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CLAIM FOR DAMAGES \h 9
NOTE: A claim relating to a cause of action for death or for injury to person or to personal property or grown

crops shall be presented not later than six (6) months after the accrual of the cause of action. A claim
relating to any other cause of action shall be presented not later than one (1) year after the accrual of the
cause oi action. (Refer to California Government Code Section 911.2)

Deliver or mail the completed claim form to City of Fresno, Risk Management,
2600 Fresno Street, Floom 1030, Fresno, CA 93721-3612. Retain the pink copy
for your records. Sign and date all attachments to the claim form. OFFICIAL USE ONLY

 

 

 

 

 

 

 

 

Name of Claimant {Injured or Damaged Party) Birthdate of Claimant
Central Valley Community Sports Foundation 

Home Address of Claimant Code Home Telephone Number

Business Address of Claimant Code Business Telephone Number
2141 Tuoloumne Street, Suite Fresno CA 93721 559-486-1056

Social Security Number of Ciaimant CA Drivers License Number

Name of Person to whom any Notices concerning Claim should be sent (It different from above) Relationship to Claimant
Terance Frazier Director

Address of Person to whom any Notices concerning Claim should be sent (If different from above) Teiephone Number

When did Injury, Damage or Loss occur? (Date and Time) Police Fleport Number

Approximately February 7, 2019

 

 

Where did Injury, Damage or Loss occur? (Location Name, Street Address. lntersecting Streets, etc.)
At Fresno City Hall

How did Injury, Damage or Loss occur? (Provide full detaits - Use separate sheets, if necessary)

 

City manager and/or Mayor and others prematurely and knowlingly released a false and misleading audit report

containing known errors.

 

What did City or City Employeeis) do to cause the Injury, Damage or Loss? What are the name(s) of City Employeeis) who caused the Injury,
Damage or Loss (If known)?

The referenced audit report did not follow GAAP standards for audits, contained known errors and false and misleading

information about the foundation's operations at Granite Park. City Manager Quan, Mayor Brand, and others.
Describe the Injury, Damage or Less claimed. (Provide full details - Attach any medical records and use separate sheets, if necessary.)
The premature release of the inaccurate audit report caused the company loss of reputation, portrayed the company in

 

a false light, caused loss of sponsorships and other direct economic and consequential damages, and contract

damages including breach of the covenant of good faith and fair dealing.

What is the amount of Injury, Damage or Loss claimed, including the estimated amount of any future Injury, Damage or Loss. (ltemize and attach medical
bills, property damage estimates, etc?Use separate sheets, if necessary). It the amount claimed exceeds $10,000.00, no dollar amount shall be
included. However, you shall indicate whether the claim would be a limited civil case. (Refer to California Government Code Section 910[f])

 

Total estimated damages meet the qualifications for unlimited Superior Court jurisdiction.

 

Name, Address Telephone Number of Witness(es), Doctor(s) andlor Hospitalts). (Use separate sheets, if necessary).
Terance Frazier, TJ Cox, Chris Foxen, Tamara Ramos and personnel at City Hall currently unknown to claimant.

 

Signatureof Clai/ or acting on Claim-ants behalf Date

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PRESENTATION OFA Faces on FFIAUDULENT CLAIM Is A FELONY (Refer to California Penal Code Section 72) SF3164 (09,13)