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HomeMy WebLinkAbout3.3 Jaime McEntee Claim C, , I W AGENDA STATEMENT Meeting Date: December 12, 1983 SUBJECT : Claim of Jaime McEntee EXHIBITS ATTACHED : Claim RECOMMENDA ION : Deny claim and notify claimant and insurance company FINANCIAL STATEMENT: Amount of claim $211.87 DESCRIPT ON The City has received a claim for damages from Jaime McEntee 1385 Kolln St. , Pleasanton, CA alleging damages to claimant's car as a result of hitting a pothole. It is Staff's recommendation that the City Council deny the claim and notify the claimant and the City's Insurance Company. ------------------------------------------------------------------------------------------------- COPIES TO: Jaime McEntee Ben Fernandez ITEM NO. �- 3 City Attorney CITY OF ®19�3L1d01 CLP''„4 AGAINST THE CITY OF DUBI - P. O. Box 2340 ")ublin, CA 94W8 Control No—, - (off , ce use Only lame of Claimant. QQ � ,udress of Claimant. V5 KO'�Y�^ P�Cw,�anA c” ,und Notices to: 5arO, G1S a0ote _ ).rte and [rime of Occurrence: �l� ���T ��m�; z,�����'J — '1 '• �j0 {J, Y�1 , lace of Occurrence.:' (Provide detailed diagram describing exact location, .ncluding physical landmarks or distinguishing land features, if appropriate. ; [vA --N�-�. �,a,�� °�icy , a�� 5� 'No c, - 'ircumstances of Occurrence: (If an accident, describe physical conditions surrounding occurrence, such as weather, road and traffic conditions, etc. ) and o ! L aid '^ -1 {'�l • a Co ist names, addresses and phone numbers of any witnesses: W,n ,,� 1( Y) 4S, 4 1 I �G�� f�lcrn ., I 5 lLc �- , �h � �S4L 5CFII cscription of Damage or Loss: cC1� �p�(J t-(`c�►'rC 0� i�n rpe-fl)+�_ ` Q nA 4�,e r-A 01 Y,n , ame, and Department of Involved City Employee (if any) : oral Amount Claimed= 1CiL4 k Breakdown of Amount Claimed: * CL IeP_. Cc f ,'`- C� C01c,�inent �'� J!�1y� t n( � �1 �e �:t �� %A- a ted: Signed: A-e: A claim reLiting to a cause of actticn for death or f injury to person or to personal 'opYty or grcwiixg crops shall be tented not later than the 100th day after the ao= al try cause of act,ion. A claim relating to any other cause of action shall be presented not tr than one (1) year after the accrual of the cause of action. keen a clzzwn-that is reQuired to be presents not later than fine 100th clay after the auil of the cause of action is not presented within such tum, a written application may m1c?e to the City Council for leave to present such claim. The application _<,)all be pre- -,Wd within a reasonable tim not to exceed one (1) year after tho acaval 0.e the cause action and aha11 state the reason for the delay in presenting the claim. enie Proper um shall, be attached to the application.