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ST9302-CL001030. 4 , ` ~ 1 E LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM DATE• 1~~3a~~~ FROM : _ ~~ //1 11 ! I~l°. rSV ~ - CLAIMANT/PLAINTIFF: 1 `8 DISTRIB[JTION LIST: CONIlV~NTS• Jim Witt, City Manager Peter G.Smith, City Attorney Vivyon Bowman, Director of Human Resources Texas Municipal League Lawsuit Fi//l'+e (original/copy) ~ti suit/city.form revised B/19/94 ` 1 CLAIM NOTICE PLEASE USE BLACK INK ONLY City Secretary City of Coppell PO Box 478 Coppell TX 75019 ~'''\ (For Office Use) CLAIM xo._ ( 3o.2dDD. ~ FILED Ix MY OFFICE THIS THE 3 a -in, DAY OF aoo a CITY SECRETARY This is my notice of claim against the City of Coppell. The circumstances giving rise to this claim are as follows: ~ ~3t-d~ K~` ~ 1. The injury or damage occurred !oa-drie W E ~ dad of SEi~TE/178~i~ , at approximately ~ o"clock ? at the specific location of ~ / / ~~~ /~ /~ Gf1 ~/E~ f/(,~j F (1~ 7f/E ,F~2~~i~„1y.T~f , ~Q~,o~,e "S . , in Coppell, Texas. 2. The damage or injury occurred in the following manner: ~i~~s~" s~ .fTf~CFi~ 3. The full extent of my damages and/or injuries are as follows (be specific -attach estimates, bills, etc., if available): ~1~'/1s e see ~ ache 4. The amount of damages claimed is $ ~~ • ~o~i CG ~C~/~T-~ (Please Print) ~~Cf~~~ rn• ~n~~~~~~ a~ /' Claimants C,QE~(j~ y/'L.. 2d/0~,~ Phone c 9~z) ~7.~' ~.2 c~~ Area Code Address ~o ~l ~/,/f~ /L L/1 ~ • City/StatelZip ~O/0~~~ ~ ~ Sd f *********s*******************~~**************** I do swear the above is true and correct. NOTE: Article 11, Section 11.09 of the 1=10 Rule Charter -Damage Suits. The notification shall be filed within forty-five (4S) days of the date of injury or damage or, in the case of death, within forty-five (4S) days of the date of death. The failure to so notify the City within the tune and manner specified shall exonerate, excuse and exempt the City from any liability whatsoever. No action at law shall be brought against the City until at least sixty (60) days have elapsed following the date of notification. i e j CSR/itrt 1t/Q7/CE ~D~ /YJ ICH~1~ III - /,~2~c~l~~U~e ate( ~'2E~a2 y ~ - ,eo,~~i2 ~~~ ~~~~ Gti-~.~a~q ~P , TX ,,~spo~'s~ ~ # z aid ,~ES~DNS~ io ~3 = SPINA 1.r9,fE ,Pp~9D CONSTi~LI GT/O~ CfrG/S~~ au~ ~~~ ~~~~ ~~~ 5~,~~N~-~~,~ sys~~ ~ CLOG ftND l~ftC~' try • w~ fl~D 2~~~i~s ~~~~ ~ o~~' s,~~is~~'~ Eye sY sT~in~ r~~~/~'/~/G r~/s Gl/f/ S ~i /~ ~X T~/r/T ~~ ff LL TJfI /~7~C~'E' . ~SE~ ~rr~r-~~~o /~~~L~,v~ resin ,~.~~~rr i,~~~~ r~o~J • ~ldvr~v~~2, yv~ ,B~c~IU~~ ~ rr~,~y ~l/4~ 1N~7~ie %/~~ ~ f~i~v .~'" G'ftGLETJ ~~ ~~,~~dN ~- CQYyI~ CK~CK ~ ~ ~~ ,~E"7~~a~//VE f j GEf~ ~ ~-/I~ ~ GAT ~ Th'F Gr/fI T~~ CIiUE lids oN ©G~2 s/D~ of ~ N~~l>/Nc~` ~Gl2i ~/Eie ~~~r TdLI~ /.~~~ ~ T_ WaL~iN~' QN THE ~~m 4' T,y~ ,a~9-c~ u~ C~us~.~ ,~ GD/tls%~Ucrla~/oX/ G ~~ ~~~ SSU2~ f~/I/.D ~A~~ y ~~-~ ~-~ ~~~2~T~oN ~ ~c~ a ~~~ ~iN~ ~~a~i ~ A~I/nH~GE"- ~ ~ AGC l'2~ SE ,~~icES~ . ~~ s~~iC C~?/~~Ns~T/o/1/ ~,2 T~IES~ ~~~-i,~s GvE ~lpD TD ,yi9~aE- ~~p~ ~~U~N~~ DoG~/~2~~ sore j f~ s a ~2~cr1oN orv ~~ ~ ~-~~ ~ f Es~/GT a~ ~ ,~ls~ / ~!Na Gd~IIGH ~vo~ ~.~ aT~/~~ ~Is~- ~t~ ~ ~C/OT QCCG{/~~E~~ ~~ oNG ,P~cE~n y /I~a~EO ~ ~~P~"~~ 1 CAGL~D ~E C/ ~N ~ aCo~s to /VS' ~~~9-~ • gQE~~ur~~-/,2aP~2 ! ~ (~(( Q U~gZC GN 3 OCCf~s/o~l/S' ~S~//Ula F~~ /r~/FD~f T/D/V - l~~`/~~~G ~QG~ To Ff~~ ~ ~PQ2 ~ 2 ~~ ~/m - 1T ~~s ~~~~ ~~~~~ ~ ~~CK ~,2 eErUE~ ~ ~~ ~ ~~Q~2~~iU~ ~~ ~i~ ~~~~ s„7~u EN/J~/fr/~~e To ~irv,¢~z~ ~'~ ~G Gff ST ~y~Ei , ~DCT~ ~~2 . ~ Y~~ ~ ~2~~~~ G~~s~T Ti~frr f~T ~,~` ~U2i~~~~ ou,e ~2~~ ~c-~s ~t/a ~ ~~~ ,~ a~~ ~~,~ ~~~T,o~ ,~Ty~~K ~~ ~ ~ 2c ~ ~~ Df 0C7a1 ~.2 ~ F~~/T~"/ /~l~ ~-CL ~Tf/~ 2~io~/2r /n~to~~ ~CR ~~~~ ~ e o~ ocT /g tt ~ ~i D 7~ ,~i°~r2 /~~ CG~ln? ~a~Pav~v o~~~- ~ ~i~a~r ~iU/~ ~/~T~l~ fog /n~e~ 4f ~ ~E,2~o~ /Z 17/f'!E ~il/G'G UD /N~' 4NE ~~ ~ l ~X ~~US ~S" ©~ie a~ 5 ;~~ ~T~ fIL/N~ DF ~ y ~js c~~~- 4 ~.~~R~~~ ~~ s' y~ INVOICE BENNETT IRRIGATION 3003 Ravine Trail Carrollton, TX 75007 (972) 394-9964 Customer Name: C~aE~ Rd~~~e. Address: l,i/ c~ci,Ai L LA~~ ~!'~'~~~ Home Phone: ~~~~) 7~ -~..~~ Wk: Date: y/~~/~~ Sprinkler Repair/ Maintenance Description of the services performed are listed below: Amount ~o Sc,4v~~~' ~iyi9,2~~= C~ _Ei9.t~ EJ7 C'~~O ~ E E~ /~~'.~~5 /4iV.l~ ,QGf'Lf~Ct~'/J ;S C+~P~~,cZ$ C~`iQY,yT ~.fi~7 C ~a9e~ y,~.~v QEG~ ©~ ~r.,~r~s~ C 4 7 ~ ~~ ~A~~ yd s`~ ~y9$ d ~L. Id o, Total: Thank you for your business! ~r~ ~~ BENNETT IRRIGATION INVOICE 3003 Ravine Trail Carrollton, TX 75007 (972) 394-9964 Customer Name: ~',~~~ ,~~,~~,,,e Address: ~i/ QUA/L G.9.~.>r L"[~OPfG L Home Phone: (g~~) ~~~~~ Wk: Date: q -i~z - ~ Sprinkler Repair/ Maintenance ~~~,e~v~ ~fc.~ l'a.r~Qou~~ s.~~n .,av~7 s,~~ cfF Description of the services performed are listed below: Amount IlALut La^.11~ ~ co NE ~ S.v~-E.ed.1C c~rOd~ t~T' ~ soL.6.cJtY~ Fc~ 1/AL dE f'd4GE C/.d~' rf(~ -- LA~O~ /3.2 °~ F, Total: $ r 97 Thank you for your business' 'At~ M~ ~tLL PRO SSl ~~1 /1CCES, /NC. REPAIR ORDER/SERVICE REPORT PI~IIOiIE (~Tlj lOT,?!s7 ~;~9tX ~Tl) ?.i+ 1-0Ili~T ~, T ~ M O OUOfEO O O OT~N91 /~ / ( ! ~ +~ir/ A.N.i. NO. CUb'TOIlR FA. NO. M/ORII ORDER NO. ~{O1~ NA1Ne , t " i~/~~ / /~ l61V1CE LOCATION /IIOfE NO. CONTACT PMQNE NO. S~YICE LOCATION - ETI~'T Afl01lEi. /~ CRY. ETATE Ii- iIL1 TO NAME - iT1EIlT AODIEI>u. CRT. iTATE 2N AOE ~~ UI/r MODEL NQ E~E11L N0. tMT MDOg NQ EI)IlIIL NO. u~,, ~ ~ P r" - - /- ~ RE*IAIETi AIq/OR REFAMIB i; ANr RE01i11® ~ QWN711Y MAT'L IDtMICE MATEIrAL DEJjCIrPIION UMT tBl TOTAL E#L __ 3/ ~ .,~ ... P / t'('h ~~ 3/ ~ ~~- ~ ~~P ~ q• ,G v, r;~ ' ~ - Ca ,- , MIECELLA~EIbIK YA7lIfEAL COMFil7EC i1CO1i~E1EG ~~ T~•~ TOTAL MATERIALS /G v ' 01/IE1~0 , Ti1E DI~FATeIIED TSE O - SFECIAI TOOL REIIITAL I NAPE EIUMNED THE CIMROES AND TIIE TERMiON THE REY6IEE AIO FIND THEM TO EE fA7gsACTORY. 8191MTUIE setvlCE CALL REfi ~ ~. /~ 3 O.T. IME:. C.G i ~ / SALES TAX '~ ~ EXP. GATE.-~_ CHECK! Ola TOTAL CHARGES ' '~ D.OD. MIOIE(FNDNE i AMOUNT PAID THIS IS YOUR INVOICE -PLEASE PAY TECHNICIAN ~o ~ cREOrrcARDO AR:CT.o JR-1 . ~ `~' T N E C 1 T Y O F COPPELL ~ ~~ ~ ~' O F x A s ,$ 9 October 31, 2000 Ms. Michele Bregande & Gregory L. Roper 611 Quail Lane Coppell, TX 75019 Dear Ms. Bregande & Mr. Roper: I' This letter is to notify you that your claim against the City for the recent water problems at your residence has been forwarded to the insurance company of the contractor working on a project which caused this problem. The name of the insurance company is: National American Insurance Company P.O. Box 38 Chandler, OK 74834 The name of the contact person is: Bettina Patton Her telephone number is: 1-800-822-7802 Please contact Bettina with any comments/concerns regarding your claim. Sincerely, v~ , ~ i Vi n V. Bowman /~ Director of Administration/HR cc: Bettina Patton Ken Griffin, City Engineer Jim Witt, City Manager Clay Phillips, Deputy City Manager 2SS PARKWAY * P.0.80X 476 * COPPELL TX 7501 9 * TEL 972/462 0022 * FAX 972/304 3873