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CC – Item 4A – Staff Report – Authorization to Reject Claim Against the City by Janet Pui-Hing Chi E M E ��® stat ap ort TO: HONORABLE MAYOR AND MEMBERS ROSEMEAD CITY COUNCIL FROM: NANCY VALDERRAMA, CITY CLERK DATE: MARCH 17, 1998 RE: AUTHORIZATION TO REJECT CLAIM AGAINST THE CITY BY JANET PUI-HING CHU The attached claim was received in this office on March 10, 1998. A copy was sent to the City's claims adjuster, Carl Warren & Company on the same day. Carl Warren & Company sent a notice on March 13 , 1998, 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. nv wp agenda COUNCIL ACENnA APR 14 1999 ITEM No. I✓ . eL-A RECEIVED CITY OF ROSEMEAD MAR 2 3 MR CITY CLERK'S OFFICE GOVERNMENTAL ENTITY PRELIMINARY REPORT TO:Carl Warren : Company DATE: 03/17/98 750 The 'It)/ Drive, Suite 400 CLAIMANT: Janet Pui-Hing Chu Ora :e, CA 92868 FILE NO: S 96958 SWQ the Richard Marone D/ ENT: 9-15-97 FILING DATE: 3-10-98 SIX MOS.: YES PRINCIPAL/CITY: CJPIA/City of Rosemead RECOMMENDED ACTION ON CLAIM: Rejection FACTS: The claimant was involved in a motor vehicle accident. She alleges that the traffic signal lights were not operative, leading to the collision. POSSIBLE CO-DEFENDANTS: The other motorist involved in the accident. Also the city may have contracted with the work crew that was working on the traffic signal lights. EVALUATION: Questionable liability case. We have yet to establish if the city even owns and/or maintains the traffic signal lights. RESERVES TYPE OF CLAIM AMOUNT I. Janet Pui-Hine Chu LBI $7500.00 COMMENT/WORK TO BE COMPLETED: Our further report will follow shortly. Very truly yours, CARL WARREN & COMPANY 4ec: City of Rosemead, Attn. Nancy Valderrama — � - 41leb cc: CJPIA - 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:(714)740-7999•(800)572-6900•Fax: 714)740-9412 March 13, 1998 RECEIVED CITY OF ROSEMEAD MAR 181998 CITY CLERK'S OFFICE TO: City of Rosemead ATTENTION: Nancy Valderrama,City Clerk RE: Claim Chu v. City of Rosemead Claimant Janet Pui-Hing Chu D/Event 15-Sep-97 Rec'd Y/Office : 10-Mar-98 Our File S-96958-SWQ 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 h a copy of the notice sent, as requested above. 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 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 Ext 140•(800)572-6900•Fax:(714)740-9412 JAY OR PERRL Cit 9,- oscfnead yg MAYOR PRO TEM: ROBERT W PR.JESCH cwxrnETCLARKMEMBERS: T44 8838 E VALLEY BOULEVARD • P.O. BOX 399 MARGARET No ROSEMEAD,CALIFORNIA 91770 GARY A.TAYLOR TELEPHONE(818)288-6671 OE VASOUE2 TELECOPIER 8183879218 March 10, 1998 Dwight J. Kunz Senior Account Manager 750 The City Drive, Suite 400 Orange, CA 92668 RE: JANET PUI-HING CHU Dear Mr. Kunz: The attached claim was received in my office on March 10, 1998. The City does not have any information on this claim. The claimant stated that she will provide us with the hospital bills in the near future. As soon as they are received, they will be forwarded to you. Please advise as to the steps you wish to take in this matter. Sincerely, NANCY VALDERRAMA City Clerk Attachments cc: City Attorney cIaiLns:ad ILEI • FILE WITH: CLAIM FOR DAMAGES RESERVE FOR FILING STAMP CITY CLERK'S OFFICE TO PERSON OR PROPERTY CLAIM NO. INSTRUCTIONS 1.Claims for death,injury to person or to personal property must be filed not later than six months after the occurrence.(Gov.Code Sec.911.2) ���c('T j Yom. 2.Claims for damages to real propertyoccurrence. L.1 Y 4 must be filed not later than 1 year alter the CY (Gov.Code Sec 911.2.) CITY OF ROS 3.Read entire claim form before filing. 4.See page 2 for diagram upon which to locate place of accident IiIA� 1 i994EMEAD 5.This claim form must be signed on page 2 at bottom. 6.Attach separate sheets,if necessary,to give full details.SIGN EACH SHEET. Date of16.ittbry ppttpljeqIktt$q OFFICE TO: CITY OF ROSEFfEAD, 8838 E. .Valley Blvd. , Rosemead 91770 Ma r1nn936 Name of Claimant Occupation of Claimant Janet Pui-.Hing Chu g4tfr d Home Address of Claimant City and Sate Home Telephone Number 2359 Roscommon Avenue Mort- _ - _ : e • Business Address of Claimant City and State Business Telephone Number N/A I/9 Give address and telephone number to which you desire notices or communications to be sent Claimant's Social Security No. regarding this claim: 567-43-2984 When did DAMAGE or INJURY occur? Names of any city employees involved in INJURY or DAMAGE Date 9/15/1997 Time 7 ' in n M If claim is for Equitable Indemnity,give date claimant served N/A with the complaint: Date Where did DAMAGE or INJURY occur?Describe tally,and locate on diagram on reverse side of this sheet.Where appropriate,give street names and address and measurements from landmarks: Garvey Avenue and Jackson Avenue , Rosemead , California Describe in detail how the DAMAGE or INJURY occurred. Intersection Accident : The traffic signals were not working because workmen were servicing the signal . The workmen failed to place notices and or stoop signs . Why do you claim the city is responsible? See Above . Describe in detail each INJURY or DAMAGE Property damages and personal injuries . 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: Damagelo property SToal Loss Future expenses for medical and hospital care . .5 Unknown Expenses for medical and hospital care $ 10. 000 Future loss of earnings 5 Unknown Loss of earnings $ N/A Other prospective special damages Special damages for S 0 Prospective general damages 5 0 , 0 0 0 Total estimate prospective damages $ General damages ' 5 Total damages incurred to dale $ 1 T 6C 1. r 5 Total amount claimed as of date of presentation of this claim: $ 6 0 , 000 Was damage andbr injury investigated by police? Y e s If so,what city? • Were paramedics or ambulance called? If so,name cityorambulance Goodhew Ambulance Seivi cep If injured,state date,lime,name and address of doctor of your first visit nr Kb PP Tan 77n F 17. 1121/ 1;1 vA San Gabriel , California 91776 WITNESSES to DAMAGE or INJURY:List all persons and addresses of persons known to have information: CA, 91754 Name P« Pni -Hi chi, 7459 Pn,-,-nrmm�n AVP Nnn1- rPy Parehone (213)268-9715 - Name ? .-may- n.,tp']ip Mord^e+ Addres9rlo E y„yc,C n .,p,1 nn o1 g1e (818)571 0311 Name Address Phone DOCTORS and HOSPITALS: 525 N . Garfield Avenue Hospital Garfield Medical Centxtmss Monterey Park , CA 91754 Date Hospitalized 9/15/1997 Doctor Address Date of Treatment Doctor - Address Date of Treatment 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-I'and the point of impact by"X' If City Vehicle was involved,designate by letter"A"location of City NOTE: If diagrams below do not lit the situation,attach hereto a proper Vehicle when you first saw it, and by "B" location of yourself diagram signed by claimant. SIDEWALK c /� uae__ I // N CURB PARKWAYI SIDEWALK 7 Signature of Claimant or person filing on Typed Name: _ Dale: his behalf giving relationship to Claimant: /n 'v Janet Pui-Hing Chu 3/2/1998 NOTE: CLAIMS MUST BE FILED WITH CITY CLERK(Gov.Code Sec 915a).Presentation of a false claim is a Ieiony(Pen. Code Sec 72.)