ST9302-CL001003LAWSUIT/CT._AIMS AGAINST THE CITY TRANSMITTAL FORM
DISTRIBUTION LIST:
Jim witt, city Manager
Peter ~.Smith, City Attorney
~ Vivyon Director of Human
Bowman,
Resources
Texas Municipal League
Lawsuit File (original/copy)
COMMi :
suit/city.form
revised 8/19/94
1'1' T I lJ " [
CLAIM NOTICE
PLEASE USE BLACK INK ONLY
(For Office Use)
CUsaM NO. /0 t~ A~O0 o. _1 ~.~.n ~ ~'"
0~ ~S ~ ~r~ DAY OF
,
City Secretary
City of Coppeil
PO Box 478
Coppell TX 75019
This is my notice of claim against the City of CoppeH.
follows:
The circumstances giving rise to this claim are as
The injury or damage occurred on the
at approximately ~ .~'t~t o"clock
, at the specific location of )/~ } ~)1 ~:~ -y
, in Coppell, Texas.
2. The damage or injury occurred in the following manner: ~ f .----
/
:3. The ~ull extent of my damages and/or injuries are as follows (be specific - attach estimates, bilL%
etc., if available): _,~-m '
4. The amount O~lamages claimed is $ ¢&,.~ ~, .", .,~ i),~.~ ""7/,f---- _z'l,//l~fe.'''''-- ·
,-?, "
/,4
I do swear the abdvKffs,f~e and correct.
NOTE: Article 11, Section 11.09 of the Home Rule Charter - Damage Suits. The notification shall be
filed within forty-five (45) days of the date of injury or damage or, in the case of death, within forty-five
(45) days of the date of death. The failure to so notify the City within the thne 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.
INVOICE
Nappa Sprinkler Service
6476 Loma Vista Drive
Watauga, TX., 76148
817-909-0057
No. ~ ~.~.~
IINVOICE DATE
TO:
SHIP TO:
=~ INVOICE
N02812
October 4, 2000
Ms. Bettina Patton
c/o National American Insurance Company
P.O. Box 38
Chandler, OK 74834
Dear Ms. Patton:
Enclosed please find two claims that have been filed with the City.
Sin ,/ye?
Administrative Support Supervisor
Encl.
Viyvon V. Bowman, Director of Administration/HR
Jim Witt, City Manager
Clay Phillips, Deputy City Manager
Ken Griffin, City Engineer
255 PARKWAY ~1'P.O.i) OX 478 1IrCOPPELL TX 75019 IttTEl,.972/462 0022 'irFAX 972/304 3673
1' 1I' ~ [
October 4, 2000
Mr. William Freda
161 Dickens Dr.
Coppell, TX 75019
Dear Mr. Freda:
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,
Vivyqt4 V. Bowman
Director of Administration/HR
CC:
Bettina Patton
Ken Griffin, City Engineer
Jim Witt, City Manager
Clay Phillips, Deputy City Manager
255 PARKWAY * p.O.;lOX 4'70 ~' COPPE:LL TX 75019 '~'TEL 972/462 0022 ~ FAX 972/304 3673