Item 28 - Denial of Claim � _.
AGENDA REPORT� �'�'�� oF o,�
��� �r
� CITY OF POWAY �
This report is induded on the Consent Calender.There will be no separate discussion of the report prior to approval by the T — -_—
Ciry Council unless members of the Council,staff or public request it to be removed from the Consent Calendar and yF.( „ ,. ?t
diswssed separatety.If you wish ro have Nis report pulled for discussion,please FlII out a slip indicatiog the report number >r�"�,� 7HE`�'
and give it[o the Ciry Clerk prior to the beginning o(the City Council meeting.
TO: Honorable Mayor and Members of the City Council
FROM: James L. Bowersox, City Mana�ek�
���
INITIATED BY: Peggy Stewart, Director of Administrative Services
Douglas A. Milton, General Services Manager�'
DATE: January 26, 1993
SUBJECT: Denial of Claim for Damages - Teresa Boyer
AHSTRACT•
On December 18, 1992 a claim for damages was received from Ms.
Teresa Boyer. The amount of the claim is $2000. 00. Zt is
recommended that this claim be denied.
BACKGROIIND•
Ms. Boyer claims that when driving through the parking lot of the
former Longs Drug Store her auto struck a concrete base. The
base normally holds a light pole. There was no light pole on the
base at the time of the incident.
FZSCAL IMPACT•
Unknown
RECOMMENDATION•
It is recommended that the City Council deny this claim.
JLB:PS:DM:bs
Attachment
ACTION:
1 of 3 dAN 26 1993 ITEM z8
L.
City Of 'Poway
CUUIJI'11GAtN5TTFIE C1TY OF POWAY'
CkAC's Time Stamp
Received by vis
U:SC Meil � ' :
` �IftBf-0ffIGQ,M31� �
Dver.the Counter f �'12'Q.3-0 .3�
A ctafm musi be filed with the�Gtty�Clerk;o� i�isk AAanager ot-the Gry ot Poway within 6 months afterwhich tf�e
Ineident or event ocwrred. Be sure yourelalm fs:apainst'the City oi Poway, not anottierpubiic entlty. Where
space Is insutfideni, ptease u,e add�Uonai;paper snd ideritiy InfortnaUon Oy;parapraph:number, Completed
Gatms,must�be matled or delivered to The-City ot Poway, 13325 CFric Cenfer'Orlve,Poway, CA.92064 ( P.O.
Box 788'). Attn:Risk Manager
TOTFIE HCNORABLE NWY�EI AND CIT1C COUNCIL,THE'CITY OF'POWAY CAUFCRNIA - „
The:undersigned.respectfuily submits the toilowing clalcn and tntormaUon relatNe to damage to persons
andlor personal ptoperry: •
7. Name oYGalmani • ,Q'r . .
a Address ot GaimanY
b. . Phone No. ' c Date ot:biRh
d. Sodal Security No Drivers Uc. No.
2. Name,telephone and post otfice=address to which da3mant desires notices to be sent if other
fhan above: ,
• --�'
3. Cecurrence orevent from which the claim arises: . • . ,
a . Date(��^�b. Time, ' 4 �- � �e. Place (ezact:and apeeific focatlon)
��S"3� ��Q� '��Vt ' C`1��� Ov�� �aS'�" S l D�t E�L�v.c�t nR,1As
d. How and under what �i�cumstancesdtd dama e oFinjury oecur7 8pecitj+ the particular
9.
oecurrence, event, act or;omission you claim caused tne�injury or'damaQe (use
additional paper it necessary).
�(Zck�: ti2'� �:o-E' /x h � �ir:�_. n�' MD -���vt�.�12.a-.. t��iS
�ew�.�,ti-� e-���a2 ,�. �� g . �.i� .a-t� � �d
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lal,ld Y1 t� � c�c;�r�v� vi �.�,c nh�,� Si� ,�•r ✓1 apou..u.� ►�',,
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e. What;par5cularacUOn°by the City, or its employees, caused the alieged damsge or
injuryl �
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Q(` Y1c� v�x�x�+n v� w �-� �-�-s t� �-��o ►�, ,
z of 3 _. _ .�AN 261993 6TEJIA 28
4. Give a deacrtptlon oi the inlury, property damage:or loss,so faras is known ai�e:tlme ot this
dalm. tf lhere were no injuries,atate 'No Injuries''TcLkC��e,J YY�O�t'i v� o r' '�w�9'1,
- �' W41 ' m �C �.
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5.n Give name(a) o}the G employsa{s) nusing the damape or tnjury:
/ � � � � ���.t..90.v�• 1
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5. � Name and add� oi any other per�on InJured:
7. Nartfe and address ot the owner ot any damapeC property:
�2r� vY1.
8. Damapes claimed:
a. AmouM claimed at ot:this date
C. Estimated amouni o}future costs: S - '
c • Totat amount clatmed: � � D U �
� `lB1asts for computabom of amounts daimed (in ude copies'ofail bfis.invoices, estlmates, etc) :
�TY�`21K. Q:'�0.c.�i�r��0 ��u,�t vr.a�_� .��
9. Names and addresses of all w(tne es: nospitals, tloctors ete.
_ ������ ���-l. ��(L�o�, S
a 'C�Jt , 'E-
G
d
!0. My additional in�ortnation mipht be helptul In eo iderinp this daJ�:
• Y_ 1'Y1u YriD'�'��2r �l So►,n.ei-tniv��., �12 �`1�2r'
. _ � ,' o .. • � m�a�.el5�
WARNINGc IT IS A CRiMINAL FFENSE TO FILE A FALSE CLAIMI (Penat Code §72;�� =
Insurancr Code § 556.1 )
1 hsvo mad the maEers and statemerts made In the aboye da►m and I know the tame to be true of my own krowted�e.
exeeW°as,to those,matters�tated,upon tritorination or.tieliel'aa to;uch'matters 1 Delieve Ux same to be We. I certify und
penahy, ot'pl�jury that.the tOre;oinp is'TRUE ind CORRECT. • •
s�nea uas slD1,;� aay or /o � _,8 9�. ,at PA�4..s..� .C'.,�'� 1�'0�6 6 C�
• C�r�,s.e�- �ll. � n,1�
• C4aimanYS 5ignawre
O[fsce of the CityClerk
Powby.Calttomia .
- DOCUMENT�O. F1LE0
s of 3 dAN 2 6 ]993 ITEM 28