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Home My WebLink About20100241.tiff 4 .. January 13, 2010 VIA CERTIFIED MAIL/RETURN RECEIPT REQUESTED Bill Garcia, Chairman Weld County Board of Commissioners 915 Tenth Street Greeley, Colorado 80632 NOTICE OF CLAIM Notice is hereby given of the following claim: A. The name and address of the Claimant is: Jeramiah Larsen 1316 East County Road 30 Fort Collins, Colorado 80525 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 December 6, 2009, at approximately 5:29 p.m., the claimant was operating a motor vehicle southbound on Interstate 25, at or near Interstate 25 and mile post 233, County of Weld, State of Colorado. A motor vehicle operated by Amy Vitry was traveling southbound on interstate 25. The Vitry motor vehicle lost control on snow and\or ice and struck 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 December 6, 2009 is attached for your review. (7,) G�/�C) ( 2010-0241 -a . D. The name of the public employee(s) involved is: Unknown E. Claimant has suffered injuries to his head, neck, back, and other and further related injuries. F. The Claimant will seek damages to compensate him 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 I 3th day of January, 2010. Very truly yours, FRAN LIN D. AZAR& ASSOCIAT S, P.C. Franklin D. Azar, #13131 Robert E. Markel, #12401 14426 East Evans Avenue Aurora, Colorado 80014 (303) 757-3300 ATTORNEYS FOR CLAIMANT FDA/djb CERTIFICATE OF MAILING I hereby certify that on the//4 ay of January, 2010, I deposited in the United States Mail, postage prepaid, certified mail/return receipt requested, a true and correct copy of the foregoing to: Bill Garcia, Chairman Weld County Board of Commissioners 915 Tenth Street Greeley, Colorado 80632 1 • I . COLORADO DEPARTMENT OF REVENUE •�� MOTOR VEHICLE vv TRAFFIC RECORDS STATE OF COLORADO TRAFFIC ACCIDENT REPORT DENv'C°6°26'-Ga'6 0 AMENDED/SUPPL ❑UNDER$1,000 0 COUNTER REPORT ❑PRIVATE PROPERTY PAGE 1 OF 2 PAGES HWY NUMBER ROAD CODE DOR Code 1 x ®INTERSTATE HWY T E [LI 125 ■■ FEF a■■�]� r-09 '•:' ❑STATE HWY MILEPOINT 1 111111 iii i�\ii t ■f �' K; .._01 Case ❑CITY Sl ICNIY RD O © ©.L] .Dateot 393_.__...._.__..._.._.._ ..-.__.___._-_ - e County County' _ Date of Accident ,City Agency 12106!2999.-•.-----.....-__.-- ;Colorado State Patrol —.—Weld.._. _ ;03 103 Time(24 Hr.) 1011Car Number j Officer Name .S — ;De A 1tail 1729 15221 'Lewis,Duane --- 05 9---..._Number Killed i Number Injured I Location Route.Street.Road �es Feet ND❑ S❑ E❑ W 0 OF: . L Q._._.._.._ .10_. ... . ...1 Co 26 ®At milepns1t23S 05.. (9 ,Date of Reporl e --- 12108/2009 Latitude Longitude ....__. Agency Code :Investigated Total Vehicles District Number�Public Property/ Photos Taken Railroad Crossins1ConsLZone lfighwey :Bridge .-- Scene Ili i 2 3A iEniplo ee❑Property/ Related❑ I Related[] inlerchg.❑ ,Related❑ i M' M02 G� 0.1:.:. jr--TrateUnil7 1 TralcUnit" to- 1 ION& O Perked 0 Bicycle ❑Pedestrian O Non-VeNde ONonc«aa V 2 or 7 ®VA O Parked 0 BcYde D Pedau non ❑N«�Venae ❑Nor-C tart veh.i 01 tvr; _..°8...-Last Name --- First III Last Name Fi it i Mtr-y.. _._ .____—..__....1. f._..—. _ __.—t-- .Larsen _.._ —:..Jeratnlah.--- __. - Mor_..I Street Address {Personal Ptlane Street Address I Personal Phone 7539 W 72nd Ave#22.,_-•__..-_ -._. __-_—}13Q3]910-6057 1311: E Coin Rd 30 _-____—._ .___ 1(970)980-6501 City r State. LP 'Bus.Phone City State ;ZIP i Bus.Phone N• An/ada ICO 80003_—4Unknown---- Fort Collins __--_._.1_CO.180525 .-_ 'Unknown -_.-- _....- 75._. Driver License Number COL Stale 1 Sex 608 Driver License Number I Col!hate Sex !008 .7.5.. NI 921961576.._.._......._._.__._—___..-.----._._..._ Q_1F.._ 10/07169 _._-- 95. 053O989.._....-- __..---_--. J..---.iGO—'�_LQ211(191J. . .- 75 1 ......_. Primary Valalon Primary Violation _o.._........ O DUI0 DU 83_,Ai-Melon Code nation Number .Gammon Code Violation Code ICietion Number i Common Code I — — t _... Year Make Model l Body Type Year Make ;Me—di Body Type I 65 2092 !For ;Explorer UP 2005 ,Rov 1 UP _—__—.� P: ..-.•.--.License Plate Number i State or Country Color License Plate Number ;Staten(Country Color 65 6fl083PAW 1 CO 10RN! RN 139NLG !CO i GRY(GRY - `- _ Q7 Vehicle Identification Number Vehide Identification Number I 1FMZU73E92ZBS4311 ___ _ SALAE25425A336885 Vehicle Owner Last Name 01 Same First Ml Vehicle Owner Last Name W Same First_ Ml --- Vit.0!..—__..-•. — ,Amy_._ �_ Larsen Iah -, ---tMor. ( 01 Address®Same City P Address®Same City i State l!IP .....---- 75391172nd Aye 022._.__...__. _ ,Arvada_.__.__....-VII t31i ECountyRd30_---_ _ _ __— IRS ...1c.0_1_8051.5. 1.... Cat Towed Due to Damage 0 BY Q� Towed Due to Damage®By:Elliott's Towing o: To:5543 CR 13 0acono, CO 80514 xi: QQ_ _._..._._._... ....._. 01 Trailer VIN# Trailer VIN# 3 31 r I ' -- -. t i l -- - I3 I 1 :6--. __ t I I 1 1 ;--. , �� __.,r 1 J r_j i----� i i 1-Slight._ � - l— 1---J_ --• --- 1—] 1----1 i 1 _. 1-Slight 3; 2-Moderate , � ; 2-Modefatd� r r � 1 � r Undercarriages Undercarriage 3-.S .... Undercarriage.... - ,^Undercarriage — 3--Seaere.__- — _04_ tdsurankxr'Go'rrpany fl r Ittnb-:No Proof -- Exp. nce Compatry- Proef - _-•iegr:Date---• R Pr4gtt?&t;l!Le__• — _01.14M10 __ Ge1�o-- ._ ___.— R. Policy Number Policy Number ri -- 450899032 1153118569 00 04 Owner Damaged Prop. Lest Name (First MI Address City 'State Fie -— -- — ----- —__.. State ZIP _....___OamerDamaged Prop. Las!Name iPirst MI Address Oily .1 oz - L -- T.U.; t SAFETY ' SUSPEGIED INJ.r s POS.?RF_ST1EN60{ NR BAv E..EL,i - AGE SIX NAME/ADDRESS -41_1 _.! ____ _ _ EQUIP.. Too 5EV _.._. ___ _ __ _... I ' 0 001 B Ti 01 I_ . ��A 00 0 0 01;1,40' F Wry�lmy T939 W 72ndkYel�Amada..r.iLli t03__-- _S .z 01 �Jai._ I B I .I_i1 i 01_1 A.-Q4 Q 00 00 32 M Lassen„tgramlah MoL1316 E County Rd 30.Fort.Csliins.CO.80525.....__._._.__'-.__-i ( I INT-t-t------ l TI Niiiitiii:J. .L_ ' �_ --.._ _._-._. -- -•______----"• __.._,__WI _ ____ ii-f---,----- 1 1 : 1 _ _ , ,Approved B II.D.# -Date the lnR0 be1geL Dennis — — -- '771.7_._.— --- — 12109/2009 J • —Case# •t. - Accident Date 1Agency .AA 3A092393 r;12106/2009 Colorado State Patrol 00 y . --II Describe Accident 1—— l'°A i Vehicle#1 was southbound on CO 25 at milepost 233.Vehicle#2 was southbound on CO 25 at mile ost 233. "" �� i Vehicle#1 lost control and impacted vehicle#2's right front side with its left front side.Vehicle#1 came to rest in the "0-•' ;BB ,center of CO 25.Vehicle#2 came to rest on the left shoulder of CO 25. Both vehicles were moved from final rest_ i .00.. + 1 all cc 100 i---.._ az— . KK 1 i DD '. i.. KK. i I ' 1 iciri I._.-........" l i LL; EE i I FF i---rtil. 1 MM L- - FF I -.4__ -. .. _ - I GG idG 4—Camer Name I US DOT❑ ICC [} State DOT O _ .. -- Address Carrier Identification# n I Carrier Name [us DOT ci (cc 0 State DOT 0 iGG wN_ ._ _ Address I Canter Identification# — •- 1 }- , Hello