Loading...
HomeMy WebLinkAboutClaim No. 526 - V. MaloneCITY OF PALM DESERT COMMUNITY SERVICES DIVISION CITY CLERK OPERATIONS STAFF REPORT REQUEST: CLAIM AGAINST THE CITY (#526) BY VALERIE MALONE IN AN UNSPECIFIED AMOUNT DATE: March 25, 2004 CONTENTS: I. Staff Report II Claim No. 526 Recommendation: By Minute Motion, reject the Claim and direct the City Clerk to so notify the Claimant. Background: Based on a review of the subject Claim and the recommendation of the Claims Adjuster, Risk Manager, City Attorney, and staff, it is recommended that the Claim be rejected. Discussion of this item should be held in Closed Session pursuant to Government Code Section 54956.9(b), potential litigation. Submitted by: CHELLE D. KLASSEN,CMC CITY CLERK Approved: CARLOS L. 0'.1'GA CITY MANAG rd k Attachment (as noted) SHEILA R. GILLI AN, ASST. CITY MANAG OR COMMUNITY SERVIC S H:1WPdataIWPDOCS\CLAIMS1526-reject staffrpt.wpd 4. Give a general description of the indebtedness, obligation, injury, damage, or loss incurred so far as it may be known at the time of presentation of the claim. If there were no injuries, state "no injuries": 5. Give the name(s) of the City employee(s) causing the damage or injury: t -)l<C'c 't 6. Name and address of any other person(s) injured: 7. Name and address of the owner of any damaged property: 0 IJ. a. Amount claimed as of this date: b. c. d. $ 'CI CCC> Estimated amount of future costs: $r(>(-i`7 1 S, Total amount claimed: $ f C i r -,O p -- Basis for computation of amounts claimed (include copies of all bills, invoices, estimates, etc.): \) G C"f CI f Ili"-h g ) C. - c'! f _tC ( 9. Names and addresses of all witnesses, hospitals, doctors, etc.: cx,.mac C D� �' S'� k.\�-�4= -� �,�, ';"k'f- !4 C )1 ' r9 y� ,pie; n r„ 4- 1 j s— ti'�_ `'` , 1 1' C� l c) 10. Any additional information, including this claim: - -)4 Ci WARNING:IT IS A CRIMINAL OFFENSE INSURANCE CODE 556.1). police reports, which might be helpful in considering _ cS-s t;i` -t'�'� S TO FILE A FALSE CLAIM! (PENAL CODE 72; I have read the matters and statements made in the above claim, and I know the same to be true of my n«,rn knowledge, except as to thnsi=, m;;tters stated •.prn information or belief ao, to such m atter$ I believe the same to be true. I certify under penalty of perjury that the foregoing is TRUE AND CORRECT. Signed this ,day of TOCC;Ei7)1)c)720 C)S at (-1--6' 001 /lzl /ice- %/c2i;�e- 'SIGNATURE OF CL� AINT SIGNA TURE OF CLAIMANT Office of the City Clerk, Palm Desert, California Page 2 of 2 DOC. NO. DATE FILED