HomeMy WebLinkAbout4.4 Ann Benner Claim CITY OF DUBLIN
AGENDA STATEMENT
CITY COUNCIL MEETING DATE: June 10, 1985
SUBJECT Claim of Ann Benner
EXHIBITS ATTACHED Claim Form
RECOMMENDATION { :Keny the claim and notify claimant and
1C. insurance company
FINANCIAL STATEMENT: $15 , 000 Medical Expenses , $30, 000 wage loss ,
$455 , 000 Pain and Suffering: Total amount of
Claim equals $500 , 000.
DESCRIPTION The City received a claim submitted on behalf of Ann
Benner on May 28 , 1985 . The claim is submitted for
medical expenses , wage loss , and pain and suffering,
that resulted when the claimant fell in a hole at
Shannon Park .
The City of Dublin has no responsibility for the
maintenance and or operation of the Shannon Park area.
Therefore , Staff recommends that the City Council deny
the claim and direct staff to notify the claimant and
the City ' s insurance carrier.
----------------------------------------------------------------------------
COPIES TO : Ann Benner , c/o Conrad Corbett
450 Sansome St . , Suite 1310
ITEM NO . � Al San Francisco , CA 94111
Michael R. Nave City Attorney
Ben Fernandez , Insurance Broker
C;A. . Za +;r�r."i�.J C;LAT AGAINST TIME CITY OI' 1)UBLIN1
G. Sox r
1\ C Control No.
MAY 81985 (office Use Only
ame of Claimant: Ann Benner
,Jdruss of Claimant: c/o Conrad M. Corbett , Esa . , 450 Sensnme qt 5,,; tp 1 11 n
San Francisco, CA 94111
Notices to: Conrad M Corbett Es!Z
1a: and !rime of Occurrence : February 24 1935 at 1 :A5-) - n0 p.m.
,Lace of Occurrence-: (Provide detailed diagram describing exact location,
.ncluding physical landmarks or distinguishing land features, if appropriate .
Shannon Park
:i:cumstances of Occurrence: (If an accident, describe physical conditions
>urrounding occurrence, such as weather, road and traffic conditions, etc. )
Claimant fell in hole on the premises
.ist names, addresses and phone numbers of any witnesses:
)cscription of Damage or Loss. Plaintiff shattered fibula and tibia of
left lea.
4aiac and Department of Involved City Employee (if any) :
Unknown at this time
Dotal Amount Claimed: $500 , 000 . 00 Breakdown of Amount Claimed:
Medical expenses : $ 15, 000. 00;
Wage Loss : i $ 30, 000. 00;
_ Pain and suffering : S155 . 000 . 00
)a tc:d. Mav 23 . 1985 Signed: �//�.��_,C� ��, .(�� ,�'• �c2,�h (�,�,,,,1
CONRAD M. CORBETT, on^behalf`of Ann Penner
ow: A claim relating to a c" of action for death or for injury to person or to pers ua al
rccarty or growing crops shall be presented not later than the 100th day after the accrual
the cau-.,e or acticj. A claim r,-l,atiP.g to any cthes cruse of action shall be presented not
:it:= than cne (1) year aft.-- the ac=-:41 of the cause of action.
W-,an a r l n i m that is requi-red to be presented not-later than the 100th aav after the
:—al of th3 ,- of ac}_icn is not presented within sum tim, a writ',,.a:z applicaticn may
RkIdOs to the City fcr leave to pr---cent such cl,a-,m. Va apgli.caticn sulall be pre-
4rl�3 within a rr_asc.nabin tim not to exceed one (1) year af'„z�x t".o ac=taj of tj,.e causQ
` ac--i cn and sha I I stats t!ie reason for the delay in presenting t7.e claim. Zfia proposed
.Lint shall he at..acned to t.' applicaticm.