CONT. ion-A (Rev. 7/01) RESERVE FOR FILING STAMP CLAJM NO. CLAIM FOR DAMAGES TO PERSON OR PROPERTY INSTRUCTIONS 1. Claims for death, injury to person or to personal property must be tiled not later than six months after the occurrence. (Gov. Code Sec. 911.2). 2. Claims for dam ages relating to any other type of occurrence must be filed not later than one year after the occurrence. (Gov. Code Sec. 911.2). 3. Read entire claim before ?ling. Claim can be mailed or ?led in person. No faxes accepted. See Page 3 for diagram upon which to locate place of accident. This claim form must'be signed on Page 3 at bottom. . Attach separate sheets, if necessary, to give full details. SIGN EACH SHEET. Fill out in duplicate. ONE COPY TO BE RETAINED BY CLAIMANT. Claim must be filed with CITY CLERK, (Gov. Code Sec. 915A) 200 NORTH SPRING STREET, ROOM 395, CITY HALL, LOS ANGELES, CA 90012 TO: CITY OF LOS ANGELBS Name of Claimant Salvador Albert Corado 58 Home address of Claimant City, State and Zip Code c/o Taylor Ring, 1230 Rosecrans Ave., #360, Manhattan Beach, CA 90266 Business address of Claimant City, State and Zip Code Age of Claimant Home Telephone Number Business Telephone Number (310) 2094100 GiVe address to which you desire notices or communications to be sent regarding this claim: c/o Taylor Ring. 1230 Rosecrans Ave., #360. Manhattan Beach, CA 90266 How did DAMAGE or INJURY occur? Please include as much detail as possible. On July 21, 2018, claimant's daughter, Melyda Corado, was shot and killed by member(s) of the Los Angeles Police Department. When did DAMAGE or INJURY occur? Please include the date and time of the damage or injury. The Los Angeles Police Department's conduct and decedent's death occurred in the afternoon of July 21, 2018. Where did DAMAGE or INJURY occur? Please describe fully, and locate on the diagram on the reverse side of this sheet. Where appropriate, please give street names and addresses or measurements from speci?c landmarks: The shooting occurred at Trader Joe's, 2738 Hyperion Avenue, Los Angeles, CA. What particular ACT or OMISSION do you claim caused the injury or damage? Please give names of City employees causing the injury or damage and identify any vehicles involved by license plate number, if known. Wrongful death; excessive force; violation of civil rights (See Attachment); Names of Los Angeles Police Department Officers are unknown at this time. Please list names and address of Witnesses, Doctors and Hospitals: Los Angeles Police Department Officers whose names are unknown at this time; Eyewitnesses whose names are unknown at this time; Los Angeles County Coroner's Office, names 'unknown at this time. SEE PAGE 3 THIS CLAIM BE SIGNED AT BOTTOM PAGE 2 What DAMAGE or INJURIES do you claim resulted? Please give full extent of injuries or damages claimed: Loss of care, comfort society'and other wrongful death damages to Claimant as a result of his daughtefs death; Violation of Decedent and Claimant's Civil Rights. What is the AMOUNT of our claim? Please itemize your damages: Damages exceed $10,000. therefore, this is NOT a limited civil case. If you have received any insurance payments, please giVe the names of the insurance companies: For all accident claims please place on the following diagram the names of the streets where the accident occurred and the nearest cross-streets; indicate the place of the accident by an and by showing the nearest address and distances to street corners. Please indicate Where North is on the diagram. Note: if the diagram does'not ?t the situation, please attach your own diagram. Signature of Claimant or person ?ling Print Name: Date: i t' 'hi 3:523:11? eha ng re a ions Louanne Masry, Esq., for Claimant October 1, 2018 ?774ch ?Ow/5,95. 0., PAGE 3 ATTACHMENT to Claim for Damages of Salvador Albert Corado Claimant is informed and believes, and thereon alleges, the following. Decedent Melyda Corado, was shot and killed by officer(s) of the Los Angeles Police Department, whose names are unknown to Claimant at this time, without reasonable or probable cause and without legal justification in violation of, inter alia, United States Constitution, 4th Amendment and 14th Amendment; California Constitution, Article I, Section 15; California Civil Code Sections 51 and 52et seq.; and Code of Civil Procedure Section 377.60, et seq. Claimant alleges that the conduct of the City of Los Angeles including, but not limited to, its agents and employees at the Los Angeles Police Department, constitutes violations of discrimination/civil rights; assault battery; excessive force; negligence; and intentional and negligent in?iction of emotional distress. Claimant also alleges that the City of Los Angeles allowed, permitted, incited, excused, and otherwise condoned or ratified the aforesaid misconduct by failing to adequately and properly screen, hire, train, re-train, supervise, retain, monitor, track, and discipline its employees and agents, including members of the Los Angeles Police Department. Claimant further alleges that City of Los Angeles, including its agents and employees, conspired to cover up the entire wrongful misconduct mentioned herein to avoid criminal prosecution, civil liability, and departmental discipline. Claimant further alleges that his civil rights were violated by the City of Los Angeles, including its agents and employees, under the due process clause of the 14th Amendment; California Constitution, Article 1, Section 15; and California Civil Code Sections 51 and 52, et seq. In addition, Claimant has a cognizable interest to be free from state actions that deprive him of life, liberty, or property in such a manner as to shock the conscience including, but not limited to, unwarranted state interference in Claimant?s familial relationship with Decedent. sin/W 57 37 FORM com: 10M (Rev. 7/01) RESERVE FOR FILING STAMP CLAIMNO. CLAINI FOR DAMAGES TO PERSON OR PROPERTY INSTRUCTIONS 1. Claims for death, injury to person or to personal property must be filed not later than six months after the occurrence. (Gov. Code Sec. 911.2). 2. Claims for damages relating to any other type of occurrence must be filed not later than one year after the occurrence. (Gov. Code Sec. 911.2). 3. Read entire claim before ?ling. Claim can be mailed or ?led in person. No faxes accepted. See Page 3 for diagram upon which to locate place of accident. This claim form must'be signed on Page 3 at bottom. . Attach separate sheets, if necessary, to give filii details. SIGN EACH SHEET. Fill out in duplicate. ONE COPY TO BE RETAINED BY CLAIMANT. Claim must be ?led with CITY CLERK, (Gov. Code Sec. 915A) 200 NORTH SPRING STREET. ROOM 395, CITY HALL, LOS ANGELES, CA 90012 TO: CITY OF LOS ANGELES 004mg?? Name of Claimant Age of Claimant Salvador Albert Corado as Successor-in?lnterest to Melyda Corado 58 Home address of Claimant City, State and Zip Code c/o TaLlor Ring, 1230 Rosecrans Ave., #360, Manhattan Beach, CA 90266 Business address of Claimant City, State and Zip Code Home Telephone Number Business Telephone Number (310) 209-4100 Give address to which you desire notices or communications to be sent regarding this claim: c/o Taylor Ring, 1230 Rosecrans Ave, #360, Manhattan Beach, CA 90266 How did DAMAGE or INJURY occur? Please include as much detail as possible. On July 21, 2018, claimant's daughter, Melyda Corado, was shot and killed by member(s) of the Los Angeles Police Department. When did DAMAGE or INJURY occur? Please include the date and time of the damage or injury. The Los Angeles Police Department's conduct and decedent's death occurred in the afternoon of July 21, 2018. Where did DAMAGE or INJURY occur? Please describe fully, and locate on the diagram on the reverse side of this sheet. Where appropriate, please give street names and addresses or measurements from speci?c landmarks: The shooting occurred at Trader Joe?s, 2738 Hyperion Avenue, Los Angeles, CA. What particular ACT or OMISSION do you claim caused the injury or damage? Please give names of City employees causing the injury or damage and identify any vehicles involved by license plate number, if known. Excessive force; Violation of Civil Rights (See Attachment); Names of Los Angeles Police Department Officers are unknown at this time. Please list names and address of Witnesses, Doctors and Hospitals: Los Angeles Police Department Officers whose names are unknown at this time; Eyewitnesses whose names are unknown at this time; Los Angeles County Coroner's Office, names Unknown at this time. SEE PAGE 3 THIS CLAIM MILST. BE SIGNED AT BOTTOM PAGE 2 What DAMAGE or INJURIES do you claim resulted? Please give full extent of injuries or damages claimed: Death of Melyda Corado; Violation of Decedent's Civil Rights. What is the AMOUNT of 3/ our claim? Please itemize your damages: Damages exceed $10,000, therefore, this is NOT a limited civil case. If you have received any insurance payments, please give the names of the insurance companies: For all accident claims please place on the following diagram the names of the streets where the accident occurred and the nearest cross-streets; indicate the place of the accident by an and by showing the nearest address and distances to street corners. Please indicate where North is on the diagram. Note: if the diagram doesknot ?t the situation, please attach your own diagram. Signature of Claix?ant or person ?ling Print Name: Date: if i lationshi . a ng re . Louanne Masry, Esq., for Clalmant October 1, 2018 vii/H at (/le 1,16 I PAGE 3 ATTACHMENT to Claim for Damages of Salvador Albert Corado as Successor-in-Interest to Melvda Corado Claimant is informed and believes, and thereon alleges, the following. Decedent Melyda Corado, was shot and killed by officer(s) of the Los Angeles Police Department, whose names are unknown to Claimant at this time, without reasonable or probable cause and without legal justification in violation of, inter alia, United States Constitution, 4"1 Amendment and 14th Amendment; California Constitution, Article 1, Section 15; and California Civil Code Sections 51 and 52et seq. Claimant alleges that the conduct of the City of Los Angeles including, but not limited to, its agents and employees at the Los Angeles Police Department, constitutes violations of discrimination/civil rights; assault battery; excessive force; negligence; and intentional and negligent in?iction of emotional distress. Claimant also alleges that the City of Los Angeles allowed, permitted, incited, excused, and otherwise condoned or ratified the aforesaid misconduct by failing to adequately and properly screen, hire, train, re-train, supervise, retain, monitor, track, and discipline its employees and agents, including members of the Los Angeles Police Department. Claimant further alleges that City of Los Angeles, including its agents and employees, conspired to cover up the entire wrongful misconduct mentioned herein to avoid criminal prosecution, civil liability, and departmental discipline. Lemme; Wis/47 1387, ?@0767 547 7 . 36? U4 Mom Pom CONT. loll-A (Rev. 7/01) RESERVE FOR FILING CLAJM NO. CLAIM FOR DAMAGES TO PERSON OR PROPERTY INSTRUCTIONS 1. Claims for death, injury to person or to personal property must be ?led not later than six months after the occurrence. (Gov. Code Sec. 911.2). 2. Claims for damages relating to any other type of Occurrence must be ?led not later than one year after the occurrence. (Gov. Code Sec. 911.2). 3. Read entire claim before ?ling. Claim can be mailed or ?led in person. No faxes accepted. See Page 3 for diagram upon which to locate place of accident. This claim form must'be signed on Page 3 at bottom. Attach separate sheets, if necessary, to give full details. SIGN EACH SHEET. . Fill out in duplicate. ONE COPY TO BE RETAINED BY CLAIMANT. Claim must be ?led with CITY CLERK, (Gov. Code Sec. 915A) 200 NORTH SPRING STREET, ROOM 395, CITY HALL, LOS ANGELES, CA 90012 TO: CITY OF LOS ANGELBS seesaw?.e Name of Claimant Albert J. Corado 29 . Home address of Claimant City, State and Zip Code Home Telephone Number c/o Taylor Ring, 1230 Rosecrans Ave., #360, Manhattan Beach. CA 90266 Business address of Claimant City, State and Zip Code Age of Claimant Business Telephone Number (310) 209-4100 Give address to which you desire notices or communications to be sent regarding this claim: c/o Taylor Ring, 1230 Rosecrans Ave., #360, Manhattan Beach, CA 90266 How did DAMAGE or INJURY occur? Please include as much detail as possible. On July 21, 2018, claimant's sister, Melyda Corado, was shot and killed by member(s) of the Los Angeles Police Department. When did DAMAGE or INJURY occur? Please include the date and time of the damage or injury. The Los Angeles Police Department's conduct and decedent's death occurred in the afternoon of July 21, 2018. Where did DAMAGE or INJURY occur? Please describe fully, and locate on the diagram on the reverse side of this sheet. Where appropriate, please give street names and addresses or measurements from speci?c landmarks: The shooting occurred at Trader Joe's, 2738 Hyperion Avenue, Los Angeles, CA. What particular ACT or OMISSION do you claim caused the injury or damage? Please give names of City employees causing the injury or damage and identify any vehicles involved by license plate number, if known. Excessive force; Violation of Civil Rights (See Attachment); Names of Los Angeles Police Department Officers are unknown at this time. Please list names and address of Witnesses, Doctors and Hospitals: Los Angeles Police Department Officers whose names are unknown at this time; Eyewitnesses whose names are unknown at this time; Los Angeles County Coroner's Office, names 'unknown at this time. SEE PAGE 3 THIS CLAIM BB SIGNED AT BOTTOM PAGE 2 What DAMAGE or INJURIES do you claim resulted? Please giVB full extent of injuries or damages claimed: Death of Melyda Corado; Violation of Claimant and Decedent's Civil Rights. What is the AMOUNT ofy our claim? Please itemize your damages: Damages exceed $10,000, therefore, this is NOT a limited civil case. If you have received any insurance payments, please give the names of the insurance companies: For all accident claims please place on the following diagram the names of the streets where the accident occurred and the nearest cross-streets; indicate the place of the accident by an and by showing the nearest address and distances to street corners. Please indicate where North is on the diagram. Note: if the diagram doesnot fit the situation, please attach your own diagram. Signature of Clai?iant or person ?ling Print Maine: Date: on claimant's behalf 'vin relationshi to claimant: g1 . Louanne Masry, Esq., for Claimant October 2018 /h/w . ?lg/r PAGE 3 ATTACHMENT to Claim for Damages of Albert J. Corado Claimant is informed and believes, and thereon alleges, the following. Decedent Melyda Corado, was shot and killed by officer(s) of the Los Angeles Police Department, whose names are unknown to Claimant at this time, without reasonable or probable cause and without legal justification in violation of, inter alia, United States Constitution, 4th Amendment and 14th Amendment; California Constitution, Article I, Section 15; and California Civil Code Sections 51 and 52, et seq. Claimant alleges that the conduct of the City of Los Angeles including, but not limited to, its agents and employees at the Los Angeles Police Department, constitutes violations of discrimination/civil rights; assault battery; excessive force; negligence; and intentional and negligent infliction of emotional distress. Claimant also alleges that the City of Los Angeles allowed, permitted, incited, excused, and otherwise condoned or ratified the aforesaid misconduct by failing to adequately and properly screen, hire, train, re-train, supervise, retain, monitor, track, and discipline its employees and agents, including members of the Los Angeles Police Department. Claimant further alleges that City of Los Angeles, including its agents and employees, conspired to cover up the entire wrongful misconduct mentioned herein to avoid criminal prosecution, civil liability, and departmental discipline. Claimant further alleges that his civil rights were violated by the City of Los Angeles, including its agents and employees, under the due process clause of the 14th Amendment; California Constitution, Article 1, Section 15; and California Civil Code Sections 51 and 52, et seq. In addition, Claimant has a cognizable interest to be free from state actions that deprive him of life, liberty, or property in such a manner as to shock the conscience including, but not limited to, unwarranted state interference in Claimant?s familial relationship with Decedent. . . ?54 {cg/(mm My 5147! Q7 . 74V Mama/{L