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HomeMy WebLinkAboutItem 4.03 George Filstead Claim CITY OF DUBLIN AGENDA STATEMENT CITY COUNCIL MEETING DATE: March 24, 1986 SUBJECT Claim Submitted March 6, 1986 By George William Filstead EXHIBITS ATTACHED- Claim Form RECOMMENDATION Deny the claim and direct Staff to notify the claimant and the insurance carrier . FINANCIAL STATEMENT: Alleged Punitive Damages : $30 , 000 Alleged Special Damages : $ 3 , 000 Total Alleged Damages : $33 , 000 DESCRIPTION The City received a claim submitted by Mr . George Filstead on March 6, 1986 . The claim alleges making a false police report, false arrest, and emotional distress due to humiliation and vexation . The alleged damages occured as a result of two incidents one occuring on December 1, 1985 and one on December 7 , 1985 .' The City ' s 1985 insurance program covered claims incurred through February 28, 1986 . Staff recommends that the City Council deny the claim and advise the claimant and insurance broker . ---------------------------------------------------------------------------- COPIES .TO: George Filstead Ben Fernandez, . Insurance Broker ITEM NO. o .. .--. ...., ..a .n.�..� ✓, '"..�..�...R,.f'�`e'r�,�''-,fit x�::.>�.'�e d, �.r ..� CLAI GAINST THE CITY OF DUBLIr " V Control No. f/lAR (Office Use On y ° - j Mme of CCLa .mant�� �(� �`-' s-� � ���- EL]. 1 cad 1dress of Claimant: �,//�� PQ"' 2nd xtu- and Wime of Occurrence: J" Cf,n M Lace of Occurrence.:' (Provide doeta -ed d,agram describing exact location, Zcluding physical landmarks or distinguishing land features, if appropriate. ) (261 1 ircumstances of Occurrence: (If an accident, describe physical conditions i.rroundin occurrence, such as weather, soac� and traffic conditions, etc.) 1 f� 2'� I 1�5 1 at 11 - �,(1h'1 S C��IfEUr Gp'� .r d'ie ;i��,�N (� r0N %� '� 51 t'_� �.Jr�T� ((.'` E' ! A/ 'tl ;Q�?�j Cl i7 'f cl ��>1 n ' ►?� �ccL?Cri�;b ►Ay �h uses�I1oclC; oor -o c��o i c ar!r sd nll P�Z �r� � s � �,Li1y��u j�c( C1"►Q �G� t1� �� 0111 Io--h I c F Sa I R'a L i r1 r an ; . rn ," -i f) •I' Ur re X.bet,cn R c 4,4 -Slur `S (�a C � � �.r - l SS�a %, , + y �t names, �d�resse pone numbP..s o any witnesses: �'� �l4 ai 7 r171 PE CL /Tail E 12 5 i l.0 1L. tv +$)1E5to ��ir� �ln n61(-A+ aI:I I .�a :scrrilj3tion Q,f Dama e ar 41 s. - S4iti , rte` i�F�1T " i;lY11 r. V ��j..� �jl ✓ f .•., .� n (� Pf S b'`yam d�, Q n t 1. #1 i �1 j �j ' & 0 � 112,- " 3 t' C �I y�Q T(I l 1. i lceoniri �rt Le 6a P.' d hs lY' C_ , I! 1110 olved City Employee '(if arfy) : f,i p�/�;:p��2E`' �.n 0-1 , M(:L,)Lj F )tal Amount Claimed: fl_. --`t rt t,ti, Breakdown of Amount Claimed: =t• _ ��i,tt� E r ���: t►1c�q Ps �� iT-I' �` RS; I'� O(�G�� , ,0(V c" F t d� i �, -77- 1' , 0 _i ''\ S {�3 7 on J 11'rc ` / iit 1 tlzC.c ced. -' �: � I' �f� � Signed: �� - (,(I 1 �� n�1 ' l_I ye: A claim relating to a cause of action for death or for injury to person or to pe'r od >Pexty or grcwing cps shall be presented not later than the 100th day after the accn3al the cause of action. A claim relating to any ot�,er case of action shall be presented not ^.r than one (1) year after the accrual of the cause of action. W-len a claim that is re presented nod 7.ater than the -0th clay after the rual of the cause of act=n is not presented within such tim, a writtei application may T'--'d'e to the City Council for heave to Present such claim. In-je ap--�lijcati on shall be pre- rod within a reasonaba time not to exceed one (1) year after thQ accrual, of the caus,3 lcticn and shall state the reason for the delay in presenting the a.'1aim. The proposed :m shall be attached to the areal icati on.