Item 11 - Denial of Claim for Damages AGENDA REPORT SLTMMARY
· 0: Honorable Mayor and Members of the City Council
FROM: James L. Bowersox, City Manager
INITIATED BY: John D. Fitch, Assistant City Managerq'~'
Peggy A. Stewart, Director of Administrative Services_~
Douglas A. Milton, General Services Manager
DATE: January 10, 1995
SUBJECT: Denial of Claim for Damages - James E. Burroughs
ABSTRACT
James E. Burroughs presented a claim to the City in the amount of $364.48. The claim
is for damage incurred by his vehicle at Old Poway Park. It is recommended that this
claim be denied.
ENVIRONMENTAL REVIEW
Environmental review is not required for this agenda item according to CEQA guidelines.
FISCAL IMPACT
Unknown
ADDITIONAL PUBLIC NOTIFICATION AND CORRESPONDENCE
None
[ECOMMENDATION
It is recommended that the City Council deny this claim.
ACTION
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JAN 1 0 1995 tTE..'~ 1.. 1
'-- AGENDA REPOR?
CITY OF POWAY
This report is included on the Consent Calendar, There will be no separate discussion of the report pdor to approval by the
City Council unless members of the Council, staff or public request it to be removed from the Consent Calendar and
discussed separately, tf you wish to have this report pulled for discussion, please fill out a sEp indicating the report number
and give it to the Ci~/Clerk prior to the beginning of the City Council meeting.
TO: Honorable Mayor and Members of the City Council
FROM: James L. Bowersox, City Manager
INITIATED BY: John D. Fitch, Assistant City Manager~~f
Peggy A. Stewart, Director of Administrative Services
Douglas A. Milton, General Services Manager
DATE: January 10, 1995
SUBJECT: Denial of Claim for Damages -- James E. Burroughs
BACKGROUND
A claim for damages was received from Mr. James E. Burroughs of Poway on
December 19, 1994. The amount of the claim is $364.48. It is recommended that this
claim be denied.
FINDINGS
Mr. Burroughs claims that when he parked his automobile in front of the Hamburger
Factory at Old Poway Park, the vehicle bumper was damaged by a rod protruding from a
wooden curb (rail tie).
ENVIRONMENTAL REVIEW
Environmental review is not required for this agenda item according to CEQA
guidelines.
FISCAL IMPACT
Unknown
IACTION:
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JAN 1 0 1995 1'7~ 11
Agenda Report
January 10, 1995
Page 2
ADDITIONAL PUBLIC NOTIFICATION AND CORRESPONDENCF
None
RECOMMENDATION
It is recommended that the City Council deny this claim.
JDF:PAS:DAM:eg
Attachment: Claim for Damages - James E. Burroughs
3 of 7 JAN 1 0 1995 ITEM 11
vtsy va c vw:�y
CINM.AG/uNST THE:CtTY OF;P
D' � - � 0 �,� —
Received�by ,: - � DEC g
UsS..Ma71� � � � .
"tMar-0ffice A'Aaii ��
overthsCounter cRroF:aowAreisK ;�Y�,� ald
.
A;dalm must b� if�ed_with {he Gty Cierk or RLtk Manager of the;Cily<ot:Poway wfWn,6 mon atter which thi
incideni or.�evenEoccurred. Be sure your da�m;Es a�ainst tha Ck`y`of Powty., not enotherpub0e ar�tlty WherE
spaee ts InsufBden� Piease uss,idditlonal. Paper and:ideritffy lnforrnatlo�,,by:paragraph ewmber. Compl'etec
;datms.muat=ba ms�'ted or detivered'to Tho Gty`ot Poway.13325 Cf`vie CA. 92064 ( PA,
Box'789`).. Attr►:�Rtsk FAanager
70T}1E HONOAABLE iv1AYqR ANO CT( GQUNCII�TNE CITY'OF POWAY CAUFORNIA „
The imdera►gned tespectfuly submits the foilowing daim and infoanatlon�rttaUve tn damape to persons
andlorpersonal properry:
1. Name otdaimant •�//M,G 3 �..,, ��%%�/>'G v�`// `� �
� Add.ress ot'ciaimant
b. . PAOne No. a Date of btrtti
d Sociai Security No'. a• Drfivsfs<Ue No:_
2. Name, telephone and posto�ce.BQdre;s to which ciumant desires no�ces to be sent N other
plan above: _
3. Oc=urrence orevenfirom which:ttie•ciaim artses: . . � . ,
a. ., Date� b. Time y��3 �M a place ( exacf and speafic location)
P�1�K'i��� < � i � F2��T o r /��r_r���z,.� ,� Frf `/
d How^and;underwhat�circumstances did damage orin�u,ry oecur.4 Specity the particuiar
oecursence,:�verit, act or,omissian you cfaim caused vie in�ury or d�stisge (use
additional paper if'neceasary }:
?H� c�EFT r��ziNT GoR,�F� o F rri� ��M�3�� aN .M
��y��; M�o�7� h16 wh5 /7/(M/�G`/J R�/ T�F Il�CT/t/N//�v
��/1 v S:E,. To SFe v��,�' r�tf= wool�,�. N cv/�� ,
e. Wt�aiparJcuiar actton,by the City, or Its.empioyees, caused the aJleged dama9e or
injury? �
T/7`� �t bT.f �N/NC— tPGO �'✓h S N� T/��� V F. N/t< !,: T/T
wHy o�.N �;� T� TN�: c��>. r r A��T�OFn: �N/I=r.
-►� F�,,� �;��r��r ����r,� o r w`��r l�e�r, ��ti �;_
� O �; p, c ���-a S, 01 %? T�" : i'`G'''' /�fr: )��' =�^� 0/� l �!- N
�'� ✓.,v , /-,-y ,y• . .. � , !r/.•'. ' G•� %�? ) �AN 1 0 1995 i`;�iL� 1
C._
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L ~ount ~med ~ of ~ ~te /~ ~/~
c · To~ ~ount
B~is for ~o~ of ~ou~ ~med ( In~u~e ~es of ~1 b~s.in~ices, ~mates, etc
=
WA~NING: ~ IS A C~IMINAL ~FF~SE ~O ~LE A ~A~E C~IMt ~en~! ~od~ ~72;
Insurance Code i 656,1 )
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DAMAGE REPORT BURROUGHS
1'2/S9/•9.4 at 1A:49 D.R._ 13712-0011220
AA-4060 Est': @. ADAM
JOHN HINE,COLliISION ;CENTER
°.I'GO.T:Mi�1E AT HTNE "'
1545 CAMINO.D�L RIO SOUTH
SAN DI•EGO., CA 92108=
(619) �9
Owner: JIM�,BURROUGHS Day Phone: ( )
Address:' Other Ph: ( ) �00
Deductible: $ N/A
Snsurance Co.: Phone;
Claim No.:CUSTOMER PAY Adj.:
94' MAZD LX SED BLUE MET 6-2•.5L-FI
Vin: Licerise: � CA Prod'Date: 10/93 Odometer: 346;
5 speed.transmission Power steerir•.c; Power brakes
P,ower windows Power locks �Power antenna
Power mirrors Tinted,glass Body side moldings
Dual mirrors Air conditior,i�q Rea= defogger
Tilt wheel Cruise contrc�, Am Tadio
Fm radYo Stereo Cassette
Driver airbag Passenqer ai:::ag 4' wheel disc brakes
Cloth seats Hucket seat:: Recline/lounge seats
Alloy wheels Clear coat p.��ir,t Metallic paint
--------------------------------- --
REPR/ , PART LBR PAINT
NO. REPL DESCRIP.TION'OF DAI'4AG'_: QTY COST HRS HRS MISC
-------------------------..__-__^---^-------------------------�-----------------^
1 FRONT BUMPER & LF:MPS
2 Repl 0/H Front Bumper 1 2.-0
3* Repr Cover 1 �.0 2.5
4 Add for : Clear Coat 1 1.0
5* MATCH & SLEND 1 1.0
6* FLEX COAT 1 T 8.00
7* APPRX. 3 WRKG DAYS T^ 'tEPAIR 1
Hazardous Wa§te Remava; cee 1 X 2.00
----------------------------�------------------- -- -
$ubtotals =__> 0.00 7.0 3.5 10.00
0 � � � ,��
n<<� Q �
�- � .
�� QF ?OWFY RtSK MANAGEMENTj
Fa;r= : 1 .
JAN 10 1995 ��� 11
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DAMAGE REPORT BURROUGHS
12/19/94 at 10:49 D.R. 13712-0011220
AA-4060-N Est: C. ADAM
- JOHN HINE CCLLISION CENTER
" I GOT HI!,~E AT HINE "
1545 CAMINO DEL RIO SOUTH
SAN DIEGO, CA 92108- - ....
Par%s (Subject to Invoice) 0.00
Lakor 7.0 hrs $ 28.00/hr 196.00
Paiut 3.5 hfs $ 28.00/hr 98.00
Paint/Materials 3.5 hrs $ 16.00/hr 56.00
Sublet/Misc 10.00
SU: 7OTAL $ 360.00
?ax on $ 64.00 at 7.0000% 4.48
GRA'.~ D TOTAL $ 364.48
INSURANCE PAYS $ 364.48
THIS REPORT i$ BASED ON OUR INSPECTION AND DOES NOT COVER *~;DITZO~AL PARTS OR LABOR UHICH HAY BE REQUIRED AFTER THE
~ORK HAS BEEN STARTED. NATURALLY THIS REPORT CANNOT COVER SUCH C:~NT[NGENCIE$. PARTS PRICES SUBJECT TO CHANGE %4ITNOUT NOTICE.
THIS ESTIMATE IS FOR ~MMEDIATE ACCEPTANCE.
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Non-aNtcc{-::': i tem~ are derived fr~m the Guide IRH5435. Database Date 9/94
Double asterisk(*') items indicate part supplied ky n ~.'..piler other than the original equipment manufacturer.
EZEst - A product of CCC I:.fcn,,otion Services
'-~ Pacjc: 2
JAN 1 0 1995 IT~-M 11
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