RPVCCA_SR_2011_03_15_04_James_Reuter_ClaimCrTYOF RANCHO PALOS VERDES
TO:
FROM:
DATE:
SUBJECT:
REVIEWED:
HONORABLE MAYOR &CITY CO~L MEMBERS
CARLA MORREALE,CITY CLER~
MARCH 15,2011
CLAIM AGAINST THE CITY BY JAMES REUTER
CAROLYN LEHR,CITY MANAGER<Si)-\C,.-<:.\.-
RECOMMENDATION
Reject the claim and direct staff to notify the claimant.
BACKGROUND
The claimant states that a tree trimming truck towing a chipper backed into the mailbox
on a 4 x 4 wooden post at his residence.The alleged incident occurred on February 4,
2011 and the claim was filed on February 22,2011.
The City's Claims Administrator,Carl Warren and Company,has reviewed the claim
and advised the City to reject the claim.The damages were caused by West Coast
Arborist (WCA)which is a contractor performing work on behalf of the City.The claim
is being tendered to WCA,as per the contract terms.
Attachment:
Claim
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TO:CITY OF Rancho Palos Verdes
Give address and telephone number to which you desire notices or communications to be sent
regarding this claim:
~.
C··~CLAIM FOR DAMAGES
90 ;';5 TO PERSON OR PROPERTY
.;FII£WITH:.
cJ1Y CLERK'S OFRce
30940 HawthQrne Blvd.
Rancl;),o PalQs Veirdes,CA
When AMAGE 0 JURY occ~r?Names of any city employees Involved in INJURY r DAMAGE
Date .Time 1("00 fun ()/'3b\')o~N •...,-Y1)c..!t-I 'n \)(]f ved h'l.
If claim IS for Eq itable Indemnity,give date claimant .served \1 ,~:the complaint:r«W d ~(\,.,.
Where did DAMAGE or INJURY occur?Describe'fuIly,and locate on diagram on reverse side of this sheet.Where appropriate,give street
names a;nd address and measurements from landmarks:....
met'l box peS f-cIJ.i..L>+ro~~re.;;::(c:J..vAc.e.--see-.pho +0
.INSTRUcrlONS
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 tor damages to real property must be filed not later than 1 year after the occurrence.
(Gov.Code Sec.911.2.),
3.~ead entlIV claim form before mlng.
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 shee1S,If necessary,to give full details.SIGN EACH SHEET.
by bd.,~
\1-::-Jl\c9 no t-.-
g t1Offe-cO I i0 ~
nawle.,..((W c A'I on
Describe in detail each INJURY;or MAGE
Describe in detail how the DAMAGE or INJURY-occurred.
ci,r~+ruc1:-m.o..&e-~e.ca..Q aJlJi.inf't-~Po +tJ if'QM <J·(\d
tln ~~pr ,iJ:.;b~"'"tni-o +AI!:.;md:J.1')OX ;~&g,,,~
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..,~,~.~-t .("ect-~~MV-J bJi'-{!?~r~it-o.xU><J",+l J It lUV.)+OucAu
.;~~y'.~d y ':'cl~im the city is responsible?.."".~.....
."'Lt)A-:I 1i--r~E£:\~.HYh111 N 6 ("R \)c-k:-T a.o t f\.')6
a.,c.covn ~crrt 1 ~b'i ~h 1+6 j-rud-U9 t~
rree-&eb r'\,£"(P n .t (oJ.-b.e.cQ
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Generaldamages $ _
Total damages incurred to date :$ _
alai amount claimed as of date of presentation of this claim:$
1e amount claimed,as of'the date of presentation ot tnls Claim,IS comlJuRJU_.....-••_.
amages incurred to date (exact):'(~".Estimated prospective ~ages as far as ~nown:~(/'T-:,...
Damage to property ~;:'VO $Future expenses for m'h•.:al 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 .'.$_
Vas da~age and/or Injury I~vestigated by police?N'\\'If sO,what cltY?'_
Vere paramedics or ambulance called?If so.name city or ambulancei _
f injured,state date,time,name and address of doctor of your first ViSIt,,~',.-:.....-:....·.;.:;··----------
NITNESSES to DAMAGE or INJURY:List all persons and addresses of
\lame I<ad:,o uJ ~t-Aqdress~ame S~\Jq ~~to:...Mbtess
:\lame "Address,,_
DOCJORS and HOSPITALS:Nf ~
Hospltal-Address I>,ate Hospltalized _
Doctor Address Date of Treatment _
Doctdr Address Date of Treatment _
READ CAREFULLY
.For ~II accident claims place on following diagram names of streets,or your vehicle when you first saw City vehicle;location of City vehicle
lllcluding North,East,South,and West;indicate place of accident by at time of accident by '~-1"and location of yourself or your vehicle at
"X"and by showing house numbers or distances to street corners.the lime of the accident by "B-1"and the point of Impact by "X:'
If City Vehicle was involved,designate by letter 'W'location of City NOTE:If diagrams below do not fit the situation,attach hereto a propel
Vehicle when you first saw it,and by "B"location of yourself diagram signed by claimant.
'---'--
~-
SIDEWALK
PARKWAY
SIDEWALK
jYlo rle,rO De\,CURB
Signature of Claimant or person filing on
his behalf giving relationship to Claimant:
Typed Name: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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