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HomeMy WebLinkAbout4.2 Timothy Simpson Claim l � CITY OF DUBLIN AGENDA STATEMENT CITY COUNCIL MEETING DATE: December 18, 1985 SUBJECT Claim submitted by Timothy Simpson EXHIBITS ATTACHED Claim form submitted December 5 , 1985 • RECOMMENDATION V the claim. and direct Staff to advise the insurance carrier and claimant . FINANCIAL STATEMENT: The total amount claimed - $30,000. Actual medical expenses - $201 .60 plus an undetermined amount for services at Kaiser. DESCRIPTION On December 5 , 1985 the City of Dublin received a claim submitted on behalf of Timothy Simpson. The claim alleges that Timothy fell into a hole which did not have barricades. This resulted in a laceration to his forearm requiring stitches . The claim appears to be associated with construction performed by Redgwick Construction for the City of Dublin. The project included the extension of Amador Valley Boulevard and frontage improvements along San Ramon Road. Staff recommends that the City Council deny the claim and direct Staff to notify the City' s Insurance Broker and the claimant . ---------------------------------------------------------------------------- COPIES TO: Ben Fernandez �•� Timothy _Simpson c/o Law ITEM N0. Offices of W. James Snyder CLAI! ;AINST THE CITY OF DUBLIN jgg�ontrol No. DEC - - •' (Office- Use Only) c of Claimant: Timothy Simpson r1iY OF O::BLiPI ress of Claimant: 7600 Silvertree Lane, Dublin, CA 94566 u Notices to: Law Offices of W. James Snyder, 1728 B St. , Hayward, CA 94541 and (rime of Occurrence: September 1, 1985 , between approximately noon & 1:00 EX ce of Occurrence-: (Provide detailed diagram describing exact location, luding physical landmarks or distinguishing land features, if appropriate . San Ramon Road near the Work Bench Hardward cumstarces of Occurrence: (If an accident, describe physical conditions rounding occurrence, such as weather, road and traffic conditions, etc. ) Timothy Simpson fell into an- unbarricaded hole in the sidewalk t names, addresses and phone numbe-:s of an witnesses: Mr. & Mrs. Watson & Jason (age 9) and Gina (age 15) Watson,• 11-667 Los Ranchigos ut. , UWD-Lin, CA 94566, James Simpson (age 11) , 7600 Silvertree Ln. , Dublin, CA 94566, Dan Santana of e city or u in cription of Damage or Loss: Deep lacerations to left forearm requiring stitches c and Departmont of Involved City Employee (if any) : unascertained al Amount Claimed: $30 , 000 . 0'0 Breakdown of Amount Claimed: Family Medical Center: $201. 00 , Kaiser (Pleasanton) : amount of third party billing is unascertained .� LAW OFFICES O JAMES SNYDER ed: December 3, 1985 signed: l By: WENDY MA7VR , Attorney a w A claim relating to a cause of action for death or for injury tQjerson or to personal arty or growing craps shall be presented not later than the 100th day after the accrual ;e cause of action. A claim relating to any o'.her cause of action shall be presented not than one (1) year after the accrual of the cause of action. M en a claiia that i.s requixed to be presented not-later than the_00th day -after the sal of the ,cause of action is not presented within such tim, a umitte i applieati c n may ode to the City_ 0==U far leave to present sins�cla . Ole application, shall be pre- )d within a zee .son,able tuna not to exceed one (1) year after tho accrual (l1 the cm,1se tiara and s�w11 state the reason for the delay in presents-Ig the claim. L%e propos ed 1 S)1a1 1 }^d #-_ i-1,– 4-1 l-4.4— .