ST9905-CL081105
LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
DATE: 11/24/08
FROM: _Christel Pettinos
CLAIMANT /PLAINTIFF: _ Verizon - Holly Finley
DISTRIBUTION LIST:
_X_ Jim Witt, City Manager
Bob Hager, City Attorney
_X_ Vivyon Bowman, Director of HR
_X_ J erod Anderson, Purchasing
Texas Municipal League
Lawsuit File (original/ copy)
COMMENTS:
U:\Claims\Suit Transmittal Form.doc
Revised 8/19/94
~veri70n
CMR CLAIMS DEPARTMENT
P.O. BOX 60770
OKLAHOMA CITY, OK 73146-0770
1-866-887-4066
*****NOTICE OF CLAIM*****
Date: 11-05-2008
To:
CITY OF COPPEll
CITY CLERK
CITY HAll
PO BOX 9478
CpPPELL, TX 75019
RECEIVED
NOV I 22008
CITY SECRETARY
CITY OF COPPEll
CERTIFIED MAIL. RETURN RECEIPT REQUESTED
CERTIFIED MAlL# 917108213339348361 8156
RE: Damage to Verizon Property
VerizoD Claim Num:
DamagelDlsc:overy Date:
Damage Location:
Damage County:
Damage Amount:
TXPR083440
09-19-2008
1122 W BETHEL, COPPELL, TX
DENTON
UNDETERMINED
Dear SirIMadam:
Please be advised that Verizon Facilities sustained damage as a result of the negligent acts or
omissions by employees or agents of CITY OF COPPELL .
Investigation has revealed that on or about 09-19-2008 employees or agents of CITY OF COPPELl,
TISEO PAVING DAMAGED A VERIZON 200 PAIR BURIED CABLE WHILE GRADING FOR
A ROAD MOVE FOR THE CITY OF COPPEll in the area of 1122 W BETHEL, COPPELl, TX.
REQUEST FOR GOVERNMENTAL NOTICE FORM
If your Governmental Entity requires the completion of its own form to complete proper notice, please
forward a copy to the address listed above. Every good faith effort has been made to identify the proper
office and address to perfect our notice. Please forward to your attorney, if misdirected.. to contact us.
Matters herein stated are alleged on information and belief this pleader believes to be true. If there is
insurance to cover this matter, kindly advise as to the name of the insurance company, its address and the
claim number assigned. If you have any questions, or need additional information, please contact me at
1-800-321-4158 ext 8273. \\\\\\111111"~/1//1/
"~"~I ~\.E GIll: 1111"
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Sincerely,
Hony Finley
~~~
Commission Expires
CMR Claims DEPT
\[ exi?On GIoU'm # -rXPt2ObCLtt+D
~ dtlf (\{FtF1QO?J14
CLAIM..NQTICE.
RECEIVED
NOV 242008
CITY SECRETARY
CITY OF COPPEll
{For Office Use O~Iv) _.............
............__.......\................_.__~_ .'.J-._ ---"\
iCLAlM NO. 11.2,t.f.1.oni". 0 I.....FILED IN i
jMYJ)!:::~ THIS THE ..pl........_. DAY OF 1
1-~~~~~Ilf~~~i~~~;J
City SecretaiY
City of C oppell
P.O. Box 9478
Cnppell, TX 75019
(972) 304-3673 (FAX)
ThIS 13 my notice of claim against the City of CoppeU. The circumStances giving rise to this claim
arC' as fi)Uows:
I'hc injury or dama~' occurred on the J?1Wl day Of_.:>wt~~<<_ ........,2('116-, at
dPproximau:ly ......0.. . .......r.. O.dock..........nlCi__.... dC the specific location (~C__..___.... " .
.....1 to;?....... v...> \6.e,.. ... ...c;....... ........ ........ ....... ..........................................___....... I in Coppdl, I exa..<;.
2. Tbe damage or mjury occurred in the fblJowing manner:
liSfD 'PtlVi 03 dtuY\~.ed 0 VC12-IZOY1?OO -.EtU~.._.~GU2~-ed.........
6A0kowhIL~_--4~~_lPi(L:mfi[=_ro_w~friZDt_~-
iYl t CL~...of_~p?l....~..........__.__.____..._.___..._........ ................................__..................__
""'" ..... ..........-................. ...._____............_.____.____.__.._.._......._._...............n'" __............. . _~._.."._.h................ ...._
3.
'The full extent of my damages and/or injuries are as tollows (be specific - attach estimates.
bills. etc, if available):
;>OD ~~.....~.~ d ..~.~.~ .............................................. ...............
4
The amount of damages claimed is $_... ...0.nd -e-bf1Y\ '" n-ed .
(please Print)
Claimant _V.eJ0.Nf.}......crl\J?.....~ \ T PA
Phone (~__) .nQ.Q~ Ll { ~. .......... _....m..
. ..
Art'<< Cod(~
Address v.1S.......~..... 0~?>~fJ\.....~~0.._ . .___.......... City/St.ue/Zip _Q_I(0.........Q~..._1?> [()O.......
(Also list pH:,yious address ifless than 6 months)
******************************
f do swear the above 1:; true and correer.
Signed ..J1QL.~.....b...~m. ...._........".... ____ Dare _l\.j~.~?.Q~......_._
Th~: 1l<.;tifi"UlUrl shall b-~ f,l~d Wllh\!' ~l'( (6) :l~0ntm or In, it:'.!t: ;.l! :njl1ry ,)r d,lmagc or, in the Cii~f.~ \)1" d~iHh, within :;ix (6) 1U(.)Otiu of
[hi: :i<Ht' .Jf death. Thf tilil\ire hI Sf.) n,)\\h tbt eliy ",.;ithin t'o(' time and manner !;J:.ecified shall exonerate, I.'XCI1~(' ~nd exempt the CIty
frnn; <Itl~ blbiliry whats;\t'l."<,r iAr1'dt 11. SC,-ll;)J1 1, .G9 ''.It the lI\lrn~ R\J1e Charter . D:iI:nagf.5~.llr:;)
Hf"li::"J ~~..). ~n f'::-
LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
DATE: 11/24/08
FROM: _Christel Pettinos
CLAIMANT /PLAINTIFF: _ Verizon - Holly Finley
DISTRIBUTION LIST:
_X_ Jim Witt, City Manager
Bob Hager, City Attorney
_X_ Vivyon Bowman, Director of HR
_X_ J erod Anderson, Purchasing
Texas Municipal League
Lawsuit File (original/copy)
COMMENTS:
U:\Claims\Suit Transmittal Form.doc
Revised 8/19/94
~'ver;70n
CMR CLAIMS DEPARTMENT
P.O. BOX 60770
OKLAHOMA CITY, OK 73146-0770
1-866-887-4066
*****NOTICE OF CLAIM*****
Date: 07-28-2008
CERTIFIED MAIL, RETURN RECEIPT REQUESTED
To: CITY OF COPPELL
CITY CLERK
CITY HALL
PO BOX 9478
COPPELL, TX 75019
CERTlFlED MAIL# 91 71082133393483590759
RE: Damage to Verizon Property
Verizon Claim Num: TXPR081962
DamageIDiscovery Date: 06-18-2008
Damage Location: NORTHWEST CORNER OF BETHEL ROAD AND FREEPORT,
COPPELL, TX
DALLAS
UNDETERMINED
Damage County:
Damage Amount:
Dear SirlMadam:
Please be advised that Verlzon Facilities sustained damage as a result of the negligent acts or
omissions by employees or agents of CITY OF COPPELL.
Investigation has revealed that on or about 06-18-2008 employees or agents of CITY OF COPPELL,
TISEO PAVING DAMAGED A VERIZON 1800 PAIR AND 106 PAIR D.G. CABLES WIDLE
DRILLING A PIER FOR TEH STREET LIGHTS in the area of NORTHWEST. CORNER OF
BETIlEL ROAD AND FREEPORT, COPPELL, TX.
REQUEST FOR GOVERNMENTAL NOTICE FORM
Sincerely,
M;7::kwL
If your Governmental Entity requires the completion of its own form to complete proper notice, please
forward a copy to the address listed above. Every good faith effort bas been made to identify the proper
Offi1;C and addreSll to perfect our notice. Plea& forward to your attorney, if misdirected, 10 contact us.
Matters herein stated are alleged on information and belief this pleader believes to be true. If there is
insurance to cover this matter, kindly advise as to the name of the insurance company, its address and the
claim number assigned. If you have any questions, or need additional information, please contact me a~,\\\I\\III1"/f11111
1-800-321-4158 ext 8273. ",,""~\~~:.~.~.~ G'~~
~ .... "'OrA":':- ~~
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NOTARY
CMR Claims DEPT
Commission Expires
~~llOfl 6\CUm~ l~rrz D~lcl~d- (A'(l~ 6laJ(Yl it-1lt6lw
.CL.AtM..N.QTl.CE
RECEIVED
NOV ~:. 4: iU08
CITY .::iEGRETARY
CITY OF COPPELL
. ia~AiMNo1fid~ ~~ ~;rkmJN-:l
iMytfFFICE THIS THE . n.1-.i.f........ VA Y OF !
:ti~:...:...:..:~~_...::..::::..::.n.-.::~. ~..~.:::.:.::n j
ADMIN.lSTRATIVE SECRETARY'
...................... .........._..._._... ..... ... ._n. _...........,....._....__...................." ,_..
City Secretary
City of CoppeJl
P.O. Box 9478
Coprell, TX 750 L 9
(972) 304-3673 (FAX)
'Tins is my notice of claim against the City of CoppelL The circumstances giving rise to this claim
;'-He <1$ fi)llows:
t. 'rhe injury or d.amqg~ occurred on the 1~1iI day of._........J~D...L_._.nm.nnmn , 20lXt a{
approximately vnmof22"'~- o'clock ....V~JMW.... at the specific location (~f.lJQH'D~!~b'
C00.~...l1.~nelY.lD .. t.n....P.l'Z-df2-el... 'nm n ........_........... ..m.' m Coppcll, I exas.
2. The damagt~ or mjury occurred In. the following manner:
liSt9.......PotY.i..0~.._~.0f.j~... a. VJ&i10f]....J.~.b.Q.....r.fUr t I D0.....-Pf0lv V:~...:n....
(;~I~...........~.hl..l.Lm..A~J..U..I..r.fj.....0.........e~.fJ?.....~.....~.. ?~. _J(1hh-0~!:..........
WI)~~'~ ~_d1\J.....mJA.~._...Df...........~........................_.._....__........_____
3. The full extent ormy d.'\magcs and/or injunes arc as follows (be specific - attach estimates.
bills. etc. if available):
.....J~OQ....p~ V ~ \fJvJ.. .r.t0..~..........v.:&.1., ...~.~{~. ... ,__.. ..............."..__
.---- -"-'- ~. ..........,,---.--....... '. _.h........._.......... .........._.hnn..m..................____............____w.. _._____..................__..........,.
.. .. ..................-.-. "....... ........---,--.-----------.--.-.-..........................
4.
The amount of damages claimed is s__22..L~~:_~?J
(please Print)
Claimant .~ ~.~........~.fY.\~..0.!.~.((Y\s___!PA Phone L__.J .~S2I~I% ............._..._
Area Cixk
Address ...~t5.......N...y.l.~~?~~... ~~~Ln_....._..__.._ City IState/Zip __(!I.........9.~.......~~ 1 ~_.........
(Also list previou.s address iflcss rha.1l6 montbs)
******************************
1 do swear the above ih true and correCT
Signcd ~L;~ t} .~............___ ........ _ Dale ~l~~}O[)i;._._
Tb~ n(;t.ificat:un ,hall.,,; fllt-d Wlllw, ~.,x (6) monlh~ orth<: dale of injury nr damage or. in tht' cast.' ()f death. wLthin six (()) months of
rhe Ud\e \jl dl'ath Tht' taHun: IU so noW, the CIty withm the time and. ffi.:l.nner ~pecified shall exonerate, I!XCUSt' :md eltcrnpt the City
"'-WT' ilm' liability WhilIS,>t'v('r (...\r!:.'.l:~; I. :','.;'(J('1l ) I.UY i,,; the !inmL' H.:.l11' Ch-<l11er. Damage Sum;}
He\'I:;{>d :;l,;~~).:,oJ.
LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
DATE: 11/24/08
FROM: _Christel Pettinos
CLAIMANT /PLAINTIFF: _ Verizon - Holly Finley
DISTRIBUTION LIST:
_X_ Jim Witt, City Manager
Bob Hager, City Attorney
_X_ Vivyon Bowman, Director of HR
_X_ J erod Anderson, Purchasing
Texas Municipal League
Lawsuit File (original/ copy)
COMMENTS:
U:\Clairns\Suit Transmittal Form.doc
Revised 8/19/94
~ver;70n
CMR CLAIMS DEPARTMENT
P.O. BOX 60770
OKLAHOMA CITY, OK 73146-0770
1-866-887-4066
*****NOTICE OF CLAIM*****
Date: 07-28-2008
CERTIFIED MAIL, RETURN RECEIPT REQUESTED
To: CITY OF COPPELL
CITY CLERK.
CITY HALL
PO BOX 9478
COPPELL, TX 75019
CERTIFIED MAIL# 9171082133393483590742
RE: Damage to Verizon Property
Verizon Claim Num:
DamageJDlseovery Date:
Damage Location:
Damage County:
Damage Amount:
TXPROS1961
06-11-2008
SOUTHEAST CORNER OF BETHEL ROAD AND ROYAL LANE,
COPPELL, TX
DALLAS
UNDETERMINED
Dear Sir/Madam:
Please be advised that Verizon Facilities sustained damage as a result of the negligent acts or
omissions by employees or agents ofCm OF COPPELL.
Investigation has revealed that on or about 06-11-2008 employees or agents of CITY OF COPPELL,
TISEO PAVING DAMAGED A VERIZON 54 PAIR. D.G. CABLE DURING ROAD
EXCAVATION FOR TIlE ROAD EXPANSION FOR THE CITY OF COPPELL in the area of
SOUTHEAST CORNER OF BElHEL ROAD AND ROYAL LANE, COPPELL, TX.
REQUEST FOR GOVERNMENTAL NOTICE FORM
Sincerely,
o:i'4W4;Jo-~
If your Governmental Entity requires the completion of its own fonn to complete proper notice, please
forward a copy to the address listeJ above. Every good faith effort has been made to identify the proper
office and address to perfect our notice. Please forward to your attorney, if misdirected, to contact us.
Matters herein stated are alleged on infonnation and belief this pleader believes to be true. If there is
insurance to cover this matter, kindly advise as to the name of the insurance company, its address and the
claim number assigned. If you have any questions, or need additional information, please contact me at \\\\11111111111/1/
1-800-321-4158 ext 8273. ,,"'\\c."'ELE G/"/~",
;:.' .$' ,....~............. f,,~ ~
~ ......~OTA^....'~ ~
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11/ ill IIIl III 1\\\1
Commission Expires
CMR Claims DEPT
~Lv\'WI{) GltUfY' j} ixft2-b~lq&1
one cAaJ m tt:-1(1614t1
CWM.N.QTICE
RECEIVED
NOV 2. 42008
CITY SECRETARY
CITY OF COPPEll
rci:AuiNO~:~if~iiol~~ ~~l~Eij"lN '-l
iMY O'f'lCE THIS THE. ....uf..... DAY OF )
I ~~~~..~::....9"t.~~..r.:_.~~~.~~::::::_:::..::: ~O-:::.~::...... ,
I . DMINlSTRATIVE SECRE~~~:\.l~Y...j
....... ......................... ..--.-...-............. -............-- .
Cicy Secretary
Cit)' ofCoppeIl
P.O. Box 9478
Coppdl, TX 750 t 9
(972) 304-3673 (FAX)
ThIS is my notice of claim against the City of CoppeU. The circumstances giving rise to this claim
are as follo....'S:
The injury or d.arnagc occurred on the \/11rl_ d.ay OC._......n~.~_._.........., 2<ILl, at
approximalely .v.X\Yx\O)'llj).... p'cIQckUnftLo\kJiL at the specific location of _..&outt.eQ.c.-t
CDnlU\m....(t....UfueJ ~ .~... r2D~L_...lk.V}e!................ _ _.._.., in Coppell. Texas.
l.
')
The damage or injury occurred in the following manner:
~~~Ji~~'hi0~~Q!~ti~~ 0~~:S:E-
~.ftli.......i~............Qii1UGfiCl0~~.~.....:==~.~.....~::........................... .....................-...=.......~...:=..~~~......=~
3. The full extent of my damages and! or mjuries arc as tollows (be specific... attach estimates.
bills, etc. if available):
,
......~1..... ~J.......V 0,
01~~
4.
The amount of damages claimed is sJ..ML1 ternf n.ed
(please Print)
Claimant .i~~.'WO'__..~~~....~0!~~ 114\ Phone<-..J@3JILffrg ......_.............
Art'a Code
Address .~.!2.......~.....f.(q~..~........l2t..~__.. '. _................. City IStatelZip __Q't!:.......9..~.....17J ~.........
(Also list previous address ifless than 6 months)
******************************
I Jo swear the above is tme and correct.
Signed..--:-4L~....b.0 .......... .........._._....... Date _Jli~:.0P.?............__
fhe ndJllcallO:! $halllX fil~d Wllh\;;-Qx l6i !1)(mth3 ofrhe dalt' I)! injury nr ctJ.magc or, 11: the .::tse nr ;WllIl:, within six (6) Inllnlhs of
Ill( dail.' nf dl.'i~tl1. Tnt taibr(- hI $0 flouty the CilY ...rithin the time and mannl!!' specified shaH t'xor.erate, (>)((11Se and exempt the City
from imy liabilit.y whals,wv('r :.A 1'1 ide i 1. SCCtl(>Jj Il.09 ni tbe l-1orne !blc Chat1er . Lhl11:iilC St:I!l:)
H,'''I<?J l16. (\1: OJ.
LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
DATE: 11/24/08
FROM: _Christel Pettinos
CLAIMANT jPLAINTIFF: _ Verizon - Holly Finley
DISTRIBUTION LIST:
_X_ Jim Witt, City Manager
Bob Hager, City Attorney
_X_ Vivyon Bowman, Director of HR
_X_ J erod Anderson, Purchasing
Texas Municipal League
Lawsuit File (original! copy)
COMMENTS:
U:\Claims\Suit Transmittal Form.doc
Revised 8/19/94
r
~ver;70n
CMR CLAIMS DEPARTMENT
P.O. BOX 60770
OKLAHOMA CITY. OK 73146-0770
1-866-887.4066
*****NOTICE OF CLAIM*****
Date: 11-05-2008
RECEIVED
Nav I 22008
CITY SECRETARY
CllY OF COPPELL
CERTIFIED MAIL. RETURN RECEIPT REQUESTED
To: CITY OF COPPELL
CITY CLERK
CITY HALL
PO BOX 9478
COPPELL, TX 75019
CERTIFIED MAIL# 91 7108 2133 3934 8361 8163
RE: Damage to Verlzon Property
Verizon Claim Num: TXPR083439
DamagelDiscovery Date: 09-24-2008
NORTHWEST CORNER OF BETHEL RD AND FREEPORT
PARKWAY,COPPELL,TX
DENTON
UNDETERMINED
Damage Location:
Damage County:
Damage Amount:
Dear SirlMadam:
Please be advised that VerizoD Facilities sustained damage as a result of the negligent acts or
omissions by employees or agents of CITY Of COPPELL .
Investigation has revealed that on or about 09-24-2008 employees or agents of CITY OF COPPELL,
TISEO PAVING DAMAGED A VERIZON 200 PAIR BURIED CABLE WHILE INSTALLING A
SlDEW ALK FOR THE CITY OF COPPELL in the area of NORTHWEST CORNER OF BETHEL
RD AND FREEPORT PARKWAY,COPPELL, TX.
REQUEST FOR GOVERNMENTAL NOTICE FORM
If your Governmental Entity requires the completion of its own form to complete proper notice, please
forward a copy to the address listed above. Every good faith effort has been made to identify the proper
office and address to perfect our notice. Please forward to your attorney, if misdirected, to contact us.
Matters herein stated are alleged on information and belief this pleader believes to be troe. If there is
insurance to cover this matter, kindly advise as to the name of the insurance company, its address and the
claim number assigned. If you have any questions, or need additional information, please contact me ~\\\I\I\lIll/lilllll
1-800-321-4158 ext 8273. . ~~'\j~~~~...~~v~///...~
~ - ~ ":':",Q,T.Il,., I~' 1'n ~
~ ~- ..... ~ IVTr ...... \,I. ~
~ / '\ ~
~ f #06011463 \ ==
~ i EXP. 11/28/10 i ~
- ,.. \ . -
~"';"\ i~~
%. -y Jl'~'../1lBL\~..<~O t
1- ~ ....-......... ~. ~
1-~~OF O\<,\.. \\\~
II \\\
1111111111111\\
Sincerely,
HoDy Finley
~~(r~
Commission Expires
CMR Claims DEPT
~&\'IDVI UoJrY1 =Ii I ~ffi t;4?:f1
0~ dlt~ul\I)~ 1Qo'61 '?}
C..LAJMJ~!QTICI;
RECEIVED
NOV 2 42008
CITY SECRETARY
CITY OF COPPELl
(972) 304-3673 (FAX)
(For Office Use Only)
.n.....~.'_'____" ..-\..................--=~...... . ......._..n............ --1
:CLAIM NO. .IJk'l.ZD.llLjl.~LFrLED IN
:~1y.qFFK'E THIS THE ._:z.{....... DAY OF ,
! Ng~......... ......20..a.1.. !
1-=~.:...~.~i}.~I~~F;....SECRI~i~iy.... !
.. . ....... ... .. ......-.... ............hn....................................._......n................ .......^~..
City Secretary
City of CoppdI
P.O. Box 9478
CoppeJJ, TX 75019
ThIS is my notice ofdaim against the City ofCoppeH. The circumstances giving rise to this claim
dIe as fi)llows.
The inj~ry or (tamaioccurred on thC)Y~ day oc_0..~~0&~_n..._........., 2o/111.., ~L
avproxunotely .......... .. .......... ..... o'clock .......iiTtt-....--... at the specific locatlon (~f ...NOrm~~,~
~e.t)~.. .........~ ......iZO.....t:fULfD~.......P~.~......._. .n...; In CoppeU, I exas.
I
l.
2.
The damage or injury occu.rred in the fbllowing manner;
li?ffi..... .f~yJ~. ... ut~.......~......V1fJ.1P.Y.J....n2QO__~ ~J?~~pL.~.0..
Wh.(Jt.....nJnsh(U(0@............Q__.~ldoo.tUf.......{Qr........iY.l.t..m...tj.~.....9f.........J!2e12tJL.........
3, Tht~ full extent of my damages and/or injuries are as tollows (be specific - attach estimates.
bills, etc. if available):
.......2.QQ..n.p&t.r........ .b~(!fL
uJdu
.___n......n..........
,.. ,...--.---, - ~._--....................._._.._..n..~~.. ...~_.._..._......._...._ ....... ......_...............................A_A..._~__.. n_____~..........._.______...............
4
The amount of damages claimed is $_.........\)Yl~~..0' Min{fl_.._........_._.........
(please Print)
Claimant ~tvi1!?D.......~~.0~.\Y\-~ TPA Phone (__) ...W2.2dI415~ ..........
Area Cud,:
Address ..lR.IS....j:L._....~i~~_~D......J2\~4.. .....____.............. City IStale/Zip _Q~..........9..~..._1~ (oG _.m....
(Also list previous address iHess than 6 months)
******************************
1 do swear the abow is true aQd correct
Signed _... j.-~110...u.....wu.w.J..C'( .u........ Date _..L(~ll~Q~.~.__
The n(,tifi;;Jti(>n ~~;Q Wilhu' ".\ (6) ~;;a;il~ of rh.: (.Iiit(' 1)1' :~il1ry Qf carnage or, in tnt' case <)1' lbHb, within six (6) munths of
lht' ;.idle \it death. The f,~illire ~;:I $0 noti!'y tht City \....ithin the time and l'lliltlnCr ~pecified shall exonerate, ev....lls€' and exempt the City
from ;WI' Habilir,' whalsnt~"cr {Artidt" I!. SCCll01l 1 i.vil n{ rhe Hl'.m" Rule Charter.. Damage Suits}
Re...'hf'.J lX)- :1'\: O~
LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
DATE: 11/24/08
FROM: _Christel Pettinos
CLAIMANT /PLAINTIFF: _ Verizon - Holly Finley
DISTRIBUTION LIST:
_X_ Jim Witt, City Manager
Bob Hager, City Attorney
_X_ Vivyon Bowman, Director of HR
_X_ J erod Anderson, Purchasing
Texas Municipal League
Lawsuit File (original/ copy)
COMMENTS:
U:\Claims\Suit Transmittal Form.doc
Revised 8/19/94
~ver;7on
CMR CLAIMS DEPARTMENT
P.O. BOX 60770
OKLAHOMA CITY, OK 73146-0770
1-866-887-4066
*****NOTICE OF CLAIM*****
Date: 07-28-2008
CERTIFIED MAIL, RETURN RECEIPT REQUESTED
To: CITY OF COPPELL
CITY CLERK
CITY HALL
PO BOX 9478
COPPELL, TX 75019
CERTIFIED MAIL# 91710821333934 83590797
RE: Damage to Verizon Property
Verizon Claim Num:
DamageIDiseovery Date:
Damage Location:
Damage County:
Damage Amount:
TXPR081970
07-22-2008
ACROSS FROM 3129 W BETHEL RD, COPPELL, TX
DALLAS
UNDETERMINED
Dear SirlMadam:
Please be advised that Verbon Facilities sustained damage as a result of the negligent acts or
omissions by employees or agents of CITY OF COPPELL .
Investigation has revealed that on or about 07-22-2008 employees or agents of CITY OF COPPELL,
TISEO PAVlNG DAMAGED A VERIZON 200 PAIR BURlED CABLE WITII A FRONT END
LOADER DURING EXCAVATION in the area of ACROSS FROM 3129 W BETHEL RD,
COPPELL, TX.
REQUEST FOR GOVERNMENTAL NOTICE FORM
Sincerely,
aiJ;?;;~M-
If your Governmental Entity requires the completion of its own fonn to complete proper notice, please
forward a copy to the address listed above. EvelY good faith effort has been made to identify the proper
office and address to perfect our notice. Please forward to your attorney, if misdirected, to contact us.
Matters herein stated are alleged on information and belief this pleader believes to he true. If there is
insurance to cover this matter, kindly advise as to the name of the insurance company, its address and ~\\\\"III""/JIIII
claim number assigned. If you bave any questions, or need additional infonnation, please contact ~'~~:~~. Glt/I'/,.o~
1-800-321-4158 ext 8273. ~ ~,,"'~OT4i?"'" ~~ ~
~ .~~.. ~...1.. tP ~
t l #06011463 \ ~
- : EXp 1 :-
= Ul ~ . 1128/10 E :
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~ ~">-.VBL\C.....""'O~-~
"'i- ,"' .~..- ~ ~
~'I OF OK\.~\\'~''''
1111111111'\\\\
NOTARY
CMR Claims DEPT
Commission Expires
\ft010n CAcu'rYdr IxP~bslq{o
lffirL CUlMft 1~Y;dm
C.LA1MJ~QIIC.E
Clty Secretary
City ofCoppeU
P.O. Box 9478
Coppell. TX 75019
RECEIVED
NOV 2 42008
CITY SECRETARY
(9729'j(J4..0J6 %'np~k't
i'ciAIMNO~~f{~~~~~b~"tj"iN"":l
:MY~"FICE THIS THE .."k.f...... DAY OF i
t 20 i
i=:.:.......=-:...... .... ....:....~-,-~-:.............................._._=~:......... :
I AD IN ISTRAI1VE SECRETARY l
........................................... -....-.....-...........................-....................................
Tills is my notice of dnim against. the City of CoppelL The circumstances giving rise to this. claim
dIe as follows: I
I. The injury o. damaf~ occurred 00 .he ~rd day of __..0..\L~_. . ....., 20m, at
rlDffi~.~~;r...:W?:~a..~).~~.~..::::~:~ ......~:.:. ~~.~..~.~~~~...~.:.~~Clfic oca~~~~, ~~ ~~~'eXliS.
J
....
'The damage or lnjury occurred in the following manner:
li.?~.......f~~J..0.~._....~ed....,...0 .......y.?f.01))O..,....?r;!).......~e ~~q~.~.....,._...
W,jlli.......a......ffirtt...:..~__......tQ~.~.........~.08............_~~dv-tt~......fo~ i'Vte ...........
cLtLj of CD~...lL_....___..........._..........__.
3.
The full extent of my damages and/or injwics are as follows (be specific... attach estimates,
bills, etc. if available):
......... .?.~.......f~~....~.0- ..~~ ~................m ................ ......................................
4.
The amount of damages claimed is $ _.....\.Lyykt.tf..fY\ in al
(please Print)
Claimant JLlf\1\)tl._~~....~.I~1 ~~. '1VA Phone L__J~~ILf/S-b
Area Code
Address.....~.\.;?......~...0..~q~.Q...~ V0_.___.__.___ City/Stare/Zip _Q~......Q~........:101 00
(Also list previous address ifles5 than 6 months)
******************************
J do w..'ear the above is tmc .and correct.
Sign(;~_~_iio.U.0 _g..'~.~.........._.......... _ Date ---1.l:J.~~~~......_
The Ildlflc.111011 shall be kitJ wtlhm ~;x ~61 mom.h~ of the (\;;1(" 01 mjury Of camage or, in :l1t' case of dt'1I1h, within six (6) months of
tht date \if ueath Tht' t"ilurf:' to S0 notit')i tht City within the :im,~ and manner ~pedti~d ,hall eXQr.et'3te, excuse and exempt the l'lty
f.'om any Iiahility WhHL~o('ver (AT1x!c II, S~,:(lI()l) 11.09 ,"ii the Ilorne Rult: Charter. Damage S'JJtS,1
H(-"'h~U tk~;'''J..n:
.;
LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
DATE: 11/24/08
FROM: _Christel Pettinos
CLAIMANT /PLAINTIFF: _ Verizon - Holly Finley
DISTRIBUTION LIST:
_X_ Jim Witt, City Manager
Bob Hager, City Attorney
_X_ Vivyon Bowman, Director of HR
_X_ J erod Anderson, Purchasing
Texas Municipal League
Lawsuit File (original/copy)
COMMENTS:
U:\Claims\Suit Transmittal Form.doc
Revised 8/19/94
- J
~ver;70n
CMR CLAIMS DEPARTMENT
P.O. BOX 60770
OKLAHOMA CITY, OK 73146-0770
1-866-887-4066
*****NOTICE OF CLAIM***~*
D~te: lD-13-2008
RECEIVED
OCT 1 72008
CITY SECRETARY
CITY OF COPPELL
CERTIFIED MAIL, RETURN RECEIPT REQUESTED
To: CITY OF COPPELL
CITY CLERK
CITY HALL
PO BOX 9478
COPPELL,TX 75019
CERTIFIED MAIL# 9171082133393489128697
RE: Damage to Verizon Property
Verizon Claim Num:
DamagelDiscovery Date:
Damage Location:
Damage County:
Damage Amount:
TXPR082874
08-27-2008
INTERSECTION OF FREEPORT AND BETHEL ROAD, COPPELL,
TX
DENTON
UNDETERMINED
Dear Sir/Madam:
Please be advised that Verizon Facilities sustained damage as a result of the negligent acts or
omissions by employees or agents of CITY OF COPPELL .
Investigation has revealed that on or about 08-27-2008 employees or agents of CITY OF COPPELL,
TISEO PAVING CUT AND DAMAGED A VERIZON 200 PAIR BURIED CABLE WHILE
DIGGING A 36 INCH HOLE FOR A NEW LIGHT POST FOR THE CITY OF COPPELL in the
area of INTERSECTION OF FREEPORT AND BEfHEL ROAD, COPPELL, TX.
REQUEST FOR GOVERNMENTAL NOTICE FORM
If your Governmental Entity requires the completion of its own form to complete proper notice, please'
forward a copy to the address listed above. Every good faitb effort has been made to identify the proper
office and address to perfect our notice. Please forward to your attorney, if misdirected, to contact us.
Matters herein stated are alleged on jnfonnation and belief this pleader believes to be true. If there is
insurance to cover this matter, kindly advise as to the name of the insurance company, its address and th~h\l\lIl"111
claim number assigned. If you have any questions, or need additional information, please contact R\e.~.:'C.LE G~/IIII,
1-800-321-4158 ext 8273. ~'-~G ...~............. v~'~
~ ~- '-;'\OT Ar>", 'Yo ~
~ .~.... ,.... .. VT}:~.... CJl ~
::: 0" \..,.
- .: . -
5 f #06011463 \ ~
~ (fl \ EXP. 11128/10 J :::
-;:...\~.. /~~
~ ':<'~~BL\q.../ O~$
.............. ~ ~
OF: O\<.\..~ \,,~
'/111 \\\\
/1/'"111111\\
NOTARY
Sincerely,
Holly Finley
Hvl ~ l-vv.ti
CMR Claims DEPT
Commission Expires
V if'oaf) 0loJrII Jt -r~PtlO ~:J81Y Cffi)2 cldlM -#- 1~1cz;~
CLALM..N.QTICE
RECEIVED
NOV 242008
CITY SECRETARY
CITY OF COPPEll
........ ...._....____.(For,.9ffice USt~ O~!r) ...--........ "--1
;Cl.AIM NO. h:ul.2.D._~_FILED IN
:My:s.FFICE THIS THE ...~......... DA Y OV 1
!I".:~.': -.. ...~:.~~...:~:..:... ..'.~~~.~.... i
ADMlNJSTRAI1VE SECRET:.\1~!. ....
......... n. .__.__._.'0_... ...... ..............._.....
Cuy Secretary
City ofCoppell
P.O. Box 9478
Coppell, TX 75019
(972) 304.3673 (FAX)
This is my notice of claim against the City of Coppel!. The circumstances giving rise to this claim
dIC' .1S t'bllows:
I. 'The injury or damage occurred on the aJ!!1 day Of.._..~ L)st ...n....;....' 20~. ,at
apPWXimatd~.... .oJ?L..n...... ().dock........QTa _...1 at the specific location of ....JilK~.t.yll OY)
of. &t.~.........~....Jbet0.e.:.L..~~,........................................................ ......" i.n Cappell, Texas,
2, Tbe damage or in,jury occu.rred in the fbllowing manner:
!i'stoPa VinCI 6cU- a.nO JtUYlI1 /lPA tl V e..~ "WYl dDO ett.j ~ "',. n..n..
... ,Lmmnm..n.nn ....... .m........CJ.n...., ..-... .._..m......_......... m ... ~~...._n..... ......... ........ .._......._..~___. .. .
\Q@{ c4............0.~.10~........:\A)b.d.f..__..~~.)ggin.5...,......c:.\...........~..........~~0J._...._~:~..el.~__ to~ ~~...........
1le!L~._1$+ fost __..nt?.........lY2~_~.~. Df ~f~.ll...:........
,
..",
The full (~xtent of my damages and/or injuries are as follows (be specific - attach estimates.
bills, etc, if available):
.m..J..fP n .nf..~~..~ . .. \oLl~(.~..n...c.fL..~I~. ......................., ...................
.. -^.......-."""....,.-.- ---.,......-- . #.-..... ---.. -, ....._.................._....... .._. n..........................d.._m...___.....__._.........
.un.... ............_.........___... ._._....-....._.........~......_._...______.____.............--__..._.....m..._..._.................n..._.__....._..
4.
The amount of damages claimed is $_..L\yJdd.~__.._._..........m....
(please Print)
Claimant... \{f!.~> ~D........0..!]\f....JLtt1M~ 1\4\
Phone (__.J ..b.~\1Jo\ 4 \\i&
Area Cod....
Address .....~.l5......}:\_Y\0SSUL.. \O\~... .... .'.__ City/State/Zip _.~~.....9.:f......].?l ~~.. ....
(Also list pJ'C1lious address ifless than 6 months)
.*****************************
f do s,,'ear the above is true and correct.
Signed -----_,~l\!.r...~-.~\.I.' -____. Date _1\J~~2~~........,_......
Tht: n(;t.i!i~;ltlon ,hall be [led ";;~i;U;' ;'j'.\ ':J~:~;;-;i~ rh~ dale (.II mjury '-'T damllge Of, in the t:ase of [kalil, within six <;6) months oi
thl: daie (,I death Thl:' tallure \0 so notify the City within the time and In::\Mcr sr.ccified shall exonerate, ('XCll!;i' and ex&rnpt the eJty
from any liability wna(s()ew^r (./\, rt"ek 1 J . SCc:lIr.n Il.09 of Ih~' Horn::- R:Jle Charter. Damage SUits)
J<.cv.".J :.'(..(.1.'01.
LAWSUIT/CLAIMS AGAINST THE CITY TRANSMITTAL FORM
DATE: 11/24/08
FROM: _Christel Pettinos
CLAIMANT /PLAINTIFF: _ Verizon - Holly Finley
DISTRIBUTION LIST:
_X_ Jim Witt, City Manager
Bob Hager, City Attorney
_X_ Vivyon Bowman, Director of HR
_X_ J erod Anderson, Purchasing
Texas Municipal League
Lawsuit File (original/ copy)
COMMENTS:
U:\Claims\Suit Transmittal Form.doc
Revised 8/19/94
~ver;7on
CMR CLAIMS DEPARTMENT
P.O. BOX 60770
OKLAHOMA CITY, OK 73146-0770
1-866-887 -4066
*****NOTICE OF CLAIM*****
Date: 07-28-2008
CERTIFIED MAIL, RETURN RECEIPT REQUESTED
To: CITY OF COPPELL
CITY CLERK
CITY HALL
PO BOX 9478
COPPELL, TX 75019
CERTIFIED MAIL# 9171082133393483590766
RE: Damage to Verizon Property
Verizon Claim Num: TXPR081963
DamageIDiscovery Date: 06-18-1008
Damage Location: SOUTH SIDE OF BETHEL RD WEST OF ROYAL, COPPELL, TX
Damage County: DALLAS
Damage Amount: UNDETERMINED
Dear SirlMadam:
Please be advised that Verlzon Facilities sustained damage as a result of the negligent acts or
omissions by employees or agents of CITY OF COPPELL .
Investigation has revealed that on or about 06-18-2008 employees or agents of CITY OF COPPELL,
TISEO PAVING DAMAGED A VERlZON 30 PAIR. BURIED CABLE DURING A ROAD
WIDENING PROJECT FOR lHE CITY OF COPPELL in the area of SOUTH SIDE OF BETHEL
RD WEST OF ROYAL, COPPELL, TX.
REQUEST FOR GOVERNMENTAL NOTICE FORM
rJJ.4 4(~~
If your Governmental Entity requiRs the completion of its OMt form to complete proper notice, please
forward a copy to the address listed above. Every good faith effort has been made to identify the proper
office and address to perfect our notice. Please forward to your attorney, if misdirected, to contact us.
Matters herein stated are alleged on information and belief this pleader believes to be true. If there is
insurance to cover this matter, kindly advise as to the name of the insurance company, its address and the
claim number assigned. If you have any questions, or need additional information, please contact me at
1-800-321-4158 ext 8273. l\\lIlUl/1
\\11 1III1
""", ~~lE Glv, 11111",
", ~v .........~....~.. ~. ~
j ~.......~OTA.<?j>.-:d\ '%
-. \ -
~ ! #06011A~" \ ~
-. ~ :
= ~ EXP. 11/28110 j ~
:.\. /l~~
.,...,oUSL\C,/ 0 ~
~...................~~ ~
/"'" Of: O~\. """,
"II I 1/ 11111 II I 1\\
'.
NOTARY
Sincerely,
Ashley Worsham
CMR Claims DEPT
Commission Expires
~~\?On' Cluum +F -r~r~D~lq(P'b
~ ~tUm-tt'lW6\SI
.CL.AJ.MJi.Ql1CE
RECEIVED
NOV 2 42008
CITY SECRETARY
CITY OF COPPELL
(972) 304-3673 (FAX)
CIty Secretary
City of Coppell
P.O. Box 9478
Coppell, TX 75lH9
iCl~AI'M'No'~~i~~:.~~~~n~LiTj"iN""-'l
IM.Y ~F~E THIS THE '''H~''H' DAY OF !
'Il.., '~~~:"~""'::H,"......m:H'=~~~":"H' :
_"H' Ar).rvtIN lSTRATrvE SECRl}:r~.~X....__l
I...HHHH.H....mmH..... __.._ ..H...____.... ....H.H.H ...H.__ .
This is my notice of claim against the City of CoppelL The circumstances giving rise to this claim
die as foilows:
The injury or d.ama~' occurred 0" the 1'&1\'1 day oC.)JII\V ___.... 20Q'b 'j'
apP-TOximately ....HJ\ .ki____... o.dock.......J\~., at the specific location of .J;Q.)tj,[J. Sl .0 .
CfH~.J\0:eLH 1Zd..... HHLSt.HHHOt. ~t&r-HmHHHH..H........_.........__. _.__.~ in Coppell, Texas.
L
')
The damage or in.jury occurred In The fbUowing manner:
---=, i~tO fav(nU\ dtlMlUleO C{ V tv\WY1 3D [tLfv 0U-Vi0 cMd'~"H'"
HHHHHHH . HH....... . .-JHm'HHH".'HH.::..=::..J. _ _...~ ..'HH 'HH H H_." ...... ......H....=tn......H... ~,'_'_ ______
d\tl~.~. ~..........~. .tAJ.~A~.1.!.~....__..~~~..._._.._.~_.....tYlt U ~...g: ~l\..h'
3.
The filll extent of my damages. and/or injuncs are as follows (be specific - attach estimates.
bills, etc. if available):
..__'f.?8.~Y}..J.i?..... ?~ If:. .~@i ~h h(~L"""h_h_
--- . .___-...w.,__.'......n ____._m._...., "'h..._..___............... .......... ........._..._.... ................n__.._.__~._.____"'...._^ ........_.........____. ..",'.
4
The amount ofd.amages claimed is $_\l.~~tY\e.d
(please Print)
Claimant i~~.~D0_.~....~..~~ lPA
Phone L__.J .~l 41 c:;thh.h......
Area Code
Address ....~.\.?.....0..h~10.:?.?Y\h._ \O~~L._.._'"__.. ~..__ City IStatel Zip _ ._O~..........Q.l_. 1:)( D0 _......
(Also list previous address ifless man 6 months)
******************************
J do s\vear the above is true and correct.
Signed ~.L~_..J'~"~"''''''''''''h''h_''''''''_'__' Date JJ.~..~?!?.~....
The l1..:,tific:llion Shill! b<: f,led wlthlll ~i., (6) nl(mth~ of tiR~ datt' 01 injl1ry or Qamage OT, in tht' l.'"aSl~ (;f ,It-.alh. within six (6) months of
the datl' ..)t ueath The tililure to S0 nOtify the City within the tim~ and manner ~pecified shall exonerate, exc.us~ an~ exempt the City
'';-orn ~11\' l\ilbiJity wlWls(>t:ver (Artid,' 11. S:-'.'!I(>n 11.09 nr the Ih:>me R~lc Charter. Damage tiultS)
Ht:"'d,~J \\v'!')J:[}