HomeMy WebLinkAbout2015-10-22 CC Claims - 2008-2013Date: l o l l I S Department: G C
RECORDS DESTRUCTION AUTHORIZATION FORM
The records listed below (or on the attached list) are scheduled to be destroyed, as indicated on the Records
Retention Schedule.
The records are not the subject of any claim, litigation, investigation, or audit.
(List records here, or attach a list)
File # Records Description Start Date End Date Box # Retention Retention
# Period
2( Shredding is Required (Records contain private information)
DOCUMENTS HAVE BEEN REVIEWED AND APPROVED FOR DESTRUCTION
�s4u- f—
Department Head / Division Manager
City Clerk
City Attorney
Date
tc/22-12-o15^
Date
0121 b.sJ
Date
(Complete after destruction has been performed, if done by City Employees. If destruction is performed by a
commercial vendor, have them provide you with a certificate.)
HEREBY CERTIFY that the items listed above have been destroyed in accordance with City policies and
procedures:
Employee Performing Destruction
01998-2008 Gladwell Governmental Services, Inc
10 22 2015
ate
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2008
CLAIM # DATE NAME
3-1-2739 (PD) 01/08/08 Goats R Us / Oyarzun, Terri
01/10/08 Wilson, Wayne Lee
see (2nd Claim, merged with Claim # 3-1-2734 CD)
3-1-2734 (CD)
3-1-2741 (PW)
02/11/08
Rymer, Renee
3-1-2742 (PD)
02/19/08
Correa, Jim
3-1-2743 (PW)
02/22/08
Walraven, Ceral M.
3-1-2744 (PW)
02/25/08
Blaydon, Maureen
Lawsuit # CV082847, filed 06/11/08
3-1-2745 (PW)
03/04/08
Jung, Thomas
3-1-2746 (PW)
03/05/08
Fitzgerald, Ryan
3-1-2747 (PW)
03/05/08
Tescallo, Cecile
3-1-2748 (PD)
03/07/08
Figueroa, Michel Ruiz
3-1-2749 (PW)
03/10/08
DiBiase, Gloria
3-1-2750 (MS)
03/21/08
Judge, Bernard K.
3-1-2751 (PW)
03/25/08
Spicer, Stephen
3-1-2752 (PD)
03/26/08
Padilla, Monika Mercedes
3-1-2753 (FIN)
04/08/08
Conway, Francis & Patricia
3-1-2754 (PW)
04/15/08
Mangels, Patti
3-1-2755 (PW)
04/17/08
Lokteff, Deborah
3-1-2756 (PD)
05/08/08
Atwood, Doane
3-1-2757 (PD)
05/09/08
Pierce, Oliver
3-1-2758 (PD)
05/20/08
Gomes, Mary
3-1-2759 (PW)
05/22/08
Kelley, Keith (American All -Risk Loss Admin.)
1 word\city clerk work\claims\claims against the city -2008
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2008
CLAIM #
DATE
NAME
3-1-2760 (CD)
05/29/08
Wilson, Wayne
(see Claim # 3-1-2734 (CD) and # 3-1-2761 (CD)
3-1-2761 (CD)
05/29/08
Wilson, Wayne
(see Claims # 3-1-2734 (CD) and # 3-1-2760 (CD)
3-1-2762 (PD)
06/02/08
Quilici, John
3-1-2763 (CS)
06/04/08
Terra Linda Orcas
3-1-2764 (PW)
06/04/08
Walker, Gordon
3-1-2765 (PW)
06/06/08
Betts, James R. Jr.
3-1-2766 (PW)
06/16/08
Misakian, Claudia
3-1-2767 (PW)
06/18/08
Noren, Joann
3-1-2768 (PW)
06/27/08
Chaj, Fredy
3-1-2769 (PW)
07/11/08
Weatherman, Joseph
3-1-2770 (FD)
07/29/08
Price Cars, LLC
3-1-2771 (PW)
08/06/08
Kretschmer, Werner
3-1-2772 (PW)
8/21/08
Untermann, Dennis
3-1-2773 (PD)
8/27/08
Rodriguez, Stacey
3-1-2774 (PW)
9/4/08
Escobar, Mirna Hidalgo
3-1-2775 (PW)
9/15/08
Owen, Herbert
3-1-2776 (PD)
9/19/08
Jungberg, Gisela
3-1-2777 (PW)
10/13/08
Bolds, Richard and Kathy
3-1-2778 (FD)
10/14/08
Conley, Kevin
3-1-2779 (PW)
10/29/08
Siqueira, Rosane
3-1-2780 (PW)
10/30/08
Edwards, Virginia Green
2 word\city clerk work\claims\claims against the city -2008
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2008
CLAIM #
DATE
NAME
3-1-2781 (PW)
11/05/08
Grossman, Melinda
3-1-2782 (PW)
11/06/08
Reisinger, Lula
3-1-2783 (PW)
11/12/08
Thomas, Andrew
3-1-2784 (PW)
11/13/08
Case, Maha
3-1-2785 (PW)
11/13/08
Raggio, Darrell
3-1-2786 (PD)
11/13/08
EC Wise Inc.
3-1-2787 (PD)
11/26/08
Alizaveh, Houchang
3-1-2788 (PW)
12/05/08
Headlands Real Estate, LLC
3-1-2789 (PW)
12/12/08
Smith, Michael
3-1-2790 (PW)
12/19/08
Pascua, Adoracion
3 word\city clerk work\claims\claims against the city 2008
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2009
1 word\city clerk work\claims\claims against the city -2009
CLAIM #
DATE
NAME
3-1-2791
(MS)
01/07/09
Elliot -Kritzer, Catherine
3-1-2792
(PD)
01/16/09
Ly, Cathy
3-1-2793
(PW)
01/21/09
Smith, Mike
3-1-2794
(PW)
01/21/09
Smith, Mike
3-1-2795
(FD)
01/27/09
De Leon, Huber
3-1-2796
(PD)
01/30/09
Vogler, Philip C.
3-1-2797
PW)
2/17/09
Smith, Candice Jean
3-1-2798
(CS)
03/20/09
Janet Cole and Richard Cole
3-1-2799
(PD)
3/25/09
Alwareeth, Abdo Hassan
3-1-2800
(PD)
04/09/09
Dehner, Lisa Lynn
3-1-2801
(PW)
4/22/09
Leamy, Megan - New Amended Claim 5/11/09
3-1-2802
(PD)
05/06/09
Simons, Michael Lawrence
3-1-2803
(PW)
05/07/09
Block, Gwendolyn
3-1-2804
(PW)
5/11/09
Picone, Sylvia
3-1-2805
(PW)
5/14/09
Baumert, Owen _.. Amendment 05/21/2009
3-1-2806
(PD)
5/15/09
Drury, Gail
3-1-2807
(PW)
5/18/09
Fazio, Deborah
3-1-2808
(PW)
5/27/09
Weiner, Joan
3-1-2809
(PD)
5/29/09
Fitzpatrick, Joseph
3-1-2810
(PW)
6/01/09
Blaskowska, Dorota Patrycja
3-1-2811
(PW)
6/15/09
d Clair, Scotti
3-1-2812
(PD)
6/19/09
Sanchez, Wilfrido
3-1-2813
(PD)
7/6/09
Reyes Calderon, Rolando
1 word\city clerk work\claims\claims against the city -2009
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2009
CLAIM # DATE NAME
3-1-2814
(PD)
7/7/09
Mercury Insurance Group/Luis M. Hardman
3-1-2815
(PD)
7/14/09
Wilson, Dana Lee
3-1-2816
(PD)
7/14/09
Cabella, Elsa D.
3-1-2817
(MS)
7/20/09
Mautner, Eva M.
3-1-2818
(CD)
7/29/09
Cappelletti, Sarah M.
3-1-2819
(PW)
8/4/09
Louie, Frederick
3-1-2820 (PD/MS)
8/19/09
Fernandez, Frances
3-1-2821
(PW)
8/19/09
Webb, Joan - Previous claim 3-1-2709 denied 8/14/07
3-1-2822
(PW)
8/20/09
Andrews, Amanda
3-1-2823
(PW)
8/26/09
Flores, Lucy
3-1-2824
(PW)
9/3/09
Rich, Jeffrey
3-1-2825
(PD)
9/15/09
Hickenbottom, Joel
3-1-2826
(PW)
9/17/09
Brownstein, Arlen
3-1-2827
(PD)
9/18/09
Hertogs, Joseph
3-1-2828
(PW)
9/25/09
Thompson, Terry
3-1-2829
(PW)
9/30/09
Faanes, Ann
3-1-2830
(PW)
10/7/09
Brown, Susanne
3-1-2831
(PW)
10/09/09
Embassy Suites Hotel
3-1-2832
(PW)
10/28/09
Amundsen, Dennis
3-1-2833
(PW)
11/04/09
DeFriese, Myrna
3-1-2834
(PW)
11/04/09
Lamers, China
3-1-2835
(PW)
11/04/09
Smith, Candice / AT&T Services, Inc. — Original
claim #3-1-2797
2 word\city clerk work\claims\claims against the city -2009
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2009
CLAIM # DATE NAME
3-1-2836 (PW) 11/10/09 Menges, Mark
3-1-2837 (FD/PD) 11/20/09 Foehr, Robert
3-1-2838 (PW) 12/17/09 Gallagher, Patrick William
3 word\city clerk work\claims\claims against the city -2009
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2010
CLAIM # DATE NAME
3-1-2838 (PW) 12/17/09 Gallagher, Patrick William (re -submitted 1/12/2010)
3-1-2839 (PW) 1/7/2010 Kehrlein, Vincent Oliver
3-1-2828 (PW) 5/24/09 Thompson, Terry (amended and re -submitted on
1/15/2010 — Original claim received on 9/25/2009)
3-1-2840
(PW)
7/21/09, 7/28/09
Pacific Telephone (AT&T)
3-1-2841
(PD)
8/24/09
Easton -Brown, Ryan Alexander
3-1-2842
(PW)
10/20/09
Connelly, Patrick
3-1-2843
(PW)
10/3/09
Seh, Ellen
3-1-2844
(PD)
4/1993 — present
Schenck, Ryker William
(3-1-2478
original
claim number)
3-1-2845
(RA)
9/09
Bagley, Julian
3-1-2846
(PD)
9/20/09
Vassiliou, Alexander
3-1-2847
(PD)
9/20/09
Vassiliou, Margaret
3-1-2848
(PW)
3/1/10
Phipps, Emily
3-1-2849
(PD)
8/17/09
Hickenbottom, Joel
(3-1-2825
original
claim number)
3-1-2850
(PW)
2/18/10
Ehlers, Dennis
3-1-2851
(PW)
Ongoing
Downs, Cassius & Dutton, Theresa
3-1-2852
(PD)
5/18/09
Carter, Ryan
3-1-2853
(PW)
9/16/09
Petrov, Monique
3-1-2854
(FD)
1/26/10
Nussbaum, Jack
3-1-2855 (PW)
"First Notice" in July
Gary J. Fulton — The Lincoln Group
2009 — present
1 word\city clerk work\claims\claims against the city -2010
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2010
3-1-2856
(PD)
4/4/10
Needham, Ashley and Jordan
3-1-2857
(PD)
4/13/10
CSAA
3-1-2858
(PW)
4/16/10
Pierce, Charles
3-1-2859 (FD/CS)
8/16/09
Marten, Julie
3-1-2860
(PD)
3/19/10
Midgett, Lorna
3-1-2861
(PD)
11/9/09
O'Connor, Tiffany
3-1-2862
(CD)
5/28/10
Patricia (Nolan) Shershanovich
3-1-2863
(PW)
3/26/10
Husband, Arianna
3-1-2864
(PD)
6/2/10
Foehr, Catharine
3-1-2865
(PD)
12/20/09
Flores, Rommel
3-1-2866
(PD)
4/8/10
Lopez, Hector
3-1-2867
(CS)
1/19/10
Decker, Jennifer
3-1-2868
(PD)
5/27/10
Erdozaincy, Marcelle
3-1-2869
(MS)
7/19/10
Howells, David
3-1-2870
(PW)
7/23/10
Levy -Phillips, Patricia
3-1-2871
(no dept.)
7/28/10
Portner, Doris
3-1-2872
(PW)
3/24/10
Iiattem, Marsha
3-1-2873
(PD)
5/8/10
Paster, Pablo
3-1-2874
(FD)
8/17/2010
CSAA/Peter Sills
3-1-2875
(CD)
2001-2010
San Rafael Manor, Inc.
3-1-2876
(PW)
10/22/2010
Borgmann, Kathi
3-1-2877
(PW)
5/18/2010
Llaverias, Vicki
3-1-2878
(FD)
8/27/10, 9/7/10
Vidal, Marco
? word\city clerk work\claims\claims against the city 2010
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2010
3-1-2879 (MS)
11/18/2010
Williams, Paul M.
3-1-2880 (PD)
7/30/10 — 9/6/10
Wilson, Dana
3-1-2881 (PD)
8/4/2010
Bustillo, Osmin / Velasquez, Aracely
3-1-2882 (PD)
11/10/2010
Mays, Steve
3-1-2883 (PW)
11/18/2010
Sontay Gramajo, Sandra
3-1-2884 (PD)
10/12/2010
Farmers Insurance (Brett Hansbery)
3-1-2885 (PW)
10/08/2010
Mauvais, Hamp
3 word\city clerk work\claims\claims against the city -?010
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2011
CLAIM # DATE NAME
3-1-2886 (PD) 7/4/2010 Hernandez, Jose/Hernandez, Scottie/
Hernandez, Alma/Hernandez, Tammy
1 word\city clerk work\claims\claims against the city -201 I
(c/o Owen Mayer, Esq.)
3-1-2887 (PW)
12/11/2010
Liberty Mutual (Steven Polacco)
3-1-2888 (MS)
12/2/2010
Paquette, Christine
3-1-2889 (PW)
1/2/2011
Barela, Yvette
3-1-2890 (PW)
12/22/2010
Allstate Insurance (Malissa Bullock)
3-1-2891 (PW)
1/5/2011
Patterson, Stephen
3-1-2892 (PD)
11/2010
Simons, Michael
3-1-2893 (PW)
1/31/2011
Fratto, Paul
3-1-2894 (PW)
1/18/2011
Polivka, Michael
3-1-2895 (PW)
2/8/2011
Curtis, Kathryn
3-1-2896 (PD)
9/1/2010
Dolan -Davies, Kathleen
3-1-2897 (PW)
12/22/2010
Inprasueth, Chansamon
3-1-2898 (PW)
2/15/2011
Heinemann, Geoff
3-1-2899 (MS)
12/29/2010
CSAA (Geringer/Regin)
3-1-2900 (PD)
9/13/2010
Fitzpatrick, Joseph
3-1-2901 (MS)
11/23/2010
McAffee, Mark
3-1-2902 (MS)
3/1/2011
Glassner, Jacqueline
3-1-2903 (PW)
3/6/2011
Cho, Sue
3-1-2904 (PW)
9/28/2010
Davis, Karen
3-1-2905 (FD)
3/27/2011
Radley, Gordon
3-1-2906 (MS)
12/29/2010
CSAA (Phoenix, James)
1 word\city clerk work\claims\claims against the city -201 I
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2011
3-1-2907 (CD)
3-1-2908 (PD)
3-1-2909 (PW)
3-1-2910 (PD)
3-1-2911 (PD)
3-1-2912 (PW)
3-1-2913 (PW)
3-1-2914 (PD)
3-1-2915 (PD)
3-1-2916 (PW)
3-1-2917 (PW)
3-1-2918 (PD)
3-1-2919 (MS)
3-1-2920 (PW)
3-1-2921 (PD)
3-1-2922 (PW)
3-1-2923 (PD)
3-1-2924 (PW)
3-1-2925 (PW)
3-1-2926 (PD)
3-1-2927 (PD)
3-1-2928 (PW)
3-1-2929 (PW)
2010-2011
11/5/2010
11/30/2010
5/3/2011
5/3/2011
(6/3/2011 recd)
4/1/2011
(6/24/2011 recd)
6/20/2011
(6/24/2011 recd)
12/31/2010
(6/24/2011 recd)
12/31/2010
(6/24/2011 recd)
05/02/2011
(6/27/2011 recd)
11/1/2010
(6/29/2011)
6/19/2011
(8/1/2011)
8/11/2011
(8/22/2011 recd.)
8/30/2011
9/6/2011 (recd)
10/18/2011 recd
4/28/11
10/31/11 (recd)
10/15/11
11/3/11 recd.
8/6/2011
(11/9/2011)
8/6/11
(11/15/11)
6/1/2011
(11/21/2011)
6/1-2/2011
(11/21/2011)
9/15/2011
(11/21/2011)
7/15/11
(12/07/11)
San Rafael Manor, Inc.
Spalding, Daniel et al.
Coutinholeal, Maria
Chezkian, David
Yeager, Gail
O'Neill, Dennis
Ferguson Jay A. & Barmeier, Judy C
Hendricks, Gary
Delaney, Brian
Escaniella, Leonarda
Jordan, Patricia Ann
Healy, Maureen
O'Sullivan, Aidan
Diallo, Ami
Birnbaum, Richard
Simons, Mike
Hulett, Devon Marie
Cordoba, Martin
Louie, George S.
Madrid, Juliette
Fujita, Koji
Sullivan, Gregory
Naegel, Edward R.
Ranier, Tatiana
2 word\city clerk work\claims\claims against the city -201 I
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2012
CLAIM #
DATE
NAME
3-1-2930 (PW)
1/12/2011
Gildengorin, Michael
3-1-2937 (PD)
(8/1/2011)
Gros, John
3-1-2931 (PW)
9/29/2011
All State, 1027 Brown Avenue, Lafayette, CA 94549
3-1-2938 (PD)
(03/22/2012)
Totten, Del
3-1-2932 (PW)
03/13/2012
Mill Valley Refuse
3-1-2939 (PD)
(04-03/2012)
Muehleck, Fred
3-1-2933 (FD)
1/29/2011
Hernandez, Isabel
3-1-2940 (PW)
04/18/2012
Van Erp, Virginia
3-1-2934 (PD) 2/5/2012 Qui, Mereisi
(4/23/2012)
3-1-2935 1/29/2012 Fyles, Jenifer
(05/07/2012)
3-1-2936
1/29/2012
Olson, Zackary
(5/7/2012)
3-1-2937 (PD)
05/08/2012
Gros, John
05/15/2012
3-1-2938 (PD)
02/17/2012
Totten, Del
(05/16/2012)
3-1-2939 (PD)
04/24/2012
Muehleck, Fred
(05/18/2012)
3-1-2940 (PW)
05/18/2012
Van Erp, Virginia
(05/21/2012)
3-1-2941 (PW)
12/07/2011
Green, Marc
(05/24/2012)
3-1-2942 (Fin)
2010-2012
Loder, L.H.
(6/12/2012)
(Property Tax Billing 2010-2012)
3-1-2943 (PW)
3/26/2012
Thornton Lehman, Melody Joy
(6/22/2012)
3-1-2944 (PW)
6/20/12
McCallum, Ingeborg
(6/27/12)
3-1-2945 (LIB)
2/26/12
Hale, Bill
(7/11/12)
3-1-2946 (FD)
6/5/12
CSAA/AAA (Perez, Ramos)
(7/16/12)
3-1-2946A (FD)
6/5/12
Mendoza, Eleazar Salas
(8/9/12)
3-1-2946B (FD)
6/5/12
Perez, Waldes David Ramos
(8/29/12)
3-1-2947 (PW)
1/17/12
Berman, Alan
(7/16/12)
3-1-2948 (FIN)
3/4/1983
Benson, Susan
(7/23/12)
3-1-2949 (PW)
7/4/12
Heenan, John and Mariko
(8/6/12)
3-1-2950 (FD)
THIS # INTENTIONALLY SKIPPED
I word\city clerk work\claims\claims against the city 2012
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2012
3-1-2951 (PW)
3-1-2952 (PW)
3-1-2953 (PD)
3-1-2953A (PD)
3-1-2954 (CS)
3-1-2955 (PW)
3-1-2956 (PW)
3-1-2957 (FIN)
3-1-2958 (FIN)
3-1-2959 (PD)
3-1-2960 (PS)
3-1-2961 (PW)
3-1-2962 (PD)
3-1-2963 (PW)
3-1-2964 (. )
3-1-2965 (PD)
6/11/12
(8/14/12)
2/21/12
(8/17/12)
2/23/12
(8/21/12)
2/21/12
(8/24/12)
7/22/12
(9/17/12)
3/28/12
(9/24/12)
9/13/12
(10/5/12)
2002-2012
(10/9/12)
1982-2012
(10/10/12)
4/9/2012
(10/11/2012)
10/17/12
(8/31/12)
10/24/12
(October 2011)
11/6/12
(2009)
12/7/12
(11/7/2012)
12/27/12
(11/5/12)
1/2/2013
(12/26/12)
Barrie, Gail
Galyen, Barbara
Botelho, Nicole
State Farm Claims (for Nicole Botelho)
Michael DeFrancesco
Margarita Kirnis
Arne Hansen
Susan Sharpe and Milton Nogueira
Wagner, George
Bryant, David
Friedrich, Maxx
Nelson, Jay
Ashby, Sr., Gerald
Watson, Jeffrey
Santos, Gely
Kern, Gary
2 word\city clerk work\claims\claims against the city 2012
CLAIMS AGAINST THE CITY OF SAN RAFAEL - 2013
CLAIM #
3-1-2965 (PD)
3-1-2966 (PW)
3-1-2967 (PW)
3-1-2968 (FD)
3-1-2969 (ED)
3-1-2970 (PW)
3-1-2971 (FD)
3-1-2972 (PD)
3-1-2973 (PS)
3-1-2974 (PW)
3-1-2975 (ED)
3-1-2976 (PW)
3-1-2977 (PD)
3-1-2978 (PW)
3-1-2979 (PW)
3-1-2980 (PD)
3-1-2981 (PW)
3-1-2982 (PW)
3-1-2983 (PW)
3-1-2983-A (PW)
3-1-2984 (PW)
3-1-2985 (CS)
DATE NAME
Received
1/2/2013
Kern, Gary
(12/26/12
_
Facen, Melanie
11/29/2012
t1 /7/2013
(2/13/13)
1/9/13
Bailey, Greg
(1/24/13)
Toller, Tim
1/13/13
(1/24/13)
Wong, Velda Jean
1/29/13
(9/20/12)
6/26/13
2/4/13 _ Nelson, Nicole and Jeremy
(12/2/2012)
2/11/13 Anderson, Connie R.
(1/28/13)
3/4/13 Diaz, Fransine
2/26/13
3/6/13 GEICO for Stephanie Melnik
(1/15/13)
4/3/13 Sterdt, Barbara
(4/1/13 -potential)
7/2/13 -actual claim
received) _
2/20/13 (Complaint— Lama, Tsewang
Wong v. CSR,
Lama, filed)
4/12/13
4/15/13
Mittelstaedt, Robert
Late Dec. 2012
_
5/21/13
Qualls, Christopher
(2/13/13)
6/3/13
Tannenbaum, Yvette
(12/3/12)
6/18/13
Turner, Erika
6/15/13
7/10/13
6/26/13
Medina, Shanell Cavaiani
5/18/13
6/30/13
Bogardus, Shirley
(7/5/13)
2/24/13
Reeds, James A.
7/8/13
6/17/13
Eisenhut, Suzanne
7/10/13
6/17/13 State Farm for Suzanne Eisenhut
(10/17/13
7/16/13 Johnson, Yuki
(1/20/13)
7/22/13 Reed, Corey
(7/13/13)
1 word\city clerk work\claims\claims against the city -2013