CITY OF RIALTO CITY CLERK'S DATE STAMP
CO
LIABILITY
CLAIM FOR DAMAGES CITY OF RIALTO
TO PERSON OR PROPERTY 2023 FEB 13 AMII: 23
1. Claims for death, injury to person, or to personal property must be filed not later than six (6) months after the occurrence (Gov. Code shit2)CLERK RECEITED
2. Claims for damages to real property must be filed not later than one (1) year after the occurrence (Gov. Code §911.2).
3. READ ENTIRE CLAIM FOR BEFORE FILING RETURN TO:
4. ATTACH SEPARATE SHEETS, IF NECESSARY, TO GIVE FULL DETAILS Rialto City Clerk's Office Mail: 150 S. Palm Ave., Rialto, CA 92376
Address: 290 W. Rialto Ave., Rialto, CA 92376
CLAIMANT INFORMATION:
Eddy Castro
FULL NAME
DATE OF BIRTH
7220 Melrose Avenue, 2nd Floor, Los Angeles, CA 90046 ( 310) 356-1006 HOME ADDRESS INCLUDING CITY, STATE & ZIP HOME TELEPHONE NO.
BUSINESS ADDRESS INCLUDING CITY, STATE & ZIP BUSINESS TELEPHONE NO.
ADDRESS AT WHICH CLAIMANT DESIRES TO RECEIVE Bitton & Associates
NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM
(if different from home address provided above): 7220 Melrose Avenue, 2nd Floor, Los Angeles, CA 90046
1. WHEN DID DAMAGE OR INJURY OCCUR? DATE: October 14, 2022 TIME:
• AM • PM
2. PLACE OF ACCIDENT (OCCURRENCE) BE SPECIFIC - Describe fully and (if applicable) locate on diagram on reverse side of this sheet.
Where appropriate, give street names and addresses, measurements and landmarks.
Frisbie Middle School; 1442 N Eucaluptus Avenue, Rialto, CA 92376
3. HOW DID DAMAGE OR INJURY OCCUR?
Eddy Castro attends Frisbie Middle School and is in the 6th grade. He has been diagnosed with autism, so he he takes special education courses. Eddy reported to his parents and therapist, that his special education teacher Justin Cadzow was physically abusing him on October 14, 2022.
4. WERE POLICE AT THE SCENE? • YES• NO WERE PARAMEDICS AT THE SCENE? • YES •NO
5. WHAT PARTICULAR ACT OR OMISSION DO YOU CLAIM CAUSED THE INJURY OR DAMAGES? Give the name of the city/town employee causing the injury or damage, if known.
Justin Cadzow is a resource specialist at Frisbie Middle School that falls under the jurisdiction of the Rialto Unified School District. Eddy claims that Justin Cadzow would physically abuse him and he left several bruises on Eddy's body due to the physical abuse, and caused regression and emotional distress.
6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective injury or damage $ 1 million HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please attach 2 estimates.
DAMAGES INCURRED TO DATE:
Item/Date: Amount: $
Item/Date: Amount: $
TOTAL AMOUNT CLAIMED AS OF PRESENTATION OF THIS CLAIM: $_ ESTIMATED PROSPECTIVE DAMAGES, AS FAR AS KNOWN:
Item/Date
Amount: $
Item/Date:
Amount: $
TOTAL ESTIMATED AMOUNT PROSPECTIVE DAMAGES: $
7. WITNESSES TO DAMAGE OR INJURY List all persons known to have information (attach additional pages, if necessary) NAME: Janeth Herrera NAME: Miguel Castro
ADDRESS: Can be contacted through counsel at ADDRESS: Can be contacted through counsel at Bitton & Associates Bitton & Associates
TELEPHONE: (310) 356-1006 TELEPHONE: 310) 356-1006
8. IF INJURED, PROVIDE NAME, CONTACT INFORMATION AND DATE/TIME DOCTORS) OR HOSPITALS) VISITED:
NAME: Carlos Morales, Therapist
NAME:
ADDRESS: Can be contacted through counsel at
ADDRESS:
Bitton & Associates
TELEPHONE: (310) 356-1006 TELEPHONE: |)
DATE: TIME:
DATE: TIME: DAM • PM
9. PLEASE READ THE FOLLOWING CAREFULLY:
For all vehicle accident claims, place on the following diagram, the names of streets, including NORTH, EAST, SOUTH AND WEST directions. Indicate place of accident by "X* and by showing house numbers or distances to street corners If a city/town vehicle was involved, designate by letter "A" location of the City/Town vehicle when you first saw it, and by "B" location of yourself or your vehicle when you first saw City/Town vehicle; location of City/Town vehicle at time of accident by "A-1" and location of yourself or your vehicle at the time of the accident by "B-1" and the point of impact by "X".
→ NOTE: IF THE DIAGRAM BELOW DOES NOT FIT THE SITUATION, PLEASE ATTACH A PROPER DIAGRAM SIGNED BY THE CLAIMANT.
CURB
PARKWAY
7 SIDEWALK
I HAVE READ THE FOREGOING CLAIM AND KNOW THE CONTENTS THEREOF; AND CERTIFY THAT THE SAME IS TRUE OF MY OWN KNOWLEDGE EXCEPT AS TO THOSE MATTERS WHICH ARE HEREIN STATED UPON MY INFORMATION AND BELIEF; AND AS TO THOSE MATTERS I BELIEVE THEM TO BE TRUE.
I CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
SIGNATURE OF CLAIMANT OR AGENT
Ophir J. Bitton 2/9/2023
TYPE OR PRINT NAME DATE
Legal Representative
RELATIONSHIP TO CLAIMANT
NOTE: PRESENTATION OF A FALSE CLAIM IS A FELONY (CA PENAL CODE 72) RETURN CLAIM TO: RIALTO CITY CLERK'S OFFICE - 150 S. PALM AVE., RIALTO, CA 92376 LOS ANGELES CA 900
CITY OF RIALTO 10 FEB 2023 PM 9
Bitton & Associates
7220 Melrose Avenue, 2nd Floor 2023 FEB 14 PM 12:42
Los Angeles, CA 90046
RECL: T:
CITY CLEAN
Rialto City Clerk's Office
150 S. Palm Avenue
Rialto, CA 92376
92376-548799