HomeMy WebLinkAbout1985-04-16; City Council; 8137; Stipulated finding & award - P. Page1 :
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DEPT. PER
CITb OF CARLSBAD - AGENDk BILL
TITLE: DEPT. HD.
CITY All'Ym
CITY MQR..~ STIPULATED FINDING AND AWARD
RECOMMENDED ACTION:
Adopt Resolution No. 7yE+'D .
ITEM EXPLANATION :
PHILIP PAGE, Street Maintenance Worker 11, has incurred a back
injury arising out of his employment and in the course of his employment with the city.
The disability rating resulting from the injury was agreed upon
by the city's workers' compensation attorney and workers' compen- sation administrator as a 15 1/2% permanent disability. This
agreement is known as a Stipulated Finding and Award. A permanent disability award equals $6,792.50. The city would still be liable for future medical costs for treatment of Philip Page's back injury.
FISCAL IMPACT :
The Stipulated Finding and Award would cost $6,792.50 plus
future medical care.
EXHIBIT :
Resolution No. 79gD .
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RESOLUTION NO. 7980
A RESOLUTION OF THE CITY COUNCIL OF THE
CITY OF CARLSBAD, CALIFORNIA, AUTHORIZING
A STIPULATED FINDING AND AWARD FOR A
WORKERS' COMPENSATION CLAIM IN THE CASE
OF PHILIP PAGE.
WHEREAS, the City Council has established and clearly defined
its authority to settle workers' compensation claims in excess of
tive thousand dollars ($5,000); and
WHEREAS, the claim of PHILIP PAGE is approximately $6,792.50;
md
WHEREAS, the City Council authorizes a settlement in that
mount;
NOW, THEREFORE, BE IT RESOLVED by the City Council for the
:ity of Carlsbad, California, as follows:
1. That the above recitations are true and correct.
2. That the City Council authorizes and directs the City
ganager to obtain a Stipulated Finding and Award in the workers'
zompensation case of PHILIP PAGE in the amount stated plus future
nedical care.
PASSED, APPROVED, AND ADOPTED at a regular meeting of the
2arlsbad City Council held on the 16th day of April, 1985, by
the following vote to wit:
AYES :
NOES: None
ABSENT: Council kkrrber Casler
Council Wnbers Lewis, Kulchin, Chick and Pettine
ATTEST : CLAUDE A. LEMIS, Mayor Pro Tem
(SEAL)
March 6, 1985
Mr. Jerry Pieti, Personnel Manager
City of Carlsbad
1200 Elm Avenue
Carlsbad CA 92008
SELF INSURANCE ADMINISTRATON
RE: Employee: Phillip Page
Employer: City of Carlsbad
D/Injury: May 2, 1983
Claim No: 483-0156
Dear Mr. Pieti:
Attached is the Informal Rating from the Disability Evaluation Bureau on the
above captioned injury. This is for permanent disability that has resulted
from Mr. Page's back surgery.
The rating is correct and I request authority to enter into a Stipulated
Findings & Award for 15$% or $6,792.50 plus future medical care.
I will withold further action pending your reply.
Very truly yours,
Vice President
DIERLY G ASSOCIATES INC 7750 DAGGET STREET SUITE 206 SAN DIEGO CAUFORNIA 92111 (714: 569-2013
' SAN FRANCISCO
STATE BUILDING ANNEX
525 GOLDEN GATE AVTNUE
UN FRANCISCO, CA 94101
STATE OF CALIFORNIA
DEPARTMENT OF IFlDUSTRlAL RELATIONS
DIVISION OF INDUSTRIAL ACCIDENTS
LOS ANGELES
4107 L A. STATE OFFICE MLMNG
107 SOVTH BROADWAY
10s ANGELES. C.4 -12
MAILING ADDRESS
DISABILITY EVALUATION BUREAU P.D. BOX 803. SAN FRANCISCO 94101
FUTU3E MEDICAL CARE
483-0156 3ierly & Associates 7750 Dagget'Street #112 San Diego, CA gZlll
SAME
MAILING ADDRESS
(213)620-4350 I* . - ..
.,
DATE: 2/28/85 .,
NOTICE: THIS RATING IS NOT AN AWARD, ORDER OR DECISION OF THE WORKERS'
COMPENSATION APPEALS BOARD. It is advisory only, and does not constitute evidence as to the
existence of the disability described below. The rating is based on the facts stated. Should any of these
facts be in error, the rating may be reconsidered by the Rating Bureau upon request of either the
employee, the employer, or the employer's insurance carrier; or an application may be filed with the
Appeals Board and a formal hearing held.
.
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Phillip Page, 111
4225 Lonnie Street Oceanside, CA 92056
City of Carlsbad
Date of Injury: 5/2/83
Age: 31
occupation: Stre et Maintenance
Permanent Disability:
Pain over low back especially noted on prolonged standing, sitting and repetitive bending; need to use back support.
._.._I ~ ** i.. % *4 .,c :---;=-'%. --.*
e -** *. i:-- - . _- ,d _*L
Yo of total disability, equivalent
weeks of disa 9-y2 ili payments.
195.00 or nore
Permanent Disability Rating:
to 52.25
Weekly Wage: $
$ 130.00 , commencing 11,/,1+,,,'83 in the total sum of $ 6,792.50 for which the weekly disability payments would be
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