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.