HomeMy WebLinkAbout1991-08-06; City Council; Resolution 91-245*-
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RESOLUTION NO. 9 1 - Z 4 5
A RESOLUTION OF THE CITY COUNCIL OF THE
CITY OF CARLSBAD, CALIFORNIA,
AUTHORIZING THE EXPENDITURE OF FUNDS
FOR SETTZEMENT OF THE WORKERS
COMPENSATION CLAIM OF LARRY WHATLEY
WHEREAS, HCM Claim Management Corp., the Third Party Administrator for the
City of Carlsbad, has recommended a settlement in the Workers Compensation case of
Larry Whatley; and
WHEREAS, there are sufficient funds available in the Workers Compensation Self-
Insurance Fund to pay the settlement,
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of
Carlsbad, California, as follows:
1.
2.
That the above recitations are true and correct.
That the expenditure of $5,775 from the Workers Compensation Self-
Insurance Fund is authorized for the settlement of said case.
That the Council accept the Stipulations with Request for Award, attached
hereto as Exhibit 2.
3.
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PASSED, APPROVED AND ADOPTED at a Regular Meeting of the City
Council of the City of Carlsbad on the
vote, to wit:
6th day of August . 1991, by the following
AYES: Council Members Lewis, Kulchin, Larson and Stanton
NOES: None
ABSENT: Council Member Nygaard
ATEST:
ALETHAL.RAU
I
-7 Exhibit 2 0 e *
WORKERS' COMPENSATION APPEALS BOA p E@E
p-.;, STATE OF CALIFORNIA
2IGV "n'kfJ Appkunt Case No. UnasSiWea
ury Whatley Stipulations
with Request
vs. for Award
City of Carlsbad
Defendants
The parties hereto stipulate to the issuance of an Award and/or Order, based upon the following fact
waive the requirements of Labor Code Section 5313:
05-01-48
7 born Larry Whatley 1.
( Employee) Y
08-30-90
(Date of Injuw )
employed within the State of California as park Maintenance mEon
(Orrup.tion)
-- - whose compensation insurance carric
HCM C1aim -q-$ustained injury arising out of and in the course of employmentcE?X&5!22
City of Carlsbad
(Employer 1 by
(Parts of body injui
2. The injury caused temporary disability for the period -- Broken Periods --
-- for which indemnity is payable at $ fully @J'W through -
week, less credit for such payments previously made.
140. 3. The injury caused permanent disability of 12 - 7%, for which indemnity is payable at $--
5 r 775.00, less credit fa per week beginning 10-05-90
payments previously made.
, in the sum of $
An informal rating has ( Select kWWtc one ) been previously issued. RECENEni MI p U i I:, 4. There is *xotxvheed for medical treatment to cure or relieve from the e ects of said
r;pon dmd, limited to injury herein mentioned. Defendant has 5 days to aut: or show good cause for denial. Failure to do so shall give applicant tacid
authority to secure whatever treatment is necessary to cure or relieve the e of injury.
( Selcrt om )
DLrARTMCNT OF INDUSTRIAL R
DIVISION OF INDUSTRIAL A
e m
WORKERS’ COMPENSATION APPEAL$ BOARD
STATE OF CALIFORNIA
5. Medical-legal expenses are payable by defendant as follows: None
6. Applicant’s attorney request a fee of $ N/A
7. Liens against compensation are payable as fokws: None
8. Other stipulations:
y-/- 9/
1200 Carlsbad Village Dr. 526-74-8226 Carlsbad, Ca 92008
Social Security Number of Applicant Address of Employer
@E\@Irn 1637 Lopez Street 3954 Murphy Canyo
Oceanside, Ca 92054 San Dieqo, Ca 92
Address of Insurance Company JUL 0 1 kN1 Address of Applicant
None Karen Church - Attorney for Applicant Attorney or Authorized Representative for Defend:
3954 Murphy Canyon Rd. #D-205
Address of Attorney or Authorized Representative
N/A San Diego, Ca 92123
Address of Attorney for Applicant