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HomeMy WebLinkAboutMINUTES - 09131988 - 1.23 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 September 13 , 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: $538 . 77 Section 913 and 915.4. Please note all "Warning V,! ;rlty CoUC1S�t CLAIMANT: CALIFORNIA STATE AUTOMOBILE ASSOCIATION INTER-INSURANCE BUREAU: c/o Harriet Hall #N70375-1 ATTORNEY: P. O. BOX 5001 (;,f� C��G�S Antioch, CA 94509 Date received August 10, 1988 ADDRESS: BY DELIVERY TO CLERK ON g BY MAIL POSTMARKED: August 9 , 1988 P 245 166 533 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Au ust 11 , 1988 PpHHIL BATCHELOR, Clerk DATED: g BY: Deputy z L. Hall 1I. 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 L V V 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 0 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. Dated: SEP 13 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 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: SE P 1 5 985 BY: PHIL BATCHELOR by '/%�� i� y Clerk CC: County Counsel County Administrator r. r ` assi nment ofclaim and RECINVE subrogation' agreement A 10-IM . CLERK AR SAT J:`OR gy �.... ....... . Ceruty In consideration of the payment to the undersigned of U the sum of $ 5 ❑ a sum estimated to be Dollars, being the full amount of loss and damage insured against under an automobile insurance policy, number N70375-1 issued to the undersigned by the CALIFORNIA STATE AUTOMOBILE ASSOCIATION INTER-INSURANCE BUREAU, said loss and damage having occurred on or about the 10th day of July 1988 the said undersigned hereby assigns and transfers to said Bureau —0— said claim in the above amount plus additional claim for damage resultingfrom said accident, not covered under said policy of insurance, in the amount of$ 538.77 constitutingxn a total claim ❑ a total estimated in the amount of $ 538.77 Said Bureau is hereby subrogated inTh?.?r place and stead to the extent of the above amount of the said total claim and is hereby authorized and empowered to sue, compromise or settle in their name or other- wise to the extent of said total claim for loss and damage, and to endorse in my name any check made payable to me therefor, and collect and receive any money payable thereby. The undersigned covenants that he has not released or discharged, any such claim or demand against such party or parties and that they will furnish to said Bureau any and all papers and information in his possession, necessary for the proper prosecution of such claim. Dated at this day of —�:� � 19 WITNESS a F1433 (REV.7-77) 0-A.A. assi nment of claim and subrogation agreement In consideration of the payment to the undersigned of the sum of $ 538.77 O a sum estimated to be Dollars, being the full amount of loss and damage insured against under an automobile insurance policy; number N70375-1 issued to the undersigned by the CALIFORNIA STATE AUTOMOBILE ASSOCIATION INTER-INSURANCE BUREAU, said loss and damage having occurred on or about the 10th day of July 1988 the said undersigned hereby assigns and transfers to said Bureau —0— said claim in the above amount plus additional claim for damage resulting from said accident, not policy 538.77 constituting a total covered under said otic of insurance, in the amount-of$ , constitutin 0 a total estimated claim. in the amount of $ 538.77 Said Bureau is hereby subrogated inti r. place and stead to the extent of the above amount of the said total claim and is hereby authorized and empowered to sue, compromise or settle in t1eir. name or other- wise to the extent of said total claim for loss and damage, and to endorse in my name any check made payable to me therefor, and collect and receive any money payable thereby. The undersigned covenants that he has not released or discharged any such claim or demand against such party or parties and that they will furnish to said Bureau any and all papers and information in his possession, necessary for the proper prosecution of such claim. Dated at this ' day of 19 _ , � t WITNES F1433 (REV.7-77) y -Claim For Damages In accordance with Section 910 of the California Government Code, this is to formally place you on notice of our subrogated claim for the loss described below. Date: August 1 19 88 Antioch, , California Claim is hereby made and filed against the County of Contra Costa as follows: IName of Claimant: California State Automobile Association Inter-Insurance Bureau Address of Claimant: (Send notices to this address) P.O. BOX 5001 Antioch, CA 94509 Date of Occurrence: 07-10-88 Place of Occurrence: Kirker Pass Pittsburg, CA 94565 Nature and Amount of Damages Rock chips and cracked windshield, Items Making up said Amount: Windshield Name of Public Employee(s) causing said Damage(if known): County Road maintenance Facts & Details: Loose gravel on freshly paved road was kicked up and cracked insured's windshield. California State Automobile Association Inter-Insurance Bureau By: C1 v F1688 (REV.5-78) j Cfa"im For Damages In accordance with Section 910 of the California Government Code`, this is to formally place you on notice of our subrogated claim for the loss described below. Date: August 1 19 88 Antioch, , California Claim is hereby made and filed against the County of Contra 'Costa as follows: Name of Claimant:, California State Automobile Association Inter-Insurance Bureau Address of Claimant: (Send notices to this address) P.O. BOX 5001 .Antioch, CA 94509 Date of Occurrence: 07-10-88 Place of Occurrence: Kirker Pass Pittsburg, .CA 94565. Nature and Amount of Damages Rock chips and cracked windshield Items Making up said Amount: Windshield Name of Public Employee(s) causing said Damage(if known): County Road maintenance Facts & Details: Loose gravel on freshly paved road was kicked up and cracked insured's windshield. California State Automobile Association Inter-Insurance Bureau F1688 (REV.5-78) - '2 312 :Y Glass d �4U' 'S. f Automotive Division (415) 427-7100 or (415) 427-7101 DATE SOLD TO:(INSURED) VEHICLE DESCRIPTION: ACCOUNT MAKE MODEL NAME YEAR ODMTR RDG MOBILE_ ADDRESS LICENSE u TAX EXCEPTION r ZIP CODE SERIAL CITY I COUNTY PO o TELEPHONE REF p STATE OTY. PART NO. DESCRIPTION LIST SALES AMOUNT CODE Fcu 5,2 -77 COMMENTr1� v PLEASE REMIT TO: 520 GARCIA AVENUE,SUITE D, PITTSBURG,CA 94565 INSURANCE COMPANY INFORMATION BELOW THIS LINE INSURANCE CO. AGENT ACCOUNT ��r t� I�t�'�j ACCOUNT++ NAME NAME ADDRESS 4✓ ADDRESS TELEPHONE S l - !: TELEPHONE POLICY p _ AUTHORIZED DEDUCTIBLE MAIL TO BY AMOUNT AGENT C INS DATE OF CAUSE OF POLICY LOSS LOSS LOSS TERM LOC r DEDUCTIBLE DATE DESCRIPTION OF PAYMENT SALES AMOUNT CODE Dul—gJ;; Ir Replacement has been made to my satisfaction and I hereby authorize the above insurance company to pay direct in full to U.S.Glass. If for any reason the insurance company does not pay for these repairs or replacements,the below signed agrees to pay for said repairs or replacement. DATE SIGNATURE _ THIS DRAFT MUST BE PROPERLY ENDORSED ON THE REVERSE SIDE . N �OD�yD "gyp c4 M • •t $ fT I (D C Q . cc " •U + in ! I to c Nf .•-•� -Q N Lj cc w D� LL 4— y O L� i ci le fn O O Y a T•. „ V r4 og o a o=¢4 oo f , CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Zlaim Against the County, or District governed by) BOARD ACTION the' Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 13 , 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: $100. 00 Section 913 and 915.4. Please note all "WaQvw4 1'ty Counsel CLAIMANT: ANGELA MARIA BERAN AU G 111988 3329 Hacienda, Way ATTORNEY: Antioch, CA 94509 Martinez, CA 94553 Date received ADDRESS: BY DELIVERY TO CLERK ON AuguSt 10, 1988 I BY MAIL POSTMARKED: August 9, 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. fHIL BATCHELOR, Clerk DATED: August 11, 1988 �b: Deputy I 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). I ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant'sright to apply for leave to present a late claim (Section 911.3). ( ) Other: i Dated: BY: Deputy County Counsel tttIII. 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 ( '-1' This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board' J0der entered in its minutes for this date. / Dated: SEP 13 1988 PHIL BATCHELOR, Clerk, By 'l 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: SEP 15 1988 BY: PHIL BATCHELOR by uty Clerk 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 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 filledin. 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 '1 3349 I�AC;e/vDA w� /�n�riDG� ��sD9 ) R ECF1Against the County of Contra Costa � ' or ) AUG 10 MR District) Fill in name ) ,ATy_ on The undersigned claimant hereby makes claim against to or the above-named District in the sum of $ Q u tIp,e e_p and in suPe of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) ----- L °� ----------- D 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) V Ass leo,44) � 4,4,O, 4. What particular act or omission on the part of county' or district officers, servants or employees caused the injury or damage? A y,�, ati� do /.- �u.ck _1W /I UC �2AveC WAS G�oP�d (over) 5.- ii�rt -aro",the:names of county or district officers, servants'or employees causing the damage or injury? NOT s(,t4L iJhA_F_ NMP. � s ao ) meq - a)o�K 0:1) leteePiss w --.�a_..��_ _� = . J-_ ---------------------- ----------- - 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for "auto damage. ----------------------------------------------- 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. ----— =--=------------------------------------- -------------------------- 9. List- the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT W ►.�o s cLp 1 �Oo �° 1 Gov. Code Sec. 910':2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney Claimant`'s Signature TIo��L /] Address Telephone No. 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. --—— I _ 4826 �8bbz �t SAF L1---.TE-,-AUTUf-CLASS mit A '`,R .. ..' Lv.Of •1a�.> ,� i�. rt a`. e: � '. � 4 !�, Q>J A R E _4 �. y, .> a a•i.y!^s k V -777 SW s �t` �. . a, • &AKi J ' t DATE h VEHICLE'DE CRIPTION"s' y7"H9ztt:tzh:max rssE{ w Ae* orlCtBTn�'7225k SOLQuTQ:! (INSURED) { � p}tpyrt 3rl):i+n fi kbrit ec riol fi,c ., iME t � MAKE rOUN7a iT ODMTR RDG�. I t ti n i MOBILE ❑ ' 'f ! i�''. t.1f:1 b -n,7rir Z4 tt+k >Fn r I.5..-s.� a J r -! t - •..-�r ) jK ((�7, n 1 ;'t8� - ADDRESS U(.� AX EXCEPTIONY (��. LICENSE A fp'tls,'4i e70 "t53 t > ,. ,i• CiOUNTY .., li�wi'+. ' i `. .3 ( V r 7.� .�s,.r•ttw 13�ar)o.` r z .= z. +q�•t CITY e9clti t a 7c I ix '' ZIP CODE �* SERIAL P +•,r 2 9,• I�. t-c(:� f- i tS ' o a rY� {p�1i� zt r:: STATE I TELE r 2t _ rrrf N c.•. ec- r spa r r S. S . PA8 A O. D C tPTIO cone O 1 ',.l �Iv9Gu47 lCazf i�)1 {'•7�b 7 i. :77 (SUIT; r J..(acr } �•1?�, . _ � .��••. ` - - \-- tt nr^cr�.^ r --tc U, r0 6".. < `6.`V 1 3r� ._ {..t c J. r<'... .•9t2 �k ,may 1 >lGF IFC t 'Jf- t CE AS ��fi t `f-R T tT`i "" •r �l C t' - �l*i J+�,�'�1. 4 k xj�'�rj f' a COMMENTF '�-•- F'w-, a'3s'.f ".�c f •rte -,r •<`v ,y-.. .-:` J..Kr -. �' � � ... `SAFESEAL�POSSIBLE`- YYES i NO DECLINEDOUST:°SIGN. PART M REPLACED` PLEASE REMIT TO: : 3300 BROADWAY- OAKLAND CA 94611 -- �. , - •` NSU..__.ANCE�COMP,�x1� NF�OR ,ON,�B x WET I ,,E • INSURANCE CO. AGENT : ACCOUNT# ,.. ., ....... ACCOUNT # . \ C` , NAME 'Z> f", J G.� ^ G NAME _ ADDRESS ADDRESS TELE a TELE. AMOUNT l�.� AGEMAINT O INS O . LOSSr aM r CAUSE OF " ( POLICY LOSS LOC DEDUCTIBLE �• � "`At:;>r Ia. A hPSr'S`'^dry.^s t...V i rs '�'�� �C -\i > '` ,y c '� � F` a DATE L DESCRI��TION' F;PAYMENT r cone O s••_ .'rte+ 4r-i� r'L y..f*�.` rs a�G h a Fr�.,t � yl =P'-mss 1 - Replacement has been made.to my satisfaction and l hereby authorize the above insurance company to pay direct In full -:to the atiove listed hrm fog said Installation ; r Y ,•.. MOM If for'any reason the'Insurance companyfdoes not piyrfoi these repairs or"faplacements, the below signed agrees to pay fora < said repairs or replacement� µ r +'R,$ *{. 4„^ I .k' .Fn `L,�(^�['� '�,r 7 'r a.F� ¢,'>`/f, 6'+•. �t'Y s y , o- �. •: SIGNATURE1x r'. %Y`� .y ..• <;; '�4# :.'S,DrI�l'f E y 'f y1� ks _ 2`• F�,g;.wy, r • a x `�{+t- 'r}j it 3)c v -jr5� �'..?-�"jx tqF acy�.i �a^� >: ,t Vw 1-_ ,+}• �`•�,. .+_ v.,_�.F:.F..'3` .? .� _ t � ���: � t� '�f.`'S? r..�'i' S:PR�r'+`��•> •�K y Y' "-�_�� J T 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 September 13 , 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: $100. 00 Section 913 and 915.4. Please note all "Warnings" anty Counsel CLAIMANT: MARY D. DIETLER 603 Appalousa Drive 1i 1988 ATTORNEY: Walnut Creek, CA 94596 r Oate received �i�:•rt�riez, CA 945553 ADDRESS: BY DELIVERY TO CLERK ON August 9 , 1988 BY MAIL POSTMARKED: August 8 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. IL gATCHELOR, Clerk DATED: August 11, 1988 �b: Depu 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: g ` ¢ BY: L41uty 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 0 DER: 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 date1 ee Dated: .SEP 1 3 1988 PHIL BATCHELOR, Clerk, By #;;(,,,r , 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 an otice to Claimant, addressed to the claimant as shown above. Dated: SEP 15 1988 BY: PHIL BATCHELOR by ut Clerk CC: County Counsel County Administrator f Claim BOARD OF SUPERVISORS OF CONTRA COSTA OOUNTY 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 R E C I V E Against the County of Contra Costa ) or ) AUG g 19 District) L BAT ELOH Fill in name ) CLL�IA Si1F fSGiw ONT O'Ti B .. ... ... . . uty The undersigned claimant hereby makes claim against the a os a 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) .��----L 2._i-5_21Q- -------------------------- 2. Where did the damage or injury occur? (Include city and county) . __���.►`�_����o_�-1�L'�L_L���--�e�1 ►7__Qr"1�'1ClC�__--_�-��Ohl'�1��_�O�Tfi�'� 3. How did the damage or injury. occur? (Give full details; use extra paper if C L st,]G q required), � under trw�nds►�i�ld bre key by roc -f iu n o�,t+ fi� anc+her Cor, while Gars -hbve.1e_jd w +hin- __PLk_CLL 4.. What particular act or omission on the part of county or district officers, servants oremployees caused the injury or damage? CO I±fid L)tre(ft incl and rss fin v�e l (ing on loose. I e Pt --rav . Sa -r ) lyav� „ ase 5�9n5 'i r�%1 i c�-fi(Y Y'A e l a r e yo nd a►� y -W(noff )() �" NJns irl or!rum or) (over) `roc(i road rk aheac( - aver has no 0101ce -fid "D 5. '`*"What. are the names of county or district officers, servants or employees causing r �ti;ey,��ge or injury? � _ Supervisor �+ lunch whin : acc id�nf h�r���ne�l. ---------------------------------------------------------- What damage or injuries do you claim resulted? (Give full extent of injuries or damages, claimed. Attach two estimates for auto damage. Wirdsh«Id aetpl acTJ - two es-ha-u-tcs not recervecl c -e. -to ------------------ 7. How was the amount claimed above comp ted?. (Include the estimated amount of any rospective injury or damage.) 100 - my decd u C-7 bid ------------------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. ------------------------------------------------------------------------------------- 9. , List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 100 my �eC'Iuc-E-i ►�� 'mstU !E Gov. Code Sec. 910.2 provides: "The claim must be signed by 'the claimant SEND NOTICES.TO: (Attorney) or by some person ,on his behalf." Name and Address of .Attorney . (qaimant's Signature (P C8lay WV Address Telephone No., Telephone No. C?C4 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 BOARD OF 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 September 13 , 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: $406. 00 Section 913 and 915.4. Please note all "WaUgaty COUIlSe1 CLAIMANT:LINDA C . HERRIMAN 3011 Stinson Circle AUG 1 1 1988 ATTORNEY Walnut Creek, CA 94598 Date received Martinez, GA 945,c3 ADDRESS: BY DELIVERY TO CLERK ON August 10, 1988 hand,l.del. 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: Ati ust 11 1988 : Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( Soj'O' 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 Qrder entered in its minutes for this date. SEP 13 1988 Dated: PHIL BATCHELOR, Clerk, ByDeputy 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 SEP 15 7988 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator 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 11 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 Iyear. 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 9�1553• 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 To-r—M. RE: Claim By ) Reserved for Clerk's filing stamp Lnom. C i4p_f�* i vma-n ) E C , Againsts the County of Contra Costa f -- or ) P B Fl R District) C. " A- ' �. Fill in name The undersigned claimant hereby makes claim ainst he County of Contra Costa or the above-named District in the sum of $ P and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the e or injury occur? (Give exact date and hour) 30) 0; (.5 � ------------------------------------------------------- ------------------------ 2. Where did the damage or injury occur? (Include city ,and county) kir kx-r Pa rocJ ►-�t s �u Ga, I*bY n La_ CC-0 n- - C o�-� c �.�n -------------------------------------------------------------------- ---------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) h:�,e, CQa-��Jc n h arn;�---�� cC-0 I L2n W � h�-E c.c�r' 13MA- u. What particular act or omission..on the part of county or district officers, servants or employees caused the injury or damage? re 6L06n5 5cz�J1'0g c> gY2a P.S (n6-0v,ft_ s(.oLA-3 -- ���,,� Co- (over) 5.w What are the names of county or district officers, servants or employees causing ., the damage orJni ury? ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted?. (Give full extent of injuries or damages-claimed. Attach two estimates for auto damage. X513 �� C LO -------------------- -------------- ------------------------ 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or. damage.) � '� CO ------------------------------------------------------------------------------------ 8. Names and addresses of witnesses, doctors and hospitals. r-)OrLe 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMUNT . Gov. Code Stec. 910;.2 provides: . The claim must be signed by the claimant SEND NOTICES TO:— (Attorney) or by someperson on his behalf." Name and Address of-Attorney Claimant's Signature G('C(.-ems oa l a"4- , Address 45� 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, "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 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 `o ' 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 September 13 , 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: $218 . 91 Section 913 and 915.4. Please note all "War"U'Aty CUL1nso-1 CLAIMANT: JOHN G. LARSON AU G 111988 P.O. 131 ATTORNEY: Pittsburg, CA 945$5 Martinez, CA 945153 Date received August 9, 1988 hand del . ADDRESS: BY DELIVERY TO CLERK ON g BY MAIL POSTMARKED: no env@lope I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. �a DATED: August 11, 1988 IL BATCHELOR, Clerk : 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: O 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 Boa d .s Order entered in its minutes for this date. , Dated: SEP 13 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 I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order an Notice to Claimant, addressed to the claimant as shown above. Dated: SEP 15 1988 BY: PHIL BATCHELOR by ,L� Deputy Clerk CC: County Counsel County Administrator m im- too: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY t 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, 198.7, 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,,distriet 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 f orm. RE: Claim By ) Reserved for Clerk's filing stamp F. C ) a p Again t the Count Contra Costa ) ' AUG 9 19$8_ or ) �- District) AZR U L Fill in name - oy', . 0I The undersigned claimant hereby makes cl iain t the County of Contra Costa or the above-named District in the sum of $ ' f o � 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 0� &CLa4,v, Qd -O K_14 LC -OJ x--2- 3. How did the damage or injury occur? (Give full details; use extra paper if required) N -- -f, -�'vim_41%�__ ( GL G�r-Gv 4. What particular.act or omissio o the part of county or district officers, ��J servants or employees caused the in or e? 'Z7 Cki , gnav� , ow VJ r\,, -k,6;L+ CIO oow� I^ (���� e ✓y Q'fv.( CI-S-5 4— (over) 5. Mhak'are .the names of county or district officers, servants or employees oausing 'rthe. . ge or injury? I ------------------------------------------------------------------------------------ 5. What damage or injuries- do you claim resulted? ; (Give-'�full extent of injuries or damages claimed. Attach t stimates for a to damage. I rA 3�\*t gl J r(A) 0 rWA =------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any pros ectiv injury or damage.) 8. Names and addresses of witnesses, doctors and hospitals. ------------------------------------------------------------------------------------ 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT i L k IC1 ivil SS 2 R R R R W Gov. Code Sec. 910.2 provides: "The ai must be signed by the claimant SEND NOTICES TO:: (Attorney) or o e erso n his behalf." Name and Address of Attorney Claimant's Signat � x 3 :(AddressJ Telephone No. 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. v Z A C 1 NO • q ,. m N -.. 9 in N r,1 N LO 00 4° m. Vs o .. 9 O C) o N N O t7 � q � r G G � z t" A C)01%V:att*S 2089 Centra Costa pleasant Heil,CA X4551&87-7200 r y � _ ( i a� J1 ! I i z f I i p I ( - 1 i i I • L3L: IQI LO S • � 4 C7 U mQQ U tco ��rnrn a Ooh^ to - -i O + � , C Q 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 September 13 , 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: $5, 908 . 29 Section 913 and 915.4. Please note all 'ftving1y'Counse1 CLAIMANT: KENNETH F . MENDELSOHN ETAL 5157 Brookside Lane (aU G 0 J 1988 ATTORNEY: Concord, CA 94521 [Martinez, CA 94553 Date received A1988 hand dei. ADDRESS: BY DELIVERY TO CLERK ON . tl9uSt 8 , 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. DATED: August 9, 1988 PpHHIL BATCHELOR, Clerk ct BY: Deputy 4 kW_,,a, L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors 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 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: J BY: ' Deputy County Counsel III. FROM: Clerk of the Board T0: 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: SEP 13 1988 PHIL BATCHELOR, Clerk, By ,/ , /SZ7,ZL&_," , 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: SEP 15 19 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Cldim t6v BOARD OF SUPERVISORS OF CONTRA COSTA "COUNTY ti 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 5911.2.) Be Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 1069 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 filledlin. D. If the claim is against more than one public entity, separate claims must be filen against each public'entity. E. Fraud. See penalty for fraudulent -claims, Penal Code Sec. 72 at the end of this arm. RE: Claim By ) Reserved for Clerk's filing stamp Kenneth F. Mendelsohn ) , . Alice M. Mendelsohn ) - Contra Costa County ) Against the County of Contra Costa ) u 0 or District) ' BAT' ��, Fill in name ) � �~A R The undersigned claimant .hereby makes claim against, the County of Contra Costa or the above-named District' in the sum of $ 5 , 908 . 29 and in support of this claim represents as follows: N 1. When did the damage or injury occur? (Give exact date and hour) July 28 , 1988 9 : 15 P .M. ------------------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) _„_ i t t s b u r g j_C A__C o n t r a Costa C o u n t�------------------------------------------------ 3. How did the damage or injury occur? (Give full details; use extra paper if required) .See attached sheet _ ----------------------------------------------- 4. --What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? An unusally excess amount of gravel left on the road for resurfacing (over) 5. `What are the names off' county or district officers, Servants 'or employees causing thb damage or injury? �M- Contra Costa County-M a i n t a i n c e-Dept . --------------------------—----- 5. What damage or injuries do you claim resulted? '(Give full extent of injuries or :' damages claimed. Attach two estimates for auto damage. y Auto Damage ----------- - amag--------------------------- ------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) Above ------------------------------------------ ---------------------------------����� 8.. Names and addresses-of-witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE_ ITEM AMOUNT Gov. Code Sec. 91M provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or bysome person on.his behalf." Name and Address of Attorney . (Claimant-'s Signature 5157 Brookside Lane Address` Concord , CA 94521 Telephone No. Telephone No. (415-) 798-5222 - - -- 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, 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. Question #3 Driving on K"irker Pass Road , heading toward Concord from Pittsburg we . came upon a large amount of gravel on both sides of . the road . There was a construction sign at, the spot where the gravel began. We were traveling about 45 miles per hour in the left lane , and another car was in the right lane approximately on car length ahead of us . We hit the 'gravel one .right after the other . The gravel must have been three fourths to one inch thick, it started . to hit our car and the other car also . The other car slowed down and we passed him, then our car started pelting his car with gravel , so he accelerated and then started pelting our car with gravel . So we slowed down to a crawl and then all of the other traffic coming down the hill , having the same problem were throwing gravel hitting my .car also. With all the dust , and gravel it was very dangerous on the part of the county , resulting in major damage to my car . I called . and reported this to the Pittsburg Police and Highway Patrol after getting home and examining the damage . Uatrru:� ge? Rer)c)r••(•. 2020 00/02/86 F'atcJc� 1 F*:::d"ft1!I[.'>ir;;b R� ��i 0-th N»..p...II•»q*_*3 g::#C31 H::::1''w.' A=' �F=� 1950 .ARN(71...r> 1NI:) . I'I._ . CONCORD, CA, 94520 (415> 680 0707 )k FE::ATLJR1NO3 STATE:: OF:* T'HI::: ART' E::CJl.13:1-1TME:N'T' t4 TE'::C:1••INOI._C)(:)Y 1:N .COLA.:.1SIC)N REJ'AIR **********************rt*rt**********************************************)k VeI•i:i.r.:].e (:)wrier- : VeI•i:i.r.::I.c? : J:r)S•uratric:e? KE::N MEN1)EA._>(7I••IN E3 Li 1 3:N(::(: I N 5157 E3F2(:l(:)KSI131:7 I...N TOWN LAIR C CNC O Rr.) 0C.)L..r) CA 94.521 1IR131...E379 W(:)T•k : (415> I90»••5222 M7.3.evit ja 34.4.4-11 Hcmrrie: . Veh:i.r.A.e I13 Nt.uTA)er• - 1:)atte c)-F L..c)s<s : 0/00 11...Nf3F1 96)F` 3(3Y65•566)7 -- I)AMAGE REPORT Wri.t.teari Ely ..1(:)1••IN r-::NDRC'E) a E)c)r »_»: »»_........ J:•l.e1ri Pr:i.c;e Mc-.+t1. Mea(::I•i Oth F?at:i.nt 1- Repair d Straighten FRONT HEADER PANEL 2.0 1.5 2• Repair i Straighten LEFT FRONT FENDER EXTENSION CHIPS 0.5 0.2 3• Repair i Straighten RIGHT FRONT FENDER EXTENSION CHIPS 0.5 0.2 4. Remove Ii Replace RIGHT FRONT HEADLAMP DOOR f 30.57 0.2 5• Remove d Replace RIGHT FRONT LYR MLDG f 13.28 6• Remove i Replace LEFT FRONT HEADLAMP DOOR f 30.57 0.2 7. Remove i Replace LEFT FRONT LYR MLDG f 13.28 B. Remove i Replace FRONT GRILLE OUTER f 304.•60 0.6 9• Remove t Replace LEFT FRONT PARKING LIGHT f' 49.97 0.3 10. Remove i Replace FRONT BUMPER f 376.47 2.2 11• Refinish FRONT BUMPER FILLERS 0.7 12• Repair i Straighten RIGHT FENDER CHIPS 2.0 2.4 13. Remove i Replace RIGHT FENDER LYR MLDG f 46.28 0.5 14• Repair i Straighten RIGHT FRONT DOOR CHIPS 1.0 1.8 15. Remove II Re-Install RIGHT FRONT DOOR TRIM S HANDLE 1.2 16• Remove i Replace RIGHT FRONT DOOR LYR MLDG f 94.60 17. Repair i Straighten RIGHT REAR DOOR CHIPS 1.0 1.7 18• Remove i Re-Install RIGHT REAR DOOR TRIM S HANDLE 1.2 19. Remove i Replace RIGHT REAR DOOR LYR MLDG f 68.47 20. Repair i Straighten RIGHT QUARTER PANEL CHIPS 1.0 2.0 21• Remove t Re-Install RIGHT QUARTER TRIM 0.5 22• Remove i Replace RIGHT QUARTER LYR MLDG f 68.47 23• Glass, Sublet FRONT WINDSHIELD SHADE Y 909 f 651.89 24• Repair i Straighten RIGHT FRONT WINDSHIELD POST CHIPS 0.5 0.5 25. Repair i Straighten FRONT HOOD CHIPS 1.5 2.4 26• Repair i Straighten LEFT FENDER CHIPS 0.5 2.2 27. Remove i Re-Install LEFT FENDER TRIM 0.5 28• Repair i Straighten LEFT REAR DOOR CHIPS 1.0 1.7 29• Remove i Re-Install LEFT REAR DOOR TRIM i HANDLE 1.2 30. 'RepaiT i Straighten LEFT QUARTER CHIPS 1.5 2.0. 31• Remove d Re-Install LEFT QUARTER TRIM 0.5 32• Remove i Replace RIGHT REAR DOOR WINDOW TINTED f 168.48 1.0 33. Remove S Replace RIGHT FRONT DOOR WINDOW TINTED f 149.32 1.0 34- Remove i Replace RIGHT FRONT DOOR VENT WINDOW TINTED f 90.83 0.7 36. Additional Paint Labor COLOR MATCH I BLEND 1.5 37. Refinish STRIPES PAINTED 4.5 I:)wn age Report 2020 08/02/88 Page ,:.'. _..._. DAMAGE REPORT Written By JOHN ENDRf:S --------Labor»....»...._._..»»...... ---- Itc n Price Met:L Mech Oth Paint 38. Refinish 2-STAGE 4.0 39• Sublet Repairs CHEMICAL COATING f 350:00 40. Additional Paint Labor COLOR SAND 8 BUFF 6.0 C 41. Remove i Replace RIGHT REAR QUARTER W/O MLDG C 42. Remove 9 Replace SUNROOF FELTING �w��:::::w��-::�- �_��:=_•_:_:::_���--�—���:::�: DAMAGE:. REPORT SUMMARY :-::-::::::-� :�::w-::::::: tt w„:�::�= �•x - -�y :: METAL LABOR $ I ,OSG . 40 . . . . 24 . S hours 0 $ 4340 per hour PAINT LABOR S 1 .517 . 90 35 • ;:3 hours 0 $ 43 . 00 Per hour PARTS S; 1 .105 . 19 PAINT MATERIALS $ 635. 40 . . . . 35 .3 hours S 18 . 00 per hour EiUBL_f-::T '.h 1 '00 1 4 8 SALES .TAX $ 181 . 51 DAMAGE REPORT TOTAL.. 5.9019 Insurance Payabl 6 Rep<:air Total $ 5.908 . 29 (':e.te:•t.cXner• Payable. including Deductible $ 0 . 00 ��. ESTIMATE OF REPAIRS Martinez Auto Body v Sho p � ) 701 ESCOBAR STREET—MARTINEZ, CALIFORNIA 94553 Telephone 228-3689 • ALL WORK GUARANTEED Owner �' V lc i� .. c 4, Dob vy Address S 7 P-X, S ' EN. No. Insurance Co. Order No. �A.i AyE AR MODE. BODY SIVLE M0100 NUMBER LICENSE MIIf AGE DAIS OF ASSIGNMENT SSM' FRONT NPURS PARTS SYMBOL LEFT (BURS PARTS SYMBOL RIGHT LABOR PARTS HovR c FENDER iGFENDER =G�f% L° B;:rrefw yR.! FENDER SHIELD FET.DER SHIELD FENDER MLDG o,-\ FENDER MEDG !, «L! ''2 ' ?., r,•.:P HEADLAMP HEADLAMP >R' ,•S E M ' HEADLAMP DOOR "' SCI, C kj HEADLAMP DOOR c.n•.•E _ SEALED BEAM SEALED BEAM `R:... ..E•eEER CO-L COWL L �� �-•� ✓r %i' '� s' ./: r) L�✓r; tit- [. _ I?. N Hf f, G DOOR FRONT i DOUR, FRONT DOOR LOCK DOOR LOCK :;Qum DOOR HINGE DOOR HINGE DOOR GLA55 /' DOOR GLASS u. VENT GLASS pnVENT GLASS l,£y ;P CONI ARM SHAFI DOOR MLDGS. ,s�k DOOR MLDGS DOOR HANDLE DOOR HANDLE 1 ARM SHAF1 CENTER POST CENTER POST 17, C' ;,Q(jR REAR DOOR REAR o :n%iP .I ACc rt /Z DOOR GLASS , i 7. 50OP MLDG DOOR MLDG t E P^.c. ROCKER PANEL ROCKER PANEL :'EER'••: :.EAR ROCrfR MIDC• ROCKER MEDG ;'EfR,NG WHEEL SILL PLATE SRA PLATE PN P'NF FLOOR ip FLOOR 3PA.E; SH:E.3 FRAME FRAME O PARK ;.GH' LT i !• 1, ,y DOG LEG DOG LEG GRILLE Yl . _ GUAR PANEL OUAR PANEL i O'UAR MLDG OUR MLOG OUAP GLASS GUAR GLASS MISC. �.,,n•S.gI�S/ INST PANEL rr7 FRONT SEAT [ / •C- . FRONT SEAT ADI. MIRROR REAR HEADLINING •+GRN BUMPER - TOp BAF'LE S CIE TIRE BAFFLE :OwER BUMPER BRKT G'n BAFFLE ;PPEP BUMPER GO BATTERY I LOCO PLATE, LR GRAVEL SHIELD PAINT O, LOCK PLATE. UP LOWER PANEL �'(f 22- HOoc TOP FLOOR HOED —NGE TRUNK LID Le`ef?�Nn.�f f '✓ ` HOOD MLDG TRUNK LOCK TRUNK HANDLE mama" J C TAR LIGHT -z RAG SjP TAIL PIPE ►ARTS RA,- CORE GAS TANK Tes> LIQ �?C� RA :O ANTENNA - FRAME sl ( O� RAD HOSEwHEEI C�yye-N ter/!` /91iTiyy� C i. TOWING &.SUBLET REPAIRS. �S`~ FAN BLADE HUB A DRUM WATER PUMP - - TOTAL 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 September 13 , 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: $344. 50 Section 913 and 915.4. Please note all "waMunty Counsel CLAIMANT: DAYTON L. JENNINGS AUG U 9 1988 1380 Lydia Lane ATTORNEY: Clayton, CA 94517 Martinez, CA 94553 Date received e. ADDRESS: BY DELIVERY TO CLERK ON August 8, 1988 Risk Manage. BY MAIL POSTMARKED: August 6, 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Aug EYIL 9 , 1988 PpHHIL BATCHELOR, Clerk DATED: : 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: L1 �. 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. p Dated: `E P 13 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 fil.e 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: SEP 15 1988 BY: PHIL BATCHELOR by X4eputy Clerk CC: County Counsel County Administrator BOARD OF 'SUPERVISORS OF CONTRA COSTA C INSTRUCTIONOUNTY S 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 Cleter ' 'n stam,� I.Niy1NGS RE,� 1.3ra �y Dia 1,4,& CGA,41'oN. 6,4 ` T17 Against the County of Co.tra'Costa or ) • !: BAC �P n� District) CLEi NT CF A piny Fill in name ) BY The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the .sum of $ 3 lti , fo and in support of this claim represents as follows: --- --------- 1. When did the damage or injury occur? (Give exact date and hour) ----- -- ---------------- t 2. Where did the damage or injuury occur? (Include city and county) ntA5,4x c8ocrferr 7u8N0F9 --��11�111tNG-C----���•w�x--=---��Zi��.�1__.ft�w��_.�=.b�'��_L����`�:------= 3.. How did the damage or injury occur? (Give full .details; use extra paper if required). .) w,4s 1'gAvi=�114c mN 1-/)4; r-a -4AA)rtc-s SkywAy spiTTl.y 4FTI=R �nrON�GI�T, 4S r 5 coHIN&- 4Rou9D H h( .r"NC` 130AD .CI y.. THE CReC fcTT - ------------ 7 R r(dF h�_ S g p b rti-k y -T N cj�- vz Ad e N- P,9 f�__ 4. What particular actor omission on the part of county� or district~officers, servants or employees caused the injury or damage? F414,i(�c 1'e . �oST J-absE Gf3oe 'S/C-NS` dR 4HY rypc= F0, To THr: C 90C/f67T . -rORNb[F W-dCH 1'Nf Roup _ 1�AD (over) 5.' What bre the names of.county or district officers, servants or employees 'causing the damage or ,injury? ---------- -------------------------------------------------- 6. --- --- ------ ------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage T'kve' WNEELs eM RiCYT- s/Dh er- 44T0. HAD TO Br= RCI)k4cC-D, GIRLS w�Rc' elf). -N 0- re ------------------ / 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.. rtXLLC:_LLU:8 . 9. .. List the expenditures you made on account of this accident or injury: - DATE ITEM ; AMOUNT , HC Gr/ ?S y �� A�i`GnM�=NT :an Aata. p 1E it iE * * * * * * �F * �E $ �f".�F .iEit Gov. `Code Sec. 910:2 provides:" "The claim must be0signed by the claimant SEND NOTICES T0: (Attorney) or by some °person on his behalf." Name and Address. of Attorney: c �► Claimant; s Si t PO P L4 H6 (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;?!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.-impr.isonment 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 andfine, or;by imprisonment in the state prison, ,by.a fine. of not exceeding ten thousand dollars ($107000, or by both such imprisonment and fine. -Ise Speci 'ED p AKE N V1l.E 0 s REP 1 pCE�pAa w c , 0 rGO.�Gj OxQ a� tx a'1-4 a92 �+0> o � A G a m ,p r . _ cl It Cmss,.,,,, 1p rn A 9 n m cc A v' 2 °� 0 3'0 `�' -O n v+ ZC 9a m c�OaiQg ; h in nom. a. dao°o {ry 9 tt g?o�u�Mrs Ot" cin TCS o:L"frZs i <D¢ N . T th ooa-o zso t oo "A05 p s 'o�i�Ec6 Q f"$gigas °pO.►�Olp� p O q w N "�+�< baa ,n ti r m p • � to Os t@ O.Q - G 2 o3s n n O. �jt > m OP SN � A a � a0a'' z. Q V ❑ Q j� j .,:/� Z► m � r y, rn ... COPY 6US'COM�R z ' :y f _ . `CHAMPION 111NISSAN _ p 2695 EAST LELAND ROAD PITTSBURG, .CALIFORNIA;94565 , PITTSBURG (415)'439-7344 s CONCORD (415) 689-1040 fr qZx { -. •ALL CLAIMS OR RETURNED GOODS MUST 14 pAY$ BE ACCOMPANIED BY THIS-BILL •20%HANDLING CHARGE ON ALL RETURNED MERCHANDISE +DlAC� CAL QR SPECIAL PARTS MUST BE IN ORIGINAL CONTAINER > OR NO REFUND ALLOWED 01 .AUG 1988 01 AUG TE ENTERED NO. DATE SHIPPED I INvo�cE a►TE INVOICE ". 1988 NUMBER 15163 / ACCOUNT NO 14 PAGE 1 OF 1 L ---- C A S7 -H ---- P L rn -2k1P V4A 818A1 BIL NO. i TERMS F.O.B.POINT CASH PITTSBURGr CA n A 14 111 Y PART NUMBER . • AMOUNT J.:.J s • • �. 0 0 y:a„ ` y� t �,ig�i.s+..LuL`Ydr w,,. -- ._':'... ... -.. .> _ni.,.:.,'.i. rv;..� .u'._t` n,. .. .I.. _ •n. fai,.�c.f ._.S-,.+awc.-.wraiGYtl4eS,;.. xy n J {{! + r ryf { cKa , " ;rra r •- ...s.5..,e.�:;.......a..H,::,�..�..».x-.�s+>e_«,._.,. ..<. .,.._ i....,.._n,..........,-.d .._.. .,r+.r�,".,3,m:-'"'". 1 4 � FS.�, �� '!2.>Fasl,ia.if'.u::�:'aio�.ase.c_ .,....x.,,.,,-.."a. . e ,.t .,.,., ... >ti.,,.*. ... .,,.. ...._.sea-.�i.u...,_,•.:,a:�:w..w«.:i;Fi:,....�.,-«- �- -�-•..�•I.=x.3r T...4� '-� ,.... ':':% _._}: ':�r,.... .«"c.>..... .._..8.�...tt 3'_,a•.:tSLu,,._d_�iFrtAr.m. i URS 34:•MONDAY THRU FRIDAY PARTS 300.00 t.30."AM TO 5:30 P.M SUBLET .00 FREIGHT 0 E US FOR ALL YOUR PARTS NEEDS ! ' SALES TAX .................... 19.5 0 �r� r CUSTOMER'S SIGNATURE { X • 319 5.0 14120 f M r" o- 3 ® r � C4 y ,r o T Z4 rNK 4 lk, VA r - c : � o 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 September 13 , 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 "Warnings". CLAIMANT: CHRIS HAISLEY 814 Palm Avenue ATTORNEY: Martinez, CA 94553 Date received ADDRESS: BY DELIVERY TO CLERK ON August 8 , 1988 hand del . BY MAIL POSTMARKED: no envelope . 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 9, 1988 ppHH1L BATCHELOR, Clerk , 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: 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 ( his 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: S E P 13 1988 PHIL BATCHELOR, Clerk, By e, 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.Unite.d States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to, the claimantas shown above. SEP 15 1988 C Dated: BY; PHIL BATCHELOR by8euty Clerk CC: County Counsel County Administrator Claim to:.. BOARD OF SUPERVISORS CF CON'T'RA 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 dater 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 Sppervisors 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 befilled;; 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 forClerk's filing stamp SL ell ) RE D Against. the .County.:of Contra Costa or ) r+e OR District) eLe, N MOSS Fill in name ) sy ! Deputy The undersigned claimant hereby makes claim against the County of. Contra Costa or the ,above-named District in the sum of $ i miAe and .in -support of this claim represents as follows: --------------------------- 1. When .did the damage or injury occur? (Give exact date and hour) xr ----- � ------- --------- ----- == = --------- --- . 2 ere did t� e � -- --- --- . Where iamag or. in�ury occur. (Include .city and county) 3. How did th6 dama a ori ury occur? (Give ful , details; use extra paper if required) Q n +0CV -d --------------------- ---- --------------------------- 4. What particular act or omission on the part of county' or district office servants or employees caused the injury or damage? x',Y C�` C, CA p_.-- ,( r, CJ, r .t6 -4'. 44w S C 1'6 C:�f►",C "�5� (over). G 5. `What ,are the names of county or district officers, servants or employees causing the damage or injury? ------------------------------------------------ - 5. What damage or injuries do you claim resulted?;� (Give',full extent of injuries or damages claimed. Attach two estimates for auto damage. u1 -------------------------------------- 7. How was -the amount claimed above computed? (Include the estimated amount of any prospective iniFy�Qr damage,.") jh (.:�'i,r•. ;1r�, V-C .i.,,;.C.C\.. '�.'`�! �...0 � i._� _ � G G_'. 11 , � iJ -�- . �� •���. �� � J~•,rte�, f;_{ t ,..� 7�i � �,... t i _� � ��C� '_,. ��� I .f �,C � �Y.1�-6'.i' , tr--------------------------------- - -------------------------------------------- 8. Names and addresses' of witnesses, doctors and hospitals. 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`. sign by the claimant SEND NOTICES TO:, (At`torney) or by some erson "on hit. behalf." Name and Address of Attorney. Claimant; s . gnature Address Telephone No. Telephone No. r �' � ' t it * .* �� -6'7F�F"* N 0T1- 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.iseither 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. yC :. . 1. . , 117" �. �•. l ' 5 `- W ul m p D s co y G d x _a r a - 1\ 0 r. D � IC O o � W m ` g CONTRA COSTA PLATE & MIRROR �:JOB 4- N. Buchanan Circle #13 PACHECO, CALIFORNIA 94553 PHONE - DATE Phone 686-9977 I+ JOB NAMEYLOCATION JOB DESCRIPTION: > nl 141 E Lj J wooTo, ESTIMATED THIS ESTIMATE IS FOR COMPLETING.THE JOB AS DESCRIBED JOB COST ABOVE. IT IS BASED ON OUR EVALUATION AND,DOES NOT IN- 7� CLUDE MATERIAL PRICE INCREASES OR ADDITIONAL LABOR AND MATERIALS WHICH MAY BE REQUIRED SHOULD UNFORESEEN PROBLEMS OR ADVERSE WEATHER CONDITIONS ARISE AFTER THE WORK HAS STARTED: ESTIMATED . BY 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 September 13 , 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: $172 . 44 Section 913 and 915.4. please note all "Warnings". t,;.-uinty Counsel CLAIMANT: PAULA L. PESONEN 1204 San Jose Drive 0 :J 1988 ATTORNEY: Antioch, CA 94509 Date received Mafflinez, CA 94553 ADDRESS: BY DELIVERY TO',CLERK ON August 8 , 1988 BY MAIL 'POSTMARKED: August 5 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: AuguSt 9 , 1988 PpHHIL BATCHELOR, Clerk 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: �rc� Dated: j l T�� 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: SEP 13 19w PHIL BATCHELOR, Clerk, By ;,Z/ , 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. SEP 15 1986 D�t�d: BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator Claimd BOARD OF SUPERVISORS OF CONTRA COSTA000NTY INS'TRUC'TIONS 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 causeiof 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. VA RE: Claim By ) Reserved for Clerk's filing stamp RECEIVED Against the County of Contra Costa or District) . �o- (Fill in name , citF �` BRs 6Y De my The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ . A / Z ` ►` . 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) ea-5s _�---pi 3: How did the damage or injury ,occur? (Give full details; use extra paper if. required) i�t�) wF'c3 �'u c_L a� C9Q�VcZ. • Z w�S ',��iN� SL.o�.: cYLiM-ct�S ti 2�5; op- Titer R-RFF(C b v, T'a 71tE G e-N U G.I_. W ftf3�S <�5 W OCL_ .:(ma 4. What particular act or omission on the part of county�or district officers, servants- or employees caused the injury or damage? MtE 51 G t..3 S N b 7' IF Y I t sty ip +Z- (over) 5. Vhat-,are the names of county or district officers, servants or employees causing the damage or injury? . 5. What damage or' injuries do you claim resulted?. (Give, full extent of injuries or damages claimed. ' Attach two estimates for auto damage.. t ' -------------------=--------------------------- 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. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 4� Gov. Code Sec. 910.2 provides: . R "The claim must be signed by the claimant SEND NOTICES TO (Attorne ) or ome ersokbn his behalf." Name and Address of Attorney Claimant's Signature Address Telephone No. 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, Iany 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 oneyear, .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. C _ �O O _ H CD Q O 0 m �./ — --�-- n r- D � �� H-ar-mv I 7�lj .. C' ^� p o !0 ! Z w o I CC Jrv� 2 p (DZ Z I 0 b Z o w a w a ►maw mt Ti• rr t7 yC f oo rr O G � n F-+ K • � O Pti � p, A � • . • N N � (D pr 00W to • • Ch W 9 O 0 � • GS rt} • Gf ID + V f+ m 4 L �. i ►•yy�y�� o /}}'^'��� MMM . �p O `D O to -� Cc, . N O l!t V co 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 September 13 , 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: $320 . 00 Section 913 and 915.4. Please note all "Warnings". Counsel CLAIMANT: VALARIE ARCHBOLD 1625 Kingsl_y Drive 404 U J 1988 ATTORNEY: Pittsburg, CA 94565 Date received Martinez, CA 94553 ADDRESS: BY DELIVERY TO CLERK ON August, 8 , BY MAIL POSTMARKED: August 5 , 1988 I. FROM: Clerk of the Board of Supervisors JO: County Counsel Attached is a 'copy of the above-noted claim. All gust 9 , 1988 ppHHIL ATCHELOR, Clerk' DATED: g BY: Deputy v 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 ( his Claim is rejected.in full. ( ) Other: I certify that this is a true and correct copy of the Board's rder entered in its minutes for this date. SEP 13 1988 Dated: PHIL BATCHELOR, Clerk, By /, Deputy Clerk WARNING (Gov. code section 913) Subject tocertain 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: SEP 15 1988 BY: PHIL BATCHELOR by , y Clerk CC: County Counsel County Administrator Claim t6 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 eause,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 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 TO rm. RE: Claim_By, ) Reserved for Clerk's filing stamp ) IN LOU-til trsC,L � ) . . RE EQ Against the County- of Contra Costa ) u or ) ' District) PH BA gV OR SORS Fill in name ) ct K TR puty The undersigned claimant hereby makes claim against th e unty of Contra Costa or the above-named-District in the sum of $ 3?p, ?O and in support of this claim represents as follows: ------------------------------ 1. --- ----------- 1. When did the damage or injury occur. (Give exact date and hour) r � u _ -------L 1 ---P-C-f ---------- 2. Where did the damage or -injury occur? (Include city and county) 4K_kF-q _ Pecs 3. -How did the damage or injury occur? (Give full details;. use extra paper if required) K�21cx`�- Puss was �u.LL o� 6rz rhvt✓Z w PCs ilh ETv '�2tz 3T o it Ott TRA F F t G G CZ GL 0,5 c V F 'tom+` 6 2A J tZ Gf�2 S WN �SI't"< LZ� < QPCSS fYN� `CTt'�'E W v P G 2At E` A r3� C -------------- __-_ ----- ---------- Y. --_--_Y. ` What particular act or omission on the part of'countyor district officers, servants or employees caused the injury or damage? C.G .V t -j-v M.V C_t* PaSTiNsc. � �G . St'GNS . (over) 5. ' zat..-are the names of county or district officers, servants or employees causing the damage or injury? ' 5. What damage or injuries do you claim resulted?," (Give;;full extent of injuries or damages claimed. Attach two'estimates for auto damage. - _- --- i -------------- --- --- ----- ------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury.or damage.) ------ ---- ---------------- - ----------------------------- $. Names and addresses of witnesses; doctors and hospitals. 9. List the expenditures you made on account'of this accident or 'injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: ".Thee laim must be°, signed. by the. claimant SEND NOTICES TO: (Attorney) or, by some ` erso on his behalf." Name and .Address of-,Attorney. (ILI k,:A,J A A - lai f;'s Signa ure Address) Telephone No. Telephone No. �f(� 43Z �� WO NOTICE. Section -72 of the Penal Code. provides: "Every person who, with intenttb defraud, •presents for allowance or for payment to any state -board or officer, or'to any opunty, jeity or district board or officer, authorized to. allow or pay the same 'if genuine, any false or frejudulent ,claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail 'fora 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 i the state prison, by a' fine: of not exceeding ten thousand dollars ($10,000, o�-b both such imprisonment and fine. - i 'I 7 ` D z H m O Z r- m m. N D N G1 LO ID-Irtnp I Z M C' 92 (n ZIA 01 i s - m I �r ;O w nF C H r H 7C N �'+7 O w N W. •o W. rn wrt cr " o ,*. m O k K \. 0 rt to (D on CA • � �C � � �' FSP' p, r0-+ rin� POD W • Q N rL to H Uj 3 En W*, C')m :3* V` CL M1 ' • (off N. �.HG f]. m �. • G p N ft O H vitx �+ . Q a ZLn m � 00 al .. r� O !— to to 0 H 'J r`n ey CA T— O CD CLAIM / �QD 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 September 13 , 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: $532. 73 Section 913 and 915.4. Please note all "` 'i j1 WsQounsd CLAIMANT: RALPH V. DES14OND ETAL AUG U J 1988 205 Pomona Avenue ATTORNEY: Crockett, CA 94525 Martinez, CA 94553 Date received ADDRESS: BY DELIVERY TO CLERK ON August 8 , 1988 Risk Manage. BY MAIL POSTMARKED: August 5 , 1988 1. FROM: Clerk of,the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Au ust 9 , 1988 ppHHIL BATCHELOR, Clerk DATED: g BY: .Deputy . Z2� L. Hall LI. 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: l Dated: / �� BY LI 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. Dated: SEP 13 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 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: S E P 15 1986 BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator G-1a k tc�A-y BOARD. OF SOPERmon OF CORTRA COSTA cwm' 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 'acerue 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 'filin s p RECEIVED Against the County of Contra- Costa ) t U h 8198E3 or ) P ELOR District) cc o R U ISORS Fill in name ) By QQuty The undersigned claimant hereby makes claim against the County_ of Contra Costa or the above-named District in the slue of $ ,1732. 73 and in support of this claim represents as follows: - - ----------- 1. When did :the damage or injury occur? (Give exact date and hour) t. ------------ -- - 2. -- ---------- 2. Where did the damage or injury occur? (Include city and county) _ S(� t -- ---- - -- -��-Y- S-------- �"--- -}- } 3. How did the damage or injury occurGive full details; use extra paper if required) -S 00�e r� W� lza�i lYvwt9S k) -Hu_ �oa d (,U P�'�,`-#-1�12U� � {�-F`4� u�7 tiffs e lD= ouC?o�v� --�� �e_ , Lt n.o` h � ' D 'br� .to> KJDs4.,:.et p. -- ----- ------ ------------- ?-- ------------- -- ------ ---------- on the part of county !or district - 4. What particular act or omission officers, servants or employees caused the injury or damage? u e9 ( C wy� �. 'S CO 'ra__1 ©��-u (over) 5p- Waiat are the names of county or district officers, servants or, employee4 caus4ng the damage or injury? --------------------------------------------------- ---------------------------- ------ -- 5. What damage or injuries do you claim resulted?-, (Give "full extent :of injuries or damages claimed. Attach two estimates for auto damage.. ----=eo 4,t,\, --------------------------- 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. ---------------------------------- 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 T0: (Attorney) or by some person on his behalf." Name and Address of Attorney /J / Claimant's Signature Address Telephone No. Telephone No. /7-5 'ld'7- 300/ w o. 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, 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. 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TO !:)F:i:•T'AI:L L..1:t:: • *l1F•I11929V N:ri:r�rt rt�'rt Xi%�yr+Y rc yi rx Y+'ri:rt rt ri:y<w r<r<>Y Yt rc rt r<xc rrt r[ri rc rk x�Yc>+t rc y<r<rt rt rr rr rt Yc rt Yt yr rt tti r<rt rc*rt�t rr rt*rt Yt rt 7k yt rt R Yc rt rt Yc rt Vehicle Owner ; - - Vei.0.r.;a.c::+ : - :f.�r�<..l.lr"ral'1C:¢:•? .- �f?f..,;:il^f la tit:7ii"?l:;7j•I(.:t 82 100Q i...O1ra i`1!:r GlN CRESSIDA ' O R:I C;t i:i:..�...r. _ CA 94 t Ic:nrtt•;' Vehicle ID Nc.urrha,t:•?r Date of LOTS : 0/90 DAMtr?iriE h'i::.1•'!:!fY 7 Written i3v TOM WEL..f;;f..i ........ _....L..<: hc7 r —........._..................... .....................................................................................................................,..................................................................:.............................................................................._................................. I Remove I Rec.ace 4NDSHIRD 52100-25% f 395.25 2.0 C 2 Remove I kee ece 61NDSh:ELI, SEAL b;I $ 26.09 L)fiMrlt.,l... REPORT SUMMARY METAL L..A13!:P $ S" : 00 . . . 2.'P hours 0 '1> 42 . 0q per hour PARTS $ 421 SALES TAX % 27 O!lh't'GEi:: REL!'F.jf;tT TOTAK $ ">:i p 7 :> !'••+ ur's!iryr;e Pa3yaaf:?:I.e Repa it 'T'o•ka:I. 1s 0 . 00 Customer Pa va f:,l r.;: , :i:m c:,:i:a c:f:i.n g I:)t•:•?d u c:,t i.b:I.r.}i <.Is 502. 70 7 0 CLAIM 4f 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 September 13, 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: $.10, 000. 00 Section 913 and, 915.4. Please note all "Warnings". CLAIMANT: KENNY H. "SACHER Y CDunSe1 o/o Victor J.` Van Bourg ATTORNEY: Van Bourg, Weinberg, Roger & Rosenfeld 875 Battery St. 3rd floor Date received ., ADDRESS: San Francisco, CA 94111'. BY DELIVERY TO CLERK ON August 10, 1�4-6$ 'r z, CA 94553 BY MAIL POSTMARKED: August 9 , 1988 I. FROM: Clerk of the Board of Supervisors TO: . County Counsel Attached is a copy of the above-noted claim. DATED: August 11 , 1988 JYIL BATCHELOR, Clerk' ` L. Hall 11. FRO County Counsel TO: Clerk of the Board of Supervisors 7( ) 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 claimon 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. SEP 13 1988. Dated: 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: SEP 15 1988 BY: PHIL BATCHELOR byuty Clerk CC: County Counsel County Administrator ii 1 VAN BOURG, WEINBERG, ROGER & ROSENFELD 875 Battery Street , 3rd Floor ,..•�"" 2 San Francisco, California 94111. Telephone (415) 864-4000 � 3 Attorneys for Claimant Kenny H. Sacher. .. S AT^H pEav 5 c c'6. air _ .- 7 8 BEFORE THE BOARD OF SUPERVISORS OF THE 9 COUNTY. OF CONTRA COSTA 10 11 In the Matter. of the Claim of ) 12 KENNY H. SACHER,, ) 13 Claimant , ) 14 vs . ) No : 15 Against ) 16 COUNTY OF CONTRA 'COSTA;, GARY T. ) YANCY, DISTRICT ATTORNEY OF THE ) 17 COUNTY OF CONTRA COSTA; GENE S . - WOO, .WOO, DEPUTY DISTRICT ATTORNEY; ) 18 PETER BONIS, DEPUTY DISTRICT ) ATTORNEY, ) 19 ) Respondents . ) 20 ) 21 CLAIM AGAINST PUBLIC ENTITY AND PUBLIC ' EMPLOYEES 22 Claimant, Kenny H.. Sacher, . by and through his attorneys of 23 record acting on his+ behalf , hereby presents this claim- to the . 24 Board of.. Supervisors of the County of Contra Costa pursuant 'to 25 Section 910 of the California Government3 'Code. 26 ite 1 , 1 A The. name and poat offi. e Kenny H. 2S ohe_ 2190i Harrlir Court , Antioch, Cal forma 3509 3 f3 . 'the Post office address to 1W ii ch Claimant, desires. ::ot-LC e 4�1 t_11 C 'a1p.1 to be sept 1s as LOi 6W.S : 5 - �'ictorJar. n• urr, 6S3i.:1ra Rae 13' T /'t 1 E: �?r ; .iE�2wc. ?G, RC' ER Fi1CFNFi; 875 . 1 .r Ih_ .a � 'oor: S7Ti Fr_,i.c1 •cG, r i a� 11'i 8 i.. . On or about Februa.rrr 25 i S , at Pittsburg, a1if:orn= s , 9 i a_ :ant re;.e_ve'd i:ersOnaI i-_ It,S ur she fGllowin- 10 —10 rcumstancesintILf .'as. f-Drr,ctII and falsely - r-es -ed, 11 d .tai-led at It Di tsb,,-ira Poli-ce L=part re T:} , and was _orced to 12 L> cicrgo . a formal .took;ng 'preceuare which ir_c"Lauded photographir�a 13 a _d r_ingerprinting . Th- go�.-�- mi r� en�- ent _,t.y and/or gover.mr, t 14 eiipIoyees i !, S* nvolveeffected .�-11v r,a1e ar1`-est i' furt:herancp OF a 15 p an or des.-gn tc improperly =i_sist va ious .employers, inclu;: _ :a 16 t not Iimited to , USS-POSCO industries , Bi=&K r�onstructi an 17 rp3ny, and ANIK Irternationa in a labor dispute and for the 18 • 1latera1 Pur pose of. a"s5_sting. these enll loyears .by ma'-,i ng an . 19 ample oL k, o*dn tenon adhe_entcS _nc..'�u:n "'C !al. ,. ianr �?h,) had - 20 eaCeLUlIv exer-cls6o tri r? r Firs Amendment riahts t;1 cri+-iclZe 21 lese e m rD cyers . 22 D . As far as i5 Known at brie time of orc entati :)n of this 23 dl:'.':, C1a=mc'nr' Jac e sur fere—,I," as a' `rESU•l _ Qr tC i?ISe ZrZEJr 24 o` 3 of freec: ;"I i0-3S of 6va es , dai:,a';e to 11 s ,hued nor e an 25 26 124 1 reputation, and physical and emotional distress . 2 E.' The name .or names of the public .employees causing the 3 injury, damage, or loss ,', to the best of claimants knowledge are 4 : Gary T. Yancey, District attorney, Gene S.iWoo, Deputy District 5 Attorney and Peter Boni's , Deputy District Attorney. . 6 F . The amount of damages claimed. by Claimant Sacher exceeds 7 ten thou'sand_-dollars ($10 , 000.. 00) and. jurisdiction over the claim 8 would rest in the Superior Court of the State 'of ,California, in 9 and for the County of Contra Costa . 10 11 DATED: August 1988 . 12 Respectfully. Submitted, 13 VAN BOURG WEINBERG, ROGER & ROSENFELD E 14 15 By: 16 VIC J VAN OURG Attorneys for laimant, 17 Kenny H.' Sach 18 19 20 . 21 22 ; 23 24 25 26 �2� 3 CLAIM A vJ t � ,. BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA. Y Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 13 , 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: $10., 000 . 00+ Section 913 and 915.4. `Please note all "Warnings". C-: linty Counsd CLAIMANT: JAMES VERNON EASTERDAY ETAL c/o Thomas J. Brandi AUG U J 1988 ATTORNEY: Bianco, Brandi & Jones 44 Montgomery Street #900 Date received Martinez, CA 94,553 ADDRESS: San .Francisco, CA 94104 , BY DELIVERY TO CLERK ON August 8 , 1988 BY MAIL POSTMARKED: kigust 4, 1988 I. FROM: Clerk of the. Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. : DATED: August 9 , 1988 HIL BATCHELOR, Clerk 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:, _ 1IADated: J BY E 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,oresent ' 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. - SEP 13 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 llnited 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: SEP 15 1988 BY: 'PHIL BATCHELOR byeP uty Clerk CC: County Counsel County Administrator 1 BIANCO, BRANDI & JONES THOMAS J: BRANDI 2 JEFFREY A. BERGER 44 ,Montgomery Street, Suite 900 3 San Francisco, - California 94104 Telephone (415) 362-6100 4 Attorneys for Claimants 5 JAMES VERNON. EASTERDAY, a minor,', ERNEST J. EASTERDAY and . LINDA EASTERDAY ..,,�.... 6 RECEIVED 8 COUNTY OF CONTRA COST 9CL NT e E O ons 10 gy o �r 11 CLAIM OF: 12 JAMES VERNON EASTERDAY, ) -a minor, ERNEST J. EASTERDAY, ) ` CLAIM FOR PERSONAL 13 and LINDA EASTERDAY., ) ; INJURIES AND DAMAGES (Government Code §910) 14 15 Claimants, ) ; ) VS. ) 16 CITY OF MARTINEZ and ) COUNTY OF CONTRA COSTA, , ) 17 ) 18 . 19 TO THE CITY OF MARTINEZ and COUNTY OF CONTRA COSTA: 20 ' PLEASE TAKE NOTICE that JAMES VERNON EASTERDAY, a minor, 21 and his parents,' ERNEST J. EASTERDAY and LINDA EASTERDAY, 22 hereby make the following Government Code §910 claim: 23 (a) The name and post office address of the 24 claimants- are: JAMES VERNON EASTERDAY, a minor, ERNEST J. 25 EASTERDAY and LINDA EASTERDAY, 614 'A1pine Court, Martinez, 26 California 94553 . 27 (b) Notices should be:. sent to the following: C/O 28 THOMAS J. BRANDI; BIANCO, BRANDI' & JONES, 44 Montgomery BIANCO, RR.�NDI,.JONES&RCDY - ATTORNEYS AT LAW 44 MONTGOMERY STREET.9TH FLOOR SAN FRANCISCO.94104 1415;3626100 '1 Street, Suite 900, San ,Francisco, California 94104. 2 (c) . The date, place and other circumstances of the 3 occurrence which gave rise' to the claim asserted: The 4 claimant is' a 13-year old boy, who in late April of 1988, 5 shattered his knee against a curb as a result of falling into 6 a large pothole in the public roadway located directly in 7 front his home at 614 Alpine Court., Martinez,, California. In 8 � spite of numerous and repeated complaints. by the area 9 residents, the subject pothole and surrounding pavement was 10 not maintenanced or repaved in the prior ll' years .that the 11 -claimant's."family had maintained their address on Alpine 12 Court. Mr. and Mrs. 'EASTERDAY were required to. take time off 13 from their employment to .care for their son,'.after his 14` release from 'the ,hospital. 154 (d) A .general description of the injury and damage 16 'incurred. so far as it is known at this time`: The claimant 17 was immediately taken from the. accident, .scene to the 18 Emergency Room at Kaiser Permanente Hospital, wherein 200 19 cc's of fluid were taken out of his left knee cap. He was 20 placed in' a. leg immobilizer and received 'reconstructive 21 surgery two days later. He was confined to his, home for over 22 one month, and has, since the date of .release from the 23 hospital, - received weekly physic.al 'therapy' treatments. In 24 additionto 'severe pain and suffering, -immobility and a loss 25 of flexion, he has a six-inch scar _'on !his leg that has caused 26 him such great embarrassment that he' will not wear shorts in :27 front of his friends and peers. As a ''result of his injury, 28 the _claimant's father was required to cake time off from his BIANCO,I1RA.NDI,.10N£S&RUD1" ATTORNEYS AT LAW - - .44 MONTGOMERY STREET,9TH FLOOR, 2 SAN FRANCI5CO.94104 - 14151362-6100 - - - �. •. -ate - '. 1 employment for two weeks, to care for his . son, and thereby 2 incurred a wag e" loss of $11800. His mother was additionally 3 required 'to take time off from her employment for three days, a 4 to care for her sons and `thereby., addit}ionally suffered a wage 5 loss- of $384. At this point, the extent of any permanent, 6 residual injury to the minor is unknown: . 7 (e) The name or names; of the public employee or' 8 employees causing the injury, damage or loss, if known: Unknown. 10 . (f) The amount of this claim exceeds $10,000, and 11 jurisdiction over this claim would rest in the Superior 12- Court. t. 13 Dated: " August 5, 1988 BIANCO, BRANDI & JONES 14 15 By: A�Jo A7 A4A9, THO . S J. A09D Attorneys r Claimants 16 JAMES VERN N EASTERDAY, a minor, ERNEST J. EASTERDAY 17 and LINDA EASTERDAY " 18 19 20 21 22 23 24 25 26 27 28 B" CO, BRXVD2,.PONES& RCDY. ATTORNEYS AT LAW - 44 MONTGOMERY STREET,9TH FLOOR _ - - SAN FRANCISCO.94104 3 - 14151 362-6100 - CLAIM BOARD PF SUPQRVISORS OF CONTRA-COSTA,COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 13 , 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: $5 , 000, 000. 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: ANTHONY THOMAS BARBIERI CCC ;aunty CoL.,�. Law Offices of Levin& Padrick ATTORNEY: One Hallidle Plaza 4 701 0 0 0 9 .19e- San Francisco, CA 94102 Date received ADDRESS: BY DELIVERY TO CLERK ON August 8 , 198,8. Ainez, CA BY MAIL POSTMARKED: August 5 , 1988 P 670 059 907 I. FROM:. Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ' August. 9 , 1988 PpHHIL BATCHELOR, Clerk DATED: 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: ' r ' Dated: ��', 1, BY: 1 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 ( 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 date.. Q Dated: SEP 13 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 I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order. an Notice to Claimant, addressed to the claimant as shown above. SEP 15 1988 Dated: BY: PHIL BATCHELOR by �t—&---,5/eputy Clerk CC.: County Counsel County Administrator CLAIM AGAINST THE COUNTY OF CONTRA COSTA TO: THE COUNTY OF CONTRA COSTA �® 1. CLAIMANT Anthony Thomas Barbieri }- �U 115 Ray Court Ito: HE Fremont, California 94536 ° (415) 797-9022 D.O.B. 6-23-47 0y Soc. Sec. Number : 076-36-8472 Occupation: Private Dog Trainer 2. Address to which notices are to be sent: Law Offices of Levin & Padrick One Hallidie Plaza , Suite '701 San Francisco, California 94102 3. OCCURRENCE: Date: February 21, 1988 Place: Holway Drive, south of Byron Highway, City of Byron, County of Contra Costa Circumstances giving rise to claim: Claimant, was the operator of a motorcycle northbound on Holway Drive, approaching J-4, Byron Highway. A portion of the surface of Holway, , parallel to the railroad tracks which cross Holway at that point, had been recently resurfaced and treated with an oily substance. After crossing that point in the road , Claimant's motorcycle lost traction due to the transfer of the oily substance onto his tires and was unable to negotiate the subsequent curve in the road. Claimant lost control of his vehicle, skidding down an embankment and was catapulted from his vehicle into a ditch. The cause of said incident was the dangerous condition of said highway or roadway involving an unreasonable risk of injury to the public which condition was known, or should have been known to the County of Contra Costa. 4. GENERAL DESCRIPTION OF INDEBTEDNESS, OBLIGATION, INJURY, DAMAGE OR LOSS INCURRED SO FAR' AS IS KNOWN: Claimant sustained serious , grave and permanent personal injuries. 5. NAMES OF PUBLIC EMPLOYEES CAUSING INJURY, DAMAGE OR LOSS, IF KNOWN: Unknown at this time. 6. AMOUNT .NOW CLAIMED: . . . . . . . . . . . $5,000, 000. 00 7. ESTIMATED AMOUNT OF FUTURE LOSS, IF KNOWN: Unknown TOTAL: $5,000 ,000.00 8. BASIS FOR PRESENT AND FUTURE AMOUNT CLAIMED: Estimated special and general damages . 9. SIGNED ON BEHALF OF CLAIMANT:. ROBERT G. PADRICK Attorney at Law CLAIM / 'of t" 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 September 13 , 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: $65 . 23 Section 913 and, 915.4. Please note all "Warnings". CLAIMANT: THOMAS BACIGALUPI County Counsel 1408 Toyon Drive ATTORNEY: Concord, CA 94520 !G U 1988 Date received is�L��rt ez C,A 9 ADDRESS: BY DELIVERY TO CLERK ON August 8 , lytltS ��ouYLnou �3 BY MAIL POSTMARKED: August 3 , 1988 I. FROM: Clerk of the Board of Supervisors TO: .County Counsel Attached is a copy of the above-noted claim. Augst 9, 1988 PpHHIL BATCHELOR, Clerk DATED: g BY: Deputy . 14 Z� 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 91.0.2, 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: i' Dated: D BY: 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.[ Dated: SEP 1 3 1988 PHIL BATCHELOR, Clerk, By ��puty 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, postagefully prepaid a certified copy of this Board Order a Notice to Claimant, addressed to the claimant as shown above. Cited: SEP 1 5 1988 BY: PHIL BATCHELOR by : eputy Clerk CC: County Counsel County Administrator AM TO. BOARD OF SUPERVISORS OF CONTRA C 1 - - ��t�iQ �appt�catcon to: Instructions to ClaimantC!e�k of the t6 d _ • Martinez.Califomta94553 ,A. Claims relating to causes 77 '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 othercauseof action .must: be presented not later than one year after the ,accrual of the -:cause . action. (Sec. 911.2, Govt.. Code) B. Claims must be filed with the Clerk .of the Board ofSu exid' prs at its office in Room 106, County ;Administration Build g .651 -Pinen 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= 5. +Thai are the names of county -or district officers, ervants or, � employees causing'the damage or injury? --// 6. -What oamageor �n3uries do you claim resulte= extent of- in-' ies ar damages claimed. • :Attach _two_ estimates for;,;auto damage). . —..—rr—w a;—rr---�.--or--..--.m..—err—r TTr—r—u--te— � ---------r-- 7. How was the amount claimed above computed? (Include the--estimated amount of any prospective injury. r damage.) iPr'r,te - 4f s`kr�<5 s - 8. Names and add!eases. of witnesses;-doctors and -hospitals. o k�e c `s peke TrF _ �. List the expenditures you made on account of this accident EATS ITEM AMOUNT Rede Govt. Code Sec. 910.2 provides: "The claim signed by the claimant SEND NOTICES TO: (Attorney) for b ' some -person .on his behalf."_- T1 Name and'Address of Attorney , 'C aimant..s . ture =.. Add e Telephone No.- Telephone No. 72. 9 2E2l-j «*:*«.««««t*�«:�«*�«�+►**+t*«�«««+�*««wt«Ott*�r«**t«**«««��*��tw«*t«t«««w«t�*«�r: DoT=cr, Section '72 of the Pen&l Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, ' or tc 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, biJ.]., account, voucher, '•: or writing, is guilty of a felony. " .��......:- _r-.�..4..Nr.K•�:�,_r�-:�.�Wf...:r_-.-, .-.., ... .. .. _ ... ......,...,W..3M•td..:.:;.:7:r:.:F+i...,;:.e9;i--.t.•..ry,.....t.a....:.r:3:.+::Lraa:+f. � J ` I 205Lf,OT . �•, - _ rn - N - O .:rn C i , 1 n � ' 7P � (�L,ri;'p�.'Q�"'Ct.3' Zf�.: *-.• r Ste. ! �;' p c. .— m C:tTl v-m ey rn,G m a z W p i t a rJ erl e,ce Ln.z+en �n Ln w y L� vt77C) .. f � 3.� } � -J'p� LT•- L,J ' Lal .� ' .; '9 .. O .gyp tJ�A C, C)-a'. .iD�•'t "+tJl, � r..w.�. at:.::sx4`?S•5`:s;C. .Y '' -•J 6-1. 00 LJi^ 1..Gtl i -.� Vt :. • tZf.,:... - 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 September 13 , 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 "WarC1,Q&i71ty Coun&�J CLAIMANT: ROBERT & JOY BERG AUG 111988 6111 Kirker Pass Road ATTORNEY: Pittsburg, CA 94565 Martinez, CA 94553 Date received ADDRESS: BY DELIVERY" TO CLERK ON August 10, 1988 BY MAIL POSTMARKED: August 9 , 1988 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. IL gATCHELOR, Clerk DATED: August 11, 1988 ��: Deputy c L. Hall II. , FR;?�This County Counsel T0: Clerk of the Board of Supervisors ( 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 9111.3). IV.. BOARDORDER: By-unanimous vote of the Supervisors present /ThisClaim 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: SEP 1 3 1988 PHIL BATCHELOR, Clerk, By C,Z�L 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 thismatter. 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. SEP 15 1988 Dated: BY: PHIL BATCHELOR by y Clerk 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 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 onIor after January 1, 1988, must be presented hot" later than six months after the accrual of the cause of action. Claims relating to any other eauseof 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 fo ' 'ling stamp RECrIVED Against the County of Contra Costa ) AUG 101.9_$8_ or ) CL . .G E ARB C LOR District) B Fill in name ) y •_• rty 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) _r �. 1 .} ---- --- ---- ---------- 3. ------ -- ?ter- -5c.7�v; 3. How did the damage or i y occur? (Give full detail ; use extra 'paper if rP-qu red) . C.7,Vr 41 4. What particular act or omission on the part of,county or district officers, servants or employees caused the.injury or damage? 00 ey (over) - kA 5.— What a the names of county or district officers, servants or employees causing the damage br injury? 5. What damage or injuries 'do you claim resulted? , (Give ,,full extent of injuries -or . damages claimed, Attach two estimates for auto damage. 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury,or damage.) $. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code See. 910:2 provides: "The claim must be:signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and.Address of Attorney Claimantls Si ture 1 Address Telephone.No. Telephone No. S Q N0T' I' CE 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), orby 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. 1 ck),pa< ` CLAIM BOARD OF SUr .R;IISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) . BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT September 13 , 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 "WarnirWV!i.;;lty C:oUCISC?1 CLAIMANT: ROBERT & JOY_. BERG !AU G 1 1 1988 6111 Kirker Pass Road ATTORNEY: Pittsburg, CA . 9456.5 �,iaainez, GA 94553 Date received August 10, 1988 ADDRESS: BY DELIVERY TO CLERK ON Au g BY MAIL POSTMARKED: August 9 , 1988 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. BbP IL BATCHELOR, Clerk DATED: August 11 , 1988 : Deputy , L. Hall 11. 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 0/1This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board' Order entered in its minutes for this date. SEP 13 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 United States, over 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: SEP 15 1988 BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF OONTRA 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 governedby 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 To C RE: Claim By ) Reserved for Clerk's filing stamp ID F RECHV Against the County. of Contra Costa ) or District) �3 Fill in name C P AR[AT su °R �,qs ),. NT T BY �.:`' V The undersigned claimant hereby makes claim against the County of Contra osta or the above-named District in the sum of $ and in support,of this claim .represents as 'follows l,. When did the damage-or injury occur? (Give exact date. and hour) ------i�n-------------------- 2. Where did he damage or injury occur? - (Include city and county) D ---443M ��k 2-SS �e �' aye ,ice 3. How did the damage or injury occur? (Give full details; use extra paper if required) .f _1. 4. What particular act or omission on the part of county or district officers, servants or employees.caused the injury or damage? (ce y (.over) 5. What .are the names of county or district officers, servants or employees causing the damage or injury? --------------- 5. What damage or injuries do you claim resulted? (Give :'full extent of injuries or damages claimed. . Attach two estimates for auto damage. Ie -------------------------_------------------ 7. How .was the amount claimed above computed? (Include the estimated amount of any - prospective in or damage.) $. --------------------------- -- - Names and addresses of witnesses,, doctors and hospitals. 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`. sjgned by the claimant SEND NOTICES TO: (Attorney) otby some erson 'on his behalf." Name and Address of Attorney 4aimant's Signa (Address) Telephone No. Telephone No. . -- 5 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, 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 punishableeither by .iprisonment 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 finer 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 September 13 , 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 b'elow), given pursuant to Government Code Amount: $200. 00+ Section 913 and 915.4. Please note all "Warnings". Ci Llijty Counsel CLAIMANT: ALBERT D. SEENO CONSTRUCTION COMPANY 4300 Railroad Avenue ,' G 1 6 1968 ATTORNEY: Pittsburg, CA 94565 Date received ;aha;";nez, CA 94-553 ADDRESS: BY DELIVERY TO CLERK ON August 12 , 1988 Risk Manage . BY MAIL POSTMARKED: n0 envelope I. FROM: Clerk of the Board of Supervisors TO; County Counsel " Attached is a copy of the above-noted claim. AL1 uSt 12 1988 PPHHIL BATCHELOR; Clerk DATED: g , BY: Deputy , L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially"with Sections 910 and 9,10.2. ( ) 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 ( V) This Claim is rejected in full. ( ) Other: I certify th t this is a true and correct copy of the Board' rder entered in its minutes for this date. Dated: S 1 3 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. 151988 Dated: BY: PHIL BATCHELOR by Z)�6e_e�uty Clerk CC: County Counsel County Administrator Clar"to a BOARD OF SUPERVISORS..OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for ,death or for injury,O person Pr`,"to" per- sonal property or growing crop., and which, aeerue 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 of4� action_ (Govt. Code §911.2.) B. Claims must be filed -with the Clerk of the Board of Supervisors at its office in Room 1069 County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against- a district governed by theBoard of Supervisors, rather than the County, the name of the District should be filled�sin. 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: laim By ) Reserved for Clerk's filing stampT LaZlr' S1No oN3TA. . ) 44All PA /i/} n REC LVED A%L 23 Aa wL ATt� lA _4s Ivy, Against the Co my f Contra ;Cotta District) CLERK T UAT. SEP VSSO' Fill in name ) . ep„:Y The undersigned claimant "hereby makes -claim against the County of Contra Costa or the above-named District in the sum of $ ap •• 'yb and in support of this claim represents as follows: ------ ------------ 1. When did the ,damage^or, injury'obcur? (Give exact date and hour) . ............. r'" j Ass js ,., VNL- 2: Where did the da or injury ,occ ?: (Include city an ' county) ------------------ 5---- ---- — - j----------------------- -=-------r-1---f ------- -- 3• How did the damage.or injur occur? (Give full details; use extra paper if equired) h LLto : oA/ H l A O %ICA 1 t,,Jt�-2 /vo',�gw 2 A/?1�V�-S /? Atv 4. . What particular act-" or omission on 'the part of county: or'�district officers, - servants or employees caused. the injury or damage? l R JP N /Z&MT OAS D)r GR Apt t^ v� l�o. Ac�c �� Renc/tl o/v (over 5. ; chat-ire the names}of county or district officers, servants or employees causing the 7jury?ge or R+w:. - PJ PPS 11t Sp`► -------------- -------------- - 6_. What damage or injuries do you claim resulted? (Give' full extent of injuries or damages claimed. ' Attach two stimates for auto damage. Q�k+� L.vQS W�1,�/ -------------- ------------------------ - 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. - I- -------------------------------- ---- ------------ --------------------- ----- . $. Names and addresses of witnesses, doctors and hospitals. . 9. List the expenditures you. made on account of .this accident or injury. DATE ITEM AMOUNT Gov. Code Sec. 91012 provides: "The claim must be';signed by the claimant SEND NOTICES TO: (Attorney) or by some rso his behalf." Name and Address, of Attorney a ignat es Telephone.No. Telephone No. I NOTICE Section 72 of the' Penal Code' providesr "Every person who;, with intent to defraud, presents for allowance or for payment to any state board or, officer, or, to any county, city .oredistrict-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 thousan&dollars ($10,000, or by both such' imprisonment and -fine _ 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 September 13 , 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, 914. 41 Section 913 and 915.4. Please note all "Warnings". CLAIMANT:STEVEN E. LEIMINGER Cd_wnty Counsel 1116 Glenwillow Lane OO ATTORNEY:Concord, CA 94521 1`J U 1g0`1 Date received �)l{�, �441-, ADDRESS: BY DELIVERY TO CLERK ON August 11 , TYZS� SIC` In' . BY MAIL POSTMARKED: August 10, 1988 Certified P 691 242 748 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. 12 1988 PpHHIL BATCHELOR, Clerk DATED: - AugustBY: Deputy L Hall II. FRO 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: I BY: ' 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 0 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' Order entered in its minutes for this date. Dated: SEP 13 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 inconnection 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 Postai Service in Martinez, California, postage fully prepaid a certified copy of this Board .Order an tice to Claimant, addressed to the claimant as shown above. Dated: SEP 15 1988 BY; PHIL BATCHELOR by puty Clerk 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 per- 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 5911.2.) B. Claims must be filed with the Clerk of' the. Board.of Supervisors at its office in Room 106, County Administration Building,. 651Pine 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, Perial. Code Sec. 72 at the end of this form. RE: Claim By ) Reserved or Cle RECEIVED .. AUG-1.1 I Against the County of Contra Costa ) or ) i PNf A C ELO IT District) B`+ ,.. pay+v Fill in name ) The undersigned claimant hereby makes claim against the County;of Contra Costa or the above-named District in the sum of $ /f/ -and in support of this claim represents as .follows: ` 1. When did the damage or injury occur? (Give exact date-and hour) "CX3 � ---------------- 2. Where did the damage or injury occur?- (Include city'and county) 244 D Dn p 3. How did the damage or injury occur? ..(Give/full details; use extra paper if required) --- ---- ------------------------------------------ 4. ----------- -- ---- --------- ----4. What. partieular act or omission on `the part of county or district officers, servants or employees caused the injury or damage? (over) 5•. What are the names of county or district officers, servants or employees causing ` the damage .or injury? -- -- - _ ri1LA '.LZ-a- 5. at or injuries do you clai resulted? ' (Give, extent of injuries. �6 J y � , j damages claimed. Attach two estimates or auto damage. 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. --------------------------------------------------;,--------------------- ---- .9. List the expenditures you made on account of this accident or injury: DATE -ITEM __ AMOUNT Gov. Code Sec: 916 2 prov es: "The claim pist be sign y the claimant SEND NOTICES TO: (Attorney) or by so er on lf." Name and.Address of- Attorney -� Clai is Signature // Glow;// Address 2 �y Telephone No. Telephone Nb./ w 72- 4'01 l�C-��77 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, 'Icity 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 thousandoqll x. ($10,000, or by both such.imprisonment and fine. ,, AVa I:OSte Countu RECEIVED AUG 111988 Risk Management . ATTACHED TO CLAIM FORM AGAINST CONTRACOSTA COUNTY Page 1, Question 3 On the evening of June 25, 1988, my wife and I were traveling southbound on Kirker Pass Road (from Pittsburg to Concord)' . We ,noticed that the right hand lane had been freshly graveled). We ' therefore .drove in the other lane to avoid throwing gravel. We drove ,.about 45 miles per hour due to some loose gravel in our lane. As we were driving, a car passed us on the right spraying my windshieldandl.the passenger side of my car. I stopped my car suddenly and pulled to the left Ito. avoid further gravel spraying. Page 1, Ouestion 4 The gravel ,lane was not blocked off. Loose gravel presents a clear and present danger to, property and person. The sudden stop could have resulted in a serious accident. The -car passing''us did not appear to be exceeding the speed limit. No reduced ;;speed'+ signs appeared to be posted. This road is known .to be heavily trav,eled. . The road should have been closed off and a large sign;; posted stating the damage potential and„ showing a reduced speed. As a -result of the hazard created by the County ''my car was damaged. - ..Y. :. r yk ."•,e. a:.r''fixlM +tie r -•*, -r7 ra `' n .a.- t rxYsf"'•s DY,& P - ,� r ST Ii "V #t 11,IX, � 94397 M ST A x t PtIONE:039 9353 r x e» 5 EXC6li511/E at a - �+ .v ^4 vJJ''_ �/.�h 4'�"r..�t£�"v' 'i'" S -`���p5 1: u tri.•r. (� /� -v,:. r.....,1.%: .,�.�-YtiSi • wry<w- N !l;•rj� iJ.V'-.-sem - .�'an+. �"b'r,.�'2.w». . NAME V m �, nnm 7 _ lig _, x .; ... -.. A c i� � -•+ ,� �'�'�qr£ !v>�.rkGs•� ,t.�4�•3� x ti ~•-3�� �� - �3_�3 . a� e - Wl"•' 4 r'y `h'n"s-�s i— i"1 ,z `YJr^r�":.i,1` .� �Lb �:s a �✓ ' ADDRESS NSURANCf �fFIONE —ADlt15T.ER � . � yi� s r ..ai, •�•• 3- T, '";s-��" �A� �'?`t��"'�7„`j'.rl'^xii;-•".�• Y1KE � � Dt SERIAL r;" {"MILEAGE � s "r � / , SE; a 3 ymlp FRONT kk lab�rMrs. Parts Symbol IEFf ee;suel i.laberfln= arse t SYnbol , 16NT� qe, M1Itk s -'�'.,�.�Bumper(l/)Ex-New: ., _e:r.� •, _r "' w3ender°Frf..$Eicf:• ..>,q 3 "..q •:Fender,Frs�tlrie�.',.F "� -R,c� �:' ' Bumper(L)E:NswaG9 :<Fender Shrold �FenderrShroldz t . Bumper-8rkt " s Fender Mldg Fender Mldd "hey Bumper_Gd. Heodlamp t ., frf:.Syshm Hecdlomp.D*or ';. Headlamp Door. "e frome _Sealed Beam In Out z Seoled_8earn Ln Ovt _ r Cross Meiinber =Post Cowl Post e s > c�r 9/obilizer ':Windshield Mldq•` :f WF�eI ,aDoor,Front ..y. . ., ..; ..n y,,y� yr - #a'' F .%+-;+' .6^Ay?+' tee•,. Hub Cop-5m lgs. :Door Hinge �DoorHiisge ! - ,r,a �r Nub$Drum Door Glass prr ':)•r _ 3 ;€ tOoerGhass + M1 . a sx r :•„ Vent Glass w Yent Gloss , I x, �, cr� �„ + °Knuckk:Syp I'Door Mtdg :• Mldg :� 'K �."--�' � �, r� "li Cont%Arm Door-Mandle R / DoorHondlattr� s' art _ �- � •� - _ate. rr ;`ar CaM:Sfioh., {enter Post tC :e rWUp Cont'Arm Door Poor OooaRear `_ rya°'t � xr 0:4.Cont�Shaft =Door Glass T Cl. rk /=1 Door;Ab!lTsC _ • A r$* `� an Shock ',Door Mid g ::G' 9 Lc -yam /•: ,'Gr';: Rod Ends ":Rocker RockeePanel 4 , r . Steermg.Geor .Rocker Midi. * Rociiei Midg � 3Steermg;.Wheel or floor r+ AT 5� Oso Morn•Rmq *:Quar.-Inner. Const. a Ouar inner Const afi F rw, r lGrovel.Shield . Quar.=.Ext. Qum %Ext ? a y y t { Pork'li fit Ouor.'Pariel'U er Quar."PonelU �si a ' F 9 Pp PPm Y4 x maRad.:Grilb,Ctr. Ouor.lower a Quar.Ponel'L'ower .t r_. :< o- _• .. Rod.Grille,Side ' 'Ouor.Mldgs. Ouar Panel'Mld s 'r'R vx f `G►i11e7Nldg. Ouor.-Glass T-CI:. :REAR Bumper.Ex.-New• ^Inst.•Panel +s. r s` Bumper Brkf. •front Seat 3 wt�' ..t._ Horn 'Bumper Gd. ;••Front Seat-Tracks axt $aff1e;5itle ':GrovelShield" RearSeot a � - Baffle,ilower'. Lowe Hso ck:r3'xBaffie.UPPer..; ;'', floor _ TOp tl Panel linin +lotkPlote,Lr.' ,., =Trunk lid - Lre % ML Worn . `a fisiru i lock Plate Up Trunk.lid-'Hin es 'Hood Top Trunk Handle �y Hood Huige k Toil light t °�i Fomt'$'Materiof -s�.., ' IHoodMld -,,Jail-Pipe Muffler � Crnoment, Lack `,Rad SU i "Proms•Go'ssmember Rad Core ,. Gaijank Wiridshiil -CL = �i�7 Hub&Drum t i Rad Holes Axle'Mousm r k .Ftin+Bldde S rm x —F Bek rer 3 Control"Arms i s r y y w s zWolOr FumF pulk s EA A °' K C A—ALIGN•-N NEt►.. Y^�L e MotoriNts + __£, ry 2 - :�J r _ RC RECNROME U=tJ4E0 B STRI11 N AER St."a•.:TransLtlrnkoge `f .,�.$Yi��".Fwt 41 �~- seY �` ., ,.0 .t#:S".'as�,�t..s �•�ti�k v 1h�'t '?�� :... -`i ..� f 7,;,,.is+S+ra.y3*z.x^+ 5r. ur vz. � 1abW .-,�•��, "tit �; �S ��i�.t0''••..'�,ry 'f..-^^a{r�� •Yi.r 4 '/ $L ..n::` 2 ri : i _. 4 � f°Y' ��� ,.yFF.. Y^h_. - " INCLUDES ALL PAR SAND-LABOR'.' IF tS- ANALYSIS IT IS FOUND TNAT AD• ssFP� 41 �TlbNJkL REPXII�z��� �� � > wvt�pa hs 3 a azm s � CONTACTED#bR AUTNiDR12AT10N '�" .'' t„ � s_�az< x•�x, "*•^'ssY�'sr "" 4a �°PMOMEa��'^ .x•4a !..>: `�" REVISED +e+^-r'.+firr.,gj','"p�.`�dwTOII '"mss F+...tr:z ea•-1� •` ZII§= it+$ �'+-�•, ,�.�"'•h 't•'e},d 1 5 2tt � 4 y �. ... v •F. K�� f_�f M-C,a, �= t,�-+r�•+.ir` 1 + �•."ATB s rN .: �s TIME 4 k PEIlSON`CONTACT$D d w< 7 z T e �� ry t w a c" a r`!".ml NAYEaREAD ANO NNDERSTAND TNE'ABOVE.ESTIMATE'AND Ia111�TMORIZE SHRVICE'TO BE PGRFORYED'YNCLUDING SUOLET WORK ANO ACKNOw^" aa."'^�1LEDDE�RECEIPT OF TNlB ESTIMATE x..,+� 1 -�,:' ,, ,�.:;s k"r ' 3 st-x��'z� -�� zr`�1T,i ➢-•,^,�.�.'ss ,e�s'nu f- , � �r �d '-'Y_ y s ,u to .-e a-s ro#4 -�S -nr 'r i v r".s i ?.+� 7 •s»rr• r�� >w"+!t„"r�©TAl1f w- •1'J- .(���h? �` ,�'�-�,'� `,`kyr,4L,*3..•� !�,C ��s�7r'7-ri" '� .5+w.r a�d`�'. ��..+ciy •r �4 .Ar,;FF �S-i..;n � '-„ �.y,,.�'7u i '�-,�:� S �.'q�D1111ER ls.� � � -T riri.,•�r t�` <-�{t�.'. z^v xDATE T' r asL�� ,1`r x - �' �i^tt,��MT"-` F.PRIIITERY �s+ +" �:'t�,.. �, C�.�_„_,�`3:.dx � .:-?„`Z.,�Y�n�Jy..aFP' a `V dscf3'r Y^ 7.::.u.��•<•s��}rR js«„rt tt�i2 � G�'�":�' ,� <h .�aS � r ba! 4 K�• + K a.`2� G s �u .F&=t ✓, �^€.r?'."n en Y'°i ,rs, s; iil�s TXe,vs'c.u .r•�•W 3C.tSw '.: ,f' d z•- .7• ^J a.+.'` A !�+` soon R = 4 1AR� + 1 � N� �s7'N. w 57 ti rs 94597 1 Ia^ ( w.:`- x«.. '-w' +. v- z^'. : .•. 'T•- 'aid 2r ..X:.x c rm+,,. , � r xr 7. PHONE "P Y ' EXCi.US1YE �L `� 41U �� fir+ .+1 �$•' +s•5• •a. g"- r3F` �s �'"3T�{btY 'F-"�' �•3 J:y.S.' '�iLENSE��. •�'t.`&e'"^" "k 3.�. .4�"it">M'"d""'�^xco + - ;tMIAKE §ym¢el FRONj , u` T,1,9 i;i n."`:Ports Symbel ;; ;LEiT es=sun T loborHrs _Pnrrs Symbol „1tIGHT _. pt: ¢ a, Bumpi�`(U)Ex New s `� #endor°°,#rt.-d'Fat trondsi FA d Ezt a s .' TM Bumper;(1)Ex-New€ ". ;Fender'Shield .,•. x ,.4 Fender'ShWM 'Mkt i"Or,Ii Fender'M _ Idg Fendei Mldg xi w e, Bumper Gd Heodlomp x, �Neodlcmp N x x fiar� frt.system Heodlomp Door �Heodlomp Door 3 xs frcnie Sealed'Beam In-Out vt Ssokad Beam Jn=Out* f; " x. .Cron Member Cowl,-Postowl '_Stabilizer Wmdsh�eId Mldg Winildh�eld Mldg eel A..;.. ;Door,Front y` Door,front a__ n' c sat, �r Hub' Sm lge. Door.Hinge €a Door Flings "xHub E':Drum "Door,Glass' »€ fDoor,{Gloss s y a X= - `? Vent Glass sr :NeM Glasse sad �x � t� z �� r -. Door �F �J(nuckle'Sup• Mldg. +l r tont.Arm Door Hondb Door}fondle s �« 9'Lr:aCnnt:Shah .:':` Center'Post zr Center Postr � _.tet;� ', Up 'Cont Arm " Door'Reor. s DoorRear 7 r I Tex _,. Up,tont..Shaft = Ooor'Gloss T-CI: Door.Glas%=T-CI r, a `` � ' Dobr'Mldg. I$ Door Mldg 4 s t rf " jus Rad-, ..Ends Rocker.Panel +' Rocker Panel �4. ¢ # SteeringGeor RockerMldg. " RockerMldg s b -M ' c? Steermg'•Wheel FloorxFloor, n rF r k sr• r '='x'ilorri°Ring Oubr.lnner Corist - r Ouor�•Inner Const # Grovel:5hield Ouar.-fxt..:_: F= `> Ouor: Ext r Light Ouor.Pone[Upper i Ouar.Ponel Upper ADM Ouar:'Lower fi ? puor.°Panel Lower = S " Rod.'Gnlle Side Ouor.Mld s. I Quar.Panel Mld s Pt . i� Gn11e Mldg Qucr.-Gloss T-CI. it Ouar-Gloss T CI x ;REAR. ,, j.• lNISCF ,Bum er Ex.-New { Inst Panel - Bum"er,Brkt.`. i. f' Front Soot by orn Bumper Gd. J• front Seaf Tracks �$P x * Baffle;,S�de Grovel Shield i ''' Rear'Seat � ' =Baffle,lower lower Panel # € ::;? ...,+ tom, -�-. '^ +e,.m',-"'3• -#�w'v� r..a , � �Boffk Upper 'Floor i lop ...,. i, x `:"tea al'rW4� .*A+f 539'+ '„k.,Ksns.ru• �� lock'Rlote,Lr. TrunkLid a x Tire'. %Wom ey s +� wlock•Plate Up Trunk.lyd Hinges Trun n, �r g 'xa r} ya Top Trunk'Handle Mldgs i $oMs �^ } *" Hood Hinge TaJ light " f Painfid Mafeno s x " " Hood Mld Tail Pia Muffler t y Ornoment t Back tJ {� ht " * Antenno Rod Su _` frame77 _•Crossmember yE Rod:yCWe TGas.:Tnnk +I indshield T,-CL' s i"^.kNOsest Hub 8:'Orum r* t�. : c.,„ra-' 4-, y ,a fiy + x Housm a ^.Fan3Blede "dfon Belt z 5 g r - Control Arma.. A ; Water$gg um Pink i9+ab x n x r Tx A ALt6N N—NEw OM—OYERNAI�t ` •.gy15AMGE �MotorMts � RC RECHROME U—USEO S STRaCti�hlli111�1•AiR. t. < int,, �•- +*.. rn, �^c. rt„ F. Ys ro a a F.e '�vr � k T+ons Linkages Yr k rns ? uz 3 x �r ''�R.''#1•'r•4.'a.,, > 3,�rq°.�� i -"�1�`r �d P''*" nW, r;. f t n -7 'r"' s ,*' t i` .&aaiaF a'•z * '. 'x+�r+ ,r, Y i .�r Y •Aas_'".�.✓•.*: � :.nstk4 r �'�1 sry„•.,,`T. .➢» Sr r.,1,4w 7c�k.^a- ss'*. 4 •y°'r za :. ..� r, `4 -r r `. .a 4 «, n Jt ^i`=' 1MClUDEb ALt.PARTS..ANO LABOR C ER ANALYSIS IT i$ FOUND THAT-AD- , zDITtONAL AEPAtRB ARE NECESSARY OU MILL OEC NZ, FOR AUTHORIZATION r [ 3v } wTa t _ ......tA.»5R ' ."? .*,b yt ,.t iv k+x ro* <i a •t•<... „y.a. p �.K i-.- .n t + _,>; "� �' 1 �' SRIMff .n- r, .*s �`•*7S -'h ry�il=� "?\ aaDA'TE r " TAME kPBRSON CONTACTED ' ` 's$ ri„ *''� ,tj11UTNORI2EiSERVICE TD OE PERFORMEOD,' NLttD NG`UNLET O K AND ACKNOMI 3r „*. " v� * ".t._ .$ �� � � .,:�:.._ .�sn.,�.�;�,. r�Y �z*x.. „��:'#e�`.�48-.t...,, e=c., ,s., • .5.�:"�.. -.. 1 -a __ - ._;�_ .+.�tis.;.r z -r,.u..:�;.�s.a-, 3,.�u..: Importer{ Car Specialists L.raf a ette Bod & Paint Works (VOLVO) y yWJ 3291 MT. DUMO BLVD. ESTIMATE OF REPAIR -COSTS LAFAYM CAUFORP" Sumu of Automotive Repair Grt fiat No.20328 Telephone 283-3421 DATEC , OWNER AWWress ( l l (_o r�ha r//ro City ��'t.2 C/'/e4' Phone 672T59 MAKE�d( ✓, 7ro YEAR LIC. NO. I.D. NO. Insurance Co. STYLE MODEL ATTN Phone ADDRESS Mileage Paint No. Trim No: POLICY NO. _ Claim NO. Symbol FRONT Labor Hrs. Parts Symbol LEFT Latbor,Hre. Parts Symbol RIGHT Labor Hrs. Parts Bumper Ex-New Fender'& Ext Fender & Ext. _Cushion Fender Shield Fender Shield Bracket R L Fender Orn. - Mldg Fender Orn. - Midg. Reinforcement Energy-Absorber R L Headlamp Headlamp Guard/Pad R L HeadlamD door Headlamp door Filler Seal Beam In-Out Seal Beam In-Out Valance - Cowl _ Cowl Gravel Shield Wlndsh ed (C) (T1 Windshield Midg. Kit Front End Align Door Front-Panel fl Door Front-Panel Frame Door Lock" Handle Door Lock Handle Crossmember Door Hinge Up-Low iI Door Hinge Up-Low _Oil Pan Door Glass - Reg. Frame Door Glass - Reg_ Frame Wheel Front Rear R L Door MWg I, Door Mldg Hub Cap/Wheel Cov R L Center'Post Center,Post Knuckle Hub & Drum. R L Door Rear-Panel - '; i. Door Rear-Panel Up. Cont. Arm-Shatz R L Door Mldg. Door Midg. Low Cont. Arm-Shaft R L 11 Door Glass Reg. Frame Door Glass Reg Frame Strut Rod Shock R L Rocker Panel { Rocker Panel. Stabilizer Bar Link Pkg. R L, Rucker M�_Sdt Plate .I Rocker Midg. Sill Plate Steering Drag Link Floor Floor Tie Rod R L Ouar. Inner Const Quar. Inner Const Quar. - Ext Quar. - Ext Grille Ctr. Upper Lower Ouar. Panel Quer, Panel Grille Side R L Ouar. Mldg. Duff Midg, Grille Mld . Orn. Quar. Glass - Reg. {i Ouar. Glass - Reg. - Support R L Center Rear Fen r Skirt Rear Fender Skirt Grille Panel tv REAR Park Lamp R L Bumper E MISC. i Marker Lamp R L Cushion Inst Panel Heater Housing Bracket R Front Seat - Trots Reinforcement_ _ Rear Seat . AIC Condenser - Energy-Absorber R L ii Trim ArC Receiver Guard/Pad_ R L eadiining Recharge'Freon Gravel Shield Valance - 1 A/C Clutch/Belt _ Lower Panel - Mld . Orn, Sire % W9641,011rb Hood Floor Filler , Hood Om. - Letters - Midg. Trunk Lid - T Gate - Hinge 'h Radio/Antenna Hood Hinge R L Trunk.L•ock Midg. Orn. atter able Lock Plate Lower ;-,Ul Lamp R L � Lock Plate Upper Back Up Lamp R L _ Pam! & Material - Special Rad Sup Lic Light/Bulb Stripe Kit Rad Core Hoses Coolant Weather StripA LabOW HRY Fan Blade Clutch Sack Glass Tail Pipe Muffler E,1 Parts Fan Shrowd ., Gas Tank-Neck - Cap _ _ - Sublet _- Fan Belt I I Hoses ;;Frame -Crossmember Tax__ qt onJ_�S Water Pump - Pulley Axle - Hdusmg Advance Charges _ $ Motor MIS Ft Rear Hub - Drum - Bearing TOTAL $ Trans Linkage Clutch Control Arms 'i; Less Depreciation_ S THIS ESTIMATE 1/ NALCO ON OUR INSPECTION AND DOES NOT COVER ADDITIONAL PARTS On Notice:, Less Deductible LANOR WHICH MAT at REQUIRED APTCR THE WORK NAS SEEM ETARTCO. AFTER THE WORK Peru prion subject - � HAS STARTED.WORN OR DAMAGED PARTE WHICH ARE NOT EVIDENT ON FIRST INSPECTION MAY �.�"RryNe on invoice.' - a[ DISCOVERED. NATURALLY THIS ESTIATE CANNOT COVER SUCH CONTINGENCIES. PARTS .TOTAL f� PRIAM Cts SUSJCCT TO CHANGE WITHOUT NOTICE.THIS ESTIMATE IS FOR IMMEOlAYE ACCEPTANCE. THIS WORK AUTHORIZED BY ' v 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 September 13 , 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 "Warnings". CLAIMANT: DOROTHY A. GRAHAM c/o Stephen C. Kenny, Esq. , Mor.is Davidovitz , Esq. , Cynthia Shambaugh, Esq_ ATTORN7v- Fisher & Hurst Four Embarcadero Center Date received ADDRESS: 25th Floor BY DELIVERY TO.CLERK ON August 11, 1988 CC San Francisco, CA 94111-4132 BY MAIL POSTMARKED: not legible P 917 967 827 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. August 12 1988 PpHHIL BATCHELOR, Clerk DATED: g 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). C� aunty C, I1 fl ti ( ) Other: • �� ("� 1, u 1988 Mart nez, CA 94563 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. SEP 13 1988 Dated: PHIL BATCHELOR, Clerk, By Gt �C_1 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'tStates 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: SEP 15 1988 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator r STEPHEN C. KENNEY, ESQ. MORIS DAVIDOVITZ, ESQ. CYNTHIA SHAMBAUGH, ESQ. LAW OFFICES OF 1 FISHER 8 HORST ED FOUR EMBARCADERO CENTER R EUIV 2 SAN FRANCISCO, CALIFORNIA 94111 . TELEPHONE(415) 956.6000 3 AU G_ 4 P B 4" . yuP C:ER TRO A ty 5 ATTORNEYS FOR. BY " Claimant, DOROTHY A. GRAHAM, b as the Executor of the ESTATE OF JAMES M. GRAHAM. 8 BOARD OF .SUPERVISORS, . COUNTY OF CONTRA COSTA 9 STATE OF CALIFORNIA 10 11 IN THE MATTER OF THE CLAIM OF THE ESTATE OF JAMES M. GRAHAM, ): 12 ) CLAIM FOR INDEMNITY Claimant, ) 13 V . 14 COUNTY OF CONTRA COSTA, 15 Respondent : 16 17 TO THE HONORABLE BOARD OF SUPERVISORS, COUNTY OF CONTRA COSTA: 18 DOROTHY A. GRAHAM, as the Executor, of the ESTATE - OF 19 JAMES M. GRAHAM„ Deceased, hereby presents this claim to the 20 COUNTY OF CONTRA' COSTA ,pursuant t,o California Government Code 21 Section 910 . 4 . 22 1 . The name ..and post offi`c'e address ' of the claimant is as follows : 23 DOROTHY A. GRAHAM, as the Executor of: the 24 ESTATE OF JAMES M. GRAHAM ' c/o FISHER & HURST 25 Attn: . Stephen C. Kenney, Esq. Moris Davidovi-tz, Esq . 26 Cynthia Shambaugh -Four Embarcadero Center, 25th Floor San Francisco, California 94111-4132 1 2.. The post office address to which _ claimant desires notice of this claim to be sent is as follows : 2 Stephen C. Kenney, Esq. 3 Moris Davidovitz, Esq. Cynthia Shambaugh, Esq. 4 FISHER & HURST , Four Embarcadero Center,'' 25th =Floor 5 San Francisco, California 941,11-4132 6 3 . On December 23 , 1985 , in the City of Concord, County of Contra Costa, California, James M. Graham, John Frederick 7 Lewis and Brian Ward Oliver, were occupants, of a Beechcr.aft. Baron BA55A Aircraft, FAA Reg . No . , N1494G, when said. aircraft A crashed while attempting a landing at," the Concord Buchanan Field Airport . All three occupants of said aircraft were 9 killed in the crash. BARBARA CHAMPION claims to have been . injured in the. crash, which occurred at the Sun Valley Mall , 10. located in the City of Concord'' County of Contra Costa, . j California . 11 k 4 . The County of Contra Costa is responsible for the 12 design, construction, maintenance, operation, and certification of. the Concord Buchanan Airport, and control of its use. The 13 County of Contra Costa is further responsible fo r the certifi- cation, permission, approval , and :the provision of zoning and 14 ordinances permitting the construction of the Sun Valley Mall , attracting ' a great number of persons, ;in close proximity 'to 15 the- Buchanan Field Airport, and below and directly within a ' heavily traveled air corridor in the vicinity of the airport . 16 5 . On February 9 , 1988, !' the . Third Amended . IMaster 17 Consolidated Complaint for Damages on behalf of all personal injury and wrongful death plaintiffs was ' filed in the Superior 18 Court of the State of California, In and For the County of Contra Costa, Judicial Council Coordination Proceeding No. . 19 2026, under title, of .SUN VALLEY MALL AIR CRASH CASES. In said Complaint plaintiff BARBARA CAMPION alleges, inter alia , that 20 on December 23, 1985, decedent . James . {M. Graham and others negligently operated and controlled t'he subject aircraft, 21 causing it to crash while attempting a landing at the Concord Buchanan Airport . Said- complaint '° was served upon claimant, 22 Estate of . Graham, on or about February 9 , 1988 . 23 6 . If; in, fact, plaintiff, BARBARA CHAMPION sustained damages as alleged in said complaint, said damages were caused 24 by . the primary and active negligence, creation and/or` maintenance of a dangerous condition of public property or 25 other fault of the County of Contra' Costa . Claimant therefore alleges. that it is entitled as a 'matter. of law :to indemnity 26from the County of Contra Costa for; any judgment . or .settlement 'i n favor, of . plaintiff BARBARA, CHAMPION, together with, claimant ' s attorneys " fees and costs. -2- Y V f , 1 7.. Further, if claimant is liable to said plaintiff, it will be because of the comparativenegligence, creation and/or 2 maintenance of a dangerous condition of public property or .other fault of the County of Contra Costa . Accordingly, . 3 claimant alleges that the County of Contra Costa is required by law to contribute to the amount of any judgment or settle- 4 ment in favor of said, plaintiff', in accordance with ` the comparative degree and nature of' its fault in causing said 5 plaintiff ' s damages, if any, and is required to reimburse and indemnify and hold claimant harmless for. the amount of any 6 such judgment or settlement which ' is in excess of claimant's proportional share thereof; if ., any, as determined b' ' the 7 comparative _ degree and nature of the .. respective fault -in causing plaintiff ' s damages , if any. . 8 8 . As of the date of the filing of this claim, the 9 extent of the damages and injuries incurred by said plaintiff in the above-mentioned action is .unknown.' to: claimant, and will 10 be determined in the aforementioned,; pending litigation 1T 9 • At the present time, the ;identity of. the employee. o,r employees of the County of 'Contra Costa who caused the creation 12 and continued existence of the aforementioned dangerous conditions is unknown to claimant . 13 10 . At the . time of the , present"ation of this claim, 14 claimant seeks the, total amount of .potential recovery .by plaintiff in said Judicial Council Coordination Proceeding 15 (the .total amount ' of which is presentlyunknown to claimant) , and recognition of the duty of the, County of , Contra Costa to 16 Provide a defense to and indemnify claimant for, -any ..and all damages , costs, and ' attorney' s fees it may suffer as a .'result- 17 result17 of the complaint brought by said ;plaintiff against claimant ,, in said Judicial Council Coordination, Proceeding . 18 DATED: : August 9 , 1988 .. 19 FISHER S 20 BY tl 21 CyHIA S!HAMBAU H Attorneys for' C1aimant, , DOROTHY A. 22 GRAHAM, a 's .the Executor ofahe. . ESTATE OF' JAMES M. GRAHAM, 23_ Deceased. 24 25 26 . -3-