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MINUTES - 07231985 - 1.2 (2)
Y CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUBM, CALIFORNIA BOARD ACTION Claim Against the County, or District ) NOTICE TO CLAIMANT July 23, 1985 governed by the Board of Supervisors, ) The copy of this document mailed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below), to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant: Martha York County Counsel Attorney: David J. McKeown J U L 12 1985 Address: 3049 Buena Vista Way Berkeley, CA 94708 (V�artinez, CA 94553 Letter Seto from k on unty Counsel Amount: $4, 500. 00 . BY July 11 , 1985 Date Received: July 11, 1985 By mail, postmarked on I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: July 11, 1985 PHIL BATCHELOR, Clerk, By Deputy nn Cervelli II. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) VThis claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. Clerk should return claim on ground that it was filed late and send warning of claimants right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: ;', ;'i By: ;y' ' cT :! Deputy County Counsel III. FROM: Clerk of the Board TO: (1) County Counsel, (P/County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER By unanimous vote of Supervisors present b�f This claim is rejected in full. ( ) Other: I i I certify that this is a true and correct copy of the ardls Order entered in its minutes for this date. Dated: - PHIL BATCHELOR, Clerk, By a , Deputy Clerk WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6)-months from the date of this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for 1ve to present a late claim was mailed to claimant. DATED: -7-a PHIL BATCHELOR, Clerk, By , Deputy Clerk cc: County Administrator (2) - County Counsel (1) 1 M A TU rR B ." OF SUPERVISORS OF CONTRA � CLAI*2*110: R Q?RqUaPplication to: Instructions to ClaimantC'•trk of the Board M rUnez Callfomla94553 A. Claims re+sting to causes of action for death or or Injury to person Or to personal property cr growing crops must be ptesented not later than the 100th day after the accrual of the cause 'of action. Claims relating to 'any other cause of action must be presented not later than- one year after the accrual of the cause of action. (Sec. 911,2; Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If she claim is against more than one public entity, separate claims must be filed against each public entity. . E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end of this form. RE: Claim by )Reser d for ' 1 g stamps Martha B. York ) E �� 314 La Espiral ) Orinda , California 94563 ) J AydlLiii. Maar.: •.v a%•r.•._ ':ii' �... .+.'x'..• r• •r anal pNaL gATCME:Cp } CLCaK V.%AO Or SuPERYiSORS TRA COSTA CO♦ "+OeputY or DISTRICT) eY .� (Filln name } The'undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $4,500 .00 and in support of this claim represents as follows: - .� When da�the damage or injury occur? Give exact date ane hour] I noticed excess water accumulating_ on my property for the last 3 years and this caused damage. The cause was c:i.scovered in May; 1985. '�:�-Wheie di�!tFie"damage o=+injury�ciccur"? ��Include�city andicounty�i�__ 314 La Espiral, Orinda, County of ,Contra Costa, California 94563. 3. How diti• the damage or injury�oc�:ur?� (Give"iuiI��etails,�use extra . sheets if required) An improperly installed and broken road cutter on the street above my -property caused diversion of water onto my property. This water accumulated and caused damage. w----i�a�r..�.•s -- -------- ;'r--"------------- — — r —:—wrr--w.��..{�.�.�.--.si--�.—i:w.—w.—.r— raw. �.�E_ ..___ 4. What particular act or omission on the part o county or dNtr1ct officers, servants or employees caused the injury or damage? Did not properly install or repair road gutter, (over) What are the names of county or district of 4r—._ s, servants cir" employees causing the damage or injury? ,Nck: known at this time. 6.``waa`E amage`o=inju"ripss`coo`you�caim resulted?--ZGtvel of injuries- or injuries- or damaes claimed. Attach two estimates for auto damage) . My estimage of damages is as follows: (a) -Rear brick walk: $2,000.00; stairway: $1,000.00; garage floor: $1,500.00; TOTAL: $4,500.00. I presently am investigating whether this condition has caused damage to the .foundE tions Q 1PY_ 571���j_Q _Qb�=_S33mg _AL2_�lY..b2S2B�� Y�_________________a�._..___ __ 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) This is my estimate of cost of repair .of damages to my property. I am ' presently investigating whether there is additional damage, or prospective damage. ------------- �. Names and addresses of witnesseb,`doctors and`hospitals. Donald Forrest, La Espiral. Orinda; California 94563 Henry Hirata, ' a ` - f`§."Li t eex-nendituressyoumdeonaccountot21is accident or`lnjurya ITEM AMOUNT r 1. «�.•........w.,�,._ ".••+.wra.. Govt. Code Sec. 910.2 provides: "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person qn his behalf. " Name and Address of Attorney David J . McKeown l � t s nature 3049 Buena Vista Way t Berk( it=y - CA 94 706 •�ictr Fess /5 +- Telephone No. ( 415) 549-3240 Telephone , SL,�-`rol • NOTICE Section 72 of the Penal Code providers: "every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is guilty of a felony." } CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA C0UNTY, CALIFORNIA BOARD ACTION Claim Against the County, or District ) NOTICE TO CLAIMANT July 23, 1985 governed by the Board of Supervisors, ) The copy of this document mailed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below), to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". ,Claimant: Dieter Leander Goodwin County Counsel Attorney: JUN 2 .! 1985 Address: P.O. Box 1771Hand delivered . Martinez, CA 94565 rf;r: ' Amount: $1, 350. 00 By delivery to clerk on June 25, NBE Date Received: June 25, 1985 By mail, postmarked on I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: June 26, 198THIL BATCHELOR, Clerk, By Deputy I erve 11 i II. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) ()c) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: - a q - $ By: Deputy County Counsel III. FROM: Clerk of the Board 70: (1) County Counsel, (2) County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER By unanimous vote of Supervisors present This claim is rejected in full. ( ) Other: I certify that this is a true and correct cop of the Board's Order entered in its minutes for this date. Dated: - PHIL BATCHELOR, Clerk, By �° , Deputy Clerk WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6)-months from the date of this notice was personally served or deposited in the mail'to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave to esent a late claim was mailed to claimant. DATED: - PHIL BATCHELOR, Clerk, By L , Deputy Clerk cc: County Administrator (2) County Counsel (1) CLAIM e r n a C: the Cler '.711 C board of Su pery i sor.-: , i U Appropriate County . rHu gainst Contra Costa County aim a 1 . Claimant's personal data :- Name Dieter Leander Goodwin Telephone 415 432-6320 Address 2207 Montevideo Drive Pittsburg, Ca. Zip Code 94565 Mailing Address P.O. Box 1771 Martinez , Ca. 94565If Different) 2. Ammount of claim $ 1,350 .00 Date of incident : --05-09-RS 3 . Place of incident : 2207 Montevideo Drive Pittsburg, Ca.-- 94565 4 . Describe incident : On May 9 , 1985 Pittsburg police came to my home with a warrant for my arrest for failing to appear in court. I never. received the notice and was unaware that I had failed to appear. I had appeared in court in October of 1984 and no charges had been filed at that time. During the period following the original court date I moved to Pittsburg, Ca. I left my forwarding address with the Concord Police . department (Officer John Hayes) . The Judge therefore exonerated the bail because I was not properly notified and had never failed to appear efore.5 . Describe injury or damage: I Was arrested and placed in Pittsburg jail for a period of six hours, paid a bail bondman $1 ,350.00form bail on das wages. 6 . Name public employee ( s ) causing injury oi*7 hmlaogset lknoywn A officer Bradley B D 7 . List expenses or other losses incumbent to this claim: Bail from Bail Bondsman ($1, 000 .00 Bail) $ Total= $1 ,350.00 ($50. 00 Travel Fee) and $300 .00 Surcharge. $ Loss of Wages for h day No Charge $ Loss -of Spouses wages 2' hours No Charge $ Total: $ $1, 350 . 00 Signed By or for Claimant We, Signatu.re date Wilgess File uri-inal and 3 •---y �-,�,� tu;>ies wittl the Clem: r board of Supervisor-- J U upervisor--IJ+ Appropriate ;'County . r�. 1.11 ear,; Claim against Contra Costa �.;A, �:,:, __� County ' alman�a conal data: _ Name Dieter Leander Goodwin Telephone 415 432-6320 Address 2207 Montevideo Drive Pittsburg, Ca. Zip Code 94565 Mailing Address P.O. Box 1771 Martinez, Ca. 94566If Different) 2. Ammount of claim $ 1, 350.00 Date of incidents 05_(A_R 3. Place. of incident: 2207 Montevideo Drive Pittsburg, Ca. 94565 4 . Describe incident : On May 9, 1985 Pittsburg police came to my home with a warrant for my arrest for failing to appear in court I never received the notice and was unaware that I had failed to appear. I had appeared in court in October of 1984 and no charges had been filed at that time. During the period following the original court date I moved to Pittsburg, Ca. I left my forwarding address with the Concord Police department (Officer John Hayes) . The Judge therefore exonerated the bail because I was not properly notified and had never failed to appear )efor,05. Describe injury or damage: I Was arrested and placed in Pittsburg jail for a period of six hours, paid a bail bondman $1,350.00 falost on days wages. 6. Name public employee(s) causifar 6i in jyury or damage, i known A Officer Bradley fin,-,- + „rt fa.car) B D �. jist expenses or other losses incumbent to this claim: Bail from Bail Bondsman ($1,000.00 Bail) $Total= $1 ,350.00 ($50.00 Travel Fee) and $300.00 Surcharge. $ Loss of Wades for day No Charge $ Loss -of Spouses wages 2� hours No Charge $ Total : $ $1,350.00 Signed By or for Claimant .► bel o 6 /1)0 Signature date Wit ess _ rile Uriinal ano i cu.pies witp tt;e Cirra: board of Supervisor. Appropriate -County . l (' _ Contra Costa laim against County 1 . Claimant's personal data: Name Dieter Leander Goodwin Telephone 415 -.--!L32-6320 Address 2207 Montevideo Drive Pittsburg, Ca. Zip Code 94565 Mailing Address P.O. Box 1771 Martinez, Ca. 9456�If Different) 2. Ammount of claim $ 1,350.00 Date of incident.: 05-ng-ss 3. Place of incident: 2207 Montevideo Drive Pittsburg, Ca. „94565 4 . Describe incident : On May 9, 1985 Pittsburg police came to my home with a warrant for my arrest for failing to appear in court I never received the notice and was unaware that I had failed to appear. I had appeared in court in October of 1984 and no charges had been filed at that time. During the period following the original court date I moved to Pittsburg, Ca. I left my forwarding. address with the Concord Police department (Officer John Hayes) . The Judge therefore exonerated the bail because I was not properly notified and had never failed to appear .fore5 • Describe injury or damage: I Was arrested and placed in Pittsburg jail for a period of six hours, paid a bail bondman $1,350.00 for m bail. lost on da s wages. 6. Name public employee ( s) causing inyury or damage, if known A Officer Bradley fArrac}inn (�fficor� B D 7 . List expenses or other losses incumbent to this claim: Bail from Bail Bondsman ($1, 000.00 Bail) $Total= $1,350.00 ($50. 00 Travel Fee) and $300.00 Surcharge. _ $ Loss of Wages for day No Charge $ Loss -of Spouses wages 2� hours No Charge $ Total: $ $1,350 .00 Signed ,By or for Claimant 06 Signature date Witnes File oriGinal ana 3 _ copies with the Cierr: -�• ` � -�� hoard of Supervisors ��'•"o�S ': �i Appropriate•';.County . rKI,PA-I:!I[-11o^ Contra Costa County Y Claim against a r." t, C aiman • s p onal data: Name Dieter Leander Goodwin Telephone 415 . 432-6320 Address 2207 Montevideo Drive Pittsburg, Ca. Zip Code 94565 Mailing Address P.O. Box 1771 Martinez, Ca. 94566If Different) 2. Ammount of claim $ 1,350.00 Date of incident: _US-0q—BS �. Place of incident: 2207 Montevideo Drive Pittsburg, Ca. 94565 k . Describe incident : On May 9, 1985 Pittsburg police came to my home %jith a warrant for my arrest for failing to appear in court. I never received the notice and was unaware that I had failed to appear. I had i appeared in court in October of 1984 and no charges had been filed at that time. During the period following the original court date I moved to Pittsburg, Ca. I left -my forwarding address with the Concord Police department (Officer John Hayes) . The Judge therefore exonerated the bail because I was not pro.Perly notified and had never failed to appear efore-5. Describe injury or damage. I Was arrested and placed in Pittsburg jail for a period of six hours, paid a bail bondrnan $1,350.00for, m bail. lost on digs wages. 6. Name public employees) causing inyury or �`amage, 1 known A Officer Bradley (n,-rete*4ag B D 7 . List expenses or other losses incumbent to this claim: Bail from Bail Bondsman ($1,000.00 Bail) $ Total= $1,350.00 ($50.00 Travel Fee) and $300.00 Surcharge. $ Loss of Wages for day No Charge $ Loss -of Spouses wages 2� hours No Charge , $ T, Total: $ $1,350.00 Signed By or for Claimant -3 I Signature date Witne s x m m q • 3 u o c 8 9 N Q n $ $ 03 � _ D r � -. sso wN R � a •mss It on tic �� oO $ g 0 10 S OYX q ��• T M K Z TZ o.MO Nm-4 M O � a�� C � O 0 � R i� • ay HCIO row % — g 1"" Cr Z IN m • '� i F 0 O i � m 0 o ND �� m m *3 m at D v •n yA> 3 j d �/► �. r i t -4 CD 9 > 0 0 0 a! m rn itis O R m r Ij" j C }�'� m g �' oir m_ W s A • o o m o _ ,•oa p v Z C36c9i :� r 1 Z wi _ g n Z N 1 M M M N N� M M4:2- CAI • A w,. a 00 �A I MT. DIABLQ JUDICIAL DISTRICT j''•' .NgT�CJ�SENTENCE COMMITMENT FORM DOCKET x DOCKET NO CLERK'SDEFENDANT_J;:1)()DWTN TITFTF.R T,EAj�JT)F.$ �RCbEPT MINUI DATE 5-13, $r1 TIME 9 j .ADDRESS ti '`AOC j;�,j PROB DEFENSE ATTORNEY TIME•,.: WAIVED � . ; ti GP PTODIAL STATUS a 11ARGES -13511 113IR. FRT.11Nj)rQ f PROCEEDINGSMINUTES CERTIFIE4 CORRECT 1 } COURT DEPUTY i ...r✓DQaE MAR B. �' MANS REPORTER ROB.�RT MASELLI CLERK S WE "r'ASSIGN.. COURT DEPUTY TO DEPT. JUDGE- REPORTER__--_ CLERK APPLICABLE ENTRIES MARKED f Deft, re$ept Deft 'not present ❑ Answers true name as charged . ❑Bench/Arrest.Warrant to Issue ft.appears with/by Atty ❑ Waives reading of Complaint Bail Set at i ❑ peft,appears withlby P. Def. ❑ Handed copy of Complaint'. ❑ For Q peputy gtt►j.Atty "❑ Handed copy of Discovery - t❑Recalled".O Filed E Set Aside Q jnterprdtpr#WOrn ❑ Defendant duly arraigned ❑Hold.Until ❑ f. ❑ Referred To: PUBLIC DEFENDERnv ❑ Pleads Guilty,Ct# Time For D Referred To: PROBATION ❑ Pleads Not Guilty, t� ❑R&S ❑Pre-Plea ❑Bail Study ❑ Pleads No Contest,'Found Guilty,Ct ft._ ❑Diversjon ❑Supplerpen►dl [] Jury Trial Waived/Demanded " ❑ i ❑ Rub.Def.Conflict Flled,Co.Nrt„(#ppts.; ❑ Time for TfiallPxlSent-WaivedlNot Waive „ r '.&Written plea of Gul.lty/No Contex ❑ Atty' =� accepts appt �or .executed by pelt.&Filed a i. I ! :. ❑,,V cats date of D Motion tolfor Jr�" ❑Ball forfeit 1 and continNed 190.days fpr'qispQ ❑Argued&Submitted ❑Submitted without argument: ' ❑Bali.forfelt;=e sit asitia and reinstated. ' ,",, ;. ❑'Granted'ODenied ;❑Taken Under Submission. .,r•: .; ❑Disposition.date`of ,r:.*V$catpd Q Complaint amended ori fta face to add Ct# ❑ ail fgrfettd and lfig,fur�her'proceedings. a violation.of sectio ,? Bail exonerated C�'Expess bail axon'rj3lted -` ❑The words felony..&feloniously are striken &the word misdemeanor Summary Judgment gntered against substituted In Its place vKherever 11.ar)Pears in Complaint.• in the amount of$ Bond ❑'Deft.waives arraignment oo§mended`complsirit. ❑Bail to apps to�fine u on jigged waiver by- 13 11/V V_7TVi>0F1_Z S;i •, 7� a7i D Probation Reinatated/Modified:OrigUel terms inATION REVOKED: Defendant found In violation of protlatton full force and effect except as follows; ATIONIDIVERSION:Terminated ❑Senteneed to$ fine INAL PROCEEDINGS REINSTATED/DISMISSED no etag LIC,suspension; suspended 8 placed oATION REPORTIRECOMMENDATION FILED ❑Original fine stayed to' Pay thru Prob. Dept. D • • • � •. � ❑pay a fine of$ •�• + 3+ .._P.A.on Ct#_ ❑Be Imprisoned 'hrs/days/months Ct•#�.. r.. ❑Pay 441ne of$ _'+ $;:.•^�P.A.on Cts {a hrsldayalmbnths,T reditisuspended Ct#_...._..;. ❑In lieu of.fine be imprisoned at S per day (]Sentence to commence D Attend by g. , ~, . ❑weekend dates and each consecutive weekend unbi served 1n full. ` D_ Hrs.volunteer work with ❑Serve consecutive/concurrent with ❑Proof shown'd►sm1$s C.t# ❑Main Jail - ❑Rehab.Center O Work Furlough recommended ❑Per.CourUDA dismiss,ComplaintlGt ❑Work Alternative Program:report/p6mplete.by ❑Judgment.Suspended on Ct 1l 11 Sentence commuted to time served ❑Fins/Proof/Vol.worklAdm.fee due by ' ❑Commitment to Issue R ❑Referred to CRU for Attorney Fee Costs of$ O ••� pry . ❑REMANDED to County.Jail, Bail set$ ' ❑Committed to Custody of the Sheriff of Contra Costa County till RELEASED,'.DOn own OR OPromIse to Appear filed until sentence is satisfied in full. ❑ORDER TO PRODUCE Issued. D Penalty Assessment waived If fine-satisfied in full by Imprisonment. ❑DEF.TO BE ALLOWED phone calls. ❑ IO THE fiHEl;<iFF COMMITMENT (Penal Code, Section 12131;1.hereby gertify that the following is a true copy of the entry of Judgment or.Order and la ypur'authority for the execution thereof. CIS SEE OTHER MINUTE RAGES . FOR ADDITIONAL.PROCEEDINGS DATED �SU_328Uk.T V T U OF.THE MI)MGIPAL CO CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION July 23, 1985 Claim Against the County, or District ) NOTICE 1V CLAIMANT governed by the Board of Supervisors, ) The copy of this document mailed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below), to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant: Jack R. Bean Attorney: Gary P. Snyder County Counsel Kully &. Snyder Address: 1111 Civic Drive, Suite 145 JUN 2 5 1985 Walnut Creek, CA 94596 Amount: $214, 835. 00 By delivery to clerk on Martinez. LA 94553 Date Received: June 24, 1985 By mail, postmarked on June 21, 1985 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: June 24, 1985 PHIL BATCHELOR, Clerk, By AiL Deputy. Ann Cervell II. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) (�C) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days .(Section 910.8). ( ) Claim is not timely filed. Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: /„ — 22- - IL __ By: _ Deputy County Counsel III. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER By unanimous vote -of Supervisors present This claim is rejected in full. ( ) Other: I certify that this is a true and correct cop of the d's Order entered in its minutes for this date. Dated: PHIL BATCHELOR, Clerk, By , Deputy.Clerk WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6)-months from the date of this, notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for lea a to ent a late claim Was mailed to claimant. DATED: 7- �_Q� PHIL BATCHELOR, Clerk, By . , Deputy Clerk cc: County Administrator (2) - County Counsel (1) ' LAW OFFICES KULLY & SNYDER LEONARD A. KULLY A PROFESSIONAL CORPORATION TELEPHONE GARY P. SNYDER 1111 CIVIC DRIVE, SUITE 145 1415) 938.2300 WALNUT CREEK, CALIFORNIA 94596 June 21, 1985 . LI, ,!a , �: �I, Clerk, Contra Costa County rf-l 8.6,T,7 na 651 Pine Street Martinez, CA 94553 ^ + Attention: Clerk of the Board of Supervisors Re: Claim of Jack Bean for personal injuries Dear Clerk: Jack R. Bean, 31 St. George Court, Pleasant Hill, CA. 94523, hereby claims compensation. for the followingdamages proxi- mately caused by the negligence of employees of Contra Costa County, California: a. Loss of wages, May .8 September 30, 1985: $14, 835.00 b. Medical expenses: 40, 000.00 C. Personal injuries : 160, 000.00 The negligence of said employees consisted of failing to adequately clean and maintain the stairway at the County Environmental Health Office, 20 Allen Street, Martinez, California, on May 8, 1985, thereby creating a dangerous condition, and neglecting and failing to either remove the moss or other debris from said stairway. As a proximate result of said negligence, Jack R. Bean, who was attempting to ascend said stairway in a safe and legal manner, slipped and fell, resulting in the above described damages and serious and permanent injury to his left knee. Communications concerning this claim should be addressed to Gary P. Snyder, 1111 Civic Drive, Suite 145, Walnut Creek, CA. 94596. er t yours, ARY P. SNYDER GPS:dq CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION Claim Against the County, or District ) BICE TO CLAIMANT July 23, 1985 governed by the Board of Supervisors, ) The copy of this document mailed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below), to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant: R.E. Jones , Inc. cOJ►l�r COUnSA! Attorney: Ms . Joyce Cram Address: Low, Ball & Lynch JUN 2 ( 1985 1990 North California Boulevard, Suite 200 Martinez, CP y455s Amount: Walnut Creek, CA 94596 By delivery to clerk on About $6.0, 000. 00 Date Received: June 25, 1985 By mail, postmarked on June 24, 1985 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is. a copy of the above-noted claim. Dated: June 26, 1985 PHIL BATCHELOR, Clerk, By Deputy Ann Cervelli II. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) ( Q This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for. leave to present a late claim (Section 911.3). ( ) Other: Dated: - - By: Deputy County Counsel III. FROM: Clerk of the Board 70: (1) County Counsel, (2) Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER By unanimous vote of Supervisors present (>,t This claim is rejected in full. ( ) ;,`Other: I certify that this is a true and correct copy of therd's Order entered in its minutes for this date. Dated: - - PHIL BATCHELOR, Clerk, By o , Deputy Clerk OEM WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six. (6)-months from the date of this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Boardts action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave toent a late claim was mailed to claimant 7 DATED: '�- - PHIL BATCHELOR, Clerk, ByCL OQJ , Deputy Clerk cc: County Administrator (2) County Counsel (1) CLAVI RECEIVED 1 CLAIM PHIL BATCHELOR 2 CLERK BOARD OF SUPER SORS ONT COST C . BY ., ........ .... Deputy 3 4 5 TO: The Board of Supervisors DATE: June 24, 1985 County of Contra Costa 6 651 Pine Martinez, CA 94553 7 8 1. NAME AND ADDRESS OF CLAIMANT: R.E . JONES , INC. , 888 9 Howe Road, Martinez, California, 94553. 10 2• SEND NOTICES TO: Ms. Joyce Cram, Low, Ball & Lynch, 11 1990 North California Boulevard, Suite 200, Walnut Creek, 12 California, 94596. 13 3. CIRCUMSTANCES OF THE OCCURRENCE: On July 13, 1983, 14 the Contra Costa Water District, Treated Water Division, invited 15 bids for installation of a 16 inch water main in the vicinity of 16 Pacheco Boulevard and Blum Road in Contra Costa County. On 17 August 17, 1983, the installation contract was awarded to R. E. 18 JONES , INC. On September 27, 1983, while performing its duties 19 under the contract, R. E . JONES , INC. inadvertently severed a 20 water service line. On November 14, 1983, again while R. E. 21 JONES was performing its duties under the contract, another 22 water service line ruptured. 23 On March 26, 1985, R. E. JONES , INC . was served with a 24 complaint filed by PUBLIC EMPLOYEES UNION LOCAL #1. This 25 complaint alleges that on September 11, -12, 27 and November 14, 26 1983, R. E. JONES , INC. " [] negligently maintained., constructed, 1 excavated, repaired and replaced a water main or pipe on or near 2 plaintiff's property, causing said water main or pipe to break, 3 flooding plaintiff' s partially constructed building and parking 4 lot. Construction was delayed and made more costly thereby. " 5 R. E. JONES, INC . asserts that the water service line 6 breaks on September 11 and September 12, 1983, are clearly the 7 responsibility of Contra Costa County. On those dates, 8 R. E . JONES, INC. had not yet begun work on the aforementioned 9 contract. As to the water service line breaks on September 27, 10 1983, and November 14, 1983, R. E. JONES , INC. asserts that they 11 were not caused by its negligence, but rather were caused by the 12 negligence of Contra Costa County, in that the County's 13 employees failed to properly delineate, mark or otherwise notify 14 R. E . JONES , INC . of the location of the water service lines. 15 4. GENERAL DESCRIPTION OF LOSS: At the present time, 16 R. E . JONES , INC . has lost money in the form of attorneys' fees, 17 court costs and other litigation expenses. In addition, R. E. 18 JONES , INC . has lost money in that it repaired the water service 19 line breaks on September 27, 1983 and November 14, 1983, without 20 reimbursement from the County of Contra Costa. The alleged 21 losses incurred by the PUBLIC EMPLOYEES UNION LOCAL #1 include 22 losses resulting from a delay in the construction of that 23 entity's building and losses incurred as a result of increased 24 construction cost because of the delay. 25 5. RESPONSIBLE PUBLIC EMPLOYEES: The names of the public 26 employees causing the loss are not known. 2. 1 6. AMOUNT CLAIMED: R. E. JONES , INC. claims about 2 $2, 000. 00 for repairing the water service lines and an 3 indeterminate amount for attorneys' fees, court costs and 4 litigation expenses. The PUBLIC EMPLOYEES UNION LOCAL #1, it is 5 believed, claims about $60, 000 in damages as a result of the 6 water, service line breaks. 7 8 LOW, BALL & LYNCH 9 10 By 11 Joyce Cram 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 3. CLAIM BOARD OF SUMVISORS OF CONTRA COSTA COO m, CALIFORNIA BOARD ACTION Claim Against the County, or District ) NOTICE TSO CLAIMANT July 23, 1985 governed by the Board of Supervisors, ) The copy of tUs document mailed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below), to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant:Pedro Rodriguez g County Counsel Attorney: JUN 2 8 1985 , Address: 5213 Fresno .Street. Transmittal A9art�nez, CA 9 553 Amounts Richmond, CA S gy delivery to clerk on -June,,-Z/ *,1985 $360. 00 Date Received: June 27, 1985 BY mail, postmarked on I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: J nl ne 2 S, ]_9 85 PHIL BATCMDR, Clerk, By Deputy An Ceryplli II. FROM: County Counsel T0: Clerk of the Board of Supervisors (Check only one) This claim complies substantially With Sections 910 and 910.2. ( ) This claim FAILS to comply substantially With Sections 910 and 910.2, and Weare so notifying claimant. The Board cannot act for 15 days (Section 910.8). ,-'_..-.:`11 {. ) Claim is not timely filed. Clerk should return claim on ground that it Was filed late and send warning of claimant's right to apply for leave to present a 'late claim (Section 911.3). ( ) Other: Dated: i By: Deputy County Counsel . , III. FROM: Clerk of the Board TO: ( County Counsel, (2) unty Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER By unanimous vote of. Supervisors present This claim is rejected in full,. ( ) Other: I certify that this is a true and correct cop of the Board's Order entered in its minutes for this date. Dated: - PHIL BATCHELOR, Clerk, By 0J ° , Deputy Clerk WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6)-months from the date 'of this notice Was personally served or deposited in the mail'to Pile a court action on this claim. fee Goverment Code Section 945.6. You may seek the advice of an attorney of your choice in connection With this matter. If you Want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board _70: (1) County Counsel, '(2) County Administrator Attached are copies 'of the above claim. We notified the claimant of the Board's action on' this claim by mailing a copy of 'this document,' and a, memo thereof has been filed and endorsed on the Board's copy of this Claim in acoordance With Section 29703. ( ) A Warning of claimant's right to ,apply for. lea to ent a late claim was mailed to claimant' DATED: BATCHELOR, Clerk, BY , , 'Deputy Clerk cc: County Administrator '(2) County Counsel (1) CLIATM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions to Claimant A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911.2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 ,Pine Street, Martinez , California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end of this form. RE: Claim by ) Reserved for Clerk' s filing stamps PEDRO RODRIGUEZ RECEIV 5213 FRESNO STREET, RICHMOND, CA. Against the COUNTY OF CONTRA COSTA or DISTRICT ) PHIL BATCHELOR CLERK BOARD OF SUPERVISORS (Fill in name) I COSTA Coy Deputy The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the SUM Of $THREE HUNDRED SIXTY & On/On (s160.0( and in support of this claim represents as follows: (Dollars) __ -------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) JUNE 6, 1985 2:30pm -------------------------------------------------------------------------- 2. Where did the damage or injury occur? (Include city and county) 5213 FRESNO STREET, RICHMOND (CONTRA COSTA COUNTY) -------------------------------------------------------------------------- 3. How did the damage or injury occur? (Give full details, use extra sheets if required) Deputy Marshal destroyed front door of residence at 5213 Fresno St Richmond. Deputy performed act in attempt to serve arrest warrant. Location on Fresno Street proved to be the former address of subject sought for arrest. (See attached Incident Report by Deputy Marshal D. Hanson) ---------------------------------------------------------!------------------ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? Deputy Marshal destroyed front door at 5213 Fresno Street, Richmond in an attempt to serve an arrest warrant. 5.'J What are the names of county or district officers, servants or employees causing the damage or injury? David C. Hanson, Deputy Marshal - Contra Costa County Marshal's Office ------------------------------------------------------------- ------------ 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ) Destruction of front door of 'residence at 5213 Fresno Street, Richmond -------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) Actual cost of repairs (receipt included). -------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. Witness - Deputy Marshal Charles A. Garlow Witness - Deputy Marshal Robert H. Redfern Address of the above: CONTRA COSTA COUNTY MARSHAL'S OFFICE 640 Ygnacio Valley Rd. P. 0. Box 4817 WALNUT CREEK, CA. 94596 ---------------------------------------------------------------- --------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT None to date. Costs borne by Pedro Rodriguez,. owner of residence at 5213 Fresno Street, Richmond. Govt. Code Sec. 910.2 provides: "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " Michael Dodson, Deputy Marshal Sg�. for Name and Address of Attorney PEDRO RODRIGUES,_. Claimant' s Signature 100-37th Street, Room 140 Address Richmond, Ca. 94805 Telephone No. Telephone No. 231-3245 'NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genu'ine, any false or fraudulent claim, bill, account, voucher, or writing, is guilty of a felony. " •r 7O.COOE SECTION 7I.CRIME 72.CLASSIFICATION N 73,VICTIM'S NAME LAST,FIRST,MIDDLE IFIRM IF BUS.) 74.ADDRESS RESIDENCE BUSINESS IMPHONE N/A Ono i #1 INVOLVED PERSONS: Deputy Marshal David C. Henson WARRANT/EVICTION TEAM Deputy Marshal Bob Redfern WARRANT/EVICTION TEAM Depute Marshal C. Garlow _ 4� FIELD DEPUTY ASSGN. BAY OFFICE f' P R Y: � N/A #3 VEHICLES: N/A #4 EVIDENCE: N/A #5 INVESTIGATION: On 06 June 85. while assigned to the West Count area my partner . Redfern) and I D. Hanson were working as the Eviction/Warrant ^ Team. Approximately 1400 hours we made contact with Deputy Garlow and asked _ ~dor his assistance with the service of� a warrant we had. He had personal, _ knowledge of the person that we were looking for. De uty Garlow had arrested this person approximately two months earlier concerning this same case. We had a $500.00 civil bench warrant (Case No. 15-673) out of Bay Muni for a Carol Klingenfuss. She istheSecretary/Treasurer of Alstate Ex & Demo located at 5213 Fresno, Richmond,_CA. ApQroximately 1425 hours the Eviction/Warrant v Team and Deputy Garlow arrived in the area of Fresno and San Joaquin. My partner asked marshal radio to check the cross director far 5213 Fresno and see if a phone number was listed. Radio responded that she had a number for that address. My_partner then informed radio to make a phone call to that number and ascertain if Carol Klingenfuss was there. Radio informea us tFaT she was there but_-awa_y_,from her desk. : My partner and I exited our patrol vehicle and approached Deputy Garlow. I advised him to pu is vehi e—up �- __.,_.- to the address. I did not want two marked patrol vehicles to pull up at the ' same time. I had personal knowledge that this company fiaa avoiaeii service-off -- ` number of civil p pers and that approximately two months ago this same address was raided by Richmond Police Department for gambling viola'tions��TJ— did not want to telegraph to anyone inside the business that more than one REP I G OFFIG 5 RECORDING OFFICER TYPED BY DATE AND TIME ROUTED BY ACTION FURTHER Q TO: AGTiON YES O� ( DETECTIVE CII NO Li JUVENILE }�PATROL / +�+ D DIST ATT" !Y! L OTHER L,L;J Q 5Q/PO, Q REVIEWEDBY DAT£ OTXER (J (rte, CAL.. JUS. CR s2 70-GODE SECTION 171.CRIME 72.CLASSIFICATION MISC. POLICE INFO. WARRANT 73,VICTIM'S NAME LAST, FIRST,MIDDLE (FIRM IF BUS.) 74.ADDRESS RESIDENCE] $USINESS 75.PRONE N/A deputy was there. Deputy Redfern, Garlow and myuself walked to the front door. The se een door was leeked, ucalriow reached around and"'anlocked it as I walked into the covered porch area. I then knocked on the front door. Some- en asked "Who is it?" i then advised this person that we mere--the- Marshalls Office and to open the door. He again asked "who?" This time I ad- ��_. vise Im that -I-W83 the Ile-ontraMarshal,s elf Fice a,id to--open--the door." His reply was "no." He said that I would have to talk to Mr. Rodriguiz. infer-med nu----- FReFous times whe we were nd that we wanted entry--into- -Y the house. He refused us entry everytime. I finally informed him to stand asid f- the deef as 1 was ge�ng to k1ek it im. !le vva5 ap in given a chame e to open the door before I had to kick it. The order to stand aside of the door geing to +ki 1it was given to times. third cumma proceeded to kick the door. It took approximately 11 minutes to kick the door 4F�due to the leek4ngAype-systeffls that--weTe--en it. When 1 emtered-the front office (which I had been in a number of times before for service of civil that it was vaeamtt-�t for a !one desk.- No one was to Abe seen or heard in this area, so I started to make a search of the house. anether- r-eaffl, 1 sewa--F�e-r--ef tees son floor, but bodies. The next door I confronted was locked but it was tied with a small p±eee -af next de)or 1 eheeked w the safne. As 1 %-1 eeked the bathroom, I heard Deputy Garlow yell that "it was a blind guy" from the kitchen. --A-a-I emtei.,ed t4=t-�teiqen ! saw a fflen down at a table with a phene !A his hand talking to someone. We tried to calm this person down and inform him who we were. Bepdty Barlow finally somewhat ealffled this peesen aAd get the phone away from him. The person that was on the other end of the phone was _-parol -KI-ingen-fuss 5 --Deputy-_Garlow advised--her who-he-was --tha+_ve-4�d--seffle business with her and asked her where her new address was . Garlow -t-o±-& Redfern and 1 -ttrat-s"he--was." at-4-2553 San Pablo Avenue -- f-G-12 us to leave and head over to that t address. He was going to handle __ev-eryttyi ng at this end;---My- partner d -I--pr-eeeede -to- and went back in service and started to head- toward the new address . Whtte m irou te—tathe-add,ess which was an t4ie_-ether- side we made radio contact with Deputy R. James, and asked him if he was ctuser to thtf -n-ewad-dr-e-ss- His esponse was "yes. " We ad-v4_%444---- Deputy James to stake-out the address to make sure that Carol .7 -7x - did- not-flee-.----Dept'y gaye Dep-ut- u' physical description of Carol Klih, genfuss . After that , Deputy Garlow ask-ed radio to -check- the. pbune--c-o_m_p&n-y�4P,&ke- sur�ewhat- 12553 was the-. new address. Radio advised Deputy Garlow that the eA ____ the IR-P. s--- 4-r a 44e-&s--s_ g n t a change of phone number, so radio called the new number. Note: REPOR"GiplllkERS CORDING OFFICER TYPED E AND TIME ED 8, z Z7 7" FURTHEIES[D DETECTIVE ACTION R I YES TO: TE oil No JUVENI LE0 PATROL DIST.ATTNT 190THER REVIEWED BY DATE OTHER 4& CAL. JUS. CR 1r2 TO.GOOE SECTIONCRIME T2.CLASSIFICATION TI. MISC. POLICE T3.VICTIM'S NAME -LAST, FIRST,MIDDLE (FIRM IF SUS.1 T4.ADDRESS RESIDENCE BUSINESS 75.PRONE N/A At no time did radio advise -any of us that she had a new change of --- �i�ob-s�-rved - the suspect walking from the back of the business address to a - - wee"-IIepu 'y dames across the street watching her. The suspect then walked back into tthe-._..busiI I t'.ss:-- - ant- ere-d--the front door as my partner entered the rear. Deputies Garlow and 3sire-s as±u assisted as cover during this L-LI11C. I mace cont-a-ct with Carol -Klingenfuss and informed her that she was under arrest } -i. was appcuached by a Mr. Rodriguez who asked who had kicked in his door on Fresno. ._.__--H-e-w as- a d v i s e da -d- the d u u r _f1 :--H-e made a number of phone calls while we were there . Mr. Rodriguez -a-1-s-o gave- a roi-iE-.i-rrg-e-rr -8 p --- _ accepted the $500.00 and issued her a� "B" receipt and gave her a - - eovrt- -d RT urtL were leaving I apologized to Mr. Rodriguez for any inconvenience -1ICE ve7-rav-s-ett-t-a-tire-visroi-r im7zi .F-resrro- --" _ address. #5 DISOSITION. No further criminal action needed. i REPORXII1G OF CERS / RECORDING OFFICER TYPED BY DATE AND TIME ROUTED BY "� /-1•-'{terms ACTION FURTHER COPIES DETECTIVE QGII 1 INO Q JUVENILE D PATROL �Q-�y DIST.ATM �DTMER REVIEWED 8Y 1 1 S0AIPAD. OTHER CAL. JUS. CR =2 6582 CUSTOMER'S ORDER NO. DEPT. DAT NAME p�. aooREss � r f SO tO BY CASH C.O.O. CHAR6S OM ACCT.1--. JMSD. PAID OUT 1 3 < 4 5 g t 7 S 9 10 11 12 13 14 i5 16 17 18 RECD BY o , KEEP THIS SLIP } sit 320 FOR REFERENCE CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COMM, CALIFORNIA BOARD ACTION Claim Against the County, or District ) NOTICE TO CLAIMANT July 23 , 1985 governed by the Board of Supervisors, ) The copy of this document mailed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below), to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant:Gian Garambone 3051 Sylvan Avenue County counra, Attorney:Oakland, CA 94602 i U 14 Z 1y85 Address: Hand delivered Martinez CCA yq Amount: $500. 00 By delivery to clerk on June lb . IS Date Received: June 26, 1985 By mail, postmarked on I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: June -28 , 1985PHIL BATCHELOR, Clerk, By (1Deputy An%n Cervelli II. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: By! Deputy County Counsel III. FROM: Clerk of the Board TO: (1 County Counsel, (2) Co ty Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER By unanimous vote of Supervisors present This claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: PHIL BATCHELOR, Clerk, By a , Deputy Clerk WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6)-months from the date of this notice was -personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for 1 ve to went a late claim was mailed to claimant. DATED: `)-a -$ PHIL BATCHELOR, Clerk, By o , Deputy Clerk cc: County Administrator (2) - County Counsel (1) f" .VIN CLAIM TO: BOARD OF SUPERVISORS OF CONTRA CO *Q?WYappiication to: Instructions to ClaimantC'•erk of the Board S,fy Martinez,California 94553 A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911.2, Govt. Code) B: Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. . E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end of his form. RE: Claim by )Reserved f "Irk 'ling stamps (I I A N GARAMEdNE `.3051 SYkJA/,t /{VF OAKkknD 9Y60'� Against the COUNTY OF CONTRA COSTA) or DISTRICT) (Fill in name The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of S 5-00 , 00 and in support of this claim represents as follows: G----------date-and-hou-r ---- ive exact SATQF, bAy .5vrvI� Is, lg �s 3C-) PM �. where did tFie damage or injury occur2 (Include city and countg3 Ow W II.�CAr MT. R t� (ire W ESN Ek TOYONAti AND S<W Qitt3�0 `DkM �� CON-10 COSTA CoUh(Ty - --T------------ -T--How- Kid --t-h-e---d-am--a-g-e-o- injury occur? -Gv- lull T ------------- details, use extra sheets if required) , WAS Cy( "14 10w/v -THE k0A_b W)AEAi SU"D'V'ky A S' OT SIGN CAME AP7ER A gti/N_b CURV't , TNERF WERt CARS S?O?Pt_b AT '`HIS SIGN \ JID N rr HALM A-bE QUATE S')ACE TO f Vkk\f STOP � AN SINCE -TNERt WPS A CAR PASSIN4 DN MV /.E/-7' Anr.D . RvglskC ON VII RI6►47- 8kT I-VIC (AR--JN FROKrE , - OF ME' — WAS 1HROWN OVER _T.HF 14001 of THE' ------------- --- -------------------- --------- 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? T,OA_1�. IN BA-D REPAiP, C,Rossj.y iNA.bI= QvATI= WAR><( N6 SIGAI) SIGN 0$SCVR1F BECAUSE IN 6A-b CON11TIOM (Bukk4;-r 1\Ohts) , 'T>}�eF is NOT' WARN�N� AD�QVATE 'Room TO sTO BUE TO 4W RAt PkAcE VII-NT Of: '?HES SI6k/ Anr� AN VPCOMIN6 tkIN-b CvRVt� �Vs-r BEI=ORE THE STOP S)GN 11 (over) �. What are the names of county or district officers, servants or employees causing the damage or injury? A(vb MA( mTeNANct F!�% 6. What damage or �n�uries do you claim resulted?- Give full extent of injuries or damages claimed. Attch two estimates for auto damage) BRu'sG5 u-r '}Pfl T)ETIA,t,y .DEADI.v) . TOIAh N-)AMACT-- eta NEW (LESS T►iAn1 )YeAR ©kh) fioUR„,ry Blcvcke, ,TVAE 'FRAME IS BENZ ..___.._.._.._.._.._________________________om -_-___________________________ 7. How was the amount claimed above computed? (Include the estimated - amount of any prospective injury or. damage. ) COST OF A rltw Zirvckr, /N A 5iM11,AR QVA/.tly C. ,ASS (ONSTRVC-110" AND ' \\WADik%-ry • CST wau►.D (-Os7 MORE -To Z\)Y A FRAMe ANN 5M)FT Ar,►, COV ?ot4Gi►T5 10 '`HE NEw FRAME ^ MEctiAAi,c 'S 'TvDGi: MEHT-) B. Names and addresses of witnesses, doctors and hospitals. TTO N y tgp M 0 o R C (T h C r1 AN 1 s-t I T) 9 G,�F/ '�� NOnI�A pREt,v�F TkAIC VDFFv 7k2� 9. List the expenditures you made on account of this accident or injury; DATE ITEM AMOUNT Gas MONCY TO �S �S$tMARTINt'l C 17 tfl.,w. 6 PhONZ C.AaI s O q ANb koTS 04: imz- GOING, 30 SIxlr V� GrHAYlc5 AN9' 5HoP5, QN4tifC CA1,l.5 �iND1 4 OvT WHAT 10 b0 WRIT lAiG I. E�FE �S E?t 11 Govt. Code Sec. 914.2 provides: "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by somepersonon his behalf. " Name and Address of Attorney Claimant's Signature 3bsl Svj vAA/ Aucc Address �AKG,Au CA. gH6o� Telephone No. Telephone No. P P � I S S 3d—r! A4 I�,- NOTICE Section 72 ofthe Penal Code provides: "Every person who, with intent to defraud, presents forallowance or for payment to any state board or officer, or to any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, .account, voucher, or writing, is guilty of a felony. "