HomeMy WebLinkAbout1995-06-06; City Council; Resolution 95-140/I 0 0
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RESOLUTION NO. 95-140
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CARLSBAD, CALIFORNIA,
AUTHORIZING THE EXPENDITURE OF FUNDS
FOR SETI'I,Eh!ENT OF THE WORKERS
COMPENSATION CLAIM OF GILBERT BEASON
5 WHEREAS, Mr. Gary Bourassa, Defense Counsel for the City of Carlsbad in this
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Beason; and 7
matter, has recommended a settlement of the Workers Compensation claims of Gilbert
WHEREAS, there are sufficient funds available in the Workers Compensation Se
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Insurance Fund to pay the settlement,
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of
Carlsbad, California, as follows:
1. That the above recitations are true and correct.
2. That the expenditure of $6,195.00 from the Workers Compensation Self- i
1 I Insurance Fund is authorized for the settlement of said claims.
16 3. That the Council accept the Compromise and Release, attached hereto as
17 Exhibit 2.
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PASSED, APPROVED AND ADOPTED at a Regular Meeting of the Cit 1
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3 vote, to wit:
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5 NOES: None
6 ABSENT: None
Council of the City of Carlsbad on the 6th day of JUNE 1995, by the following
AYES: Council Members Lewis, Nygaard, Kulchin, Finnila, Ha
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Z, City Clerk
stant City Cler k
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WORKERS' COMPENSATION APPEALS BOI
STATE OF CALIFORNIA
GILBERT BEASON, Applicant i Case No. SDO 0195467
Stipulations
with Request
vs. )
CITY OF CARLSBAD
Defendants .I I
for Award
The partles hereto stipulate to the issuance of an Award and/or Order, based upon the followrr
waive the requirements of Labor Code Section 5313:
1. GILBERT BEASON, ,born 1/15/62 (Employee)
employed within the State of California as POLICE OFFICER on618193 (Occupa~~onl [Date of Injl
by CITY OF CARLSBAD (Employer) PEWfRBrnY%
HERTZ CLAIMS sustained injury arising out of and in the course of employment RIGHT SHO
MGMT . [Pans of bo
2. The injury caused temporary disability for the period NO COMPENSABLE TIME LOST
through for which indemnity is payable at $
week, less credlt for such payments prevlously made.
3. The injury caused permanent diszbility of 13-1-/ 2 "M, for which indemnity is payable at $ 148
per week beginning 6 / 9 / 9 3 , in the sum of $ 6, 195. 00 , leSS
payments previously made.
An rnformal rating w has not been prevlously Issued.
(select one)
4. There p6X I>E~M may be need for medical treatment to cure or relieve from the effects
[Select one)
DWC WCAB FORM 3 (REV. 9-90] (Page 1)
DEPARTMENTOF INDU
DIVISION OF INOU!
WORK& COMPENSATION~PPEALS BOA
: STATE OF CALIFORNIA
5. Medtcal-legal expenses are payable by defendant as follows: NONE.
6. Applrcant’s attorney request a fee of $ 743 -00
7. Llens against compensation are payable as follows:. NONE.
8. Other stipulations: 1. PERMANENT DISABILITY IS BASED UPON THE RES’
SET FORTH BY DR. LAY IN HIS REPORT DATED 6/8/94 AND DR. BROI
REPORT DATED 2/13/95.
2. SETTLEMENT INCLUDES ANY CLAIM FOR INTEREST FOR FIRST 25
SERVICE OF THE AWARD.
MAY 4, 1995
Dated bA#”t-
Appllcant
GILBERT BEASON, 1200 CARLSBAD VILLAGE DR.
Social Security Number of Applicant Address of Employer
CARLSBAD, CA 92008
P.O. BOX 710400
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- SAN DIEGO, CA 92171
Address of Applicant Address of Insurance Company
Attorney or Authorized Representative for De
VICTOR BALAKER, ESQ. GRAVES, ROBERSON & B0,URAS
2626 MADISON ST. 17821 E. 17TH ST., STE. 2
Address of Attorne for A plicant Address of Attorney or Authorized Represent CARLSBAD, 8A 92008 TUSTIN, CA 92680
DWC WCAB FORM 3 (REV. 9-90] (Page 2) OEPARTMENTOF INOC
DIVISION OF INOU