City of Choctaw Regular City Council Meeting September 4, 7:00pm Choctaw City Hall, 2500 N Choctaw Road Choctaw, Oklahoma 73020

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1 City of Choctaw Regular City Council Meeting September 4, 7:00pm Choctaw City Hall, 2500 N Choctaw Road Choctaw, Oklahoma Call to Order. 2. Invocation and Pledge of Allegiance. 3. Roll Call. 4. Public Comments: This agenda item is for public comments on city related non-agenda items. In accordance with State law, the City Council and City Staff are not allowed to respond to any comments made. Preference will be given to Choctaw Citizens and NO formal action will be taken. Speakers are limited to 3 minutes for a total of 15 minutes. 5. Business Agenda: The following items are hereby designated for discussion and consideration which requires individual action. 5.1 Consideration and possible action in regards to awarding a bid for Office Furniture for the City Hall Annex 5.2 Consideration and possible action in regards to a Traffic Count Agreement with ACOG. 5.3 Consideration and possible action in regards to the Denial of a Tort Claim filed by John Hall, for the loss or claim result from a stormwater drainage claim. OMAG recommends to deny tort claim. 5.4 Consideration and possible action in regards to a Special Event Permit and a Parade Permit from the Choctaw High School Student Council for the Homecoming Parade and Bonfire Event to be held September 27 th from 5pm till 11pm, with the Parade starting at 3 rd Street, down

2 Harper to 10 th Street, and then west to the High School and the Bonfire Event to follow at Choctaw Creek Park. 6. Consent Agenda: The following items are hereby designated for routine approval, acceptance or acknowledgment by one motion, subject to any conditions included therein. If any item does not meet with the approval of all members, that item will be heard in regular order. 6.1 Regular Pre-Meeting minutes for Regular Meeting minutes for Vouchers and Claims as approved by the City Manager Claims: $ 114, Vouchers and Claims as approved by the Council in the amount of $32, Bi-monthly Firefighters payroll in the amount of: Payroll: $15, Payroll: $ 9, Bi-monthly payroll in the amount of: Payroll: $106, Payroll: $ 72, New Business: This item is listed to provide the opportunity for Council discussion on items which may arise within twenty-four (24) hours prior to this meeting, and therefore, qualify as new business under the Oklahoma Open Meeting Act. 8. Council/Staff Remarks: This item is listed to provide an opportunity for the council and/or staff to make comments and/or request specific agenda items. No action will be taken. 8.1 City Council; 8.2 City Attorney; 8.3 City Manager; and 8.4 Project Updates 9. Adjournment:

3 This agenda was posted in prominent public view at Choctaw City Hall on or prior to 5:00pm on August 31, 2018 in accordance with the Oklahoma Open Meeting Act. Tina Rodriguez, City Clerk THE CITY OF CHOCTAW ENCOURAGES PARTICIPATION FROM ALL ITS CITIZENS. IF PARTICIPATION AT ANY PUBLIC MEETING IS NOT POSSIBLE DUE TO A DISABILITY, PLEASE NOTIFY THE CITY CLERK AT LEAST TWENTY-FOUR (24) HOURS PRIOR TO THE SCHEDULED MEETING SO THAT NECESSARY ACCOMMODATIONS CAN BE MADE.

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30 NOTICE OF TORT CLAIM OKLAHOMA MUNICIPAL ASSURANCE GROUP (OMAG) - MUNICIPAL LIABILITY PROTECTION PLAN A.CLAIMANTREPOR~othe C:ty of CItacf- 4 tal PLEASE PRINT OR TYPE AND SIGN Public entity you are filing the claim against. IMPORTANT NOTICE: This notice will be sent to OMAG Claims Dept. for investigation. You may expect them to contact you. CLAIMANT(S) :JOt, O~4-,I[ CLAIMANT(S) SOCIAL SECURITY NO. """:J'--""'h=5":=--C:=:i'-rc-:-Ie?QP'""'""~F ADDRESS t?~;;jjil 1& d CLAIMANT(S) D TE OF BIRTH 9 -J, C hoc h hi,,; 730~ PHONE: HOM BUS. (~'-:-:-;_-;--; (Eucl Dal~ R~quirtd) o-s (Continue on another sheet ir needed J. DATE AND TIME OF INCIDE~IT See L e filr I \ m I \ n m ror anv Information requested) 2. LOCATIONOFINCIDENT rr~q(\ '?d 8..;w 3. DESCRIBE INCIDENT _ 5;; _ :li<'.;s;?;"_.l~::t:..l+.l1!,~/j:i=-.. JI.[_2.L.if:.J'lEL[;.l:5/:. ~ _ 4. LIST ALL PERSONS AND/OR PROPERTY FOR WHICH YOU ARE CLAIMING DAMAGES: BODILY INJURY: WAS CLAIMANT INJURED? YES_ NO If yes, complete this section Describe injury ==:7-==========::-:=:-"""";::;--=-",,----:-;-;:--;--:-;:----- WERE YOU ONTHE JOB ATTHETIME OF INJURY? YES_ NO_ Ifso, please provide Employer info. Employer's Name Address Phone ALL MEDICAL BILLS (attach copies) LIST OTHER DAMAGES CLAIMED $: $._----- MEDICARE/MEDICAID/SOCIAL SECURITY DISABI LlTY: Is there any Social Security Disability involvement _ Yes _ No Has any medical bill been paid or will be paid by Medicare/Medicaid? _ Yes _ No. Ifso, list Medicare/Medicaid Number. Medicare/Medicaid Number If the City is responsible for such bills, the City must report any settlement to Medicare/Medicaid. I understand that the information requested is to assist the requesting insurance information arrangement to accurately coordinate benefits with Medicare/Medicaid and to meet its mandatory reporting obligation under Medicare Secondary Payer Act 42 U.S.C 1395y. Medicare/Medicaid Beneficiary Name (please print I Medicare/Medicaid Beneficiary Name Signature PROPERTY DAMAGE: Proof that you are the owner of the vehicle or property allegedly damaged as specified in your claim will be required. VEHICL~E~Y~E~A~R~~~~MAKE NOTE: IF NOT MODEL m 5. t YOUR INSURANCE CO. POLICY NO. 6. The names of any witnesses known to YOu: Ci /J /(0& en /da.lf PitlSAII t/.'ii,ft Ift@Jku, Ae Name Address Ij 9/~- 9,S1-j:) Phone Number LIST OTHER DAMAGES CLAIMED $ Name Address Phone Number d=. f,i ~ /41 TOTALCLAIM STATE THQ2/E~EX AMOU T OF COMPENSATION YOU WOULD ACCEPT AS FULL SEITLEMENT ON THIS CLAI~... $ :~5"OO. 0, ~ '/C/~ Ii? SIGNATURE(S) CONTINUE ON THE BACK DATE

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