RPVCCA_SR_2010_01_19_03_Claim_Joseph_MarinoCITY OF
MEMORANDUM
RANCHO PALOS VERDES
TO:
FROM:
DATE:
SUBJECT:
REVIEWED:
HONORABLE MAYOR &CITY COUNCIL MEMBERS
GARY GYVES,SENIOR ADMINISTRATIVE ANALYST~
JANUARY 19,2010
CLAIM AGAINST THE CITY BY JOSEP}1MARINO
CAROLYN LEHR,CITY MANAGER ~
RECOMMENDATION
Reject the claim and direct staff to notify the claimant.
BACKGROUND
The claimant allegedly damaged his vehicle while driving through a construction zone on
Hawthorne Boulevard.The alleged incident occurred on November 14,2009 and the claim
was filed on December 8,2009.
The City's Claims Administrator,Carl Warren and Company,has reviewed the claim and
advised the City to reject the claim.
Attachment:
1)Claim
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an&.s~.CLAIM FOR DAMAGES
.30940 Ba5d;horna Blvd.10 PSiSON OR PROPSITV-Ran~o ii110 s ~esl CA 90275
INSTRUCIlONS
t.QaIms b'death,"'ryfO peISCIn or flo pea;ooaI pmpertyrnustbe filed not IaterlhaosJx
rrtonUIsaffarthe occurrence.(Gov.Code sec.911.2.)
2.Qalaasb'damagesfO rear pOpedymuslbefiled not later ....1 )8aI'atterlheoccurrence.
(Gw Code Sec.811.2.).
a ~entn clalmfann betonI fling.
4.See I»Qe 2 fordfagram upon which 10 locale place 01 aCcfdent.
6.lbisclaim bin must be aJgnedonpaae2'albollDm.
6.Att8c:Ir separatesheeb.Ifnecessary.to give full deIaUs.SIGN eACH SHeer.
10:CJ1Y OF Pancho Palos Verdes
RECf'Vt=.D
lTV OF RANC~."I.(()':;VERDEl
DEC;08 lO~g
CiTY CLERK'&...'..
.------------:===--::.....:-=':......:=::••;-:..::::....,.;';;'...m:;;-;;:'n;~-;c:;:rTr-;;;_fIl;;;;Jt:;::-I1-;:rm;:;-"i'R;;;RVm;Em'R!~R'R;:-.C;:;RImDE;------
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~~•••••••••••••••••••••••••••$------------
"1bfaJ damages Incurred 10 dale ••••••••••:•••$_
lIaI amount daimed as d date of pesenIation ofthis c:Iaim:$
The amount cIaJmed.as of1he date ofpresentatioli of this daim.is computed as folIoMr's:
~lllCUl'md to dafe (exact):. •EstImated prospiJctivedamages ..fat as known:
~to pR:Iperly •••••••••••••••••••••••••$FulUI8 erpensesfor med'rcaI and hosplIaJ ciJe ...•$'1'--__
Eiq::Jerases fctrl118dlcal8l1d ~C8I8 t FuIlJre IcJsI CII~•....................." "$1..00-__
lA:Jss tlean1IrIgs :$0d1er ~.BJ*IaI cfaRIages ~""",_
~da,naages b $p~geraeraI cIEirIIages "$1..00-__
1bfaJestimaIIt~damages••••••••••$,_
I$damageandbrlrjury fnvestJgatedbypoRce?IIso.whatcJty?"_
-P8I'8medics or ambulance caUed?"so,namedtyorambulancer --:"'_
nJUI8d,$laledafe.1fme.name and address of doctorof)'OUr first visft -=j:,."!~_
:".:.,::-.:'",Ul.WJl.I"
~~..._------_._~.--_.-----..-:-
_~__..,...1:•:,------_._-.......-.:......._-~.-..:
CIORS and HOSPrPU.S:Jpifaf,--Address,DaleHospitallzed,_
:tor Adcfress Dateof1l8almeqt _
:tcrr Address Dale of1ieatmentl-_
.;
OURS
ure of Claimant or person fil"mg on
lalf giving relationship to Claimant:
SIDEWALK
PARKWAY
SIDEWALK
Typed Name:Dale:
CLAIM~l\AIJRT BE ALED WITH CITY ClERK (Gov.Code Sec.9158).Presentation of a false daim is a felony (Pen.Code sec.72.)'
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