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HomeMy WebLinkAbout20070893 March 20, 2007 VIA CERTIFIED MAIL/RETURN RECEIPT REQUESTED David Long, Chairman Weld CountyBoard of Commissioners 915 10th Street Greeley, Colorado 80632 NOTICE OF CLAIM Notice is hereby given of the following claim: A. The name and address of the Claimant is: Fredward Say 420 Elizabeth Street Dacono, Colorado 80514 B. The name and address of the Claimant's attorney is: Franklin D. Azar &Associates, P.C. 14426 East Evans Avenue Aurora, Colorado 80114 (303) 757-3300 C. The basis of the claim is: On or about March 6, 2007, at approximately 12:15 p.m., the claimant was a passenger in a motor vehicle operated by Muriel Say traveling northbound on Colorado 25 Frontage Road stopped for traffic at or near a construction zone, at or near at Colorado 25 Frontage Road and Weld County Road 18, County of Weld, State of Colorado. A motor vehicle operated by Ashaya Gooras was traveling northbound on Colorado 25 Frontage Road. The Gooras motor vehicle struck the rear of the Muriel Say motor vehicle. The County of Weld had a responsibility to warn motorists of the construction zone with signs or otherwise. The County of Weld inadequately warned motorists of the construction zone, which caused or contributed to the occurrence of the collision. One or more employees of the County of Weld failed to warn motorists of the construction zone 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 March 6,2007 is attached for your review. OQ rrim o c5 r`-7 2007-0893 D. The name of the public employee(s) involved is: Unknown E. Claimant has suffered injuries to her head, neck, back, 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 2O/h day of March, 2007. Very truly yours, F LIN D. AZAR& ASSOCIATES, P.C. Fr in 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 U)day of March, 2007, I deposited in the United States Mail, postage prepaid, certified mail/return receipt requested, a true and correct copy of the foregoing to: David Long, Chairman Weld CountyBoard of Commissioners 915 10th Street Greeley, Colorado 80632 11 r DR 2447(01/06/06) MAIL TO: STATE OF COLORADO 1 COLORADO DEPARTMENT OF REVENUE MOTOR VEHICLE TRAFFIC RECORDS STATE OF COLORADO TRAFFIC ACCIDENT REPORT DENVER,CO 80261-0016 ❑AMENDED/SUPPL. ❑UNDER$1,000 ❑COUNTER REPORT ❑PRIVATE PROPERTY PAGE 1 OF 2 PAGES F HWYNUMBER ROAD CODE DOR Code ____---._..._..._-.- _K i. ;,:t t ❑ INTERSTATE HWY n C� �I RCITY ' OS ..._ '' ❑ STATE HVVl I _K 1.....01. Cases I ©CITY ST/CNTY RD r7 Li ❑.❑ LI IIIIIIIII IUI_II I1II_IIlii_--- i 3A070642. ;Date of Accident . City Agency ,County !County* 03/06/2007 _._..__._ .Colorado State Patrol Weld 03_ _ Time(24Hr) nosier Number Officer Name Slanature !Deem ..._........ 1215 . ._.._ 11434_.. !64yce,Robert ...-,....---- •-----.---..-- '_ 13A L: B Number lulled !Number injured Location Route,Street,Road Miles 55_ Feet N❑ S® E❑ WE] OF: = 01 a I _ L. :..07_.'Date of Repot 0 1 Colorado 25 Frontage Road ❑At Weld County Road 18 01 15---.0310612007_ --___.._..`._._........__,..______-._.-.__Latitude_._._-_-____ -___—•_____.�—I-° _.. ___..._ ------,_.—__._. gency Code :lnvesdgated ?Total Vehicles;District Number 1Publc Property!!Photos Taken!Railroad CrossinglConstzone 1 Highway i Bridge ---•-M: I _._.._ A Scene® ,2 13A 'Em to ee 0 i❑ !Related U I Related(. '1 .❑ H Related ri� `a Tragic Unit — Tralfc unit* _._. ..92,.:, la_ 1 ,©Vent ❑Patted D Elope ❑Pedesoian U Non-Veh ide ❑NonContacl veh 2« 2 ®Ven ['Parked ❑Bicycle ❑Pedit:NA i ❑Nor.wi cie ❑Non•Conua,rleh- U' E.. 07 03 Last Name . _.. ._.._.__ !� 1M1 Last Name First MI _Goons _ _....--- -------L Ashags --i L Say......_- Muriel_.. J t Street Address ;Personal Phone Street Address j Personal Phone .522 2nd St _.-- �.-. _ _ _ 003)833-4265-_... 420 Elizabeth St.-......-. 3)833.5862.. . —_ I City !State TZIP I Bus.Phone City State: ZIP !Bus.Phone N Frederick CO' !80530 !Unknown Dacono CO :80514 [Unknown Driver License Number 'COL I StateSex DOB Driver License Number CDL state l Sex DOB - IQ-035.0835 —____.. . ,CO j _�0 liIi1990_.. 92-20-2104 _ r CO_ IF...i10011.142 -Primary Violation PAmaty Violation Ic _CI DUI Careless Driving Caused Bodily Injury I21 DUI ., Violation Code 1Cgation Number :Cannon Cort Code Violation Code Citation Number i Common Code - 42-41402(2) SUM 2903474 ._.. _...._J 1 — -.. ...... i P Year Make 1 Model I Body Type Year [Make !Model 1 Body Type 35. i 2005 FORD _ I;pl4 -._.._..._.__-_NL__._._._._ 2000 ; IRK...__ qe___ --.-_--._.-....__I4D1 q n P. f o..._._..... License Plate Number State or Country i Cola License Plate Number Stale or Country Color fit 5941RW 1 CO1 RED! T CO :ALU!-. Vehicle Identification Number .336Y ehicle Identifition Number 1FM7A03144 ..-_...__.__..._._._____._.___...._....- .._....-.._..__.__ 1MEFM8YK10702VehicleOwnerLaslName j]Same First 'MI ehlde Owner Last Name ©Same Prat la Gooras _-___-- --Philip 6-Deyona _1__ Say .-.__ Mllrtet•-• 14 t Q1 Address jI Same i City 'Slate pp Address ICJ Same ..... City..- State,ZIP -- -- ._.._, L 5222nd n._._._ _. Frederick _ CO__. 80530 _ Elizabeth st Dacono CO 80514 AP. °! Towed Due m Damage❑By: Towed Due to Damage[lay: BRAD'S TOWING&REC LeSQ . TO: To. P 0 BOX 168 178 1 ST ST Firestone, CO 80520 102Trailer VINO Trailer VIN# - �1 , , , 3 ; - r I I=_'_—I 1 I !—i ---- 1 i _ 1 I i----I I I --- Li i----1 Fi� 11 i i! i I1-Sght ---♦� _ i 13_ _-- ---- u._ 1-Slight 3 , 3; 2-Moderate „ . 2; 3 2•Moderate Undercarriage Undercarriage 3-Severe _Undercarriage Undercarriage 3-Severe -UI Insurance Company ❑None ❑No Proof j Exp.Date Insurance Company ['None ❑No Proof Exp.Date 1 R StaleFarm... . _ _- 147/09/200L-_._._. Aillst-ate. .. _._----•__-._..._._.._..---___—._-- _- =0310912001---_._ 04 Poky Number Poky Number R I 66 8Q1 .Ql6E_ 00 L 01 Owner Damaged Prop. Last Name ;First !MI Address City Stale ZIP ;�___ Owner Damaged Prop. Last Name First MI ;Address .Clly State DP �__ 00 TU. .-�- SAFETY 1 ; SUSPECTID INJ. L . � -.- '•- ST.EII00 - EQUIP. AIRBAG 1F.tcCT - SW,AGE SEX i NAAtElAODRESS - .._.._._.__._._-•---- -. ___...__._._ _Lt...`:10 r--00-:_B_ _01-r.A.*- __l�_-_Q-- QQ._._. .. .a.2 . . nacknisdishayaLst22ndStEradeddt,1:010530._...._ .._._ . _.....__.._ .. S, _.1_I..O,.0U 0O_B l 011_ Q e 03 B 1 00 _02_._00 15 ..1 _;le4�rzu a n_unlsl al.----.•-- --..._.._-.---.._..__ ._._._. _...... .. --' .1_I...9$ Q 13 100 .. 01fA; .QQi_A...0911x1_ _-0. _...-OQ._11_ ..tunatt,.Lauran-.tlnlatosl.._.._.. -...._...__-_._._.-..__.__ ..._ _2_101...i:.ao 1 0111_B4.014.Al Oil II_L .000000---�1 say�Mltrie►. It=at,eui scoa .l�D eos�__._.---.. -- �.t_01.1_.A Q1�_B 4.Q0.—o9 $6_i 8rir + i.fLSnmillliaQrllleic2 — .....-.-.-- ------ — _ICJ 1- --4----)_..-L._._ - 1- r-1,- —• 1---1— , 1 _._ Ti ' 1 Q i ._ I-_I_ + I T , - 1 I 1 j • ! j _...._ -� L ?Approved By I.D.8 Date Demers,Buxton.-...-........_.- _... _-------._._.iL77_.__._........ ..........__..___.__ 14310.71.2007-__._..; PAGE__a__OF 2 PAGES -AA -i Case# - *7, ` '1 1-`^" 1 Accident Date Agency 1._ L3A070642 _ .. ,#1 a: :03/0612007 Colorado State Patrol Describe Aoadent ^� - - `- - _Q `r° 1 " Vehicle 1 and 2 were northbound on the Colorado 25 frontage road. Vehicle 1 rear-ended vehicle 2 which was s 00 ---'"1 stopped in traffic because of construction. Both vehicles were then driven from the scene into a nearby parking i- :6B-- area. 1 1-_-. ;Be JJ; do ' 4--- � KK " [66----- ; ;65----I [---!--- 1 � re LL EE - ...1 - LL ff No diagram required. , I ii -• mm. . r --..... mm 1 i GG -NN; . -.------------------------------------------- -..............-------------------------- - ---- Carrier Name NN': ,l US DOT O iCC O State DOT ez-- j Address Carrier Identification# - Carrier Name cc `�'' US DOT ICC State DOT NN! rAddress I Carrier Identification# 1 _____ �_.. _____ _.___� ,J Hello