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HomeMy WebLinkAboutMINUTES - 07281987 - 1.19 CLAIM BOARD OF SUPERIISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT July 28, 1987 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $25,000. 00 Section 913 and 915,4. Please note all "Warnings". CLAIMANT: JAMES KENNETH COOK County C0llnsel 2794 13th Street ATTORNEY: San Pablo, CA 94806 JUL U $ 1987 Date received July 1 IM..817tineZ ADDRESS: BY DELIVERY TO CLERK ON CA 94553 BY MAIL POSTMARKED: June 26 , 1987 1. FROM: Clerk of the hoard of Supervisors TO: , County Counsel Attached is a copy of the above-noted claim. DATED: July 6, 1987 ppHHIL geTCHELOR, Clerk BY: D puty L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors 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. The 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: 411 Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (x) 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: J U L 2 8 1987 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date 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. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: J U L 2.9 1987 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator RLC.L�IV�D _= JUL 1987 CLAIM FOR DAMAGES 1. Name and address JAMES KENNETH COOK of Claimant. 2794 - 13th Street San Pablo, CA 94806 2. Name and address of person to whom (same as above) notices are to be sent. 3. Date/place/circumstances On 4/17/87 while incarcerated of occurrence giving rise in the County Jail in Martinez to claim. claimant was assaulted (punched in the face and neck) by Deputy Briggs. 4. Description of injuries Injuries to head, neck. sustained. 5. Names of public employees Deputy Briggs of the Contra Costa causing damages in occurrence. Sheriff's Department. 6. Amount claimed as of date of To be furnished subsequently - presentation of claim, together amount exceeds $25,000.00 for with basis of computation. personal injury, shock and emotional distress. Dated: June 25, 1987 _ JAMES IU2Z= COOK Claimant - y4 Y PROOF OF SERVICE BY MAIL STATE OF CALIFORNIA } CLAIM OF JAMES KENNEM COOK _.. _ ) ss: COUNTY OF CONTRA COSTA } I am a citizen of the United States and a resident .of the County of San Francisco, State of California. I am over i the age of eighteen years and not a party to the within above entitled action; my business address is: 488 7th Street, Oakland, California 94607 . On 6/25/87 j 198 I served the within QOM OF JAMES KENNETH COOK on the County of Contra Costa in said action by placing a true copy thereof enclosed in a sealed envelope with postage thereon fully prepaid, in the United States post office mail box at San Francisco; California, addressed as follows: County Board of Supervisors Office of the County Clerk 651 Pine Street Roram 106 Martinez, California 94553 I, Mark Mandel , declare under penalty of perjury that the .foregoing is true and correct, Executed in Oland, CA. Dated: 6/25/87 f i j, (Name) (Signature CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by). BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT July 28, 1987 . and Board Action. All Section references are to The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the .Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $50, 000. 00 Section 913 and 915.4. Please note all " rnin s" ounty Counsel CLAIMANT: CHERYL MCGRATH 390 Maureen Lane JUL U 8 1937 ATTORNEY: Pleasant Hill, CA 94523 Date received N41 inez, A gq553 Julv 2 , 19%l ADDRESS: BY DELIVERY TO CLERK ON hand del . BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Joard of Supervisors TO: . County Counsel Attached is a copy of the above-noted claim. DATED: July 6 , 1987 pH IL BATCHELOR, Clerk BY. Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( 'A 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. The 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: ILIO BY: d PAL. eputy County Counsel 11I. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( V 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 datee1 Board's- u JUL` Dated: 2 8 19817 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date 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. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. JUL 2 9 1987 Dated: BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator rLX—M_TO: BOARD OF SUPERVISORS OF CONTRA C -�_ - OPYr���3ppfiC11ti0�t to: Instructions to Clal�.ntC!erk of the Boars! &S1 P,.r t Joy 41-"0 M rtinez.California 94553 A. Claims relating to causes of action for death or or 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,'cpenal Code Sec. 72 at end this of tis form. , �llttlRtttA�ftltl+4R1RRtRf+R*�tR�1k*1k�RlfRttR**tkfl�tR�+k�tklRlt!'RlA'�t�!!tt!*'R*1Rlltk�+��'R�k RE: Claim by )Reserved fnr Q r1r'a filing stamps CHERYL McGRATH 'D T2X%-0 T,,. } ,,/irb Against the COUNTY OF CONTRA COSTA) = 1I�A JAL or DISTRICT) pK m"Tft (Filln nameT' . ..., The*undersigned claimants hereby make*' claim against the County of Contra Costa or the above-named District in the sum of $ 50,000.00 and in support of this claim represents as follows: I:-"'When-ci��the�damage-or in�ury occur?`-'�Give�eitaet-date�"an�"��iou=����� 3-27-87 approximately 9:00 p.m. �, Wfi'ere-did-sbe-3amage or injury occur? Zlnclu�e city and county] Merrithew Memorial Hospital 2500 Alhambra Avenue County of Contra Costa ; ____--___ martinez, CA 94553 3. How did the damage`or-ij -- s; -e-er "nuryor usxtta ' sheets if required) After being forcefully taken to Merrithew Memorial Hospital, claimant was forced to drink vomit-inducing liquid against her stated wishes . Claimant was thereafter attached to stomach pumping equipment in the hallway of said hospital and her stomach pumped against h r stated wi hes. , lai ant was re Zre to nderg s h' a ric exam n tior ..__a�sa P a �saa _aa as..nat�.tA� ya_ g R ,3�d gg.-�yie�..TourE a. what art cular act ar omission an the part oI county or district officers, -servants or employees caused the injury or damage? See No. 3 above; said conduct was performed against claimant 's will by members of the Merrithew Memorial Hospital staff. (aver) `,----Vhat are the na- -s of county or district oaf icers, servants or' employees causi__1 the damage or injury? Unknown at this time 6. What damage or injuries do you claim resulted? ZG�ve full extent of injuries or damages claimed. Attach two estimates for auto damage) Plaintiff suffered physical and emotional pain and suffering as well as extreme humiliation and embarrassment. 7. How was the amount claimed above computed? Zlnclude the estimated amount of any prospective injury or damage.) General damages for pain and suffering Punitive damages for outrageous conduct - ------------------------------------------------------------------------- 6. Names and addresses of witnesses, doctors and hospitals. Merrithew Memorial Hospital ' 2500 Alhambra Avenue Martinez , CA 94553 `'' List the expenditures you made on account of this accident or in�ury: DATE ITEM AMOUNT None to date lRlRRRRlRRRRRRRRRRRRlR!!RlRR!lRRRR!!*!!tRlR!!!!!!!!R!!RlRR!!!!!!!!!!!!!!R Govt. Code Sec. 910.2 provides: "The claim signed by the claima SEND NOTICES TO: (Attorney) or by some person on his behalf Name and Address of Attorney Law Office of Maryanne Britten -C1aiantis Signature # .Salvio Pacheco Square 390 Maureen Lane 2151 Salvio Street , Suite 400 Address Concord, California -"94520 Pleasant Hill, CA 94523 Telephone No. 825-9448 Telephone No. 671-7814 •!!RlRR!ltRtRlRRRRR!!!!!!!R!!R!!R!R#!RR!!!RR!!!R!!!*!!!!!R!!!!!!!!!!!!!RR 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 genuine, any false or fraudulent claim, bill, account, vouches or writing, is guilty of .a felony. " A CLAIM BOARD OF SUPERVISORS .OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of 'Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT July 28, 1987 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $225. 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: SUE MEDINAS �.OUnty Counsel 1531 Litina Drive ATTORNEY: Alamo, 'CA 94507 JUL 0 8 1987 Date received July 1, ��81inez, CA 845,53 ADDRESS: BY DELIVERY TO CLERK ON BY MAIL POSTMARKED: June 30, 1987 I. FROM: Clerk of the.Board of Supervisors TO County Counsel Attached is a copy of the above-noted claim. ` DATED: July 6, 1987 JyIL BATutELOR, Clerk P y L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors 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. The 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: 9 BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (x) 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: JUL 2 8 1987py PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date 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. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the !United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: J U l 2 9 1987 BY: PHIL BATCHELOR b ut Clerk y ' y CC: County Counsel County Administrator CLAIM 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 , CA 94553 (or mail to P.O. Box 911, Martinez, CA) 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 ) Reser-_ s iling stamps CEIVE RE JUL 1987 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 $ o2 and in support of this claim represents as follows: ------------------------------------------------------------------------ 1. When did the damage or injury occur? (Give exact date and hour) 2. Where did the damage or injury occur? (Include city and county) -��PHO 0 k I--Q� 3� O D 1 I— �V1/`Q. L c7 i i2 Cd pV P1 ----------------------------- d ----------------------- ------- 3. How did the amage or injury occur? (Give full details, u e extra sheets if required) U3 0 Lo A3 G- l v O (Z� - l 0 4 . What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? 0 VIA (Q C) V1 V—Q A -T \ E cT � 0 Io � �-- � �--©� O F 1 over) 5. What are the names of county or district officers, .servants .-ar: •1 employees causing the damage or injury? 1 WVTE-► -N A7-t 0 0 f3c L ------------------------------------------------------------------------- 6. Whatdamage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) T:47 P o rz_ 0 A-D QO-7"PC) U(Ob o r&D T _off__ u� ►1y i rpt +-cam -�N --- s �nnl' ?. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. �.._ 9. eTi�s you ?Wade on account of this accident or injury: VAJVY, �: 7 ITEM AMOUNT cin . :� ""'"!►-u,.. Govt. Code Sec. 910. 2 provides : L.IT� 'The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some p erson on his behalf. " Name and Address of Attorney ND A�'�l, "D� Claimant' s. Signature Q ? � �. �. Addre_�s s Cr Telephone No. Telephone No. -r 1 G - 3 p%4-1 `7 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 genuine, any false or fraudulent claim, bill, account, voucher, or writing, is guilty of a felony. " 90NM: NT AUTO DETAIL fVC0 8 967 .❑ SERVILE ©'f�!}t�cJ�k�`G +G t NE .. DATE J..—: ❑ INSTALL ❑ DELIVER 4Y./� NAME MAKE APT. MODEL SERIA c IN17 ITEM TO BE SERVICE NATURE 0FSERVICIE REQUEST rod ta jQUAN. DESCRIPTION OF PARTS OR MATERIAL AMOUNT . �„ ev t n-- ,�-' V LABOR PERFORMED' Total " Materia! To Total Labor '' Toto{ mount T BE RESPONSIBLE FOR LOSS,OR ND OUR CONTROL ,j ORIGINAL REO FC)RM d TERMS-NET CASH NO GOODS HELD OVER 30 DAYS r` k R CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT July 28 , 1987 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $500, 000- 00 Section 913 and 915.4. Please note all "Warq�ngsl CLAIMANT: DANNY DAR14ELL JOHNSON u] Y Counsel 1460 Springbrook Road ,JUL 0 8 1987 ATTORNEY: Walnut Creek, CA 94596 Date received .1Zrftnez, C 53 ADDRESS: BY DELIVERY TO CLERK ON June 29, 1987 hander. BY MAIL POSTMARKED: no envelODe I. FROM: Clerk of the hoard of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Jul 6, 1987 HHIL BATCHELOR, Clerk DATED: S' BPpY: Deputy L, Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( 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. The 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: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the 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: J U L 2 8 1987 PHIL BATCHELOR, Clerk, By � Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date 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. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United.States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JUL L 2'9 1987 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator CLAIA TO« BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY '!, ( Instructions to Claimaz i Return original application. u. Clerk of the Board 651 Pine St., Room 106 Martinez, CA 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) 8. 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, gather 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-Tits form. ::::ee••ttttte:ee:�*:�re�:�t*�reet�*art**,►*ttrtRt,kit+Rtrr��tRrtttt�rk*tile*+R�t:t*ter RE: Claim by )Reserved for Clerk's filing stamps Danny Darnell Johnson Now Against the COUNTY OF CONTRA COSTA) JUN���9�1 or Contra Costa County DISTRICT) t __7fill 1n name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ ron noo - 00 and in support of this claim represents as follows: �. When did the damage or �nlury occur? Give exact date and �iourj May 28th , 1987 Approx 5 : 45AM d.--wfi"eze-did-tie+damage�oic-�njury�occur?- �Inc�ude-City-and-county ��- MacDonalds , California St.reet , Walnut Creek CA 3. How did the mage-or-injury occur? (Giveu�I-a;U1 extra da sheets if required) Personnel of MacDonalds negligently and maliciously called County, police regarding an employee, , Danny Darnell Johnson , for some unknown reason . We believe it is because Mr . Johnson is black . �.--tthat particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? Police representative of Contra Costa County negligently reacted to a false and invalid warrant and acting upon such , falsely arrested and imprisoned Danny Darnell Johnson . (over) -5. Whak art4 the names o %ounty or district office ; servants or' ' employeeh causing the damage or injury? Does 1-10 6. rgR;Fdamage or injuries do you claim resulted? ZGive lull extent of inj ies or damages claimed. Attach two estimates for auto damage - False arrest , false imprisonment , intentional and negligent infliction of emotional stress __________ ------------------____ _ ______w____ri __ 7. How was the amount clamed above computed? (Include the estimated amount of any prospective injury or damage. ) False Arrest/False Imprisonment : $450,000 Intentional and negligent inflict- .a[L.of_ .uw.ti.o�a1_�IistrEss_disress• 8. !Names and addresses of witnesses, doctors and hospitals. We have learned that no official police report, was. filed but that an internal memo exists , per Lt . Shores investi - gation . �. List the expenditures-you-made on account of �this accident or injury: DATE ITEM AMOUNT Govt. Code Sec. 910.2 provides : "The claim signed by the claimant SEND NOTICES TO: o rm" or by some person on his behalf. " Name and Address odcattonwy MDS INK/M. Douglas Swan t s ignature 1560 Pine Street CA 94522 146 Springbrook Rd. Tel 41.5-686-9201 Address Walnut Creek CA 94596 Telephone No. 415-686-9201 Telephone No. n/a 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 genuine, any false or fraudulent claim, bill, account, voucher, or writing, is guilty of a felony." CLAIM B9ARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT July 28 , 1987 and Board Action. All Section references are to The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: *3, 000,000. 00 Section 913 and 915.4. Please note all "WaieWty Counsel CLAIMANT: ROBERT J. WARREN 901 Court Street JUL U 8 1987 ATTORNEY: Martinez, CA 94553 Martinez, CA 94553 Date received ADDRESS: BY DELIVERY TO CLERK ON July 10 1987 hand del., BY MAIL POSTMARKED: no envelove I. FROM: Clerk of the.Guard of Supervisors TO:','-County Counsel Attached is a copy of the above-noted claim. EVIL BATCHELOR, Clerk DATED: July 6, 1987 BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors V ` 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. The 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: ty County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the 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: J U L 2 8 1987 PHIL BATCHELOR, Clerk, By, Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date 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 doso immediately. . AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: J U L 2 9 1981 BY: PHIL BATCHELOR by Deputy Clerk P y CC: County Counsel County Administrator CLAIM -BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions to Claimant Return original application to Clerk of the Board 651 Pine St., Room 106 Martinez, CA 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 Vause of action. (Sec. 911.2, Govt. Code) S. 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 Wing stamps Against the COUNTY OF CONTRA COSTA) JUL, 1) 1987 11,0;a.,h. or, DISTRICT) _ (Filln name } "a S The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ ,. and in support of this claim represents as follows: ___ ►+�______�._�'."__ ---------,moi_ _____— _ �__ ____ i+13ien x� tie damage or tn3ury occur? 7Give exact nate ana fxourj FeLruary 14o, M7,, awd ,l iaxch cU ) 196'. F`e=e` I -t aama`e`-oi`�n�u=Y--occui?-- 9 3 Zlnc�uae city and eountyj �� ,,�, ,44- Me- COATIM.' Cosv a. Ceawi De eewlxx i l F'C4C '16"f 1 Y � y W a J S+t%�'� _/Vl, a 1 hz A14CX_ Ca 1c _ toe a d t �oc��� w 'Fo P.N&� �q��".3. 3'."bow`oic3`the-damage-oir-1nju=y occur `�Give`�uIS`ae`tatis;`use`ex`tia `. sheets if required) 4:"N�'iat`p'azt�cular`act`oi-om ss on`on tie-part`o1`county'oi`aiatirvxct"- officers, servants or employees caused the injury or damage? ?tS 5,1'741C C I S d r- F e, ,S C'g�, u,V S e f /+E-'� zoo J4 + p sC Its r#tit a.V4 a M4 5 Sc4pet& VrrSo r,� Fat,Iec4 'L�a r 5,�� � / aVC- 7-1i&tlover) 5. What` are the names of' county or district officers, servants or' employees c using the damage or injury? (��� r1c�C uw)Pti , Superi-�I's0r- andel /�t�ctiael 7Cf0 , e e- of the Cdd-Ota �Saga. Cau y a ri� y a.v�C oiAZ e eexf _ Sh-�u -t� �.EAQU -=A - - 6. W at damage or injuries do you claim resulted? ZGtveu� extent of inj ies or damages claimed. Attach two estimates for auto damage S.ve FF ec��'�e �tS5�5��NC e OF CouAJse/ avd lack OF aL ell ek 7. How was a amount claimed above computed? (atS Inclu a the estimated amount of an prospective injury or d age. ) , cvas a. sed of gewew a -A JJ PO'v j �a m a y s Po/ !b Naa t'a/ J.Vd 30��C Pte., X/',ZZXcl F0 w Psycho/0J. 8. mes ane addresses of witnesses, doctors and hospitals. The /� RS' D��! M C '7 l U� wa 3 F/ ed t`N ih e T e/i a. tTuCL46CA42Of Sfw4ct) 4 ,- Cirv/`c Avewa e ) -- ------ .--------------- ----------T--------------T-�---- �. List th uresu�made on account of this accident or ln3ury: DA r ` i . �. _ ITEM AMOUNT ,. y"""'�"'w'.•-'Y""""`'�"'�""" Govt. Code Sec. 910.2 provides: "The claim signed by the claimant SEND NOTICES TO (Attorney) "'pr by some person on his behalf. " Name and Address of Attorney i-laimanivs ignature J11 " —3' Address Telephone No. TelephoneNo. 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 genuine, any false or fraudulent claim, bill, account,. voucher, or writing, is guilty of a felony." _. 80A R D ------OF---&)pkRv1sc ....... _� Clay b qol �t7 R7- Srgi�5T �A -CO& IT -OF COWTKA CasTA Th uA)jc I,-.s _.._. Lr�d_ 4e_ -34/,41 OF, A �� Oo©,oao, as .;_ a�c� inl 3upp6I*-f 0r --()15 ZaL"Al _. PSE Ptl6'S C lx-�S a s. lQ The d aM 0j __ a,v4f A.'Vj,*av a ecft' ed . be _Fe6_r�uar- � , /9��; awd /O awCG► y d'4A0tl.a96 aid.. ,'wjct AY occa j& tt ed wh-,'/e, .. . cd " -,� ` Covina. Dcz1C.4/eco Al. Fa e_E/4�Y, l oca� ecl a it incwe' .} C -t /c,FU 14A14(4- Th /5 ?twVs C out -OF_.-- _ . GLFPo,�:Ve�--,-o ewt �- eF__e i� d e r :wAo_-_z4�*as - a Lr a�n1 a_w ..........as--_��_S.-_deFe�/:Se- caltwse/ _.o : .__.._. _ __ ;,.�_c`l►.i c�t�ct 1 .Char--q�s _ p i f 'j� i p r ♦ f L .. �Ll�{.t CG� o C a. e�{. - ��` c C..--,Igile- 4r,e- 0,Aj wu a J&/ F ade-P= -s hlat'.J OFFc.ec- , -_---- Th C 1/1 wh o -aN S-&,Ie- jr-ai &A e, pAewe ad b e e,✓ ass Z'9Aled -- i-o Ci Al e h a c 4,Peake w _ rde-AIZ 4f` ed. . hl,Ms.elF .__rftnld. o•�/ � Foy/o ��✓9 d�y___.� o c �scc�ss h a tie 5 Th a-d e.-W-o good-, -- - - :: FFo r-t_ i-o ._ .Cowi ac .__ -cla t*.a tel . .ZuwZ l r � _ !�. a�/ _-..o-F.--_�_c S --_,S-c�►.e_d u._l_�:c�....--�b-t�-�/L,��w a rte' __. __ - � e a 4-4wl : w (,C ba 1; alvd -ail -,su bs�e.�f -- _. ._ _ ► ode aL a _. b e Fu�i/e , e __ F�/ecce .-_ :a.., ..-.._- .: � a��•�l�'ed�...�.,vd --cZ. pr�.�dale �-z��aJe�/ k/2t.�, __ -._._._. _ - &O-TWA/- C l31*'Al a -V,� Ad /a ea s C f i=le _,Ve-fj beCaU36 h e d e. -AJ u e.&Z . d e Fewde- r- .A xd we e-exp/,O, eei 04- a Vicevevc : o F puss ek /e. h ad. Fa41ed e o -coovVesa- p- doily ICa✓oKaPe .__. as p c c,4 s o F G/a c;44 aNi s C a.s e rl) t`s �1►1c�c� � C rNf AtOF h'aVz ly i-4a .._- :_ _ .. . _ �pe r�vc,.�o_r_�..__we K_�_ _1�e_� ,�y_.. ...p a�d __7.ttl�•�/f�e�c pfcd_.____ ._-.. _. ._____._-_. -...____.;._S-alaK`es �.For_-_..�c��%✓__q____.as---ttiau9h t� e_.y__ w_�r� . _.. ___... thai_..same -pe w46d -oF �Zme ..h ac, -Ale) . oiep.-- d• 1. �l�l��iYL�ec�� _... _. _... _.. r , lt. epp csewz�cctonl _ e . .yar-r'rus asp ec?S..._dF_... .. .. h i's Ga 5 e o cvc e dd e,ved b y i e.Ne f ��edc e, o f Z-A a_.pah Aeic j e- F e Alde w _ t o Fa lFG�1 I-A e .Saes ec�A1.Sj."iaZ4a 1dl .. O b !c-,f a I4� a Cle.FeA,Ze , 04 Th e,- o rl- eprtesewt C-&Cm-�W� .F aGIed d dm Alt,Sf 3u_pg Pt Vz w rt- Fat �./ea t-") aZZ O �Alcy -& � ePlaee c d � - ►�-,ales Ca-to i^.- S , 4vs�e r ',4' I _ `'•._.._ ` 'y e --x 8.41 es 0 F Ith e. em pts e es -_..� ._:_.v._.... ...... Poxz r. - a r, c ?a i Pt ,l ck -A"Y cc:p e �.V4.'�`o r`- rvaL. 1 �`c h a e 1 0 Pub lac _DeFeArd ews . .. i ----------------------- AICL Lied 4oAl . o F -..h-is_ __C,��l� ._ F Fe SS �s a,Jc. of e o -Z,Vc►w� -e wa-i ve a.otd.i ex tew i OF -ZVA r e A o1_kAfOU)A1------_-a ,,[ ( ' _. _____.._.. -- _ �: GZNLQu�/� .GF_,�` 3�®�A.sO�G• CSO ,_ ...��SoF_aw.......�_s_.__..___�....__ G5 kAlown/ Th. _ - - -_ - _._____ _ aAtd. !Su FFews,vg , - ps yc�af �G Cif day es , .t �xz�e.vf--r� F --------- -- Gv _are Ye f.. .&.IkArO&JA!. . __.. laf:4fd,�vt sJ's ,'y.c/a�I-t. it _all ...06 a v. . s wd -all e p :�ws._.Ca•�//a,;u � . ----pa wa7Aa-A5-.._.0-F. to C//a, , :he.� arch �cv�tPaay� _awd __ h erveby -be am c. ' ,v � te9wa/ �Pawt -o F__.j4 e- _ la__�% t._..�b,y. _.206 e K - ,i CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT July 28i 1987 and Board Action. All Section references are to The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $1, 000, 000m Section 913 and 915.4. Please note all "Warnings". CLAIMANT: CLAUDIA JANE PALMER =ounty Counsel 1573 Ayers Road ATTORNEY:, Concord, CA 94521 JUL U 8 1987 Date received June 3d';'allYM, CA 94553 ADDRESS: BY DELIVERY TO CLERK ON BY MAIL POSTMARKED: June 29 , 1987 Certified 74713 I. FROM: Clerk of the,Board of Supervisors T0: . County Counsel -. Attached is a copy of the above-noted claim. DATED: July 6, 1987 EaIL BAATpCtyLOR, Clerk _. L. .:Hal1 II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( 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. The 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: 7 BY: eputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (JO 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: JUL 2 8 1987 PHIL BATCHELOR, Clerk, By , Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date 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. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the united States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JUL 2 9 1987 BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator 1 NOTICE OF 100-DAY CLAIM AND 90-DAY LETTER 2 OF INTENTION TO FILE MEDICAL NEGLIGENCE CLAIM 3 June 29 , 1987 4 5 TO CLAIMEE : Clerk of the Board of Supervisors COUNTY OF CONTRA COSTA ' 6 (On behalf of Claimee, MERRITHEW MEMORIAL HOSPITAL) 7 651 Pine Street Martinez , CA 94553 8 9 FROM CLAIMANT: CLAUDIA JANE PALMER (In Pro Per) 1573 Ayers Road 10 Concord, CA 94521 Telephone : (415) 686-3584 11 12 ADDRESS TO WHICH CLAUDIA JANE PALMER NOTICES ARE TO BE SENT: 1573 Ayers Road 13 Concord, CA 94.521 14 AMOUNT OF CLAIM: Unknown at' this time , but may be in. 15 excess of $1, 000 ,000 . 00 16 DATE CLAIM ACCRUED : Discovery of health care provider ' s 17 negligence occurred on March 23 , 1987 18 PLACE CLAIM ACCRUED : MERRITHEW MEMORIAL HOSPITAL 19 2500 Alhambra Avenue Martinez , CA 94553 20 21 CIRCUMSTANCES OF CLAIM: In or about January, 1987 , Claimant CLAUDIA JANE PALMER was informed by 22 Planned Parenthood in Walnut Creek that she was pregnant. 23 Juial ,�rD On or about February 4 , 1987 , Claimant 24 = sought medical treatment and advice from Claimee MERRITHEW MEMORIAL HOS- 25 - JUN1987 = PITAL regarding bleeding and cramping problems she was having. 26 = O11 - Y 2 a ti , j 1 On or about February 6 , 1987 , Claimant 2 was informed by S . Gong, M.D. , of said Claimee hospital that she had miscar- ried; thereupon Claimant ingested 3 various medications to resolve the bleeding and cramping problems and . 4 other chemical substances . 5 On or about March 23 , 1987 , Dr. Vasek of Claimee hospital informed Claimant that 6 she was almost four months ' pregnant, and a sonogram taken on April 28 , 1987 , 7 revealed a viable infant in utero . 8 Claimant believes that the medications and chemical substances she ingested 9 during the period from February 6 , 1987 , to March 23 , 1987 , may affect the health 10 and wellbeing of her unborn infant , whose projected date of birth is less 11 than three months from the date of this 12 claim, that is , September 26 , 1987 . 13 In the interim, Claimant is undergoing severe anxiety , nervousness and depres 14 sion proximately caused by not knowing the effects of said medications and 15 chemicals on her unborn infant. 16 17 18 CLAUDIA JA E PALMER 19 20 21 22 23 24 25 26 2