HomeMy WebLinkAboutEklundClaimforDamagesO� CN ND TO,C OGyO
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August 11, 2017
Mr. Christopher Horner
Deputy Prosecuting Attorney
205 West Fifth, Room 213
Ellensburg, WA 98926-3129
KZTTZTAtS COUNTY
DEPARTMENT OF PUBLIC WORKS
Mark R. Cook, PE Director
RE: Claim No.: 201707250047
Dear Mr. Horner:
Public Works has reviewed the claim for damage (Exhibit 1) submitted by Ms. Andrea Eklund.
We confirm that Public Works was engaged in road operations at or near the referenced area on
the time identified in the claim for damages (201707250047). Our maintenance crew applied
bituminous surface treatment (chip seal) on Vantage Highway during the period of time
consistent with the date identified in the claim for damages.
Windshield damage, resulting from following too closely during chip seal application or shortly
after application, is not uncommon. Public Works posts advisory speed signs (25 MPH) during
all chip seal operations encouraging drivers to proceed at a prudent speed for the conditions.
Many drivers fail to follow our advisory speed when driving through our maintenance operation.
The claim states the driver was traveling on Vantage Highway when a piece of gravel came out
from the car in front of her damaging her windshield. While Ms. Eklund states in her claim that
she was approximately six car lengths behind the lead vehicle, it appears that was insufficient
distance to avoid being struck by the piece of gravel. I recommend that the claim for damages be
denied by the Board of County Commissioners.
Respectfully,
/ v
Mark R. Cook
Director
Attachments: Exhibit 1 Claim No. 201707250047
C: Lisa Young, Risk Manager
411 N. Ruby St, Suite #1 TEL (509) 962-7523
Ellensburg, WA 98926 FAX (509) 962-7663
Dept. of Public Works
Page 2
Exhibit 1: Claim No. 201707250047
411 N. Ruby St, Suite #1 TEL (509) 962-7523
Ellensburg, WA 98926 FAX (509) 962-7663
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KITTITAS COUNTY CLAIM FOR DAMAGES
Return to:
County Auditor
205 W 5h Ave, Suite 105
Ellensburg,. WA 98926.
509-962-7504
Instructions:
Please read the entire form before completion. Fill out each question as completely as possible,
to the best of your ability. Do not hesitate to use the back side of this form if you need more than
the space provided. An incomplete response may delay the processing of your claim.
1. Name (Including spouse, if married):
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2. Phone (Home): ( (b orl k): (7S 3 -W4 .01 Z 3
3. Address (include former address if at present address for less than 6 months):
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4. Date of Birth: U-* i "}
5. Date and Time of Incident:
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Location of Incident:
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Kittites County Claim for Damages Form
Revised 92012
'Filed for Record 07/25/2017 04:44:40 PM - Kittitas County, WA Auditor - 201707250047 Page 2 of 6
7. Describe in detail the defect which caused the injury:
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8. Describe in narrative form and in detail exactly how the incident occurred:
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9. List th0 riam of a persons involved an cordtact mformatioIl, if known.
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10. Was claim investigated by a police officer? In U
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11. Description of claimant's vehicle: SAO VY ti Make Imeves1 -A. Year ION
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12. Describe what you did after the accident occurred:
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13. Describe the conversations you had, if any, with County personnel during or after the
incident occurred:
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Kittitas County Claim for Damages Form
Revised 912012 ,.
Filed for Record 07/25/2017 04:44:40 PM - Kittitas County, WA Auditor - 201707250047 Page 3 of 6
14. Describe the damages or injuries which you
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as a result of the.incident:
15. What is the amount of damages claimed? (IncluZkestimates and bills, if available):
16.
17
did you identify the County as the party responsible for your damage?
List the names and addresses of all witnesses to the incident:
18. Are you covered by insurance?'I e S_If yes, who is your insurance agent/carrier?
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Dated this
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Subscribed and sworn (affirmed) to before me this Iday of _
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Notary Public in and for the State of Washington
Residing at
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Kittum County Claim for Damagu Form
Revised 9/3012
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Filed for Record 07/25/2017 04:44:40 PM - Kittitas County, WA Auditor - 201707250047 Page 5 of 6
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211 S. MAIN ST.
ELLENSBURG, WA 98926
PH:509-925-3777 FAX:509-925-5500
P/O#: Cust State Tax ID:
Taken By: Cust Fed Tax ID:
Installer: Ship Via:
SalesRep: Adv. Code:
Bill To: MISC
ANDREA EKLUND
ELLENSBURG, WA 98926
253-347-9273
Vehicle Information
Federal Tax ID: 45-2549779
Quote: 0003391
Date: 7/25/2017
Time: 04:33 PM
ANDREA EKLUND
ELLENSBURG, WA98926
Make: Subaru Model Style: Impreza 4 Door Hatchback Year: 2014
Odometer: VIN: License:
Area,W/Third Visor F
1 100F 100 flat (Flat Rate) (2.9 Hours) $100.00
1 HAH000004 Adhesive -(2.0, Urethane, Dam, Primer) $30.00
1 WFS F3564 Moulding $47.96
0 $100.00 $100.00
0 $30.00 $30.00
0 $47.96 $47.96
Sub Total: $579.12
Tax: $47.49
Total: $626.61