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HomeMy WebLinkAbout003 2021-07-07 DIARY REVIEW Re Sherry Rick Mesa DOL 03252021 Claim 3012624.pdf1 Gloria Sanchez From:Rice, William <WRice@carlwarren.com> Sent:Wednesday, July 7, 2021 1:25 PM To:Varon, Tim Cc:Gaugush, Cora Subject:Re: Sherry & Rick Mesa DOL 03/25/2021 Claim 3012624 Tim, DIARY REVIEW Event: This is a bodily injury and loss of consortium claim that was submitted by counsel for the claimants regarding a trip and fall incident that occurred in a pothole in a City parking lot. Statute of Limitations: 03/25/2023 Action plan items from last review and status: 1. On 05/17/2021 I submitted our ISO Claim Search on the claimants. No alerts or matches were provided. Sherry Mesa does not appear to be Medicare eligible as her reported age is 63. Rick Mesa age is 72 (05-31-1948) which appears to make him Medicare eligible. 2. We have confirmed City maintenance of the parking lot on behalf of the owners. The City has no formal inspection program for parking lots. They were aware of the pothole conditions in the parking lot as they had previously made repairs in May 2019 to the entire parking lot and apparently overlooked the one involved in this loss. Coverage: Confirmed under the MOC. Liability Review: I view this as a case of probable liability on the part of the City for its failure to maintain the parking lot involved in this loss. City crews were in the area repairing the parking lot potholes and did not repair the pothole that the claimant later stepped into. The claimant will have comparative issues for inattention when proceeding in the parking lot. The pothole dept appears to be up to a 4 ¾ inches from the City provided photographs. Damages Review – Property Damage: None Bodily Injury Alleged: Sherry Mesa – Fractured ankle/foot with resulting surgery. Rick Mesa – Loss on consortium. Submitted Medical Bills: None. The Rawlings Company for Blue Shield has provided notice of their lien in which they report the medical invoices for the fractured ankle were reduced to about $12,000.00. Considered: The claimant is reported to be currently undergoing physical therapy. Residuals: Unknown Loss of Earnings Alleged: Yes. No specific amount or support has been provided. Reserve Review: $50,000.00 & $10,000.00 - Appears adequate in light of the injuries, facts, and client protocol. Updated Action Plan: 1. Secure sufficient medical information within which to evaluate this case for possible settlement on a comparative basis. 2. I will evaluate for liability and exposure to recommend further handling and monitor the file for the Statute of Limitations. Subrogation Referral: N/A William Rice | Claims Examiner Carl Warren & Company, LLC PO Box 2411, Tustin, CA 92781 Office: (657) 622-4319 | Fax: (866) 254-4423 2 Because Quality and Integrity Matter... please EMAIL my Supervisor about the service you received. This e-mail and any files transmitted with it are intended solely for the use of the individual or entity to which they are addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you have received this e-mail in error, please contact the sender and delete the material from your computer. Please note that any view or opinions presented in this e-mail are solely those of the author and do not necessarily represent those of Carl Warren & Company, LLC (CWC) and/or its subsidiaries. Finally, the recipient should check this e-mail and any attachments for the presence of viruses. CWC accepts no liability for any damage caused by any virus transmitted by this e- mail. If this email has been sent by a representative of Carl Warren to an attorney or law firm that is providing legal defense to a Carl Warren client, this email and any attachments are intended to be confidential and privileged attorney-client communications.