HomeMy WebLinkAboutAgenda Report - May 4, 2022 C-11AGENDA ITEM ess I 1
&% CITY OF LODI
,. COUNCIL COMMUNICATION
TM
AGENDA TITLE: Authorize City Clerk to Grant Request for Leave to Present Late Claim, by Lauren
Borges, Pursuant to Government Code Section 911.6(a)
MEETING DATE: May 4, 2022
PREPARED BY: City Clerk
RECOMMENDED ACTION Authorize City Clerk to Grant Request for Leave to Present Late
Claim, by Lauren Borges, Pursuant to Government Code Section
911.6(a).
BACKGROUND INFORMATION: Request for Leave to Present Late Claim was filed with the City
Clerk by Lauren Borges, pursuant to Government Code 911.4 on
April 11, 202. A copy of the request to file a late claim, initial
submittals and City's rejection notice are attached. The original submittal was filed approximately one
months after the expiration of the statutory period in which the claim was to have been filed, based on the
August 12, 2021 date of loss. Government Code 911.2 requires that claims against public entities, with
limited exception, be filed within six months of the accrual of the action giving rise to the claim, which in
this instance would have been February 12, 2022. Ms. Borges submitted her claim on March 16, 2022,
which was rejected as untimely on March 16, 2022. In a notice received by the City Clerk on
April 11, 2022, Ms. Borges requested leave to present a late claim.
Statutory exceptions to the claim filing requirements include failure to present the claim through mistake,
inadvertence, surprise or excusable neglect with no resulting prejudice to the public entity; the injured
party was physically or mentally incapacitated during the claim filing period; and the minority or death of
the injured party.
Due to the pandemic impeding part shortages and shipping delays it is recommended that the Council
authorize the City Clerk to grant the request of Lauren Borges to present a late claim pursuant to
Government Code section 911.6(a).
FISCAL IMPACT: Not applicable.
FUNDING AVAILABLE. Not applicable
"��Oaztud_ _
Olivia Nashed
City Clerk
APPROVED: Steve Schwabauer
Stephen Schwabauer, City Manager
CITY COUNCIL
MARK CHANDLER, Mayor
MIKEY HOTHI,
Mayor Pro Tempore
SHAK KHAN
DOUG KUEHNE
ALAN NAKANISHI
March 16, 2022
Lauren Borges
Lodi, Ca 95242
CITY OF LODI
CITY HALL, 221 WEST PINE STREET
P.O. BOX 3006
LODI, CALIFORNIA 95241-1910
(209) 333-6702 / FAX (209) 333-6807
www.lodi.aov cityclerk(c�lodi.gov
STEPHEN SCHWABAUER
City Manager
PAMELA M. FARRIS
Assistant City Clerk
JANICE D. MAGDICH
City Attorney
SUBJECT: NOTICE OF LATE CLAIM — REJECTION OF CLAIM
Claimant: Lauren Borges
Date Claim Rec'd.: March 16, 2022
To Whom It May Concern:
wenn
APR 1 1 2022
The above -referenced claim, which you presented to the City Clerk's Office on March 16,
2022, with respect to an incident occurring on August 12, 2021, is being rejected and
returned because it was not presented within six months after the event and/or
occurrence, as required by law (see Government Code Sections 901 and 911.2),
Because the claim was not presented within the time allowed by law, no action was taken
on the claim.
Your only recourse at this time is to apply without delay to the City of Lodi for leave to
present a late claim (see Government Code Sections 911.4 to 912.2, inclusive, and
Section 946.6). Under certain circumstances, leave to present a late claim may be
granted (see Government Code Section 911.6).
You may seek the advice of an attorney of your choice in connection with this matter. If
you desire to consult an attorney, you should do so immediately.
Sincerely,
`ten • �.�
Pamela M. Farris, MMC
Assistant City Clerk
cc: File
PF/kc
The claim made for . ! was late due to the inability to get parts in a
timely manner. The parts shortage and shipping delays caused our repairs to be done much
later than expected. Temporary repairs were made to our furnace unit system in order to get us
by for the time being until parts arrived. The replacement parts took more time than expected
to arrive and were delayed several times. We were unable to submit our claim within the
allotted six months because of multiple delays on parts and slow shipping times. I hope you
understand why this claim took so long to turn in and will accept our late claim.
Sincerely, RECEIVED
Lauren Borges
APR 1 1 2022
CITY CLERK
CITY COUNCIL
MARK CHANDLER, Mayor
MIKEY HOTHI,
Mayor Pro Tempore
SHAK KHAN
DOUG KUEHNE
ALAN NAKANISHI
March 16, 2022
Lauren Boraes
Lodi, Ca 95242
CITY OF LODI
CITY HALL, 221 WEST PINE STREET
P.O. BOX 3006
LODI, CALIFORNIA 95241-1910
(209) 333-6702 / FAX (209) 333-6807
www.lodi.aov cityc1er1kCdIcdi.00v
STEPHEN SCHWABAUER
City Manager
PAMELA M. FARRIS
Assistant City Clerk
JANICE D. MAGDICH
City Attorney
IL E CA- �
OPY
SUBJECT: NOTICE OF LATE CLAIM — REJECTION OF CLAIM
Claimant: Lauren Borges
Date Claim Rec'd.: March 16, 2022
To Whom It May Concern:
The above -referenced claim, which you presented to the City Clerk's Office on March 16,
2022, with respect to an incident occurring on August 12, 2021, is being rejected and
returned because it was not presented within six months after the event and/or
occurrence, as required by law (see Government Code Sections 901 and 911.2).
Because the claim was not presented within the time allowed by law, no action was taken
on the claim.
Your only recourse at this time is to apply without delay to the City of Lodi for leave to
present a late claim (see Government Code Sections 911.4 to 912.2, inclusive, and
Section 946.6). Under certain circumstances, leave to present a late claim may be
granted (see Government Code Section 911.6).
You may seek the advice of an attorney of your choice in connection with this matter. If
you desire to consult an attorney, you should do so i$imediately.
Sincerely,
,4��`7 •�
Pamela M. Farris, MMC
Assistant City Clerk
cc: File
PF/kc
FILE CLAIM WITH: CLAIM FOR MONEY Reserved For Filing Stamp City Clerk — City of Lodi OR DAMAGES AGAINST THE Claim No. eqA ►-. C)5_
221 West Pine Street CITY OF LODI, CALIFORNIA
(209) 333-6702
OR MAIL To:
PO Box 3006
Lodi, CA 95241-1910
E
F.
MAR 16 2022
ill
Atwh estimates, receipts, photos, diagrams, or witness statements to support your claim. if addltlonai space
Is needed attach sup
Alemental sheets -- clearly Iden fy thesection(s) beinganswered,
Government Code requires claims be presented by the claimant or the claimant's representative and include the following:
:....
Section.l..... i .ant inform Ean.._ ..
Name: L uIA q,o—
Mailing Address:
City/State/Zip Code: L.4- J c A 2q Z- Telephone:
.. ... ...
'Section.2 Repre..sentative Information (Must.lie corkipl.led :if.cla'im..is#ilerf.;by claimant`s attorney -or.
authorized representative:).;. .....
..... ...:..
Name:
CR Check box if same as above
Mailing Address:
City/State/Zip Code: Telephone: ( )
Section 3. Claim �A
Sectio
a m Infr�rmatian. ;: ;:. ...: <: , .. `:� .. �'°�,�
Date of Occurrence: S /1 4-1-/2
Location: r7
Time of Occurrence: — �j�pm
Z
Circumstances giving rise to this claim and why you believe the City of Lodi is responsible:
, injury, damage, or loss incurred so far as it riiay be
the time of the prese
k�
16bit
Name of City department(s) or City employee(s) clausing the injury, damage, or loss, if known.
The amount claimed as of the date of presentation of the claim should include the estimated amount of any
prospective injury, damage, or loss, insofar as it may be known at the time of the presentation of the claim,
to ther with the basis of computation of the amount claimed-
asts r computation of claim: Amount Claimed: $ 2 5 q
If amount claimed exceeds $10,009: If the amount claimed exceeds ten thousand dollars ($10,000), no dollar
amount shall be included in the claim. However, it shall indicate whether the claim Nrould;be a_limited civil case.
A limited civil case is one where the recovery sought, exclusive of attorney fees, .interest,. and co4,9Qst$..d'o- es not
exceed $25,000. An unlimited civil case is one in which the recovery sought is more than $25,000 (CCP §86.)
' F—] Limited Civil Case Unlimited Civil Case
Revised 9/2012
$.ection 4. Additional l:nformatfon.:
Utwllbaed to provide the information requested on the previous page to comply with the California
Government Code; however, to assist the City's investigation, please answer the following questions;
If the claim involves a minor, provide minor's date of birth.
Name, address, and telephone number of any witnesses to the occurrence or transaction which gave rise to the
claim asserted:
If the claim involves medical treatment for a claimed injury, please provide the name, address and telephone
number of any doctors or hospitals providing treatment:
If applicable, please attach any medical bills or reports or similar documents supporting your claim.
Does this claim relate to an automobile accident? ❑ No sign below) ❑ Yes complete this section and sign below)
Claimant's Auto Insurance Co.: Claimant Drivers License No.:
Mailing Address:
City/State/Zip;
_, Telephone: ( )
Insurance Broker/Agent:
Mailing Address:
Citylstatelzip
Telephone: ( )
S.ectio:n 5. Medicare Medicaid: and S-C:HIP Extension Act
License Expires;
Vehicle Make/ModelNear:
License No.:
Insurance Policy No.:
Section 111 of the Medicare Medicaid & S -CHIP Extension Act requires the City of Lodi to report certain claims to
the federal government. Please indicate if the claimant is : 65 years of age or older, or received Social Security
Disability Insurance Benefits for 24 or more months, or has End Stage Renal Disease. If yes, you may be
required to provide additonal information to process your claim. Please circle one:
YES NO
Section 8. Notice and Signature
Notice: Presentation of a false claim is a felony (Penal Code §72). Every person who, with intent to defraud,
presents any false or fraudulent claim is punishable either by pmrisonment In the county jail for a period of not
more than one year, by a fine of not exceeding one thousand dollars ($1,000), or by both such imprisonment and
fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000), or by both
such imprisonment and fine. Pursuant to Code of Civil Procedure §1038.
Unsigned or incomplete claims will be returned as Insufficient, resulting in no action on the part of the City. Please note that this
Claim Form and an attachments area «blic record subject to disclosure under the California Public Records Act.
LOX)T-,Vl Eapk.<)
Claimant's Name (p ase print) Claimant's Si
Revised 9/2012
ra
6 W �L
Date Claim Submitted
Please retain a copy of the completed form for your records
Pmq
YOUR H --AF AND A/C --Xa=SFS
LIC# 1035549
SERVICE ORDER
AND
INVOICE
(209) 271-2462
(209) 986-3556
469 Rotelli St.
Manteca, CA 95337
gopmgroup@yahoo.com
CUSTOMER NAME
FIRST IN QUALITYAND SERVICE
AUTHORIZED BY JOB AT
HOME PHONE STREET
DATE
STREET
HOMEPHONE
CITY ZIP
WORK PHONE
CITY 11111 ZIP
WORK PHONE
DRIVING INSTRUCTIONS WITH CROSS STREET
PROMISED CALL BEFORE ❑ A.M.
❑ P.M.
MAKE
❑ REGULAR ❑ WARRA=
❑ SERVICE CONTRACT
MAKE 1
THIS WORK IS TO BE
❑ C.O.D. ❑ CHARGE ❑ NO CHARGE
QTY ITEM• - PART DESCRIPTION
( r.. r
MODEL
MODEL�J
77�L 5a do/6�
�� d
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SERIAL NUMBER
SERIAL �UMjya ��-7
�,
FILTER SIZE
FILTER SIZE
WORK TO BE PERFORMED
ENVIRONMENTAL CHECK LIST
CHECK LIST
HEATING
❑ CHECK/ ADJ. THERMOSTAT
CHECK /ADJ. SAFETY CONTROLS
❑ VACUUM BURNERS/CONTROLSRECOVERED?
❑ CLEAN /ADJ. PILOTASSEMBLY
❑ ADJ. BURNERS FOR EFFICIENCY
❑ CHECK FOR GAS LEAKS IN FURN.
❑ LUBRICATE ALL MOVING PARTS
❑ CHECK BELT/ADJ. TENSION
❑ CHECK FILTERS
❑ CHECK FLUE PIPE
❑ SHUT DOWN CENTRAL AC
❑ TURN EXPOSED DAMPERS TO
HEATING POSITION, IF MARKED
(NO BALANCING)
❑ ADJ. PRESSURE REGULATOR
❑ CHECK CRANKCASE HTR. OPER.
❑ CHECK TOTAL PERF. &OPERATING
EFFICIENCY OF HEATING SYSTEM
COOLING
❑ INSTALL GAUGES / CHECK
OPERATING PRESSURES
❑ CHECK VOLT/AMPTOALL MOTORS
WITH METERS
❑ CHECK AIR TEMP DROP ACROSS
EVAPORATOR
❑ CHECK FOR ADEQUATE REFRIG.
CHARGE / POSSIBLE LEAKS
❑ CHECK EVAPORATOR SUPERHEAT
❑ LUBRICATE ALL MOVING PARTS
❑ CHECK BELT/ADJUST TENSION
L) CHECK FILTERS
❑ CHECK PRESSURE SWITCH
CUT-OUT SETTINGS
❑ CHECK ELEC. LOCK OUT CIRCUITS
❑ CHECK START CONT CONTACTS
❑ CHECK ALL WIRES / CONNECTIONS
❑ CHECK/ADJ. THERMOSTAT
❑ CHECK AIR TEMP. ACROSS COND
❑ CHECK THAT CONDENSATE DRAIN
IS OPEN/TURN EXPOSED DAMPERS
TO COOLING POSITION. IF MARKED.
NO BALANCING
( )
TYPE SYSTEM
REFRIG QTY.
0E] QTY.
–
RECYCLED? ❑ ❑ QTY.
YES NO
RETURNED TO ❑ ❑
THIS SYSTEM? YES NO QTY.
DISPOSAL
-
TOTAL PARTS
DESCRIPTION OF WORK-❑
J
—
NONUSEABLE YES El E] QTY.
DISPOSAL
• PMENT
J
CHANGED OUT DISMANTLED? ❑ ❑
(OR REPLACED)? YES NO
1-11-1 REFRIGERANT DISPOSAL
YEs NO
–`
RECOMMENDATIONS
HRS.
LABOR
RATE
AMOUNT
_
TOTAL LABOR
TECHNICIAN �, CERT. #
SIGNATURE
TOTAL
OTHER CHARGES
TERMS: ■ - • • • N me
I HAVE THE AUTHORITY O SUBTOTAL
-
THE ABOVE WORK AND E. IT IS AGREED THAT THE
DO SO ORDER AS OUTLINED ABOVE.
SELLER WILL RETAIN TITLE TO ANY EQUIPMENT OR
MATERIAL FURNISHED UNTIL FINAL AND COMPLETE TRIP
PAYMENT IS MADE, AND IF SETTLEMENT IS NOT MADE AS
AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE CHARGE
SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY TAX
DAMAGES RESULTING FROM THE REMOVAL THEREOF.
•
•
OWNER'S INITIALS
ACCEPTED DECLINED
–
PARTS WARRANTY
All parts as recorded are warranted as per
manufacturer specifications.
LABOR GUARANTY
The labor charge as recorded here relative
to the equipment serviced as noted, is
guaranteed for a period of 30 days.
We do not, of course, guaranty other parts '
than those we Install. If repairs later become
necessary due to other defective parts, they
will be charged separately.
��
AUTHORIZED SIGNATURE
■
ABOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY.
/� �/
C3"
DATE
bill 1 A RWAY DMVE SUITE 110
GALT, CA 95632
Lodi Door #209-366-0377 F
bbins Door #209-744-1159
Bill To
Gees Borges
Lodi, CA 95242
Date Invoice #
8/18/2021 0821078
P.O. No. Terms Project
Quantity Description Rate Amount
2 #8550 Belt Drive Openers 500.00 1,000.00
1 #877 LM Keypad 60.00 60.00
We will not he responsible for loss, or damage caused by fire, theft, testing or any other
causes beyond our control. At the time of our monthly billing date (which is the last day of
the month unless otherwise specified) a FINANCE CHARGE OP I34% (which is an ANNUAL
PERCENTAGE RATE OF 18%), with a minimum charge of .50 cents will be made on purchases
over 30 days old after first deducting current payments. Purchaser liable for attorney fees
and court fees.
Total $1,060.00
T.-2093687164
SOLD TO:
F:2093399042
ROBINSON REMODELING & ELECTRIC
744 W. PELTIER ROAD
LODI, CA 95242
San Francisco, CA 94139-8835
SHIP TO:
ROBINSON REMODELING & ELECTRIC
550 A N. SACRAMENTO .ST.
LODI, CA 95240
ACCOUNT WNAME JOB NAME _
CUSTOMER ORDER NO.
KL -73835 ROBINSON REMODELING & ELECTRIC
IGEEZ
SALESPERSON SHIPPING INFORMATION
SHIP VIA
SHIPDATE
2305 KS PICKUP
WC
08/13/2021
PRODUCT CODE
DESCRIPTION
C
p
PRICE
P
DISC.
EXTENSION
C
ORDERED
SHIPPED
R
D
6
14
HALO
SELECTABLE 90CRI 60OLM LD R
C
10
22.56
E
225.60
1.0
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5
34.94
174.70
20
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MERCHANDISE
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SALES r14JC 8.25QB0 33.02
Att WS6 f MRA�CTIN SMI89i8E W�AEUM1E N�l.PPLY:d1N18. uYIILLT
C-CIL+iCCLLEfl. NOTINSTOCK UNASLETD P[RiCHASElAC1lLLY-
SHIPPING CHARGE
0.00
THIS ISSIl�IECT Ta7[1UR TFFfaS SgC�.TW RT SN831}1f�TEt�i[8.D4141MICH Y181eAY
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TOTAL DUE
433.32
IF PAID BY 7HE 107H 4F ilfE M
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