DATE STAMP RECEIVED
CHY CLAIM+ 18-052
GIT Y Or NAPA
CITY CLERK
POLICE RPT. # 2016 OCT - 2 AM 9:53
FOR OEFICIAL USE ONLY)
NAPL U.S. Mail Hand Delivery Other
CLAIM AGAINST CITY OF NAPA
Please return to: City Clerk, 955 School Street, Napa, CA 94559 / Tel: (707)257-9503 Fax: (707)257-9534 CLAIM FORMS MUST BE FILLED OUT COMPLETELY, DO NOT LEAVE ANY BLANK SPACES, ADD ADDITIONAL SHEETS AS NECESSARY.,
1. CLAIMANT'S NAME (PRINT): MC KARTNERS LE. Haul WinKER Managing
2. CLAIMANT'S ADDRESS: 262 VICTORiA RIDGE CT PleasanTon, Cause (Street or P.O.Box Number) (City, State, Zip Code)
3. HOME PHONE: WORK PHONE: 925-381-0032
IF YOUR CLAIM IS FOR UNDER $10,000, STATE THE TOTAL ESTIMATED AMOUNT HERE $
AND SET FORTH THE CALCULATIONS SUPPORTING THE TOTAL AMOUNT OF YOUR CLAIM IF YOUR TOTAL CLAIM IS ESTIMATED AT $10,000 OR MORE, CHECK THE BOX INDICATING WHETHER YOUR CLAIM WOULD BE A LIMITED CIVIL CASE ($25,000 OR LESS), OR VIAN UNLIMITED CIVIL CASE.
4. ADDRESS TO WHICH NOTICES ARE TO BE SENT:
IF DIFFERENT FROM LINES I AND 2 (PRINT) Save as above
(NAME)
(STREET or P.O. BOX NUMBER)
→ awaiting now report from waste Managers
3. DATE OF INCIDENT: 011 - 40Ing TIME OF INCIDENT: santaneng.
LOCATIONOFINGLENT: 10+ TA GLOrICT
6. DESCRIBE THE INCIDENT OR ACÇIDENT INCLUDING YOUR REASON FOR BELIEVING THE CITY IS LIABLE FOR YOUR DAMAGES: Lontaminatiou 1, Aubris taliss located on the propERTies located At 10414 Grory eT
7. DESCRIBE ALL INJURIES AND DAMAGES WHICH YOU BELIEVE YOU HAVE INCURRED AS A RESULT OF THE INCIDENT: Lok of use of proper, including all apportunities to develop property. etpeases including cost at and, eure sents
8. NAME(S) OF PUBLIC EMPLOYEE(S) CAUSING THE DAMAGES YOU ARE CLAIMING (IF APPLICABLE):
-
9. WITNESS: _
(NAME) (ADDRESS) (TELEPHONE) (SIGNATURE)
Managing Meube 9-18:2018
SIGNATURE OF CLAIMANT (S) Kle Darter, ue Date
Any person who, with intent to defraud, presents any false or fraudulent claim may be punished by imprisonment, fine, or both.
Note: Most claims must be filed within 180 days of incident. See Government Code Section 900 et seq Revised 08/11/2015
To - David C Jones Assistant City Attorney, Napa
From- KMC Partners, LLC
September 18, 2018
Reference- Claim against City of Napa
Dear Mr. Jones,
Please find enclosed the completed claim form.
Please note- For many months, the City of Napa and Waste Management have promised a report from Langan Engineering to determine the extent of the issue(s) on the property located at 10 and 14 Glory.
In spite of numerous promises by Waste Management, there is still no report by Langan Engineering.
Regards,
Paul Winkler
Managing Member
KMC Partners, LLC
CITY OF
NAPA
City Clerk
October 2, 2018
KMC Partners, LLC
Paul Winkler
2862 Victoria Ridge Court
Pleasanton, CA 94566
RE: ACKNOWLEDGING RECEIPT OF CLAIM OF KMC PARTNERS, LLC AGAINST THE CITY OF NAPA CLAIM NO. 18-052.
Dear Mr. Paul Winkler,
On October 2, 2018 the City of Napa received the above-referenced claim. The claim was received by U.S. Mail. The documents received by the City include a one-page City Claim form, and a one-page letter to David C Jones.
The City has transmitted the claim document, for review by the City's claims administrator, George Hills Company, Inc. If you wish to contact the claims administrator directly, the relevant contact information is:
Marizel Bajao
George Hills Company, Inc.
4010 Moorpark Ave., Suite 106
San Jose, CA 95117
408-260-0153
Sincerely,
Pauletle Cooper
Paulette Cooper
Office Assistant I|
cc: Lisa Lillemoe
City Hall: 955 School Street, Napa CA 94559 | Mailing Address: P.O. Box 660, Napa CA 94559 | (707) 257-9503 | www.cityofnapa.org
PROOF OF SERVICE
I declare that I am employed in the City and County of Napa, California, over the age of 18 years and am not a party to the within action. My business address is 955 School Street, Napa, CA 94559. I am readily familiar with the business' practice for collection and processing of correspondence for mailing with the United States Postal Service. In the ordinary course of business, correspondence, which is placed for collection, is deposited with the United States Postal Service on the same day it is placed for collection.
On October 2, 2018, I served the following documents:
Letter dated October 2, 2018; acknowledging Receipt of Claim of KMC Partners, LLC against the City of Napa, Claim No. 18-052. on the parties in this matter by having sealed and placed the envelope with first class mailed postage, fully prepaid, for collection and mailing on this date in accordance with the ordinary business practices and addressed as follows:
KMC Partners, LLC
Paul Winkler
2862 Victoria Ridge Court
Pleasanton, CA 94566
I declare under penalty of perjury, pursuant to the laws of the State of California, that the foregoing is true and correct and that this Declaration was executed on October 2, 2018 Napa, California.
Paulate Cooper
Paulette Cooper
Office Assistant //