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Home My WebLink About20121644 June 26,2012 VELD COUNTY CG`1 ?ISSIONERS VIA CERTIFIED MAIL/RETURN RECEIPT REQUESTED 2Ui2 JUN 28 A ID 04 William Garcia,Chairman RECEIVED Board of County Commissioners County of Weld 1150 O Street Greeley,Colorado 80631 NOTICE OF CLAIM Notice is hereby given of the following claim: A. The name and address of the Claimant is: Jackie Davies 1926 24th Avenue Greeley,Colorado 80634 B. The name and address of the Claimant's attorney is: Franklin D.Azar&Associates,P.C. 14426 East Evans Avenue Aurora,Colorado 80014 (303)757-3300 C. The basis of the claim is: On or about February 3,2012,at approximately 10:48 p.m.,the claimant was operating a motor vehicle slowing for a flashing red traffic signal control device in icy and\or snowy conditions,at or near 35a'Avenue and West 2e Street,County of Weld, State of Colorado. A motor vehicle operated by Garrett Shoup slide and struck the rear of the claimant's motor vehicle. The County of Weld("Weld")failed to use existing means available to it for removal or mitigation of the accumulation of snow and\or ice. Weld had actual notice by the proper public officials responsible for the roadway and had a reasonable time to act. The incident was caused by the negligence of the Weld employee(s)by not using existing means available to it for removal or mitigation of the accumulation of snow and\or ice.Weld snow and ice removal was supervised and maintained by unknown employee(s)of Weld in the course and scope of his/her/their employment. As a result of the said incident,the claimant sustained personal injuries and property damage. A copy of the State of Colorado Traffic Accident Report dated February 3,2012 is attached for your review. ( C, .mwk iwv c c p ,\A-tt, cla L ay a 1 a `7 �o-/, 2012-1644 D. The name of the public employee(s) involved is: Unknown E. Claimant has suffered injuries to her foot, neck, back, leg and other and further related injuries. F. The Claimant will seek damages to compensate her for the cost of medical treatment, prescriptions, and therapy for the severe pain and suffering resulting from the subject accident, loss of enjoyment of life, loss of earnings, and loss of property. G. The approximate amount of Claimant's injuries are anticipated to be in excess of$250,000.00. Dated this Wl day of June, 2012. Very truly yours, FRANKLIN D. AZAR & ASSOCIATES, P.C. it &AI (/l FrQ in D.zar, #13131 Jon Neil Barclay, #8194 14426 East Evans Avenue Aurora, Colorado 80014 (303) 757-3300 ATTORNEYS FOR CLAIMANT FDA/djb CERTIFICATE OF MAILING I hereby certify that on the day of June, 2012, I deposited in the United States Mail, postage prepaid, certified mail/return receipt requested, a true and correct copy of the foregoing to: William Garcia, Chairman Board of County Commissioners County of Weld 1150 O Street Greeley, Colorado 80631 DbAHthiti U I COLORADO DEPARTMENT OF REVENUE / A Co f .3a j MAIL TO. STATE MOTOR FGVEHICLE ADO STATE OF COLORADO TRAFFIC ACCIDENT REPORT TRAFFIC RECORDS DENVER,CO RD0016 ❑AMENDED/SUPPL. ❑UNDER$1,000 ❑ COUNTER REPORT ❑PRIVATE PROPERTY PAGE / OF o7 PAGES COOT Cate - DOR NUM Code A ❑ INTERSTATE HWY BER III111113101111111111111111111110S HWY K 10 1 Case; r ❑ STATE HWY MILEPO❑INT� 09 /o26c.2 7 Ea CITY ST/CNTY RD Ill ❑ O.OK Dale of Accident EffillOfficer Number r / Officer p _ eelMENU Detail B NumberKilled Location Route, Ireet,Road /a Feet N _ • o O20 r"Miles /r2. J At: ❑ S❑ E❑ W® OF:35 i zA L _. H Dale of Report B B oa'OE-, -/a Latitude of Agency Code Longitude Investigated Total Vehicles District Number Public Properly/ Photos Taken Railroad Crossing Consl.Zone Highway Bridge @ Scene Rj d' e Traffic unnr C Emplo ee 0 0 Related 0 I Related❑ Interchg.❑ (Related❑ M for �1 ven. ❑Parkes ❑aimae ❑PNeaiha� ❑Non Veniae ❑Nor.consa ven Zrgific llnna l�]van /� Last Name - - ❑Pawed ❑Bityde OP First an 0 Non-Venkle ❑Non-Contact ven a�hi 5 First Last Name OV•_ ® \ First • MI Street Address Personal Phone -1--- i", ,t L Street Address / . 1/41 Q ( ) 9 7d. r Personal Phone Slate ZIP Bus.Phone () AL 4/ ( ) ®e CO Ian ZIP a ( )Bus.Phone .... 3 N Driver License Num.,r �—... COL Stele Sex I DOB Driver License Num.-r 5 CO L Slate DOB Primary Violation - Fa N I. , Cs . r Primary Violation ❑DUI S Violation Code ❑DUI ' „ilation Number Common Code Violation Code ilabcn Number Common Code Year MakTe ModQel Body TypeP alb IGfP Let E?(C VT Year lf Make/-{/6 Model / Body Type License Plate Number Stale or Country C., ' "el CA AZ LO r 4 5 j) P Eisen P. -Nr user Stale or Country Color Vehicle Identification Number T D. Wj976a1. jar ♦,° Vehicle Owner Lest ems 0 Same First //11 '/I MI Vehicle Owner Lest Name (Same First E %n1 bkrr/4MI ea/ Address Ilg Same . I City /Stale ZIP Address IL Same City • plate ZIP Towed Due to Damage 0 By' To: Towed Due to Damage 013y: OI O To: IFCR Trailer VINA' OD r + L Z Trailer VIN# I -- ll ._ _ _ II II r __ 1-Slight �1'I i �__ I' l - t .. 2-Moderate - ' L ---I Li - 1-Slight Undercarriage _Undercarriage 3-Severe I . 2-Moderate �1 D Undercarriage Undercarriage 3-Severe Insurance Company Nona ❑No Proof Exp.Dale Insurance Compn �]None [';No Proof Policy Number 11 yI1N_Sri. IEzo Date R Pal Num�er �5 4�-ago/1 CI"( H hzf 3a/90o 11 /7R of Owner Damaged Prop. Last Name First MI Address 00 City /State/ZIP r Owner Damaged Prop. Last Name First I MI Address Q'1city Stele ZIP cY- TV. P05. REST:NDO SAFETYSVSPECTED IN1 # 1P A/R BAG EJECT ALCb DRUG SEV. AGE SEX NAME/ADDRESS 0 00 00 lei I of I po O0 00 /o _ 1 5 • faov. 175i ?Ht' , t4 - r . b2G , 1 .2 r ./ 0043 lei I A- of fA 00 co oo oo Jane t..,,:,, 1q6 ' ,4 - © .ion/I 1 I IMIllainIMMIIIIIMMINIIIIIIIII alto state CO, to fit., T Ij 00 1 I ( . ' ' - IIIIIIIIIIMMINI Co:r 1. 1 1 I - u!_ ±k*iWV3Lt ILE RC'Approved By �� I SW f viz- li • DATE: BFI I 8Y. E ( V , 0,2( / PAGE OF PAGES Case S DOii CODE Accident Date Agency Ita ta633a I -D3-aota r gri-u. e,, 1 AA Describe At 1 I — k V}s-2 a.,<, a1,,,u .-�vr._ k -Fk$1,:.. rcrt 1,171,4- 4 - �O 54, '-.L,r3.S''`' .Q+'r ""j 3di__ vth•_cLcs ,..O,rs__.E9 O �o", -I SI-, T m) Or 1 t-l-t..1y-f-rf 4.-.. 4.,-4.,- �•. Sion Lh.. /% se I- ,L 12 � 1-r .1- A h,I n�. s�.�J k( nn 11/4,..,_-� /9. le 5 dJ_ ( ,-/ .s� -- lee (el 1:JLt._ '-';1-i'-I- —r—v'Z-. ,ul cc .iJ CC f —— — KK '.7-- (iL.12'- ali v°r is°/w V.,/ Q KIC m ,S(4I(-- Uo1 35-?-',..4,,,,35-?-',..4,,,,,pork A I L I 1 i I ! iI± I MMI I I i t, I -r' I 13� ...I.'',�'� i i I I H NI I I Cartier Name N US DOT❑ ICC State.DOT 0 .. Nj —as --J Address - Carrier Identification it - aril . g } Cerr,erName US DOT❑ ICC n State DOT .---.• Address Carrierrenlification p -- I— I Hello