HomeMy WebLinkAbout2083J. l0. F.4 _16
ORDINANCE NO. „, a8r3
AN ORDINANCE of-'the City of Port Angeles
authorizing the payment of a Claim
for Damages to Robert L. Miller.
3 THE CITY COUNCIL OF THE CITY OF PORT ANGELES DO ORDAIN
4 AS FOLLOWS:
5 Section 1. The claim of Robert L. Miller in the amount
6 of $65.00 was properly filed with the City of Port Angeles in
7 accordance with the law and is a valid Claim for Damages.
Section 2. There is hereby appropriated from the Current
9 Expense Fund the sum of $65.00 which the City Treasurer is directed
10 to pay to Robert L. Miller in full settlement of the claim against
11 the City of Port Angeles, upon execution by Robert L. Miller of a
release to the City of Port Angeles.
12 PASSED by the City Council of the City of Port Angeles
13 at a regular meeting of the Council held on the U day
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of
ATTEST:
, 1980.
Marian C:' Parrish, City Clerk
APPROVED AS TO FORM:
raig L
Miller, City Attorney
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27 PUBLISHED: Atir a /5' 86
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CITY OF PORT ANGELES
CLAIM FOR DAMAGES
CLAIM NO. 0 0 0 9
CLAIMANTS PLEASE NOTE: RCW 35.31.040 READS IN PART,
"All claims for damages against noncharter cities and towns
must be presented to the city or town council and filed with
the city or town clerk within one hundred and twenty days from
the date that the damage occurred or the injury was sustained:
Provided, Thatif the claimant is incapacitated from verifying
and filing his claim for damages within said time limitation, or
if the claimant is a minor, then the claim may be verified and
presented on behalf of the claimant by any relative or attorney
or agent representing the injured person."
TO THE CITY COUNCIL OF THE CITY OF PORT ANGELES, WASHINGTON:
Please take notice that a,)-,, ± L, (Y) f e,C. Age all
(If married, give husbands name)
1
Who ,now resides at CI Irdrierl Cf^t'•�1 +_c� enosi" 14005e . L..1(-)is Foe,' `rh
(State present "actual residence by street, number and city)"
And who for six months prior to date of accident has resided at:
r)c't A-ncce key Ceti tia r l
(Give resid nce by stre t, number and city)
CLAIMS DAMAGES OF AND FROM THE CITY OF PORT ANGELES, WASHINGTON, IN THE SUM OF
$31 d ti0 r p(�
i xtv-rive " 1Zo (G �co arising out of the following circumstances:
(Describe claim, giving date, time and place of injury or damage incurred. Accurately
•locate and describe defects causing injury or damage, and all acts of negligence claimed.
Accurately describe injuries or damage, giving name and address of attending physician;and
the names and addresses of any witnesses to the incident. Attach invoices or other
supporting documents substantiating repair costs for damages incurred). PLEASE BE
SPECIFIC.
Upon orl `reaE'� - - d`ar'n the. Pc;ct Av�eles CH-Lk ;3a;l J� (var3 )5, iGRO-,
that -Fac�I�it j fc3d e(1 'fG p'c><duce fa c- a a This fn'%o, is I +siec ct5
�e I held -�o r sct:e. keel) ;nc� -, p rs Reee tpt �c ' i+ m s Se.; ze i n Cc,vn -
p'C∎; Ai- #' 7c1 -:35 I: /i)c),; i`avl* a to s.--o ve: Z
J
URA VC l ' {t, 1\
•
k fi aye L! v \c�ti01 pccA
Mon 1i,LL(A'Vi roc ;i1 � � ot'
cic;Lyl P; ze - yy —yto Ate. e %: ase.' 197ci 4c, I ,.St o res
5 L C
• .a_ 3
(Signature of Claimant)
SUBSCRIBED and SWORN to before me this,.//--- day of
Received:
Date: / — , 7 - - C )
By: �1., (L ■
F''
Notary ublic in and
Uoshington, residing a/.
(TO F E FILLED OUT BY THE CITY)
I, the undirsi;;ned, do hereby certify tfsat the ,trpense incurred in the foregoing
bill is tru u, i crn•••eor c:cncge the C't:y of Port P,r.ro1
_
Pe,'artrn •nt; that the clam is just and due.
FiVa
Insurance Company of North America
14799 N. E. 29th Place P.O. Box C -90026 Bellevue WA 98009
206 8813700
March 18, 1980
City of Port Angeles
Port Angeles, WA 98362
Attn: Bob Orton
RE: File: 141- -L 3432 91 X
Insd: City of Port Angeles
Clmt: Miller, Robert
D /E: 1/15/80
Dear Mr. Orton:
We recently received a first notice of claim regarding a parka owned
by Mr. Miller which disappeared while in the custody of the Port
Angeles Police Department. The item is presumed stolen. Based upon
the information that accompanied the first notice forwarded to our
office by your agent, we believe that there is no coverage for this
loss.
Your policy with INA contains endorsement K 1483A. That endorsement
contains a list of definitions. Contained within that list is the
definition for the term "property damage ". It is_our position that a
theft does not constitute property damage as that term is defined in
the insuring agreement.
If you have any questions regarding this determination, kindly contact
the undersigned.
Sincerely, /1
_ --
David R. Antal
Claims Supervisor
DA /mb
cc: Gellor Insurance Inc. P 0 Box 2045, Port Angeles, WA 98362
•
RELEASE
For and in consideration of the payment by the CITY OF PORT
ANGELES of the sum of Sixty -five ($65) Dollars, receipt of which
is hereby acknowledged, ROBERT L. MILLER does hereby forever
release and discharge the CITY OF PORT ANGELES from any liability
in regard to a claim filed by ROBERT L. MILLER on January 17, 1980.
This release shall be binding upon the heirs, and assigns of
Robert L. Miller. Payment by the CITY is acknowledged to be full
and complete satisfaction of the claim.
DATED this
STATE OF WASHINGTON)
ss
COUNTY OF CLALLAM )
day of , 1980.
ROBERT L. MILLER
On this day of , 1980, before me, the under-
signed, a Notary Public in and for the State of Washington, duly
commissioned and sworn, personally appeared ROBERT L. MILLER, to
me known to be the individual described in and who executed the
foregoing instrument, and acknowledged to me that he signed and
sealed this said instrument as his free and voluntary act and deed
for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this day of
, 1980.
NOTARY PUBLIC in and for the
State of Washington,
residing at Port Angeles