ST9302-CL001127November 27, 2000
Paul & Kathryn B. Salvie
309 Beechwood Lane
Coppell, TX 75019
Dear Paul & Kathryn Salvie:
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, ·
Vivy66 V. Bowman
Director of Administration/HR
CC~
Bettina Patton
Ken Griffin, City Engineer
Jim Witt, City Manager
Clay Phillips, Deputy City Manager
255 PARKWAY 3IrP.O,BOX 478 1~ COPPELL TX 75019 1IrTEL 972/462 0022 'k FAX 972/304 3673
LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
FROM:
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
(972) 304-3673 flAX)
(For Office Use Only)
CrArM NO. l i ~,2. ~:~0. ~ FILMY ~N
MY OFFICE THIS THE ,~ ~ t~ DAY OF
Nlo ~~ r. - ,20
b/~e'uT~t ~ SEC~Z~Y
This is my notice of claim against the City of Coppell.
are as follows:
1. The injury or damage occurred on the
approx~nnately "] A o~clock
The circumstances giving rise to this claim
__ day of J~%'r ,20 ~, at
, at the specific location of
, in Coppell, Texas.
The damage or injury occurred in the following manner:
The full extent of my damages and/or injuries are as follows (be specific - attach estimates,
bills, etc. if available):
The amount of damages claimed is $
(Please Print)
Claimant ~/L~
Area Code
Address ']"~0~ ~p..g~/~t.O-v~-~'~--- ~ City/State/Zip (Also list previous address if less than 6 months)
I do swear the above is true and correct.
The notification shall be filed within six (6) months of the date of injury or damage or, in the case of death, within six (6) months of
the date of death. The failure to so notify the City within the time and manner specified shall exonerate, excuse and exempt the City
from any liability whatsoever. (AnScle 1 I, Section 11.09 of the Home Rule Charter - Damage Suits)
Revised I 1/00
1I 7I