CC SR 20210202 E - Claim Against the PT Rigging Production IncRANCHO PALOS VERDES CITY COUNCIL MEETING DATE: 02/02/2021
AGENDA REPORT AGENDA HEADING: Consent Calendar
AGENDA TITLE:
Consideration and possible action regarding a claim against the City by PT Rigging
Production Productions, Inc.
RECOMMENDED COUNCIL ACTION:
1)Reject the claim and direct Staff to notify the claimant, PT Rigging Production, Inc.
FISCAL IMPACT: None
Amount Budgeted: N/A
Additional Appropriation: N/A
Account Number(s): N/A
ORIGINATED BY: Teresa Takaoka, Deputy City Clerk
REVIEWED BY: Karina Bañales, Deputy City Manager
APPROVED BY: Ara Mihranian, City Manager
ATTACHED SUPPORTING DOCUMENTS:
A. PT Riggins Production claim (page A-1)
BACKGROUND AND DISCUSSION:
The City of Rancho Palos Verdes (City) is a member of the California Joint Powers
Insurance Authority (Authority), which provides risk management services and handles
any liability claims received by the City. Under the current practice, claims presented to
the City Clerk are forwarded by the Authority to a third-party claims administrator, Carl
Warren and Company (Carl Warren) for adjusting.
Carl Warren’s staff reviews each claim on its merits and contacts the City with any
requested action pertaining to the disposition of the claim. The City Clerk and the City
Attorney review each claim when received and work closely with Carl Warren
throughout the claims process.
1
Claimant:
On December 11, 2020, the City received a claim for damages from PT Rigging
Production, Inc. and was referred to Carl Warren for review and investigation. The
claimant’s insurance representative states that on November 9, 2020, a city tree fell
and damaged the insured’s windshield and passenger side fender. The claim alleges
the City is at fault due to a lack of maintenance of the tree.
Deposition:
Carl Warren has reviewed the claim and found that there is no liability for the City as the
tree was adequately maintained, tree standards for trimming were met, and the records
established proved the tree to be in good health. Carl Warren recommends denying the
claim for damages.
2
ERCURY
4/
jo`
INSURANCE
December 9. 2020
City Clerk's Office
City of Rancho Palos Verdes
30940 Hawthorne Blvd
Rancho Palos Verdes, CA 90275
RE: OUR INSURED:
OUR CLAIM NUMBER:
DATE OF LOSS:
Dear City Clerk's Office:
P.O. Box 10730
Santa Ana, CA 92711-0730
a V 4.L)
I'° kANCHO PALOS VERDES
PT RIGGING PRODUCTIONS, INC.
CABA-00044654
NOVEMBER 9, 2020
ERKS OFFICE
We have obtained information suggesting that the damages incurred from the above -referenced loss were caused by your
insured's negligence.
Enclosed for your review, please find copies of our supporting documentation. The breakdown of our payments is as follows:
Initial Repairs 15.34
Deductible 500.00
Supplements
Rental Expense
Out of Pocket Expense
Other
Salvage
VLF, if applicable
Total 515.34
Total Amount Due 515.34
Other:
Please review for payment. Thank you.
If we receive a payment that is less than the amount shown above, it will be processed and applied as a partial payment only.
This will not indicate any acceptance of liability or agreement to compromise the claim amount. Note that "Full or final
settlement" or similar wording, whether on the payment itself or on accompanying correspondence, does not function as a
release.
Should you have any questions or need additional information, please do not hesitate to contact me. Thank you for your
cooperation.
Sincerely,
California Automobile Insurance Company
Claims Department
888- 917-6372
Encl.
C21 07/2015 A-1
ILE WITH: CLAIM FOR DAMAGES RESERVE FOR FILING STAMP
CITY CLERK'S OFFICE
City of Rancho Palos Verdes
TO PERSON OR PROPERTY30940HawthorneBlvd.
CLAIM NO.
Rancho Palos Verdes, CA 90275
1lRECEIVEDINSTRUCTIONS
1. Claims for death, injury to person or to personal property must be filed not CITY OF RANCHO PALOS VERDE`
later 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 DEC 11 2020
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. CIT YT CLERKS OFFICE5. 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 Date of Birth of Claimant
California Auto Insurance Company as subrogee of PT Rigging Productions, Inc.
Name of Claimant Occupation of Claimant
Home Address of Claimant City and State Home Telephone Number
Business Address of Claimant City and State Business Telephone Number
PO Box 10730 Santa Ana CA 92711 888- 917-6372
Give address and telephone number to which you desire notices or Claimant's Social Security No.
communications to be sent regarding this claim:
ATTN: CABA-00044654 PO Box 10730 Santa Ana CA 92711
When did DAMAGE or INJURY occur? Names of any city employees involved in INJURY or DAMAGE
Date 11/09/2020 Time 12:00 P.M.
If claim is for Equitable Indemnity, give date
claimant served with the complaint:
Date
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:
32206 Helm Place, Rancho Palos Verdes, CA 90275
Describe in detail how the DAMAGE or INJURY occurred.
City tree fell on our insured's parked and unoccupied vehicle.
Why do you claim the city is responsible?
Lack of maintenance to City tree.
Describe in detail each INJURY or DAMAGE.
Damage to 2007 Ford F-150 windshield and passenger side fender.
This Claim Must Be Signed on Page 2 A-2
The amount claimed, as of the date of presentation of this claim, is computed as follows:
Damages incurred to date (exact): Estimated prospective damages as far as known:
Damage to property .................... 515.34 Future expenses for medical 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....... 515.34
General damages ......................
Total damages incurred to date ........ 515.34
Total amount claimed as of date of presentation of this claim: $ 515.34
Was damage and/or injury investigated by police? No If so, what city?_
Were paramedics or ambulance called? No If so, name city or ambulance
If injured, state date, time, name and address 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 Address Phone
DOCTORS and HOSPITALS:
Hospital Address Date Hospitalized_
Doctor Address Date of Treatment
Doctor Address Date of Treatment
READ CAREFULLY
For all accident claims place on following diagram names
of streets, including North, East, South, and West; 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
CURB
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
B-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.
f
SIDEWALK
SIDEWALK
Signature of Claimant or person filing onI
Typed Name:
his behalf giving relationship to Claimant:
Date:
Tiffany Stallard on behalf of 12/09/2020
California Auto Insurance Company
NOTE: CLAIMS MUST BE FILED WITH CITY CLERK (Gov. Code Sec. 915a). Presentation of a false claim is a felony (Pen. Code
THIS DOCUMENT IS A PUBLIC RECORD AND MAY BE PROVIDED TO A REQUESTOR UPON DEMAND. A-3
esktop 9. '. Claim (CASA -00044654) Search Address Rook Administration Vsc:,m- - External Links
e W)40000039777 JkAK) I,n PT RIGGING ?"+6.38. tt{„ K'MJS y [£. 1 . 1013/2'020 Mp m;saa stni„its',= ,s, tr,rrt G ,3s ea - 3t s atrt;
Actions
Scheduled ._ Check Nurn... Owck T}ip Issue Date Pay To An?aunt Status
Summary
Workplan 12/08/2020 E0014113342 Indemnity 12/08/2020 Y & S AUTO BODY SHOP j15.34 Cleared
Claimant Status
Loss Details
Exposures
r Parties involved
Policy
Financials
Summary
Transactions
Recovery Checks
Notes
Documents
eFoider
Correspondence
A-4
ower Door Locks Power Remote Mirror Power Steering Power Windows Privacy Glass
Third Door Tilt Steering Wheel Tire Pressure Monitoring
System
PT RIGGING PRODUCTIONS, INC. 1 2007 Ford F150 Pickup XLT
Parts Profile Parts Profile Version
CA CARS Shop Profile 23.0
Cxnmitted OJ versa, TM Printedan Prt>fiie Pae 1 of
12/8/2020 Mitchell Estimating 20.4
Mitchell Cloud Estimating
12/ 8/2020 MercuryCARS
g
Copyright 1994-2020 Mitchell International, Inc.
Profile Version12:38 PM OEM DEC_20 V 12:38 PMAllRightsReserved
8.0
Y & S AUTO BODY SHOP FINAL
fa 1441 N GAFFEY ST, SAN PEDRO, CA 90731-1325 Estimate ID
Office: (310) 548-1120 6172289
Fax: (310) 519-8120 C1
jerry@yandsautobody.com Claim Number
y&s autobody.com CABA-0004465400
EPA: CAL000061025 License: ARD00149983 Tax ID: 330328404 101
Owner Insured Appraiser
PETERTURCHYN PT RIGGING PRODUCTIONS, INC. JERRY SAFAR
310) 339-3934 (Mobile) jerry@yandsautobody.com
nypetey@mac.com
Classification
None
MERCURY INSURANCE GROUP
Loss Type Claim Number Policy Number Adjuster-
Comprehensive CABA-0004465400101 BA040000039777 San San Moe
888) 263-7287+22709 (Wor
k)
Deductible Reported Date Loss Date Inspection Site
500.00 - Not Waived 11/12/2020 11/09/2020 Y & S AUTO BODY SHOP
1441 N GAFFEY ST
SAN PEDRO, CA 90731-1325
2007 Ford F150 Pickup XLT 4 Door Crew Cab 139" WB 6 Foot Bed 5AL 8 Cyl Gas Injected 4WD
Exterior Color License VIN Drivable
TK (Mineral Grey Metallic) CA-8F26636 1FTPW14577KC32019 Unknown
Odometer Production Date: Mitchell Service: Cade
178756 01/2007 910158
Primary Point of Impact
Front (12)
Options
4 Doors 4 Wheel Drive Air Conditioning AM-FM Stereo Anti-Lock Brake Sys. (ABS)
Automatic Headlights Auxiliary Input CD Player Chrome Wheels Cloth Seat
Cruise Control Driver Seat With Power Driver-Front Air Bag Keyless Entry System Passenger-Front Air Bag
Lumbar Support
Power Door Locks Power Remote Mirror Power Steering Power Windows Privacy Glass
Third Door Tilt Steering Wheel Tire Pressure Monitoring
System
PT RIGGING PRODUCTIONS, INC. 1 2007 Ford F150 Pickup XLT
Parts Profile Parts Profile Version
CA CARS Shop Profile 23.0
Cxnmitted OJ versa, TM Printedan Prt>fiie Pae 1 of
12/ 8/2020 Mitchell Estimating 20.4
Mitchell Cloud Estimating 12/ 8/2020 MercuryCARS
g
Copyright 1994- 2020 Mitchell International, Inc.
Profile Version12:38 PM OEM DEC_20 V 12:38 PMAllRightsReserved 8.0
A-5
LABOR PART
Linc: # Description Operation Type Total CEG Type NUI-nber Qty Total Price Tax
Units
Windshield
1 005734 W/Shield Glass Remove/ReplaceGlass 0.0#* 2.5 Aftermarket 1 285.00* Yes
New
2 900510 Line Markup 20.0% 57.00
Special / Manual Entry
3 900500 GLASS SEALER KIT (2 @ Remove/ReplaceBody* 0.0* 0.0 Aftermarket 2 30.00* Yes
15.00) New
4 900500 R/I WINSHIELD Remove/ReplaceBody* 0.0* 0.0 Sublet 1 90.00*
5 900510 Line Markup 20.0% 18.00
Judgment Itern C Included in Clear Coat Calculation
T Included in Two 1''one Calculation A included in Clear Coat: and Two Tone Calculation
Labor Note Applies r CEG R& R Time Used for this Labor Operation
d Discontinued by Manufacturer
Estimate Totals
Labor Units Rate Sublet Add'IAmount Totals
Glass Labor 0.0 44.00 0.00
Body Labor 0.0 44.00 0.00
Total Labor 0. 0 0.00
Taxable 0.00
Tax (0.000)% 0.00
Non -Taxable 0.00
Labor Total 0.00
Parts Amount
Taxable Parts 315.00 315.00
Parts Adjustments $75.00
Tax (9.500)% 35.34
Non -Taxable 90.00
Parts Total 515.34
Costs Amount
Other Additional Costs 0.00 0.00
Paint Materials 0.00 0.00
Taxable 0.00
Tax (9.500)% 0.00
Non -Taxable 0.00
Costs Total 0.00
Gross Totals Amount
Gross Total 515.34 515.34
Taxable 372.00
Tax 35.34
Non -Taxable 108.00
Gross Total 515.34
Adjustments Amount
Deductible 500.00 500.00
Total Customer 500.00
Responsibility
Net Estimate Total 15.34
Qxn !UM CM version Mitchell Cloud EstimatingTM
Prlrfed Q, Profile Page 2 of4
12/8/2020 Mitchell Estimating 20.4 Copyright 1994-2020 Mitchell International,
12:38 PM OEM DEC 20 V
Inc.
12/8/2020
12:38 PM
MercuryCARS
11 "'81' Venial
All Rights Reserved 8.0
A-6
Estimate Totals
THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF CRASH PARTS
SUPPLIED BYASOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR
VEHICLE. ANY WARRANTI ES APPLICABLE TO THESE REPIACEM ENT PARTS ARE
PROVIDED BYTHE MANUFACTURER OR DISTRIBUTOR OF THE PARTS, RATHER THAN
BYTHEORIGINAI MANUFACTURER OFYOUR VEHICLE.
PURSUANT TO CALI FORN IA CODE OF REGULATIONS, TITLE 10, CHAPTER 5,
SUBCHAPTER 7.5, SECTION 2695.8THE INSURER WARRANTS THATANY
NON -ORIGINAL EQUIPMENT MANUFACTURER PARTS SPECIFIED IN THIS ESTIMATE
ARE AT LEAST EQUAL TO TH E ORIGINAL EQUIPMENT MANUFACTURER PARTS IN
TERMS OF KIND, QUALITY, SAFETY, FITAND PERFORMANCE.
Vehicle arrival date? 12/07/2020
Was vehicle driven in, towed in or delivered by Road America? DRIVEN
Inspection date? 12/07/2020
Numberof business days to repair? 1
Target date? 12/08/2020
Number of photos? 35
Was the estimate given to the owner? EMAI LED
Send payment to facility? YES
Is the vehicle a Partial Loss or a Total Loss? PARTIAL LOSS AT TH E SHOP
CARS Alternate Part Summary*****************
Were Alternate Parts available - YES
LKQ/Lakenor phone number:562- 944-6422
LKQ/Lakenor reference number:
2nd Alternate Part source and phone number: QUEST AUTO GLASS
2nd Alternate Part reference number: LUCIO 1323 672 5797
Committed On Version TM Printed On Profile Page 3 of4
12/8/2020 Mitchell Est! mati n g 20.4
Mitchell Cloud Estimating 12/8/2020 Mercury CARS
12:38 PM OEM DEC 20 V
Copyright 1994-2020 Mitchell International, Inc.
12:38 PM Profile Version
All Rights Reserved 80
A-7
Cycle Time Information
Arrived At Shop 12/7/2020
Ready for Delivery 12/8/2020
Delivered 12/8/2020
Estimate Event Log
Job Created 11/12/2020 09:41 AM
Correction 1 Started 12/7/2020 02:41 PM
Correction 1 Printed 12/8/2020 12:38 PM
Correction 1 Committed 12/8/2020 12:38 PM
Crmimitted Chi Ver,ion TM Prin[<rl Chi Profile
12/8/2020 Mitchell Est 1 mat i ng 20.4
Mitchell Cloud Estimating
12/8/2020 Mercury CARSCopyright1994-2020 Mitchell International, Inc,
12:38 PM OEM DEC 20 V 12:38 PM Profile Versiwi
AI I Rights Reserved 8.0
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ABA-0004465400101 01 PETER TURCHYN
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laim: CABA-0004465400101 01 PETER TURCHYN
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