ST9302-CL010110T H E C I T Y 0 F
January 10, 2001
Ms. Reba Ferguson
845 Woodmoor Dr.
Coppell, TX 75019
Dear Ms. Ferguson:
This letter is to notify you that your claim against the City and accident you had on Sandy
Lake Rd. on January 3, 2001 has been forwarded to the insurance company of the
contractor working on a project in this area.
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,
· ~
Vivygh V. Bowman _~_ff-~
D~rector of Adm~mstrat~on]HR
CC:
Nancy Johnson, Ed Bell Construction
Ken Griffin, City Engineer
Jim Witt, City Manager
Clay Phillips, Deputy City Manager
255 PARKWAY lit P.O BOX 478 'k gOPPELL TX 75019 lit TEL 97::>/462 0022 ~ FAX 972/304 3673
01-03-2001 12:06PM FROM
~7249080~3
P&P HOMEOFFICE ALPHA TO
9?230436?3 P.O1
CLAIivl NOTI(~.
1o lhis cl~m
Tbcinjuryordamageoccu~e~tonrbe 3rddayof January .,2~0!,at
aha ~ore ~. on ~a~y hake ~. W, st bougd _ ,~C~,T~.
Since the construction company bilged the area b~side Sandy Lake Rd.,
_.$t caused a sheet of ica to for~ on Sangy Lake Rd. lWaile htidini wes!
on Sand~ Lake I was unable to stop on the sheet of ice for the traffic
stopped at the Moore Rd. light ~a~prgx. in front of Coppeli Cuttery).
The lug extent ofmy dama~s and/or injuries are as follows (be specific, ammh esfimams,
bills, etc. if available):
St. Farm is in :.he process of lnv_estigatinK the rear bumper d_~mAge on
car in front of mine. I will forward that information _upon 9o, mpletton.
My car was apparently not damage but I will have it inspected since I'~
not a trained eye to this type of si~uatlon.
TheamolL~lof~lllall~daimedis$. TBA as $_o_on as p,qssible
Claimant Driver - Reba L. Ferguson . ,, l~lOIl~ ~ 3__93-0458 (H)
A,eeC~de (972) 720-3248
Beeper ( ) -
~ 8~5 Woodmoor Drive ~/~/~!~_ Coppellt ~ 75019-~2~
(~t~oma~s~~6~) (15 yrs. 9 mos.) .....
TOTAL P.01
LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
DATE::
FROM:
CLAIMANT/PLAINTIFF:
DISTRIBUTION LIST:
Jim Witt, City Manager
Bob Hager, City Attorney
Vivyon Bowman, Director of HR
Texas Municipal League
L~/~t File (original/copy)
COMMENTS:
\\TWN_CTR\USERS\Kwilkers\Claim Forms\Suit Transmittal Form.doc
Revised 8/19/94