01-28Council File # p�-y$
Green Sheet # �O 3 O G�(.
Presented By
Referred To
1�
Committee: Date
1 Resolved, that, upon execution and delivery of a release in full to the City of Saint Paul, the
2 proper ciry officers aze hereby authorized and directed to pay from the Tort Liability Fund,
3 09081-0511, to Farmers Insurance, as a subrogee for T arry Weins, the sum oP $8,189.45 in
4 full settlement of their subrogation claim for damages sustained on May 28�`, 2000 at or near
5 the intersection of '7` and Keliogg, Saint Paul, Minnesota.
Requested by Department of:
�: � ��� . �
Approved by Mayor: Date � Ti �
By:
RESOLUTION
C{TY OF SAfNT PAUL, MINNESOTA
�prove3 by �Iayor for Su �ssion to Councii:
By: (
Adopted by Council: Date Q,,,�, �� �� } Fo r ed by Ciry Attorney-----�
�� --
� � �___^
Adoption Certified by Council Secretary By: (y(/� ..� /� '
�
DEPARTMEM/OFFICE/CpUNCIL
Tech & Mgmt Serv/Risk
CONTACTPEtSONBPHONE
Sandra Bodensteiner 266-8
MUST BE ON COIRJGIL AGBJQ4 BY 0
N/A
i:•�� ,-a�::a
Rq17WG
dtDFR
TOTAL # OF SIGNATURE PAGES
GREEN SHEET
at-a8 c�
N
�
arvca�ac�
� CIYAiTpOEY � ❑ CrtYCLiRK �
� nturJ�l�aFxu¢esa�c ❑ Muxcut�Rl�ra
a wvaeloR�sasrwrtl ❑
(CLIP ALL LOCA'RONS FOR SIGNATURE)
Approval of resolution settling the property damage claim of Farmers Insurance, as subrogee fior Larry Weins, against the City of
Saint Paul in the amount of 58,189.45.
PIANNING COMMfSSfON
CIB COMMI7'TEE
CML SERVICE CAMMISSION
Flas this Pe���m everwnrketl under a conhac[ torthis departmeM7
VES NO
Has Mis P�eoNfirm e�er been e dry empbyee9
YES NO
Does thic Pe�swJJfircn Pwsess a sldl rot normal�YP�sessed bY �Y CuReM dtY emPloyeeT
YES NO
Is this peraoMrtn a tarpeted vendoYl
YES NO
On May 28`", 2000, a City of Saint Paul Parks vehicle made an unprotected left turn in front of a vehicle driven by Larry Weins.
The property damage claim fw Mr. Weins has been settled with him and his insurance carrier. A release has been obtaioed from
Farmers Insurance to settle this claim.
f E�`
" i t'y��
,������
IF APPROVED
oFrnaHSaorwxf 8.189.45
SOURCE
GL 001 Tat
COS�1REYp1UE Bl1D6ECED (GIRCLE ONkj
�cnym.Nw+e�e_ 09081
�.� � � � � ��
�
>-
DEC 22 ��?�?
�
f�C7
(EZaniM
o� -�
Property Damage Release
File Number C-000156
For the sole consideration of eight thousand one hundred eighty nine doliars
and forty five cents (58,189.45), the receipt and sufficiency whereof is hereby
acknowiedged, the undersigned hereby releases and forever discharges the City of
Saint Paul, their heirs, executors, administrators, agents, and assigns, and all other
persons, firms or corporations liable, or who might be liable, none of whom admit
any liability, from any and all claims, demands, damages, actions, causes of action
or suits of any kind or nature whatsoever, to property owned by Larry Weins,
which has resulted, or may develop in the future from an incident which occurred
on or about the 28th day of May, 2000, at or near, the intersection of 7tfi and
Kelloga, Saint Paul, MN.
The undersigned hereby deciares that the terms of this settlement are fully
understood and voluntarily accepted for the purpose of making a fulf and final
compromise adjustment and settiement of any and all claims, disputed or
otherwise, on account of the property damage mentioned above.
I hereby state that I have read this release, know the contents thereof, and
have signed the same, relying on my own judgment and on no representations of
others, and of my own free wili and accord this ,�o day of �iCi���-,�/,
20C�.
� � � In the'presence of: �
witness
�/��� �-. aiL����s.�
witness
Sign e of representative of Farmers
)nsu nce, as subrogee for Larry
ems
V/r�int � � ev� a s
PI sea e print name of Representative
Subscribed and sworn to before me
this �° day of /���e ; 20 �
��
Notary Pubiic
ROBERT B HqVLIK
�TMYPUBLIC • MINNESO7A
MY �nrttlssion Expites Jen. 31 � Z W5
Council File # p�-y$
Green Sheet # �O 3 O G�(.
Presented By
Referred To
1�
Committee: Date
1 Resolved, that, upon execution and delivery of a release in full to the City of Saint Paul, the
2 proper ciry officers aze hereby authorized and directed to pay from the Tort Liability Fund,
3 09081-0511, to Farmers Insurance, as a subrogee for T arry Weins, the sum oP $8,189.45 in
4 full settlement of their subrogation claim for damages sustained on May 28�`, 2000 at or near
5 the intersection of '7` and Keliogg, Saint Paul, Minnesota.
Requested by Department of:
�: � ��� . �
Approved by Mayor: Date � Ti �
By:
RESOLUTION
C{TY OF SAfNT PAUL, MINNESOTA
�prove3 by �Iayor for Su �ssion to Councii:
By: (
Adopted by Council: Date Q,,,�, �� �� } Fo r ed by Ciry Attorney-----�
�� --
� � �___^
Adoption Certified by Council Secretary By: (y(/� ..� /� '
�
DEPARTMEM/OFFICE/CpUNCIL
Tech & Mgmt Serv/Risk
CONTACTPEtSONBPHONE
Sandra Bodensteiner 266-8
MUST BE ON COIRJGIL AGBJQ4 BY 0
N/A
i:•�� ,-a�::a
Rq17WG
dtDFR
TOTAL # OF SIGNATURE PAGES
GREEN SHEET
at-a8 c�
N
�
arvca�ac�
� CIYAiTpOEY � ❑ CrtYCLiRK �
� nturJ�l�aFxu¢esa�c ❑ Muxcut�Rl�ra
a wvaeloR�sasrwrtl ❑
(CLIP ALL LOCA'RONS FOR SIGNATURE)
Approval of resolution settling the property damage claim of Farmers Insurance, as subrogee fior Larry Weins, against the City of
Saint Paul in the amount of 58,189.45.
PIANNING COMMfSSfON
CIB COMMI7'TEE
CML SERVICE CAMMISSION
Flas this Pe���m everwnrketl under a conhac[ torthis departmeM7
VES NO
Has Mis P�eoNfirm e�er been e dry empbyee9
YES NO
Does thic Pe�swJJfircn Pwsess a sldl rot normal�YP�sessed bY �Y CuReM dtY emPloyeeT
YES NO
Is this peraoMrtn a tarpeted vendoYl
YES NO
On May 28`", 2000, a City of Saint Paul Parks vehicle made an unprotected left turn in front of a vehicle driven by Larry Weins.
The property damage claim fw Mr. Weins has been settled with him and his insurance carrier. A release has been obtaioed from
Farmers Insurance to settle this claim.
f E�`
" i t'y��
,������
IF APPROVED
oFrnaHSaorwxf 8.189.45
SOURCE
GL 001 Tat
COS�1REYp1UE Bl1D6ECED (GIRCLE ONkj
�cnym.Nw+e�e_ 09081
�.� � � � � ��
�
>-
DEC 22 ��?�?
�
f�C7
(EZaniM
o� -�
Property Damage Release
File Number C-000156
For the sole consideration of eight thousand one hundred eighty nine doliars
and forty five cents (58,189.45), the receipt and sufficiency whereof is hereby
acknowiedged, the undersigned hereby releases and forever discharges the City of
Saint Paul, their heirs, executors, administrators, agents, and assigns, and all other
persons, firms or corporations liable, or who might be liable, none of whom admit
any liability, from any and all claims, demands, damages, actions, causes of action
or suits of any kind or nature whatsoever, to property owned by Larry Weins,
which has resulted, or may develop in the future from an incident which occurred
on or about the 28th day of May, 2000, at or near, the intersection of 7tfi and
Kelloga, Saint Paul, MN.
The undersigned hereby deciares that the terms of this settlement are fully
understood and voluntarily accepted for the purpose of making a fulf and final
compromise adjustment and settiement of any and all claims, disputed or
otherwise, on account of the property damage mentioned above.
I hereby state that I have read this release, know the contents thereof, and
have signed the same, relying on my own judgment and on no representations of
others, and of my own free wili and accord this ,�o day of �iCi���-,�/,
20C�.
� � � In the'presence of: �
witness
�/��� �-. aiL����s.�
witness
Sign e of representative of Farmers
)nsu nce, as subrogee for Larry
ems
V/r�int � � ev� a s
PI sea e print name of Representative
Subscribed and sworn to before me
this �° day of /���e ; 20 �
��
Notary Pubiic
ROBERT B HqVLIK
�TMYPUBLIC • MINNESO7A
MY �nrttlssion Expites Jen. 31 � Z W5
Council File # p�-y$
Green Sheet # �O 3 O G�(.
Presented By
Referred To
1�
Committee: Date
1 Resolved, that, upon execution and delivery of a release in full to the City of Saint Paul, the
2 proper ciry officers aze hereby authorized and directed to pay from the Tort Liability Fund,
3 09081-0511, to Farmers Insurance, as a subrogee for T arry Weins, the sum oP $8,189.45 in
4 full settlement of their subrogation claim for damages sustained on May 28�`, 2000 at or near
5 the intersection of '7` and Keliogg, Saint Paul, Minnesota.
Requested by Department of:
�: � ��� . �
Approved by Mayor: Date � Ti �
By:
RESOLUTION
C{TY OF SAfNT PAUL, MINNESOTA
�prove3 by �Iayor for Su �ssion to Councii:
By: (
Adopted by Council: Date Q,,,�, �� �� } Fo r ed by Ciry Attorney-----�
�� --
� � �___^
Adoption Certified by Council Secretary By: (y(/� ..� /� '
�
DEPARTMEM/OFFICE/CpUNCIL
Tech & Mgmt Serv/Risk
CONTACTPEtSONBPHONE
Sandra Bodensteiner 266-8
MUST BE ON COIRJGIL AGBJQ4 BY 0
N/A
i:•�� ,-a�::a
Rq17WG
dtDFR
TOTAL # OF SIGNATURE PAGES
GREEN SHEET
at-a8 c�
N
�
arvca�ac�
� CIYAiTpOEY � ❑ CrtYCLiRK �
� nturJ�l�aFxu¢esa�c ❑ Muxcut�Rl�ra
a wvaeloR�sasrwrtl ❑
(CLIP ALL LOCA'RONS FOR SIGNATURE)
Approval of resolution settling the property damage claim of Farmers Insurance, as subrogee fior Larry Weins, against the City of
Saint Paul in the amount of 58,189.45.
PIANNING COMMfSSfON
CIB COMMI7'TEE
CML SERVICE CAMMISSION
Flas this Pe���m everwnrketl under a conhac[ torthis departmeM7
VES NO
Has Mis P�eoNfirm e�er been e dry empbyee9
YES NO
Does thic Pe�swJJfircn Pwsess a sldl rot normal�YP�sessed bY �Y CuReM dtY emPloyeeT
YES NO
Is this peraoMrtn a tarpeted vendoYl
YES NO
On May 28`", 2000, a City of Saint Paul Parks vehicle made an unprotected left turn in front of a vehicle driven by Larry Weins.
The property damage claim fw Mr. Weins has been settled with him and his insurance carrier. A release has been obtaioed from
Farmers Insurance to settle this claim.
f E�`
" i t'y��
,������
IF APPROVED
oFrnaHSaorwxf 8.189.45
SOURCE
GL 001 Tat
COS�1REYp1UE Bl1D6ECED (GIRCLE ONkj
�cnym.Nw+e�e_ 09081
�.� � � � � ��
�
>-
DEC 22 ��?�?
�
f�C7
(EZaniM
o� -�
Property Damage Release
File Number C-000156
For the sole consideration of eight thousand one hundred eighty nine doliars
and forty five cents (58,189.45), the receipt and sufficiency whereof is hereby
acknowiedged, the undersigned hereby releases and forever discharges the City of
Saint Paul, their heirs, executors, administrators, agents, and assigns, and all other
persons, firms or corporations liable, or who might be liable, none of whom admit
any liability, from any and all claims, demands, damages, actions, causes of action
or suits of any kind or nature whatsoever, to property owned by Larry Weins,
which has resulted, or may develop in the future from an incident which occurred
on or about the 28th day of May, 2000, at or near, the intersection of 7tfi and
Kelloga, Saint Paul, MN.
The undersigned hereby deciares that the terms of this settlement are fully
understood and voluntarily accepted for the purpose of making a fulf and final
compromise adjustment and settiement of any and all claims, disputed or
otherwise, on account of the property damage mentioned above.
I hereby state that I have read this release, know the contents thereof, and
have signed the same, relying on my own judgment and on no representations of
others, and of my own free wili and accord this ,�o day of �iCi���-,�/,
20C�.
� � � In the'presence of: �
witness
�/��� �-. aiL����s.�
witness
Sign e of representative of Farmers
)nsu nce, as subrogee for Larry
ems
V/r�int � � ev� a s
PI sea e print name of Representative
Subscribed and sworn to before me
this �° day of /���e ; 20 �
��
Notary Pubiic
ROBERT B HqVLIK
�TMYPUBLIC • MINNESO7A
MY �nrttlssion Expites Jen. 31 � Z W5