CITY OF RIALTO ITY CLERK'S DATE STAM
LIABILITY CITY OF RIALTO
CLAIM FOR DAMAGES 2024 MAY 23 PM 3: 14
TO PERSON OR PROPERTY RECEIVED
CITY CLERK
1. Claims for death, injury to person, orto personal property must be filed not later than six (6) months after the occurrence (Gov. Code §911.2).
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:
Rialto City Clerk's Office
4.ATTACH SEPARATE SHEETS, IF NECESSARY, TO GIVE FULL DETAILS Mail: 150 S. Palm Ave., Rialto, CA 92376 Address: 290 W. Rialto Ave., Rialto, CA 92376
CLAIMANT INFORMATION:
James Daniel Hagmann
FULL NAME DATE OF BIRTH
L
HOME ADDRESS INCLUDING CITY, STATE & ZIP HOME TELEPHONE NO.
L
BUSINESS ADDRESS INCLUDING CITY, STATE & ZIP BUSINESS TELEPHONE NO.
ADDRESS AT WHICH CLAIMANT DESIRES TO RECEIVE Rialto Police Dept
NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM
(if different from home address provided above): Case #9324041028
1. WHEN DID DAMAGE OR NURY OCCUR DATE: April 29, 2024 TME 9PM-9AMDAMDPM
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. 102 S, Orange Ave, Rialto, CA 92316 West alley way. Between the 100S. Block of Orange Ave. and the 100 5. Block of Palm Ave.
3. HOW DID DAMAGE OR INJURY OCCUR?
Damage occured by an unknawn person(s). A wood Stake
was used to punch through my vynal fence gate.
4. WERE POLICE AT THE SCENE? • YES•NO WERE PARAMEDICS AT THE SCENE? YESANO
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.
(see attached)
6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective injury or damage $ $ 750- HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please attach 2 estimates DAMAGES INCURRED TO DATE:
GATE
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: Lt. Lamont Quarker NAME: Sgt. Palmer
ADDRESS:
ADDRESS:
TELEPHONE: ) TELEPHONE: ()
8. IF INJURED, PROVIDE NAME, CONTACT INFORMATION AND DATE/TIME DOCTORS) OR HOSPITAL(S) VISITED:
NAME:
NAME: _
ADDRESS:
ADDRESS:
TELEPHONE: (
TELEPHONE: )
DATE: TIME: •AM • PM
DATE: — _ TIME: DAM 0 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.
Ave.
CURB
PARKWAY
787
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.
CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
SIGNATURE OF CLAIMANT OR AGENT
James D. Hagmann 5-23-24
TYPE OR PRINT NAME DATE
RELATIONSHIP TO CLAIMANT
NOTE: PRESENTATION OF A FALSE CLAIM IS A FELONY (CA PENAL CODE 72) RETURN CLAIM TO: RIALTO CITY CLERK'S OFFICE - 150S. PALM AVE., RIALTO, CA 92376 April 29, 2024
Resident Notice
Dear Residents,
Please be advised that a new City of Rialto employee-only parking lot will be paved at the southeast corner of First St. and Palm Ave. This parking lot is designated specifically for City of Rialto employees and will not be available for resident parking. See attached map on back of notice for location details.
Key details regarding the paving project:
• Location: The parking lot will be located southeast corner of First St. and Palm Ave. • Commencement Date: Paving work will commence on April 29, 2024. • Duration: The project is expected to be completed within 5 days (weather permitting). • Impact on Resident Parking: Residents are reminded that the new parking lot is strictly for employee use only. Please refrain from parking in the designated employee-only area once construction is complete.
Alternative Parking: Residents are encouraged to utilize existing parking areas designated for residents during the construction period. The alleyway adjacent to the new lot will still be accessible for those residents who reside in the 100 block of South Orange Ave.
Safety Measures: Safety precautions will be in place to ensure the well-being of residents and workers. Please adhere to all posted signs and directions for your safety. • Contact Information: For any inquiries or concerns regarding the project, please contact the Rialto Police Department at (909) 820-2550 and ask to speak with the on-duty Watch Commander.
We appreciate your cooperation and understanding as we strive to improve parking accommodations for our employees. Thank you for your attention to this matter.
Sincerely,
Lt. Lamont Quarker
Rialto Police Department
•
Map of parking lot project.
Ave
W 1st St Wist
S Palm Ave S Orange Ave
City Employee
parking only.
No Public Parking
S Palm Ave S orange Ave
S Palm Ave Walker & ME
W Rialto Ave W Rial
U C Fence Fencing Contract
(Home improvement)
Sales Consultant: srael Cano P.O. Box 1736
Cell # UC San Bernardino, CA 92402
H.I.S. # 129148SP FENCE License #
Website: www.ucfence.com Phone # 855-601-9998
Fax # 909-889-5737
You are entitled to a completely filled in copy of this agreement, Special Notes signed by both you and the contractor before any work may be started. *will mail check Customer Name: James Hagman
Site Address:
City: Thialto State: CA Zip: 92.376
Home Phone: Cell
Email: By signing below, 1 authorize UC Fence to charge the Sccilloped topper NUP credit card detailed below for an agreed upon payment of $ once the job is complete & 5 days
Fence Type: Privacy vinyl # of Gates: 1, NuP + Picket
have passed, unless another form of payment was given.
Gate Type: 4w x 0H(4/2t) 2) I acknowledge that my information will be kept on file for Fence Color: Unite future transactions.
Height: 4/2 + 112" Gate options: Cardholder Name (As written on the card):
Linear Feet: O
Credit Card Number
Cap Type: puramid Hinge: white
Post Type: 5x5" Latch: wnite Expiration Date
Rail Type: 13/4 × 8" Pool: No
CCID:
Picket Type: 13 G. Tear down & haui away old fence:
Fence Foot Print Changes
Approx. Start Date: Approx. Completion Date:
• Yes • No
Explain: _
Contract Price: $ 4100 The Down Payment may not exceed
Down Payment: $ 40 $1000 or 10% of the contract price,
Balance Upon Completion: $ 3600 whichever is less.
Specifications (Plot Plan) Initials:
u'gater
Price NEW Garage
$750
Price to
repair
Home
$ 400
FRONT
By signing below, you agree to pay the amount in said contract and according to the terms there of. No material returns on special orders. Wood fence Any claim arising out of or relating to this contract or breach thereof shall be settled by binding arbitration in accordance with the uniform rules for better business arbitration and the judgment upon the award rendered by the arbitrators may be entered in any court having jurisdiction thereof. This contract may be withdrawn by "UC Fence" at any time and for any reason. There is a one-year warranty on all workmanship described. All work is to be performed in accordance with the drawings and specifications submitted for the above information. UC Fence is not responsible for any water irrigation lines within 2'of project installation. There is a $25 fee for all returned checks. It is the customer's responsibility to call USA DigAlert for all projects. UC Fence is not responsible for damage underground not marked by USA DigAlert. Permits will be provided by customer unless specifically noted in this contract. UC Fence is not responsible for identifying property lines or any easements, covenants or other legal encumbrances your service address may be subject to. A 20 day preliminary lien notice will be filed if full payment is not made within (5) days of completion of project. If repairs are required adamarmal ashhald 100/ antontion tintil comnlatinn
Rialto Police Courtesy Notice
Date Time Day of Week
Comment
932404628
Badge No. 179
Officer
CONTACT RIALTO P.D.-(909) 820-2550 FOR FURTHER INFORMATION (Over)