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CC - Item 4A - Authorization to Reject Claim Agiainst the City by Nestor S. Lerma c E M � 1 O 1 CIVIC P1101 vg„,.1.-x- staqp0rt., r TO: HONORABLE MAYOR AND MEMBERS ROSEMEAD CITY COUNCIL FROM: NANCY VALDERRAMA, CITY CLERK DATE: MARCH 19, 1997 RE: AUTHORIZATION TO REJECT CLAIM AGAINST THE CITY BY NESTOR S. LERMA The attached claim was received in this office on March 14, 1997, on behalf of Nestor S. Lerma. A copy was sent to the City's claims adjuster, Carl Warren& Company, on April 21, 1997. Carl Warren& Company sent a notice on April 14, 1997, 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 COUNCIL AGENDA :agenda MAY 131997 wpITEM No. . e--4 • 1 \ � ' April 24, 1997 RECEIVED CITY OF ROSEMEAD APR 2 E 1997 CITY CLERK'S OFFICE TO: City of Rosemead ATTENTION: Nancy Valderrama, City Clerk RE: Claim : Lerma v. City of Rosemead Claimant : Nestor S.Lerma D/Event : 10-Mar-97 Rec'd Y/Office 14-Mar-97 • Our File : S-93971-DBK 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 C7/ Dwight J. Kunz cc: SCJPIA w/enc. 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 Ext. 140•(800)572-6900•Fax:(7141740-9412 m-. MAYOR: C P $ mad JAY T.IMPERIAL ", � •' �•.•- - MAYOR PRO TEM: ROBERT IA'.BRUESCH r.ro COUNCILMEMBERS: •- 8838 E.VALLEY BOULEVARD • P.O. BOX 399 MARGARET CLARK ! � .- ROSEMEAD, CALIFORNIA 91770 GARY A.TAYLOR TELEPHONE(818) 288-6671 JOE VASOUEZ c TELECOPIER 8183079218 April 21, 1997 Dwight J. Kunz Senior Account Manager 750 The City Drive, Suite 400 . Orange, CA 92668 RE: NESTOR S. LERMA Dear Mr. Kunz: The attached claim was received on March 14, 1997. The City does not have any 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 clailms:adjhrl FILE WITH: CLAIM FOR DAMAGES I RESERVE FOR FILING STAMP • CITY CLERK'S OFFICE [Address] TO PERSON OR PROPERTY CLAIM NO. - INSTRUCTIONS • RECEIVED 1.Claims for death,injury to person or to personal property must be filed not later than six CITY OF ROSEMEAD months after the occurrence.(Gov.Code Sec.911.2.) 2.Claims for damages to real property must be filed not later than 1 year after the occurrence. 1;;I/AR 1 4)997 (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. 6.Attach separate sheets,if necessary,to give full details.SIGN EACH SHEET. TO: [Name of city] Date of Birt of Claimant �s--e 1'Yt.ex, 8 2! Z�f Name of Claimant ( Occupation of Claimant O.) e�4-o ►^ S L v-1r6A fl(t/ , r r I er Home Address of Claimant City and State Home Telephone Number 1 q 2/ �*e.,1re_ mit s- gqlciw;)1 Par1SGRA° 9) IS 96 Z-o9`33 Business Address of Claimant City and State Busine Telephone Number RE1/5- Uri 1Iekr el i/cL )ce mC cid . C_a ii-_ _ -2-1 °1I Give address and telephone nl,mber to which you desire notices or communications to be sent Claim is Social Security No. regarding this claim: gIO 2n-Z VI I 82)`f5- Uattpa i1vct 1r-; -emoor( r.4 9r•��n 553,`29- '/5-02- When did DAMA E or INJURY occur? Names of any city employees involved in INJURY or DAMAGE Date 1 in 97 Time 1I % 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: Damage to property $ Future expenses for medical and hospital care .. . .S Expenses forrnedical and hospital care S Future loss of earnings S - Loss of earnings $ Other prospective special damages S Special damages for $ Prospective general damages S Total estimate prospective damages $ General damages $ Total damages incurred to date $ 11 ,, Total amount claimed as of date of presentation of this claim: $ I b'LS-SD 101 u S F U h�t-t-t V'€.. (C{ lin Q 9-es Was damage and/or injury investigated by police? If so,what city? Were paramedics or ambulance called? If so,name city or ambulance If injured,state date,time,name and address of doctor of your first visit WITNESSES to DAMAGE or INJURY:List all persons and addresses of persons known to have information: Name ' I S (1.mS5I,J A.z.-i,. Address LZ o2 /V- T,= e• 4--0-e-- Phone (47e) 2s �'-�`oJ- Name r /(--L ({/u v?4,-1- Address Ste' / . , 4% z.✓? Phone 5;-'-".5-Name -v vn IAaf Address �'$CG (I�UP��,�y-6(0 Phone(4) "2-i&-)-f y'/ 7 DOUIURS and HOSPITALS: Hospital Address Date Hospitalized 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-1" 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 fit the situation,attach hereto a proper Vehicle when you first saw it, and by "B" location of yourself diagram signed by claimant. L. . ' s'.. `` YSIDEWALK 4 g e. ., 104 , TEP CURB._ • t. / r ---g:1 CURB ).-- C) ?1/ PARKWAY '....\ / SIDEWALK ` ,-1 LLL--... V ;r1 r� Signature of Claimant or person filing on Typed Name: Date: his behalf giving relationship Claimant: _---- " rr;-/- .-;"7-..j-Z;"'7---- --- .,.._ , NOTE: CLAIMS MUST BE FILED WITH CI CLERK(Gov. Code Sec. 915a). Presentation of a false claim is a felony(Pen. Code Sec. 72) N9 0963 M E CITY OF R.OSEMEAD 8838 East Valley Boulevard Rosemead, CA 91770 irf (818)288-6671 DATE 0 /MIME (115 RECEIVED FROM ���✓� __ t l X3 ( ,1 �► (�`� � ADDRESS CITY gAt.:61/3 / N c___ ZIP (-de Stored or Impounded Vehicle Fee from the City of Rosemead in reporting district 0530, 0531, 0532, 0533, and 0534 $65.00 °) -)---("3 -73--O3 ;o- y FILE# � n 1 C VEH. LIC.# as MAKE 1"IJ�tC-1/ Check# Zy/ Cash $ CDL It IF PAID BY CHECK /, I j -7 I EXP DATE Ili/�-f}' IIIJJJ /�` / T7eTaiid $65.00 RECEIVED6/1 BY OFFICER1)....„A \ ,t NOTICE: RECEIPT COPY MUST BE PRESENTED TO THE TOW COMPANY FOR VEHICLE RELEASE. WHITE-RECIPIENT YELLOW-FINANCE PINK-DEPARTMENT • -?-054_7-1-04 buE. $ ..6s-.00 • /97- 03 q73 - 0,5-3e, -73 S DEPARTMENT OF CALIFORNIA HIGHWAY PATROL VEHICLE REPORT _ L CHP 180(Rev 5-93)OPI 065 ( — q6 NOTE:CHF WO Is PURNSHED TO ALL PEACE REPORTING DEPARTMENT OFRCERB ET THT PALI RNA HIGHWAY PATROL T LOCATION COO[ DATE!TIM OP REPORT FILE GHWAY GASo 7c7'PIe 5,..e. 1500-o 031°97 // 6 o PERSONALLY VEHICLE J ❑ 97-43 5'73—O Sao-% NUMBER LOCATION y��TOWED`!STOLEN LFROM ��y7 '�J� _ - OOGYETER READINp DATE/71Y[ DISPATCH NOTIRED 8861 1N Ci WJ 'r' S1,iF l /`' /S-m 116 / vM Ci[M M tyS�.— 0 NO 8 S I YEAR MAKE MODEL LK:CLEAR INm®vim 0 N •OOT T7►[ COLOR NUMBER OM* MONTH!YEAR STATE VF gLl !`)1.SS x,) ZOOS • Z[��2 1ZCD 36QTSZS 1 TWO / z/i_,VEHICLE IDENTIFICATION NUMBERCA MON/NUMBER• APPRAISED VALUE/OWNER VALUATION SI t)I I I ?IS I Z 1615 I X 1 EIW 1 b_/'1.171517 rtEl0-300 ❑301-2500 02500+ ❑$ r R[OIET[RED ER LEGAL OWNIR • N-S7o� 6 • • A , r 4'142- 12L—D 13A1-J ft- . /L/831 S>:. rif 5i7; zz w . &}6,-r>0-e-.( 25/+zv1/4A) ..r- CA, 1°11 106 rC LA4-RaG C.,v4t9l7SLI J LJ STORED ❑ IMPOUNDED ❑ RELEASED ❑ RECOVERED - VEHICLE / COMPONENT TOWING!STORAGE CONCERN(NAME.ADDRESS,PHONE) TOWED TO f STORED AT ")f�Lc5 '70 Int 'Z-7'1O / P"tJi Ave- 5. r''l p/STT� �►S�4 43'�/1 v/ 'STORAGE AUTHORITY AND REASON DRIVEABLE zi6 J 1 b L) 1 .G. Co t3&r4Lo 1 OA\ 'l ' YIN APPIAN ALTMED/REMOVED 0 YEa N 0 ITEMS Z�lu DYE, ❑NO UNK VIN COMPARE WITH REO CARD �NO CONDITION YES NO ITEM! YES NO YES NO TIRES /WHEELS CONDmON ITEMS IDENTIFICATION NUMBER WRECKED N. BEAT (FRONT) X REGISTRATION .. LEFT FRONT /1_ CIWDER BURNED - REAR (REAR) k. ALT!GENERATOR v RIGHT FRONT „j7� CAppp VANDALIZED RADIO BATTERY I.. LEFT REAR tj' VESSEL LOAD - ` ENG/TRANS STRIP TAPE DECK DIFFERENTIAL MGNT RFM FIREARMS VESSEL ASilk_} MISC. PARTS STRIP ]tri TAPES ,G,TRANSMISSION SPARE BODY METAL ST5LE_�.—...�-fa.-_GIHFP R�..�—. /.yam__..__-..__-.1-+0..,.....r=—..wu.v--r..._.-..^�� .�7a.OTNENT..r.s-Y.:. "- .jr„ - — -. NOTICE OF STORED VEHICLE NOTE:MCP HI If PIaRaSIED ALL PEACE mess c.v.c.) OFFICERS BY THE CALIFORNA IOONWAT PATROL 1 , A. AT.TENTION,:VEHICLE. OWNER __ The vehicle identified on the reverse-side, registered/owned in your name, has been stored pursuant to the provisions of the Vehicle Code by the agency shown below • . - . • .. . Under the provisions of section 228.52 •of the Vehicle Cods, you have the right to a hearing to determine the legality of this storage. it . you choose to contest the legallty of this storage, you must request the hearing in.writing, in person, or-by telephone at the office identified as the "Storing Office" on this form. The vehicle storage hearing is an informal process to determine whether or not a vehicle has been stored legally. . - Your request tot a hearing must be received within ten (10) days from the-date of this-notice.If you request s hearing, It will be conducted within 48 hours of the request, excluding weekends and holidays. Your failure to request or attend a scheduled hearing shat. satisfy the Post-Storay• Validity requirements of Section 22852 of the Vehicle Cods. .. . If the hearing determines the storage to be unlawful, the storing agency will be responsible for the towing and storage charges. df you I have any questions, or if this vehicle is no longer owned by you, please contact the "Storing Office" shown below. ----1 B. CERTIFICATION . • I I hereby certify that notices with postage prepaid were deposited in the United States Mall, and these notices, of which this is a copy,--1 were addressed to the person named herein. ♦ — NAME A LE LOCA T ,� 10104:71 ,e DATE DEPOSITED _/19—V C. NOTICE TO DEPARTMENT OF JUSTICE (if appropriate) - - We have been unable to give notice to the owner of record as required by Section 22852 of C.V.C., and the vehicle, after 120 hours of storage, has not been returned. Send to P.O. Box 13417, Sacramento, California 95813. (Section 22853 C.V.C.) AGENCY I- ' SHERIFF'S DEPARTMENT Temple Station . - 8838 E. Las Tunas Drive - Temple City, Calif. 91780 LW'? - 7/7/ i . • • • • F ?=2�1DI? NiiS Z EZI tom. V111dJ & i +3GT I9i 2740 N. .BRUIN AVE- SQ. EL 4t3NTE, Cfl 91733 02,18) 4.43-4141 * (2-1.3) 283-803@ • _ERRi% STORED 3E�==tE� X ADDRESS SII JER FILE AVE L.ITY PUY: CR I!I OUNDED TD N4786a12 L/F.ir'`2 27/4$ i!? rD7E._ YE* LICENSE NO LD, NUMBER DPTE 13S- 2F EX F14. 3B2T525 757; _ 1 AGEN.., c5_ ; TOWING - 1 !OWING - OTHER ! 7_.2. • LABOR & EL;UIP i lam:"Rii'- r_,S- - i_�_.._. i!".)±� ❑�"1i=i?=�R ..�ilc� ."t rr:T: Zen_ ROAD SERVICE -TORW=E err .., pE ,',r�- ;� ,;c- -' -L :. zr': 1: TO: lV�. _�. •, LOiF 2 AFFh HR_ ClORASr ! H.19r'! DRIV: FPR_RT ' LEIN E-v-T(YB i FL: z } RUES SECOND TOW RE ERS_ •!QTRL CHORE ED' T O TPL CP:31-1 ---� • • I TH T HRVR INSPECTED MY V EH_CLE ?ND DO NOT HOLD FRED,IE 1•fi-iCs S INC. L :-131-' .r-""+,i Z'i' PREVIOUS DC;MI9E TO MY VEHICLE= • EJERED EY• TEE RELEPfScrl DC-N )r:1:17:56 h - - arc/-) /y, 7 aLLD Lo hx. Lt- /C cam. _ & n a-kr) . (Qn ,1)1ctitc ,-) /DI / ? //7 a ,J cc6 6_C C), 0) e uD/ `6- J U cc.}--t-) Q o cto cl cualm to (c) o . -/- ,7( L___ ,/'i 3 o 617-k_e_a_c, . y0 cx- c e- , .. L /0 /-t a n,5 , 7)1 o ,,aafLim lG 1-3 cLA-/ /--/sr '. r -p/ eonu_ 7:6 toottA) Lcii_Loe_c_/-, . /.,T '6 9.',36, y ) C.LLO CCS- D /(-1 _ (c2-(- a 4c _ 0 CC - L- 0 �-ve_ d t_O /�0bdo all CL_ "--r-0 e- 0 6_0 ,,u;),-) CI d . 1 9A e áL d ii 05s o ,� 7�1�1 '- (:-0 oLL D cL d � Lei,_ L,La,Li,____ 4:-L,,,,..„ a), , ___.(' A /-) oe /d_ . _)1) e_ f , 4 TuiD_J__cc Lu /�-�— G /'t- /ALL c a, A0,A- _ 0) e_ttV3 r /3_,,i,_,,t)..„ 70--0 r)u_o n e__ CLd n 0,t7 do 7L-Lui t u c__ 4 7 O 6 1 d)o 6-c-Lk:P /7` "--s 'n__,A Lrk_11 , , • 7b co-L (Lcuicc, \...6 ntLP---(1 n , • y 4 e_c_Ly • • • • NOTICE OF PUBLIC ] PROVEMENT • • :. : STREET IMPROVEMENT • CITY OF ROSEMEAD PROJECT NO. 96-04 air itsk. 4? 7 .. • The City of Rosemead has awarded a contract to Sully-Miller Contracting Company for the street reconstruction of some streets in your neighborhood. The e_` work involves concrete and landscaping improvements, and street reconstruction. Work will s tai l _ - 7 and be-completed in ` 'rl_.__ Ale . • • During the different stages of the project, driving and parkin• will be restricte• on your street. Signs will be posted indicating the times of the restrictions and • additional notifications will be provided. Because of this construction, you may be inconvenienced by the loss of street parking, temporary loss of driveway access, construction noise, dust, etc., even though every effort will be made by the City and the contractor to minimize these ' . inconveniences. • Your cooperation in observing all traffic controls,parking restrictions and flagmen, and in not allowing water to run into the street from your property will -.� be appreciated and help produce a good quality project in the shortest period of time. .. Please direct inquireies or complaints to Sully_'Miler Construction Superintendent, Mr.AI Mendez, at (310) 806-8625. r.- • 2-) S ' NOTICE OF PUBLIC E IPROVEMENT STREET LVIPROVENEENT • CITY OF ROSEMEAD PROJECT NO. 96-04 r J H The City of Rosemead has•awarded a contract to Sully-Miller Contracting Company for the street reconstruction of some streets in your neighborhood. The work involves concrete and landscaping improvements, and street reconstruction. Work-wilt- -start: 3---/N4'91/. and be completed i _- Y '_ During the different stages of the project, driving and parking will be restricted on • your street. Signs will be posted indicating the times of the restrictions and additional notifications will be provided. Because of this construction, you may be inconvenienced by the loss of street _ parking, temporary loss of driveway access, construction noise, dust, etc., even ,though every effort will be made by the City and the contractor to minimize these inconveniences Y • a Your cooperation in observing all traffic controls, parking restrictions and -agmen, and in not allowing water to run into the street from your property will be appreciated and help produce a good quality project in the shortest period of } time. Please direct inquireies or complaints to Sully-Miller Construction Superintendent, Mr. Al Mendez, at (310) 806-8625. 1-uCV a vid, C-C�rl� r / NOTICE OF PUBLIC IMPROVEMENT STREET 11WPROVENIENT CITY OF ROSEMEAD PROJECT NO. 96-04 • The City of Rosemead has awarded a contract to Sully-Miller Contracting Company for the street reconstruction of some streets in your neighborhood. The work involves concrete and landscaping improvements, and street reconstruction. Work willtta3= • and be completed it - ?% During the different stages of the project, driving and parking will berestricted on your street. Signs will be posted indicating the times of the restrictions and additional notifications will be provided. Because of this construction, you may be inconvenienced by the loss of street parking, temporary loss of driveway access, construction noise, dust, etc., even though every effort will be made by the City and the contractor to minimize these inconvenience 3 Your cooperation in observing all traffic controls, parking restrictions and flagmen, and in.not allowing water to run into the street from your property will be appreciated and help produce a good quality project in the shortest period of } time. Please direct inquireies or complaints to Sully-Miller Construction Superintendent, Mr. Al Mendez, at (310) 806-8625. • `� r • NOTICE OF PUBLIC IMPROVEMENT • • • • STREET IMPROVEMENT • CITY OF ROSEMEAD PROJECT NO. 96-04 1. wf• � aP . The City of Rosemead hn_s awarded a contact to Sully-Miller Contracting �.i Company for the street reconstruction of some streets in your neighborhood. The work involves concrete and landscaping improvements, and street reconstruction. Work will startAl.4 and be completed '` 7-1741 7 During the different stages of the project, driving and parking will be restricted on your street. Sims will be posted indicating the times of the restrictions and. • additional notifcations will be provided. Because of this constriction, you may be inconvenienced by the loss of street parking, temporary loss of driveway access, construction noise, dust, etc., even • though every effort will be made by the City and the contractor to mini;ni?e these inconveniences. Your cooperation in observing all traffic controls, parking restrictions and flagmen, and in not allowing water to run into the street from your property will ' . be appreciated and help produce a good quality project in the shortest period of . a time. Please direct inquireies or complaints to Sully-Miller Construction Superintendent, Mr.Al Mendez, at (310) 806-8625. - Os:Ho yo 17)4f )(a ZY - V K Gbrn .0 - ° 11,/et,ob NOTICE OF PUBLIC IMPROVEMENT • STREET IMPROVEMENT CITY OF ROSEMEAD PROJECT NO. 96-04 The City of Rosemead hasawarded a contract to Sully=Miller Contracting Company for the street reconstruction of some streets in your neighborhood. The work involves concrete and landscaping improvements, and street reconstruction. Work will sta _and be completed in -37/)42-7- During " �2 During the different stages of the project, driving and parking will be restricted on your street. Signs will be posted indicating the times of the restrictions and additional notifications will be provided. Because of this construction, you may be inconvenienced by the loss-of street parking, temporary loss of driveway access, construction noise, dust, etc., even though every effort will be made by the City and the contractor to minimize these inconvenience . 7 . Your cooperation in observing all traffic controls, parking restrictions and flagmen, and in not allowing water to run into the street from your property will . . be appreciated and help produce, a good quality project in the shortest period of time. Please direct inquireies or complaints to Sully-Miller Construction Superintendent, Mr.Al Mendez, at (310) 806-8625.