CC SR 20260505 D - Claim Against the City - Lindsey Orozco
CITY COUNCIL MEETING DATE: 05/05/2026
AGENDA REPORT AGENDA HEADING: Consent Calendar
AGENDA TITLE:
Consider a claim against the City by Lindsey Orozco.
RECOMMENDED COUNCIL ACTION:
1) Reject the claim and direct Staff to notify the claimant, Lindsey Orozco.
FISCAL IMPACT: None
Amount Budgeted: N/A
Additional Appropriation: N/A
Account Number(s): N/A
ORIGINATED BY: Enyssa Sisson, Deputy City Clerk
REVIEWED BY: Teresa Takaoka, City Clerk
APPROVED BY: Ara Mihranian, AICP, City Manager
ATTACHED SUPPORTING DOCUMENTS:
A. Lindsey Orozco 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, Athens
Program Insurance Services, LLC (Athens) for adjusting.
Athens staff review 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 Athens throughout the claims
process.
1
Claimant:
On March 31, 2026, the City received a claim for damages from Lindsey Orozco. The
claim was referred to Athens for review and investigation. The claimant states that the
City is responsible for damage to her vehicle tire caused by a nail left along Palos Verdes
Drive South near Narcissa Drive.
Deposition:
Athens staff have reviewed the claim and advised the City to reject it due to the
determination that the City has no reports of nails on the roadway and no work orders for
this location between March 23-31 found.
2
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:
____________________________________________________________________________________________________________
Describe in detail how the DAMAGE or INJURY occurred.
____________________________________________________________________________________________________________
Why do you claim the city is responsible?
____________________________________________________________________________________________________________
Describe in detail each INJURY or DAMAGE.
____________________________________________________________________________________________________________
This Claim Must Be Signed on Page 2
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
RESERVE FOR FILING STAMP
CLAIM NO. ________________
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 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 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
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
Give address and telephone number to which you desire notices or
communications to be sent regarding this claim:
Claimant’s Social Security No.
When did DAMAGE or INJURY occur?
Date _________________ Time _________________
If claim is for Equitable Indemnity, give date
claimant served with the complaint:
Date
Names of any city employees involved in INJURY or DAMAGE
A-1
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
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 diagram s
below do not fit the situation, attach hereto a proper
diagram signed by the claimant.
___________________________________________________________________________________________________________
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.)
THIS DOCUMENT IS A PUBLIC RECORD AND MAY BE PROVIDED TO A REQUESTOR UPON DEMAND.
The amount claimed, as of the date of presentation of this claim, is computed as follows:
Damages incurred to date (exact):
Damage to property . . . . . . . . . . . . . . . . . . . . $_________
Expenses for medical and hospital care . . . $_________
Loss of earnings . . . . . . . . . . . . . . . . . . . . . . $_________
Special damages for . . . . . . . . . . . . . . . . . . . $_________
General damages . . . . . . . . . . . . . . . . . . . . . . $_________
Total damages incurred to date . . . . . . . . $_________
Estimated prospective damages as far as known:
Future expenses for medical and hospital care . $_________
Future loss of earnings . . . . . . . . . . . . . . . . . . . . . $_________
Other prospective special damages . . . . . . . . . . $_________
Prospective general damages . . . . . . . . . . . . . . . $_________
Total estimate prospective damages . . . . . . . $_________
Total amount claimed as of date of presentation of this claim: $
Was damage and/or injury investigated by police? __________ If so, what city? _______________________________________
Were paramedics or ambulance called?__________ 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
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
A-2