HomeMy Public PortalAbout2001-01-02CC_spc^~ ~ ~Y1~T'~OOD ;~'
'' c~ Ctty JUeetUg CJ~aQQ¢nges
11330 BULLIS ROAD
'~Ilr
IN ORDER TO EXPEDITE CITY COUNCIL BUSINESS, WE ASK THAT ALL
PERSONS WISHING TO ADDRESS THE COUNCIL FILL OUT A FORM
PROVIDED AT THE DOOR, AND TO TURN IT IN TO THE CITY CLERK PRIOR
TO THE START OF THE MEETING. FAILURE TO FILL OUT SUCH A FORM
WILL PROHIBIT YOU FROM ADDRESSING THE COUNCIL IN THE ABSENCE
OF THE UNANIMOUS CONSENT OF THE COUNCIL.
AGENDA ~ CtIVED
ITEMS ON FILE FOR CnNSIDERATION ~ CITY OF LYNwOpt~ I
AT THE MEETING OF THE LYNWOOD CITY COUNCI~ CITY CLERKS OFFICE I
TO BE HELD ON JAN~IARY 2, 2001 Q~~ Q ~ ZOOO
COUNCIL CHAMBERS' ~ ~
6:00 P.M. 7 8 9 n ~l~ 8$16
PAUL H. RICHARDS, II
MAYOR
RICARDO SANCHEZ
MAYOR PRO-TEM
ARTURO REYES
COUNCILMEMBER
CITY MANAGER
RALPH W. DAVIS III
CITY CLERK
ANDREA L. HOOPER
OPENING CEREMONIES
1. CALL TO ORDER
2. PLEDGE OF ALLEGIANCE
3. INVOCATION
4. ROLL CALL OF COUNCIL MEMBERS
Louis Byrd
Armando Rea
Arturo Reyes
Ricardo Sanchez
Paul H. Richards, II
CITY TREASURER
IRIS PYGATT
5. CERTIFICATION OF AGENDA POSTING BY CITY CLERK
6. PRESENTATIONS/PROCLAMATION
7. ANNOUNCEMENTS
8. COUNCIL RECESS TO: LYNWOOD REDEVELOPMENT AGENCY
LYNWOOD INFORMATION INC.
LYNWOOD PUBLIC FINANCE AUTHORITY
i I 1 i
~~
~~
LOUIS BYRD
COUNCILMEMBER
ARMANDO REA
COUNCILMEMBER
CITY ATTORNEY
SHAN TH~VER & ASSOCIATES
t
PUBLIC ORAL COMMUNICATIONS
(Regarding Agenda Items Only)
PUBLIC ORAL COMMUNICATIONS
IF AN ITEM IS NOT ON THE AGENDA, THERE SHOULD BE NO
SUBSTANTIAL DISCUSSION OF THE ISSUE BY THE COUNCIL, BUT IT IS
ALL RIGHT FOR COUNCIL TO REFER THE MATTER TO THE STAFF OR
SCHEDULE SUBSTANTIVE DISCUSSION FOR A FUTURE MEETING.
(The Ralph M. Brown Act, Government Code Section 54950-54962, Part III,
Paragraph 5.)
9. MINUTES OF PREVIOUS MEETINGS:
NONE
PUBLIC HEARINGS
10. ORDINANCE AMENDING CHAPTER 7 OF THE LYNWOOD MUNICIPAL
CODE TO PROHIBIT DRIVING OF TRUCKS ON LONG BEACH
BOULEVARD AND PARKING OF TRUCKS ON PROPERTY ALONG
LONG BEACH BOULEVARD
Comments:
On November 7, 2000 City Council adopted the urgency Ordinance No.
1499 prohibiting the driving of trucks on Long Beach Boulevard and
parking of trucks on property along Long Beach Boulevard.
Staff now request that the City Council hold the public hearing and
introduce the permanent ordinance relative to this matter.
Recommendations:
It is recommended that the City Council hold the public hearing and
introduce the attached ordinance amending Chapter 7 of the Lynwood
Municipal Code, Vehicles and Traffic.
CONSENT CALENDAR
All matters listed under the Consent Calendar will be acted upon by one motion
affirming the action recommended on the agenda. There will be no separate
discussion on these items prior to voting unless members of the Council or staff
request specific items be removed from the Consent Calendar for separate
action.
11. DISABILITY RETIREMENT OF STEPHEN P. STEWART
Comments:
The Workers' Compensation Appeals Board declared Stephen Stewart a
permanent and stationary injured safety employee January 29, 1990. Mr.
Stewart was assigned to a mandatory permanent modified program as a
Management Aide in the Fire Department a position he held up to October
31, 2000 upon the transition to Los Angeles County for fire services.
Recommendations:
That the City Council adopt the attached resolution entitled: "A
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF LYNWOOD
APPROVING THE DISABILITY RETIREMENT OF STEPHEN P.
STEWART PURSUANT TO SECTION 21156 OF THE GOVERNMENT
CODE."
2
12. WARRANT REGISTER:
Comments:
City of Lynwood warrant registers for December 28, 2000 and January 2,
2001 FY 2000-2001.
Recommendation:
Staff recommends for the City Council to approve the warrant registers.
DISCUSSION ITEMS
Item # 14, 15, 16, & 17 CONTINUED FROM DECEMBER 19, 2000
13. REQUEST FROM AT&T BROADBAND FOR CITY OF LYNWOOD TO
WAIVE FRANCHISE FEES ON AT&T ROAD RUNNER CABLE MODEM
SERVICES
Comments:
To inform the Lynwood City Council of the letter from AT&T Broadband
requesting the City of Lynwood to waive the franchise fees on AT&T road
Runner cable modem services.
Recommendation:
Staff respectfully recommends that the Lynwood City Council review the
attached draft letter to AT&T Broadband for approval and provide further
direction to staff.
14. COMMISSION VACANCY
LYNWOOD YOUTH COMMISSION
Comments:
One (1) vacancy exists on the Lynwood Youth Commission. Attached are
applications for consideration:
1. Sky Fisher
15. COMMISSION VACANCY
RECREATION AND PARKS COMMISSION
Comments:
One (1) vacancy exists or. the Recreation and Parks Commission
resigned Lawrence Marques -Appointed by Councilmember Reyes.
Attached are applications for consideration:
1. Lucy Hernandez
2. Edwin Jacinto
3. Oscar Flores
4. Charles Wood
Recommendation:
Councilmember Reyes may re-appoint a Member and/or Council can
nominate a Member.
3
16. COMMISSION VACANCY
COMMUNITY DEVELOPMENT BLOCK GRANT ADVISORY BOARD
Comments:
Two (2) vacancy exists on the Community Development Block Grant
Advisory Board. Three absences - Kenneth Alford. Former
Councilmember Evelyn Wells appointed Kenneth Alford appointed to
Recreation and Parks Commission Donald Primmer Councilmember Byrd
appointed Donald Primmer. Attached are applications for consideration:
1) Irene Garcia 5) Lucy Hernandez
2) Margaret Araujo 6) Edwin Jacinto
3) Maria Romero 7) Oscar Flores
4) Frank Hawkins
Recommendation:
Councilmember Byrd may re-appoint a Member and/or Council can
nominate a Member.
17. REQUEST FOR SPECIAL PERMIT CIRCUS JANUARY 26-30, 2001
LYNWOOD MARKET PLACE
Comments:
Rafael Vasquez is requesting permission to hold a Circus on January 26-
30, 2001 at the Lynwood Market Place.
Recommendation:
That Council review and direct staff accordingly.
COUNCIL ORAL AND WRITTEN COMMUNICATION
PAUL H. RICHARDS, II, MAYOR
RICARDO SANCHEZ, MAYOR PRO-TEM
LOUIS BYRD, COUNCILMEMBER
ARMANDO REA, COUNCILMEMBER
ARTURO REYES, COUNCILMEMBER
CLOSED SESSION
NONE
ADJOURNMENT
MOTION TO ADJOURN TO A REGULAR MEETING TO BE HELD ON
JANURARY 16, 2001 AT 6:00 P.M. IN THE COUNCIL CHAMBERS' OF THE
CITY HALL, 11330 BULLIS ROAD, CITY OF LYNWOOD, CALIFORNIA.
4
DATE: January 2, 2001
TO: THE HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL
FROM: Ralph W. Davis, III, City Manager j'1~-cm~r/ ~~~`'~
BY: Joseph Y. Wang, P.E., Director of Public Works/City Engine tiJ
Paul Nguyen, Civil Engineering Associate
SUBJECT: ORDINANCE AMENDING CHAPTER 7 OF THE LYNWOOD MUNICIPAL
CODE TO PROHIBIT DRIVING OF TRUCKS ON LONG BEACH
BOULEVARD AND PARKING OF TRUCKS ON PROPERTY ALONG LONG
BEACH BOULEVARD
PURPOSE:
To recommend that the City Council hold the public hearing and introduce the
attached ordinance amending Chapter 7 of the Lynwood Municipal Code relative to
Vehicles and Traffic.
BACKGROUND:
During the recent months, the City Council has become more and more concerned with the
increase of commercial truck traffic on Long Beach Boulevard, particularly construction trucks
that use Long Beach Boulevazd as a connector for the Alameda Corridor from the I-105 Freeway.
City Council also raised concern about lazge commercial trucks pazking on private property
along Long Beach Boulevazd, which represent a nuisance to the community.
On November 7, 2000, City Council adopted urgency Ordinance No. 1499 prohibiting the
driving of trucks on Long Beach Boulevard and parking of trucks on property along Long Beach
Boulevard.
ANALYSIS:
Since the urgency ordinance is only valid for a limited time, the law requires that the City hold a
public hearing, introduce and adopt a permanent ordinance relative to this matter. Staff has
published the Notice of Public Hearing on the local newspaper (see attached copy of Proof of
Publication).
RECOMMENDATION:
It is recommended that the City Council hold the public hearing and introduce the attached
ordinance entitled: "AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF
LYNWOOD AMENDING SECTION 7-17.1 OF, AND ADDING SECTIONS 7-17.2 AND
7-17(J) TO THE LYNWOOD MUNICIPAL CODE
Cou00137
A(}ENUA ITEM
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~Va~~c Co~uiuw>til.y Nc~~~spa~~ei<-s
2~i21 W. 541h Sl.
l.,uti Ai>Ibclcs, LA 9(lU~l3
213/ 290-3000
1'1ZOOr OIL, I'Ul3LICA'TION
(2()15.5 C.C.I'.)
,ti'I';1't'1; O1' CAl,ll{O1ZNIA
t'ounly ul' Los Att~;clcs
l am a ~ it i~.en ol~thc l Inilccl Slates anc[ a resident of the Counly
al cn csaid; I ant over Ilte age of cighlectt years, and not a early
ltl ur inlerested in the. al.tove-entitled tualter. 1 aut the priuci-
palclerk of the printer of the I~ymvootl 1'rc~ss a newspaper
ul'~cnc~ral circulation, Itrinlcd and published wre(cly in the
Lit}~ ~~(' Lynwood, County of Los Angeles, and which
newspaper has been adjudged a newspaper oFgeueral circu-
lation by the Superior Court of the County of Los Angeles,
Slaty of California, under tltc date of 02/27/33 Case Nunt-
lur I,ItC53cIA; that the notice, of which the auncxed is a
prinlccl copy (scl in tyl,c not smaller than nonpareil), has been
pul~lishcd in each regular and cu(ire issue of artd not in any
supl,lr.ntent tlrcrrof on the following day, to-wit:
~, v~ . _ --
(AI~~N 111, I~\1')
all in the year "?UUU
rrrlil'y (or dr_clarc) under patally oC perjury that the
furr`_oing is U'ue and rorrccl.
Dated al Los Angclcs, California.,
ihis~~_ day ol_~o~~--, 2UUt)
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1'tcot~t~ c-r• runt.rc•n•rtort or:
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ORDINANCE NO.
AN ORDINANCE OF THE CITY COUNCIL OF THE
CITY OF LYNWOOD AMENDING SECTION 7-17.1 OF,
AND ADDING SECTIONS 7-17.2 AND 7-17(~ TO THE
LYNWOOD MUNICIPAL CODE
WHEREAS, the City of Lynwood is a general law city located in the County of Los Angeles,
and organized and existing under and by virtue of the laws and constitution of the State of
California; and
WHEREAS, the right to operate motor vehicles - a potentially dangerous undertaking - in public
places is not a natural and unrestrained right, but rather a privilege subject to reasonable
regulations enacted under the police power and in the interest of public safety; and
WHEREAS, the legislative power to regulate travel over public roads is thus extensive and may
be exercised in any reasonable manner to conserve the safety of travelers and pedestrians; and
WHEREAS, pursuant to California Vehicle Code Section 21, a local government may, in the
interest of the public welfare, enact and enforce an ordinance relating to the use of motor vehicles
on public roads when authorized by State law to do so; and
WHEREAS, California Vehicle Code Section 35701 allows a City to prohibit, by ordinance, the
use of a street by any commercial vehicle so long as appropriate signs aze erected indicating the
streets affected by the ordinance or those not affected; and
WHEREAS, California Vehicle Code Section 21101 similarly allows a City to prohibit, by
ordinance or resolution, the use of particulaz highways by certain vehicles; and
WHEREAS, commercial trucks driven on Long Beach Boulevazd in the City of Lynwood have
posed substantial inconveniences and hazards to other traffic on this street, particulazly when the
commercial trucks turn, back into the street, or break down;
WHEREAS, these inconveniences and hazards may intensify during and after construction of the
Alameda Corridor; and
WHEREAS, California Government Code 38773 allows the City to summarily abate both
current and potential nuisances; and
WHEREAS, California Civil Code Section 3479 includes, in its broad definition of what
constitutes a regulable nuisance, anything which is indecent or offensive to the senses, obstructs
the free use of property so as to interfere with the comfortable enjoyment of life or property, or
unlawfully obstructs the free passage or use, in the customary manner, of any public street or
highway; and
WHEREAS, pursuant to Government Code Section 38771, the City Council may declaze, by
ordinance, whalt constitutes a nuisance; and _ _
WHEREAS, tucks parked on commercial property along Long Beach Boulevazd interfere with
the provision of emergency services when, by their presence, they prevent police, fire fighters,
and pazamedics from easily accessing the reaz entrances of neazby buildings; and
WHEREAS, trucks parked along Long Beach Boulevard aze also aesthetically unattractive; and
WHEREAS, for these reasons the City Council declares the parking of such trucks on
commercial property along Long Beach Boulevazd to be a nuisance;
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF LYNWOOD DOES HEREBY
ORDAIN IS FOLLOWS:
Section 1. That Section 7-17.1 be rewritten to read as follows:
7-17.1 Establishment and Designation of Truck Traffic Routes. The streets
and highways in the City hereinafter identified are designated as truck traffic routes, and
the Traffic Engineer shall cause signs to be erected giving notice thereof:
Alameda Street
Atlantic Avenue
Drury Lane
Imperial Highway
Martin Luther King Jr. Boulevazd
Norton Avenue from Drury Lane to Santa Fe Avenue
Santa Fe Avenue from Martin Luther King Jr. Boulevazd to Norton Avenue
Stanford Avenue
Wright Road from Duncan Avenue to Martin Luther King Jr. Boulevazd
Section 2. That a new Section 7-17.2 be added, to read as follows:
7-17.2.OPERATING COMMERCIAL VEHICLES ON LONG BEACH
BOULEVARD PROHIBITED.
(a) Notwithstanding anv other provision of this Code, it shall be unlawful for anv
person to operate commercial vehicle weighing 8,500 pounds or more or having a
width equal to or greater than eighty-four (84) inches as measured at the widest
portion of the body, not including mirrors or other extensions, or having a height
of eighty-four (84) inches or more, for an distance along any part of Long Beach
Boulevazd in the City of L nwood.
(b) This prohibition shall be noticed by the City Traffic Engineer in accordance
with Section 7-18 of this Code.
(c) This prohibition does not apply to commercial vehicle which temporarily
turns onto Long Beach Boulevazd as an unavoidable result of an emergency which
threatens life or safety and for such time as is necessary for the emergency to pass
(d) For purposes of this section, the term "commercial vehicle" has the same
meaning as in Vehicle Code Section 260(a) : Specificall , a vehicle of a type
required to be registered under the Vehicle Code, used or maintained for the
transportation of persons for hire, compensation, or profit or designed, used, or
maintained primarily for the transportation of grope Passenger vehicles which
aze not used for the transportation of persons for hire, compensation, or profit and
housecazs are not commercial vehicles, nor is any vznpool vehicle.
State law reference: Authority to prohibit the use ~f streets and hi~hways by
certain vehicles, Vehicle Code Sections 35701, 21101
Section 2. That a new Section 7-17(j) be added to the Lynwood Municipal Code to read as
follows:
(j) Pazking of commercial vehicles on property located along Long Beach Boulevazd
prohibited.
(1) It is unlawful to park or leave standing any commercial vehicle weighing
8,500 pounds or more or having a width equal to or greater than eighty-four (84)
inches as measured at the widest portion of the body, not including mirrors or
other extensions, or having a height of eighty-four (84) inches or more, on any
part of any pazcel of property any side or portion of which is located along Long
Beach Boulevazd in the City of Lynwood.
(2) This prohibition shall not apply to any vehicle:
(a) which is immobile due to emergency, accident or mechanical
breakdown. Such vehicles may remain parked for the period of time
needed to either render the vehicle again safe and fit for travel; or to
remove the vehicle to a garage or other location at which it can be so
made. In no event, however, shall such a vehicle remain pazked for more
than eight (8) hours.
(b) which is pazked in connection with and in aid of the performance of a
service to or on property on which the vehicle is pazked, and for such time
as is reasonably necessary to complete such permitted service.
(c) which is in the process of loading or unloading.
(3) For purposes of this section, the term "commercial vehicle" has the same
meaning as in Vehicle Code Section 260(a) : Specifically, a vehicle of a tune
required to be registered under the Vehicle Code, used or maintained for the
transportation of persons for hire, compensation, or profit or designed, used, or
maintained primarily for the transportation of property. Passenger vehicles which
are not used for the transportation of persons for hire, compensation, or profit and
housecazs are not commercial vehicles, nor is any vanpool vehicle
State law reference: Authority to abate nuisance, Government Code Sections
38771, 38773.
PASSED, APPROVED and ADOPTED this day of , 2001
ATTEST:
ANDREA L. HOOPER, City Clerk
City of Lynwood
APPROVED AS TO FORM:
SHAN K. THEVER, City Attorney
PAUL H. RICHARDS, II, Mayor
City of Lynwood
RALPH W. DAVIS, III, City Manager
City of Lynwood
APPROVED AS TO CONTENT:
JOSEPH Y. WANG
Director of Public Works/City Engineer
STATE OF CALIFORNIA )
} SS.
COUNTY OF LOS ANGELES )
I, the undersigned, City Clerk of the City of Lynwood, do hereby certify that the
foregoing ordinance was passed and adopted by the City Council of the City of Lynwood at a
regular meeting held on the day of , 2001.
AYES:
NOES:
ABSENT:
City Clerk, City of Lynwood
STATE OF CALIFORNIA )
)SS.
COUNTY OF LOS ANGELES }
I, the undersigned City Clerk of the City of Lynwood, and Clerk of the City Council of
said City, do hereby certify that the above and foregoing is a full, true and correct copy of
Ordinance No. on file in my office and that said ordinance was adopted on the
date and by the vote therein stated.
Dated this day of , 2001.
City Clerk
DATE: January 2, 2001
TO: Honorable Mayor and City Council Members
FROM: Ralph W. Davis, City Manager
BY: Alfretta Earnest, Director of Finance and Administration ~~/
Gail L. Black, Personnel Officer.
SUBJECT: DISABILITY RETIREMENT OF STEPHEN P. STEWART
OBJECTIVE:
To have the City Council approve the disability retirement of Stephen P. Stewart pursuant
to Section 21156 of the Government Code.
BACKGROUND:
On February 7, 1988, the City of Lynwood City Council per Resolution No. 89-39,
approved a Letter of Understanding between the City of Lynwood and the Lynwood
Firefighters' Association establishing a Mandatory Permanent Modified Program. The
intent of the program was to bring injured firefighters back to work in a modified position
which would meet the medical restrictions of the employee.
The Workers' Compensation Appeals Board declared Stephen Stewart a permanent and
stationary injured safety employee January 28, 1990. Mr. Stewart was assigned to the
position of Management Aide in the Fire Department a position he held up to October 31,
2000 upon the transition to Los Angeles County for fire services.
Mr. Stewart has applied for a disability retirement from the City of Lynwood. Section
21025 of the California Government Code provides that, in the case of a local safety
member, the governing body of the contracting agency employing such member shall
determine whether the member is incapacitated for the performance of duty. Section
21025 requires that the determination be made within six months of the request from
PERS.
RECOMMENDATION:
That the City Council adopt the attached resolution entitled, "A Resolution of the City
Council of the City of Lynwood Approving the Application for Disability Retirement of
Stephen P. Stewart Pursuant to Section 21156 of the Government Code."
i-
A(iENVA ITEM
~ ~)
t
RESOLUTION NO.
A RESOLUTION OF THE CITY COUNCIL OF THE
CITY OF LYNWOOD APPROVING THE APPLICATION FOR DISABILITY
RETIREMENT OF STEPHEN P. STEWART PURSUANT TO
SECTION 21156 OF THE GOVERNMENT CODE
WHEREAS, the City of Lynwood (hereinafter referred to as Agency) is a
contracting agency of the Public Employee's Retirement System; and
WHEREAS, the Public Employee's Retirement Law requires that a contracting
agency determine whether an employee of such agency in employment in which he is
classified as a local safety member is disabled for purposes of the Public Employee's
Retirement Law and whether such disability is "industrial" within the meaning of such
Law; and
WHEREAS, an application for disability retirement of Stephen P. Stewart
employed by the Agency in the position of Firefighter has been filed with the Public
Employees' Retirement System; and
WHEREAS, the Lynwood City Council has reviewed the medical and other
evidence relevant to such alleged disability; and
WHEREAS, there is not a possibility of third party liability; and
WHEREAS, the primary disabling condition is orthopedic; and
WHEREAS, advanced disability pension payments will not be made.
NOW, THEREFORE, BE IT RESOLVED, that the Lynwood City Council
find and determine that Stephen P. Stewart is incapacitated within the meaning of the
Public Employee's Retirement Law for performance of his duties in the position of
Firefighter; and
BE IT FURTHER RESOLVED THAT THE Lynwood City Council find and
determine and it does find and determine that such disability is a result of injury or
disease arising out of and in the course of employment.
BE IT FURTHER RESOLVED THAT A PETITION was filed with the
Workers' Compensation Appeals Board for a determination pursuant to Section 21166,
Government Code; and a copy of such determination is attached; and
BE IT FURTHER RESOLVED that the member was separated from his
employment in the position of Firefighter after expiration of his leave rights under
Section 21164, Government Code, effective October 31, 2000 and that no dispute as to
the expiration of such leave rights is pending.
PASSED, APPROVED and adopted this _ day of , 2001.
PAUL H. RICHARDS, II
MAYOR
ATTEST:
ANDREA L. HOOPER, City Clerk
APPROVED AS TO FORM: APPROVED AS TO CONTENTS:
City Attorney
Ralph W. Davis III, City Manager
WORKERS' COMPENSATION APPEALS BOARD
STATE OR CAL.iFORNIA
Case No. ~ SBR 138151
STEPHEN STEWIRT, APPS
Stipulations
with Request
~, for Award
CITY OF lYNY00D, ~ Dafindarita
The parties hereto stipulate to the issuance of an Award and/or Order, based upon the followio~ facts, and
waive the requirements of Labor Code Section 5313:
1. _ Stenh n S - w` r~~) born 5[11/44 ,while
employed within the State of California as ?- Firefighter _, on 7/1 /86
(pocapatioa) (Dw of 1a1ory )
by ('i tv of L; nwoed tEnsp~or•~) who~IIlB~I~Sp~~~ a iilfXwas
permissibly
self-insured sustained injury arising out of and in the coupe of employment lower extrpm_itieS
(!ua of body ~oi~)
(/ ~.~• ~r0• ~~ additional 1016/
2. The injury cauled temporary disability for'~e/~enod
through A~9n/SQ for which indemnity is payable at a p~4-[1D per
week, less credit for such payments previously made.
3. 'The injury caused permanent disability of ^.2~_,~c, for whkh indemnity is payable at f L4f1.~
per week beginning R/9a/R4 , in the sum of i 1~-~~~~~ -. less credit for such
payments previously made.
Aa informal ratings has not been greviously Lssued.
ts.~ a..)
4. There is Y~c~1i[ftx~(11sc need for medical treatment to cure or relieve from the e$ects of said injury.
tsiKt os.)
If the employee deems treatment is necessary, the employee agrees
to demand it from the employer.
w-~~rarsxr or ,„ousn,u~ ^n~-t,o-u
avuwK or i„ostwrw~ ~cuesM*s
WORKEk~' COMPENSATION APPEALS BOARD
STATE OF CALIFORNIA
g. Med~al.Iegal ezpeases are payable by defendant as follows:
Ali have been paid by the employer.
8. Applicant's attorney request a fee of s ~ 7 Sid r~ c1 ~ 3 2 ~-~
7. Liens against cornpensatiaa are payable as follows:
Nane `
$. Otbe: stipulations:
A. There is no further claim for temporary disability or Labor Cade
Section 4850 benefits other than that set forth in Paragraph 2.
8. If accrued and unpaid permanent disability is inadequate to pay
the attorney's fee, the employer is authorized to coamute sufficient
funds from the end of the award to add to any accrued and unpaid
permanent disability to pay the attorney's fee.
C. This stipulated award includes any claim for interest for up to
Twenty-five (25j days after the service of the Award herein on
defendants.
D Defendant agrees to re-credit. 88.24 hours.,of_sick leave to employee
)•27'-gp _ per letter of Oon Fraser dated 1/23/89.
11330 8uliis Road
571-64-5589
Social Security Number of Applicant
12752 Topaz
6ardea . Gr,~re,,, CA :.9Z~d5
Address of t ~~
Peters cal'
Ov. I_ _ i A //1
kftorney for Applicant ~T.eveR ~. ~vca: ~
1638 East 17th Street, Suite H
Santa Ana, CA 92702
Address of Attorney for Appli~at
1154 Foothill Boulevard, Suite E
Marx ~ 6renberg
8 v
Att ey or Autho ep entative for Defendant
6701 Center Drive M st, 12th Floor
Los Angeles, CJ1 90045
Address of Attorney or Authorized Representative
WORKERS' COMPENSATION APPEALS BOARD
STATE OF CALIFORNIA
AwAR~
AWARD IS MADE in favor of ~- .------- against
of:
(A) Temporary disability indemnity in accordance with paragaph 2 above,
(B) Ptrmaaent disability indemnity in accordance with paragraph 3 above,
Less the sum of S payable to applicant's attorney as the reasonable value of services
rendered.
Less liens in accordance with Paragraph 7 above,
(C j Further medical treatment in accordance with Paragraph 4 above,
(D) Reimbursement for medics!-legal expenses in accordance with Paragraph 5 above,
(E)
Dseed:
Copy served on all persons listed on
Qf$cia! Address Record.
Date:
Wa. ' Cornpen.etton 1~6s
WORICEAS' COMPENSA?iON ApP1sAL3 HOARD
By:
(51=natuee )
WORKERS` COMPENSATfON APPEALS BOARD
STATE OF CALIFORNIA
STEPHEN STEWART, Applicant Case No. ~ SBR 138152
Stipulations
with Request
~s. for Award
CITY OF LYNWOOD , De fe~~
The parties hereto stipulate to the issuance of an Award and/or Order, based upoa the following facts, and
waive the requirements of Labor Code Section 5313:
1, Stenhe~ t wart,, ,born ~/11/~ .while
~tmv~)
em Io ed within the State of California as on , 5/5/86 - 5/5/87 _,
P Y o«nvaes) cnueofIniorY)
b City of Lynwood who>ii~~t was
cE~>ab~:) Sine and
sel f ~ insured sustaiaed inf ury arising out of and in the course of employment 14+~+e* xtremi ties
(Peen ad body lajuead)
2 The injury caused temporary disability.fuc)doit~CitxbcXycXxxX
~~ x~bi~d>vaodacs~ood~ ~ x
~~~e~come~iit~Cpeo~x~oOgcioo~caooack~c All benefits provided in 88 SBR 138151.
3. The injury caused permanent disability.ofxxxx.xx~t~f~~i~ciax~ciaxi~aac~dc~
~ R#c#~rac~x~cx~c~c~x~clhlo~c~lc~klt~'
1E~~xx~ziRx~dxxa~oc All benefits provided t n 88 SBR 138151.
An informal rating ~ has not been previously issued.
(select one )
4. There is mcmA~4cJCRtaX7cb~ need for medical treatment to cure or relieve from the effects of said injury.
~ select ow>e )
Atl benefits provided in 88 SBR 138151.
K/A11TMtNT 0/ 1NOUtT1t1AL 1ttLATIONf
O1YIfION O- INOUfT1l1AL AGCIOKNT~
I!~w s N~.•
WORKE..~ COMPENSATION APB .....BLS BOARD
STATE OF CALIFORNIA
5. Medical-1ega1 espeases are Payable by defendant as foIIows:
All benefits provided in 88 SBR 138151.
8. Applicant's attorney request a fee of S
All benefits provided in 88 SBR 138151.
7. Liens against compensation are payable as follows:
All benefits p'1^ovided in 88 S8R 138151.
8. Other stipulations:
Ali benefits provided in 88 SBR 138151.
"Z.~'^ d
Dated
App Step tewart
_ 571-64-5589 -
Sodal Security Number of Applicant
Y27 52 LT.opaZ
Garden 6roYe, CA..9.2645
rney for Applicant Steven S. Kocal i s
1638 East 17th Street, Suite K
Santa Ana CA 92701
Address of Attorney for Applicant
11330 8ullis Road
~nwood~.. California 90262
Address of Employer
1150 Foothill boulevard, Suite E
Grance eb itz nder, Marx d~ Greenbe
Atto ey or resentative for Defendant
6701 Center Drive est, 12th Floor
Address aF Attorney o: Authorized Representative
O[~ARTN[MT O/1MOU[TRIAL R[LATIONt
WORKERS' COMPENSATION APPEALS BOARD
STATE OF CALlFORlVlA
AWARD
AWARD IS MADE In favor of ,- -.- against
of:
(A) Temporary disability Indemnity in accordance with paragraph 2 above,
(B) Permanent disability indemnity in accordance with paragraph 3 above,
Less the sum of i payable to appticant's attorney as the reasonable value of services
rendered.
Less liens in accordance with Paragraph 7 above,
{ C) Further medical treatment in accordance with Paragraph 4 above,
{ D) Reimbursement for medical-1ega1 expenses in accordance with Paragraph 5 above,
(E)
Dated: Workers' Cornyawtton J~d~a .
WORMERS' COMPENSATION APPEALS BOARD
Copy served on all persons listed on
O~cial Address Record.
Date:
Bv:
l S+rnature ~
- w~~~A~wwr 0/ INOWTi~IAL 11}LATION}
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C I T Y of L Y N W O O D
U'`RRAhJ' C:;TEs O1-a*--U1 WARRANT REGISTER _ PAGE: 1
I
' pHEPA1D5 AND VOIDS
I ~~ W:+RRA~df# AMOUNT VENDOR# VENDOR NAME DESCRIPTION. _ INV DATE INVOICE At1UUNT
1 101199 ~ -
194.02 49999 MGM GRAND HOTEL
VOID/LODGING
01-02-01
-194
02
101626 -200.00 99999 SHAWN HOOD VOIDlENTERTAINMEN7 SVCS. O1-U2-O1 .
-200
GO
10158' O OU 99999 SPOILED SPOILED 01-02-01 .
O
OU
161588 0 00 49999 5POILED SPOILED 01-62-01 .
0
07
101589 G. GO 99999 SPOILED SPOILED 01-02-01 .
O
UU
IC1164b 0.00 99999 SPOILED SPOILED 01-02-01 .
O
OU
161648 0.00 99999 SPOILED SPOILED 01-02-01 .
0
00
101649 0.00 99999 5PDILED SPOILED 01-02-01 .
0.00
~; I
~
_ _ _
__
TOTAL PREPAYS:
0.00
!
~ '~ TOTAL VOIDS: -394.08
;I
(
,.I
t,,
31
:,
,' •'
I
i
,
' _ _...._ ......__ - _ _ __
_. _ _
_..
_ _ _
. TOTAL.:. _
_ -394. 02
~;
(i I
'~!
"~
LIIII
..,
,i
a I
31
l05
~4l
III
sr
sl
_
-
_
.._ ___
-
_ _ _
_..._,._ ... _..
_... _ _
_.
_
_
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--- " ---...--- --------__ ..__._
es
76
l - - ._. _ -- - _ _..
........_.
CITY of LYNWOOD
W.~R}IA11T DATE; GI-u2-01 W ARRANT _ R E G I 5 T E R PAGE: 2
'~
WARRANT# AMOUNT VENDDR# VENDOR NAME DESCRIPTION
~ iv170d 25. bl 3571 ADATIX
101709 25.00 3253 HECTOR ABARCA
101710 207.47 1289 ABC HARDWARE
101711 6.'.43 1334 ABC HARDWARE
101712 40.92 445 ACADEMY POOLS
101713 2°~ 00 3340 SERGIO ACOSTA
1v1714 87.00 662 ADT SECURITY SERVICES
101715 194.78 801 ADT SECURITY SERVICE INC.
1v1716 194.69 4154 AEG SOLUTIONS
101717 388.78 94949 ALCO PRODUCTS
li~t'118 597.39 3527 ALFA CARBURETORS
1v1719 124, b8 420 ALL AMERICAN HOME CENTER
, I 101720 --._ .-. - - 25. 00 - .3310 KATHERINE L, AMEY
101721 25.00 3311 5UE M. AMICIXVE
:~
101722
3137.09
0199
AQUA METRIC SALES CO.
r
~ 101723 -- ------23.86---. -4086 ARCH -
.
~' 101724 202.85 1399 ASTRO CANON BUSINESS
2J 161725 231.00 3993 ATLANTIC CAR WASH
t' 101726...__._ .._..___._29....00...._ _._3500- JAMINA BARNES _._ _
ze 101727 25.00 20 YOLANDA BAYS
:' 101728 5319.32 03 DE5T ACCESS SYSTEMS
~ 1 01729-_- --------905. bb -_ _._ _ 788 B I SHOP . CO.
~
' 101730 219.79 1168 DLUE DIAMOND MATERIALS
-
io 101731 25.00 3250 SAVANNAH BRIGHT
'~
101732 _
_ ---
356.42 - 3513 DUDBS HARDWARD
I'~ 101733 224.60 102 CAL ADDISON
„ 101734 195.00 99999 CALPELRA
I 101735 -.-- -___ -1445.47-_-- .-.-.436 CARL WARREN & CO.
~'~
~' 101736 477.75 3bi6 CENTURY EXPLORER # 1993
I 101737 606,50 53 CLINICAL LAB OF SAN BERN
101734 _. ...45170.33 57 COMMUTER BU5 LINES
i'!
~ 101739 16.40 4063 COMPLETE WELDING AND CUTTING S
~~
~ 101740 9.40 59 COMPTON BLUEPRINT 6 SUPPLY
' 101741 .._._....9634.03 ...698 COUNTY OF L. A. ANIMAL CONTROL
d0 101742 655.35 936 DAPPER TIRE CO,
`~ 161743 1110.00 939 DATA PLUS COMMUNICATIONS INi:.
101794_- ._ ___.566.00 _ . _ .3714 DAVID YOUNG
_ _ _.
101745 408.00 543 DEE-MAR, INC.
°' 101746 40.00 99999 DFM ASSOCIATES
°' 101747_._ __-25__00-- ---.73 DONALD DOVE
°6 101748 280 92 89 EWING IRRIGATION PRODUCT
101749 501.05 4041 EXCEL
°0
'g 101750--- --_.1422.60--_.- - 812- -FAIR HOUSING FOUNDATION - ---
I 101751 109.48 896 FED EX
'0 101752
25. 00
91
ANN A. FIELDS
'~
" -101753 :5_.00•- -3339.. CLAUDIA. FIGUEROA----.--.--
101754 253.64 0115 FIRST CHOICE COFFEE
;
101755
83.44
3898
FLACHOUSE
.,,
,~
101796- __
_ _. _.lb: -75 --_
__3534 .
FORD-ELECTRONICS _.._.
:6I
~~,~~
_.
I1JV DATE INVOICE AMOUNT
OPERATING SUPPLIES
PLANNING 12-00
HARDWARE SUPPLIES
HARDWARE SUPPLIES
OPERATING SUPPLIES
YDUTH COMM. 12-00
ALARM SVC5.
ALARM SVCS.
OPERATING SUPPLIES
UPERATING SUPPLIES
AU70 PARTS
OPERATING SUPPLIES
RECREATION 12-00
RECREATION 12-00
OPERATING SUPPLIES
PAGER SVCS. -
PRINTER CARTIRIDGES
CAR WASH SVCS.
PLANNING 12-00 -
RECREATION 12-00
PROFESSIONAL SVCS.
OPERATING SUPPLIES
OPERATING SUPPLIES
YOUTH COMM. 12-00
HARDWARE SUPPLIES-.
AUTO PARTS
MEMDERSHIP DUES
LIABILITY CLAIM
CURD PAINTING PROJEC
WATER SAMPLING SVCS.
TROLLEY SVCS.
WELDING SUPPLIES
DLUEPRINT SVC5.
HOUSING SVCS...
AUTD PARTS
PHONE MAINTENANCE SV
COMPUTER SVCS. _ _
TEMPORARY SVGS.
ELECTION CDDE DOOM
.PLANNING 12-00
IRRIGATION SUPPLIES
OPERATING SUPPLIES
COMMUNITY SVCS....._..
DELIVERY SVCS.
RECREATION 12-00
.YOUTH COMM_-12-00 --
COFFEE SUPPLIES
OPERATING SUPPLIES
OPERATING SUPPLIES_..
01-02-01. -.
01-02-01
01-02-ot
01-02-01
01-02-O1
01-02-Oi
u1-02-01
01-02-01
01-92-01
01-02-01
01-02-Of
01-02-01
01-02-01
01-02-01
01-02-01
__o1-oa-oi
01-02-01
01-02-01
01-02-01
01-02-01
01-02-01
01-02-01
01-02-01
01-02-01
01-02-0L _ . ...
o1-Ga-ol
01-02-01
01-02-01
T 01-92-01
01-02-01
01-02-01.. 4
01-02-01
01-02-01
_ 01-02-01
01-02-01
CS. 01-02-01 1
01-02-01 __ _
01-OZ-O1
O1-G2-01
01-02-01 -_ _
01-U2-O1
01-02-01
__ .01-02-01._._. 1
01-02-01
01-02-01
- . 01-42-01. _ _. ....
01-0'-O1
O1-U2-O1
-- __ 01-02-01._..._ -- ..
25. 61
25. 00
207. a7
62.43
40.92
25. 00
s7. Do
194. 76
194.69
388. 76
597. 39
124.69
25.00
25. 00
3137, 09
223. eb
2e2. e5
231.00
25.06
25.00
5319. 32
.905.. 66
219. 79
25.60
35ti. 42
224. 60
195. 00
1988.47
477. '5
606.50
5170. 33
18. 40
9. 40
5634.03
655. 35
110 QO
560. 00
408. 00
40. OU
25. OU
280.92
801. 0~
109.48
25. 00
25.00_..____ __ ._
253.64
63.94
162.75 ___ _ _
w~;RRA(J7 L`MiE: 01-U2-O1
'I
W~RRANI# AMOUNT VENDOR# VENDOR NAME
~,,
~,
m
(.~tl
:a
zs
35
.~u
I,,
I ~?~
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~~~
I"
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sa
ss
~~56,
Cl_-
C I T Y of L Y N W O O D
W ARRAN T R E G I S T E R
DESCRIPTION
171757 3348.35 - 781 FRANK STEIN NOVELTIES .
OPERATING SUPPLIES
101754 125. 00 99999 FRED PRYOR SEMINARS REGISTRATION SVCS.
101759 325. 00 35 G & G AUTO UPHOLSTERY UPHOLSTERY SVCS.
101760 585. 46 917 CBS LINEN LINEN SVCS.
]01761 205 46 3579 GCR PARAMOUNT TRUCK TIRE AUTO PARTS
171762 131. 84 1294 GOLDEN WEST PIPE ~x SUPPLY PLUMDING SUPPLIES
101763 25. 00 3360 ALFREDO 60NZALES YOUTH COMM. 12-00
101764 288. 95 1272 GRAINGER ELECTRICAL SUPPLIES
10{765 97. 21 114! GRIFFITH AIR TOOL HARDWARE SUPPLIES
101766- - ^.969. 27 - -913 HILLYARD JANITORIAL SUPPLIES
101767 5675. 84 526 HONEYWELL iNC MAINTENANCE AGREEMENT
161768 5639. 83 94Q JAY'S CATERING CATERING SVCS
161764 __._
..._......_.187_.
89
_...3359
JERRY'S 5IGN5 !, DESIGN .
SIGNS
101770 271. 70 99999 JOHN HILL & ASSOCIATES LIADILITY CLAIM
101771 13. 43 3619 JONES LUMDER CONSTRUCTION SUPPLIES
101772. ---... _._--_145.- 91 ._...----...140. KEYSTONE FORD _ AU70 PARTS _
101773 bO. Op 001 KING FENCE RENTAL SVCS.
101774 736. 62 3796 KULI IMAGE INC. T-SF{IRTS
1'1775.--. -__5033, 70. --_...__-474. E-&-A-TRUCKING . __ CONCRETE PUMPING SVCS
101776 171. 00 0125 L I~ N UNIFORMS UNIFORM RENTALS
101777 273. 00 99994 L.B.I. AIR INC. AUTO PARTS
101778 1746 3 4^3 x
SVC
----
101779 --- 6-- -- .. 5 LOGICON IT6 ANNUAL MAINTENANCE AGREE.
25.00 4221 LYDIA ROMERD YOUTH COMM. 12-00
101780 !010.10 164 LYNGATE PRINTING CO. PRINTING SERVICES
101781 --.__ ....710,64-- -.170 LYNWOOD RENTAL CENTER. RENTAL SVCS,
lU1782 25.00 3489 ALLAN MACIEL PLANNING 12-OD
101783 390.00 1548 MAIN STREET TOURS TRANSPORTATION SVCS
101784__--___
.____.Zg.DO-
.-3355
DR.. CARLOS MANLAPAZ .
PLANNING 12-00
1Ci1785 500.00 4059 MARK BRIGGS & AS50C PROFESSIONAL SVCS.
101786 49.94 3404 MANUEL R. MEJIA PRINTING SERVICES
1vi787.__.__ -- 4956,00 --4206 MICHAEL J. WAGNER 6 ASSOC. HOUSING ELEMENT SVGS,
10!788 150,00 3426 MISSION MANAGEMENT CASH REGISTER REPAIR SVCS
161789 2141.10 4146 MITCHELL PERSONNEL SVC TEMPORARY SVGS.
1 01 740------ ____.~3L 77- -- ..827 M & M AUTO PARTS -- - -.- . - AUTO PARTS ---
. _ ... ..... .
101791 2024.78 190 NAP'S AUTO REPAIR AUTO REPAIR
101792 2290.00 743 NATIONAL PLANT SERVICES, INC. SEWER CLEANING SVCS.
101793------ -i3515~93---- .----..973- NATIONWIDE ENVIRONMENTAL SVCS: -TRASH PICK UP SVCS.-
101794 2400.00 4023 NDCE CONSULTING SVGS.
101795 5066.10 053 NIEVES LAND5CAPE~ INC LANDSCAPING SUPPLIES
101746- 237,10-- - 769 NORWALK POWER EQUIPMENT CO. OPERATING SUPPLIES
101797 308.55 126 OFFICE MAX OFFICE SUPPLIES
101798 47.67 676 ORVAC ELECTRONICS ELECTRONIC SUPPLIES
161799 --- _--_48.-00-- 44499 OSCAR A. PEREZ - REIMDURSEMENT/PARKING -
101800 38.86 3496 PARA ELECTRICAL ELECTRICAL SUPPLIES
101801 230.00 99999 PASCO SPEC & MANUF. INC. OPERATING SUPPLIES
101802 Z5.A0--- --3319- .RITA PATEL - -------_ .. . .PLANNING SVCS.- -.-
101803 25.00 3542 FERNANDO PEDROZA RECREATION 12-00
101504 64.28 206 PERVO PAINT COMPANY PAINT SUPPLIES
101805 ~7-1rS5- ---.'.IIZ RETTY-CASH__ - _._ _. ____ .REIMDURSEMENT--.._ __ __ __.
PAGE: 3
INV DATE INVOICE AMOUNT
01-02-01 3348.35
01-02-01 125. 00
01-02-01 325. 00
01-02-01 -. 558. 46
01-02-01 205. 66
01-02-01 13!. 84
OS-02-01 - 25. 00
01-02-01 288. 95
01-02-01 g7, 21
01-02-01 - - 2969. 27
01-02-01 5675. 84
01-02-01 5639. 83
O1-U2-O1 187. 84
01-02-01 271. 70
01-02-01 13. 43
D1-02-01- 195. 91
01-02-Oi 66. 00
01-42-01 736. b2
01-42-01 5033. 70
41-42-01 171. 00
01-02-01 273. OD
01-02-01 - -1746, 36
o1-a2-ol 2s. oD
41-02-01 1010. 16
01-02-01 710. 69
O1-D2-O1 25. QU
01-02-01 340. UO
01-02-01 25. 00
01-02-01 504, 00
01-02-01 49. 94
01-02-01 4950. GO
01-02-01 150. OD
01-02-01 2141. 14
01-02-01 231. 77
01-02-01 2029. 78
01-02-0t 2290. 00
01-02-01 13515. 43
01-02-01 2400. 00
01-02-01 5066. 10
01-02-01 237. 10
01-02-01 308. 55
01-02-Ot 47, 67
01-02-O1 _ 48. 00
01-02-01 38. 86
01-02-01 230. 00
O1-D2-O1. -- - 25. 00
01-02-01 25. 00
O 1-02--01 69. 29
01-02-01..__. _. _.._471... 95_.....
C I TY of L1`NWOOD
WARRANT DnTE: O1•~U2-O1 W ARRAN T R E G 15 T E R - PAGE:-4
~,
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r.:
bi,=.RRANTµ AMOIIFJT VEFJDOR# VENDOR NAME
DESCRIPTION
IWV DATE INVOICE AMOUNT
101806 3 -
- 69 30 -261 PRESS TELEGRAM ADVERTISING 6VC6. O1••G2-O1 369 30
Ifi1807 1020. 9B 1084 4UALITV AUTO AUTO PARTS 01-02-01 1020 .
88
101808 552. 0$ 094 OUICK CRETE PRODUCT CONCRETE SUPPLIES 01-02-01 552 .
08
tJiB09 679. 96 3521 R. E.BRID / 50. CAL. D[5T. JANITORIAL 6UPPLIES 01-02-01 679 .
86
101810 90. 86 3928 RAMCAST ORNAMENTAL SUPPLY OPERATING SUPPLIES 01-02-01 B0 .
86
161811 924 90 221 RAPID PUBLISHING ADVERTISING 5VC5. 01-42-01 829 8"
101812 r5. 00 3257 WILLARO H. REED PLANNING 12-00 01-02-01 - 25 -
G0
101813 7G. 88 229 RENTERIA AUTO PARTS AUTO PART5 01-02-OS 70 .
89
101614 764. 50 143 RHW k ASSOCIATES PAGER 5VC5. 01-02-01 764 .
50
101815 2448. 00 -3501 RSA-TECHNICAL SUPPORT 5VC, ENGINEERING 6VCS. 01-02-01 2449 .
06
161816 641. 91 1230 S & J SUPPLY CO. OPERATING SUPPLIE5 01-02-01 641 .
91
101817 56, 00 3303 S.P.U. AUTO PARTS 01-02-01 5b .
00
101816 - - --6208: 50 - 1362 SEpUEL CONTRACTORS, INC. TRENCH INSTALLATION 01-02-01 620& .
50
141819 43144. 41 40S SHAN K THEVER & ASSOCIATES LEGAL FEES 01-02-01 43144 .
41
101820 10800. 00 1220 5IMP50N ~ SIMPSON AUDITING 6VCS. 01-02-01 10800 .
00
101821 ----- ---71,- -94 - --3637 -SKILL OFFICE MACHINE DOWNEY -- MAINTENANCE 6VC6. - 01-02-01 - - 71 .
99
101822 178. 50 10 SONITROL DF LONG REACH ALARM 5VC6. 01-02-01 178 .
50
101823 140. 2B 446 SOUTH GATE CAMERA CAMERA SUPPLIES 01-02-01 140 .
28
161824 ---- - --- -371.- 51 -- ---3953 -60UTHGATE CAMERA SVC - - --CAMERA SUPPLIES - Ot-02-01 - - -371 .
51
101825 2147. 20 4236 STATE OF CALIFORNIA DEPT. ANNUAL PAYMENT 01-02-01 2147 .
20
101826 419. b5 3421 SUPER DOLLAR WISE SMOG INSPECTION SVCS. 01-02-O1 ,
419 65
161827 ----- - - B5. -15-- -1022 5Y&CO OPERATING 5UPPLIES 01-02-01- .
- - 85 15
101828 1095 54 666 TAJ DFFiCE 5UPPLY OFFICE 5UPPLIES 01-02-01 1045 :
54
161829 102. 36 3931 THE LIGHTIiOUSE ELECTRICAL SUPPLIES 01-02-01 .
102 36
1u1830-- - 1828. 34 99999 TORRES SPORTSWEAR OPERATING SUPPLIE5 01-0:-01. .
- 1828 34
101831 188. 00 239 TRENCH SHORING TRENCH 5HORIN6 SVCS, 01-02-01 .
188 00
101832 59665. 21 279 U. S. $ANK LEA5E/DEBT SVC. PYMT. 01-02-01 .
59665 21
101833 --- -- - - - 129:- 19 -- -- 254 UNDERGROUND SVC ALERT UNDERGROUND 5UC. WORK 01-02-O1 .
129 15
101834 352. 02 3697 UNISOURCE MAINTENANCE SUPPLY JANITORIAL SUPPLIES 01-02-01 .
352 0
101839 649. 50 4018 UNITED RENTALS RENTAL SVCS. 01-02-01 .
649 90
161835 1744, 59 4161 UNITED PUMPING SERVICE WASTE REMOVAL 01-02-01 - .
.1794 5?
101837 :654. 1T 4101 US5 CAL BUILDERS, INC. CONSTRUCTION SVCS. 01-02-01 .
7694 17
ID1938 1509. 88 4222 VALVERDE CONSTRUCTION INC. CON5TRUCTION SVCS. 01-02-Q1 .
1509 68
101834-----. -.-- 29: 00 283 LUCILLE WALKER - -- RECREATION 12-00 _ 01-02-01 .
29 00
101840 55. 34 191 WAVE COMMUNITY NEWSPAPER ADVERTISING SVCS, 01-02-01 .
55 39
101841 93. 41 4032 WESTERN HIGHWAY 5IGN5 01-02-01 .
93 41
101842-___-..__ ___-b5_- 00--- .- . 243.. WESTERN EXTERMINATOR EXTERMINATING SVCS. 01-02-01 .
65 00
101843 354. 56 1419 WHITE CAP OPERATING 5UPPLIES 01-02-01 .
354 56
101844 216. 50 299 WHITTLER FERTILIZER CO. LANDSCAPING SVCS. 01-02-01 .
216 90
101845-- .-. -A57.- 50 --- .49949- WISHNOW-TEARNEY-HILLION - LIABILITY CLAIM 01-02-01 -- .
- .-.457 50
101846 285. 30 4114 WITTCO SYSTEMS INC. OFFICE SUPPLIES 01-02-01 .
285 30
161647 2059, 60 4050 WORK 57RIPING ~ MARKING SERV STRIPING SVC5. 01-02-01 .
2059 60
101848----- --::56, 35--- -3366. XEROX CORPORATION -- - COPIER SUPPLIES _ 01-02-01 .- .
_ 2256 35
101849
2652.
00
307
YOUNG PEOPLE DF LYNWODD
CLEAN-UP SVCS.
01-02-01 .
2652 .
00
101850 462. 77 308 2UMAR INDUSTRIES, INC. OPERATING SUPPLIES 01-02-01 .
462. 77
292745. 19 292745...19. _ _ _
~i
~I PREPAID: _ _ -----..._ ___ _ _
~~I SPOILED: 101587-89,101646,101648,101649
J _.. ____ ___..__-_VO1D5:--_.101.149.-101626--. -----
i
1
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INV~CE-AMQUNT - --- - -._ _ - - . ,
I. ,
I,
_ _._~ .
----
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I I~1590
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PAGE. 2
JNV DATE INVOICE AMOUNT
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12-28-00 -- 25GG On
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1.1 .... . .. _.._... _._ _
DATE: January 2, 2001
TO: HONORABLE MAYOR AND MEMBERS OF THE LYNWOOD
CITY COUNCIL
FROM: Ralph W. Davis, III, City Manager
BY: Johonna Howard, Public Relations Officer
SUBJECT: Request From AT&T Broadband For City of Lynwood To Waive
Franchise Fees on AT & T Road Runner Cable Modem Service
PURPOSE:
To inform the Lynwood City Council of the letter from AT &T Broadband requesting the
City of Lynwood to waive the franchise fees on AT&T Road Runner cable modem
service. And, to fiuther inform the Lynwood City Council that AT&T Broadband intents
to discontinue, effective January 2001, the payment of franchise fees on cable modem
service based on a recent court decision in AT&T v. City of Portland.
BACKGROUND:
The City of Lynwood received a letter from AT&T Broadband in which it expressed its
intent to discontinue the portion of franchise fees paid to local franchising authorities
relative to cable modem service (AT&T Road Runner). Its decision is based on the
recent Ninth Circuit Court of Appeal ruling in ATdcT v. City of Portland, in which the
court questioned whether local franchising authorities have the right to assess cable
service franchise fees on cable modem service revenue. Also, because the Federal
Communications Commission ("FCC") is in the process of determining whether or not
cable modems for Internet services provided by cable operators is indeed a "cable
service."
Because of the Portland decision, AT&T Broadband believes that the City of Lynwood
would potentially be exposed to future refund liability, if it continues to assess franchise
fees on cable modem service revenue. AT&T Broadband is therefore requesting the City
of Lynwood to waive the franchise fees on cable modem service until the FCC makes a
determination as to whether cable modem service is a "cable service".
To appropriately respond to AT&T Broadband, staff contacted Attorney William Rudell
of the law firm of Richards, Watson & Gershon, who has provided special counsel to the
City relative to cable franchise matters.
ANALYSIS:
Attorney William Rudell, being thoroughly familiar with the recent court decision in
AT&T v. Citx of Portland has drafted a letter to ATBcT Broadband on behalf of the City
of Lynwood for the review and approval of the Lynwood City Council in which to
provide further staff direction.
The letter identifies the likely concerns of the City of Lynwood relative to the financial
impact the discontinuance of payment of franchise fees ~n cable modem service would
have, and asks AT~T Broadband to respond to the following pertinent questions:
How many subscribers to cable modem service does AT&T Broadband
currently in the City of Lynwood?
2. What is the monthly amount of franchise fees received from subscribers
who have cable modem service?
3. What is the projected increase in the number of subscribers to cable
modem service for the yeaz 2001 and the estimated revers s?
i-
A(~EATVA ITEM
l3
4. What federal statutes or regulations require that franchise fees be passed-
through by the cable operator to those who subscribe to cable modem
service?
5. Does ATBtT Broadband intend to make payments to the Universal Service
Fund on cable modem services that have been judicially determined to be
"telecommunications services"?
6. What other local fi-anchise authorities have agreed to waive franchise fees
for cable modem service as requested in your December 8~' letter?
7. What effect, if any, will the judicial classification of cable modem service
as "telecommunications services" have upon existing or future pole
attachment ageements with the City of Lynwood or with utility service
providers in the City?
The letter indicates that the City of Lynwood expects AT&T Broadband to keep track of
all franchise fees that would otherwise be paid on cable modem service and to provide
quarterly reports of the amount. Furthermore, a prompt response from AT~T Broadband
with answers to the City's concerns in writing is requested.
RECOMMENDATION:
Staff respectfully recommends that Lynwood City Council review the attached draft letter
to AT&T Broadband for approval and provide further direction to staff.
ATTACHMENTS
MEMORANDUM
DATE: December 19, 2000
TO: Ralph W. Davis, III, City Manager
Lorry Hempe, Assistant City Manager
FROM: Johonna Howard, Public Relations OfI•icer
SUBJECT: Correspondence From AT&T Broadband
In regard to the attached letter, I have called Attorney William Ruddell requesting that he
assist us in providing a response to AT&T Broadband. I left a message on his voicemail
today, expressing the urgency of this letter and our need to respond to AT&T before
January 2000. Please read the letter and the attachment I received from SCAN/NATOA
via the Internet and advise me as to how to proceed.
Thanking you in advance.
DEC-2?-2000 0855 RICHARDS WAT50~~8GERSH~ra6?
467 P,01i04
0059
RICHARDS, WATSON & GERSHON
ATTORNEYS AT LAW
w PROFESSIONAL CORPORATION
THIRTY-EIGHTH FLOOR
33S SOUTH HOPE STREET
LOS ANGELES, GLIFORNIA 90071 • t a6B
TELEPHONE I2t8) 626-64t3t FA7C(2t3) 628-007ti
FACSIlVIII.E TRANSMISSYON
DA'T'E: DECEMBER 27, 2000
To:
Johonna Jacobs-Howazd
FII.E No.: 10512-0001
REFERENCE: Lynwood
Number of Pages (mclnding cover): 4
REMARxs:
FROM: Wn.uaM B. RwELL
Fax No. Pxot`~ No.
(3I0) 635-6832 (310) 886-0431
DocuMENT DESCRipnON: Multichannel News Aroicle
As requested, we are reaansmitting to your our fax dated December 24, 2000
THIS INFORMATION lS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHOM IT IS ADDRESSED AND MAY
CONTAIN CNFORMATtON THAT IS PRMLEGED, CONFIDENTIAL AND EXEIuiPT FROM DISCLOSURE UNDER APPLICABLE LAW.
!F YOU ARE NOT THE MTENDED RECIPIENT, OR THE EMPLOYEE OR AOENT RESPONSIBLE FOR DELIVERING Cf TO THE
MENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT Ah'Y DISSEMINATION, DISTRIBUTION, OR COPYING OF THIS
COMMUMCATION IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR PLEASE
IMMEDIATELY NOTIFY U5 BY YELEPHONE (COLLECT), AND RETURN THE FAX TO US AT THE ABOVE ADDRESS V1A THE U.S.
POSTAL SERVICE.
IF YOU DO NOT RECEIVE ALL OF THE !AGES, PLEASB PHONE (213)626-ems AS SOON AS POSSIBLE.
10312100011637881.3
DEC-27-2x00 0856 RtCHARDS WATSON&GERSHON67
467 P.p?ia4
0059
RICHARDS, WATSON & GERSHON
ATTORNEYS AT LAW
w PROFESSIONAL CARPORwT10N
THIRTY-EIGMTk FLOOR
933 SOUTk MOPE STREET
LOS ANGELES, GLIFORNIA 90071.1469
TELEPHONE (213) 626.8484 FAX (2131 626.0076
FACSINIILE TRANSNIISSION
DA?E: DECEMBER 20, 2000
To:
Johonna Iacobs-Howard
FILE NO.: 10512-0001
ItEFCRE?VCE: Lynwood
Number of Pages (including cover): 3
REMARKS:
F~t01~1: WiLLtAM $. RUDELL
FAx No• PHONE No.
(310) 764-4908 (310) 886-0431
DOCUMEIrT Dt SCRII"i'iON: Multichannel News Article
Attached is the draft of a proposed letter to AT&T Broadband. If you have any questigns
concerning its contents, I can be reached on Thursday.
THIS MFORIvIATION IS 1NTENDED ONLY FOR THE USE OF 7HE INDIVIDUAL OR [NT[TY TO tiVHOM R [S ADDRESSED AND MAY
CONTAM B~IFORMATION THAT iS PRIVILEGED. CONFit)EN'ftAL AND EXEMPT FROM DISCLOSC;RE UNDER APPLICAHLB LAW.
IF YOU ARE NOT THE INTENDED RECIPIENT, OR 7HF, F.MPI.OYEE OR AGENT RL•SPONSIBLE FOR DELIVERWG IT TO 'fHF,
NTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION, OR COPYING OF THIS
COMMUNICATION IS STRICTLY PROH181TED R YOU I iAVE RECEIVED THIS COMMUNICATIOV IN ER ROR PLEASE IMMEDIATELY
NOTI FY US BY TF:LkPHONr (COLLECT), AND RETURN TI iE FAX TO US AT THE A80VE ADDRESS VIA TNf. U.S. POSTAL SERVICC•.
iF YOIf n0 NOT RF.CFIVF. ALL AF TI~B PAGP.S, PLEASE PIIONI; (217) G2G•SdB~ AS SOON AS POS518LE.
I~s12~oool~~3~saI.I
Lt~-2?-2aaa 08 ~ 56 R 1 CHARDS ~JATSON&GE:?SHGr~~?
[LYNWOOD LETTERHEAD]
December 20, 2000
Mr. Perry Parks
Vice President of Local Government Affairs
AT&T Broadband
550 N. Continental Blvd.
El Segundo, CA 90245
Re: Franchise Fees on Cable Modem Service
Dear Mr. Parks:
a67 r.03~aa
This letter will acknowledge receipt of AT&T's letter dated December 8, 2000,
which sets forth AT&T's position on franchise fees attributable to cable modem service. Your
letter has been referred to our special counsel who ad~~ises the City on cable television franchise
matters. Your letter raises certain questions as to which we request a prompt response in order
that we may evaluate the potential impact of AT&T's decision upon the City.
In order that we may assess the potential f nancial impact, please provide the
following information:
1. How many subscribers to cable modem service does AT&T Broadband
currently have in the City of Lynwood?
2. What is the monthly amount of franchise fees received from subscribers
who have cable modem service?
3. What is the projected increase in the number of subscribers to cable
modem service for the year 2001 and the estimated revenues?
4. What federal statutes or regulations require that franchise fees be passed-
through by the cable operator to those who subscribe to cable modem
service?
5. Does AT&T Broadband intend to make payments to the Universal Service
Fund on cable modem services that have been judicially determined to be
"telecommunications sen~ices"?
DEC-27-2000 0856 RICHAF.DS WATSDN&GERSHOr~57 4b7 P.04/~4
6. What other local franchise authorities have agreed to waive franchise fees
for cable modem service as requested in your December 8th letter?
7. What effect, if any, will the judicial classification of cable modem service
as "telecommunications services" have upon existing or future pole
attachment agreements with the City of Lynwood or with utility service
providers in the City? '
The City of Lynwood expects AT&T Broadband to keep track of all franchise fees
that would otherwise be paid on cable modem service. The City also expects AT&T Broadband
to report on a quarterly basis, beginning in the fourth quarter of 2000, the amount of these
franchise fees that would have been paid to the Ciry.
Please provide the requested information as soon as possible. Upon receipt of this
information, the City will review this matter and provide to AT&T Broadband an appropriate
response to your request.
Very truly yours,
Ralph W. Davis, III
City Manager
1 05 1 21003 3`637578.]
Tf~TAL P. 04
12/08/00 FRI 16:50 FAZ 310 647 3036 Iledia0ne (~~jo01
ATBT
December 8, 2000
Johonna Jacobs-Howard
City Administrator
Cable TV Advisory Department
City of Lynwood
11330 Bullis Road
Lynwood, CA 90262
RE: Franchise Fees on AT B T Road Runner
Dear Ms. Jacobs-Howard:
I am writing regarding the assessment of franchise fees on revenue derived from the provision of
cable modem service currently ATBT Road Runner. As you know, we have been providing cable
modem service to subscribers as a cable service and paying the City of Lynwood a 5°r6 franch~e
fes on that revenue (which fee we pass through to subscribers as authorized under federal law).
Under the Ninth Circuit Court of Appeal's recent decision in ATBT v. Citv of Partland,~ it appears
that the Ninth Circuit Court does not consider this to be a °cable service." Thus. at least in the
Ninth Circuit. there is a serious question as to whether local franchising authorities have the right
to assess cable service franchise fees on cable modem service revenue.
Currently, the Federal Communications Commission {"FCC") has a proceeding under way that
may ultimately help resolve this issue.2 In addition, there is other pending litigation, and courts
outside this Circuit have rendered opinions that might lead to a conclusion different from the
apparent conclusions in the Portland decision. Nonetheless, in light of the P Ian decision,
there is some risk that the City of Lynwood would be exposed to potential refund liability in the
future, should it continue to assess franchise fees on cable modem service revenue. At least one
local government has determined to eliminate this risk by waiving the franchise fee on cable
modem service at this time. Other local governments, while continuing to assess the fees, have
decided to deposit them into an escrow type account so that such fees will be available for refund
at such time as a court of competent jurisdiction or the FCC determines whether a refund is
necessary.
Given the uncertain nature of the law regarding franchise fees on cable modem service, we
believe that it is in the best interests of the City of Lynwood, as well as ATBT Broadband, to waive
these franchise fees {and suspend the pass-through of such fees to subscribers) until this issue is
settled. Suspension of franchise fees on ATBT Road Runner is particularly important in states
within the Ninth Circuit, because of the existence of state consumer protection laws which often
give rise to class action or other litigation. Such lawsuits might seek a refund of any fees not
lawfully collected {which could require the City of Lynwood to refund them to ATBT Broadband so
they could
216 F.3d 871 (9'" Cir. June 22, 2000}.
s I~quiiv Concerning,~j; 1~- 17 Acce s to the Internet over Cable and her
Facilities. Notice of Inquiry. FCC 00-355 (released September 28, 2000).
12/08/00 FRI 16:51 FAZ 310 64? 3036 MediaOne ®002
be returned to consumers.) This means that the Clty of Lynwood assessing the fee could become
a defendant in such litigation. '
In light of the above, we believe that the best course of action is for the City of Lynwood to waive
these franchise fees until there is a determinative decision. Unless we hear from you, that is how
we will proceed beginning January, 2001. If, instead, the City of Lynwood requests that franchise
fees continue to be assessed on cable modem service (and passed through to subscribers), then
ATBT Broadband will require that City of Lynwood sign an agreement acknowledging the
potential refund liability and agreeing to offset ATBT Broadband's future franchise fees by the
amount of any refund liability ordered, as well as ATBT Broadband's costs and reasonable
attorneys fees.
If you would like to discuss this matter further, or would like further information or copies of the
referenced court decisions. please feel free to contact Stephen D. Sawyer at 310.647.6682. We
would appreciate recelving a response to our request to waive the franchise fees on ATBT Road
Runner by the end of year. Thank you.
Sincerely,
VP pf'Local Government Affairs
South West Division
MM
&" Ci~uif Letterl?J00
ANDREA L. HOOPER
CITY CLERK
city of Y1~TT~pOD
~ll•~M~
L~ Ctty Meeting CkaQQenges i ~ ' ~
11330 BULLIS ROAD I
LYNWOOD, CALIFORNIA 90262
(310) 603.0220
Date: December 5,2000
To: Honorable Mayor and City Councilmembers
From: Ralph Davis, III, City Manager
BY~ Andrea L. Hooper, City Clerls~
Subject: One (1) vacancy Lynwood Youth Commission
COMMENTS:
Resigned -Jasmine Race
Former Councilmember Henning appointed Jasmine Race
Attached are applications for consideration
1. Sky Fisher
RECOMMENDATION
Nominations are in order
CLERK2000-03
AaEIVVg ITEM
...
CITY OF LYNWOOD
COMMISSIONERS AND BOARD MEMBERS APPLICATION (For Residents Oaly)
If you are interested in serving your community as a City Co
complete this form and return it to the City Clerk's O>~ce, Ltnmtwsstoner or Board Member, please
Lynwood, CA 90262. A 3'n cod City Hats, 11330 $ulIis Road,
separate form must completed for each commission or board you wish to be
considered for appointment. You have the option of attaching your ravine
.. r--- i .. _ , ~
Last First
M.1.
Address: ~a ~-~ ~ t ~~~~,
Street Cif. L- j~~
l Zip Code
Telephone No. (home) ~~~-~~(~'~
Please indicate the Commission or Board you would like to serve on by placing a check on the Line in
from of the specified commission or board (SELECT ONE ONLY):
Community Affairs Commission
Community Development Block Grant Commission
Public Safety Commission
Veterans Affair Council
Lynwood Women's Commission
Personnel Board
Planning Commission
Recreation Commission
-T_ TrafFc & Parking Commission
.~_ Youth Commission
Other.
«'hat n_ pes of interest do ~•ou have that would enhance your service as a commissioner or board member
on this comm~ss~on or board? (For example: hobbies. skills, or related im•olvement.)
Based upon }our interest. what do you feel you can contribute as a commission or board member on this
commission or board''
(For more space, use additional paper.)
L
S~gna
Date
~tiEi,c~~ ~_
j CITY OF LYNW00't
I CITY CLFR:;^. t;F,=.t;
JAN1+~-:
7~819~na1i~~1~3i~
~:
COMMISSIONERS AND BOARD OF LYNWOOD
MEMBERS APPLICATION (For Residents Only)
If you are interested in serving your communiri• as a City Commissioner or Board Member, please
complete this form and netusn it to the City Clerk's Office, Lynwood Citv Fall 11330 Bullis Road,
Lvnwood. CA 90262. A separate form must completed for each commission or board you wish to be
considered for appointment. You have the option of attaching your resume
Name: ~ !-~
~~
Address: ~~~+~~
Street
Telephone No.
~ ~~~ e,~=
Cin~
~~~~`~~ t
.)
U
~ ~
M.1. ~;
~~ ~-~~
Zip Code \
Please indicate the Commission or Board you would like to serve on by placing a check on the line in
front of the specified commission or board (SELECT ONE ONLY);
Community Affairs Commission •
Community Development Block Grant Commission
Public Safety Commission
Veterans Affair Council
Lynwood Women's Commission
Personnel Board
Planning Commission
Recreation Commission
Traffic & Parking Commission
~ Youth Commission
Other.
1t'hai rapes of interest do you ha~•e that would enhance your sen~ice as a commissioner or board member
on tii,s commission or board? (For e.~ample: hobbies. skills. or related im•ol~•ement.)
Based upon dour interest. what do you feel you can contribute as a commission or board member on this
commission or board'?
~n ~ 1
or more space. use additional paper.)
Signal
.~
~1 C
Date
City of YN~QOD
~~
~~• ~~ c~ City vUeei:ing ChaQQenges
11330 BULLIS ROAD
LYNWOOD, CALIFORNIA 90262
ANDREA L. HOOPER (310) 603.0220
CITY CLERK
Date: December 5,2000
To: Honorable Mayor and City Councilmembers
From: Ralph Davis, III, City Manage
BY~ Andrea L. Hooper, City Clerk
Subject: One (1) vacancy Recreation and Parks Commission
COMMENTS:
.~...
(~~~~r
At Councils regular meeting it was announced for information only the vacancy's on City
Commission.
Resigned -Lawrence Marquez
Former Councilmember Reyes appointed Lawrence Marquez
Attached are applications for consideration:
1. Lucy Hernandez
2. Edwin Jacinto
3. Oscar Flores
4. Charles Wood
RECOMMENDATION
Councilmember Reyes may re-appoint a member and/or Council can nominate a
member.
CLERK2000-03
~8'FllA I7gM ~
i
-~
COMMLSSIONERS AND BOARD MEMBERS PLICATTON or
(>F Resident: only>
If you are interested in serving yotu cbmmunin. as a City Commissioner or Board Member ply
complete this form and tttttrn it to the City Clerk's Office, Lynwood City Fall, I I330 Hollis Road,
Lynwood. CA 90262. A separate form must completed for each cb
caacidered for appoinmtent_ You have the mmission or board you wish to be
option of attaching your r+esitme.
Name:
Last First E
M.I.
Address: L"NWOOn
Street
Cit•~
Zip Code
Telephone No. {home)
Please indicate the Commission or Board you would like to serve on
front of the specified commission or board (SELECT ONE ONLY) ~ placing a check on th; liae in
Community Affairs Commission
Community Development Block Grant Commission
Public Safety Commiuion
Veterans Affair Council
Lynwood Womw'~ Commi~aion
Personnel Board
Planning Commission
_~_ Recr+eation Commission
Tratlac & Ptirking Commission
Youth Commission
Otber.
What n_ pcs of interest do ~~ou have that would enhance your service as a commissioner or board member
on this commtsston or board? (For example: hobbies. skills, or related involvement.)
EE ATTATCHED SHEET
Bascd upon tour mtercst. what do you fell you can contribute as a commission or board member on this
commtsston or board?
SEE ATTATCHED SHEET
(For more space, use additional paper,)
Signature
DECEIVED
CITY OF LYNWOOU I
CITY CLERKS OFFICE
Date
~~U ~ % 2~~1'~
~~ PY
~.~ ~~+•1f1~lt~12~1t2i3t4t5rR
I have dedicated many years as a volunteer in many organizations and
community based organizations in the city of Lynwood and surrounding area.
I love sports. I love children. My family has been involved in sports about
21 years. I have volunteered with the Parks and Recreation Department as an
assistant coach and coach in different sports available to children.
I have been involved in Lynwood's academic branch as a volunteer in the
various Parent Teacher Associations at different elementary schools and
Lynwood High School.
I have volunteered as a community leader informing community members
of important issues that were of interest to them.
Also, I have been a volunteer in several academic organizations at
Compton Community College, the Mecha Club, the International Students Club
and I was the curriculum commissioner in the Compton Student Board. I was
one of the volunteers that initiated the G.E.D. program at Compton Community
College.
I have been living in Lynwood since 1972. I love Lynwood and I am aware of the
needs of the community. I am a people person and get along very well with
everyone. I am very smart, constructive, professional, enthusiastic, open-minded,
good decision maker and hard working woman. I can work well under pressure
with people who have different needs and under various circumstances. I can be
in charge of special events, educational, athletic assemblies and meetings. I am
a very resourceful and practical person that is able to take advantage of
Lynwood's available surrounding resources.
CITY OF LYNWOOD
COMMLSSIONERS AND BOARD MEMBERS ApPLICATTON (For Raideots Only)
Nyou are interested in serving yo,~ ~atat~n. ~ a City Co
ootnplae this form and return it to the Ciry Clerk's O>~ce. Ltnmisstoner or Board Member, please
Lynwood CA 90262. A ~~'o~ Ctty Hall. 11330 Hollis Road,
considered for ~~ form tausZ oomplaed for each cotmission or board you wish to be
aPPo~L You have the option of attaching your .
Name: ~ a ~,N ,~ ~~ w~ ~
Last First
Address: /
strre~
Telephone No.
~z e~-~~ J
~ l ~ Cit•" ~
/~
~P Code
- i
Please inliKte the Commission or Board you wotild like to serve on by Pacing a check on the line in
front of the specified commission or board (SELECT ONE ONLY);
Community Altairs Commiuioa •
Community Development Block Grant Commiuioa
Public Safety Commiuioa
veterans Altair Council
Lynwood Women's Commi.sion
Personae! Board
Planning Commiuioa
Recreation Commiuioa
Tr'aP[ic & Parking Commiuioa
Youth Commiuioa
Other.
«'hat rapes of interest do ~•ou have that would enhance your servicx as a oonunissioner or board member
on this commtss~on or board? (For e.'cample: hobbies skills. or related involvement.)
~ ~~,~,
Based upon your interest. what do you feel you can contribute as a co f
commission or board? mmission or board member on this
~~ Q e .,~ ~ ~ V" ~ ~J ~,
~ .v ~ ~ L, (f I~ ~ 714- r~, a J
(For more additi ~ ~e "' S 'J ` "` `~ ~'
Anal Paper. )
/~/~o~p~
i,(ECtIV taU
CITY OF t.YNW00~
C[TY CLFRiCS OFFICE
~ ~~~ ~ S J Z G ~,
•-~f--
~a~ 1 /. :ill,
'~• ~ •.iri,11~11~~ ~2~:it4t~PM
COMMISSIONERS AND BOARD MEMBERS APPLICATION or
(F Resrdeats Only)
If you are intetrstcd in serving your commuttin~ as a City Commissioner or
complete this form and return it to the City Clerk's O>~ce. L ~~ Member, please
Lynwood CA 90262. A ynWOOd City Hail. 11330 Bttllis Road,
Separate form must completed for each oommistion or board you wish to be
considered for appointment. You have the option of attaching your resuz~_
Name:~l=O
Last
Address: 1 p~ 3
street
Telephone No.
First
' L'~ !U
city
~63~-5v
M.1.
R trzE Z
~P
Please indicate the Commission or Board you would like to carve on by Placing a check on the line in
front of the specified commission or board (SELECT ONE ONL
Community Affairs Commission
Community Development Block Grant Commission
Public Safrty Commission
Veterans Affair Council
I-yn~ood Women's Commission
Personnel Board
_~ Planning Commissioa
Recreation Commission
Traffic & Parking Commission - •
Youth Commission
Other.
«'hai apes of interest do ~•ou have that would enhance your service as a co
on this comm~sston or board? (For example: hobbies. skills. or related involy ment~er or board member
S~'^ -
'`Fou~ ~ A7u
! GE W 1
Mt~'~ VH \'C~
Based upon your interest. what do you feel you can contribute as a commission or board member on this
commtss~on or board?
AN lNsl
~ E ~,
(For more space, use additional paper.)
_~
S18nature
Date
RECEIVED
CITY OF LYNWOOU I
CITY CLERKS OFFICE
Nov 2 0 2oa~
A
. i814t~~lli~llt2t3~t5`6
COMMISSIONERS AND BOARp EMBERS ~pLICATTON or
(F Residents Only)
If you are interested in serving your commtutin• as a Ciry Commissioner or Board Member, please
complete this form and return it to the City Clerk's Ol3ice, Lynwood Ciry Hall 11330 Hollis Road,
Lrnwood. CA 90262. A separate form must completed for each c~
considered fora intment. You have the o tion of attachin mmission or board you wish to be
PPo p
(U GU 17 g yon rtstime.
Name: ~'I-~A ~ZGE$
Last First `
M.1.
Address: 4~S 33 E • A2e~ ~ ,C Y~lu.~;v,~
sir«t Cin. 9 D Z6 z
Zip Code
Telephone No. (home) ~/ D ~ ,3g ~ ~~ 6
Please indicate the Commission or Board you would like to serve on by placing a check on the line in
front of the specified comrttission or board (SELECT ONE ONLY):
Community Affairs Commission
Community Development Block Grant Commission
Public Safety Commission
Veterans Affair Council
Lynwood Women's Commission
Personnel Board
Planning Commission
X Recreation Commission
Traffic & Parking Commission
Youth Commission
Otber:
«'hat npes of interest do ~•ou ha~~e that would enhance your service as a commissioner or board member
on tlus cornrniss~on or board? (For example hobbies. skills. or related rm•olvement.)
T~'~~s A 1=~~4 i R
C rN ~ ~ L l~ S"
Based upon your interest. what do you f«l you can contribute as a commission or board member on this~v
comm~ssron or board?
>-' [~~ _
(For more space. use additional paper) S~ ~ A~~ ~~~~ 1 ~~~- ~L ~~ C S
Signature
~~-ar`~_
Date
~tECEIVEU
CITY OF t_YNW00~
~ CITY CLERKS OFFICE
~M PM
R~4,btll~12~1~2~3i4i5~6
ANDREA L. HOOPER
CITY CLERK
pity o~ YNwooD
.« .
c~ City vl~leei:ing CI~aQi?enges ~' ~ ~
11330 BULLIS ROAD `I
LYNWOOD, CALIFORNIA 90262
(3 t 0) 603-0220
Date: December 5,2000
To: Honorable Mayor and City Councilmembers
From: Ralph Davis, Ilt, City Manager
BY~ Andrea L. Hooper, City Cler
Subject: Commission Vacancy
Community Development Block Grant Advisory Board
COMMENTS:
Three absences -Kenneth Alford
Former Councilmember Evelyn Wells appointed Kenneth Alford
Appointed to Recreation and Parks Commission Donald Primmer
Councilmember Byrd appointed Donald Primmer
Attached are applications for consideration:
1. Irene Garcia 5. Lucy Hernandez
2. Margaret Araujo 6. Edwin Jacinto
3. Maria Romero 7. Oscar Flores
4. Frank Hawkins
RECOMMENDATION
Councilmember Byrd may re-appoint a member and/or Council can nominate ~-,r
member.S
CLERK2000-03
AGENVA I~~
_' l -
~/
~ !+ ~
I ~ _~
- ! ~
COQ
CITY OF 1"~: . ~ .- .
CITY OF LI'NWOOD
ONERS AND BOARD MEMBERS
Application
for Residents Only)
12/7/99
If you are interested in serving your community as a City Commissioner or
Board Member, please complete this form and return it to the City Clerk's Office, Lynwood City
Hall, 11330 Bullis Road, Lynwood, Ca., 90262.
A separate form must be completed for each commission or boazd you wish to be considered for
appointment. You have the option of attaching your resume.
N
Last i n M.
F~St M.l.
Address:_ 2737 E. 111th Street ~~,~
Stet 90262 1715
~' Zip Code
Telephone No. # (home) 1310) 6'~ t - 25,7
Please indicate the Commission or Board you would like to serve on by placing a check on the
line in front of the specific commission or board (SELECT ONE ONLY ):
Community Affairs Commission
_X Community Development Block Grant Commission
Community Cable Access Advisory Commission
Lynwood Women Commission
Personnel Board
____Planning Commission
Recreation Commission
Traffic & Parking Commission
____Youth Commission
What types of interests do you have that would enhance your service as a commissioner or
board member ? (For example; hobbies, skills, or related involvements. )
I. attend most of our Ci~'c l`n,inr' g~_~7d City funct,onc
11S mePtin c a
Served as Comma cion r for the Law Enf r mPnt R vi .w Bo rrt +~wo (2 1 v .arc
Been activ in Block- Watch Prng_ralll for tt^~enty Fiv years f 25 1
Attended the second 2nd Commune Academ Pro ram with th L wood Sheriffs
Department.
Based upon your interest, what do you feel you can contribute as a commissioner or board
member ?
-ii n t
that would h In he owner keep rheir home from blighted conditionc
We need to Repair R build nri RPa„ri_f~vnwood.
l appreciate your consideration in this matter,
Sin erely,
COMMLSSIONERS AND BOARDARD MEOMBERS APPLICATION
(For Residents Only)
If you are interested in serving your contmunit•~ as a City Commissioner or Board Member, please
complete this form and return it to the City Clerk's Office, Lynwood City Fall, l I330 Hollis Road,
Lynwood CA 90262. A separate form must completed for each commission or board you wish to be
considered for appointment You have the option of attaching Your resume.
~1 .-, ,.
Name: ~ ~~. (, () ~ ~ ~1 ~j r~
Last First
Address: / ~"' '~ I C(.-Ct'C( i(' A V ~
Street Cit•~
Telephone No. (home) 3 f ~ ~ 3 ` _ '3 S ~
c~
M.I.
~~ ~
Zip Code
Please Indicate the Commission or Board you would like to sern on by placing a check on the line in
front of the specified commission or board (SELECT ONE ONLY);
Community Atrain Commiuioa ~ E C E j v E ~
_~ Community Development Block Grant Commiuion
.__ Public Safety Commiuion ~ I CITY OF LYNWOOU
CITY CLERKS OFFICE I
.__ Veterans Affair Council
L
'
FF
~
ynwood Womea
s Commission l
~ ~ 2'~~
______ Personnel Board
Planning Commiuion AM ~
718'9r10r11r12r1i2r~i4
5
6
Recreation Commiuion i
t
Traffic & Parking Commiuion
Youth Commission
Other.
~t'hat npes of interest do }~ou have that would enhance your service as a commissioner or board member
on this commtss~on or board? (For e.Yample: hobbies. skills, or related involvement.)
~-- C_ ~~
Based upon dour tntercst. what do you feel you ran contribute as a commission or board member on this
commtssion or board?
~ ,~-~,~
~ti ~~ ~ Gv. ~ C~,~ e~
,-. __.a _-,~., ~,._._ _
(For more spa use a o paper.)
~~
`~ ~~~ ~~
Stgnaturc
~~
t~~
~a
D to
-c-~.~
COMMLSSIONERS AND BOARDARD MEOjKgERS ~07DICATION
(For Residents Oaly)
If you are interested in serving your ccatmuain, as a City Commissioner or Board Member, please
oomplae this form and return it to the City Clerk's O~cx, Lynwood City Ball, I I330 Hollis Road,
Lynwood. CA 90262. A separate form must ooraplaed for each commission or board you wish to be
oonsidez for appointment. you have the option of attaching your res~rme
Last
Address:
Street
Telephone No.
o M~'fl . M~-r'. ~ --~
First MI.
w ~~
Cin• zip Code
-~._t_
Please indicate the Commission or Board you would like to serve on by pig a ~~ on ~ Iiae ~
front of the specified commission or board (SELECT' ONE ONLY):
Community Affairs Commission •
-~_ Community Development Block Grant Commission C
R E C E ~ V E
_____ Public Safety Commission CITY OF LYNWOOU •
Veterans Affair Council i CITY CLERKS OF7CE
-_ Lynwood Women's Commission MaY 1 1 (tNw
Personnel Board
_,____ Planning Commission
Recctatioa Commission ~
~ '~~~'~~1~~$'g
Traffic & Parking Commission
Youth Commission
Other.
~t'hai npes of interest do }•ou have that would enhance your service as a coaunissioner or board member
on this commrss~on or board? (For example: hobbies. skills, or related involvement.)
/ n ~ ~ / _
Based upon 1;bur rater
commrss~on or board?
Date
-- . -- ---• ,~...~.....,,,..~~„« as a commission or board member on this
Maria Romero
Lynwood, California 90262
(310)763-5363
EDUCATION
High School Diploma, Huntington Pa-tc High School, 1982
Business Administration, East Angeles College, 1984
Communication, Certitos College, 1993
EMPLOYMENT
1994-1998 Operations Manager, Life & Victory
Complete operation control for United States, Argentina, Columbia and Brazil.
Oversee product distribution in all countries. Maintain office administration. Resolve
all legal processing for product licensing, operation permits for international trading.
Assure manufacturing quality control. Coordinate marketing of product and seminar
training for employees and distributors. Supervise the creation of public relations
material and promotion.
1991-1994 Coordinator, Herbalife International
Supervised a 12 member distributor relations department. Trained new department
members. Held weekly meetings to discuss any problem or updates regarding
distributors. Evaluated employees on quarterly basis. Wrote monthly reports.
Calculated time cards. Organized bi•monthly training seminars for distributors.
1989-1991 Administrative Assistant, Foam Factory
Payroll preparation, AIR, A/P. bookkeeping, screened telephone calls for customer
satisfaction, prepared invoices, maintained office equipment, collections, customer
liaison.
1985-1989 Executive Secretary, Transamerica Insurance Group
Communication Secretary.• Administrative support for Communication Director.
Coordinated seminars for agents and executives, executed travel arrangements for
seminar candidates and executives, processed correspondence, purchased
executive and promotional gifts. Complete organization of meetings and special
events. Gathered support material and prepared seminar manuals, handouts, rosters
and scoring survey. Created and maintained Database fries, Maintain corporate
library and maintain department equipment.
Assist Co-Workers with overflow and urgent projects.
1983-1984 Account Clerk, May Company
Account receivable, Organized and balanced daily receipts for 35 department stores.
Check processing and organized distribution.
INTERESTS 8 ACTIVITIES
Girt Scout Leader: Organize, and direct a group of 48 elementary girls (1-6 grade) in
developing self-esteem and personal awareness. Prepare lesson plans for cultural
awareness and art classes. Teach cultural dancing and participate in city activities.
COMPUTER SKILLS
WondPerted 5.0, DOS, Excel, Microsoft Windows 6.0, Typing (45 wpm), Word
Processing, Lotus 1.2.3., Database, Microfilm, Bookkeeping, Payroll (A/R, A/P), Fax,
Postage Machine, 10 Key by touch, Filing (Alphabetical and Numerical).
Fluently Bilingual (English and Spanish)
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!~ you tae itttacsted ' stavi ~ >~ oottsa+u~Y as a Ciry Gotnmiscicsa ar Bomd M,a mabv. pieave
c~pku thu focrn retu'it it to tht; City Clafc's Omac. I.ysr'aood City Haul. 1133ta flaIIis Road.
L~+~ood. CA 9026 , A sr pacue farm must caIDpieted fat loch oo~m~soon at boar, you wish to be
~ Yw have the option of attachiag yoar reaaaae.
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Please tttdtamtt the ' tsioa of Bot:r~ yva could tike to aerre on by placiag a eb~ do oa tAe tine in
rroM of the spec oomnr tisuoa ar t>oud tSEi.LCT ortE oxLY~:
Caaaanity ARairs Coramissioe
C.ommueh7' De'"e3op°eat Bock Grant Camani~i
Aeblk Sadety Cammissioe
Veaenos ARatr Coaecll
Lynwood Wo~oes•,t c~biiau
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What r.pes of rnte~ est do rou hive that would eahanct votsr servsLS ss a ooasmiscir: nor or board member
an ih:t commuuo~ l or bt std? (For example. t~obbics. sioils. or related im'Olvemtni )
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CRY OF LYNWOOD
COMlVi1SS1L~SR ~ AlfD DOARD MEMBeRS APpI1[ATlON (Fer xea ideors Osty)
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C~TY OF LYNVJOOU I
CITY CLERICS OFFICE
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CITY OF LYNWOOD
COMMISSIONERS AND BOARD 11SEMBERS APPLICATION (For Raideats Only)
If you are interested in serving your commtttui<• az a Ciry Commissioner or Board Member, please
complete this form and return it to the City Clerk's C?ffia, Lynwood City Hall, 11330 Hollis Road,
Lvnwood. CA 90262. A separau form must completed for each commission or board you wish to be
considered for appointment. You have the option of attaching your ttsume.
Name: 'HP~-nG ~. a~~ LVL~
Last
First
M.1.
Address: 3~r a ~ - L ~t ~ ~ ~- E
street ein~
Zip Code
Telephone No. (home) ~3 ~ O ' E'er ~ ~ 3 I ~ S
Please indicate the Commission or Board you would like to serve on by placing a ebeck on the line in
front of the specified commission or board (SELECT ONE ONLY):
Community Affairs Commiuion •
X Community Development Block Grant Commiuion
Public Safety Commission
Veterans Affair Council
Lynwood Women's Commission
Personnel Board
Planning Commission
Recreation Commission
Traffic & Parking Commiuion
Youtb Commission
Otber.
tt'ha~ rapes of tnterest do ~•ou have that would enhance your service as a commissioner or board member
on this commtsston or board? (For e.~campie: hobbies. skills, or related involvement.)
S~~ ,~'~ `f"~. c G L I
Based upon your interest. what do you feel you can contribute az a commission or board member on this
commtss~on or board?
S P F' r~ ~~Ct C. i~ L
(For more spas. use additional paper.)
~~ ~Lt....,r
Signature
RECEIVED
CITY OF LYNW00[) i
i CITY CLERKS OFFICE
~iGV (1 : 20i-
Date
,:~: PM
• a,~,.in~It~t2~1t2t3t4t5tR
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I have dedicated many years as a volunteer in many organizations and
community based organizations in the city of Lynwood and surrounding area.
I love sports. I love children. My family has been involved in sports about
21 years. I have volunteered with the Parks and Recreation Department as an
assistant coach and coach in different sports available to children.
I have been involved in Lynwood's academic branch as a volunteer in the
various Parent Teacher Associations at different elementary schools and
Lynwood High School.
I have volunteered as a community leader informing community members
of important issues that were of interest to them.
Also, I have been a volunteer in several academic organizations at
Compton Community College, the Mecha Club, the International Students Club
and I was the curriculum commissioner in the Compton Student Board. I was
one of the volunteers that initiated the G.E.D. program at Compton Community
College.
I have been living in Lynwood since 1972. I love Lynwood and I am aware of the
needs of the community. I am a people person and get along very well with
everyone. I am very smart, constructive, professional, enthusiastic, open-minded,
good decision maker and hard working woman. I can work well under pressure
with people who have different needs and under various circumstances. I can be
in charge of special events, educational, athletic assemblies and meetings. I am
a very resourceful and practical person that is able to take advantage of
Lynwood's available surrounding resources.
.~
CITY OF L1'NWOOD
COMMISSIONERS AND BOARD MEMBERS APPLICATION (For Residents Oaly)
If you an interested in serving your cotrtmttniry as a Ciry Commissioner or Board Member, please
complete this form and return it to the Ciry Clerk's Office. Lynwood City Iia1L 11330 $ullis Road,
Lvnwood, CA 90262. A separate form must completed for each commission or board you wish to be
considered for apppointment You have the option of attaching your resume.
Name: ~ .Lf ~ , ~u 'j't0 ~ ~ (..~ ~ ~ ~ ~ .
Last
First
~~ .~ ~y
s~~~~ ~
M.I.
Address ~ ~ z
Stmt
Telephone No.
~~ ~ c7/ r,~~ 7 v
y~ ~~ ~
Lp code
Please indicate the Commission or Board you would like to serve on by placing a check on the line in
front of the specified commission or board (SELECT ONE ONLY):
Commuoitr~ Affairs Commission
Community Development Block Grant Commission
Public Safety Commission
Veterans Affair Council
__ Lynwood Women's Commission
Personnel Board
___ Planning Commission
___ Recreation Commission
Traffic & Parking Commission
Youth Commission
Other.
«'hai apes of interest do you have that would enhance vour service as a commissioner or board member
on th,s commission or board? (For example: hobbies. skills. or related involvement.)
Based upon ~~our ~nterest. what do you ferl you can contribute as a commisston or board me bem r on this
commiss~on1or board?
N .77 '1
(For more spacx, ad rtal na
Signature
// / 6 c~
Date
~tEC:clVty
CITY OF LYNWOOU
CITY CI_FRKS OF~!CE
nl~v , ,; ,,,~,
~.tn,lt~u~7 ~2t:it4~~~F
CITY OF LYNWOOD
COMMISSIONERS AND BOARD MEMBERS APPLICATION (For Residents Oaly)
If you are interested in serving your communin• as a City Commissioner or Board Mcmber, pleax
oompletc this form and return it to the City Clerk's Office, Lynwood City Ha1I, 11330 Bttllis Road,
Lvnwood. CA 90262. A separate form must completed for each commssion or board you wish to be
considered for appaiatmcnt. You have the option of attaching your resume.
Name: i" ~-C t~S Q5~ ~~
Last
Address:l~13~ S~hty .J
Street
Telephone No
First
Cii<~
3rC) b3a-
L
MI.
U_L~,-~-
Zip Code
Plcase Indicate the Commission or Board you would like to sern oa by placing a check on the line in
front of the specified commission or board (SELECT ONE ONLY):
Community Affairs Commission
/ Community Development Block Grant Commission
Public Safely Commission
___.___ Veterans Affair Council
Lynwood Women's Commission
Personae) Board
Planning Commission
_____. Recreation Commission
Traffic & Parking Commission
Youth Commission
Other.
~t'hat rapes of Interest do ~•ou have that would enhance your service as a commissioner or board member
on this commtsston or board? (For e.Yample: hobbies. skills. or related involvement.)
`~Pt,r~--rs ;cCZ- `tC~"ft~s ~~~~~ S ov-2~t~i +~E htic~ r~l ~T ~- Ccr~wl~,Nt~
t:i~j
R ~ c..l .
--~~ ..t..,.. ~~~~ ain~res[. what ao you feel you ran contribute a5 a commission or board member on this
commtsston or board?
t N S.
Tl VC ~
(For more space. tue additional paper.)
~~ ~`
Signature
Date
RECEIVED
CITY OF LYNWOOU
CITY CLERKS OFfICf
Nov 2 e ?oar
A
' ~819t~~Uil~li2i3i4t5i6
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City of Y1~T~OOD
~'~ ~ ~ cif .~,..°~°
$~ ~~ 1y33vldeeEtng ChaQQenges i ~ ' ~
BULLIS ROAD I
LYNWOOD, CALIFORNIA 90262
ANDREA L. HOOPER (310) 603.0220
CITY CLERK
Date: December 5,2000
To: Honorable Mayor and City Councilmembers
From: Ralph Davis, III, City Manage
By: Andrea L. Hooper, City Cler
Subject: Special Permit -Circus
January 26 - 30, 2001
Lynwood Market Place
COMMENTS:
Rafael Vasquez is requesting permission to hold a Circus on January 26 - 30, 2001 at
the Lynwood Market Place.
RECOMMENDATION
That Council review and direct staff accordingly.
CLERK2000-03
AGEKllA I'i~'.M
,,~-..
CITY OF LYNWOOD
APPLICATION FOR SPECIAL PERMIT 11330 BULLIS ROAD
LYNWOOD CA 90262
310-603-0220
APPLICANT INFORMATION:
NAME~fj(~ LC l ~,q 2E~ IJCZ CDL#: PHONE .2/3 .2 76 3
--____~~
ADDRESS: 9~ /j/. ~'X~jj~G/,4` /S B 7 'CITY' Sv~ ZIP L7
T ~
OCCUPATION: ~~~C~42 ~Eit/7}~T~~/E
NUMBER OF PERSONS EMPLOYED: SBE:
(State Board of Ecual¢ation Numaen
EVENT INFORMATION
TYPE OF PERMIT REQUESTED: C//~ C' ~/s' -,S-,c/c7~,~/s ,~ ~ ~~,~/
DATES} OF EVENT: (1,'q ~t/r ~ 6 ?y~~ t14~~ ~ a ~~
HOURS OF OPERATION: ~~/ , MoN, Td S. ,j' ~ ~ P, ry, ,S'AT S .~%3~ ~-(~ ~ ~M ,
ADDRESS OF PROPOSED EVENT LOCATION:/'r(~~,(/~ 1- ~~ - ,~~id o
SPECIFIC AREA DESIGNATED FOR EVENT: _Qp GZ lo(/ V ~ h 0?' - "/
IS STREET CLOSURE BEING REQUESTED: YES ~~, (CIRCLE ONE)
!IF YES. BRIEFLY EXPLAIN REASON FOR EVENT AND CLOSURE:)
IF INDOORS. APPROXIMATE TOTAL GROUND FLOOR AREA OF STRUCTURE: ~~ ~'~j~~„?~
HAVE YOU MADE AN APPLICATION FOR THIS TYPE OF PERMIT SEFORE~ YB8' NO
fF YES. WHERE AND WHEN: S,Q M E >PiC ~9 C C
IS THIS AFOR-PROFIT OR NON-PROFIT EVENT? (CIRCLE ONE)
IF THIS IS ANON-PROFIT EVENT OR A CERTAIN PORTION OF THE PROCEEDS BENEFIT A
NON-PROFIT AGENCY OR ORGANIZATION, PLEASE PROVIDE THE FOLLOWING:
NAME OF ORGANIZATION BEING BENEFITED
STATE NON-PROFIT NUMBER:
ADDRESS OF ORGANIZATION: PHONE
IS A WAIVER OF FEES BEING REQUESTED: YES NO
IF YES. EXPLAIN:
A NEGOTIATED PERCENTAGE OF THE PROCEEDS IS REQUESTED TO BE DONATED TO THE CITY.
I HEREBY CERTIFY THAT ALL STATEMENTS MADE IN THIS APPLICATION ARE 1 RUE AND
COMPLE=TE AND THAT ANY MISSTATEMENTS OF MATERIAL FALT WILL CAUSE A
FORFEITURE OF FEES AND DENIAL OF PERMIT.
~: j/ ~/ o v
SIG R OF APPLICANT TE
_ SIGNATURE OF APPLICANT DATE
cIrEY o~ s
F THIS APPLICATION FOR REVIEW DOES NOT IMPLY APPROVAL. THIS
CITY CL~ CITY COUNCIL APPROVAL. YOU WILL BE NOTIFIED ACCORDINGLY.
~V 2 7 2~DU
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