LIT Ur NIALIU
CITY OF FALTO
LIABILITY
2973 FEB 11 M:111:32
CLAIM FOR DAMAGES
TO PERSON OR PROPERTY RECEIVED
CITY CLARA
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 9237 Address: 290 W. Rialto Ave.. Rialto. CA 9237
CLAIMANT INFORMATION:
Shontiana Lashay Zuniga
FULL NAME DATE OF BIRTH
1 1
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 Sweet James, LLP c/o Ida Shabanzadegn, Esq.
NOTICES OR COMMUNICATIONS REGARDING THIS CLAIM
(if different from home address provided above): 4220 Von Karman Ave, Saite 200, Newport Beach, CA 92660 Please see
1. WHEN DID DAMAGE OR INJURY OCCUR? DATE: _ on or around 09/11/2025 TIME: • AM DIPM addendum
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 Please see addendum.
3. HOW DID DAMAGE OR INJURY OCCUR?
Please see addendum.
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.
Please see addendum.
6. GIVE TOTAL AMOUNT OF CLAIM Include estimate of amount of any prospective injury or damage $ HOW WAS THE ABOVE AMOUNT COMPUTED? Be specific, list doctor bills, repair estimates, etc. Please attach 2 estimates.
DAMAGES INCURRED TO DATE:
Item/Date: Please see addendum. Amount: $_
Item/Date: Please see addendum. Amount: $.
JUIAL AMUUNI CLAIMEU AS UF MKESENIAIIUN UF I HIS LLAIM: CIT$ ESTIMATED PROSPECTIVE DAMAGES, AS FAR AS KNOWN: TOF RIALTO Item/Date: Please see addendum.
AN!!: 32
Item/Date: Please see addendum. Amount: $.
TOTAL ESTIMATED AMOUNT PROSPECTIVE DAMAGES: CIRTOLERA
7. WITNESSES TO DAMAGE OR INJURY List all persons known to have information (attach additional pages, if necessary) Please see addendum. NAME: Please see addendum.
NAME:
ADDRESS: ADDRESS: _
TELEPHONE: L) TELEPHONE: L 1
8. IF INJURED, PROVIDE NAME, CONTACT INFORMATION AND DATE/TIME DOCTORS) OR HOSPITAL(S) VISITED:
NAME: Please see addendum. NAME: Please see addendum.
ADDRESS: ADDRESS:
TELEPHONE: | 1 TELEPHONE: | 1
DATE: TIME: DATE: TIME: • AM • 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 CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT.
SIGNATURE OF CLAIMANTOR AGENT
Ida Shabanzadegan, Esg. 02/06/2026
TYPE OR PRINT NAME DATE
Attorney for Claimant
RELATIONSHIP TO CLAIMANT
NOTE: PRESENTATION OF A FALSE CLAIM IS A FELONY (CA PENAL CODE 72)
CITY OF RIALTO
SWEET JAMES, LLP 2020 FEB | 1 AM I|: 32
Ida Shabanzadegan, Esq. (SBN #363525)
4220 Von Karman Avenue, Suite 200 RECEIVED
Newport Beach, CA 92660 CITY CLERK
3 Tel: (949) 644-1000
4 Fax: (949) 644-1005
[email protected]
5 Attorneys for CLAIMANT,
6 Shontiana Lashay Zuniga
SUPERIOR COURT OF THE STATE OF CALIFORNIA
8 COUNTY OF SAN BERNARDINO
9 10 SHONTIANA LASHAY ZUNIGA, an individual; Case No.: N/A 11 CLAIMANT, CLAIM AGAINST A PUBLIC ENTITY;
ADDENDUM TO CITY OF RIALTO,
COUNTY OF ORANGE, COUNTY OF
12 VS. SAN BERNARDINO, AND STATE OF
13 CALIFORNIA AS PUBLIC ENTITIES,
CITY OF RIALTO, COUNTY OF ORANGE, THEIR AGENTS AND EMPLOYEES,
COUNTY OF SAN BERNARDINO, STATE OF AND SUBCONTRACTORS
14 SWEET JAMES, LLP 4220 Von Karman Avenue, Suite 200 Newport Beach, CA 92660 CALIFORNIA; and DOES 1-50 15 RESPONDENT.
16 17
18 Pursuant to California Government Code Sections 905 and 910 et seq., demand is hereby 19 made by CLAIMANT Shontiana Lashay Zuniga (hereinafter "CLAIMANT") against the 20 Respondents, CITY OF RIALTO, COUNTY OF ORANGE, COUNTY OF SAN BERNARDINO, 21 and STATE OF CALIFORNIA (hereinafter "DEFENDANTS"), 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 CLAIMANT: Shontiana Lashay Zuniga
25 Address to which CLAIMANT requests correspondence to be mailed: SWEET 26 | JAMES, LLP, c/o Ida Shabanzadegan, Esq. I/ 4220 Von Karman Avenue, Suite 200, Newport 27 Beach, CA 92660 // (949) 644-1000.
28 Nature of Injuries: Bodily injury to CLAIMANT.
CLAIM FOR DAMAGES - ADDENDUM
CITY OF RIALTO
1 4. Amount of Claimed Damages: The full extent of CLAIMANT's, damages are 2 unknown at this time but are expected to exceed $5,000,000.00 and thus, parsuant to Government 3 Code Section 910(f), "no dollar amount shall be included in the claim." The claim will not be a 4 limited civil case ($35,000 or less). The exact amount of said losses, which is believed to be far in 5 excess of $35,000.00, will be stated according to proof pursuant to Code of Civil Procedure Section 6 425.10.
7 5. Date and Time When Damage and Injury Occurred: On or around 09/11/2025 at 8 approximately 7:23AM.
9 6. Where Did the Damage and Injury Occur: It is believed the incident occurred on, 10 around, or near the intersection of Spruce Avenue and Mason Street in the City of Rialto, County of 11 San Bernardino, State of California. ("ROADWAY").
12 7. Governmental Entities Alleged to be at Fault: Defendants CITY OF RIALTO, 13 COUNTY OF ORANGE, COUNTY OF SAN BERNARDINO, and STATE OF CALIFORNIA, as SWEET JAMES, LLP 4220 Von Karman Avenue, Suite 200 Newport Beach, CA 92660 14 public entities, their agents, employees, subcontractors, and DOES 1-50. 15 8. Names, Addresses and Telephone Numbers of Witnesses: Investigations are still 16 ongoing and not all witnesses are known at this time. 17 9. Nature of the Case: On the above date and time, CLAIMANT, was lawfully driving 18 a vehicle northbound on Spruce Avenue. As CLAIMANT's vehicle entered the intersection of 19 Spruce Avenue and Mason Street, Jamie Ann Pineda, operating an on-duty emergency vehicle on 20 behalf of DEFENDANTS, turned slightly onto Mason Street to make a U-turn back onto 21 southbound Spruce Avenue, causing a T-bone collision with CLAIMANT's vehicle. (hereinafter 22 "SUBJECT INCIDENT").
23 10. Basis of Claim Against Government Entity: At all said times mentioned herein, 24 DEFENDANTS, as public entities, their agents and employees, were the owners, operators and 25 maintainers of a certain motor vehicle within the meaning of California Government Code § 815.2 26 and California Vehicle Code §§17000 and with the permission thereof did negligently entrust, 27 operate, maintain, and repair the same, while in the course and scope of their duties within the 28 meaning of California Government Code §§ 815.2. 820 and California Vehicle Code §§17000,
CLAIM FOR DAMAGES - ADDENDUM
CITY OF RIALTO
1 17001, so as to cause the same to strike and injure CLAIMANT, legally causing her to suffer 2 economic, general, and special damages. As stated above, the conduct described in the Subject VEIVED
3 Incident constituted negligence and/or an act or omission within meaning of Califorhia Government 4 Code §§ 815.2 and 820 et seq. considering the conditions on the roadway and by reason of 5 DEFENDANTS agents and employees:
6 • Failure to adhere and follow California Vehicle Codes that include, but are not 7 limited to, §§ 22107.
8 • On the aforementioned date and time, in and around the intersection of Spruce Avenue and Mason Street in Rialto, California, CLAIMANT was 10 operating a 2024 Kia Forte, traveling northbound on Spruce Avenue. Upon 11 entering the intersection of Spruce Avenue and Mason Street, another 12 vehicle, driven by Jamie Ann Pineda, collided with CLAIMANT's vehicle. 13 Ms. Pineda was operating an on-duty emergency vehicle on behalf of Newport Beach, CA 92660 14 DEFENDANTS. DEFENDANT'S employed driver was operating a Chrysler SWEET JAMES, LLP 4220 Von Karman Avenue, Suite
15 Pacifica vehicle, with license plate 9SIS447, in violation of California 16 Vehicle Code §§ 21801: an employee acting within the course and scope of 17 employment, who negligently failed to yield to oncoming traffic. 18 • Failure to drive a vehicle in a reasonably safe manner. 19 • Ms. Pineda failed to operate the vehicle in a safe and lawful manner, demonstrating a lack of due care required to avoid foreseeable harm to 21 others, including CLAIMANT.
22 • DEFENDANTS, as public entities, are directly liable under Vehicle Code § 17001 23 for the negligent operation of their motor vehicle by an employee acting within the 24 course and scope of employment. Further, under Government Code § 815.2, 25 DEFENDANTS are vicariously liable for the negligent acts of their driver. 26 11. The Damages and Injuries Claimed: As a legal, direct and proximate result of 27 DEFENDANTS and DOES 1-50, CLAIMANT sustained damages, including economic and non- economic damages which are above the jurisdictional minimum for unlimited civil, in an amount in
CLAIM FOR DAMAGES - ADDENDUM
CITY OF RIALTO
1 excess of the jurisdictional minimum, according to proof, pursuant Section 425.10 of the 1310 AM1I: 32
2 California Code of Civil Procedure.
RECEIV
3 As a legal, direct and proximate result of the conduct of DEFENDANTS and DOES 1-50, 4 CLAIMANT was physically injured and sustained both economic and non-economic damages. She 5 sustained injuries to her body, and shock and injury to her nervous systems and person, all of which 6 have caused, and continue to cause her great physical, mental, and nervous pain and suffering. 7 CLAIMANT was compelled to, and did, employ the services of hospitals, physicians, nurses, and 8 the like, to care for and treat her, the exact amount of such losses to be stated according to proof, 9 pursuant to Section 425.10 of the California Code of Civil Procedure. CLAIMANT continues to treat for her injuries at this time so the full extent of her damages is unknown but will be 11 supplemented as discovery continues.
12 CLAIMANT continues to receive treatment at this time and not all damages are known. 13 CLAIMANT has incurred and will incur actual, special, and general damages, as allowed by law 14 within the jurisdiction of the Superior Court.
SWEET JAMES, LLP 4220 Von Karman Avenue, Suite 200 Newport Beach, CA 92660 15 12. Reservation of Right to Amend and/or Supplement Claim: Investigations are still 16 ongoing at this time. As such, all statements contain herein are pending verification and not all 17 facts/damages are known. Therefore, CLAIMANT reserves her right to amend and/or supplement 18 this claim, including asserting new theories of liability or causes of action and their related 19 damages, upon discovery of new or additional information or facts. CLAIMANT reserves her right 20 to supplement or amend these claims as discovery proceeds in this matter. These claims and related 21 damages are being made on the best information currently available to CLAIMANT and her 22 counsel.
23 X
24| XX
25 XXX
26 XXXX
27 XXXXX
28 CLAIM FOR DAMAGES - ADDENDUM
CITY OF RIALTO
1 2029 FEB |1 AMI1:32
2 CITY CLERK RECEIVED
3 DATED: February 10, 2026 SWEET JAMES, LLP
4 5
3y: da shabanzadagan
6 da Shabanzadegan, Esc
Attorney for CLAIMANT
SWEET JAMES, LLP 4220 Von Karman Avenue, Suite 200 Newport Beach, CA 92660
CLAIM FOR DAMAGES - ADDENDUM
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL Page 1 of 6
TRAFFIC CRASH REPORT
CHP 555 Page 1 (Rev. 8-19) OPI 060
NUMBER HIT & RUN CITY JUDICIAL DISTRICT
SPECIAL CONDITIONS
RIALTO Fontana Superior Court 83251087.
ON-DUTY EMERGENCY VEHICLE NUMBER HIT & RUN courty REPORTING DIATRICT DAY OPWEEN" TOW AWAY! KILLED Him!: 32
SAN BERNARDINO 122 Thursday
CRASH OCCURRED ON HO DAY YEAR { TIME (3400) NCC F HE COFFICERID SPRUCE AVE 09/11/2025 0723 3609 CIT ooose CL
ALES NORATIN GPS COGROIN TES
FEET oF LATITUDE 34.109491 LONGITUDE -117.387810
STATE HWY REL DCOUTO
AT INTERSECTION WITH
• oR FEET OF MASON ST
DRIVER'S LICENSE NUMBER STATE CLASS AIR BAG SAFETY EQUIP. VEH. YEAR MAKE / MODEL / COLOR LICENSE NUMBER STATE PARTY
CA 2025 CHRYSLER PACIFICA BLACK ...CA
ORVER NAME (FIRST, MIDDLE, LAST) On Duty Emergency Vehicle
JAMIE ANN PINEDA OWNER'S NAME X SAME AS DRIVER
STREET ADDRES:; EAN HOLDINGS LLC
OWNER'S ADDRESS • SAME AS DRIVER
PARKE CITY / STATE / ZIP 14002 E 21 ST ST STE 1500, TULBA CITY OK 74134 LAKE FOREST CA 92630 DISPOSITION OF VEHICLE ON ORDERS OF: L OFFICER XI DRIVER • OTHER SEX HAIR EYES HEIGHT WEIGHT BIRTHDATE "RACE PRIVATE TOW BRN HZL 505 150 PRIOR MECHANCAL DEFECTE X NONE APPARENT O REFER TO NARRATIVE OTHER HOME PHONE BUSINESS PHONE VEHICLE IDENTIFICATION NUMBER: 2C4RC1BG0SR664365 "). VEHICLE TYPE DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGE AREA INSURANCE CARRIER POLICY NUMBER • UNK NONE • MINOR
01 UNKNOWN :8 MOD MAJOR ROLL-OVER
ENTERPRISE
DR OF ON STREET OR HIGHWAY SPEED DCT
LANE CA
NORTH SPRUCE AVE CAL-T 1CPPSC
STATE SAFETY EQUIP. VEH. YEAR MAKE / MODEL / COLOR LICENSE NUMBER STATE
PARTY DRIVER'S LICENSE NUMBER CLASS AIR BAG
2 CA 2024 KIA FORTE WHITE SMWM634 CA
DRIVER NAME (FIRST, MIDDLE. LAST)
X SHONTIANA ZUNIGA OWNER'S NAME X SAME AS DRIVER
STREET ADDRESS SHONTIANA ZUNIGA
TRIAN
OWNER'S ADDRESS E SAME AS DRIVER
CITY (STATE /ZIP"
VEHICL
CA 92376 DISPOSITION OF VEHICLE ON ORDERS OF: OFFICER 8 DRIVER • OTHER RIALTO
SEX HAIR" EYES 1 HEIGHT TWEIGHT BIRTH DATE RACE
BRO BRN 502 157 PRIOR MECHANICAL LEFTO S IR NONE APPARENT REFER TO NARRATIVE
HOME PHONE BUSINESS PHONE VEHICLE DENT FICATION NUMBER
VEHICLE TYPE DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGE AREA INSURANCE CARRER POUCY NUMBER • UNK • NONE • MINOR
01 CALIFORNIA EVIDENCE OF LIABILITY INSURANCE 10193350902 X MOD. • MOR [I ROLL-OVER DIR OF ¡ON STREET OR HIGHWAY THRO"" TOTAL SPEED DOT
LANE LANES
RAVEL LANES
NORTH SPRUCE AVE TCPIPSC Mor:
DRIVER'S LICENSE NUMBER (STATE i CLASS AIR BAG SAFETY EOUP VEH, YEAR MAKE / MODEL / COLOR LENSE NUMBER ¡STATE ¡PARTY
3 DRIVER NAME (FIRST, MIDLE, LASTI
• OWNER'S NAME • SAME AS DRIVER
PEDES- STREET ADDRESS
OWNER'S ADORESS • SAME AS DRIVER
PARrET CITY / STATE I ZIF
DISPOSITION OF VEMICLE ON ORDERS OF OFFICER • DRIVER • OTHER
SEX HAIR (EYES (HEIGHT WEIGHT BIRTH DATE
PRIOR MECHANICAL DEFECTS: NONE APPARENT • REFER TO NARRATIVE HOME PHONE BUSINESS PHONE VEHICLE IDENTIFICATION NUMBER:
VEHICLE TYPE DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGE AREA INSURANCE CARRIER • UNK. CJ NONE • MINOR
*PENNE Controlled Copy
• MOD. C] MAJOR [I ROLL-OVER
DIR OF ON STREET OR HIGHWAY LANE He Cidentild Copy DOT
TRAVEL
Res MCINO:
PREPARER'S NAME DATE REVIEWED
MACIAS, ELZABETH 00956 X as 10/15/2025
The Rialte P.D.
REL TO: Clymer & Beverly 11/24/25
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL Page 2 of 6
TRAFFIC CRASH CODING
CHP 555 Page 2 (Rev. 3-20) OP: 060 CITY OF RIALTO
DATE OF CRASH (MO DAY YEAR; (TIME (2400) NCIC * : OFFICER ID NUMBER n 0723 00956 93251085F EB | 1
09/11/2025 3609
OWNER'S NAME lOWNER'S ADDRESS
PROPERTY DAMAGE
PERSON NOTIFIED O SAME NO (TELEPHONE NUMBER METHOD OF NOTIFICATION (NARY ALL THE AP-NYT OWNER
• IN PERSON C PHONE O DISPATCH D CHP 422 _CITY CLERK
DESCRIPTION OF DAMASE
SEATING POSITION SAFETY EQUIPMENT AIR BAG INATTENTION CODES OCCUPANIS CHILD RESTRAINT 8 - UNKNOWN A - CELLPHONE HANDHELD À - NONE IN VEHICLE O - IN VEHICLE USED L-AIR BAG DEPLOYED B - CELLPHONE HANDSFREE
B - UNKNOWN R - IN VEHICLE NOT USED M - AIR BAG NOT DEPLOYED C- ELECTRONIC EQUIPMENT C - LAP BELT USED S - iN VEHICLE USE UNKNOWN N. OTHER D- RADIO / CD D- LAP BELT NOT USED T- IN VEHICLE MAPROPER USE P. NOT REQUIRED E - SMOKING 1 TO 8- STANDARD
BEATING POSITION E. SHOULDER HARNESS USED U - NONE IN VEHICLE EJECTED FROM VEHICLE F - EATING 1 2 3 G - CHILDREN
F - SHOULDER HARNESS NOT USED
4 Б 6 10 - REAR OCC TRK.. VAN. G - LAP/SHOULDER HARNESS USED MIC BICYCLE HELMET D. NOT EJECTED H - ANIMALS STATION WAGON. ETC * DRIVER PASSENGER 1 - FULLY EJECTED 1 - PERSONAL HYGIENE 7 8 9 PASSIVE RESTRAINT USED 2 - PARTIALLY EJECTED J- READING 11- POSITION UNKNOWN V-NO X-NO
10 K - PASSIVE RESTRAINT NOT USED W. YES Y - YES 3. UNKNOWN K- OTHER
0. OTHER P. NOT REQUIRED
ITEMS MARKED BELOW FOLLOWED BY AN ASTERISK (*) SHOULD BE EXPLAINED IN THE NARRATIVE
PRIMARY CRASH FACTOR MOVEMENT PRECEDING
TRAFFIC CONTROL DEVICES 1 2 3 VEHICLE AUTOMATION LEVEL CRASH...
LIST NUMBER (I.OF. PARTY AT FAU
CUC SECTION VIOLATE: A CONTROLS FUNCTIONING XX A SAE LEVEL.O..... A STOPPED 1 A 22107 B CONTROLS NOT FUNCTIONING" B SAE LEVEL- 1 B PROCEEDING STRAIGHT OTHER IMPROPER DRIVING" CONTROLS OBSCURED C SAE LEVEL - 2 C RAN OFF ROAD X D NO CONTROLE PREBENT/FACTOR' D SAE LEVEL - 3 D MAKING RIGHT TURN C OTHER THAN DRIVER' TYPE OF COLLISION E SAE LEVEL - 4 X E MAKING LEFT TURN D UNKNOWN' A HEAD - ON F SAE LEVEL • 5 F MAKING U TURN
SIDESWIPE G UNKNOWH "G BACKING
REAR END H SLOWING / STOPPING
1:2 3 VEHICLE AUTOMATION ENGAGED
WEATHER (MARK 1 TO 2 ITEMS) D BROADSIDE PASSING OTHER VEHICLE XIA CLEAR Е HIT ОВЕСТ XX A NOALTOMATION J CHANGING LANES
CLOUDY OVERTURNED B DRIVER ASSISTANCE PARKING MANEUVER
RAINING G VEHICLE PEDEETRIAN C PARTIAL ASSISTANCE ENTERING TRAFFIC SNOWING H OTHER: D CONDITIONAL ALTOMATION M OTHER UNSAFE TURNING
FOG /VISIBILITY FT MOTOR VEHICLE INVOLVED WITH E HIGH ALTOMATON N XING INTO OFPOSING LANE (MARK 1 TO 2 ITEMS) F FULL AUTOMATION O PARKED
OTHER*:
WIND A NON- COLLISION G UNKNOWN P MERGING
LIGHTING PEDESTRIAN & TRAVELING WRONG WAY
DAYUGHT OTHER MOTOR VEHICLE OTHER ASSOCIATED FACTOR(S) R OTHER*:
DUSK - DAWN MOTOR VEHICLE ON OTHER ROADWAY (MARK 1 TO 2 ITEMS) S LANE SPLITTING
DARK - STREET LIGHTS E PARKED MOTOR VEHICLE VE SECTION VIOLATICA CITED SOBRIETY - DRUG PHYSICAL
DARK - NO SYREST LIGHTS F TRAIN (MARK ALL THAT APPLY)
DARK - STREET LIGHTS NOT G BICYCLE XX A HAD NOT BEEN DRINKING FUNCTIONING• H ANIMAL: B HED - UNDER INFLUENCE
ROADWAY SURFACE FIXED OBJECT: VE SECTOR VIOLATEN CITED C HBD - NOT UNDER INFLUENCE.
DRY D HBD. - IMPAIRMENT UNKNOWN -
WET J OTHER OBJECT D E UNDER DRUG INFLUENCE"
SNOWY - ICY VISION DBSCUREMENT DRE EXAM CONDUCTED
SLIPPERY (MUDGY. OILY ETC.) K ADDITIONAL OBJECTS) STRUCK F INATTENTION*: STIMULANT
PEDESTRIAN'S ACTIONS G STOP & GO TRAFFIC HALLUCINOBEN
A NO PEDESTRIANS INVOLVED H ENTERING / LEAVING RAMP DISBOCIATE ANESTHETICS HOLE6, DEEP RUTS CROSSING IN CROSSWALK PREVIOUS CRASH MARCOTIC ANALGE SIC LOOSE MATERIAL ON ROADWAY" AT INTERSECTION J UNFAMILIAR WITH ROAD INHALANT K DEFECTIVE VEH. EQUIP. CITED CANNABIS
OBSTRUCTION ON ROADWAY' © CROSSING IN CROSWALK. NOT
D CONSTRUCTION REPAIR ZONE AT INTERSECTION DEPRESSANT
LE REDUCED ROADIAY WDTH.. D CROSSING - NOT IN CROSSWALK L UNINVOLVED VEHICLE F MPAIRMENT - PHYSICAL• LE N ROAD - INCLUDES SHOULDER M OTHER": G WPAIRMENT NOT KNOWN " OTHER" XX N NONE APPARENT H NOT APPLICABLE
X H NO UNUSUAL, CONDITIONG LE APROACHIN LEAVING SCHOL BUS O RUNAWAY VEHICLE 'SLEEPY FATIGUED" Miscellaneous SPECIAL INFORMATION
*A HAZARDOUS MATERIAL
B CELL PHONE HANDHELD IN USE
C CELL PHONE HANDSFREE IN USE
D CELL PHONE NOT IN USE
© "See Attached Sketch" X E CELL PHONE USE UNKNOWN
F SCHOOL BUS RELATED
BIKEWAY FACILITY
• "See Attached factual diagram" Controlled Capy
A SHARED ROADWAY
Confidential Copy B CLASSI - BIKE PATH*
Restricted PC 11142-11143 C CLASS II - BIKE LANE •
D CLASS III - BIKE ROUTE *
Not For Third Party Release E CLASS IV - SEPERATED BIKEWAY The Rialto P.D:
REL TO: Clymer & Beverly 11/24/25
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
INJURED / WITNESS / PASSENGER СІТУ ОРде ЗоВ RIALTO
CHP 555 Page 3 (Rev. 9-19) OPI 060
DATE OF CRASH IMO. DAY. YEAR) •TIME (2400) OFFICER ID (MUMBER 125 FEB 11. 09/11/2025 :0723 3609 00956 932510867 AM!I: 32
EXTENT OF INJURY (*X" ONE) INJURED WAS (*X" ONE)
PASSETTER AGE
MATSOEY SEX
SUSPECTED SEROUS POSSIBLE DRIVER PASS PED BICYCLIS: OTHER OPER NO CEVETE INJURY
22 •
NAME /D.0.8./ADD "Telephone
SHONTIANA ZUNIGA
(INJURED ONLY) TRANSPORTED BY EMS RUN NUMBER • TAKEN TO Rialto Fire Department Arrowhead Regional Medical Center
DESCRIBE INJURIES
BACK AND T HAND PAIN
D
NAME /D.O.B. / ADDRESS Telephone
(INJURED ONLY) TRANSPORTED BY EMS RUN NUMBER TAKEN TO
DESCRIBE INJURIES
•
NAME /D.O.B. /ADDRESS Telephone
/ /
(INJURED ONLY) TRANSPRTED BY (EMS RUN NUMBER TAKEN TO
0 NAME / D.O.B. / ADDRESS -Telephone
/ /
(INJURED ONLY) TRANSPORTED BY EMS RUN NUMBER ¡TAKEN TO
DESCRIBE INJURIES
NAME /D.0.8. ADDRESS Telephone
1 /
(INJURED ONLY) TRANBPORTEO BY TEMS RUN NUMBER TAKEN TO
DESCRIBE INJURIES
NAME / D.O.B./ADDRESS Telephone
(INJURED ONLY) TRANSPORTED BY 'EMS RUN NUMBER" TAKEN TO
DESCRIBE INJURIES
Controlled Copy
Confidential Copy
Restricted PC 11142-11143
MO DAY YEAR
PREPARED BY ID NUMBER
00956 19/11/202 |10/15/2025
MACIAS, ELIZABETH 00956
The Rialte P.D
REL TO: Clymer & Beverly 11/24/25
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
SKETCH CITY OF RIALTO
CHP 555 Page 4 (Rev. 411) OP1 060
INCIC # : OFFICER I D
DATE OF COLLISION (MO. HAY YEAR TIME (2400)
00956 SEB 11 AMI1: 32
09/11/2025 0723 3609
ALL MEASUREMENTS ARE APPROXIMATE AND NOT TO SCALE UNLESS STATED
RECEIVED
CITY CLERK
Spruce Ave
Mason St
P2
Controlled Copy
Confidential Copy
Restricted PC 11142-11143
PREPARED BY ID NUMBER Not Haird PORN UN NO DAY YEAR
MACIAS, ELIZABETH 00956 00956 10/18/2025
The Rialte P.D
REL TO: Clymer & Beverly 11/24/25
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
NARRATIVE/SUPPLEMENTAL
CHP 556 Page 4 (Rev. 4-11) OPI 060 CITY OF RIALTO
....-
DATE OF COLLISION (MC. DAY. YEAR) ¡ TIME (2400) NCIC # OFFICER I D MMEER 7026 FEB 1 I
09/11/2025 10723 3609 00956 932510857
- 4411: 32
FACTS: CITY CLERK RECEIVED
NOTIFICATION: I was dispatched to a call of 1183 at Spruce Ave and Mason St I 4 responded from Rialto Police Department and arrived on scene at 0737 hours. All 5 times, speeds and measurements in this investigation are approximate.
Measurements were taken by pacing, except where otherwise indicated. 7 8 SCENE: At the scene of this collision, SPRUCE AVE is northbound/southbound 9 city street consisting of 1 lane. The roadway is straight and level. The surface is 10 composed primarily of asphalt. SPRUCE AVE is intersected by MASON ST. 11 MASON ST is eastbound/westbound city street consisting of 1 lanes. The roadway is 12 straight and level. The surface is composed primarily of asphalt. The intersection is 13 stop sign controlled. See diagram.
14 15 PARTIES:
16 17 Party #1 (Pineda) was located on scene. Party 1 was identified by a valid CA driver's 18 license. Pineda was placed as a party by the following items:
19 20 CHRYSLER PACIFICA, Driver #I's vehicle, was located on its wheels. 21 22 Party #2 (Zuniga) was located on scene. Party 2 was identified by a CA identification 23 card and was an unlicensed driver. Zuniga was placed as a party by the following 24 items:
25 26 KIA FORTE, Driver #2's vehicle, was located on its wheels. 27 28 PHYSICAL INJURIES:
29 30 Party #1 complained of pain to left arm from deployment of air bags. Party #1 31 sustained bruising and redness on left forearm.
32 33 Party #2 was transported to Arrowhead Reginald Medical Center. Party #2 34 complained of pain to abdomen. Party #2 sustained pain to right hand, right ring 35 finger and right little finger.
36 37 STATEMENTS:
38 39 Party-1 (Pineda, Jamie) stated she was traveling northbound on Spruce Ave and turn 40 lightly onto Mason St. to make a U turn back onto Spruce Ave at approximately 41 MPH. Party-1 stated as she made the U turn onto Spruce Ave. she collided into Part 42 #2's vehicle. Party-1 stated Party-2 was traveling at a high rate of speed and she did 43 not see Party #2's vehicle.
44 45 Party-2 (Zuniga, Shontiana) stated she was traveling northbound on Spruce Ave. at 46 approximately 30 MPH. Party-2 stated she took her eyes off the road for two 47 seconds as she reached for her @nisabledwinet right hand from the compartment 48 under her car radio. Once the plume ovati al he oright hand and her eyes back on the PREPARED BY ȚID NUMBER Not Ford Pater a fi NO DAY YEAR
MACIAS, ELIZABETH 00956 00956 10/15/2025
The Rialto P.D
REL TO: Clymer & Beverly 11/24/25
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
NARRATIVE/SUPPLEMENTAL CITY OF RIAL Tage Gots
CHP 556 Page 4 (Rev. 4-11) OP| 060
DATE OF COLLISION IMO. DAY. YEAR) TIME (2400) NCIC # OFFICER ID 1028 Fragerl AM 11: 32 0723 3609 00956 932810857
09/11/2025
RECEIVED
49 road is when Party #I's vehicle collided into her vehicle. Party-2 stated that Pafty. i'S X. 50 vehicle appeared as though she was making a U turn.
51 52.
53 OPINIONS AND CONCLUSIONS
54 55 SUMMARY; Based on my opinion Party-1 was traveling Northbound on Spruce 56 Ave. and as Party-1 was making a U turn off Mason St. back onto Spruce Ave. 57 broadsided Party 2's vehicle on driver side.
58 59 The primary collision factor was Party- 1 unsafe turning movement onto Spruce Ave. 60 61 fine of PRICE AN and out or Nore urine wine as or AS ST 62 63
64 AUSE: Based on the evidence observed, it is my opinion that Party-1 caused th 65 ollision by being in violation of VC VC 2210
66 67 RECOMMENDATIONS
68 69 None.
Controlled Copy
Confidential Copy
Restricted PC 11142-11143
PREPARED BY TID NUMBER MO DAY YEAR
MACIAS, ELIZABETH 00956 /00856 10/15/2025
•The Riatto P.D
REL TO: Clymer & Beverly 11/24/25
SweetJames...
CITY OF RIALTO
ACCIDENT ATTORNEYS
2025 FEB L1 AHH: 32
4220 Von Karman Avenue, Suite 200, Newport Beach, California 92660 • t. 949-644-10 0 2191Y 2-100S
CITY CLERA
February 10, 2026
Rialto City Clerk's Office
150 S. Palm Avenue
Rialto, CA 92376
RE: NEW CLAIMS
Dear Clerk,
Enclosed are the following for our client, Shontiana Lashay Zuniga.
1. 1 original and 1 copy to conform of the claim for damages form for the above listed client
2. 1 original copy of the Addendum
3. 1 copy of the Traffic Collision Report
4. 1 proof of service
5. 1 FedEx enveloped with a pre-paid label to return the conformed copies Please file as soon as possible.
Upon completion of filing, please immediately forward a conformed copy of the claims in either of the self-addressed envelopes provided at your convenience.
If you contend there are any other entities that may be liable for said incident, whether public or private, please notify us immediately. Thank you for your continued and anticipated cooperation with the matter.
Should you have further questions or concerns, please do not hesitate to contact our office.
Truly yours,
SWEET JAMES, LLP
Orase
Jesse Donahoe
Legal Assistant
Enc.
CITY OF RIALTO
1 PROOF OF SERVICE
2930 FEB 11 AMII: 32
2 STATE OF CALIFORNIA, COUNTY OF SAN BERNARDINO, COUNTY OF ORANGE,
CITY OF RIALTO CITY CLERK
At the time of service, I was over 18 years of age and not a party to this action. I am employed in the County of Orange, State of California. My business address is 4220 Von 5 Karman, Suite 200, Newport Beach, CA 92660.
6 On the date below, I served the following documents) described as CLAIM FOR DAMAGES FORM on the interested parties in this action as follows:
7 SEE ATTACHED SERVICE LIST
8 [1 BY CERTIFIED MAIL as follows: I am "readily familiar" with the firm's practice of 9 collection and processing correspondence for mailing. Under that practice it would be deposited with the U.S. Postal Service on that same day with postage thereon fully prepaid at Newport Beach, 10 Calitornia, in the ordinary course of business. I am aware that on motion of the party served. 11 service is presumed invalid if postal cancellation date or postage meter date is more than one day after date of deposit for mailing in affidavit.
12 [] BY PERSONAL DELIVERY: I caused such envelope to be delivered by hand to the office 13 of the addressee.
14 [] BYFAX: I caused such document to be delivered by telecopy transmission to the offices of 15 the addressee and received a transmission confirmation therefor. 16 [x] BY FEDERAL EXPRESS: I caused such envelope to be delivered by Federal Express to the offices of the addressee.
17 18 [] BY ELECTRONIC MAIL: I caused such document to be delivered electronically to , pursuant to CCP §1010.6(6).
19 I declare under penalty of perjury under the laws of the State of California that the 20 foregoing is true and correct.
21 Executed on February 10, 2026, at Newport Beach, California. 22 Chss.
23 Jesse Donahoe
24 25
26 27
28 CLAIM FOR DAMAGES
CITY OF RIALTO
1 SERVICE LIST 2028 FEB | 1
2 AMN: 32
RECENCO
3 Rialto City Clerk's Office Defendant • Y CLERK
150 S. Palm Avenue City of Rialto
4 Rialto, CA 92376
5 Clerk of the Board of Supervisors Defendant,
400 W. Civic Center Drive, 6th Floor County of Orange
Santa Ana, CA 92701
7 Risk Management Division- County of San Defendant,
Bernardino, State of California County of San Bernardino 222 W. Hospitality Lane, 3rd Floor
9 San Bernardino, CA 92415
Office of Risk and Insurance Management Defendant,
Government Claims Program State of California
11 707 3rd Street, 1st Floor
West Sacramento. CA 95605
13 14
15 16
17 18
19 20
21 22
23 24
25 26
27 28
CLAIM FOR DAMAGES
ONE ONE LP 1849614-1000 SHIP DATE: 10FEB26
ACTWGT: 1.00 LE
SWEET JAMES CAD: 112808517/INET453
4220 VON KARMAN AVENUE
NEWPORT BEACH, CA 92860 BILL SENDER
UNITED STATES US FedEx 06/-2123 19:-6
TO RIALTO CITY CLERK'S OFFICE
150 S. PALM AVE
RIALTO CA 92376
(909) 820-2519 REF:
2975 FEB
DEPT:
CITY OF RIALTO
FedEx.
Expiess
ABII: 31
WED - 11 FEB 10:30A
TRK# PRIORITY OVERNIGHT
8886 6239 4614
ASR
92376
WM RIVA SBD This envelope is only for FedEx Express® shipments.
CA-US
Guide, or the conditions of carriage for complete terms, conditions, and Check your FedEx Express shipping document, the current FedEx Service items securely. Need help? Go to fedex.com/packaging for packing tips. 849-2555
909233 OVER• 92319 15 1200