CC SR 20190305 E - Claim Against the City FoxRANCHO PALOS VERDES CITY COUNCIL MEETING DATE: 03/05/2019
AGENDA REPORT AGENDA HEADING: Consent Calendar
AGENDA DESCRIPTION:
Consideration and possible action regarding a claim against the City by Richard G. Fox.
RECOMMENDED COUNCIL ACTION:
1) Reject the claim and direct Staff to notify the claimant.
FISCAL IMPACT: None
Amount Budgeted: N/A
Additional Appropriation: N/A
Account Number(s): N/A
ORIGINATED BY: Emily Colborn, City Clerk
REVIEWED BY: Gabriella Yap, Deputy City Manager
APPROVED BY: Doug Willmore, City Manager
ATTACHED SUPPORTING DOCUMENTS:
A. Richard G. Fox claim (page A-1)
BACKGROUND AND DISCUSSION:
The claimant alleges that his vehicle was damaged during an attempted theft/vandalism
while he was working at the Point Vicente Interpretive Center. The alleged incident
occurred at an unspecified time (between 12PM -4PM) and occurred on September 20,
2018. The claim was filed on February 12, 2019.
The City’s Claims Administrator, Carl Warren and Company, has reviewed the claim
and advised the City to reject it due to the determination that the City is not responsible
for the actions of others.
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
UCTIONS
1. Claims for death, injury to person or to personal property must be filed not
late.r 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 BOTIOM.
6 . Attach separate sheets, if necessary, to give full details. SIGN EACH SHEET.
TO : CITY OF RANCHO PALOS VERDES
occu lly, and locate on diagram on
RESERVE FOR FILING STAMP
CLAIM NO .-----
street names and address and measurements from landmarks:
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Why do you claim the city is responsible?
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Describe in detail each INJURY or DAMAG~
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This Claim Must Be Signed on Page 2
A-1
The amount claimed, as of the date of presentation of this claim, is computed as follows :
Damages incurred to date (exact): 4L Cod. Estimated prospective damages as far as known:
Damage to property .......•............ $ ::.U-ZJ Future expenses for medical and hospital care.$ _ __,.....__
Expenses for medical and hospital care ... $ Future loss of eamings ..................... $._-f---
Loss of earnings .....•................ $~ Other prospective special damages .......... $
Special damages for ................... $ Prospective general damages ............... $
General damages ...................... $
Total estimate prospective damages ....... $+----
Total damages incurred to date ........ $ /_
Total amount claimed as of date of presentation of this claim: $ 4 '0. Sf L ~ ~ /NV f)J~
DOCTORS and HOSPITALS:
Hospital ----+-,,.....,-------'Address. _____ --:--.'1..,-------Date Hospitalized:-----h'-r---
Doctor J A?' Address ,<J),d_..-Date of Treatment ----J/'0.../1-IJ..f!~e=..
Doctor rl] Address Date of Treatment ___ r ___ _
READ CAREFULLY
For all accident claims place on following diagram names
of streets, including North , East, South , and Wes t; indicate
place of accident by "X" and by showing house numbers
or distances to street corners. If City Vehicle was
involved, designate by letter "A" location of City Vehicle
when you first saw it, and by "B" location of yourself or
CU RB
your vehicle when you first saw City vehicle; location of
City vehicle at time of accident by "A-1" and location of
yourself or your vehicle at the time of the accident by
"8 ·1" and the point of impact by "X." NOTE : If diagrams
below do not fit the situation, attach hereto a proper
diagram signed by the claimant.
SIDEWALK
PARKWAY
SIDEWALK
''"'nmn:u~a of Claimant or person filing on Typed Name : Date :
giving relationship to Claimant:
THIS DOCUMENT IS A PUBLIC RECORD AND MAY BE PROVIDED TO A REQUESTOR UPON DEMAND.
A-2