Cities Index.
Claim - Dianne Yvette Fore_Redacted.pdf

Rialto City Council
June 24, 2025

Document
Claim - Dianne Yvette Fore_Redacted.pdf
Meeting
June 24, 2025
Body
Rialto City Council
Original file
1.9 MB
Text extracted from the city's file for reading and search. Open the original on legistar.granicus.com. That file is the official record.

CITY CLERK'S DATE STAMP

CITY OF RIALTO

LIABILITY CITY OF RIALTO
CLAIM FOR DAMAGES 2025 JUN |1 FN 1: 36

TO PERSON OR PROPERTY
M. CalL

COY CLEA

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 §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). RETURN TO:

3. READ ENTIRE CLAIM FOR BEFORE FILING 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:

Dianne Yvette Fore

FULL NAME DATE OF BIRTH
HOME ADDRESS INCLUDING CITY, STATE & ZIP HOME TÉLEPHONE NO.

BUSINESS ADDRESS INCLUDING CITY, STATE & ZIP BUSINESS TELEPHONE NO.

ADDRESS AT WHICH CLAIMANT DESIRES TO RECEIVE Counsel: Kristal Pacheco, Esq., Sweet James, LLP: 4220 Von Karman Ave.

NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM
(if different from home address provided above): Suite 200, Newport Beach, CA 92660; (949) 644-100; Fax (949) 644-1005

1. WHEN DID DAMAGE OR INJURY OCCUR? DATE: March 23, 2025 TIME: 07:21 • 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.

At, or around the south sidewalk near (see Addendum).

3. HOW DID DAMAGE OR INJURY OCCUR?
As a direct result of the hazardous condition, where there was a significant height differential between adjacent sidewalk panels, the Claimant was unable to maintain safe footing, tripped, and fell to the ground. The fall caused the Claimant to sustain serious physical injuries and other related damages (see Addendum).

4. WERE POLICE AT THE SCENE? *YES •NO WERE PARAMEDICS AT THE SCENE? AYES ONO

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.

The City of Rialto is responsible for the maintenance, control, preservation, upkeep, and restoration of sidewalk structures as nearly close as possible to the condition to which the sidewalks were constructed. This includes the Sidewalk where the Subject Incident occurred (see Addendum).

6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective injury or damage $ (see Addendum).

HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please attach 2 estimates.

DAMAGES INCURRED TO DATE:

Item/Date: • On going medical treatment (from 3/23/2025). Amount: $_46,649.73 Item/Date: Amount: $.

TOTAL AMOUNT CLAIMED AS OF PRESENTATION OF THIS CLAIM: $46,649.73 ESTIMATED PROSPECTIVE DAMAGES, AS FAR AS KNOWN:

Item/Date: Future medical treatment from injuries. Amount: $250,000.00 Item/Date: (see Addendum) Amount: $_
TOTAL ESTIMATED AMOUNT PROSPECTIVE DAMAGES: $ (see Addendum)

7. WITNESSES TO DAMAGE OR INJURY List all persons known to have information (attach additional pages, if necessary) NAME: Investigation ongoing (see Addundum) NAME:

ADDRESS: ADDRESS:

TELEPHONE: ( TELEPHONE: | 1

8. IF INJURED, PROVIDE NAME, CONTACT INFORMATION AND DATE/TIME DOCTORS) OR HOSPITAL(S) VISITED:

NAME: On going medical treatment (from 3/23/2025) NAME:

ADDRESS: ADDRESS:

TELEPHONE: |) TELEPHONE: ( )
DATE: TIME: •AM •PM DATE: TIME: •AM DIPM

9. PLEASE READ THE FOLLOWING CAREFULLY:
"or all vehicle accident claims, place on the following diagram, the names of streets, including NORTH, EAST, SOUTH AND WEST directions. Indicate plac f 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. 2415 2425
Raised sidewalk
CURB Sidewalk X separation

PARKWAY

SIDEWALK

THOSE MATTERS MICHARE EEN STATED UPT MY NFORMATION AND BELE AND AS TO THOSE MATTER BEVE EM TO BE DE EXCEPT AS TO CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.

SIGNATURE OF CLAIMANT OR AGENT
Kristal Pacheco, Esq., Sweet James, LLP June 10, 2025

TYPE OR PRINT NAME DATE
Attorney for Claimant

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

CITY OF RIALTO
Kristal Pacheco, Esq. (SBN: 350168)
Email: [email protected] 2025 JUN || PH 1: 36
2 Email: [email protected]

SWEET JAMES, LLP
3 ITY CLER
4220 Von Karman Avenue, Suite 200
4 Newport Beach, CA 92660
Telephone: (949) 644-1000
5 Fax: (949) 644-1005
6 Attorneys for Claimant, Dianne Yvette Fore
7 8 SUPERIOR COURT OF THE STATE OF CALIFORNIA
9 FOR THE COUNTY OF SAN BERNARDINO
10 11 DIANNE YVETTE FORE, an individual, CASE NO.: N/A
12 Claimant,
CLAIM AGAINST A PUBLIC ENTITY;
13 ADDENDUM TO CLAIM AGAINST CITY OF
VS.

RIALTO, A PUBLIC ENTITY, ITS AGENTS
4220 Von Karman Avenue, Suite 200 Newport Beach, CA 92660 14 AND EMPLOYEES, AND SWEET JAMES, LLP CITY OF RIALTO; and DOES 1 through 50,

SUBCONTRACTORS
15 inclusive,
16 Respondent.
17 18
19 Pursuant to California Government Code Sections 905 and 910 et seq., demand is hereby 20 made by CLAIMANT DIANNE YVETTE FORE (hereinafter "CLAIMANT') against the 21 Respondents, CITY OF RIALTO (hereinafter "RESPONDENT"), and DOES 1-50, in an amount in 22 excess of the minimum jurisdictional limits of the Superior Court of the State of California. In 23 support of this claim, the following information is submitted:
24 1. CLAIMANT: Dianne Yvette Fore
25 2. Address to which CLAIMANT requests correspondence to be mailed: SWEET 26 JAMES, LLP, c/o Kristal Pacheco, Esq.// 4220 Von Karman Avenue, Suite 200, Newport Beach, CA 27 92660// (949) 644-1000.
28 Nature of Injuries: Bodily injury to CLAIMANT.

CLAIM AGAINST A PUBLIC ENTITY; ADDENDUM TO CLAIM AGAINST CITY OF RIALTO,

A PUBLIC ENTITY, ITS AGENTS AND EMPLOYEES, AND SUBCONTRACTORS 1 Amount of Claimed Damages: The full extent of CLAIMANT's damages are 2 unknown at this time but are expected to exceed $250,000.00 and thus, pursuant to Government Code Section 910(f), "no dollar amount shall be included in the claim." The claim will not be a limited 4 civil case ($25,000 or less). The exact amount of said losses, which is believed to be far in excess of 5 $25,000.00, will be stated according to proof pursuant to Code of Civil Procedure Section 425.10. 6 5. Date and Time When Damage and Injury Occurred: On or around March 23, 7 2025, at approximately 07:21 pm.
8 6. Where Did the Damage and Injury Occur: It is believed the incident occurred on, 9 around, or near , City of Rialto, County of San Bernardino, State of California 10 ("SIDEWALK").
11 Governmental Entities Alleged to be at Fault: Respondent CITY OF RIALTO, a 12 public entity, its agents, employees, subcontractors, and DOES 1-50. 13 8. Names, Addresses and Telephone Numbers of Witnesses: Investigations are still 14 ongoing and not all witnesses are known at this time.

SWEET JAMES, LLP 4220 Von Karman Avenue. Suite 200 Newport Beach, CA 92660 15 9. Nature of the Case: On the above date and time, CLAIMANT went for a walk, 16 traveling along the south sidewalk of Via Bello Dr., in the City of Rialto, County of San Bernardino, 17 State of California.
18 As a direct result of the hazardous condition, where there was a significant height differential 19 between adjacent sidewalk panels, CLAIMANT was unable to maintain safe footing, tripped, and fell 20 to the ground. The fall caused CLAIMANT to sustain serious physical injuries and other related 21 damages (hereinafter "SUBJECT INCIDENT").
22 10. Basis of Claim Against Government Entity: At all said times mentioned herein, the 23 CITY OF RIALTO, its agents, employees, and/or independent contractors within the meaning of 24 California Government Code, including section 815.2, 815.4, et seq., negligently conducted 25 themselves and negligently owned, operated, designed, and maintained said SIDEWALK and the property appurtenant and adjacent thereto, that was in a dangerous and defective condition within the meaning of California Government Code, including sections 815.6, 820, 830, 835, 835.2, 840.2, 28 840.4, 840.6, of which said public entity knew or should have known and which they failed to warn 2 CLAIM AGAINST A PUBLIC ENTITY; ADDENDUM TO CLAIM AGAINST CITY OF RIALTO,

A PUBLIC ENTITY, ITS AGENTS AND EMPLOYEES, AND SUBCONTRACTORS 1 about or correct, so as to cause the uneven and raised concrete on SIDEWALK. 2 The CITY OF RIALTO is responsible for the maintenance, control, preservation, upkeep, and restoration of sidewalk structures as nearly close as possible to the condition to which the sidewalks 4 were constructed. This includes the SIDEWALK where the SUBJECT INCIDENT occurred. The 5 CITY OF RIALTO caused, created, and/or allowed to exist and to continue to exist said dangerous 6 condition(s) when the CITY OF RIALTO failed to adequately control and/or maintain the concrete 7 sidewalk, as well as CITY OF RIALTO's lack of action or inaction to block off the uneven area/hole 8 being unsafe for pedestrians. These conditions created a concealed trap and the CITY OF RIALTO, 9 knowing of the dangerous condition or having should have known, failed to remedy it in a timely matter and failed to warn of the dangerous condition before this incident. Said dangerous condition of 11 the SIDEWALK consisted of, inter alia:
12 • An unapproved design plan;
• Changed conditions since the initial design which created a hazard for users of the 14 Roadway;
SWEET JAMES, LLP 4220 Von Karman Avenue, Suite 200 Newport Beach, CA 92660 15 • A substantial prior accident history, and complaints of the dangerousness of the 16 Roadway and crosswalk by local residents;
17 • Insufficient signage, markings, and/or other warning signs/devices which were either 18 in addition to, or co-existent with, insufficient visibility that placed users at said 19 location into a zone of danger;
A trap for pedestrians, which consisted of, among other things, sightline obscurements 21 caused by a curve in the Roadway, foliage, poorly maintained concrete, and sidewalk 22 geometry.
23 • These conditions created a serious risk of injury or death for users of the same, luring 24 and channeling pedestrians, such as CLAIMANT into harm's way, creating a false 25 sense of safety and security.
26 • Said public entity, knowing of the dangerous condition, failed to remedy it in a timely 27 matter and failed to warn of the dangerous condition before this incident. 28 ||I
3 CLAIM AGAINST A PUBLIC ENTITY; ADDENDUM TO CLAIM AGAINST CITY OF RIALTO,

A PUBLIC ENTITY, ITS AGENTS AND EMPLOYEES, AND SUBCONTRACTORS These dangerous conditions created a reasonably foreseeable risk of injury to CLAIMANT 2 and other pedestrians similarly situated on the SIDEWALK and was the legal, direct, and proximate 3 cause of the incident and serious injuries to CLAIMANT. 4 11. The Damages and Injuries Claimed: As a legal, direct and proximate result of the 5 conduct of Respondents CITY OF RIALTO and DOES 1-50 CLAIMANT sustained non-economic 6 damages, including, but not limited to, past and future physical pain and mental suffering, loss of 7 enjoyment of life, inconvenience, grief, anxiety, humiliation, serious emotional distress, in an amount in excess of the jurisdictional minimum, according to proof, pursuant to Section 425.10 of the 9 California Code of Civil Procedure.
10 As a legal, direct and proximate result of the conduct of Respondents CITY OF RIALTO and 11 DOES 1-50 CLAIMANT was injured in her health, strength, and activity, sustaining injuries to her 12 body, and shock and injury to her nervous systems and person, all of which have caused, and 13 continue to cause him great physical, mental, and nervous pain and suffering. CLAIMANT was SWEET JAMES, LLP 4220 Von Karman Avenue, Suite 200 Newport Beach, CA 92660 14 compelled to, and did, employ the services of hospitals, physicians, nurses, and the like, to care for 15 and treat him, the exact amount of such losses to be stated according to proof, pursuant to Section 16 425.10 of the California Code of Civil Procedure. CLAIMANT continues to treat for her injuries at 17 this time so the full extent of her damages is unknown but will be supplemented as discovery 18 continues.
19 CLAIMANT continues to receive treatment at this time and not all damages are known. 20 CLAIMANT has incurred and will incur actual, special, and general damages, as allowed by law 21 within the jurisdiction of the Superior Court.
22 /|/
23 ||/
24 ||I
25 /1/
26 ||I
27 |||
28 |||
4 CLAIM AGAINST A PUBLIC ENTITY; ADDENDUM TO CLAIM AGAINST CITY OF RIALTO,

A PUBLIC ENTITY, ITS AGENTS AND EMPLOYEES, AND SUBCONTRACTORS Reservation of Right to Amend and/or Supplement Claim: Investigations are still ongoing at this time. As such, all statements contain herein are pending verification and not all facts/damages are known. Therefore, CLAIMANT reserves her right to amend and/or supplement this claim, including asserting new theories of liability or causes of action and their related damages, upon discovery of new or additional information or facts. CLAIMANT reserves her right to supplement or amend these claims as discovery proceeds in this matter. These claims and related damages are being made on the best information currently available to CLAIMANT and her counsel.

DATED: June 10, 2025 SWEI
Hothan
By:

Kristal Pacheco, ESq.

Attorney for Claimant
SWEET JAMES, LLP 4220 Von Karman Avenue, Suite 200 Newport Beach, CA 92660 CLAIM AGAINST A PUBLIC ENTITY; ADDENDUM TO CLAIM AGAINST CITY OF RIALTO,

A PUBLIC ENTITY, ITS AGENTS AND EMPLOYEES, AND SUBCONTRACTORS

INCIDENT REPORT
Agency Name: ORI#. Report Date/Time: OCA#.

CA0360900 03/25/2025 07:13:39 932503450
Inden Star Dae DEPARTME ON
Incident Start Date/Time: Report Type: Case Screening: CHP 180 03/23/2025 19:21:00 Sunday | INITIAL Serialized Property • Hate Crime Total Loss Incident End Date/Time: Intemal Incident Status • Evidence Collected Gang Related so.0o
03/23/2025 22:00:00 Г PC 293 Sex Crime Domestic Viol
LOCATION/TIME Incident Location: Secondary Location:

Case Description: UCR Status: All Other Reporting Area:

AXON, PHOTOGRAPHS RI007
Operation Method:

Penal Code: UCR Code: FM: Penal Code Descriptior Counts: Comp/Att INCIDENT 00 INCIDENT
Structure TOD: Bias Motivatior Offense Location:
ight NON OTHER / UNKNOWN
Weapon Used: Situation Code Premise:

THER / N MISCELLANEOUS
Penal Code: UCR Code: FM: Penal Code Description: Counts: Comp/Ai:

Structure TOD: Bias Motivation: Offense Location:

Weapon Used: Situation Code: Premise:

Г Person Name: Phone: Cell Phone:

Г Business
Address (Street, Apt., City, State, Zip): Pager.

Involvement Type (Person): Victim Type (Business): Domestic LEOKA Activity: LEOKA Assignment:

Violence
Occupation: Employer: Employer Address: Employer Phone:

Relationship to Offender (Person): DOB: Age: Sex: Height: Weight: injury Type y Minor Injuries Unconscious
Intermal Injuries Teeth Injury
Race: Ethnicity: SSN: License (#, Class, State): Related Offenses): Lacerations [Bone Injury Other Injuries None
Suspect #1 Name: Phone: Cell Phone: Pager.

Address (Street, Apt., City, State, Zip): Occupation: Employer:

Suspect Forced Victim: Primary Action: Employer Address: Employer Phone:

Solicited/Offered: Suspect Force: DOB: Age: Sex: Height: Weight: Build: Complexion: Eye Color, Race: Ethnicity: SSN: License (*, Class, State): Related Offense(s): Hair Color: Hair Length: Hair Style:

Clothing Description: NCIC#: State ID#: Facial Hair: Speech: Teeth:

Body Markings (Type, Location, Description):

Arrested: Suspects: Persons:

ZUNIGA, DANIEL 02594 03/25/2025 07:16:41
Reporting Officer ID# Date Reporting Officer Signature
Assisting Officer Signature
Assisting Officer ID# Date CONTROLLED COPY

CONFIDENTIAL COPY
PULIDO, JAVIER 01487 03/28/2025 00:48:46 Reviewing OfCE S9729 ED PC 11142-11143 Reviewing Officer ID# Date

NOT FOR THIRD PARTY RELEASE
THE RIAL PO POLiCE DEPARTMENT
REL TO: CYLMER & BEVERLY
BY: M.M. 04.09.25

INCIDENT REPORT - ADDITIONAL PERSONS
Agency Name: ORI#: Report Date/Time: OCA#.

RIALTO POLICE DEPARTMENT CA0360800 03/25/2025 07:13:39 932503450 W. Person Name: Phone: Cell Phone:

Business DAINNE YVETTE FORE
Address (Street, Apt., City, State, Zip): Pager:

Involvement Type (Person): Victim Type (Business): Domestic LEOKA Activity: LEOKA Assignment:

OTHER Violence
Occupation: Employer: Employer Address: Employer Phone:

Relationship to Offender: DOB: Sex: Height: Weight: Build: Complexion: Eye Color 502 155 LIGHT LIGHT GREEN
Race: Ethnicity: SSN: License (#, Class, State): Related Offense (5): Hair Color: Hair Length: T Hair Style:

White NON-HISPANIC GREY
Clothing Description: NOIC #: State ID#: Facial Hair: Speech: Teeth:

Body Markings (Type, Location, Description): Solicited/Offered: injury Type:
• Minor Injuries Unconscious
Interal injuries Teeth Injury
Suspect Forced Victim Primary Action: Suspect Force: [ Lacerations Bone Injury
• Other Injuries r None
Person Name: Phone: Cell Phone:

Г Business
Address (Street, Apt., City, State, Zip): Pager:

Involvement Type (Person): Victim Type (Business): Domestic LEOKA Activity: LEOKA Assignment:

Violence
Occupation: Employer: Employer Address: Employer Phone:

Relationship to Offender: DOB: Age: Sex: Height: Weight; Build: Complexion: Eye Color:

Race: Ethnicity: SSN: License (#, Class, State): Related Offenses): Hair Color: Hair Length: Hair Style:

Clothing Description: NCIC#: | State ID#: Facial Hair: Speech: Teeth:

Body Markings (Type, Location, Description): Solicited/Offered: injury Type:

Г Minor Injuries Unconscious
C Internal Injuries Teeth injury
Suspect Forced Victim : Primary Action: Suspect Force: Г Lacerations • Bone injury Г Other Injuries None
Phone: Cell Phone:

Person Name:

Г Business
Address (Street, Apt., City, State, Zip): Pager.

Victim Type (Business): | LEOKA Activity: LEOKA Assignment:

Involvement Type (Person):

Occupation: Employer: Employer Address: Employer Phone:

Relationship to Offender: DOB: Age: Sex: Height: Weight: Build: Complexion: Eye Color:

Race: Ethnicity: SSN: License (#, Class, State): Related Offenses): Hair Color: Hair Length: Hair Style:

Clothing Description: NCIC# State ID #: Facial Hair Speech: Teeth:

Body Markings (Type, Location, Description): Solicited/Offered: Injury Type:

Г Minor Injuries Unconscious
Suspect Forced Victim: Primary Action: Suspect Force Bone Injul CONFIDE diet Auries OFYNone
RESTRICTED Page2 1 162-411143

NOT FOR THIRD PARTY RELEASE

THE RIALTO POLICE DEPARTMENT
REL TO: CYLMER & BEVERLY
BY: M.M. 04.09.25

INCIDENT REPORT - NARRATIVE
Agency Name: ORI#: Report Date/Time: OCA#:

RIALTO POLICE DEPARTMENT CA0360900 03/25/2025 07:13:39 932503450

NARRATIVE
**DOCUMENTATION ONLY**
ASSIGNMENT:

On 03/23/2025, 1 (Officer D. Zuniga) was assigned to uniform patrol for the Rialto Police Department in the City of Rialto, County of San Bernardino. At approximately 1943 hours, I responded to a call for service at the 2400 block of West Via Bello Drive in reference to a city property-related injury report.

BACKGROUND INFORMATION:

Before arriving at the incident location, I received information from the Rialto Police Department dispatch personnel that the reporting party advised that a subject tripped, fell, and injured herself on the sidewalk in front of residence The subject was later identified as Rialto resident, Dianne Fore, DOB
Paramedics transported Fore to the Arrowhead Regional Medical Center due to her sustained injuries.

SUBJECT STATEMENT: DIANNE FORE, DOB
I spoke to Fore at the Arrowhead Regional Medical Center and later conducted a follow-up via cell phone. The following is a summary of Fore's statement. This conversation was recorded using my Rialto Department-issued Axon body-worn camera placed onto Evidence.com.

Fore informed me that she went for a walk on the day of the incident. She traveled the south sidewalk of Via Bello Dr. As she walked on the sidewalk in front of she tripped and fell, hitting her right knee on the concrete. Fore informed me that the concrete was raised, which she believed caused her to trip. Fore contacted her neighbor, who called for an emergency response at her location.

Fore informed me that her right kneecap appeared misplaced, and she sustained pain in this knee.

Fore did not sustain any other injuries. Fore received an x-ray at the hospital, and she told me that the discharge paperwork indicated that she was diagnosed with a closed nondisplaced fracture of the right patella, unspecified fracture morphology, initial encounter. Fore provided pictures of her discharge paperwork. These pictures were uploaded onto Evidence.com.

Fore informed me that she struggled to walk and received crouches to assist her mobility.

OBSERVATIONS:

Upon arriving at the incident location, I found the raised concrete in front of measured the raised concrete slap, which indicated it was approximately 2.5 inches from level. The raised concrete may have been caused by tree roots from a large tree in the lawn of 2425 W. Via Bello Dr.

I canvassed the area for surveillance cameras and found that

CONFIDENTIAL COPY
RESTRICT 208C 6 412-11\43

NOT FOR THIRD PARTY RELEASE

THE RIALTO POLICE DEPARTMENT
REL TO: CYLMER & BEVERLY
BY: M.M. 04.09.25

INCIDENT REPORT - NARRATIVE
Agency Name: ORI# Report Date/Time: OCA#:

CA0360900 03/25/2025 07:13:38 932503450

RIALTO POLICE DEPARTMENT

NARRATIVE
amera. The camera may not have captured the incident due to a pillar blocking its view. I knocke n the door and attempted to contact the resident of this home but was met with negative result Traffic cones and caution tape were placed around the area as a temporary safety measure until repairs can be made. A cell phone and email message was left for the City of Rialto's Public Works regarding the incident.

PHOTOGRAPHS:

Cones were were taken of Fore's injury, and the location of the incident before and aller the trafic These photographs were uploaded onto Evidence.com
EVIDENCE:

The Axon video taken during this incident was uploaded onto evidence.com.

DISPOSITION:

This report was taken for documentation purposes.

RECOMMENDATIONS:

Report to file.

CONTROLLED COPY

CONFIDENTIAL COPY
RESTRICT PageRC oF 142-1H43

NOT FOR THIRD PARTY RELEASE

THE RIALTO POLICE DEPARTMENT
REL TO: CYLMER & BEVERLY
BY: M.M. 04.09.25

ORIGIN O TWHA B4: 644-1000 SHIP DATE 10JUN2E
ACTWET. 1.00 LB
CAD 112806517 NET 4535
4220 VON KARMAN AVENUE
SENE ZR BEACH CA 52562 BILL SENDER
UNITED STATES US FedEx.

TO RIALTO CITY CLERKS OFFICE
150 S. PALM AVE 61007230091389
RIALTO CA 92376
000) 000-0000 REF:

INV:

DEPT
FedEx.

Express
E ANI06010520ZS
Do not ship liquids, blood, or clinical specimens in this packaging.

WED - 11 JUN 5:00P
TRK# STANDARD OVERNIGHT
[0201 8819 2879 2091
WM RIVA 92376 items securely. Need help? Go to fedex.com/packaging A You can help us get your package safely to its destinatio This envelope is only for FedEx Express® shipment:

SBD Guide, or the conditions of carriage for complete terms, condit. Check your FedEx Express shipping document, the current F CA-US
CITY Ci Lie 2025 JUN 11 E CITY OF RIAL TO 1801-41
160762
1:37

VODETEN
• Insert shipping
document here.

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