ST8502-CL 860930GINN, INC.
September 30, 1986
Mr. Dan Mill
Ashlar Contracting Co.
P.O. Box 713
Lewisville, TX 75067
Re:~oad Improvements~'~
Dear Mr. Mill:
CONSULTING ENGINEERS
Enclosed is a claim notice filed by Ms. Lillian Inanaki citing
personal damages the week of September 7 - September 13, 1986,
on the above referenced project.
In accordance with paragraph 3.17, INDEMNIFICATION, of the
contract documents, it is requested that you hold the City of
Coppell harmless for this claim.
Please advise this office of determination in this matter.
Sincerely,
Kevin Peiffer
Enclosure
cc:
Ed Powell
Ms. Lillian Inanaki
Dorothy Timmons
Larry Jackson
Wayne Ginn
Butch Ellison
RECEtV,.-J SEP 2. z, 1981S
CLAIM NO. O~ ~(ZD' I THE'"
FILED IN M~f OFFICE, THIS
(Above spaces for office use only)
City Secretary, City of Coppell
P.O. Box 478
Coppell, Texas 75019
Dear Sir:
This is my notice of claim against the City of Coppell. The
circumstances giving rise to this claim are as follows:
1. The injury or damage occurred on the // day of~
19 _f~ at approximately 7 ~o0 o'c~ockf~ . at th, ,p.ctfic
in Coppell, Texas.
2. The damage or injury occurred in the following manner:
PAGE ONE OF CLAIM NOTICE
3. The full extent of my damages and/or injuries are as follows:
(be specific; attach estimates, bills, etc., if a. vailable)
_ ,
The above statement
NOTE:
ARTICLE 6252-19, SECTION 16, V.A.T.S. - NOTICE OF DEATH OR INJUE~
"Sec. 16. NOTICE REQUIRED - Except where there is actual notice on
the part of' the governmental unit that death has occurred or that the
claimant bas received some injury, any person making a claim hereunder
shall give notice of the same to the governmental unit against which
such claim is made, reasonably describing the injury claimed and
the time, manner and place of the incident from which it arose, within
six (6) months from the date of the incident."