Loading...
O'Halloran, Mary (2) NOTICE OF CLAIM FORM to the City of Saint Paul, Minnesota Minnesota State Statute 466.05 states that “…every person…who claims damages from any municipality…shall cause to be presented to the governing body of the municipality within 180 days after the alleged loss or injury is discovered a notice stating the time, place, and circumstances thereof, and the amount of compensation or other relief demanded.” Please complete this form in its entirety by clearly typing or printing your answers to each question. If you have additional documentation you may add those documents to your submission. You will not be contacted by telephone unless clarification is needed. The claim process for investigations can take upwards of four (4) weeks. This form must be signed, dated with all applicable sections completed. Submission is to the Saint Paul https://www.stpaul.gov/departments/city-clerkCity Clerk’s Office. You may mailto:cityclerk@ci.stpaul.mn.usemail, fax (651-266-8574) or mail the form. Mailing address is “Saint Paul City Clerk, 15 West Kellogg Blvd., Suite 310, Saint Paul, MN 55102” Individuals: Mary O'Halloran Please Indicate Your Pronouns:She/ Her/Hers He/Him/His _ They/ Them/Theirs Company or Business Name: Is this claim being made by an Insurance Company? No If yes, what is your Claim/File Number?: Is this claim being made by an Attorney? No If yes, what is your File Number? If yes, then provide your Insured’s/ Client’s Name Street Address: 394 Pierce Street City: State Zip Code Saint Paul, MN 55104 Daytime/Work Phone 651.646,7871 Cell Phone 651.216.8703 Date of Incident or Date Discovered (Must complete) Time 1.20.23 4pm Please state, in detail, what happened that prompted you to file a Notice of Claim Form. I went to an Urgency Room on Thursday January 19, 2023 for an extremely painful right foot and rash on heel of left foot. During the time I was there I checked the St. Paul Snow Emergency Map 4 times, each time it showed, ‘NO SNOW EMERGENCY NORMAL PARKING’. When I arrived home after stopping to pick up 3 prescriptions given by UR Doctor, at 10pm, I noticed cars parked on night plow side of the street which lead me to believe it was ok to park on the side of the street, but wanting to be sure I opened the St. Paul Snow Emergency Map for the 5th time that day. I entered my address and zoomed in on my street. The map showed, ‘NO SNOW EMERGENCY NORMAL PARKING’ yet again and so I proceeded to hobble up to the apartment bldg. main entrance door. When I left for work the following morning to my surprise my car was not where I had parked it. I immediately thought it had been stolen, I called my boss to them know this and they asked if I sure it had been stolen and not impounded. I was addiment that it was stolen, because I checked the St. Paul Snow Emergency Map and it showed no snow emergency normal parking. After calling my work I was going to report vehicle stolen, then I thought, that before I call my insurance company and the police to report it stolen, maybe I should call police impound and in doing so found out that they did have my vehicle. When I asked why the towed it when the snow emergency map showed no snow emergency/normal parking for my street at 10pm that night. The police impound dispatcher said they do not go by the map, that the snow emergency was posted at 1pm and was on the news and all over social media. Although since I was in the Urgency Room I did not watch the news and did not go on any social media sites, I DID check the ST. PAUL SNOW EMERGENCY MAP, I questioned why such a map exists if the city doesn’t go by it. They did not have an answer for me, when I finally obtained a ride to around 3pm to go get my vehicle that day, I notice at least 3 postings on the walls of the police impound lot lobby for the St. Paul Snow Emergency map. When I drove vehicle home I noticed a vibration and noise coming from under vehicle, which was not there before it had been towed. I have been struggling finding rides to and from work so that I wouldn't lose my job, as well as having to have groceries delivered and therefore having to spend more money than I usually do when I had my vehicle. The towing company Guardian refused to pay for damages. Please state why or how you feel the City of Saint Paul is responsible for your Damages? The reason I feel the City should pay for the damages to y vehicle is because the St. Paul/Snow Emergency Map showed ‘NO SNOW EMERGENCY/NORMAL PARK after I enter my exact street address, but also because the street was never even plowed that day, the night before, the next day or the day after that or the day after that. The next time the street was plowed was when we received the record-breaking snow fall on February 22,2023. Which the plow truck went around all the vehicles on my block and surrounding blocks around my block, as well as on the storm prior to this on January 4, 2023. I have and do always abide by snow emergency parking rules and would have never parked on the street that night had the map not showed that it was alright to do so. Considering that the street was never plowed, I feel that the city is responsible for the damages. They didn't plow the street because there was no snow on my sreet to plow. Please check the reason that most closely describes the reason for your submitting a claim. Please note the documents that will need to be provided with your completed form. Photographs will be accepted. All documents submitted become the property of the City of Saint Paul and shall not be returned. Automobile damage from a motor vehicle accident: please provide two estimates for repairs or actual bill that has been paid. Automobile damage from a street defect or pothole : please provide two estimates for repairs or actual bill that has been paid. Automobile was towed and may or may not have sustained damage: please provide copy of towing ticket (if available), receipt from Impound Lot, and two estimates for repairs or actual bill that has been paid. XSnow Emergency: please provide copy of towing ticket (if available), receipt from Impound Lot, and two estimates for repairs or actual bill that has been paid. Property damage: please provide two estimates for repairs or actual bill that has been paid. You were injured during a motor vehicle accident: please provide police report number, details about injury. You were injured in the City of Saint Paul: please provide police report number, witnesses and details about injury. This section must be completed for all claims. Is there a police report for this incident? NO If yes, please provide the police report case number Revised December 2021 If yes, what law enforcement agency responded? Where did the incident take place? Please provide a street address, intersection or name of City park or facility. 394 Pierce Street, St. Paul, MN 55104 Notice of Claim Form, page two. Failure to complete and return both pages will result in delays. What would you like to see happen to resolve this claim to your satisfaction? I would like my vehicle to repaired Were there witnesses to this incident? Please provide names and contact phone numbers. Dave Tester 651.515.5696 Witness to Street not being plowed Marcus Moore 763.464.7263 Witness to Pierce Street not being plowed on January 19, 20, 21, 22, 23 or 24 and that the street was not plowed until the next snow storm on February 22nd. Malonnie Swanda 218.460.9442 Witness to the St. Paul Snow Emergency Map showing No Snow Emergency/ Normal Parking on January 19th. For property damage claims, including vehicle accidents. Your vehicle’s information: Year Make Model Color 2007 Ford ECP GRN License Plate # State vehicle is registered in EWX 040 Minnesota Registered owner of vehicle Driver Mary Ovelina O'Halloran Area(s) damaged Transfer Case If a City vehicle was involved: NO License Plate # _ Color Was there City insignia on the vehicle? Driver’s Name Other property damaged: For injury claims of any type. What part of your body was injured? Did you go to the emergency room or urgent care? Where? Was medical treatment received? Where? First day of medical treatment? Are you still receiving medical treatment? Did you miss any work as result of this incident? YES Employer(s) Keys Well Drilling Company How much time have you missed from work?_1 Day_ If you are submitting other documents, please state what you are attaching and how many pages. Attaching 14 photos of street in front my apt building on Jan 20th, Jan 24th, Feb 22nd, picture of snow emergency map posted on impound lot lobby wall, Citation, Impound Lot Reciept and two (2) repair estimates. By signing this form, you agree that all information provided is true and correct to the best of your knowledge. Please NOTE that submitting a false or misleading claim can and will result in prosecution under Minnesota Statutes. Name of Person completing form: Mary O'Halloran Signature of Person submitting this form: Mary O'Halloran Relationship of person signing to Party making the claim: Self Date document is being signed 6.20.23 Revised December 2021