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Home My WebLink About20022802.tiff Stephen D. Foster Attorney at Law 9996-B West Bowles Ave. Littleton,Colorado 80123 Telephone(303)948-3600 Facsimile(303)933-6178 October 9, 2002 Weld County Board of Commissioners 915 Tenth St. POB 758 Greeley, Colorado 80632 Weld County Attorney's Office 915 10th St. Greeley, Colorado 80632 Re: NOTICE OF CLAIM AND REQUEST FOR PAYMENT PURSUANT TO C.R.S. §24-10- 109 SENT BY REGISTERED MAIL,RETURN RECEIPT REQUESTED Dear Sir: I am placing the Weld County on notice of my client's claim number 06-5550-520 for losses sustained on July 22, 2002 as a result of a automobile accident with a Weld County Road & Bridge's Tractor Truck license number 149V13, operated by Robert Bernhardt, dob 1/30/44 as required by C.R.S. §24-10-109 The Claimant is: State Farm Insurance Company POB 2005 Greeley, Colorado 80632 State Farm's Insured to the extent of their deductible: Gerhart and John Brunner 33846 Siasconset Rd. Windsor, Colorado 80550 The claimant's attorney is: Stephen D. Foster, Esq. LLC 9996B West Bowles Avenue Littleton, Colorado 80123 303-948-3600 This claim arises from an automobile accident on July 22, 2002, at approximately 14:55 p.m., at F Street and 35th Avenue, in Greeley, Colorado. Your driver struck State Farm's insured vehicle when the vehicle being operated backed to allow another truck more space without properly looking beforehand. The insured vehicle was a 1998 GMC 1500, with a license number 42527HY. The dollar extent of the claim is presently $4,029.67 in collision damages, and our insured's $250.00 deductible, for a total of$4,279.67. Supporting documents are being forwarded as appropriate, a police report is attached. 2002-2802 cc ; !'7r v.o.,6 Please advise my office of your position on this matter within 90 days. Si er , St e . Foste Attorney at Law. • • STATS FARM State Farm Insurance Companies at INSURANCE PO Box 2005 Greeley, CO 80632-2005 State Farm Mutual Automobile Insurance Company FAX: 1-800-324-0645 September 16, 2002 Stephen D. Foster, Esq. , Llc CR # (800) 324-0704 ext . 3215 Expeditor Paper # (800) 324-0704 ext . 12 P .O. Box 2003 , Greeley, CO 80632 X Expeditor Electronic # (800) 324-0704 ext . 12 P.O. Box 2006 , Greeley, CO 80632 Please mail payments to P.O. Box 2005, Greeley, CO 80632-2005 Claim Number: 06-5550-520 Accident State : CO Date of Loss : July 22 , 2002 Accident County: INSURED: John Brunner Phone # : 970-686-2656 CLAIMANT DRIVER INFORMATION: Robert Bernhardt 1130 3rd Ave Greeley, CO 80631 Phone numbers : 970-356-4000 W# : DOB : DL # : SSN: CLAIMANT OWNER INFORMATION: Weld County Road and Bridge Department PO Box 758 Greeley, CO 80631 Phone number: 970-304-6496 - Craig Nelson W# : 970-356-4000 - Mic PAYMENTS COLLISION/COMPREHENSIVE $ 4029 . 67 UM PIP/MPC $ RENTAL $ DEDUCTIBLE $ 250 . 00 OTHER INSURED EXPENSES $ LESS SALVAGE OR AMT REC' D $ TOTAL DUE $ 4279 . 67 Amount Pending yes no X Suit Authority yesx no PR yes X no Prom. Note yes no X Comments and/or Witness information: HOME OFFICES: BLOOMINGTON, ILLINOIS 61710-0001 SEP-09-02 02 :49 PM JOHN BRUNNER e. CO. . INC. 9706749843 P. 08 • • '-STATE OF COLORADO TRAFFIC ACCIDENT REPORT MAL-0: State of Colorado O AMENDED/SUPPLEMENTAL REPORT ❑ UNDER$1,000 ACCIDENT VON*WN Records en m+¢65GVCHTZH Deese, DR 447(!E4 11971 er CO 60261 0024 5ltEET i CPI_ m07 CODE . AGENCY COOE ``sp ; I D0R CODE • . Ran' t A - 3A021356 M.P. I • Ki 1 DATE OF ACCIDENT CITY — 'AGENCY. ----- — 6 I 0712212002 Colorado State Patrol 03 Weld YI TIME OFFICER NUMBER OFFICER NAME _.- SIGNATURE DETAIL 3 1455 0467 Armstrong,Richard =F—�..vy.0e..... 3A NUMBER KILLED NUMBER NAMED L6UTION ROUTE,START,kOAD y 6 O I 0 MILES 12! FEU Ell GE I]5 ®w OR I 6 DATE OF REPORT F STREET ❑AT:35TH AVENUE I. LATIT L 47I21n UDE LONGITUDE INVESTIGATED 0 .TOTAL VEHICLES DISTRICT NUMBER PUBLIC PROPERTY PHOTOS TAKEN RAILROAD CROSSING CONST.ZONE `3N BRIDGE INCOMPLETE REPORT 3 SaNEx 2 31A EMPLOYEE - L , r - 3 HELPS I BICYCLE PEDESTRIANS PARKED HEN 1 2 BICYCLE _ PEDESTRIAN I_ PARKED UST NAME tram MI 4 LAST NAME ---715T Ill Bernhardt Robert L Brunner Gerhart STREET ADDRESS RES.PHONE STREET ADDRESS -- RES.PHONE aM — — I 1130 3rd Ave None 33846 Siascnst Rd 1970.686.5175 • CITY STATE 2TP B S PHONE CITY --- STATE LIP BUS.PHONE M. Greeley CO 80631 970-356-4000 Windsor CO 80550 970-686-2656 3 DRIVERS LIC.NUMBER 'STATE SEX 'DOB DRIVERS LIC.NUMBER STATE SEX DOB 95023.3731 f CO PA 01130/1944 94080-2791 , CO PA 0212441940 _ PRIMARY V16u110N - —---PRIMARY VIOLATION -- Careless Driving zQN.1�Z 47 E A 1I1_NUMBEA CON CODE VIOLATION CODE CITATION NUMBER I COMMON CODE r WAR MAKE I MO�DEL 600Y tl'1 TEAR MAKE . .MODEL SCOT TYPE ------ y— 1993 Ford 9000 TruckTractor 1998 GMC '' '1500- Pick Up 4 SIC PLATE NO. �. .STATE ------ COLOR LIC PLATE NO. STATE ----- COLOR 1 149V13 CO �, Yellow 42527HY CO Gold 3s/° 'YENICIE ID No. 'VEHICLE ID NO. • /5 1 1F DZU90XXYVA38406 2GIEC19R7W1523145 ((( IE VEHELE OWNER LAST NAME FIRST NI VEHICLE OWNER LAST NAME MST MI /aI { Weld County Colorado Brunner Gerhart r 01 I 1 'ADDRESS CITY STATE LIP `ADDRESS •• an STATE ZIP P08 758 Greeley, CO 80631 33846 Siascnst Rd Windsor,*CO 80550' TOYED DUE TO DAMAGE TO: TOWED DUE TO DAMAGE CC TO: R F - w Driven From The ne .r Private Tow 1 2 1-RIGHT;2-MODERATE;J•EXTREME 1.SLY.)1T;2.MODERATE;3.EXTREME 1 3 4 S 6 7 6 3 4 5 6 7 t 9 4 5 6 7 6 3 4 5 6 7 6 a I I I I I I L I I I I I I I I Jim I I I r 1 I 1 t I I I I I I I 1 I I l I 1 I ! 1 I ! I 2 I I I 1 I I I I I f 1 2—�` ��,�,:•wr— -- --- r 111 r—B—I I I ti — -- 1.�—_ Fri r—�—I il�j -- • I�T. .� —I 9 2 , 1 1 I I 111 1 9 2 3 W-� 1$-I rig- 9 , I I I I 4 ' Si - L ' ' ._ -- f I I I I I I J -- - 3� ' I I - - L I 1 I I - G1 1 0 - --- .-L� 1D 1 I I I I i I 1 ..7-J�..1 1*•I J 1- JI`_ ;1 -I L_...-, 10 1 3 '" '•�� 1Q J t_--J 10 S ' 1 • I I I I V I I I 1 I i I 1 I I ! I J r— I I I I I I 1 1 I 2 I I 1 1 1 I I 1 1.6 15 14 13 12 11 16 15 1.4 13 12 11 16 1.5 14 13 12 11 16 15 1.4 1.3 1.2 IS 20 UNDERCARRIAGE 20 UNDERCARRIAGE _ 20 UNDERCARRIAGE _20 UNDERCARRIAGE N INSUTANCE CO. Co.DATE INSLRANCE CO. Ems.DATE Colorado Counties Casualty&Prop. 0110112003 •, State Farm 08103/2002 1 /Four(N0. PO ICY NO. 7 GP06301129 41890580306 1 1 OWNER DAMAGED PROP.LAST NAME MST MI OWNER DAMA7.D PROS LAST NAME FIRST 14-f ADDRESS .. - crrl STATE ZIP ADORISS 1t Es' — 11 •c' -Mk 'INI. JI YEN I PPS. •R I E CT. PRQT. SEV. 'AGE SEX NAME _..__ ADDRESS __- 1 1 1 2 1 58 M I Robert L Bernhardt/1130 3rd Ave Greeley,CO 80631 2 1 1 2 1 62 PA Gerhart Brunner/Windsor,CO 80550 I - SGT. A. P. DRISCOLL # 1958 )Iz-s Jo 2. SEP-09-02 02 :50 PM JOHN BRUNNER & CO. . INC. 9706749843 P. 09 b`TA'TE OF COLORADO TRAFFIC ACCIDENT REPORT SUPPLEMENTAL m6 485GVCHT2H • CO 447A (REV 119 ) SHEETS_0T3- CDOTCODE AGENCY CODE(COP DOR CODE RaTY M.21P M 3A021356 _ 07122120022 INT CITY AGEColorado State Patrol 03 Weld THE OFFICER NUMBER OFFICER NAME STfiNATURF— DETAIL 1455 0487 Armstrong,Richard - '..�o,44z. *rr— 3A ° REPORT LOCATION ROUTE,STREET ROAD --MILES 127 FEET ❑N OE ❑S ®W OF. VE 1 9 2(AS LIMED ON 0R 447) F STREET 35TH AVENUE OAT. 1 LATITUDE LONGITUDE DR1WAS LAST NAME FIRST Robert MI CARRIERS161'TIPICATION NUMBERS Gerhardt CARRIERS NAME ueMxwm Weld County Colorado STREET ADDRESS AA ncRwM POB T58 CT( N . Greeley see 80831 �ANrB 1540040 CO SOURCE Off NAME TOTAL NUMBER OF AXLES 1 SIDE OF VEHICLE INCLUDING TRUCK AND TRAILERS) 5 2 SNIPPING PAPERS,TRUCK,BUS OR 1RY MANIFEST 1 3 DRIVER 4 LOGBOOK TRUCK COMBINATIONS HAZARDOUS MATERIAL AND PLACARDING 20 TX,SELF-CONTAINED DID VENIRE HAVE A HAZARDOUS MATERIAL PLACARD ❑YES ®NO 21 TIC,SELFCCAITAINED/TUI 22 III,SE LFCONTATNE0/NIRIA 4-D1GIT MACARD NUMBER OR NAME TAKEN 23 7K,TRACTOR ONLY FROM THE MIDDLE OF THE DIAMOND OR 27 24 TX,TRACTOR/INK FROM THE RECTMGULM 0010 25 TX,TRACTOR/TNK(TNK 26 IX,TRACTOR/TNK(TNN/111K 1-DIGIT PLACARD NUMBER TREN FROM 27 TK,TRACTOR/SEMI-70.1 BOTTOM CF DIAMOND: 28 T(,TRACTOR/SDI-TWIRL 29 1X,TRACIOR/SEHI-TRI/T*U1RL WAS HAZARDOUS CARGO FROM THE PLACARD TRUCK RELEASED? CARGO BODY TYPE 4DO NOT COUNT FUEL FR OM NE VEHIME FUEL TANK) OYOWESXa(�NO GROSS VEHICLE WEIGHT I VAN/EN0.o5ED BOX RATING(GVWR) 80000 2 CARGO TANK -- 4 DU MP MI 3 FLATBED SEQUENCE OF EVENTS CO 4 (FIRST FCUR FORTH S VEHICLE) 5 CONCRETE ER 01 PM OFF ROAD 6 AUTO TRANSPORTER 021/OIXMFE 7 GARBAGE,REFUSE 03 OVERTURN(ROLLOVER) 09 a BUS SEATING>16 PASSENGERS(Including ddwr) 04 DOWNHILL RUNAWAY 9 SCHOOL BUS>15 PASSENGERS(IncWdR5 WIMO 05 GMOD LOSS OR SHIFT 10 OTHER(LR,multiple-body types) 06 EJIPLOSION OF WM COMBINATION VEHICLE DIMENSIONS 07 SEPARATION OF UNITS l COUETON DNOLVING F (1) ma.l % PEDESTRIAN ■ i(a 09 MOM VDICIE M TRANSPORT 10 PARKED MOTOR VEHICLE h pif pii f pi _{ 11 TRAM 12 PEDALCYCIE 13 NOMAL 66' 14 FIXED OBJECT 1 TOTAL LENGTH 15 OTHER OBJECT 8t 16 OTHER EVENT: 2 WAILER WIDTH 3 TRUER LENGTH(A1) 4W r 3 wart LENGTH(n) i 3 TRAIERLENGM(a3) 09/08/2002 00:01 19704980773 LARRY JENKINS ,,, PAGE 02 _ . h J'lY}. Ike µ.,, l-v v r 3. .r A'.1..,r ,�y 'y? r+K,' . L K } : 07/2312002 at 0100 M. .+ Joh Number: ;40860,4r 0r , 1 ' i rr > yy$ .7.:42,4,4.,ry' } _ ' i1? � 4,t, 1! Nh * n , x ) �. F YA. "xd ,,r,N' h�Y . r "s�. i � t"* .p++t '^ 4yF,' ..♦ye'µ ZY ri '. . ` ; rr,1996 I. MC•Cl, 00 4X2 :fiat Cot(PE�9 ,2D.LONG PEWTER Int: Parts 2215.97 Body Labor »r 11.9 hrs 0 $ 40.00/hr 476.00 Paint Labor _ :' ;. 13.6 hrs 0 $ 40.00/hr 544.00 Mechapicnl hapor 1.8 hrs e $ 89.00/hr 124.20 Pain ',suppliss . ' 13.6 hre:'E $ .23.00/hr• 312.80 $ody SuDDlise: : '`' 9.9 bra 8, $, d:50/hr 4.95 Sublet/Miac. 30.50 SUBTOTAL $ 3708.42 :+ Sales Tax - . $ 2551.72 0 5.9000% 150.55 GRAND TOTAL $ 3858.97 ADJUSTMENTS: ' Deductible 0.00 CUSTOMER PAY, $ 0.00 INSURANCE PAY $ 3858.97 THIS ESTIMATE HAS BE N PREPARED BASED ON THE USE OF ONE OR MORE CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. WARRANTIES, IF ANY, PPLICABLE TO THESE REPLACEMENT CRASH PARTS ARE PROVIDED BY THE PARTS MANUFACTUR R OR DISTRIBUTOR RATHER THAN BY THE MANUFACTURER OF YOUR VEHICLE. • '`Estimate band on MOTOR C H ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide DR1GH95 Detain e Date 7/2002 and the parte selected are OEM-parts manufactured by the vehicleb priginal Equipse Manufacturer. Asterisk (C) or Double Asterisk (`S) indicates that the ,parts and/or.lgbot info tion provided by MOTOR may have been modified or may have come from an altern ta data scats. N n-Original Equipment Manufacturer aftermarket parts are described as AM or Ouai�Bepl parts) used arta are described as LAO, Qual Recy Parts, ROY, or USED. Reconditioned parts are described as Re n, Recored parte are described as Recore. NAGS Part Numbers and Prices are provided from Natio Auto Glass Specifications, Inc. Pound sign (I) items indicate manual entries. Pat aye - A product of CCC Information Services Inc. 3 09/08/2002 00:01 19704980773 LARRY JENKINS PAGE 01 5551)01/23/2002 at 01:00 P O ` v Job Number: 48666 PRELIMINARY ESTIMATE 1998 GMC C15 0 4X2 CLUB COUPE 8-5.7L-FI 2D LONG PEWTER Int: NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT 14 Repl LT H dlamp assy 1 248.20 Incl. 15 Aim adlamps 0.5 16 COOLI G 17* Repl Radi or support w/o 3500 HD 1 285.25 5.1 0.0 5.7 iter 18 Evac ate & recharge m 1.4 M 19 Repl Lock support 1 21.95 Incl. 20 Repl Cros bar 2 13.84 Incl. 21** Repl Qual Repl Parts Radiator 1 274.67 m Incl. 22* Repl COO T 1 18.00 T 23 Repl Shro d w/o oil cooler upper 1 39.78 Incl. 24 AIR ONDITIONER & HEATER 25** Kepi. Qual Repl Parts Condenser all 1 370.00 m Incl. 26 Re£r'gerant recovery m 0.4 M 27 HOOD 28 . Repl Hood 1 401.39 1.0 3.2 29 Over ap Major Adj . Panel -0.4 30 Add or Clear Coat 0.6 31 Add or Underside(Complete) 1.6 32 Repl LT H nge- assy 1 11.32 0.3 0.3 33 Repl Insu ator w/o diesel 1 47.19 incl. 34 Repl Lock 1 39.51 Inca. 35 Repl Lock bracket 1 7.10 36 Repl Safe y catch 1 10.20 Incl. 37 FEND R 38* Rpr RT F nder 11.00 2.6 Over ap Major Adj . Panel -0.4 39 0.4 40 Add or Clear Coat 0.5 41 Add or Edging 2.0 2.6 42* Rpr LT F nder 43 Over ap Major Adj . Panel -0.4 44 Add or Clear Coat 0.4 45 Add or Edging 0.5 46 R&I RT W eel opng mldg chrome 0.3 47 R&I LT W eel opng mldg chrome 0.3 48# Subl COVE VEHICLE 1 5.00 X 491 Subl HAZA DOUS WASTE DISPOSAL 1 7.50 X Subtotals —+> 2246.47 13-7 13.6 - 2 09/08/2002 00:01 1970498073 LARRY JENKINS©Ca ...._, PAGE_ 03 v a .. — d � r) Oro gdj�rk,.D v e 7 a fir ` •" . { , . -I F n i x ( .t, X ` (' i C 8 '"I 2. , ��f ,. \ p _1 D ti M § — �t i , .•- L S N I Ab; a n,:. S_1; : Cam, O _ t0 l 3� Y • 1 • i g . .. . .,, a ,)._, -> a y .y < , ,.• 0 1 a C Sry u" 1, a C7 r; " • s itc N I.- ... ALL. 7� • o a. • L co VIII J 0 Q 4 ~ al beurwd • 0 0 CZIt N W N w II N carl is. �( nut O oF [Xjv W � Q� I c LI-rar. I 3 d a 0ga "V w _ o � C,�, III CC ? o O Hello