HomeMy WebLinkAboutClaim #743 - Mario Pena De La Fuente CITY OF PALM DESERT '
CITY CLERK DEPARTMENT
STAFF REPORT
REQUEST: CLAIM AGAINST THE CITY (#742) BY MARIO PENA DE LA FUENTE IN
THE AMOUNT OF $25,000
SUBMITTED BY: Rachelle Klassen, City Clerk
DATE: August 28, 2014
CONTENTS: • Staff Report
• Recommendations of Claims Adjusters and Staff
• Claim No. 742
Recommendation
By Minute Motion, reject the Claim and direct the City Clerk to so notify the
Claimant.
Background
Based on a review of the subject Claim and the recommendation of the Claims Adjuster,
Risk Manager, City Attorney, and staff, it is recommended that the Claim be rejected.
Discussion of this item should be held in Closed Session pursuant to Government Code Section
54956.9(b), potential litigation.
Fiscal Analysis
City of Palm Desert participates in the self-insurance pool of the California Joint Powers Insurance
Authority (CJPIA). Action to reject the subject Claim does not have a fiscal impact on the City at
this time.
Submitted by: rove :
Ra helle D. Klassen, M C, City Clerk J hn M. Wohlmuth, City Manager
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Attachments (as noted) C'ITyCOVNCILA ON
APPROVED � DENiED
RECEIVED OTHER
MEETING DATE - ��
AYES: �K !k Tl�lY�4�
NOES: ���
ABSENT: ��
AIiSTAIN: N��
VF.RIFIED BY: �k( rlr�'�
Original on Fite with City Clcrk's Office
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C�AI�L 11'Alilil��N � COILII'r��J�" '��� MAR '�$ PM�•��j
Claims Niana�;emei��t and Solutior�i��
March 24, 2014
GOVERNMENTAL ENTITY PREI�IMINARY REPOIZT
TO: Carl Warren & Company
PO Box 25180
Santa Ana, CA 92799-5180
Principal: CJPIA Our File: 18$2529
City: Palm Desert Date of Loss: 9-29-2013
Claimant: Mario Pena de la Fuente Date I�eceived: 3-24-2014
Facts: The claimant was cleaning a friend's porch, when a tree branch fell and struck him
on the back.
Government Code Requirements:
a) Date Verified Claim Filed: 3-17-2014
b; Action by Public Entity: City to reject claim.
c) Statute of Limitations: 6 months from date of rejection.
Possible Co-Defendants: City contractor is potential co-defendant.
Liabili : Investigation pending.
Dama�es: Scratches to back and soft tissue back injuries. The claimant was seen at JFK
Memorial Hospital, emergency room.
Claim: Reserve:
1) LBI—Mario Pena de la Fuente $25,000.00
Comment/Work to be Comnleted: 1) Photo accident location. 2) Conduct City
investigation as warranted. 3) Obtain claimant version,theory of liability and extent of
damages.
Our further report will follaw shortly.
Very Truly Yours,
CARL WARREN& CO.
Pete McNulty
ec: City of Palm Desert Attn. Rachelle Klassen
cc: CJPIA - Attn.: Executive Director � ,. '
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AN EMPLOYEE-OWNED COMPANY
770 S. �lacent±a Avenue i Piacentia. CA 92870
f'. �. Box 251$U i S�rrta Ana, CA �J2"1:�9-518Q
�+��nfUl.carl�var�en.corn i Te1: 714-572-52nQ i 500-572-69CfQ i F�x: 86t�-254-4��3
CA Licanse No.260�290
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P�,L�i C�L: . ; ��:E
CARL WARREN 8c COMPANY
Claims Managernent an� Solutions 2��� ��I� �� f t� �?; 5i,�
March 18, 2014
TO: City of Palm Desert
ATTENTION: Rachelle D. Klassen, MMC, City Clerk
RE: Claim : De La Puente v. Pa1m Desert
Claimant : Mario P. De La Puente
Member : City of Palm Desert
Date Rec'd by Mbr : 3/17/14
Date of Event : 9/29/13
CW File Number : 1882529 PMQ
Please allow this correspondence to acknowledge receipt of the captioned claim. Please take the
following action:
• CLAIM REJECTION: Send a standard rejection letter to the claimant's
attorney, Michael C. Scovill.
Please include a Proof of Mailing with your rejection notice to the claimant. An exemplar copy
of a Proof of Mailing is attached. Please provide us with a copy of the Notice of Rejection and
copy of the Proof of Mailing. If you have any questions feel free to contact the assigned adjuster
or the undersigned supervisor.
Very truly yours
C�1RL WARREN & COMPANY
�;chard p. Marc�ue
Richard D. Marque
Supervisor
CQ�'Y TO 1�. E r y'L_._
. /�-r u�•�
DATE_ �--�y-:�:,�C:-/S�,2�
AN EMPLOYEE-OWNED COMPANY
770 S. Placentia Avenue i Piacentia, CA 92870
P. O. Box 25180 i Santa Ana, CA 92799-5180
www.carlwarren.cam i TeE� 714-572-5200 i 800-572-6900 i Fax: 866-254-4423
CA License No. 2607296
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TO: CJPIA (c/o CARL WARREN & CO.), CITY MANAGER, CITY ATTORNEY,
DIRECTOR OF HOUSING, DIRECTOR OF PUBLIC W4RKS,
RISK MANAGER
FROM: CITY CLERK
DATE: MARCH 17, 2014
SUBJECT: CLAIM NO. 742 - CLAIM AGAINST THE CITY BY MARIO P.
DE LA FUENTE IN THE AMOUNT OF $25,000
The attached Claim No. 742 is being transmitted to you for the following:
� Information oniy.
or
� Review and recommendation to the Claims Review Committee for any action
required by the City of Palm Desert.
We would appreciate your report, if requested, by April 17, 20'14� for timely response to
the Claimant.
>Note:lf you have any information surrounding the incident giving rise to this Ctaim, please
forward it to me so that I may transmit it to the City's third-party Claims Administratars,
Carl Warren & Company.
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RACHELLE D. KLASSEN, MMC
CITY CLERK
Attachment (as noted)
�-. r��uimnur�uuwu>u
Klassen, Rachelle
From: Greenwood, Mark
Sent: Tuesday, March 18, 2014 2:59 PM
To: Kiassen, Racheile
Subject: Claim No. 742
Rachelle,
It is recommended that Claim No. 742 be denied as the tree in question had recently been properly trimmed to ISA
standard by certified tree workers under the supervision of a certified arborist.
Mark Greenwood, P,E,
Director of Public Works
City of Palm Desert
1
CITY OF PALM DESERT
r;�.;; y, ; aSSIGNED CLAIM N0.
CLAIM AGAINST THE CITY OF PALM DESERT C i T Y C�E I� � ,�;i
(For Damage(s) to Person(s) or Personal Property) �-�t.d i i"�( . ,;
Received by:
�01� ��� I 7 F���� I?: I 0
via: U.S. Mail Interoffice Mail Over-the-Counter
�
A CLAIM MUST BE FILED WITH THE CITY CLERK OF THE CITY OF PALM DESERT WITHIN 5IX
MONTHS AFTER VUHICH THE INCIDENT' OR EVENT 4CCURRED. BE SURE YOUR CLAIM IS
AGAINST ?HE CITY OF PALM DESERT, NOT ANOTHER PUBLIC ENTITY. WHERE SPACE IS
INSUFFICIENT, PLEASE USE ADDITIONAL PAPER AND IDENTIFY INFORMA'fION BY
PARAGRAPH NUMBER. COMPLETED CLAIMS MUST BE MAILED OR DELIVERED TO THE CITY
CT�ERK, 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 respectfully submit(s) the following claim and information relative to damage(s) to
person(s) and/or personal property:
1. CLAIMANT INFORMATION:
NAME�,Y �(�, ��C� � ,� �—L�JC.'��
ADDRESS — --
PHONE NO. � � "� D T OF BIRTH: " • '
SOCIAL SECuxt t Y NO. , - - DRIVER'S LIC N��S�NO.
2. Name, telephone number and post office address to which claimant desires notices to be
s�t, if other than above:
�i H � v �
Z _
3. Occurrence or event from which the claim arises:
a. DATE: Z9 j �,1, b. TIM E: ,�� �� c. PLACE (exact and specific
location
d. How and under what circumstances did damage or injury occur? Specify the particular
occurrence, event, act or ommission you claim caused the i 'ury or damage. (U�s-e
additional pa er if necessarX.) C
1
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e. What particular action by the City, or its employees, caused the alleged damage or
injury?
Page 1 of 2
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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 t e claim. If ther were no
injuries, state "no injur' s": �
5. Give the a e s) of t�City employee( causin t damage or injury: ��
�
6. Name and address of any other person(s) injured: �'��Q,,,�
7. Name and address of the owner of any damaged property: _���Q ,
8. Damages claimed:
a. Amount claimed as of this date: $ /�.� � � �- � �'
b. Estimated amount of future costs: $ pop , o0
c. Total amount claimed: $ '��,�,p�p. po
d. Basis for computation of amounts claimed include copies of all bills, invoices,
estimates, etc.): � !u� f
e � s
� s„�,�,v�.. � �a �w
9. Names and addresses of all witnesses, hospitals, doctors, etc.:�� ����► ���6�
ir� �r� cx��c�e_ `
— ��F � - � . �
I0. An�y�ad'�i�io al�n�or�mation, including police reports, which rnight be helpful in considering
this claim:
WARNING:IT LS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM! (PENAL CODE 72;
INSURANCE CODE 556.1}.
t have read the matters and statements made in the above claim, and I know the same to be true of
my own knowledge, except as to those matters stated upon information or belief as to such matters
[ believe the same to be true. I certify under penalty of perjury that the foregoing is TRUE AND
CORREC?. ��� � _, �,n � �
Signed this� day of ��� 0�, at )(��1()� � ��,.� .
�IGN U OF A A SIGNATURE OF CLAIMANT
�ffice of the City Clerk, Palm Desert, California DOC. NO."� DATE FILED ,�"�1'� �-�`�{~�,��
Page 2 of 2
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