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HomeMy WebLinkAboutClaim No. 532 - J. KincheloeCITY OF PALM DESERT COMMUNITY SERVICES DIVISION CITY CLERK OPERATIONS STAFF REPORT REQUEST: CLAIM AGAINST THE CITY (#532) BY JACK KINCHELOE IN AN UNSPECIFIED AMOUNT DATE: March 25, 2004 CONTENTS: I. Staff Report II. Claim No. 532 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: RACHELLE D. KLASSEN, CMC CITY CLERK Approved: CARLOS L. OMEGA CITY MANAG rdk Attachment (as noted) SHEILA R. GILYIGAC (c MC ASST. CITY MANA FOR COMMUNITY SERVICES H:1 WPdata IWPDOCS\CLA/MS1532 reject staff rpt.wpd Jul-11-03 09:49am From -PALM DESERT CI-TY CLERK-- - -7603400574 T-145 P.02 F-032 k E v : y CITY CLERK'S OFFICE PALM DESERT, CA CLAIM AGAINST THE CITY OF PALM DESERQ MR A: I; 18 (For Damage(s) to Person(s) or .Personal Proper Received by: via: U.S. Mail XX ..Interoffice Mail Over -the -Counter CITY OF PALM DESERT ASSIGNED CLAIM NO. A CLAIM MUST BE FILED WITH THE CITY CLERK OF THE. CITY OF PALM DESERT WITHIN SIX MONTHS AFTER WHICH THE INCIDENT OR EVENT OCCURRED. BE SURE YOUR CLAIM IS AGAINST THE CITY OF PALM DESERT, NOT :ANOTHER PUBLIC ENTITY. WHERE SPACE IS INSUFFICIENT, PLEASE r USEw ADDITIONAL PAPER,.. AND IDENTIFY INFORMATION BY PARAGRAPH NUMBER. COMPLETED CLAIMS MUST BEIAAILED OR DELIVERED TO THE CITY CLERK, CITY OF PALM DESERT, 73-510 FRED WARING DRIVE, PALM DESERT, CA 92260. TO THE HONORABLE MAYOR AND CITY COUNCIL., City of Palm Desert, California: The undersigned respectfullysubmit(s) ishe .following claim ,and information relative to damage(s) to person(s) and/or personal property .. 1. CLAIMANT INFORMATION: NAME JACK-K-INCHELOE ADDRESS PHONE NO. (..) SOCIAL SECURITY NO. 2. Nametelephone number ,and ;post office i.ddress •,to which . claimant desires notices to be sent if other than above 'A TTN ; ALAN K . NICOLETTE, _STEELE., NICO1,ETTE AND. = ELYTHE-, ES Q 770 The Lity Dtive .South,. Sui ei 3000..:Orannge, CA 92868 714-7507101.9_ 3. Occurrence .or,:event from. which :the claim arises:. . a. DATE; .'10. location).. ,:Approx .`. •:.4AM :c. Pedestrian.walkway area of the F i!air on the grounds of the G Association, 434500 Monterey Ave PLACE (exact and specific ood Court- at the Street ge �f t1,P LLPseri; Alumni , Palm nPsPrt CA d. How and under what circumstances did damage or injury occur? Specify the particular occurrence, "'event; actor omth1ssion you claim caused the injury or damage. (Use additionall a e- iffnecessar -.) C La liant :tri:pped over a 1 narii rg ramp PP Y �.;ri. the Food -Court pe.destrrLaia. walkway area of the Street F on the grounds of the. College of the ne$Art Alumni Assoc. e. What particular action by the amity; or= its emQI"oyees,' caused the alleged damage or injury?' _ City negli ently operas-ed T„a; nt�; no, ��ecd, subleased suj�ervised o • -nixed t1,e wall-z,..n.._a of the Food Gourt L sn':as; to ,.al 1 riw unah3.-cari_+-- eiii3tence or. a dangerous condition on regrondents prcmicc3: Page 1 of 2 Jul-11-03 09:49am From -PALM! DESERT CITY CLERK 7603400574 T-145 P.03/03 F-032 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": Claimant sustained injuries including, but -norlim • to aggravation of a pre-existing back ronditine, oPrvica thoracic, lumbar, strain/sprain, knee;. in, ,,p Pr extrem pain. 5. Give the name(s) of the City employee(s) causing the damage or injury: nr,--asrprtpinp.d to d Discovery andinvestigation continues. 6. Name and address of any other person(s) injured: Unascertained to rdai ; n; $noVery a: .any continues. 7. Name and address of the owner of any damaged property: Unas c Pr t a ;Tied to -late . 8. Damages claimed:, ..:.'. ... . a. Amount :claimed as::of,this dater $.. 82 50,;.0 n t7 nn b. Estimated amount: of -future costs: $Una s rPrta i nar3 to date. c. Total amount claimed: $ x en s e s. d. Basis for computation of amounts claimed include copes of a�l uis, invoices, estimates; etc.): 'Medical _ expenses Imasrprtainarl to date plus gcncral damages of $250.00a.00- 9. Names and addresses of all witnesses, hospitals, doctors, etc.: __ .:. Witness (TAinTNIA SIIORh) Kaiser Hospital; 101 Rivenside R.nca1r L1p,_ CA 95661; Boris Ellya.son.,N.D.,.:1600 Yrpk . Rd Roseville, CA 95661. DISCOVERY CONTTNTTF.`' 10. Any additional information, including police reports,, which might be helpful in considering this claim: Unascertaine1 to riatP; n; c rovery continuc3. WARNING:IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM! (PENAL CODE 72; INSURANCE CODE_556.],,).>. ,,.__ I have read the matters and, statements made: in the. above"claim, and I know the same to be true of my own knowled v e, except as to those matters stated upon information or belief as to such matters I believe the ame • be true:` I certify -under penalty of perjury that the foregoing is TRUE AND CT. COR Sign,.'. j` 2 day •f MARCH. , 20 ; at. ORANGE If fiidgetur SIGN ' `+'..is p"•a%% MAIN SIGNATURE OF CLAIMANT Alan colette, Esgr (Atty fc Claim`��1 ^ Office of the City Clerk, Pafrn`Desert, Cal:fornia LaOC. NO. Page 2 of 2 DATE FILED t.