. "'~5 scwtc:he~ w>l:h °' ~ k cu.\ b"' -th<?. (~ (Jrl\..ev' s~ ~ -tk_ ({AV f-v1 el'\,cl_ -Go ~ct ( €..1'11~ e.\d --f:.v *Y"Vlhk ~~). ~ S'°'flt~<ll1t>t\11~ hz_re: 0 D ~ cm.tc~ . ~-o This Claim Must Be Signed on Page 2 G-2 • The a 1 mount claimed, as of th("··,~ of presentation of this claim, is compute Damages incurred to date (ex~1 : Estimated pros e damages as far as known: Damage to property .................... $2.oO,Do Future expenses for medical and hospital care.$ ___ _ Expenses for medical and hospital care ... $ Future loss of earnings ..................... $ ___ _ Loss of earnings ...................... $ . Other prospective special damages .......... $ A\\~A f\P Special damages for ................... $ Pro·spective general damages ............... $-+t-"_, ... u~_ ... '<:::::_ Total estimate prospective damages ....... $ ___ _ General damages ...................... $ ___ _ Total damages incurred to date ........ $..'2QQ. o O Total amount claimed as of date of presentation of this claim: $2o0-0D Was damage and/or injury investigated by police? W 0 If so, what city? __ 'V'i:.J,...:.1...,--------------- Were paramedics or ambulance called? ~ t. If so, name city or ambulapce --"'J./-.!4-------------- lf injured, state date, time, name and addresS"ol' doctor of your first visit --Y\-i{~!C,::.i_ _______________ _ WITN d dd f k t h t I or INJURY: List all pers ____ Add res -. ~----'Add res 1· ·------------~Address ________________ _ •. DOCTORS and HOSPITALS: Hospital __ ,....,. _________ Address ______________ Date Hospitalized. _______ _ Doctor No~ Address Date of Treatment ------- Doctor Address 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 "B-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 "B" location of yourself or diagram signed by the claimant. CURBJ Signature of Claimant or person filing on his behalf giving relationship to Claimant: SIDEWALK PARKWAY SIDEWALK Typed Name: Date: CURB. NOTE: CLAIMS MUST BE FILED WITH CITY CLERK (Gov. Code Sec. 915a). Presentation of a false claim is a felony (Pen. Code Sec. 72.) G-3