HomeMy WebLinkAbout2005-01-10 - Personnel-Risk Management Committee Meeting Minutes (Cancelled)/ S C t 1.4'Wrt
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YORBA LINDA WATER DISTRICT
r"SONNEL-RISK MANAGEMENT COMMITTEE MEETING
Monday, January 10, 2005, 4:00 P.M.
4622 Plumosa Drive, Yorba Linda, CA 92886 - Tel: (714) 777-9593
AGENDA
COMMITTEE: STAFF:
Director Ric Collett, Chair Michael A. Payne, General Manager
Director William R. Mills Jr. Pamela Pietras, Assistant Administrator
INTRODUCTION OF VISITORS AND PUBLIC COMMENTS:
ACTION ITEMS:
Consider damage. claim filed by Thomas E. Covey
Recommendation: Recommend to the Board of Directors that the damage
claim submitted by Thomas E. Covey be settled in an amount not to exceed
$3,827.01 subject to execution of a signed District release form.
STANDING ITEMS:
2. Status of Recruitments
3. Monthly status report of Risk Management Activities
4. ACWA/JPIA Risk Management inspection
INFORMATION ITEMS:
5. None
ADJOURNMENT:
The next regularly scheduled Personnel-Risk Management Committee will be held on
February 14, 2005.
Accommodations for the Disabled:
Any person may make a request for a disability-related modification or accommodation needed for that
person to be able to participate in the public meeting by telephoning Michael A. Payne, District Secretary,
at 714-777-3018, or writing to Yorba Linda Water District, P.O. Box 309, Yorba Linda, CA 92885-0309.
Requests must specify the nature of the disability and the type of accommodation requested. A
telephone number or other contact information should be included so the District staff may discuss
appropriate arrangements. Persons requesting a disability-related accommodation should make the
request with adequate time before the meeting for the District to provide the requested accommodation.
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ITEM NO.
AGENDA REPORT
Committee Meeting Date: January 10, 2005
To: Personnel-Risk Management Committee
From: Michael A. Payne, General Manager
Staff Contact: Pamela Pietras, Assistant Administrator I
Reviewed by General Counsel:
CEQA Compliance: N/A
No Budgeted:
Funding Source:
Cost Estimate:
No
Water Operating Fund
$3,827.01
Subject: Liability claim -Thomas E. Covey
SUMMARY:
The District has received a damage claim filed by Thomas E. Covey for damages sustained
to his automobile.
DISCUSSION:
Attached for the committee's consideration is a liability claim filed by Thomas E. Covey. Mr.
Covey is claiming that on December 13, 2004, his vehicle was involved in a traffic collision
with a District vehicle. Mr. Covey further contends that the District employee was at fault. Mr.
Covey is claiming approximately $3,223.89 in estimated automobile repair expenses and
$603.12 in car rental expenses, totaling $3,827.01.
PRIOR RELEVANT BOARD ACTION(S):
None.
STAFF RECOMMENDATION:
Staff has reviewed the incident and recommends that the Personnel-Risk
Management Committee recommend to the Board of Directors that the District settle
the damage claim with Thomas E. Covey in an amount not to exceed $3827.01
subject to receipt of an executed release form.
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Claim Form ^ lo- 96 y ._7 ~~;g -
(A claim shall be presented by the claimant or by a person acting on his behalf.)
NAME OF DISTRICT:
1 I Claimant name, address, (mailing address if different) and phone number.
Name: ` I HO MRS E. CaV
Address(es): ~~13v>c S Oa w / J
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Phone Number: ("760) -32-9 - -Z 7 89
2 I List name, address and phone number of any witnesses.
Name: H 6 GT 6 Z lam. R C_ I~
I Address: `_I Z Z 1h/4 I✓ i os Fi C O S, SrG- /A -TL- tt (E C-,, L-4 ~ z 5 9 D
I Phone Number: (c7ac/) / 1 3- P-ci DO
3 List the date, time, place and other circumstances of the occurrence or transaction which gave rise to the claim asserted.
Date: ) Z1 1 3/ Q y Time: 12. j p Place: S N U SGT' ~.ti 4 CA.lo Q 14oR$C- 7T2A 1 L_
Tell What Happened (give complete information):
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NOTE. Attach any photographs you may have regarding this claim.
4 Give a general description of the indebtedness, obligation, injury, damage or loss incurred so far as it may be known at the time of
presentation of the claim.
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5 I Give the name or names of the public employee or employees causing the injury, damage, or loss, if known.
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6 If the actual amount of your claim is less than $10,000 indicate the exact amount of your claim, and if possible show specific itemization
and/or include conies of any documents in support thereof. If the amount of the claim exceeds $10,000, no dollar amount should be
included in this claim form. However, it is necessary to indicate whether jurisdiction will rest in Municipal or Superior Court.
(Jurisdiction for any claim under $25,000 would rest in Municipal Court, and any claim over $25,000 would rest in Superior Court.)
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Date: j z' G I L~ 1 Time: 1:30 P Signatur
ANSWER ALL QUESTIONS. OMITTING INFORMATI N COULD MAKE YOUR LAIM LEGALLY INSUFFICIENT!
White --JPIA Office Copy / Yellow--District Office Copy / Pink--Claimant Copy I CLM-CF-062900