Item 7 - Denial of Claims for Damages Thomas Fabianwicz AGENDA REPORT SUMMARY
· O: Honorable Mayor and Members of the City Council
FROM: James L. Bowersox, City Man~
INITIATED BY: John D. Fitch, Assistant City Manager~
Peggy A. Stewart, Director of Administ~ative\Servic~/
Douglas A. Milton, General Services
DATE: February '21, 1995
SUBJECT: Denial of Claim for Damages -- Thomas Fabianowicz
ABSTRACT
On January 16, 1995, Mr. Fabianowicz presented a claim to the City for damages to his
house allegedly caused by flooding during a rainstorm on January 6, 1995. The amount
of the claim is in the amount of $843.20. It is recommended that this claim be denied.
ENVIRONMENTAL REVIEW
This agenda item is not subject to CEQA review.
FISCAL IMPACT
Unknown
ADDITIONAL PUBLIC NOTIFICATION AND CORRESPONDENCE
None
RECOMMENDATION
It is recommended that this claim be denied.
ACTION
lof6
FEB 2 1 ~995 ITEM 7
- AGENDA REPOR?
CITY OF POWAY
This repor~ is included on the Consent Calendar. There will be no separate discussion of the ~epor~ prior to approval by the
City Council unless members of the Council, staff or public request it to be removed [rom the Consent Calendar and
discussed separately. If you v/ish to have this report pulled for discussion, please fill out a slip indicating the report number
and give it to the City Clerk prior to the beginning of [he City Council meeting.
TO: Honorable Mayor and Members. of~e City Council
FROM: James L. Bowersox, City Man~
INITIATED BY: John D. Fitch, Assistant City Manager
of Administrative Services
Peggy A. Stewart, Director Services Manage~
Douglas A. Milton, General
DATE: February 21, 1995
SUBJECT: Denial of Claim for Damages -- Thomas Fabianowicz
BACKGROUND
On January 16, 1995, a claim for damages was received from Thomas Fabianowicz. The
claim is for flood damage to his home on January 6, 1995.
FINDINGS
During heavy rain on January 6, 1995, a clogged storm drain is alleged to have
caused flooding in Mr. Fabianowicz's home. Flood damage is shown to be $843.20.
ENVIRONMENTAL REVIEW
This agenda item is not subject to CEQA review.
FISCAL IMPACT
Unknown
ADDITIONAL PUBLIC NOTIFICATION AND CORRESPONDENCF
None
A_CTION:
2of6
FEB 2 1 1995 ?
Agenda Report
- February 21, 1995
Page 2
RECOMMENDATION
It is recommended that the City Council deny this claim.
JLB:JDF:PAS:DAM:e9
Attachment: Claim for Damages - Thomas Fabianowicz
3 of 6 FEB ~ ! ~995 rri~ ? , ~
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A daim,must be�filed wftti the Gry Gteric or Rtsk Manager of�tho Ctty ot Poway wtthin:6 months a}ter which the
Inddent orovent oeamed. Be sure your daim.it:apainst,the C(ty ot Poway not;onother pubuc entlry. Where
spaee ia Msufficien� please use edditlona! paper and idenUfy,int'om�atlon by par�raph'aumber. Compieted
datma must be maited or detrv�ted io The Cfty of Pow�y,13325 Civte Conter Drhre,Poway, CA. �2064 ( P�O.
8azZ89'). Attr+: Risk Ms nager
TO THE MONORABLE MAYOR AND;CT'-COUNCIC, THE CITY OF,POWAYC�WFORNIA
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The undtntgned rospectfuily submits the following dalm anC informttlon:�tatfve to damage to.persons
snd/ot personai property: ,
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1. Name of daim ; ,' _ '+ , .-
�. /lddress.of Gaimant
Q Phone�No a Date o! 6irth
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d. Sociai Security No. tkiv�rs Uc:No. �. ,� v �.a
2 Name, telephone and post ottice address to whtcri daimant desires notfces ba be aent R other
�!i"an above:
3. Occurrencs or event irom which the.uaim ulses: .
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at. . Date �-,� . b. Time .���_ a Plau, ( oxaeC.and �3p�eifie loeatlon)
d Haw andunder what,circumstances did damaqe or injury oecuc? Specity the particuiar
acwrrence, eve_n� act o� omissiorn.you ctaim eaused the tnjury or damape (use
additiona! paperli necessary ).
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What; ar5yailar�utton t�ie Ci or fu e(n o
e• p by ty, yees, esused�the aJteged damage or
Injury,l
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4 of 6
FEB 21 1995 RE� �
4. GPv� a Atscrtptlon ot tf+e iny,,cy, �ppany, ��9 or losa. �o f�r°a- known at the tlme of this
� d'm. ft th�rq w�re no kyu :. st�te 'NO tryuriea.• .
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. 7; N�m� ?SdO�sss of th owner of any damepsd : .
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; B. Darrfages daimed:
a. Amount claimed as ot•thia;date; °� �•
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b. Estimated ambunt ot costs: a
a' 7ota1 amou`rtt claimed: s
d. Basis tor.coriiputation o�:amounts clsimed (. clude Copies of`all:b�7ta,invo(cos,:�stimates, eic) :.
D. Nam and addrou - t-811 witr�e es.,hos ilals. docton, �
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10. Any additional intormation miplit 6s , tul in ns', - r(no: daim: .
WARNING: 17 _IS A CRIMINAL OFFENSE TO FllE d FALSE CIAIM! (Pe�at Cod.e §72;
Inauranee Code ; 536,1 )
I'Nvo raad tho matteg and ststemer�tt�msda tn iho_above t�aun and'I know tl+o�6ame, to,bttruo ot'rtfy.own krowleC6e,
exeopc ae to,V+oae rriamR riated upon trAO_imat,on or botie! as tc axh n�tten I ps6w� Yio sartw Io pe yye. 1 ceRify unde
ptnaRy of.perJury"Uf6f ihs=fore;,olnp;:16;TRUE a� CORRECT. • -
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