HomeMy WebLinkAboutClaim 744 - D.Fort �
CITY OF PALM DESERT
CITY CLERK DEPARTMENT
STAFF REPORT
REQUEST: CLAIM AGAINST THE CITY (#744� BY DONNA FORT IN AN
UNSPECIFIED AMOUNT
SUBMITTED BY: Rachelle Klassen, City Clerk
DATE: June 12, 2014
CONTENTS: • Staff Report
• Recommendations of Claims Adjusters and Staff
• Claim No. 744
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: pproved:
RA HELLE D. K SSE , MMC OHN M. W LMUTH
CITY CLERK ITY MANAGER
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Attachments (as noted) CITYCOUNCII.A N
APPROVED DFNiED
RECEIVED OTHER
MEETING DA ' Z��
AYES.
NOES:
ABSENT: 1J'� -
ABSTAIN:
VF.RtFIED BY• QD{=r YIYY�
Original an File with City Clerk's Office
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C���� �pA��IERK SfOFFiCE
M DESERT. CA
CARL WARRF.N 8� COMPANY
��air7�s Management an� Seiuti.;ns 20�{ MA1' I9 pM�; cJs
May 12, 2014
TO: City of Palm Desert
ATTENTION: Rachelle D. Klassen, MMC, City Clerk
RE: Claim : Fort v. Palm Desert
Claimant : Donna Fort
Member : City of Pa1m Desert
Date Rec'd by Mbr : 5/9/14
Date of Event : 1/29/14
C W l��ile NLimber : 18859$1
I'lease allow this cc�rrespondence to acknawledge receipt of the captioned claim. Please take the
folic�wing action:
• CLAIM REJECTION: Send a standard rejection letter to the claimant's
attorney, Stephen L. Cooper, Esq.
Please include a Proof of Mailing with your rejection notice to the claimant. An exernplar copy
01�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
CARL WARREN& COMPANY
�;cha rd ]�. Ma rc�u.e
Richard D. Marque
Supervisor COPYTO_��• �r'�..���
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AN EMPLOYEE-OWNED COMPANY ��"E=`� �9-�`�_�______..
770 S. Piacentia Avenue i Placentia, CA 92870 �
P. O. Box 25180 i Santa Ana, CA 92799-5180
www.carlwarren.com i Te1: 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 BUILDING & SAFETY, RISK MANAGER
FROM: CITY CLERK
DATE: MAY 9, 2014
SUBJECT: CLAIM NO. 744 - CLAIM AGAINST THE CITY BY DONNA FORT IN AN
UNSPECIFIED AMOUNT
The attached Claim No. 744 is being transmitted to you for the foilowing:
❑ 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 June 9,20'14,for timely response to the
Claimant.
Note: If you have any information that would help in the processing and adjudication of this
Claim, please forward it to me so that I coutd transmit to the City's third-party claims
adjusters, Carl Warren & Company. r,�� i ;'-i- 4�
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RACHELLE D. KLASSEN, MMC
CITY CLERK
Attachments (as noted)
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BUILDING & SAFETY DEPARTMENT � ��c
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INTEROFFICE MEMORANDUM !'� c��;
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To: Rachelle Klassen, City Clerk
From: Russell A. Grance, Director of Building and Safety
Date: May 12, 2014
Subject: Claim No. 744 — Claim against the City by Donna Fort in an unspecified
amount.
I performed a site inspection on May 12, 2014 at World's Gym located at 72-840 HWY
111, Westfield Mall. The raised area (see attached photos) referenced in the claim is an
electrical curb (raceway) constructed to house the electrical circuits providing power to
all the treadmills. This installation does not violate the building code. The installation of
the electrical chase curbs still provides an accessible path of travel for circulation
purposes throughout the facility.
Therefore it is my recommendation that the claim be denied. Should you have any
questions please feel free to give me a call.
. ' ,
� CiTY OF PALM DESERT
�2EC�IVED ASSIGNED CLAIM N0.���
CLAIM AGAINST THE CITY OF PALM DESEI2T���Y '������S OffIGE
PAIM DES�RT. CA
(For Damage(s) to Person(s) or Personal Property)
�B�R MAY �9 AM 9� 4 I
Received by: -� A//t� �t/F��;
via: U.S. Mail Interoffice Mail Over-the-Counter ,t�-�'"��
A CLAIM MUST BE FILED WITH THE CITY CLERK OF THE CITY OF PALM DESERT WITHIN SIX
MONTHS AFTER WHICH THE INCIDENT OR EYENT OCCURRED. BE SURE YOUR CLAIM I5
AGAIMST THE CI'fY OF PALM DESERT, NOT ANOTHER Pl3BLIC ENTI1'Y. WHERE SPACE IS
INSUFFICIENT, PLEASE USE ADDITI�UNAL PAPER AND IDENTIFY IIVFORMA7I4N BY
PARAGRAPH NUMBER. C�MPLE'TED CLAIMS MUST BE MAILED OR DELIVERED TO THE CITY
CLERK, CITY OF PALM_DESERT, 73-510 FRED WARING DRIVE, PALM DESERT, CA 92260.
T(j 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,,,,Dp/V/l� ,�1 ��
ADDRESS _r.
PHOPJE NO. (���) DATE OF �i.IRTH: ' ��� �
SOCIAL SECURITY NO. - � - DRIVER'S LICENSE NO.
2. Name, telephone number and past office address to which claimant desires notices to be
sent, if ather than above:
.-S"�"� ' �l � . 1'(�
.� �a�z.�n� ,ti1 �-c`l2--
;76r�- �Z7� -s!�1'7
3. Occurrence or event from which the claim arises:
a. DATE: �___''��- f� b. TIME: •2a�/�, c. PLACE (exact and specific
location�- . � r -?�s�a {lw «< ��.,�7�t�
c.�J r='_s7"1=l�L- /^��1 L
d. How and under what circumstances did damage or injury occur? Specify the particular
occurrence, event, act or ommission you claim caus d the injur r�or dama e. �(Use
additional paper if necessary.) Lx�r�u I FF' �c�rvN /2�
�llt � � — N e4� 1
�iFl=�c,A�...; '�'.n .s�� -t �✓
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e. What particular aetion by the City, or its employees, caused the a!leged da�age or
in' ry? f.= e Ty. � tr �..� 1a�'�( i4J2 � ��i/SLzd��'
G � ) NNXI � �2 l Ql"� /�,�,1�
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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 pres ntati n of th claim. f there were no
injuries, state "no injuries": ��nnQ, �p�- �p�.�o(1�-��ius�-',
5. Give the name(s) of the City employee(s) causing the damage or injury: �i?�i'1ot,��
6. Name and address of any other person(s) injured: �� �/1D �e•J�
7. Name and address of the owner of any damaged property: /Y �
8. Damages claimed:
a. Amount claimed as of this date: $ t7L�"2 �Sb,bo�
b. Estirnated amount of future costs: $ ,n�,r,� ,-� 7- N�,g �-
c. Tota1 amount claimed; $...Z'� k E�..t �" .,�s'a aG0
d. Basis for comput tion of amounts claimed include copies af al! bills, invoices,
est��tes, etc.): r3n �2^i S +� S£.V�Y1.�'' IN..7 6t('y "Tjj f,!�.-
r w� 1 � c. s r
F NEr2 t1FF,
9. Names and addre�,ysse "�of�al witnesses, hospitats, d ctors, etc.:
�1 S .n�i p"����C.�X �+'t'S� n Yh'1
G i�r��c. - s".3 /'`. +9 /r"' o ZZ7
c .�,. - .� S-i-. .S L w► s 11
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10. Any additionai inform�{t"on, includi�g police reports, which might be heipful in considering
this claim: /CJ C� ot1�
VUARNING:IT LS A CRIMINAL OFFENSE TO FILE A FALSE CLAiM! (PENAL CODE 72;
INSURANCE CODE 556.1).
I 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
I believe the same to b� true. I cer#ify under penalty of perjury that the foregoing is TRUE AND
CORRECT. , �� w_ �
Si ed this'�_day of ,� �.ti.; ,20�, at _;������1�.. ,���`;'�_�;�.�
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IGNATURE OF CLAIMAINT SIGNATURE OF CLAIMANT
Office of the City Clerk, Palm Desert, California DOC. NO.-'�� DATE FILED��t.�-
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