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CC - Item 4B - Reject Claim - Elizabeth Kailbany M r 4. 2 �Y \. staff eport TO: HONORABLE MAYOR AND MEMBERS ROSEMEAD CITY COUNCIL FROM: NANCY VALDERRAMA, CITY CLERK DATE: SEPTEMBER 23, 1999 RE: AUTHORIZATION TO REJECT CLAIM AGAINST CITY—ELIZABETH KAILANY BY MARY ACOSTA, PARENT The attached claim was received in my office on July 22, 1999. A copy was sent to the City's claims adjuster, Carl Warren& Company on July 28, 1999. Carl Warren&Company sent a notice on September 23 1999, recommending that this claim be rejected by the City. RECOMMENDATION It is recommended that the City Council approve the rejection of this claim and authorize a letter of rejection be sent to the claimant. Attach. COUNCIL AGENDA SEP 2 81999 ITEM No. -IV-. JOE VA.O E PMAYR � T �'1 p 1 �VITi)S(l 4Y MAYOR PRO TEM MA , (_ \/ MARGARET GLARX couxaLMSMRERs 8838 E.VALLEY BOULEVARD• P.0.BOX 399 tiety ROBERT enurs ry ROSEMEAD,CALIFORNIA 91770 JAYT IMRERIAL TELEPHONE(626)288-6671 GARY A TAYLOR FAX(626)307-9218 July 28, 1999 Dwight J. Kunz Senior Account Manager 750 The City Drive, Suite 400 Oranee, CA 92668 RE: MARY ACOSTA Dear Mr Kunz: The attached Claim for Persona] Injuries was received in my office on July 22, 1999. The City does not have any prior information on this claim. Please advise as to the steps you wish to take in this matter. Sincerely, NANCY VALDERRAMA City Clerk Attachment cc: City Attorney dailms:adilva • FILE WITH: CITY CLERK'S OFFICE CLAIM FOR DAMAGES RESERVE FOR FILING STAMP TO PERSON OR PROPERTY CLAIM NO INSTRUCTIONS RECEIVED 1.Clais for death,injury to person or to personal property must he fled not later than six CITY OF ROSE months atter the occurrence.(Gov.Code Sec.9112.) 2-Claims for damages to real property must De filed not later than 1 year after the occurrence. JU` 2 �ggg (Gov.Code Sec 911.2.) a Read entire claim form before filing. 4.See page 2 for diagram upon which to locate place of accident CITY CLERK'S OFFICE 5.This claim form must be signed on page 2 at bottom. 6Attach separate sheets,if necessary,to give full details.SIGN EACH SHEET. Date of Birth of Claimant TO: City OF ROSEMEAD, 8838 E. Valley Blvd. , Rosemead 9177D g - ZI - - i Name of Claimant dA Occcupation of Claimant !l'Jary costa, city'le- Home Address of Claimant City and State Home Telephone Number 3R03 44411, 1 S13 - 6981 Business Andress of Claimant City and State Business Telephone Number Give address and telephone number to which you desire notices or communications to De sent Claimant's Social Security No. regarding this claim: ( 68/3 C1 2_I _ .�� D o •Rt? f�-+hnI - &tic- di1A P (4 91706 -65.17 5 When diq DAMAGE or INJURY occur? 'Names of any city employees involved in INJURY or DAMAGE .� Date -l '`j9 Time 1,Z :Od If claim is for Equitable Indemnity,give date claimant served with the complaint: Date Where did DAMAGE or INJURY occur?Describe bully,and locate on diagram on reverse side of this sheet.Where appropriate,give street names and address and measurements from landmarks: At/ -Hie park OYIN(lsSior' VvA,/t: (la9tn'a/ on Me i nter/ ba rT Describe in detail hvMthe OA MAGE or INJURY occurred.' � ��d 5�� ohy r 7lt e /110//Key JaJ' 44uGl /C (A)C1..-53 y Y At, fc// dajn rim' broke /e ro;, Jr l� , sse -U_ du,- / y daughters y1u"ne ks Ear -zabefl, ka , Why do you claim the city is responsible? .l {,� e dma�e GPcui%/ o '1 die C/17 ID 44JA t rJ sto /1 Ac,/ hU daifyhr tial us- ac E �f ✓ Gr_ �fN Describe in detail each INJURY or DAMAGE // g dJ _ � 4 1414e✓) n y dna AJIC/r ung A tied a.441 Gornp/u,oei c� n ,"n Ae �,. f re lCrn, . j X 01- 14,051141 SEE PAGE 2(OVER) THIS CLAIM MUST BE SIGNED ON REVERSE SIDE The amount claimed,as of the date of presentation of this claim,is computed as follows: Damages incurred to date(exact): Estimated prospective damages as far as known: H Damage to property $ Future expenses for medical and hospital care _ 5 Expenses for medical and hospital care $ 7%C. b ' Future loss of earnings $ Loss of earnings $ Other prospective special damages S Special damages for $ Prospective general damages S Total estimate prospective damages $ O General damages $ Total damages incurred to date $ /%5' H D Total amount claimed as of date of presentation of this claim: $ if: ,FS s- f -- Was Was damage and%or injury investigated by police? 40 Il so.what city? Were paramedics or ambulance called? Pic/ If so,name city or am ulance _— II injured,state date,time,name and address of doctor of your first visit _ ,L.7-. • `/' m fes. zSfa✓ -- l / / Sp. > /41/e.ansef f /t. Ix/ �vrna .SCA 9/790 WITNESSES to DAMAGE or INJURY:List all persons and addresses of persons known to have information: Name CLtrm>pi 4/,rc4i- Address Wei? A j-4,..1 ch Q,d:/„ 4 (aA,(4 Phone Z-61/3 -b`/8 Name Address Phone Name Address Phone DOCTORS and HOSPITAL, /. / q Hospital Qi.f@L/1 'r YhC (�GL/1Pi7 Address 1115 50. sans('f !�. CO✓�✓li, Date Hospitalized b4-/L-/ 9 Doctor . Pu S Mr Address //LC Su Siuis&I. RA Lei1/42,-- /e Z q-- Date of Treatment -/ - `) Doctor /Jri. /?G✓yo kb Address f•Y50 SARIYA"f'✓c7. -,/,;'80 Date of Treatment L 'i 7- 9 $ eke//ohr:, iostlr—( Los i`n,yt/cs G7t 9aoz1 7-r- 9 7 READ CAREFULLY For all accident claims place on following diagram names of streets, or your vehicle when you first saw City vehicle;location of City vehicle including North,East,South, and West; indicate place of accident by at time of accident by"A-1"and location of yourself or your vehicle at "X" and by showing house numbers or distances to street corners the time of the accident by"B-1"and the point of impact by"r: If City Vehicle was involved,designate by letter"A"location of City NOTE: If diagrams below do not fit the situation.attach hereto a proper Vehicle when you first saw it, and by "B" location of yourself diagram signed by claimant. .../(1/;/. _ — SIDEWALK / CURBS J \\ CURB / PARKWAY \ / SIDEWALK \ • • 7 _ — • Signature of Claimant or person filing on "--- Typed Name: Date: his behalf giving relationship to Claimant: n /a AIWA 4W, /nJ, V AULSla l 4� NOTE:CLAIM MUST BE FILED WITH CITY CLERK(Gov. Code Sec. 915a). Presedtatlon of a false claim is a lelony(Pen. Code Sec.72.) - :3�yC /O� nSG6 <Yoq /5c257o sS CARE' ACCOUNT D DR. AMOUNT IL�Ln'I HLLLIVILIIWM NUMBER M RECEIVED NUMBER v pediatric MANAGEMENT - GROUP • University Children Medical Group • Pediatric Critical Care Medical Group 6430 Sunset Boulevard Suite No.600 Los Angeles,California 90028 RECEIPT /L--L- " nr FAIN nir nCORDS FOR YOUR RECORDS 9 8566 i3z5/07 - - /o/.Z,)Y8/29 Pet /3250 07/7 iai IkAl Axlit/k7o7.,. CHECKS OR ACCOUNT � DR. AMOUNT RECEIPT RECEIVED FROM DATE PATIENT NAME BANKCARDS CASH NUMBER I p RECEIVED NUMBER V. pediatric MANAGEMENT GROUP • University Childrens Medical Group • Pediatric Crlticel Care Mcdicet Group 6430 Sunset Boulevard Suite No.600 Los Angeles,California 90028 ///��.��, RETAIN THIS RECEIPT RECEIPT %oakaos FOR YOUR RECORDS 98429 - _ • 25/07 x3.77 /4 /T/ Meta 13,25/P7 b,M 4i/A4>' f/; zot6efit ACCOUNT PAY AMOUNT RECEIPT OVER —7 NUMBER CLASS RECEIVED NUMBER RIDE RECEIVED FROM DATE PATIENT NAME 1 I ICI?) CHILDRENS HOSPITAL LOS ANGELES 4650 SUNSET BOULEVARD LOS ANGELES, CALIFORNIA 90027 ChildrensHospital LosAngeles /J PREPARED BY: Pt FRSF Rr TEIN BRCS ST ' CAT 46A783 FOR YOUR RECORDS. MAKE CHECKS PAYABLE TO: ., c7 CREDIT R cPH ces kA Cr U .nrt NADEL. ROSEN AND MILLS, INC. CHOICES HOMER FI, R. AMn Rr f•0 uu< Oen West Covina, CA 91793-0628 SIGNATURE EXP.DATE Affni INT NUMBER I STATEMENT DATE I PAT THIS AMOUR 01505662 07/02/99 44.00 PHONE (626)960-3957 95-2657712 SHOW/MOUNT PAID Nees SERVICES RENDERED AT QUEEN OF THE VALLEY HOSP S . .. ADDRESSEE: REMIT TO: :. BWNDRNO CO28 91706 #BLSNA00150566206u II,I,„„III,p,II,L,..II. I,nL , „1 L,.II,. ,II„I„I,I,I IIJ TIL„TIL.,,II,,.M.I„L,„II„II,II,,,,,ILI,I„I NADEL, ROSEN AND MILLS, INC. MARY ACOSTA PO Box 628 3803 ATHOL ST West Covina, CA 91793-0628 BALDWIN PARK, CA 91706-3813 • 0 Please check Dox if above address is incorrect or insurance --T'aMM�++a infoaria!Ian has than}ed and iOd,caf¢, PATIENT NAME ACCOUNT NO. STATEMENT DATE PHONE KAILANY, ELIZABETH 01505662 07/02/99 626/813-6981 SERVICE DESCRIPTION DX CODE AMOUNT DATE PROC. COD 813.42 44.00 06/12/99 01 73110-26 WRIST,COMPLETE i I I ' PHYSICIAN PERFORMING SERVICE =A REFERRING PHYSICIAN THOMAS R 44 VAN DYKE MD,ALEXAND SANDERS MD, Puce of SERVICE BIRTHDATE PLACE OF QUEEN OF THE VALLEY HOSP 2 INPATIENT HOSPITAL SERVICE: 1115 S SUNSET AVE iEOrAl EMERGENCY ROOM 01/08/92 5 OFFICE WEST, CA. 91790 E.NURSING HOME T OTHER FILE A CLAIM WITH YOUR INSURANCE CARRIER OR CALL THIS EMPLOYER: OFFICE WITH YOUR INSURANCE INFORMATION. PRIMARY INS: SECONDARY INS: Page 1 of 1 NOTE __ rte. CITRUS NACU.\' ML:UICAL CENTER Qicen of the Valley Campus DEPT 66725 EL MONTE CALIFORNIA 91735-6725 (626)014-0333 T IN11YI MJ-•n onv IM ru !on1 vn xuMBER 06/12/99 06/12/99)022779326 PAGE 1 PATIENT: KAILANY, ELIZABETH ER FINAL INSURANCE CO: IRS#95-6006469 ACOSTA,MARY 06/16/99 3803 ATHOL ST MEDICAL RECORD: 000505662 BILL TO BALDWIN PARK CA 91706 BALANCE SHOWN IS AS OF THE ABOVE DATE.PAYMENTS AFTER THIS DATE WILL APPEAR ON YOUR NEXT STATEMENT. DATE MO DAY m DESCRIPTION CODE QTY RVS/CPT CHARGES 0612 99 BANDAGE TRIANGULAR 4050098435 1 27. 00 0612 99 SPLINT,LONG ARM 4083000041 1 25. 00 *** 271 NON-STERILE/SUPPLY *** *** 52 . 00 0612 99 LEFT WRIST COMPLETE 4 VIEWS 4140002145 1 73110TC 156 . 25 *** 320 DX X-RAY *** *** 156 . 25 0612 99 UC VISIT INTERMED LEVEL2 4083000017 1 99203 125. 00 *** 456 URGENT CARE *** *** 125 . 00 ::UL: TOTAL CURULiNT CIIARCEJ JJJ . _5 TOTAL LIABILITY 333 . 25 • /�� BALANCE 333 .25 Crtuus VALLEY MEDICAL LEVER p .yk DEPT S6725 EL MONTE.CALIFORNIA B17356725 (636)s14A333 1 Ir mu er MAMIILAPILP r CK CAPD US NG^FUN PAYMLN AMERICAN EMERG PHYSICIANS MED Lae --il MAsFNURT L v A P.O. BOX 187 .LARD N.,MRrn jAMOMm WEST COVINA, CA 0187 -SIGNATURE FETA FETA DATE 5867 PHONE NO: STATEMENT DATE I PAY THIS AMOUNT ACCT.N 800 480-2036 OFFICE HOURS: 8:30 A.M.-5:00 P.M. MON-THURS 7/09/99 283.63 00135157 IRSP 954194045 Page: 1 SHOW AMOUNT PAID HERE Eldlllll1111,11111.1IHtJllllllll.IELJ1E,IENHd6LL II MARY ACOSTA AMERICAN EMERG PHYSICIANS MED 3803 ATHOL ST P.O. BOX 187 BALDWIN PARK, CA 91706-3813 WEST COVINA, CA 0187 1 EL 111 YE 1111 L B LI Y®L IE L L 1 Il%ease check hox it address Is incorrect or Insurance STATEMENT PLEASE DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT U Inlolmanon has changed,and indicate changelsl on reverse side. F-ESMIv'6 ran r DATE PLACE CPT DESCRIPTION 'DIAGNOSIS AMOUNT • 1'HL VluUU aAL:UULt. 06/12/99 4 2560D FX-DISTILL FACIAL,CLSD,W/O REDTJC 81342 283.63 • • • PATIENT ACCOUNT N I ATTENDING PHYSICIAN AMERICAN EMERG PHYSICIANS MED ELIZABETH KAILANY 00135157 VANDYKE,ALEX M.D. P.O. BOX 187 SERVICE DATE I ADMISSION DATE I DISCHARGE DATE i LOCATION OF SERVICE WEST COVINA,CA 0187 06/12/99 CITRUS VAL MEO.CTR.IFP/FTI 800 480-2036 MESSAGES PHIMAHY INSURANCE PLACE OF bEHVICE ••"THIS IS THE PHYSICIAN* BILL ONLY•"• CASH 1.INPATIENT HOSPITAL S.OFFICE PLEASE SEND PYMT,INS INFO DR MEDICAL 2.OUTPATIENT HOSPITAL 6.NURSING HOME CARD TO THE ADDRESS OF THIS STATEMENT SECONDARY INSURANCE 13.DOCTOR'S OFFICEVND LAB 7.OTHER AS WELL AS TO THE HOSPITAL. THANK YOU. I4.EMERGENCY ROOM B.CLINIC I I I TOTAL AMOUNT DUE STATEMENT DATE CURRENT 3D-60 DAYS 60-90 DAYS I 90-120 DAYS 7/09/99 283.63 .00 .00 .00 283.63 5867•56J151NVAD01O10 RECEIVE!? August 2, 1999 CITY OF ROSEMEhD AUG 51999 CITY CLERK'S OFFICE TO: City of Rosemead Al IENTION: Nancy Valderrama, City Clerk RE: Claim Acosta v. City of Rosemead Claimant Mary Acosta D/Event 12-Jun-99 Rec'd Y/Office : 22-Jul-99 Our File S-101203-MRQ We have reviewed the above captioned claim and request that you take the action indicated below: • TAKE NO ACTION: Defer any written response to the claimant pending our further advice. If you have any questions please contact the undersigned. Very truly yours, CARL WARREN& COMPANY Dwight J. Kunz cc: CJPIA w/enc. Attn.: Executive Director CARL WARREN & CO. CLAIMS MANACEMENT•CLAIMS ADJUSTERS 750 The City Drive•Ste 400•Orange,CA 92868 Mail:P.O.Box 25180•Santa Ana,Ca 92799-5180 Phone'(7141740-7099 Fvr ten-ranm ov Cone_._.,-........_..- Ce: '7176 TZECEES` I p CITY OF ;.... �_ „' , AUG Z 31999 CITY CLERK'S OFFICE GOVERNMENTAL ENTITY PRELIMINARY REPORT TO:Carl Wane Company DATE: 08/17/99 750 The 'ity Drive, Suite 400 Oran!' CA 92868 CLAIMANT: Elizabeth Kailany by Mary Acosta,parent and guardian FILE NO: S101203 MRQ D/EVENT: 6/12/99 FILING DATE: 7/22/99 SIX MOS.: YES PRINCIPAL/CITY: CJPIA/City of Rosemead RECOMMENDED ACTION ON CLAIM:No Action FACTS: Claimant's daughter was playing on the monkey bars when she missed a bar and fell to the ground fracturing her wrist. POSSIBLE CO-DEFENDANTS: None apparent at this time. EVALUATION: Difficult to assess until an inspection of the premises can be made. RESERVES TYPE OF CLAIM AMOUNT 1_Elizabeth Kailany by Mary Acosta, parent and guardian Bodily Injury Reserve-- S1.000.00 COMMENT :RK TO BE COMPLETED: Our further report will follow a scene inspection . •. evaluation. Ve ruly Yours, Michael Reed Carl Warren& Company CARL WARREN & CO. CLAIMS MANAGEMENT•CLAIMS ADJUSTERS 750 The City Drive•Ste 400•Orange, CA 92868 Mail: P.O. Box 25180•Santa Ana,Ca 92799-5180 Phone: (714)740-7999•(800)572-6900•Fax.(714)740-9412 s3/4'ilb.cc: City of Rosemead, Attention: Ms. Nancy Valderrama, City Clerk cc: CJPIA -Attn.: Executive Director • —2 — Carl Warren & Co. September 17, 1999 �' 1 � RECEIVED INVESTIGATION PORT: AUTHORITY REQUEST CITY OF ROSEMEAD Carl Wan-en& rompany SEP 2 3 1999 750 The City *rive Suite 400 CITY CLERK'S OFFICE Orange, 'A 92668 Att-. tion: Mr. Richard Marque RE: Principal CJPIA Member City City of Rosemead D/Event 6/12/99 Claimant Elizabeth Kailany by Mary Acosta, parent Our File S101203 MRQ PREVIEW: Claimant's daughter was playing on the monkey bars when she missed a bar and fell to the ground, fracturing her left wrist, MEMBER CITY: City of Rosemead, with primary department involved being the Parks and Recreation Department with Director Michael Burbank. OTHER INSURANCE: Medi-Cal is the primary carrier for the claimant's child in this matter. Her mother signed up for the program after the injury and it appears that they will be paying for the bulk of the outstanding medical bills incurred as a result of this incident. DATE. TIME & PLACE: This incident occurred on June 12, 1999 at approximately 12:00 pm at Rosemead Park on Mission in the City of Rosemead. GOVERNMENT CODE REQUIREMENTS: • DATE REQUIRED CLAIM FILED: The claim was timely filed on 7/22/99. • ACTION BY PUBLIC ENTITY: Rejection is recommended at this time. CARL WARREN & CO. CLAIMS MANAGEMENT•CLAIMS ADJUSTERS 750 The City Drive•Ste 400•Orange,CA 92868 Mail:P.O.Box 25180•Santa Ana,Ca 92799-5180 Phone:(714)740-7999•(800)572-6900•Fax:(714)740-9412 • STATUTE OF LIMITATIONS: Six months post date of rejection when claimant is notified in writing. At this point,the Statute of Limitations is 6/12/01. PREMISES: The premises where this incident occurred are within the play area of a City Park identified as Rosemead Park. This City Park has three play areas: one near the pool, a newer area on a hill and a third and even newer looking area that is the farthest away from Mission. Through an interview with the mother of the injured child we were able to identify the first area as the one involved, this is the area closest to Mission near the pool. The monkey bars at this location are approximately 6 feet in height on the low end and rise to about 6 ''/2" feet on the high end with the actual bars approximately 12"apart on center. Defect: Although the claim alleges an unsafe surface, the plaintiff appears not to know the difference between the 3 or so surfaces available—sand, mats or rubber chips. Despite the most current thinking on surfaces, this claimant believes that sand should have been the surface of choice. The surface in place at the time is a rubberized type of mat that at 6" or more in thickness, is very spongy and an excellent attempt to minimize injury in this playground area. OWNERSHIP/CONTROL: With current information, it would appear that the City of Rosemead is generally responsible for the ownership, maintenance and control of the premises where this incident occurred. CO-DEFENDANT:None apparent at this time. FACTS IN BRIEF: With the supervision of her mother and the mother's brother-in-law, Elizabeth Kailany traversed the monkey bars at Rosemead park. She had been playing for several minutes without incident when either her hands slipped due to sweat or she simply missed the next bar, fell to the rubberized mat and got her left arm stuck between her body and the mat,fracturing her wrist. CITY VERSION: Confirms FACTS IN BRIEF but alleges that the rubberized mat is in place to do exactly what it essentially did and that was to minimize the risk of injury from a fall from the monkey bars or other equipment at this park. CLAIMANT'S VERSION: We met with the claimant's mother, Mary Acosta and took a recorded interview of her version of her minor daughter's injury. A synopsis of her version is attached to this report and essentially confirms FACTS IN BRIEF but argues that the surface should have been sand instead of rubber.. 2 Carl Warren & Co. Date/Time of Incident--- - 6/12/99 @12:00 pm Address--- 3803 Athol St. in Baldwin Park, Ca. Anchor Address--- n/a Date ofBirth-- 1/8/92 (mother 8/21/57) Height/weight--- 4' 70 lbs California Drivers License-- None Social Security Number-- Unknown Grade--- entering 1s'grade DIAGRAM: A simple diagram showing the relative heights of the monkey bars in question as well as the spacing between the bars is enclosed. OFFICIAL REPORTS: We have submitted a request for additional background information relative to prior falls and more background information on the rubberized surface from Parks and Recreation Department Director Michael Burbank. PHOTOGRAPHS: Photographs of the incident location were taken during our inspection of same and are enclosed with this report depicting the involved location (of three possibilities) and both the type of equipment in place and the surface material involved. WITNESS: Both the mother and the brother-in-law were at the scene but did not actually witness the fall. They only observed the child swinging from bar to bar and then saw her on the ground thereafter. INJURY : Eliazbeth Kailany, daughter of Mary Acosta residing at 3803 Athol St. in Baldwin Park, Ca. Elizabeth is 7 years of age. A. Type of injury: fracture to left wrist B. Health care provider: Medi-Cal C. Damages/General liability: $795.88,To be determined C. Demand/Offer: $795.88 D. Attorney: None PROPERTY DAMAGE:None 3 Carl Warren & Co. INDEX BUREAU: We have filed with the Los Angeles Index Bureau on both the mother and the child for knowledge of a prior accident history and litigation awareness. With respect to the address, we found two prior filings for a Carmen Acosta (possibly a grandmother or other relative),that involved auto type of accidents and attorneys. LIABILITY: We feel that this is a claim for which no liability is apparent as to the City of Rosemead. The mother admits that she was there providing supervision while she allowed her 7 year old to use the monkey bars that appear generally appropriate for a child of this age with at most, a 2-3 foot drop. As for the surface, our best defense is that despite the fact that sand is universally used throughout City and School Parks everywhere, it does compact over time unlike the rubber mat currently in place. The City probably has a maintenance policy in place that involves this area and nothing in our inspection points to negligent maintenance. The equipment appears of standard quality and design with no apparent defects noted in this area. Our investigation found that rubberized mat is of good quality, near new and quite springy. In light of our comparative arguments and the fact that the claimant was under her mother's direct supervision,the injury occurred due to her arm being trapped beneath her body and this was the direct cause of her injury rather than the type of surface—no liability is apparent against the City of Rosemead. SETTLEMENT/NEGOTIATIONS: Our problem with this case involves an injury to a minor child presumed free of negligence and similar cases in the backlog of the undersigned for school districts that have resulted in ongoing and expensive litigation. This mother appears willing to settle for merely her out of pocket expense. She may seek representation if the matter is merely denied and no consideration is given for her daughter's injury. This well could be finalized for a mere $250.00 with all threat of possible expensive litigation removed. AUTHORITY REQUEST—In an effort to finalize the case and avoid possible costly litigation despite our strong liability position,we hereby request authority for S250.00. —4 — Carl Warren & Co. WORK TO BE COMPLETED: o Confirm type of construction and safety benefits with the Parks and Rec Director. o If possible, finalize the matter at this early stage for some out-of-pocket money to the mother. CLAIM STATUS: Elizabeth Kailany Bodily Injury Reserve--$1.000.00 ENCLOSURES: ✓ Photographs ✓ Recorded Interview—Mary Acosta ✓ Handbook for Public Safety from the Consumer Product Safety Commission (Related sections) ✓ Index Response COMMENT: We continue in our remaining investigation as above outlined, absent the possibility of•'sposing of the case in its entirety. Very ly Yours, Michael Reed Carl Warren& Company cc: City of Rosemead, Attention: Ms. Nancy Valderrama, City Clerk cc: CJPIA- Attn.: Executive Director 5 Carl Warren & Co. nil September 21, 19999ECEP»FF? Gay OF RI -197 SEP 2 31999 TO: City of Rosemead CITY CLERK'S OFFICE Al IENTION:Nancy Valderrama, City Clerk RE: Claim Acosta v. Rosemead Claimant Mary Acosta D/Event 6/12/99 Reed Y/Office : 7/22/99 Our File S 101203 MRQ We have reviewed the above captioned claim and request that you take the action indicated below: • CLAIM REJECTION: Send a standard rejection letter to the claimant. Please provide us with a copy of the notice sent, as requested above. If you have any questions please contact the undersigned. Very truly yours CARL WARREN & COMPANY RLcharcbV. Marque Richard D. Marque cc: CJPIA Attn: Executive Director CARL WARREN & CO. CLAIMS MANAGEMENT•CLAIMS ADJUSTERS 750 The City Drive•Ste 400 I.Orange,CA 92868 Mail'P.O. Box 25180•Santa Ana,Ca 92799-5180 Phone'. (714)740-7999•(800)572-6900•Fax (714)740-9412