ST9302-CL010205LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
DATE:: , ~'~ "~ "' 0 I
CLAIMANT/PLAINTIFF:
DISTRIBUTION LIST:
Jim Witt, City Manager
Bob Hager, City Attorney
Vivyon Bowman, Director of HR
Texas Municipal League
Lawsuit File (original/copy)
COMMENTS:
\\TWN_CTR\USERS\Kwilkers\Claim FormsXSuit Transmittal Form.doc
Revised 8/19/94
CLAIM NOTICE
City Secretary
City of Coppell
P.O. Box 478
Coppell, TX 75019
(For Office Use Only)
CLAIM NO. 0~1-0 ~3 9~)00,J FILED IN
My_..O,FFICE THIS THE 5q'k- DAY OF
Fe..,brc,,o_r.w . . ,2o01
I ,'i
[ DEPUTY ~IT~ SEb~,~ETARY
(972) 304-3673 (FAX)
This is my notice of claim against the City of Coppell. The circumstances giving rise to this claim
are as follows:
The injury or damage occurred on the
approximately II o'clock
The damage or injury occurred in the following manner:
__ day of g~.b~, r~, ,20 0 [ , at
, atthe specific-Ideation of 4t e C~,-i e,~s~c4;(,.,
, in Coppell, Texas.
The full extent of my damages and/or injuries are as follows (be specific - attach estimates,
bills, etc. ff available):
4. The amount of damages claimed is $
(Please Print)
Claimant ~ '~,x,~ ' ,~--") O'~v~ Phone (~AreaTO~Code) "~'" ~ -
Ad.ess '~,'~O /I~ % fo/'~ ~, ~ ~J, [[~i~/State/Zip ~;~ j (~so li~ previous add~s ffless ~an 6 mon~) '
I do swear ~e above is ~e and co~ect.
· ,~¢ ~' ~ '/
Sl~ed...~¢Z~ / ~ Date ~/~/
The no.cation sh~d M~in s~ (6) months of~e ~te of~j~ or ~mage or, ~ ~e ~ase of dea~, ~ s~ (6) monks of
the date of death. The f~flure to so nofi~ the Ciw Mthin ~e time and manner spedfied sha~ exonerate, excuse and exempt the Ci~
from any liabfliW whatsoever. (~cle 11, Se~on 11.09 of ~e Home Rule Cheer - Damage Suits)
Revised I I/00
0~/~6/~]01 at 07:43 AM
68652
DAVID~CDAVIDAUTO~ROUP
3900 W Airport Freeway
Irving, TX 75062
Job Number:
PRELIMII~RY ESTII~TE
Written by: DAVE GREGSTON
Adjuster:
Insured: JOHN DUFFY
Owner: JOHN DUFFY
Addxess: 3980 N. STORY RD. ~ 1023
IRVING, TX 75038
Claim#
Pol£cM #
DeductiBle:
Date o£ Loss:
Typ~ of Loss:
Point of Impact:
Inspect
Location:
Days to Repair
1989 HOND PRELUDE SI 4-2.0L-FI 2D WHITE Int:
V%I~: JHMBA4230KC056203 Lic: 48Y673 ID Prod Date: 07/1989 Odometer: 174842
Air Conditioning
Cruise Control
Body Side Moldings
Clear Coat Paint
Power Windows
4 Wheel Disc Brakes
Recline/Lounge Seats
Rear Defogger
Intermittent Wipers
Dual Mirrors
Power Steering
Power Antenna
Cloth Seats
Tilt Wheel
Tinted Glass
Electric Glass Sunroof
Power Brakes
Power Mirrors
Bucket Seats
NO. OP.
DESCRIPTION
QTY EXT. PRICE LABOR PAINT
1
2
3**
4
5
REAR BUMPER
O/H rear bumper
Repl RECOND Cover
Add for Clear Coat
EXHAUST SYSTEM
1.5
190.00 Incl. 2.7
1.1
T H E: C I T Y 0 F
COPPEI £
February 6, 2001
Ms. Nancy Johnson
C/o Ed Bell Construction Company
P.O. Box 540787
Dallas, TX 75354-0787
Dear Ms. Johnson:
Enclosed please find a claim for Mr. John Duffy.
If you have any questions, please don't hesitate to contact me directly at 972-304-3648.
Sincerely,
Vivyoj(V. Bowman
Director of Administration/HR
CC'
Ken Griffin, City Engineer
Clay Phillips, Deputy City Manager
VVB/td
2,55 PARKWAY 'A' P,O.E~OX 478 1Ir COPPELL TX 75OI9 ~ TE:L 972/462 0022 "Jr FAX 972/304 3673
T H Ir C I T Y 0 F
COP?EIJ£
February 6, 2001
Mr. John Duffy
3980 N. Story Rd., Apt. 1023
Irving, TX 75038
Dear Mr. Duffy:
This letter is to notify you that your claim against the City has been forwarded to the
insurance company of the contractor working on road construction in the area at the time
of your accident. Therefore, the contractor is responsible for the claim.
The name of the insurance company is: Ed Bell Construction
P.O. Box 540787
Dallas, TX 75354-0787
The name of the contact person is: Nancy Johnson
Her telephone number is: 214-358-6581
Please contact Nancy with any comments/concerns regarding your claim.
Sincerely,
Vivygrn V. Bowman
Director of Administration/HR
CC:
Nancy Johnson
Ken Griffin, City Engineer
Jim Witt, City Manager
Clay Phillips, Deputy City Manager
255 PARKWAY 'i' P.O.BOX 478 1¥ COPPIrLL TX 75019 "i" TEL 972/462 0022 llr FAX 972/304 3673
0,~/~6/2001C -~ at 07:43 AM
Job
Number:
68652
1989 HOND PRELUDE SI 4-2.0L-FI 2D WHITE Int:
NO. OP. DESCRIPTION
QTY EXT. PRICE LABOR PAINT
6 Repl Exhaust manifold S model Feder 1 234.70 m 1.2
7 Repl Tailpipe S model 1 24.58 m 0.7
8 REAR SUSPENSION
9 Repl Align four wheels 2 wheel stee 1 m 1.7
Subtotals ==> 449.28 5.1 3.8
Parts 449.28
Body Labor 5.1 hrs @ $ 36.00/hr 183.60
Paint Labor 3.8 hrs @ $ 36.00/hr 136.80
Paint Supplies 3.8 hrs @ $ 24.00/hr 91.20
SUBTOTAL $ 860.88
Sales Tax $ 540.48 @ 8.2500% 44.59
GRAND TOTAL $ 905.47
ADJUSTMENTS:
Deductible 0.00
CUSTOMER PAY $ 0.00
INSURANCE PAY $ 905.47
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from
the Guide LEG4400 Database Date 1/2001 and the parts selected are OEM-parts manufactured by the
vehicles Original Equipment Manufacturer. Asterisk (*) or Double Asterisk (**) indicates that the
parts and/or labor information provided by MOTORmay have been modified or may have come from an
alternate data source. Non-Original Equipment Manufacturer aftermarket parts are described as AM
or Qual Repl Parts. Used parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned
parts are described as Recon. Recored parts are described as Recore. NAGS Part Numbers and Prices
are provided from National Auto Glass Specifications, Inc. Pound sign (#) items indicate manual
entries.
2
Job
Nurmber:
Q2~'06/2001 at 07:43 AM
68652
PRELI~Y ESTI~TE
1989 HOND PRELUDE SI 4-2.0L-FI 2D WHITE Iht:
Pathways - A product of CCC Information Services Inc.
0~2/0~/2001 at 07:43 AM Job Number:
68652
AFTERMARKET PARTS SUPPLIERS
3 RECOND Cover
Part No. 71501SF1A21ZZ Price $190.00
BEST BUMPER SUPPLY
415 N. 1-45
DALLAS, TX 75141
(800)727-1852
(972)225-1852
FA,'< (:214) 35:2-3201 TELEPHONE (214) 358-6581
ED BELL CONSTRUCTION COMPANY
POST OFFICE BOX 540787 10605 HARRY HINES
DALLAS, TEXAS 75354-0787 DALLAS, TEXAS 75220
February 9,~/~
Mr. John Duffy
3980 ~J/Story Rd., Apt. 1023
/~a~, TX 75038
Re: February 2, 2001 loss at Raven St. and Sandy Lake
Dear John:
Ed Bell Construction Company has received copy of your claim from the City of
Coppell.
Our investigation shows that both Verizon and TXU have been working in the area. We
believe that TXU was the company working in the area at the time of your loss.
Unfortunately your claim was referred to us in error. We regret any inconvenience this
has caused you.
Sincer~
Nancy Johnston
Administrative Assistant
Cc: Ken Griffin, City Engineer ~
Jim Witt, City Manager
Clay Phillips, Deputy City Manager
Vivyon V. Bowman, Director of Administration/HR
AN EQUAL OPPORTUNITY EMPLOYER
T H E C I T Y 0 F
COPi EI L
February 21,2001
Mr. Ron Hilton
Verizon Representative
540 W. Elm
Lewisville, TX 75067
Dear Mr. Hilton:
Enclosed please find a claim for Mr. John Duffy. At the time of the accident, Verizon was
working in this area.
If you have any questions, please don't hesitate to contact me directly at 972-304-3648.
Sincerely, /
Vivyofi/V. Bowman
Director of Administration/HR
CC:
John Duffy
Ken Griffin, City Engineer
Clay Phillips, Deputy City Manager
VVB/td
25§ PARKWAY ~ PO I::lOX 476 ~ COPPELL TX 75019 ~ TEL 972/462 0022 lit FAX 972/304 3673