HomeMy WebLinkAboutMINUTES - 07191988 - 1.12 CLAIM
BOARD OF S!:'PERVISOPc 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 1 9 , 19 88
and Board Action. All Section references are to ) The copy of this document mailed .to you i 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: $100 ,000 Section 913 and 915.4. Please note all "Warnin s"
_-L.,nty Cour;s-
CLAIMANT: CHRISTINE R.
c/o Leslie Frann Levy JUN 2 1 1968
ATTO NEY: Levy and Oppenheimer Martinez
6536 Telegraph Avenue Date received , CA 0114,553
ADDRESS: Oakland, CA 94609 BY DELIVERY TO CLERK ON June 20, 1988
BY MAIL POSTMARKED: —June 18 , 1988
I. FROM: Clerk of the Board of Su.erviscrs TO: County Counsel
Attached is a copy of the above-noted claim.
DATED: June 21, 1988 �YIL �eputtyLOR, Clerk
L. Hall
II. FROM: . County Counsel TO: Clerk of the Board of Supervisors
(,VrThis 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: �/ ` /i '�y 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. p�p
Dated: U 1 �9VO 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 a Notice to Claimant, addressed to
the claimant as shown-'above.
Dated: JUL. 2 0 1988 BY; PHIL BATCHELOR by puty Clerk
CC: County Counsel County Administrator
N
Leslie Frann Levy
�wf , fr' Amy Oppenheimer
Lev ` ipe,,. a er &6536 Telegraph Ave.
�� Oakland,CA 94609
rn ._spat Law_.r
415-652-6201
June 17, 1988
Board of Supervisors RECEIVED
Contra Costa County
Room 106
County Administration Building JUN 2 O 198-8-
651 Pine Street
Martinez, CA 94553cue 6AFRD L R , R,
Re: Claims of Ryan V. and Christine R. p"'y
Dear Board of Supervisors:
Enclosed are submissions of claims on behalf of Ryan V. , a
minor, and her mother Christine R. The claims are being filed
with the use of the first name and last initial only to protect
the identity of the minor child. The child has already been
subjected to humiliation, embarrassment and emotional distress due
to the incident and we are attempting to minimize future distress
by protecting her identity. For that reason, the mother's claim
must also be filed in the same manner.
At the same time, we understand that you must have access
to the identity of the minor child and parent for the purposes of
investigation. Therefore, we have enclosed the identities of each
claimant in a sealed envelope contained within. We request that
the identity of both child and mother be kept confidential and
provided only to those persons necessary to pursue the matter.
Also, please note that the claims are timely as the accrual
date of a minors claim begins when the parent discovers the
injury. In this case, that was on or about February 28, 1988,
thus the filing is within the six month statute.
Thank you for your cooperation in this matter.
Sincerely,
Leslie Frann Levy
LFL/j kh
w
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 per-
sonal property or growing'crops and which accrue on or before December 31, 1987,
must be presented not later than the 100th day after the accrual of the cause of
action. Claims relating to causes of action for death or for injury to person .-
or to personal property or growing crops and which accrue on or after January 1,
1988, must be presented not later than six months 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. (Govt. Code §911.2.)
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•
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 the end of this
form.
RE: Claim By ) Reserved for Clerk's filing stamp
)
Christine R. )
RECEIVED
Against the County of Contra Costa )
,1A 2 01988.
xxxxxxxxxxxxxxxxxxxxxxxxXxDtr.t2CXot� CLERK A 9A ElO SORS
Fill in name ) NT P
8Y Deputy
The undersigned claimant hereby makes claim against the County of Contra os a or
the above-named District in the sum of $ 100 ,000 .00 and in support of
this claim represents as follows:
------------------------------------------------------------------------------------=
1. When did the damage or injury occur? (Give exact date and hour)
On or about February 28 , 1988 , when claimant was informed that her child
had been sexually assaulted while in a foster home.
------------------------------------------------------------------------------------
2. Where did the damage or injury occur? (Include city and county)
2418 Greenwood Drive, ban Pablo, Contra Costa County,-, California was rlp.cP
of injury to child. Mother was informed of that injury while at
�_�c3.Lif9x11ia
3.. . How did the damage or injury occur? (Give full details; use extra paper if
required) Child of claimant was sexually assaulted while -residing in
a foster home by a foster parent and other children. ;; Child informed
claimant of this in late February,' 1988 .
4. What particular act or omission on the part of county or district officers,
servants or employees caused the injury or damage? The county placed the child
of claimant in the foster home which was dangerous to the child and
as a result to the claimant ' s health and well beinc;. ' The county
failed to adequately investigate and/or monitor the foster home.
(over)
y
. y
h5. What"are the names of county or district officers, servants or employees causing
the damage or injury?
Unknown at this time.
5. What damage or injuries do you claim resulted? (Give full extent of injuries. or
damages claimed. Attach two estimates for auto damage. Child and claimant
require therapy; affected parent/child. relationship; alienation of
affection of child, emotional distress, loss of services of child.
-------------------------------------------------------------------------------------
7. How was the amount claimed above computed? (Include the estimated amount of any
prospective injury or damage. ) Based on medical costs, past, present and
future disruption of parent/child relationship, loss of services due
to child' s behavior changes resulting from assault.
--------------------------------------------------------------------------------------
8. Names and addresses of witnesses, doctors and hospitals.
Unknown at this time
-------------------------------------------------------------------------------------
9. List the expenditures you made on account of this accident or injury:
DATE ITEM AMOUNT
Gov. Code Sec. 910.2 provides:
"The claim must be signed by, the claimant
SEND-NOTICES TO: (Attornev) or by some person on his behalf."
Name and Address of Attorney
Leslie Frann Levy
LEVY AND OPPENHEIMER �X
6536 Telegraph Avenue Attorney for Claimant
Oakland, California 94609
Address
Telephone No. ( 415 ) 652-6201 Telephone No.
N O T I C E
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, city or district board or
officer, authorized to allow or pay the same if genuine, any false or fraudulent
claim, bill, account, voucher, or writing, is punishable either by imprisonment in
the county jail for a period of not more than one year, by a fine of not exceeding
one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in
the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by
both such imprisonment and fine.
CLAIM
Jit 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 19 , 1988
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 , 000 . 00 Section 913 and 915.4. Please note all "Warnings".
CLAIMANT: RYAN V. , A MINOR, BY AND THROUGH HER GUARDIAN AD LITEM, CHRISTINE R.
c/o Leslie Frann Levy
ATTORNEY: Levy & Oppenheimer
6536 Telegraph Avenue Date received
ADDRESS: Oakland, CA 94609 BY DELIVERY TO CLERK ON June 20, 1988
BY MAIL POSTMARKED: June 18 , 1988
I. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
- pH g �
DATED: June 21, 1988 gVIL BATCHELOR, Clerk /
L. Hall
I1. 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: % L- BYE Deputy County Counsel
111. 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.
JUL 19 1988
Dated: PHIL BATCHELOR, Clerk, By . 2 , eputy 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 pabpove.
JUL U L 2 0 1 l988 BY: PHIL BATCHELOR by t uty Clerk
CC: County Counsel County Administrator
fft(gE't5
Leslie Frann Levy
- !/ Amy Oppenheimer
L.eV &` pe a er 6536 Telegraph Ave.
L_
ttornsat Law~ Oakland,CA 94609
415.652-6201
June 17, 1988
Board of Supervisors RECEIVED
Contra Costa County
Room 106
County Administration Building JUN 219$8_
651 Pine Street
Martinez, CA 94553cLE P A v L R
TRA R5
Re: Claims of Ryan V. and Christine R. By " �••. •• •• ou'y
Dear Board of Supervisors:
Enclosed are , submissions of claims on behalf of Ryan V. , a
minor, and her mother Christine R. The claims are being filed
with the use of the first name and last initial only to protect
the identity of the minor child. The child has already been
subjected to humiliation, embarrassment and emotional distress due
to the incident and we are attempting to minimize future distress
by protecting her identity. For that reason, the mother's claim
must also be filed in the same manner.
At the same time, we understand that you must have access
to the identity of the minor child and parent for the purposes of
investigation. Therefore, we have enclosed the identities of each
claimant in a sealed envelope contained,.within. We request that
the identity of both child and mother be kept confidential and
provided only to those persons necessary to pursue the matter.
Also, please note that the claims are timely as the accrual
date of a minors claim begins when the parent discovers the
injury: In this case, that was on or about February 28, 1988,
thus the filing is within the six month statute.
Thank you for your cooperation in this matter.
Sincerely,
Leslie Frann Levy
LFL/j kh
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 per-
sonal property or growing crops and which accrue on or before December 31, 1987,
must be presented not later than the 100th day after the accrual of the cause of
action. Claims relating to causes of action for death or for injury to person
or to personal property or growing crops and which accrue on or after January 1,
1988, must be presented not later than six months 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. (Govt. Code §911.2.)
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•'
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 the end of this
form.
RE: Claim By ) Reserved for Clerk's filing stamp
Ryan V.., a minor, by and through) RECEIVED
her .Guardian Ad Litem, Christine) R.
Against the County of Contra Costa _ ) J U N ��$g
?SIX )
8 �
xxxxxxxxxxxxxxxxxxxxxxxx rk4o�. CLE P TR 2 E ^S
Fill in name ) 6y
The undersigned claimant hereby makes claim against the County of Contra Costa or
the above-named District in the sum of $1 ,000 ,000 .00 and in support of
this claim represents as follows:
-------------------------------------------------------------------------------------
1. When did the damage or injury occur? (Give exact date and hour)
Became known to the parent on or about February 28 , 1988 (date of accrual
of claim) . . Date of injury occurred between 1982-1984 .
--------------------------------------------------------------------------------
2. Where did the damage or injury occur? (Include city and county)
2418 Greenwood Drive, San Pablo, Contra Costa County, California
------------------------------------------------------------------------------------
3. How did the damage or injury occur? (Give full details; use extra paper if
required) Ryan V. was placed in a foster care home, at the above address,
by the county. While she was residing in said home, she was sexually
assaulted on several occassions by Raymond Laughlin, foster parent and
other children residing on the premises.
-----------------------------------------------------------------------------------
4. What particular actor omission on the part of county or district officers,
servants or employees caused the injury or damage? The county placed claimant
in the foster home which was dangerous to her health and well being.
The county failed to adequately investigate and/or monitor the
foster home.
(over)
5. What are the names of county or district officers, servants or employees causing
the damage or injury?
Unknown at this time.
------------------------------------------------------------------------------------
5. What damage or injuries do you claim resulted? (Give full extent of injuries or
damages claimed. Attach two estimates for auto damage.
Emotional distress and physical injury in an amount of $1 , 000,000 .00 .
-------------------------------------------------------------------------------------
7. How was the amount claimed above computed? (Include the estimated amount of any
prospective injury or damage.)
Based on damage done to a child. by a sexual . assault, including the
effect on the future as .well as the present and past.
-------------------------------=-----------------------------------------------------
8. Names and addresses of witnesses, doctors and hospitals.
Witnesses includ perpetrator Raymond Laughlin and others in household.
-----------------------------------------------------------
List the expenditures you made on account of this accident or injury:
DATE ITEM AMOUNT
Unknown at this time.
Gov. Code Sec. 910.2 provides:
"The claim must be signed by the claimant
SEND NOTICES TO: (Attornev) or. by some person on his behalf."
Name and Address of Attorney
Leslie Frann Levv
LEVY & OPPENHEIMER �x
6536 Telegraph Avenue Attorney for Claimant ;
Oakland, CA 94609
Address
Telephone No. 415 ) 652-6201 Telephone No.
N O T I C E
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, city or district board or
officer, authorized to allow or pay the same if genuine, -any false or fraudulent ,
claim, bill, account, voucher, or writing, is punishable either by imprisonment in
the county jail for a period of not more than one year, by a fine of not exceeding
one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in
the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by
both such imprisonment and fine.
_. 11
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 19 , 1988
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: $110. 00 Section 913 and 915.4. Please note all "Warnings".
County Counsil
CLAIMANT: LARRY THOMAS HARRIS
254 Cleveland St. JUN 1211 1988
ATTORNEY:, Pittsburg, CA 94565_
Date received Martinez, CA 94553
ADDRESS: BY DELIVERY TO CLERK ON June 20 , 1988 hand del .
BY MAIL POSTMARKED: No envelope
I. FROM: Clerk of the Board of Superviso-s TO: County Counsel
Attached is a copy of the above-noted claim. 11.7
BaP IL BATCHELOR, Clerk
DATED: June 21 , 1988 : Deputy L. Hall
II. FROM:- County Counsel TO: Clerk of the Board of Supervisors
i
( f) 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 91.0,8).
( ) 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:
r
Dated: Uri :' -n BY: u ,' ' "�-- Deputy County Counsel
III. ,.J ROM: 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
( ►e�) 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: JUL19M PHIL BATCHELOR Clerk B
, , y . 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
1 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 0 1988
Dated: BY: PHIL BATCHELOR by ty Clerk
CC: County Counsel County Administrator
CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COA_T-.brAQ Vapplicationto•
Instructions to Claimarit0erk of the Board
- .O.BoX911 Y
Martinez.Califomla 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) -Cs _
B. Claims must be filed with the Clerk of the Board of SugerYisors
' 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
upervisors,rather than the County, the name of the Distr;ctushould 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 -72 at end
of form. `=
RE: Claim by )Reserve ' stamps
• REC
Against- the COUNTY OF CONTRA COSTA) UN 2 0 198.g;
or DISTRICT) eta eLaa
(Fillin name , CLE, K TR0 P sos:S _
By c. ty
l :_t_
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:
_�. When did the damage or in3ury occur? --{Give exact date and hour]
_
•- -.'�. W�iere^did the a or in oc - --- ----"-- ----__-
-dams --------' -
g y �ur? (Include city and count )
co
col
3. How did the damage or 1n3ury occur? (Give-rule details, use extra - J
sheets if required)
A. at particular act or
OMIssion on-the part of county-or district"-- Yom.
Officers, servants or employees caused the injury or damage?
' 'aaYL''si
• . ' :(over)
-i:i •'!".- '.>'�. :ii'' 'moi►'� _ ''_.'.'.`-:Y�. ``
'%p): '+. .:n.�.i:�.-• ty�.: - .. ' -ii► ••.!r•7i�..� •_a r•' �.�. _Lc;Si.�. •:�`js'>
.. • ' .. 'ice .�:., .'. °XS ., - ;�.�..:'�'.•. ' ! ;•ec i`.r.s�!i.:r..`✓:ys�.,i.'S.v►+�il.L2.�al:9i 7:�LS
v
4.
5. What are the names of county or district officers, servants or
employees causing the damage or injury? .-- ..
77
6. What damage or injuries fig7�you__Claim- r se' u21
eal ZGive—full extent_
of injuries oz damages claimed. --Attach two estimates for auto
damage)
----------------------N-�------------------------------------�---Mme.-----
7. 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. ,.•,;,,;�=�:;
—..�...------------�r.---!T----�.--r.—T--•�----..�----------..--fir.-----�•—T—T—�.�.— •�;
�.- Last._.the••expendstu"red you made on account of this accident or injury: �-:�;
ATE ITEM AMOUNT
•• .:;�1�«�� . . • . ��,t�.,. 5v �E Sino c.S����. � _;�,
�o
;52
Govt. Code Sec. 910:2 provides: ._)
"The claim signed by the claimant
SEND NOTICES TO: (Attorney) or by some }person on his behalf." "
Name and 'Address of Attorney Lz
aimant s Signature
_,.. Address
All
Tele hone No. Telephone No_ � �
p
�k�:*****:ltrt,kt***,�t�r*,►**f�R�*+R�r�Rtit�*#*f��t*�R�trtt��t�t1t�.fit*���w�tf*!**:r►�tt�t*�** `
NOTICE ..
Section 72 of the Penal Code provides:
"Every,person who, with intent to defraud, }presents for a11<>wance 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.
� :'.�',s,.r",s.. ':,•w �`:-L• = - '•.':.- ` - ' i jjx•�.�r_..isti:✓-aiSbN+�.'.63'y"�'..,'r
,...:�--1- - - r'."•r'.i'�y�w�1t".+'y'�,a,/.r�,•.+�ai•►Mir-- -��t•w::s�.w....a....J�-�i:✓�::i>�J.l+%�c`r:.:Sr'l.
CONTRA COSTA DETENTION FACILITY
LJIS11 CLOTHING RECEIPT
DATE: 06/16/88 REC: 138216
TIME: 2149 FACILITY: MDF
NAME (l, F, M): HARRIS LARRY THOMAS
BOOKING NBR: _: 88015476J
. .
Q SHIRT/BLOUSET SKIRT
AT/JACKET ES/BOOTS
RTS/PANTIES OT-ST-SHIRT/BRA
SOCKS/NYLONS HAT/PURSE
SWEATER/SWT. SHIRT DRESS
=r a
OTHER 1 �Vl Onj
6 -
U/Vfi f3
4 4a
i
ILICL(D ! I
po
X
INMATE SIGNATURE
DATE: I HAVE RECEIVED ALL OF MY
CLOTHING. .
REL OFC:
X
INMATE 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 Jul 19 , 1988
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: Unspecified Section 913 and 915.4. . Please note all "Warr�,�nqs"
t�C11,*y Counsel
CLAIMANT: ADRIENNE M. GRIFFIS
2421 Shawn Drive JUN 2 1 1988
ATTORNEY: San Pablo, CA 94806
Date received Martinez, CA 9,455.3
ADDRESS: BY DELIVERY TO CLERK ON June 20, 1988 Risk Manage.
BY MAIL POSTMARKED: June 13 , 1988
1. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
June 21 , 1988 ppNNIL BATCHELOR, Clerk
DATED: BY: Deputy
L. Hall
11. FROM: County Counsel TO: Clerk of the Board of Supervisors
( ► ,I" 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: !f ; BY: /i r
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.
JUL 19 1988
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 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
Jnited States, over age 18; and that today I deposited in the United States Postal Service in Martinez,
.alifornia, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to
the claimant as shown above.
)ated: JUL 2 U 1988 BY: PHIL BATCHELOR by puty Clerk
'C: 'County Counsel County Administrator
Contra co3ta county. - 1-JIV T'1
C�
EID
U 1 x1993p 1988:
Officof 11 June 1988
:'. . _.... i .. ...
f p SC B
EO ISOR 3
Dear Public Works Maintenance 0 � K T saw
BY .�.
I am writing to you ,regarding some damage that was done to
my car . last night, Friday .10 June 1988 , due to an extremely deep
pothole on Appian Way in El Sobrante . I was driving along San
Pablo Dam Road at about 1 : 30 to 2: 00 a .m. , on my way home from
.the store . After waiting for the traffic light .at the intersection .
of San Pablo Dam Road and Appian Way , I .made my left hand turn on
to Appian Way.' .I was going about 30 miles per. hour and I remember
that the person behind me made a big production out .of passing me .
After he was safely around me I looked at the speedometer because
I. could not figure out why the person behind me felt he had to
pass me .. This is why I know how. fast I was going . It was dark
out and thank God, there was no other traffic. Just as I passed
Santa Rita Road, where it intersects with Appian Way , I hit a pot-
hole that was not that large in diameter but it was extremely deep.
At firstI did not think that anything was wrong, but after going
about a quarter of a mile , I heard a funny noise and I noticed that
the passenger side in the front was sinking lower and lower , indi-
cating a flat tire I pulled over to determine if there was any
chance that I might be able to make it-. home, about 2 or 3 miles away,
if that . The tire was already half flat by that time and I knew
that I would never be able to make it home. My only hope was that
the Shell gas stati',on on Appian Way and Fran Way was open all night.
I was scared because I have no idea how to change a tire and my.
husband always . uses his air impact wrench when he rotates the tires;
meaning that . I would not have been able to change the tire even if I
knew how because the lug nuts were too tight . The road was very
dark and deserted so I decided to go - ahead and try for the gas station
and if it was closed , go ahead and drive home . The chances were to
great and I was in' a very vunerable and dangerous . position waiting
by the side of the 'road for help . There was not ' even a nearby phone .
Anyhow, the Shell station was open and the guy working there
said that there was no way that the tire would hold any air judging
by how fast it went flat. So he offered to change it for me. Once
I had some light to see by, I examined the tire and the rim more
closely. What I saw was that ths 'rim was badly bent and beyond repair ..
Not to mention that the tire was also .ruined. I am extremely angry
because the pothole was in a spot where , at night , it could not be
seen until you were right on top .of it . I was also, I would say, at
least 10 inches deep. There does seem to be 'some construction work
in progress there and it is- very possible that the pothole was caused
by heavy equipment. The reason that I am so angry is because the
hole was definitely big enough for someone to see that it was danger-
ous and no one even attempted to fill it in with dirt as a temporary
solution. As a result my car sustained about $250 .00 to $300 .00
worth of damage, which I feel _the County is responsible for. I cannot,
afford comprehensive insurance and I cannot afford to replace the tire
and rim. This car is our only running vehicle and we depend heavily
on it. The spare tire is larger than the ruined tire; which means
that the balance of the front end is off, causing unnecessary wear
and tear on the front end which will cause us even more hardship
and expense that we cannot. afford;
I would like to know how I should go about filing a claim against
the County to have the rim and tire replaced . The- rim is a TRU
SPOKE WIRE CLASSIC, 14 x 7 and the tire is a GOODYEAR ARRIVA,: P185/
65R14 , Radial Tubeless and it was purchased. brand new in March 1988 ,
3 months ago. I went back to where the pothole was today to take
pictures of it, but. it had already been .filled in. I have taken
pictures of the rim and,. I can get statements from.- the gas .station
attendant who changed. the .tire and a girl that. was: with him, to
verify that I did indeed have a flat tire and 'bent rim at 2: 00 in
the morning and that I told them I had just hit a very deep pothole.
I am prepared' to take this° matter to court if necessary because the.
damage was caused by someone else ' s carelessness. and there was no
way I could have avoided hitting it . This is the third time in the
past year that our car has suffered expensive damage as a result of '.
construction .on Appian Way. A few months back, when they were. build-
ing the new motel near Fitzgerald Drive. in Pinole, my husband got
2 flat tires, 2 days in. a row because of nails that somehow managed
to get into the road . Those tires were only .a 'few -months old .also
and it cost us about $200. 00 to replace them. This is getting way
out of hand and I cannot afford to absorb the loss this time. If
the County is going, to allow all of. this construction along Appian Way,
then I suggest that; they lay down strict rules and enforce them to
get these construction .companies to immediately and thouroughly clean
.up their messes and avoid unnecessary damage and extremely dangerous.
driving hazards . I- do not know what the problem is lately, but I
am actually very nervous about driving over any of,. the main thorough-
fares' in E1 Sobrante because the. roads are in such bad shape it is
difficult to maintain control of the vehicle. A prime example of
this is the intersection of Appian Way and Valley View. The small'
stretch of road going. by another new shopping center where Domino ' s
Pizza is located atone end and Horeshoe Bar and Liquor Store is
on the other end, is litterally undrivable . This is one of the
busiest corners in town! ! Something really needs to be done and fast .
If I do not receive a satisfactory reply to this letter in a
reasonable amount of time , like 2 months from today, ' I will go ahead
and .file a small claims suit to have my tire and rim replaced . I will
not wait any longer than that because I cannot afford to replace .these
items myself and they have to be replaced. Thank you for your, time .
Sincerely ,
y
ADRIENNE M'. GRIFFIS
2421 SHAWN DRIVE
SAN PABLO, 'CA 94806
AFGIOVAL PARK
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CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
c°
Claim Against the County, or District governed by) BOARD ACTION
the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT Ju1V 19 , 1988
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: $621 . 27 Section 913 and 915.4. Please note all "Warnings".
CLAIMANT: DEPARTMENT OF GENERAL SERVICES WARREN J. LARSON
Office of Insurance and Risk Management
ATTORNEY: 926 .J- Street , #615
Sacramento, CA 95814 Date received
AGGRESS: -
BY DELIVERY TO CLERK ON June 17, 1988 CC
C:;::I1ly counitSul
BY MAIL POSTMARKED: June 4, 1988
JUN i 1910
I. FROM: Clerk of �QQ�� rf n %1tT� TO: County Counsel
Attached is a copy of the above-noted claim.
June 21, 1988 ppµµlL BATCHELOR, Clerk
DATED: BY: Deputy
L. Hall
II. FROM: County Counsel TO: Clerk of the Board of Supervisors
(V'� TThis 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:
—1
Dated: BY:L!� /;• % l''—�_. 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 OR R: 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: JUL 1 9 IM PHIL BATCHELOR, Clerk, By
eputy 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: L 2 O 986 BY: PHIL BATCHELOR by �Y Clerk
CC: County Counsel County Administrator
,til, .. _ ►,�,,�r. . ,'``
STATE OF CALIFORNIA—STATE AND CONSUMER SERVICES AGENCY GEORGE DEUKMEJIAN, Governor
Ce
DEPARTMENT OF GENERAL SERVICES
OFFICE OF INSURANCE AND RISK MANAGEMENT
926 J Street, Suite 615 JUN `LI v 3
Sacramento, CA 95814
June 2, 1988
Contra Costa County
1950 Parkside Drive
Concord, CA 94519 RECEIVEDGentlemen:
State Operator: Warren J. Larson JUN j, 7 19A8
Accident Date: 04-15-88
State Vehicle: E414647 cLeRK PH SAT
Adverse Party: Contra Costa County Ely R ° Ep r RS
Uty
Supplementing our letter of May 5, 1988, we enclose a copy of the final invoice
for repairs to the damaged State vehicle.
Please forward your check or money order in the amount of $621.27, payable to
the State of California only to this office for processing.
If injuries were incurred by the State driver in this accident, inquiries should be
made to the State Compensation Insurance Fund. This office is only involved
in recovery of physical damages.
NOTE: Loss of use is a real loss and whether there is an actual replacement
cost or not, loss of use is a valid cause of reimbursement as cited in the following
court decisions.
MALINSON vs BLACK 83 CAL APP 2D 375
MEYERS vs BRADFORD 54 CAL APP 157
We shall expect your draft to include the full amount of our loss of use claim.
Damages: $531.27 repairs plus down time of $90.00 (3 days at $30.00). Total
Claim: $621.27.
Sincerely,
D OTHY DUNCANSON
Assistant Risk Analyst
(916) 322-8965
DD:da
enclosures
.Claim to: BOARD OF- SUPERVISORS OF CONTRA COSTA O0UI rt
INSTRUCTIONS TO CLADIAN'P `:
A. Claims relating to causes of action for death or for' inju =, s vp per-
19
sonal property or growing crops and which accrue on or ber 31, 987,
must be presented not later than the 100th day after the accrual of the cause of
action. Claims relating to causes of action for death or for injury to person
or to personal property or growing crops and which accrue on or after January 1,
1988, must be presented not later than six months 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. (Govt. Code §911.2.)
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.
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 the end of this
form.
RE: Claim By ) Reserved for Clerk's filing stamp
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 $ 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)
------------------------------------------------------------------------------
3. How did the damage or injury occur? (Give full details; use extra paper if
required)
------------------------------------------------------------------------------------
4. What particular act or omission on the part of county or district officers,
servants or employees caused the injury or damage?
(over)
STjTE OF CALIFORNIA—S?ATE AND CONSUMER SERVICES AGENCY GEORGE DEUKMEJIAN, Goremor
DEPARTMENT OF GENERAL SERVICES -
OFFICE OF INSURANCE. AND RISK MANAGEMENT
926 J Street, Suite 615
Sacramento, CA 95814
May 5, 1988
Board of Supervisors
Contra Costa County
1950 Parkside Drive
Concord, CA 94519
State Operator: Warren J. Larson State Vehicle: E414647
Date of Loss: 04-15-88 Owning Dept.: Highway Patrol
Adverse Party: Contra Costa County Employing Dept.: Highway Patrol
Your Driver: John W. Heiser Location: Morrello Avenue
Dear Mr. Contra Costa County:
On the above date a vehicle registered to you collided with the above-described 'State of
California vehicle causing damage to same. Our investigation has revealed that the-accident
was caused by you and/or your vehicle, thus you are legally liable for the property.damage to
the State vehicle.
If you carried liability insurance on your vehicle on the accident date, you should immediately
refer this letter to your agent or broker to allow them to contact us as soon as possible as
this letter constitutes formalnotice of our intentions to pursue. reimbursement for the repair
expenses.
If your vehicle was not insured please be advised that your lack of insurance protection does
not relieve you of your legal responsibility or liability for these damages, and that the State
of California will take all appropriate legal steps necessary to obtain full monetary reimbursement
from you.
If you were not insured and wish to make arrangements to reimburse the State for this property
damage, please contact me immediately to prevent this matter being referred to the State
Attorney General.
Please send claim forms for completion to protect the Statute.
Sincerely,
����-�- Vit✓
OROTHY DUNCANSON�
�� ssistant Risk Anal st
y r
(916) 322-8965
DD:da
Stete of California Stat44nd Consumer Services Agency
Memorandum
MAY 23 LI 44 A `88
Date May 5, 1988 File No.:
To California Highway Patrol
Automotive Claims
.2555 First Avenue G-20
Sacramento, CA 95818
- Office of Insurance and Risk Management
From Department of General Services - 926 J Street, Suite 615, Sacramento, CA 95814
Subject: STATE OPERATOR: Warren J. Larson
DATE OF LOSS: 04-15-88
STATE VEHICLE LICENSE: E414647
ADVERSE PARTY: Contra Costa County
The above vehicle was involved 'in an accident on the above-captioned date. Our
office has the responsibility of attempting to obtain reimbursement for the repair
costs for your department from the party responsible for causing the accident.
In order to allow us to proceed it is imperative that you immediately provide' us
with legible copies of the vehicle. repair invoices.
Please check the appropriate box below and return this memo to the .attention of
Dorothy Duncanson within 30 days.
Accident damage is minor and-does not require repair.
The damage has been repaired and attached are copies of all repair invoices
which total $
The vehicle was rendered a total loss by the accident and. a copy of the
salvage certificate is attached .OR will be forwarded as soon as the salvage
has been sold.
Z' DOROTHY DUNCANSON
Assistant Risk Analyst
(916) 322-8965
DD:da INS-4
12/86
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Cl 1111 ❑ D Cls =
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C 2
THE CASUALTY WARD PHONE:
AUTO BODY REPAIR _` 825-3200
FlRSrAID OR MAJOR SURGERY
• 1116 ERICKSON RD.
CONCORD,CA 94520
B.A.R.8AR 107720
R.O. NO. DATE
DAME !� s " I ADDRESS C�
'• '
HOME BUS.
:ITY PHONEPHONE
NS. CO. ADJUSTOR - PHONE
'EAR MAKE MODEL J MILEAGE LICENSE } ` / STATE
BODY PROD. DATE COLOR TRIM MLDG. NO. SERIAL NO.
f ti A '
f REPAIR REPL PART NAME LABOR PARTS REFINISH PAINT,MAT.
STRTN PART NO. HOURS @ LIST HOURS 6 NET ITEMS
r;
3 y r ii l._•f �� 1• .)
5 1 _
i
I
(
(
SUB TOTALS
IS ESTIMATE IS BASED ON OUR INSPECTION AND DOES NOT COVER
IDITIONAL PARTS OR LABOR WHICH MAY BE REQUIRED AFTER THE TOTAL
)RK HAS BEEN STARTED. PARTS PRICES SUBJECT TO INVOICE. LABOR HRS AT $
HICLES NOT PICKED UP WITHIN 48 HOURS OF COMPLETION WILL TOTAL
SUBJECT TO A DAILY STORAGE CHARGE. TREF. HRS. AT$
TOTAL
PARTS LESS %
PAINT MATERIAL,
I AUTHORIZE THE ABOVE REPAIRS SUBLET AND NET
TAX
DATE THANK j
GRAND
CTED YOU TOTAL
DATE
14 NORICK OKLAHOMA CITY
COMPLETE BODY REPAIR- Walcome'S Auto BodU 5343 PACHECO BLVD.
FOREIGN & DOMESTIC PACRECO. CALIF. 94553
PAINTJNG PHONE {415}687.2806
FREE LOAN CAR
FREE LOAN CAR
ESTIMATE OF REPAIRS As usnc FOR LABOR AND MAlEiMS•VUW AM[MVn"Of 11*4106
NAME
ADDRESS
oATE T
�
YEAR PE LICENSE NUMBER 7MILEAGE MOTOR NO. SERIAL NO. '
MAKE OF CAR
few 1 A>tOt ills tAR1S lett LAROR MRS. PAM tow LOOK IRIS. PARIS MlfCRLIANIOLIS LABOR MRS. PARS
Fender Fn. Fender FN.
Burn r Fender Shield
Bumper Britt Fender Shield .
Oro%N Shield Fender Mldg Fender Mldg.
Li Heodlomp Haodlomp
fHeodtonep Door
Heodlomp Door
Staled Ekom Sealed Beam
Park.light Park.Light
Knuckle Door,Front Door,Front
Lr Corr Arm DOOr H rtgt Door Hinge CLE At!
CIE Ar DOW Glass TIN",
Up Corr,Arm Poor Gloss TINT
Sftock
Door Mldg Door Mldg '
Te Rad
Door Rear Door Rear
CZAR
Door
.
Door Gloss rnrr Door Gloss nr♦T
Rod.Grille
Door Mld Door Mld
n r"a' Rocker Panel Rocker Panel
Vdg. Rocker MldgBt W/HSG. FLOOR6 W/HSG.ne] Duor.Panel
t, Ovor.Ext.
dg. C}vor MIdg
Tail Light �� Tail Light
Hood Top
Hood Hinge
Hood Mldg REAR ,
arnamtrn•Emb
Bumper From Sec'"Adl
Lock Plate,Up, Bumper Gd. Top
Lode Plate.If. Spec.Gd. Aerial
Tint!3Z TIIEAD ww ,
Bumper Srkt. Lt— e.
Grovel Shield MISCELLANEOUS Fn.System
Wheel Frorrw
Hub Cap Drsc Cross Member
Red.Sup Horn "Point 6 Material
Rod.Care Lower Panel
Windshield t«TAp Undercoat
Are«.Freeze Floor SUMMARY
Rod,Hoses Trunk Uod
Labor ' Firs. @E
Fon Blade Belt
Water Pump,Pull" Parts Gross 1f '
less °k on$ Net $ -
Tax on$ $
A-Align N -New ON •Overhaul 5- Straighten or Repair EX - Exchange RC- Rechrome Sublet $
S
PARTS WES RASED ON STANDARD CATALOGUE PROCUREMENT PRICE LrSTS SUBJECT TO CHANGE WITMIOVT NOTrCE PROCUREMENT �Ap
AND DELivERY OrARGES MAY BE ADDED FOR SPECIAL SERvia ON ITEMS NOT AVAILABLE LOCALLY TOTAL 27,22,
Ofd pons rtmoMd horn can will be Wiled unless oths""H ootructed in wrmrp
TM above is an essrmore boxed an our Nepoorom and don Aw corer additional pans or Iobw which may be ,eyuved after rhe work hos
been "*red W Oecatrwaw after work hos vaned wan pont ate dncovered whach are nor eyidern on first or4Won Becovw of this the Estimated By
oboe Aces we riot Qua,ortMd
n.v. -4 U.
DIABLO AUTO BODY, DA .{SP.BV:
• DIABLO LINCOLN-MERCURY,INC.
165 MASON CIRCLE 10°a
CONCORD, �-
CA 94520 �fl
MASON INDUSTRIAL PARK
(415) 674-9700 P.D. COLOR TAPE MILEAGE
ADDRESS P MOMS DEDUCTIBLE.
CITf
0
STATE ZIP E BUSINE - ViW616"
Liz CA S1 SS Ile- jiW'-16 y
CO. INS.PHONE VW
OIEYRCLFT TAUOKB ® &MB TOYOTA I Mr.-WDa
SAME QUALITY REPAIR TO ALL MAKES OF VEHICLES
w REPAIR REPL PARTS NECESSARY AND ESTIMATE OF LABOR REQUIRED LABOR PARTS REFINISH PAINT,MAT.
r STRTN - MOORS ®LIST HOURS 6 NET ITEMS
1 .
Q 116 .
I/
3 .0 ! `f
4
s '
6
7 -
8
10
11
12
13
14
1s
16 ! L�
17
18
18
20
21 f
THIS ESTIMATE IS BASED ON OUR INSPECTION AND DOES NOT COVER TOTALHR
LABOR HRS AT S
ADDITIONAL PARTS OR LABOR WHICH MAY BE REQUIRED AFTER THE WORK TOTAL
HAS BEEN STARTED. WORN OR DAMAGED PARTS WHICH ARE NOT EVIDENT PARTS LESS IN 715 2-1
ON FIRST INSPECTION MAY BE DISCOVERED NATURALLY THIS ESTIMATE PAINT MATERIALS 'O
CANNOT COVER SUCH CONTINGENCIES PARTS PRICES SUBJECT TO TAX
CHANGE WITHOUT NOTICE. THIS ESTIMATE IS FOR IMMEDIATE ACCEP- sueTOTAL
TANCE. ESTIMATE GOOD FOR 90 DAYS.
SUBLET
CHIEF THANK
�-- ---- Deductibles to be paid at time of Delivery YOU _ GRAND '
E•Z-LINER TOTAL
�_ t:.l:.'I �vlr�?a. rl.:a%•-- '� : :L L: CC`i':S:•Yvl.�r'G,i it i�_SL - 1_�J•�7
Ps find Sp �c:i:^-•i of itzis far
.. '-n1ic M_pv Sir ,Y..• _ja�:,L. J.�R i.Y7'�, �r��C.rr.y�,•7:1 C:/S�I-
• 1 s*JT: u;.-j';..cdusst_ ;.s'1 • ?-•s rc;,:._st
•'.�..:'1':,t� J%GS:.thf9J�h _'vlli•'=':.i►b:it•th% cf%'C O`SI3:'Y:;�:,142:0ih•
F-. '/_ _.rCe..:y^ri' a
nc�I ••'CcsI b t Gp3:f{�=sI I - 1 !5?Li1C::C3
T:• _--g. Ca*-,;v--!-.'_= Cod,-. f
For c .:racrna' in'Crmation, coli?.:: thee Mice Oi Slatc Arc 1:C:,_
E3 iA SS 435-2 153; -
!. .
ECT' -E
:-:✓ICES ,
SCS-iCilCh:.Ji CC:u!Er•gin eic-it: .S`_'ry CCS
5L gs is
►�.:1 C. 'r1_it_ i.ENTif:t; A`w'D UZASI.':] 1,SlE._i7 -
Shlori•t3rrn and ion^-t="rn ria:rlii:I renals of pas53
ve,a..:o are 2':c.:a J!$(sCe SAYrl-cc.41642).Contac?th.E10--O! S' rc,^-e
FC•rt:;:tlonal :;•!On.COntactth Oi:ice'O±':ta2!Aid -y : Crm
tri:ioa,;S i S;�-.S-7526( ,TSS <557752&,).
Sedan. ln:erZ^d._ta
Stidan, co-pact and su5c3--:;,_^_: _ $11.45 ;�r o_v S1 S:J.0^ per mo.
- +
14.7C par mi!a + .14.7C ;;z! mi;_�
P:_:: ;a Trucis 515.75 ;.sr dad $251.00
: :S.5G ;;er rr:::a + 15.SC P::n'!c
S:_Ii0 Wacnzn5 S17-CO,-1Sr dzy ;
+ 15.5^ P::r.i•:a
Passenger Vans. CarryaN.. S_ssa5.at+-,J Sp^_ci_mf Vans 51 .£3 par C! y Z23a
i P3-,Mo.
15.21 per rnil3 + 15 Z;. ps:mil:
D!i%;e Vehidy and spaoc:al v-thlci_s _ :27_ ,r• .
• + 1:r_S
1 S S7•S_
(:�_Jan, in:2r�cdia:e - Z .1 S -- _
15.0:. �;�• mile t aS.CC P:f:n'c_
Se::an. Corm,73ct and Sut•COr••i'�. $1 cr 1 Ci
1.�5 �•. �: S 0.0 per ma.
Ficl•;p Trvz s $15.75 ✓:r day 1`a: :r.._
+ :S.SC F_: mi-a-
r.i:_t•'`r•.r Vans C31:.t T'. L t:..c:-: ir-,i Ci.e i-t VEns
• EIC, -'!: r:l:lt: • r
• �'a'.a i• a�.�:• ::�L'LiCIs• $^.��� 31�.tT.:4i_g � �-. ti+. 1�• �:'r••:
1.
3
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 JL11 1 9 , 198 8
and Board Action. All Section references are to ) The copy of this document mailed to you T 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: $180 . 70 Section 913 and 915.4. Please note all "Warnin,gg,s"
Go.- tlty CC71. nscl
CLAIMANT: GEORGE HUANG ETAL
640 La Casa Via JON ti 1 1988
ATTORNEY: Walnut Creek CA 9.4598
Date received Martiflez, CA 94�53
ADDRESS: BY DELIVERY TO CLERK ON June 17 , 1988 Sheriff's
BY MAIL POSTMARKED: no envelope
I. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
IL gATCHELOR, Clerk
DATED: June 21, 1988 ��: 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: ��, Z,, �" 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
(VII/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:U L 19 1988 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 1 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 011988
Dated: BY: PHIL BATCHELOR by9��/Je�eputy Clerk
CC: County Counsel County Administrator
\l
:C •A M TO: BOARD OF SUPERVISORS OF CONTRA CO§ rr4Yapplication to:
Instructions to ClaimantVerk of the Board
Martinez,Califomia 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 againsta 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. byV )Reserved for Clerk' 1A, 9tamps
RECEIVED .
Against the COUNTY OF CONTRA COSTA) JUN 17 198$
or DISTRICT)
F1 In name.. ) OLE 8 ORS
T
The undersigned claimant hereby makes claim ag By • Contra
Costa or the above-named District in the sum of $ 15;0, 70
and in. support of this claim represents as follows:
i. When did the damage or injury occur? (Give exact date and hour]
1q zoo.
•�•------�,- T---
------------
-------------
----o---------- ------------------ --
1. Where c1id the damage ; or injury occur? (Include H ty and county;
In -PA e rI r ive Lday DA,- to 4 O 'L,A Gass Lh a , Mea k N vT CR66 r` qy sq g CoyliM(:os+o
-
- ------------------------------------- --
3.----How---did the. damage or injury occur? (Giveu�I d-etai�s, use extra
sheets if required).0`ppW344Q W6 was respondf,�
tb, 4 CcJJ -F-^om l030 LACasa U►ct, Stit wade a m1s.+aLf_ a•d eaYwa up Qur di^tdlcwad/
0:. (0440. Wh'eh s to. d►ccover-ecl M-er ereov- ,c Wt a-HevnOtt( to Avrri 1ne.r car
around 4-' .ou drwe.way.ihe mr.wevt+ e-r44 dr►ve•way VM4rLrush�h�c a W6I LX'
41v►d t3e11 1. Vt Order € �e7E'fu.Ca OL4* QWILtA W\Q C' 6 Y 41"V-OOA kZc
4. Whatarticular act or omission on the art of county or district
officers, servants or employees caused the injury or damage?
bl.ecJlecfley'' drtuIv1!b
lover)
5. .j What are the names- of county or district officers, servants or—
employees causing the damage or injury?
6. What damage or injuries do you claim resulted? Give full extent
of injuries or. damages claimed. Attach two estimates- for auto
dam borZe PcLir 'Drtvew uy l.�hy��� i2�Se-� (oX�
Zcouer5 : TIL�1 ktt k* Wt-kk5klf Soz�
-------------------------------------------------------------------------
7. How was the amount claimed above computed? (Include the estimated
amount of any prospective injury or damage. )
�.epaar wcRk Z>6UC- By 'Z>6 4,a.Ata )(CK CoNS-rQ%cGT10&S 66,, .Zwc,.
t�untc�, -e+nctose�Q
-------------------------------------------------------------------------
8. Names and addresses of witnesses, doctors and hospitals.
Scor. GeoroJe kA%&a v-,t
-------------------------------
------------------------------------
-.,----
9. 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: ' (Attorney) or by some person on his behalf. "
Name and Address of Attorney
CimOVs Sig ature
Address
Telephone No. Telephone No.
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. "
DeHAAN & COX CONSTRUCTIOWC0MPANY, INC.
540 Las Lomas Way
Walnut Creek, California 94598
4151939-1706
May 11 , 1988
Mr. 9 Mrs. George.Huang
040 La. Casa Via
Walnut Creek, Ca. 94098
STATEMENT
Repair Driveway- Lighting-and reset 0X8 post. A new Bell 'box and
Tiki Light.
Bell Box 8.95
2 covers 1';Z8
Tiki Light with glass 34.8E
3 hours Tabor at 35.00 105.00
150:58
ProFit and Overhead 20% ' 30. 12
Total Amount Due 180.70
Bill submitted by,
Frank Cox
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 19 , 1988
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, 219 . 47 Section 913 and 915.4. Please note all "Warnings".
CLAIMANT: STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
Hilltop Service Center Gomez , Emilio F. 05-0257-383
ATTORNEY: 2920 Hilltop Mall Road
Richmond, CA Ccuns ;1 Date received June 21, 1988 Court
ADDRESS: x BY DELIVERY TO CLERK ON
Jury 1 i 1988 BY MAIL POSTMARKED: no envelope
Martinez, GA 8451,573
I. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
June 21 1988 HHIL BATCHELOR, Clerk
DATED: BppY: Deputy L. Hall
I1. 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: /^ 1i1 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 OR ER: 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.
_ 191988
Dated: PHIL BATCHELOR, Clerk, Bye p u t y 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 o 1986
Dated: BY: PHIL BATCHELOR by �. Zz/_Deputy Clerk
CC: County Counsel County Administrator
sD TAT( /ARM STATE FARM MUTUAL STATE FARM LLOYDS
AUTOMOBILE INSURANCE COMPANY I
�Q STATE FARM FIRE AND CASUALTY COMPANY STATE FARM COUNTY MUTUAL
INSURANCE INSURANCE COMPANY OF TEXAS
c STATE FARM GENERAL INSURANCE COMPANY
DATE OUR INSURED ACCIDENT DATE OUR CLAIM NUMBER*
6-15-88 Gomez, Emilio F. 3-25-8.8 05-0257-383
YOUR FILE NUMBER YOUR INSURED
YOUR INSURED'S ADDRESS ACCIDENT LOCATION
1821 First Ave. Crockett CA
*PLEASE REFER TO THE CAPTIONED
FrOnl: CLAIM NUMBER WHEN REPLYING.
STATE FARM INSURANCE CLAIM OFFICE
Contra Costa County
P. O. Box 911 HILLTOP SERVICE CENTER
Martinez, CA STATE FARM WSURANCE
'RECEIVED �� Niiuo;. =.�atl Road
Richmond, CA 94806
JU« By: JOY FELIX
Claim Representative
Fold —
IL r, eL00
CL 0
BYDePur,<
We have been informed that you are the nce carrier for the party designated as your insured in the caption of this
letter. Our investigation of this accident establishes that your insured was responsible for this accident.
Please accept this letter as notice of our subrogation rights under
❑ Personal Injury Protection (PIP). Vehicle Damage.
❑ Medical Payments-Coverage(MPC). " ❑ Other:
❑ Should we be called upon to make payment under our policy, we will.be looking to you for reimbursement.
® We have made the following payments and request reimbursement as shown below:
Net Vehicle Damage Other
Name of Our Payee PIP/MPC Payment (Less Salvage) Payment/Expense*
Crockett ,Auto Body . $ $- 1 219. 47 $
* A large tree, owned by county, fell over due to the wind °-and landed on our
insured's vehicle: .
cc.: 4381/41
Net Amount Paid Insured Vehicle
By Company $ 1,219.4 7 Deductible $ -0- TOTAL $1 ,219.47
Attachments:
(160)G 4379.4 REV.2-86 PRINTED IN U.S.A.
^! STATE FARM INSURANCE —� FILE COPY
it-4/1210^�
? sT,rc,••r NORTHERN CALIFORNIA OFFICE
� NOT NEGoj►,e,atE . 1 0 2 .319 4 71 N
wwuwce ROHNERT PARK,CALIFORNIA t
CAR
CLAIM NUMBER 05-0257-393 oL' 6927. 924 .252 No DATE 4-22-88 '
PAY To THE CROCKETT -AUTO BODY ON BEHALF OF EMILIO GOMEZ
( ORDER OF 1030 LORING ;AVENUE.
i CROCKETT, CA 94525
' THE SUM OF ONE THOUSA41I TWO HUNDRED NINETEEN AND 47/120----DOLLARS $ 1219. 47
COVERAGE IN PAYMENT OF LOSS WHICH OCCURRED ABOUT '
' (DATE OF ACCIDENT) '
INSURED GOt1EZ, Et7IlI0
392-1 03-25-88
DRAWN ON COMPANY MARKED
- ® STATE FARM MUTUAL AUTO INS.CO.
DSTATE FARM FIRE AND CASUALTY CO.. CLAIM REPRESENTATIVE
` - STATE FARM GENERAL INS.CO. - i
F� STATE ID CODE- 0064409
n ^ C UNIT
DMC - ❑ STATE FARM COUNTY MUTUAL _ ,5 68 N U 6 4 4 J9 6 8 ,
INS.CO.OF TEXAS _
1160 2. 18 1: L 2 10 0 0 0 4 41:9 2 8 lEI 9 L 4 4.9 711 APPROVED BY
----- -------- ---- - ----
VA_
6IAI t [A 1ITI IIV6.Jl ill ut VuIYI! mjvj C1J 1 t.U3la 503IC.: HeV.4-LSf YiIRS@Q 4^U..:.r.
,REPAIR ESTIMATE
'^,
' 7 _
.DATE OF INSPECTION&ESTIMATE WHERE INSPECTED/BY WHOM
LICENSE .
VSUFIED �..1 _�� '"' �-f°GJ NUMBER
IDDRESS4�Z L C �E3 �Q � HOME PHONE t }
MAKE ` j WORK PHONE EXT. '
l?7 �✓L/ YEAR SERIES BODY STYLE
s--
DATE MANUFACTt ED MILEAGE VIN -
�t
�G L
REPAIR RE- DESCRIPTIM PART LABORREPIN- PAINT.
PLACE (SEE AMEVIATION LIST ON REVERSE) @U HAS. ISHING MATERIALS
HRS.`` I &NET ITEMS
of
�1
•
6
7=#
B
9
10
y
•
12
13
14
15
TOTAL $
HILLTOP SERVICE Lo-try i
CLAIM NO. ._1 Y STATE FAPM INS,RANC � -~-
I AuTHoat U 0 17 V 2920 Hilltop Mali Roac ; LABOR HRS.
TO REPAIR VEHI A Cb t i E CO ITEMIZED. REF.HRS.
THIS �PLIiRfiR$EEAETAF{TED 1-4 TOTAL � r PER
INSURED
ay C T �r�S AR SR HRS X $ 4 HR:
SIGNATURE DATE @ UST$ �' LESS �! alsc1
.
r. SALES TAX$_L r/�
WE ACCEPT REPAIR COSTS AS,ITEMIZED. TAX ID# �` 1��t✓
PAINT,MATERIALS,&NET ITEMS$
REPAIRERS . ..r' 77 -
c t t tf ,DA.IE .w.-. . QL.. I ,
SIGNATURE
TOTAL REPAIR COST$ �f
THE REP. S HAVE BEEN COMPLETED.I AUTHOR17F THE COMPANY TO MAKE PAYMENT LESS
BETTERMENT $
OF$_ .� , JTO THIS REPAIR SHOP ON MY BEHALF. 'PRIOR DAMAGE $
INSURE DATELI.ts'-lCl-(�
SIGNATURE DEDUCTIBLE $; _i
STATE FARM
REPRESENTACVM J ,ff . J �^ TOTAL DEDUCTIONS$
1
"RERAIR SHOP: ORIGINAL FOR PAYMENT TO CLAIM COMPANY TO PAY S
SERVICE OFFICE AT_ c j sti OWNER TO PAY S,
SEE REVERSE FOR STATE FARM'S A' '--•a,bLaGE CLAIM POLICY NOTICE - REPAIRS TO THIS VEHICLE MAY
t UUME SPECIFIC WELDING EQUIPMENT AS
__ (RECOMMENDED BY THE MANUFACTURER. -
Most Current Technology8 DATALINER Frame Equip.
1�n AUta Body Repair. CRoC -r-r AUTO Ory Down Draft SprayBooth
Ctnma.,� wiasn
1000 Loring Avenue Daniel a %%dsn Quality Service
Crockett,Ca.94525 FRAME ALIGN Attention to Detail
(415)787-2742
Date
owner 61!11-10 Lu.y t Z Address B 2 1 ! '_' rnoc n e T i Ph. # ( ) 7 f 7- 2
Make rl:t ev Yr fr Lic. # Zl,l0 31 'S L Type—5 k,e pf v Mileage 57 1 f $ Bus.# ( )
luilt Date ID # )G cc s 14 ,6 k r- iir-i-(,7 31 'f Paint Code
LABOR LABOR LABOR
Sy FRONT HOURS Parts Sy LEFT HOURS. Parts: Sy ' RIGHT HOURS Parts
Bumper C L R I Fender , Fender
Reinforcements Apron Apron
Absoroers L R Molding Molding
Guards L R
Strips L R
Fillers -C L R Side Marker Side Marker I
Headlamp Headlamp
Align Wheel F R.
Suspension Park Lamp Park Lamp
Bleed Brakes Cowl Cowl
A.fDoor Frt Do&Frt
ut '^9nr.r ,v Molding
o ✓ r I
Door Rear, Door Rear
Setup Gauge Molding.; Molding
Frame L R'
.Fri Panel -
Quart Panel Quart Panel
Inner Constr. Inner Constr,
Grill C L R
Braces
Emblem
Moldings Moldings
i
Hootl
Hinges L R
Lock REAR MISC
Lock Support Bumper C L,R 41,RgTop ec+( entL
Safety Lock Reinforcements t r, r.f L 0.Jr
insulationAbsorbers L R
i Mldg C F R. k. V%I Guards L R Glass- Tint CL Ant
Strips L R rk, fi-14fcS ---
Fillers C L R Flex Adjent
Chip Guard
Rad Support U L R L over Complete S
Radiator Trunk Lid Pa, t -overlap= Q ac
Fan Hinges L R Q WW todgOa- .Q
Schroud Lock Match-Tint-Blend
Fan Clutch Undercoat
Coolant Stripe
Degrease Tail Lamps L R Tow&Storage
Remove Computer
Meth labor— Hrs. $
Mechan%Ca4
Rear Body Panel Frame labor Hrs. $
q oc 80
Body Labor.S, Hrs. L $ 1 4 7
A-C Gondensor Exhaust System Parts" efArLnrwc..f $ (Q `f yf
1
Change A/C Fuel Tank Tax $
Sublet $
-PARTS PRICES SUBJECT l tD
INS'e—t =. DO[_ Claim#:' _.+J .��:J .J
TO CHANGE TOTAL $
This estimate.based on our inspection,does not include any additionalparts or labor that may be required after the
work has been started.,OCcasionilly after work has been started,damaged or broken parts are found which we eEnot You are hereby authorized to make the above specified repairs.
evident on the first inspection.Because,of this,the prices herewith are not guaranteed.
ALL PARTS ARE NEW except when specified. Signed.
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 19, 1988
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: Unspecified Section 913 and 915.4. Please note all "War Ings"
bounty Counsel
CLAIMANT: CAROL L. VAN DYKE
c/o General Delivery-Postmaster JUN 21 1988
AT Walnut Creek, Ca 94596
Date received fV)at'flflez, CA 9453
ADDRESS: BY DELIVERY TO CLERK ON June 21 , 1988
BY MAIL POSTMARKED: June 15 , 1988
I. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
PpHHIL BATCHELOR, Clerk
DATED: June .21 , 1988 BY: 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:
r
Dated: BY: L f 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, n
Dated: JUL 1 9 1988 PHIL BATCHELOR Clerk B
, y 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.
000
Dated: JUL 2 O j BY: PHIL BATCHELOR by uty.Clerk
CC: County Counsel County Administrator
V
CV%1M:;.TO: BOARD OF SUPERVISORS OF CONTRA C0§XorAPgappiicationto-
Instructions to ClaimaritVerk of the Board
.O.Box911
Martine: .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 catise _
• - of-action. (Sec. 911.2, Govt. Code)
B. Claims must be filed with the Clerk of tie Board of Stigeryi sots
at its office in Room 1061, County Administration Build3.ng 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 Distract--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 Co3e'T'ec:72 at end
o his form.
RE: Cla y )nese v f' ing stamps .:
�►S{ q ;
JUN 21t�9aa.
Against the COUNTY OF CONTIVOSTA)
or /f DISTRICT). cte K T c
Fill in e 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: =
;�. n did the damage or in3ury occur? --{Give exact ate and hour
• � -fes• ��� -
did the damage n3ury oc urY--(In u'de `city and c unty ---
_
3. How did the Bach►a a-or inTur occur --- r T ^ , I
9 7 Y Give- u�I-3etai�s, use extra
. sheet if re fired) j --
�- - - -- ---/
4. What pa is lar act or omission the part o county or district .. ��
officers, servants or employees caused the injury or damage?
(over)
1 •v - - •.-. . . . (,�. -' '•'� - -• s •tom•• - •
- •'[. ^a,I[•_ — w) i'Y.J�Y:'_'+,s'`aX :as:.:E si�.�-r �..+_•:.T�•.}i.'•w:iY'"
Al-
5.
l_5. What are the names of county or district officers, servants or
employees causing the damage or ink
OOOF-
6.� What Damage or njuries-do-you claim resulteo3�ZGive-ful� tent
_ofminjuri damage cla to
__ ;�ter
7. How was the amoun�t claime� ov compute ? lude__ 'e es ated
amount of any pros ec iveinjury or damage.
------ -------------- _ _r 1__N�._____�iiE_l�rN�__i •`
8. Names and addres es o
winesses# odors _ ho it S.
L1;Z the '.expenditures youma eion-account of this AccidentF in j ry: :;•_
DATE / IITEEM~ O T .~:
11�s TN
qe ZZ
A***
Govt. Code Sec. 910.2pr vides: .
• "The claim signed by c a•mant
SEND NOTICES TO: (Attorney) or by,40me per4orrvv olo isb je if "_•:,
Name and 'Address of Attorney t
Cla2m n s xg
_ ... Add N
.
Telephone No.
Telephone No. . ' � .
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.
.;.: i4:;;. - •. _ tr.- �'�tr';:�ts'ti..,. ...�._`?.a':*=--ra«+,'t" riv YiPh
�,,,•_- -�. -- -ti A�r�-��,•�„'^_'.y�ei/4'"'nurr:.•..w�«rrru..:a.iw...+:i s:iwt'+.+++.adar.+.%i�lY:w,r.:.1r.��..J.t.�4.9cr.i�.K,-�tl� ,:/'l:.trl
To.. ' BOARD OF SUPERVISORS
Fes: Phil Batchelor, County Administrator
DATE: July 19, 1988 Costa
SUBJECT: Settlement of Litigation - Turtle Creek Master Associ on vs.
County of Contra Costa - Superior Court Case No. 265672
SPECIFIC REQUEST(S) OR RECOMMENDATIONS) & BACKGROUND Alm JUSTIFICATION
RECOMMENDATION•
Receive this report concerning subject settlement and payment from the
General Liability Trust Fund.
REASONS FOR RECOMMENDATION/BACKGROUND:
J. Lucien Dodson, III, defense counsel for the County, has advised the
County Administrator that within authorization an agreement has been
reached settling the inverse condemnation lawsuit of Turtle Creek Master
Association vs. County of Contra Costa, Superior Court No. 265672.
Turtle Creek Master Association and their attorney have agreed to execute a
Full Release and Receipt in favor of the County of Contra Costa and to
dismiss the above-mentioned claim in return for the payment of the
settlement amount.
In consideration of the settlement, the Board authorized payment of
$25,000 .
This action should be taken so that terms of this settlement are known
publicly.
CONTINUED ON ATTACHMENT: YES SIGNATURE: 1
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN 1 ION OF B D1 COMMITTEE
APPROVE OTHER
SIGNATURE LS :
ACTION OF BOARD ON July - , 1-9,89 , APPROVED AS RECOMMENDED x OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
CC: CAO - Risk Management. ATTESTED July 19 , 11988
County CounselPHIL BATCHELOR, CLERK OF THE BOARD OF
Auditor-Controller
Public Works Department SUPERVISORS AND COUNTY ADMINISTRATOR
J. Lucien Dodson, III .
M382/7-83 BY ,DEPUTY