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Home My WebLink AboutMINUTES - 09181990 - 1.23 CLAIM f� 3 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Against the County, or District governed by) BOARD ACTION the Board 'of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT SEPTEMBER 18, 1990 ,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: $1,828.00 Section 913 and 915.4. Please note all "Warnings" CLAIMANT: CLINE, Inez M. 1° � 5979 Alhambra Valley Road RO G 0 9 J ATTORNEY: Martinez, CA 94553 COUNTY COUNSEL Date received � AFTJJiEZ, CALIF. ADDRESS: California State Auto Assoc. BY DELIVERY TO CLERK ON August- 17, 199t� (hand delivered) James Givens P:O.. Box 7 BY MAIL POSTMARKED: San Pablo, CA 94806-0007 \ 1. FROM: Clerk of the Board of Supervisors, TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 17, 1990 JaIL Bep�tyLOR, Clerk II. FROM: County Counsel TO: Clerk of the Board of Supe sors . 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 (Sectioni910.B). f ( ) Claim is not timely filed. The Clerk should return;Iclaim 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: 1fi BY: Deputy County Counsel I11. FROM: Clerk of the Board TO: County Counsel. (1) County Admini rator (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. c Dated: S E P 18 1990 0 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 1 declare.under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant asshownabove. Dated: SEP 1 8 1990 BY: PHIL BATCHELOR by Deputy 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 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 RECEIVE® Against the County of Contra Costa ) or 171990 District) CLERK gpygRp OF SUPER%nsORs (Fill i n name ) CONTRA COSTA CO. The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 040 00 and in support of this claim represents as follows: --------------------------------------------- When did the damage or injury occur? (Give exact date and hour) J V pie- G , l U ---------------------------=-------------------------------------------------------- 2. Where did the damage or injury occur? (Include city and county) A1hflmfiaA- 0M, Ile.c,, 121b . MF+P_ iI k/42 2- Cil C6k)IL COS - �au,cJ� ----------------------------------------- ----------------------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) CA IL i4P��2e#c� r N� r� o� as,fc sl- -be-�� p� S {/reef GR✓�t P 02utLN.D CoKu e.ti Oti n f at I t Ne. W► eiO Z move b -fo `I—�e afS DE c MI Iq-Ne- -4ect> wos t huff c9ev1cL QP,+ mL( cFFK GuPtJ4 tJto, -- ( 5e e R-L4-r c_h e A ��1e esA-tu a I e fftIL Z a rn_Qu o u rcRNce _Cu.Y,T'-9-'"-,��---- 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? �A�i c)e2-aUts �� e� � CReUIGE o0 L"Dgel tip (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? 70A-I-) wo2-K C --------------------------------------------------------------- What damage or injuries do you claim resulted? (Give fulr-extent of injuries. or damages claimed. Attach two estimates for auto damage. 2e ��F}c.eme A)f v F CML — ------------------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) i3 y S u IZ Co m�F►-t�'y �}-aJ 110gIR Shop, ------------------------------------------------------------------------_------------- V. -&Le6 cff d - 'dresses of witnesses, doctors arid- hospitals. � 0 ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE_ ITEM AMOUNT �lAt46 ��9 0 Gov. Code Sec. 910.2 provides: a,v.n _ _ "The claim must be signed by the claimant SEND NOTICES!:�T, Wn or by some person on his behalf." Name and Addre's's='ofr_ney� Claimant's Signature Address Telephone No. Telephone No. 4 7o7-0 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. California State Automobile Association SERVING THE MOTORIST SINCE 1900 JOHN M.BRYAN 14560 SAN PABLO AVENUEBOARD OF DIRECTORS CHAIRMAN OF THE BOARD VICTOR K.ATKINS,SAN FRANCISCO JEANNE M.PAYNE MAILING ADDRESS: P.O.BOX 7 -SAN oPpABLO,CALIFORNIA 94806-0007 RUDY V.BALMA,REDDING VICE CHAIRMAN OF THE BOARD (41 5)233-8800 D.ROBERT BARLOW.WATSONVILLE STAFF OFFICERS JOHN M.BRYAN,PIEDMONT BRIAN HILL CHARLES F.BULOTTI,SAN MATEO PRESIDENT ROBERT J.CARDOZA,MODESTO JAMES P.MOLINELLI 1o�•I.5T• HARMER E.DAVIS,WALNUT CREEK EXECUTIVE VICE PRESIDENT �. /e HARMON K.HOWARD,WALNUT CREEK AND SECRETARY 7 ® NORMA J.HOWARD,NOVATO EDWARD CHAN �Onoyll•A••y,;d`w RONALD R.JAMES,SAN JOSE TREASURER JOHN T.KEHOE,SACRAMENTO FRANK J.LODATO.LOS ALTOS STEPHEN G.MAGYAR,PACIFIC GROVE ALISTAIR W.McCRONE,ARCATA HARRY W.MCGOWAN,CHICO WILLIAM E.McNEANY,SANTA ROSA MARTIN C.NELSEN,FRESNO SAN PABLO DISTRICT OFFICE PATRICK O'MELVENY,ATHERTON WILLIAM M.OTTERSON,MERCED JEANNE M.PAYNE,VALLEJO DONALD J ROMEO,M.D.,LAS VEGAS July 24, 1990 IVAN L.SUESS,LODI JEAN R WENTE,LIVERMORE KLINE A.WILSON,JR.,OAKLAND HONORARY DIRECTORS JACK CRAEMER,SAN RAFAEL JACK F.DALY,JR.,EUREKA HARRY D.HOLT.PEBBLE BEACH MARVIN B.HUMPHREY,RENO FRANK MacBRIDE,JR.,SACRAMENTO Insured: C1ine,Inez PORTER SESNON,SAN MATEO Claim Number: 06-CO6352-5 Date Of Loss: 06-05-90 To Whom It May Concern: I personally inspected the insured's vehicle, a 1985 Pontiac Grand AM California License Plate 2FMJ221, at Martin Buick in Richmond. The date of this inspection was June 6, 1990, one day after the loss mentioned in the above caption. Upon .inspection it was noted, that the oil filter was snapped off at the base of its connection. The result was that the engine was completely drained of oil. The oil drained so rapidly that the engine was seized up prior to an oil shortage warning, resulting in a complete engine failure. The lack of oil had rendered the engine as useless, and thus an engine replacement was the only alternative. The cost of parts and labor were checked, and it's in line with repair procedure manuals. If there are any questions regarding this matter, feel free to contact either myself at 415-233-8800 ext. 255, or Martin Buick 415-222-4141. Since ly, J S GIVENS Claim Repr e ive JG:mw cc Inez Cline 5879 Alhambra Valley Rd. 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Y f Ar TA� A RN A .•ARS F: R' RS,- C •COS COUN 'C LI 0 •,'f`'�:�=:', :B D P V1S 0 0 ,4: 0 0 SUE 0 , . Y �. /. \:. ... 1'J.: ,. •1.,., .. - - i A in h n r r 'r:i. n` r. `:'h- -B ARD.ACTION . Clam ga st: t e:,:Cou ty;::o D s.t ct,,gover ed `by)', w: ; 0 -..: . :� j'::: , . , .. .. _ •..,..; the Board':of:;Supervicors,:.Routing: End.oesements., --'�,r),:`;-:-. . NOT9CE TO:CLAIMANT_-.. . . SEPTEMBER..18;< •'1990 ,.' L 7, ani'.. Board Action .. 'Section"references are_..to ) :=The.,co r 4 ' . .' py ,of.'thi s':document mai led :to-;you i s, your;noti ce:`of' .:' ' Ca�l'ifornia:.Government Cbdes .!!i.;.::•' .: -' • .),-, ::the.:action`'iaken"`o_ ::your::,c'1aim,by.',,the..Board:'of 'Supervisors.,_'. .. . (Pa<ragraph..IV .below), given'pursuant:.to'Government Code ' Am un 2:'000•.'00 ` e i n :.and `{' r r, Amount." ' 't: :S, ' :S ct o ,9,13'. 915:4: ,:Please note all War.ni -,:. . ..: . . .;. ,. - ,. .. .z• L. , il. . ... ? : CLAIMANT:: DIETRICH: .Renar.d.:Franz �''' tii , �. :' . ., }:: i !r )'.. :v 1„ IJG..� `Yti.' J 1.9 �alca' 'Rob•r - - - 0 9 e t. Cathc r r ;.. S ..is•'- , , r ..� ; - A R ! TT N Y.. 0 E - co u NTY.` �'7 - Olt _:. NS A- MARTINEZ,RT I IV fate°:,r'`c"iv.��d• �') I. EZ, CALIF D e e e . : w , . "V , ADDRESS.:-: 1862;Euc,.l,id-; Ave,:-:No. •.140 BY' DELIVERY TO. CLERK;'ON"= August�:15, :1990 (hand 1del�i'vere'd)1. . ... - :..: A. :. .. ., , .. .. .'1 - Berkele CA 9.4708. ., .,.. .L t,.:. :'.r,'' . . y ,.' .�, .. ;, ,, .. :a ..,..,., :.. . A. .:MiA ::': ... ' - . 4...: BY-:M IL'. pOST RILED:;. 1i , J ..' _ - . i. • ...:.,r. :-,..... I FROM: _C1erk of. the',Board;of: S'ii ervi" or - =T Count Counsel' P s s O Y:'. .' 11 `;r 1`:. I. • :A f' h 1 tta a s'a.:co o the-- above oted c a , . .J: J. '•�, .I.'' ., •1 AT:`li R' rk A u ust� IL. C EL'0 C e r - 0 AT. 5 ,:,.:-.. �`-� - Dep ., ..... .. .. ' v .,. ... ,. .. , ... -_ 1:: .. :.'.: , ... ,. w . .. . :.,...: . „ . II iFROM: -:County 'Counse:l -' •:TO: C1'eck-'of;the;:Boartl of/•'S sors'':t: . . :.,. . 1' Th'i.s claim comp 1-ies::subs.tantial 1. w.r 'h i n n < . P t Sect o s 910.a. d+ 910:2`. ,,. . y'. < „ A .i ti:. .. 4:... ,, �11 { r (:;.;.) '•This claim FAILS ;to comply substantially with Sections 9101and'910:2,.-and;we>.are';so' notifyin.g; ' . . - :, c'laiman ',....:Th r nn ;f.'r: •, > t.: e,Boa d ca of act o :15 :days: (.Section 910:8). . . . , . 1. _ , Y'. S A r [':: - . 1. ( :).:: , a•im 'is•::not.'timel•y:::.f,i;l.ed: .::Thie.Clerk:.shou.ld%return.'•claim`�on 'gro' d'.that iti�.wase.filed 9'ate..and:send : `..' •"` ' ,' .,;.,. . : . warning of-`claimanf.'-s ,.r•.ight.'to,app'ly'�for...leave Tto.present a late:,claim (Sec•tio'h 911:3) . ., :k :• r.., . ,..- . ." . :.,.. I;. 1, +` 1. ,.. .. .., ... :� d;:, . ,. ::.: c,., t 1:. , h r ^i . l•.. 0 to ;}:•' .,• j . 4 ') ,;:. _ . .:. ,... :..1 r .. , ., •,. - - ' ..'., .rr: ., .,:...... .. .,• - - - ,1., 4v.• }1 :s:' '1 i P:' Y'J' \r - v 'D atetl: ,z- 9 Y. g D1: :' G De 'u ori n r Lt C u -. Cou e i (i� S „ - l P Y .y .. ..... . -.. �',: :.: _ - .: _ .:r.... .j. - I. f. ,: 1. , ) '� L .. . ,.. � .1 : II`I,:. :FROM:`: Clerk of •the. Board ;';� Y�' , .,�I0.":''County `Cbunse:l';(sl)' -"'`;:Count .Admi'n stra't'or_ (`7) �. - �:; . . . ... - ..;' `' Y. Y ....;,. ,. .. "� - -., ,.. , r. . . `: 1 . (, . ) Claim was returned:as -untimel• .with noti'ce 'to `claV.imarit> Section .91' ` •� . _, . . . . . :. i . ` "= I V .BOARD.ORD R':` p.; f.., .. . ;.. By;unanimous` vote"o - the' Supervisors''''present,•''.:: -:• . .K•2<..- . ..:. _ - r. i , ..... _. ,. .ir _ _ - r:, .. .. .. , .,. - - - % h i 1 i'. f T s . aim•i. r f >� (. ) s e ected:..in ull . .. .. .v...:, :l ,. a...:,.:.." ,. '1, .. '4i. ..Tse:. �r�, .. k. r. . : i ( Other.: :.. ) r,. ... . �. _: � . f :ti:' ::4. �. ,..._ . . . -.,: .. , f: . . L. :j' .. .�: I.certify. .tFiat:;thrs: is a true and .cor:rect;;copy of.the:,Bbard s -Order enteced.�in. its:;m nutes',for: :;;' .:-.. _ . .,-' rr;: this date.>,'.. 1. ,. , ;.. % - 11 . - - 'l_•• r,� ./ . 1. .�. -- . ..n, - pct 5,. i... I, . "-' D. .ed;. SEP 1. R ''�9JO ''' :PHIL BATCHELOR;"Cl.er.k0, .:Deputy;_.:Clerk :.. .....,,.:.:,, , . -I.k . , �.: . :.... .,..'.. Gov. .cod' n 1.;1 '�"',WARNING (.G a sec o ''913 ` '• • -- , ,.:y.;::,. . .. . ._ SubDect to• cer.ta.i.n•exceptions, you. have.only si,x,:;(6)..months,.from,the' dater i;s noticelwas-'personally served or',. :. .. L deposited in the .mail,,to, f-t a aicourt act�on•on this claim.':'See Government• Code, Section-;945.6: - . '' ,,r - t, �'" ;�;. .. .- :;:' ... "You .may,seek',the adv'i�ce. of°;an''attorney-';of:- our choice--':•in' connection;`wi.th'.this 'matter: `I f,; ou want':to con 1'',.. ,...- . .. Y .. `.. Y s u t ,C. . an a at1.torney r tto a ou shoG1 d.do so immediate)I y. ) s:: :. .. . ,, - �• :... ,., - .a . ,.:,•.,. .. .. .. . , ,I . . ,'.: , , . ,, - ;. i.. z.. FFIDAV.I'T; �OF`MAILING-��;. '�r' •t" .-.. 1 .:,. I--declare-under, penalty:tof;perjury•that; I am''no.w 'and.at all:times herein-:mentioned,'':have:bee n'a:citizen:of the . . . % , United"States,. over.age.4.1 and :that today I deposited'•in`.tFie Uni.ted:,States';Posta_1.'Se�rvice in:Martinez,; .. . , . ...y.. ...y..... ;Ca'1.ifornia,, postage, fU. y.:prepa'.i:d a-'cer.tifi'ed-copy:.of.''.this'Board1.,Order:and: Notice:. ,.Claimant addressed;to:',. . e.:c. a'imant a1. :. . , -'- s''shown above: :, :..;, :r:: ,1.; ' +' - , .. ,. , -. .: �.�. t.. -'ski!:.' - - ^.1 yi'. =N;::. lw' .., 1 . '. 9 '. :,P 9 ?.: %•'Dated: i t. ... ;... BY• `'.=.PHI'C BAT.CHE'LOR:,by 'Deputy"Clerk::: : r .• .1.'. ..F. ::V•. . . r .r y ,. .. - - .. '-'i':- ... .. .. .. , _ ,. il . . • " ,:. - CC n ,- ..:.: k; Cou t ':Counsel. n y. istra or. ' Cou ty!Admi.n tr. . ;,; :,7 If ,)i'; -�,. ....•. 1. Y., .. - , _ fi. ... ,.. .,1:. x:. �n _ ;..... , - .. . - - ,., ...,: er, .. .. .:I.. - % . .. .. W. .. 1. .. . .. ;�x. I. .. - �. , ... } t,j.' .. '1 ?' '� - Ili - ., - I. ,. ,.....''- .y.. .. u.. . ^,'" n: _ . r. .. ,. .. r. ... .. ....:�. ..... .. .. .'9 - r"' ..--.. -. Lb ST PROPERTY: IM� - .. . 1 CI;A Returri..ori iria'1. application".to: ':<Clerk' of,the Board'. g - - �PO..•Box: 1T _:Martinez;;.•'CA.�,94553 >> 4.: -: A. Claims 'rela:ting to_; causes .of;. action fo"r;d:ea,tYi-.or for;°.injur.y;;to: persons or;:_ '; _.'.. ' :':to .persdnal. ro. ert orrow.in cro smust. be' resented: notlater .than ;: ;.;';,': ':' :;.. '' r;the' 100tH day of:ter: the ac"crual ,•of-'the..:cause':'of action. ,C aims relating to` any:oth'er cause :of' act ion;'.must'.be presented not . later'.-thari one year.', :,; - af't'er the;.:accrual 'of'.:ttie': cause;�'of:-action..::=;:;(S 2,.:G ec 9.11:, ovt. Code') A., B. -.0 L4 s''mus't :be-_'filed".with .tlie Clerk"of,-.thel.'Boa-rd:•'of .:Superv'isor's;'at:.i"t-'s 9. .t °bf.fice_ 6:.Room" 106, C.ount'y' Admin stration 'Building '651 'Pine, Street, . �lartinez. ..CA;-9 �.,.. :4553. C... ..:I'f..claim is' against a d:1 tr.ict'.goy6rned by`the'-Board._of SupeTyisor's; ''rather .•tli'an :fhe: coui ty ,::the name :of^'th'" district should .be f i11'ed in: M. D. .-,,.If the-1'claim is .againstmore:' t'han'',one,;public :-entity;:; separate'; claims must:: .'be :f fled, against' 'each .public:'entity. it.. •'p f ;,"E•. 'FrauSection: 72`'`.`ofnthe e al Code.•provide s�: . r:;'• ,: <' ".'Ever arson who ;w' th '.intent to defraud ' ` resents °.for allowance" or' for payment to;any' state• board. or .officer,,;:or to: any county, torr city district. . -;''• ward,';or' yillage''board:':or.:: of-f icer:, autho'rized..%to' allow ;or .:pay::-,the same..'i-f . genuine an false...of. fradulent, claim bill account voucher. o.r writin Y > >. g�'. ... : .. '...:. . ..ls ..guilty=;of;-'a,%!felony: niCJJJ.J:J.J.J_J.'.J.J.JJ.JJ.J,J,JJ,J,..icn�•iCJ ...,.'.JC iCiCiCi•�J I'�•�i��i• •�J•i��iC i�i� 'J, •vii ..�.+iLJ ..t-n._4. .vi`. I_.L..1`..�. n r :,,..,c•-- ,c.c,,.,.,,.,,.c.......c,..a... . .,;. .c�'c 9, c .c:. ,x r �.c :c:, c�:. < <x•�.. .k:k 9c4a;, k � • : r. : RE: Claim: B Reserved' for :Clerk. s `fiSing.:stamps Y' ;; .. - RECEIVED &4, J. .15M neo, Against.:.tfie' COUNTY..OF`CONTRA'�COSTA '•''or q'4�; ': ".DISTRTCT- CLE 8 RD OF,SUPERVISORS ill in:•nain I C' TRA COSTA CO. r• •. �'. CON ; :.The undersigned' claimant'''hereby makes::.claiin'.against the CounCy 'of. Contra. Costa or . ''; the .above-named'-District-A the'.sum 'o f. .$ OBD �P wand":in,';support 'of; this;;.claim re= presents .as follows: w. { 1. ,-When did the damage. or "injury...occur? (Give ex t. date and. hour) �. O �1 1 . o II ' 2'..:` where did' :the-damage or iiijur cur: (Include city' and:'county -e w'`;S I k y.' `�. �,.�, `..fit' 3. How:.did the.dama;e:':or i ury::occur? Give furl: details; use `extra. sheets ev .'. required a` T: • ' .. - J _ l .tt S Qry.l..s'iT h':•��: LL �„ l r► �7_it 8 fir. a wbI `S .Aft�,Ny& w / $ 4'. ..;wh, t',:parti.cular'.ic:t;.or,-omission on; he:part, county. or=district officers sere s,', r employees caused the; inju or. damage? ins d j $iy ' . J a .O : � K:s Cid :� L•= ,�, Z:� �.. �;� p. 14vie . - .:5. Uhat are the names or county or district officers, servants, or employees ' �( causing the damage or injury?. ` L ^ I a Fd.— w� IJI. ! 10 1' 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ) %.Rt OL&%� &.�_ A*,-w..14.P _aco ip a * 1A /v& ., 7. How was th ountcla'medoboecomputed? l(Include the estimated amo o3 � ` �01 & Ab. un 4.A 8. Names -and address of witnesses, doctors, and os itals: ' ., ,�o . D D4e d4 46 dt GL,. a, 4 /,Sao i a a 9. 1 List the ex nditures you made on account of this acciden Tor injury: / DATE / ITE1I AMOUNT it. 1A 00,_ � 1 0 4 s t.— r �— Govt. Code Sec. 910.2 provida V "The claim signed by the claimant or by some person on his behalf." . SEND NOTICES TO (Attorney) � �. Name and Address of Attorney �� ,�, ,,, .�}( � w � !� / ��►!� - - j� a O (� }ms Stur Q.r Address OA Telephone Number � . ., . Telephone Number: yox— s Z, O� 70"L. ,* YD `` 0 �,., s ' BOARD OF SUPERVISORS , CONTRA COSTA COUNTY , CALIFORNIA AFFIDAVIT OF MAILING In the Matter of ) Claim of Renard Franz Dietrick ) aka Robert Cathcart- ) ) 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 XliX-1314ild copy of Board Order relative to above claim. to the following : Renard Franz Dietrich 3129 Courtland Avenue Oakland, CA 94 619 I declare under penalty of perjury that the foregoing is true and correct . Dated November 30, 1990 at Martinez , California . (L VL Ann Cerve -1 -Deputy C erk 3 On November 30, 1990, Mr. Dietrich phoned this office and indicated that he had not received notification of the disposition of his claim. He indicated that he had moved since the claim was filed with us and that the Post Office had not forwarded his mail . Ioinformed Mr. Dietrich that I would send him a copy of the Board Order to his new address 3129 Courtland Avenue, Oakland, 94619 . CLAIM �., ' BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA I.a3 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT SEPTEMBER 18, 1990 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: $48.40 Section 913 and 915.4. Please note all "WaricTivw CLAIMANT: HEMMITT, Parnehh M. 901 Court Street AUG `<; 01990 ATTORNEY: Marti-nez, CA 94553 COUNTY COUNSEL Date received MARTIi,IEZ, CALIF.. ADDRESS: BY DELIVERY TO CLERK ON August 15, 1990 (transmittal) BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ppHH gg DATED: August 17, 1990 BYIL OeputyLOR, Clerk 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: � /go 1 f 90 BY: 1 Deputy County Counsel —T 1I1. 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 W1 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: ,qF P 1 R 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sec't-- 13) 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 18 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator LOST PROPERTY CLAIM :.-- Return original application to: Clerk of the Board -_ PO Box 911 Martinez, CA 94553 A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must. be presented not later than one year after. the accrual of the cause of action. (Sec. 911.2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at it's office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If clamp 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 - Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, town, city district, ward, or village board of officer, authorized to allow or pay the same if genuine, any false of fradulent claim, bill, account, voucher, or writing, is guilty of a felony. " 'c:c:c:c'cx:c-�•�:c'c:c;c9:'c:<'c'c:c:c;c:c'.•ic:c'c•� :c'.c9c:c3c:c;c'c9c'c'c-�::'c:c:c„;c;c�::::�:::c�:c:c:c:.....:c4c:c:<x4::c:c:::c4c'.cn::T•�cxi':sc::n::'.�.-.'. RE: Claim By Reserved for Clerk's. filing stamps RECEIVE® Against the COUNTY OF CONTRA COSTA ! AM 5.19M . or _ DISTRICT- i CLERK B D OF SUPERVISU:is (Fill in name) CONTRA COSTA CO. 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 re- presents as follows: 1. When did the damage or injury occur? (Give exact date and hour) '� Y 2. Where did the damage or injur;Y occur (Include city and county.) Vock How did the dama;e or injury occur. (Give full details ; use extra sheets if required.) 4. What particular act or omission on the part of county or .district officers, servants, or employees caused the injury or damage? over - S. What are the names or. county or district- officers, servants, or employees causing the damage or injury?. 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ) 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) �1^ 8. Names and addresses of witnesses, doctors, and hospitals: 9. List the expenditures you made on account of this accident or injury: DATE IM- 1 AMOUNT Govt. Code Sec. 910.2 provides: "The claim signed by the claimant or by some person on his behalf." SEND NOTICES TO (Attorney) Name and Address of Attorney %O'Claimants Signature , Address Telephone Numb:er_: Unit Telephone Number: flitQ �S e two- , ' � CO'("-Z� Mcqz, �.` CLAIM �, )3 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 18, 1990 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: $414.63 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: KING, Timothy 1048 Panadero Ct. �l)G 01990 ATTORNEY: Clayton, CA ; 94517 Date received COUNTY COUNSEL ADDRESS: BY DELIVERY TO CLERK ON August 16, 199a�(h�and delivered) BY MAIL POSTMARKED: I, FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim, ppHH gg DATED: August 17, 1990 BYIL DeputyLOR, Clerk II. FROM: County Counsel TO: Clerk of the Board of lapeWisors 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: e/2( Igo 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 ORD 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 $ 199(1 PHIL BATCHELOR, Clerk, By , Deputy Clerk WARNING (Gov. code sec 13) 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 18 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator r rr Cla:rr to: BOARD OF SUPERVISORS OF CONTRA COSTA CXUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to pers�)Q 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. F Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this J y J, form. RE: Claim By ) Reserved for Clerk's filing stamp e ) RECEIVE® Against the County of Contra Costa ) y° 6 19M or M 0(A h4- QJACLERK BOARD OF SUPERVISORS (} District) CONTRA COSTA CO. Fill in name ) � The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or in ury occur? (Give exact date and hour) II Betwecn roo am , Ure 27-r�— IgRO aHA 1:00 m , A 1-4. . P y ------------------------------------------------------------------------------------ Gt*�- 2. Where did the damage or injury occur? (Include city and county) q01 _`S_t'__M_ Z_t t - =—�0 r�-- oS j--- a U --------------------------- 3. How did the damage or injury occur? (Give full det fi`ls; ,sus_e extra paper if required) Pro e lost e1A Y Oute t0M marS� Cr�e� De+2Yt11oY1 raC1I 4,MJ --------------- ------------------------------------------------------------------- 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? ' h' e� aS I In ra�er�y VVa S M I S� ace v� 11Uv oust �J7 �n�e�I gb�rhl- y�VwCtCgl0 tie_ SqY' eqV�- i 0;,CA �� cthe v I over - . 5. What are the names of P=ty or district officer e servants premp12yees causing', the damage or injury? O e '+'`(' S �e was ori 1� ,q vol,, ��cer 5. What damage or injuries do you claim resulted? lGMT;e P "�4j. ext.r-mt, -Df injurie or damages laimed. attach wo stimat for auto `�' •:�ee Xacx co Q '(`0 e� �Sv` reCl D I�r 90 w et rill e ral c Ori;r� \ o aw s�o ---�4 ----------- �_� �---- �i��l_ ��__ 1 _- --� — --------- 7. How was the amount claimed above computed? (Inci'w� 3 �s w m , am=t of any prospective injury or damage.) Y MPM 0 17 °� 8. Names and ddres sof witnesses, doctors and hQs��l�. s eav� Roe�"f Kih Mc COA9 9. List the expenditures you made on account of this DATE ITEM �T7' �e e *atCl CJ a er * * * * * * * * * * 44WAWWMA *`. $ Gov. Code Sec- ^' Q%Z r v�d :.- "The :"The claim must be �t-•,nrne� It!y ` r."lairmant SETS NOTICES T0: (Attorney) or by some �rzszn� rani h ir- Name and Address of Attorney Pa 3_Ire! ave e o (;�l OzZyMbS Telephone No. Telephone No.: ZZ —2,j N O T I C E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presemrtts f'z rr cr for payment to any state board or officer, or to any camtj,-n moi,ty cz►r district -oard or officer, authorized to allow or pay the same if gena�l.rw, ar- i'�aIlsa ar fraudulent claim, bill, account, voucher, or writing, is punista&Le edtter: dry imprisanment in the county jail for a period of not more than one yeaL-, IT ar fine, of not exceeding one thousand ($1,000), or by both such imprisonment amt -$me-„ or wtT 3r-prisonment in the state prison, by a fine of not exceeding ten thuasamt (($10,wo;, or by both such imprisonment and fine. ' _ = RECEIVE® ` 11 61990 • CLERK 80ARD OF SUPERVISORS CONTRA COSTA CO. llti-f op tkems lM fr%ofey+y .� Wall& w 4 a )l I D, /hJo q1( heede,�jer a ehs 9 I p 1hC"Afdl1 QW S�o Inde S) ore mbehs, ehC� /spo. le, ono)ie or ir ,��rt- tic ef- 1 a soY,cc lob tM CocA P D. 2 cowI 0Y ,Zeit 4- , uckle w t<I- IFxl sl'/ver joflo )v side 3 4� W 4A mre+,h ,s 04 tt,cL wou14 kidgve- ema�w me, -to it he%ase—d &)ll c Ust-od . i Y l yavbl q)grm Clock s Sc' r j /�' �er � small ,�;� �� ' �r . P�' � jge 00o e ol'd e 9'. A3 6.00 -m�cK�� oo SIV4F, c /11 casel o0 d yS I II o � . °° e � � �� ►� �� w� r arc gsed �� j - �� / / C p � � I'� C 6 �� 6 �U � � � s � �' � � i � c� � �� s ' � � LL uj z CL Lu F - �Lwr V. ~ a cn / ^^Q. �p W LA. �. Juj N wti, VcCi 4 Z WQ'a r ,,+ a U CL P LU C ` ku E.- : - , r I Z 03son v x N Q A.M U^' Q { ��} N Z N V) ui fw 34 co uj v oc ¢ z LL bzo3 a o w a cn r ~ N �w woN < mt5 0 H- cO DDDD Y m a o 0 . o J LL uj _ a ¢ u, D Q 4 1 V) mmw z p W n V F' W UJ d N .j L \U') w 4 W aDDDD -- W � f�f� i a W V N w V V) z o - F.n _ = Y ¢ —+ N _ V a \ u -+ LL 0 LY ¢ QVua LL a L O v) aNtn pV) uj rte- w �" w DDDDDD o m o a a Z 0 ca , • r Y cl n Cl) :. tuw V-) } LL C. p WrQ- U _ -j w (nN- J W Q D _ '- LU W � 0z�� Z W OD w O n. w Y V F' W 1 z W Q J W Fw p V -- . . w O �~ Z Q � Q 2w — a N `� >- V)i VVi vwi �� X LU w %D X 0 2 v V ® s- } o 0 o LL Q o E o �_ - Z H o w C7 ,J . Z d H CJi Z Q V [� w m -� SV Q U' p z L*l N \ o z � U Z d' o e-1 it O � Y Zw a 6Zz . W LG Y = 1n W F" _ N Q J LL.LLJ =LU LU O Lu U- O ! ' LU 3 a a } a a0v � 3YmY0w � Opm Lu oir o z o m I-- LU W r' L u !� Qt J +, c� I-- z Y. w w Z U- U OC '. > O� CC LLJ J V 1- ,L ` Z z S2 2 LU a) LLJ LU z CL CC CL o � cn 11 U - = w UJ — �. Sir- X w \ w -1 >- < �• \, co CL: E El El 11 El Ir CO 00 U a }ch Y 00 m m L— 1� J LU ca Efl CC w J Z 2 LL `J V W LL 0 2 0 Q ❑.Q.❑ ❑ ❑K❑ ❑ ❑ ❑ ❑ l < a Q LU Q o U m D CC o z m MARSH,CREEK DETENTION FACILITY INMATE REQUEST CONTRA COSTA COUNTY DET=ON FACILITY g00/G��3T. NAME: %¢` BK.#: a,Jt First-1 Mildle DATE:— 7-.I9-f4 MODULE: ROOM: CHECK ONE: f REQUEST C GRIEVANCE O APPEAL 1 . REQUEST: D qat .� Co reC'l e re''+y wq s 11 ...S�07fle-W!Acre 4 or Ac P/c Axe, ,red m� OT pe ci eRt d gll YOU RECEIVED BY: ROUTED TO: 0 PROGRAMS O CUSTODY 0 MEDICAL r AAPPROVED--- ANSWER: 0 DENIED -'(State^reason) `?-- 2C I O v BY: CJ�k �R zu-cl� i tl e Employee Name Emp7oyee. # i Pink kept by inmate, Yellow to inmate, VJhite to Booking file \� 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 18, 1990 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: $750.00 Section 913 and 915.4. Please note all "Warniingst, REICENED CLAIMANT: MATHESON, John A. 1801 Sonoma Blvd. No. 273 AU r f' 01990 ATTORNEY: Vallejo, CA 94590 COUNTY COUNSEL Date received MARTINEZ, CALIF. ADDRESS: BY DELIVERY TO CLERK ON August 16; -1990 (vi.a P.O. Box) BY MAIL POSTMARKED: August 11, 1990 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 17, 1990 gaIL DeputyLOR, Clerk I1. FROM: County Counsel TO: Clerk of the Board of visors 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: I J 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: S E P 18 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code s 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 EP 18 INN BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator LOST PROPERTY CLAIM Return original application to: Clerk of the Board PO Box 911 Martinez, CA 94553 A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911.2, Govt. Code) B. Claims must. be filed with the Clerk of the Board of Supervisors at it's 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 -. Section 72'of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, town, city district, ward, or village board of officer, authorized to allow or pay the same if genuine, any false of fradulent claim, bill, account, voucher, or writing, is guilty of a felony. " .'..�'c.'.'c:c:c:c4c :�-'c'c:c:c'ci:-'c:c:c:c:c'c:c•'c:c°c :c-.'c�'c:c9c'c:c>:'c;c•.°.:c:c:c ;c„:cic•.'.:c:`.�:c-�:::c:c:.;c:..ck>::c:c:c�::::c:c;c°cX:c::**n-.'c��: k�� RE: Claim By Reserved for Clerk's-filing stamps J-0gp f'YI 19 RECEIVED UA- P 0. _ I .; Against the COUNTY OF CONTRA COSTA 619 or _ DISTRICT- -CLERK BOARD OF SUPERV . CONTRA COSTA CO. (Fill in name) The undersigned claimant hereby makes claim against the County o ontra. Costa or the above-named District in the sum .of $ 7,%6 � and in support of this claim re- presents as follows: _ 1. When did the damage or injury occur? (Give exact date and hour) Aare 2. Where did the damage or injur-Y occur: (Include city and county. ) 141AP_T/ N 3. How did the dama;e or injury occur? (Give full details : use extra sheets if required.) / y/QC llE� s44Z z4- 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? `q �1'Sv J G /off i9�/1� /n pA/D ,9 eC 7, - over - 5. [.That are the names or. county or district officers, servants, or employees causing the damage or injury?. UN yo 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) • S�� fr Tc� <Sh.� 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 hospita s: Imo-/v _ 9. List the expenditures you .made on account of -this accident or injury: DATE ITLDI AMOUNT i DNS` Govt. Code Sec. 910.2 provides: "The claim signed by the claimant. or by some parson on his behalf." SEND NOTICES TO (Attorney) Name and Address of Attorney X/ 6 � -,4A D�Fe /� Claimants Signature dab /ko / �aA/vM q /,�/-0V /-" ? '1?Addres . Telephone Number:-` Vj"� 4�' -J- fl0 4/ Telephone Number: to 415 f&1,1D a 1 riga - - - - — - ! - - — f' -s. - -- ----- ---- ------ -=�� -"��• -��---� Lam--_�'�-�,.., U �-- / "--dam �---/��--'`—f�'t�'-%I✓�----------- - ------------------ '7s-o DESIRE MY PERSCMAL PROPERTY AND'/t 1Z CLOTHING TO 3E DISPOSED OF AS FOLLOWS „Sii %_SEND tIQML, - DN _- DONATED "K" KEPT_ SWEATER: t ' ' COLOR SHIRT: #y� COI.OR`�r�__% JACKET: #_� COLOR VEST: COLOR SUIT . # CULUR JEANS : # COLOR __ SLACKS : # rOLOR`�/ 1� BELT: #_ COLOx SHOES : # COLOR BOOTS: # CUI,c)x ._._.....___. INVENTORY ICERIS SIGNATURE HAT/CAP : # C:ULUx RING: # Y/M W/M S'C'ONES# COLOR CHAIN: # Y/M W/M STONES# iCOLOR MEDALLIONS: # ,Y/M W/M STONES# COLOR RELIG . MED. # ' Y/til W/M --- ATCH: # Y/MW/M_...BRAN I) r-'.,, i ;,J _COLOR MARRIAGE CERT : _ -" $IRTFi CERT: S/S CARD: s VEHICLE REG : ; DRIVER' S LIC w; TEMP D/L ; MISC. IDENTIFICATION ; �J SUNGLASSES : / — % %'%t; r i C- Rx GLASSES : LETTERS : BOOKS : PAPERBACK# HARDBOUND# BIBLE : # CURRENCY: C :4 OTHER: - 'l - 1 . / SIGNATURE OF THIS FORW. INDICATES THAT THE ABOVE IS A .TRUFe ANIS COMPLETE LIST OF THE DI POSITION OF`_MY PERSONAL BELONGINGS UPON MY ARRIVAL AT N.R.C. R&R. 'F 1 W! - SIr ATU OF INMATE: CDC NUMBER PROPERTY ROOM OFFICER NRC AV " 260a t ( rev. 6/88 pgt) DATE MAILED PROPERTY/CLOTHING RECEIPT CONTRA COSTA COUNTY REC. No. 67063 = MDF I DATE: �� /� RACKpi W- ' TIME: aH soic:; MCDF PROP.BOX WFC; a NAME:- WCJC BOOKHgG iJBR: OTHER CASH: $ 0713, - mBLOUSE ❑ DRESS 0] JACKET ❑ TIE/SCARF _ - ❑ SHORTS/PANTIES JEWELRY 4a& /NYLONS XY A«" _ r ❑ SWEATER/SWT.SHIRT WATCH ❑ BELT * -- ❑ PANTS/SKIRT SHOES/BOOTS ❑ T-SHIRT/BRA WALLET { ❑ HAT/PURSE KEYS ` ❑ KNIFE GLASSES �] OTHER /1 A lD/�/ BKG OFC + . INMATE SIGNATURE s. I have received all of my per- DATE: ti' sonal property and clothing. . REL OFC: X INMATVSIGNATURE � 1 DEPARTMENT OF CORRECTIONS 'DISTRIBUTION STATE OF CALIFORNIA ORIG: Innulte (White) PROPERTY AND CASH RECEIPTS — ARRIVAL CC: Property File (Canary) Trust Office (Pink) Central File (Green) INMATE'S NAME - NUMBER CASH PLACED IN INMATE'S ACCOUNT MATHESON,JOHN ALEXANDER E-55842—Z DISPOSITION CODE: K=KEPT IN POSSESSION (WATCHES, RINGS, AND METALS VALUED LESS THAN $30) CONTRA COSTA CO/NEW COMM M=MAIL D=DONATED S=HELD IN SAFE V=VAULT QUANTITY ARTICLES DISP. QUANTITY ARTICLES DISP. QUANTITY ARTICLES DISP, BELT i'•. SUIT DENTURES BLOUSE SWEATER DRIVER'S LICENSE CAP TANK TOP EYEGLASSES COAT UNDERWEAR KEYS DRESS T HANDKERCHIEF HAT LEGAL PAPERS MEDICAL ID JACKET /(/t/ LETTERS MISC. ID NECKTIE/SCARF PHOTOS MARK. CERT. OVERCOAT PURSE BIRTH CERT, PAJAMAS BILLFOLD SEL. SER. CARD PANTS/SLACKS BOOKS SOC, SEC. CARD I SHIRT S BIBLE RELIGIOUS MEDALS / SHOES to /,- ^xDICTIONARY RING r SHORTS SUNGLASSES SKIRT WATCH SLIPPERS COIN SOCKS CURRENCY STOCKINGS CANTEEN DUCAT DESCRIPTION OF ITEMS ALLEGED BY INMATE TO HAVE A VALUE OVER $30 Jr X. YY k DESCRIPTION OF ITEMS "TO BE DES51F 0 ED' - /S 17 EC f/U A v'� O A<<C/? n/1-) ::s ARTICLES LISTED AS "MAIL" A@OVE?` RE TO BE FORWARDED TO: ADDRESS , 'V NAME _ CITY I STA'TjE AND ZIP CODE 9J { '9 . m� _ - C/ ^'1 CLAIM AND RELEASE ' III relinquish all clar to the articles listed above as "Donated", and!ereby acknowledge receipt of articles listed as:, �ept in Possession". The above is a correct inventdry of personal property in my possession at the:.�me of admission. ; SIG AT RE F I AT DATEWfTUSSING FFICER �. 5-30-90 :'- 1 hereby SI-destruction of articles listed above as "To be Decoyed SIGNATURE OF INMATE. • li tg .. _i>.; DATE . WITNESSING OFFICER • , . ! i 6'S,>L":'i _ '.ii -•NS.. •' .i11 ..:1.•1•.�' - -.•w .s b.• .: :-i 1.hereby ackn&Qe.9e receipt of the�a�ti�cles»listed above as "Held.'n Safe" which was giventome o".xr r upon m releas`ef om the insti!utron. r" I :' `• ": •�+. t `" SIGNATURE U E OF INMATE,'�r., �y :i. { .;i,P DATE yyjT"ESSING OFFI E_R - ''�. yK' 1•:iv: -v.S:.':^.K, •.r( `.yfCz.:' 4 '.b..�.•:•.'.' .: .. . '.i`K, .. :a.•. :. .--.,,' :: ay /.. ,.. ..i�•.i'i y :...._�^.b•' 1.•• .'.: �'•y :- 4' A&:.M:_�:- ,COC—101 IRHV.•4/7 - .y n'. - '.ti:.,...-•;r:•.•' '� i LO c3 Q " Q yb>��o H � `kl 4+ c� U � CLAIM ,Z3 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 18, 1990 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: Unknown Section 913 and 915.4. Please note all "W�aiq�s�'� CLAIMANT: MITCHELL, Robert and Florence AUG ATTORNEY: Alan J. Jang, Esq. COUNTY COUNSEL York, Buresh & Kaplan Date received AiARTIN;EZ, C.ALiF. ADDRESS: 2298 Durant Avenue BY DELIVERY TO CLERK ON August 14, 1990 (via Ri.sk Mamt) Berkeley, CA 94704 BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. pH BB DATED: August 17, 1990 BY1L BATCHELOR, Clerk y____ Z II. FROM: County Counsel TO: Clerk of the Board of Su sors 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: J Deputy County Counsel II1. FROM: Clerk of the Board. TO: County Counsel (1) County Admi istrator (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: S G r 1 8 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sec 13) 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 18 1990 BY: PHIL BATCHELOR b Deputy Clerk CC: County Counsel County Administrator 1 JON H.YORK LAW OFFICES ANN S. York, Buresh & Kaplan ,ALAN J.JANG JANG STEVEN K.AUSTIN A PROFESSIONAL CORPORATION OF COUNSEL FRED M.FULLER 2298 DURANT AVENUE SCOTT BURESH KEVIN M. SMITH GINA DASHMAN BOER BERKELEY,CALIFORNIA 94704 FAX:(415)548-7488 CYNTHIA SHAMBAUGH (415) 548-7474 PEGGY CHANG August 8, 1990 RECEIVED v►R 1's k � �. AM 14 - Contra Costa County Administrator 651 .Pine Street CLERK BOARD OF SUPERV S Martinez, California CONTRA COSTA CO. RE: Claim of Robert and Florence Mitchell Date of Loss: June 5, 1989 Dear Sir or Madam: Enclosed are two executed Government Code Claim Forms submitted on behalf of Robert and Florence Mitchell to the County of Contra Costa. I have also included a copy of the related cross- complaint filed by Mr. and Ms. Mitchell. If you have any questions regarding this claim, -please contact the undersigned. Very truly yours, �aNe4 Alan J. Ja PVGl AJJ:cin Enclosures RECEIVED VSA- b AUG .14 = GOVERNMENT CODE CLAIM FORM C1 En CO TR pS ASR 6 CO. TO THE GOVERNING BODY OF: County of Contra Costa Claimant: Robert and Florence Mitchell Address: c/o York, Buresh & Kaplan 2298 Durant Avenue Berkeley, California 94704 DATE OF INCIDENT: June 5, 1989 LOCATION OF INCIDENT: North Larwin Avenue City of Concord, County of Contra Costa, California DESCRIPTION OF INCIDENT: Injury accident involving Douglas Simle and a Central Costa County Transit bus. NATURE OF DAMAGES: Equitable and comparative indemnity, and contribution. AMOUNT OF CLAIM: , Unknown ATTORNEYS TO WHOM NOTICES Name: Alan J. Jan g SHOULD BE SENT: York, Buresh & Kaplan 2298 Durant Avenue Berkeley, CA 94704 (415) 548-7474 Dated: August 7, 1990 By: Alan J. Jay Attorneys fo �aint GOVERNMENT CODE CLAIM FORM TO THE GOVERNING BODY OF: County of Contra Costa Claimant: Robert and Florence Mitchell Address: c/o York, Buresh & Kaplan 2298 Durant Avenue Berkeley, California 94704 DATE OF INCIDENT: June 5, 1989 LOCATION OF INCIDENT: North Larwin Avenue City of Concord, County of Contra Costa, California DESCRIPTION OF INCIDENT: Injury accident involving Douglas Simle and a Central Costa County Transit bus. NATURE OF DAMAGES: Equitable and comparative indemnity, and contribution. AMOUNT OF CLAIM: Unknown ATTORNEYS TO WHOM NOTICES Name: Alan J. Jang SHOULD BE SENT: York, Buresh & Kaplan 2298 Durant Avenue Berkeley, CA 94704 (415) 548-7474 Dated: August 8, 1990 By: Alan J. Jang Attorneys for C ant RECEIVED 1 Alan J. Jang AUG 1 4 � 90 YORK, BURESH & KAPLAN 2 2298 Durant Avenue CLE[ ARD OF SUPER i Berkeley, California 94704 CO_NTRACOSTA00. 3 Telephone: 415/548-7474 q Attorneys for Defendants and Cross-Complainants ROBERT & FLORENCE MITCHELL 5 6 SUPERIOR COURT OF CALIFORNIA, COUNTY OF CONTRA COSTA 7 8 DOUGLAS ALLEN SIMLE, a minor, by and through JOY SIMLE, his 9 Guardian ad Litem, No. C90-00648 10 Plaintiff, CROSS-COMPLAINT FOR C_ INDEI�TTITY 11 VS. rF u ? CENTRAL CONTRA COSTA TRANSIT 12 AUTHORITY, et al . r � coq � c v z 13 3 e Defendants. < L v. c 6 / _ 14 N y C N T � < c 15 ROBERT MITCHELL and FLORENCE MITCHELL, O } 16 Cross-Complainants, ! vs. 17 j 18 CENTRAL CONTRA COSTA TRANSIT AUTHORITY, CHARLES F. DAVIS, JOY SIMLE, individually 19 and as Guardian ad Litem for DOUGLAS ALLEN SIMLE, GARY SIMLE, COUNTY OF CONTRA COSTA, 20 CITY OF CONCORD, and ROES 1 through 20, inclusive, 21 Cross-Defendants. 22 23 Cross-complainants allege: 24 1 . That the true names and capacities, whether individual, 25 corporate, associate or otherwise, of the Cross-Defendants named 26 herein as Roe 1 through 20, inclusive, are unknown to 1 I Cross-Complainants, who therefore sue said Cross-Defendants by 2 the use of such fictitious names. When said true names and 3 capacities are ascertained, Cross-Complainants will amend this 4 cross-complaint by inserting their true names and capacities. 5 Cross-Complainants are' informed and believe, and thereon allege, 6 that each of said fictitiously named cross-defendants is in some 7 manner responsible for the occurrences and resulting damages as 8 herein alleged. 9 2 . That at all times mentioned herein, Cross-Defendants, 10 i and each of them, were the agents, servants, and/or employees of ^� d 11 each of the remaining Cross-Defendants, and at all times were 12 I acting within the course and scope of said agency. r < < N 13 3 . That on or about February 14 , 1990, plaintiffs, Douglas ` r= p � ,�-" 14 Allen Simle, a minor, by and through Joy Simle, his Guardian Ad E N LO 15 Litem, filed a complaint in the instant action in the Superior 16 Court of the State of California, County of Contra Costa, bearing 17 action number C90-00648. Without specifically admitting any of 18 the allegations of said complaint, and for informational purposes 19 only, said complaint is incorporated herein by this reference as 20 though fully realleged and set forth at length. 21 4 . That Cross-Complainants and Cross-Defendants, or some of 22 them, may be held liable to plaintiffs as alleged in the complaint 23 herein. In such event, Cross-Complainants and such Cross- 24 Defendants will be concurrent tortfeasors and legally responsible 25 to the plaintiffs for the alleged injuries, losses or damages, if 26 any, as set forth in the complaint, and as more fully herein 2 1 below. . 2 5. That Cross-Defendants, and each of them, are legally 3 responsible to plaintiffs and at all times relevant herein, said 4 cross-defendants, and each of them, were involved in causing or 5 contributing to alleged injuries and damages of plaintiffs, if any 6 there were, as set forth in the complaint. 7 6. That said negligence, strict liability, or other types 8 of fault of the part of said Cross-Defendants, and each of them, 9 is the proximate cause of the alleged injuries, losses and damages c 10 of plaintiffs, if any there were. 11 7 . That Joy and Gary Simle were the custodial parents P Q i � 12 I and/or legal guardians of Douglas Allen Simle on June 5, 1969 , o f < 4 13 when they knew or reasonably should have known in the exercise of v 14 their authority and supervision that Douglas Allen Simle was ` 15 riding his bicycle in a reckless and irresponsible manner. Cross- 0 } 16 Defendants Joy and Gary Simle 's failure to exercise their 17 resonsibility, supervision and ability and opportunity to control 18 and prevent the reckless conduct of Douglas Allen Simle 19 proximately resulted in his personal injury and property damage at 20 issue in this action. 21 B . An actual and present controversy exists between Cross- 22 Complainants and Cross-Defendants, and each of them, relating to 23 their respective comparative faults, and rights to full or 24 partial equitable indemnity on a comparative fault basis, to wit: 25 A. Cross-Complainants allege and Cross-Defendants deny 26 that cross-defendants, and each of them, are legally responsible 3 1 for any judgment which may be obtained against any party in the 2 above-referenced matter, and that comparative fault of Cross- 3 Complainants is zero percentage, while the combined fault of 4 plaintiffs and Cross-Defendants, and each of them, total one 5 hundred percent; 6 B. Alternatively, Cross-Complainants allege and Cross- 7 - Defendants deny that any comparative fault which may be g attributed to Cross-Complainants is far less than that 9 attributable to Cross-Defendants, and each of them, and that the c 10 Court should fix and determine the relative percentage of fault 11 between said parties. � ELO - 0n 12 9. Cross-defendants, and each of them, have been given 4 C Q -N 13 notice of claims of plaintiffs and they deny liability. ' It is 14 therefore futile to tender the defense of Cross-Complainants Y ` m 15 herein. 16 10. As a direct and proximate result of the foregoing, 17 'Cross Complainants have necessarily incurred attorney's fees and 18 other legal costs in the defense of this action, and Cross- 19 Defendants, and each of them, are obligated to reimburse Cross- 20 Complainants for such reasonable attorney' s fees and other related 21 costs incurred by Cross-Complainants, in an amount as yet 22 unascertained. When such sums become known, Cross-Complainants 23 will amend this pleading appropriately. 24 11. Adjudication of this cross-complaint in connection with 25 action filed by plaintiffs herein will prevent the multiplicity of 26 trials and will be in furtherance of justice and expedition of 4 1 the business of the above-entitled Court. There is no adequate 2 remedy at law. 3 WHEREFORE, Cross-Complainants pray for judgment _a set forth 4 below. 5 1. For declarations by this Court as to the plaintiffs, 6 the Cross-Complainant, and each of said Cross-Defendants, as to 7 the percentage of total comparative fault properly allocable to 6 each said party: 9 2 . For declarations of this Court that each such party c 10 is entitled to total or partial indemnity from the other parties, ri based upon said percentage of comparative fault, upon payment by s � 12 such party to plaintiffs of a disproportionate share of such E c �v < 13 judgment; ° 14 3 . That the right of contribution be subordinated to LU L NM 15 such right of comparative indemnity. o � } 16 4 . For reasonable attorney's fees and related legal 17 costs according to proof; 18 5. For costs of suit incurred herein; 19 6. For such other and further relief as the Court may 20 deem just and proper. 21 DATED: August 7, 1990 YORK, BURESH & KAPLAN 22 j 23 BY ALAN J. JANG 24 Attorneys for Cross-Complainants 25 26 5 1 PROOF OF SERVICE BY MAIL - C.C.P. Sec. 1013a . .2015. 5 2 I am employed in Alameda. County, California. -I an over 18 years of age and not a party to the within action or proceeding; 3 my business address is 2298 Durant Avenue, Berkeley, California 94704 . 4 On the date entered below, I served a true copy of the 5 foregoing document *** ty placing it enclosed in a sealed envelope with postage thereon fully prepaid, in the United States mailbox 6 at Berkeley, California. Said envelope was addressed as i hereinafter set forth in this declaration. If more than one 7 addressee appears, this declaration applies to each. 8 I I declare under penalty of perjury that the foregoing is true and correct, and that this declaration was executed at Berkeley, 9 California on Date: August 8 , 1990 B • c 10 Y: Cind . Baker d 11 � a ***Summons and Cross-Complaint for Indemnity 12 i Walter K. Dods, Esq. o v 13 7 Mt. Lassen Drive, Ste. C-150 Q I San Rafael, CA 94903 o >< N 14 N � Paul D. Nelson L 15 Peter J. Koenig ?0 Hancock, Rothert & Bunshoft 16 ; Four Embarcadero Center, loth Floor . San Francisco, CA 94111-4168 17 i 18 i 19 20 21 22 23 24 25 26 CLAIM I.o-3 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 18, 1990 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: $100,000.00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: WASHINGTON, Dolores ATTORNEY: Harvey A. Hyman, Esq. Law Offices of Herman D. Papa Date received ADDRESS: 22 Battery Street, Suite 333 BY DELIVERY TO CLERK ON August 20, 1990 San Francisco, CA 94111 BY MAIL POSTMARKED. August 19, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 27, 1990 gglL gep�tyLOR, Clerk 1I. FROM: County Counsel TO: Clerk of the Board of Super rs �V ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 2 A 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 ORD R: By unanimous vote of the Supervisors present ( ) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: SEP 18 1990 PHIL BATCHELOR, Clerk, 8y Deputy Clerk WARNING (Gov. code secti 13) 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 18 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator I 1 HERMAN D. PAPA, ESQ. HARVEY A. HYMAN, ESQ. RECEIVED 2 Law Offices of HERMAN D. PAPAv�± 2 0 19W 3 22 Battery Street, Suite 333 i1Y�� San Francisco, CA 94111 4 Telephone : (415) 391-4903 CLERIC OFSUPERVISOR6 CONTRA OOSTA CO. 5 Attorneys for Claimant DOLORES WASHINGTON 6 TO: , THE CITY OF RICHMOND AND COUNTY OF CONTRA COSTA 7 DOLORES WASHINGTON, hereby makes claim against the CITY OF 8 RICHMOND and the COUNTY OF CONTRA COSTA in the sum of $100 , 000 9 and makes the following statements in support of the claim: 10 1 . Claimant ' s post office address is 11 5859 Occidental Street 12 Oakland, CA 94608 13 2 . Notices concerning the claim should be sent to: 14 HARVEY A. HYMAN, ESQ. Law Offices of Herman D. Papa 15 22 Battery Street, Suite 333 San Francisco, CA 94111 16 3 . The date and place of the occurrence giving rise to 17 this claim are: 18 DATE: 5/23/90 19 PLACE: Sidewalk on the eastern side of Visalia 20 Street adjacent to the City of Richmond Park and Belton School 21 and near to 17th Street. 22 4 . The circumstances giving rise to this claim are: 23 . Claimant was working as a teacher ' s aid helping certain 24 learning impaired school children return from an outing in the 25 City of Richmond Park to their school (the Via Center) . When she 26 started walking on the eastern sidewalk of Visalia Street to 27 assist one of the children claimant tripped and stumbled upon the 28 protruding edge of a square of sidewalk pavement. The pavement 1 1 square in question was located between the park fence on one side 2 and a tree well on the other side. The roots of the tree had 3 pushed the pavement square up well above the adjacent sidewalk Q creating a dangerous , sloping ledge underfoot. . 5 The CITY OF RICHMOND and COUNTY OF CONTRA COSTA were 6 negligent in a variety of ways , including allowing the sidewalk 7 to become deformed and dangerous by laying it around a large , 8 growing tree; failure to properly repair and maintain the 9 sidewalk; failure to provide safe access to pedestrians around 10 the tree; failure to install a ramp; failure to warn of the 11 presence of the raised pavement underfoot and negligent in other 12 ways yet to be proved. 13 5. General description of the indebtedness , obligation, 1a injury, damage or loss incurred so far as known at the time of 15 presentation of this claim: 16 At this time it is known preliminarily that claimant 17 suffered significant soft tissue injuries to her neck and back, 18 and possibly damaged one or more dics in her low back (subject to 19 diagnostic testing which is expected to occur shortly) . 20 6 . The names of the public employees causing the injury, 21 damage or loss are: 22 Unknown at this time. 23 7 . Amount of claim to date: 2A The amount of the claim to date is $100 , 000 . 25 8 . The basis of computation of the above amount is as 26 follows 27 The amount of the claim reflects the nature and extent 28 of the injury, the pain and suffering associated therewith, the 2 1 wage loss to date and the bills for medical care, physical 2 therapy and diagnostic studies incurred to date. 3 Dated: August 16 , 1990 4 ;o4 VdYIf,1A I�ZVleg44 5IAINEY A. MAN SQ. 6 Attorney or ciLtmant 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 . 23 24 25 26 27 28 3 1 PROOF OF SERVICE BY MAIL 2 I declare under penalty of perjury that the following is 3 true and correct: 4 1 . I am a citizen of the United States and employed in the 5 city and county of San Francisco. 6 2. I am over 18ears of age and not a y g party in the present 7 action. 8 3 . My business address is 22 Battery Street, Suite 333 , San 9 Francisco, California 94111 . 10 4 . I served the within document in the present action by 11 placing a true and correct copy thereof enclosed in a sealed 12 postage with envelope thereon full p p g y prepaid on the date set forth 13 below in the United States mail at San Francisco, California, 14 addressed as follows : 15 NOTICE OF CLAIM AGAINST CITY OF RICHMOND AND COUNTY 16 OF COSTRA CONTA IN BEHALF OF DOLORES WASHINGTON 17 Clerk of the City of Richmond 2600 Barrett Avenue 18 Richmond, CA 94805 19 Board of Supervisors Government Tort Claims Unit 20 651 Pine Street, Room 106 Martinez , CA 94523 21 Dated this 16th day of August, 1990 , at San Francisco, . 22 California. 23 24 Har A. Plyman 25 26 27 28 t � 0 r C3 6r 47, v mo �•t(3 to .. A N � 0,4 W 0 O 4 00 Za �Zr4�4 ora;. 0 3 � °W3 0 N 24 N CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA � �3 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT SEPTEMBER 18, 1990 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: $1,813.76 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: WERTH, Sally 105 Canon Drive ATTORNEY: Orinda, CA 94563 Date received ADDRESS: BY DELIVERY TO CLERK ON August 20, 1990 BY MAIL POSTMARKED: August 17, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PpHHIL BATCHELOR, Clerk DATED: August 27, 1990 BY: Deputy 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 T 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 ORD By unanimous vote of the Supervisors present ( ) This Claim is refected 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 18 .1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sect' 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 F P 1 R 1990 BY: PHIL BATCHELOR by Deputy 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 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 B n ) Reserved for Clerk's filing stamp _ RECEIVED Against the County of Contra Costa . ) 48 2 0 0) or ) District) Ct.ERK SUPERVISORS Fill in name) MM COSTA CO. 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 dJU the damage or injury occur? (Include cit and count &- — g J Y Y d ---- = �R=------ A'' 3. How did the damage or injury occur? (Give ful Ttd:etails; use extra paper if required) res b/� � 0�'UY.n0 Onrev 4. What particular a 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? 5. What damage or in ies do you claim resulted? (Give full extent of njuries or damages claimed. Attach two estimates .for auto damage. _ �� _ _ Std_ _(g,�.�5 c�+esTtou� --- ---- =�-------- ----- -- L yclai u£e Includtimated t7. How was the amount med ab a comp d. ( amoun of y prospective injury or damage.) 'SU 041c, 04"P o/ -e -----------=-------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. --------------------------------------------------------------------7---------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES •TO : -�:,(At.to�ney') or by some person on his / half." Name and Address`o'f":Att'or`ney _. . #)A� Claimant's Si nature CJS ( - (j GY\ C)2[ J E- Add((resss V4 Telephone No. Telephone No. * * V V 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. 0arp *mitij p1jonr: 524=2721 21banp *bop 702 ban jhblo 21brutir • Rlbani., Cahforma 94700 ESTIMATE OF REPAIRS Owner / Address C ) (9,IMMI City Insurance Co. 11 Address Phone a Year cense 7 Make Model i— umber Date DUAN. DESCRIPTION OF LABOR OR MATERIAL MATERIAL LABOR 0 f i PARTS PRICES BASED ON STANDARD CATALOGUE PROCUREMENT PRICE LISTS SUBJECT TO TOTAL /� a CHANGE WITHOUT NOTICE. PROCUREMENT AND DELIVERY CHARGES MAY BE ADDED FOR l f SPECIAL SERVICES ON ITEMS NOT AVAILABLE LOCALLY. MATERIAL U'nGe� The above is an estimate based on our inspection and does not cover additional parts or labor which may TOTAL LABOR be required after the work has been opened up. Occasionally after work has started worn parts are discovered which are not evident on first inspection. Because of this the above prices are not guaranteed. TOTAL MATERIAL Y Jr REGISTERED AL)OMOTIVE REPAIR DEALER#2919 TAXj Estimated by , -,-3 1 TOW SERVICE AUTHORIZED ,ID ACCEPTED Date SUBLET REPAIRS By Owner .or Agent TOTAL Estimate Repot 939875 NAME r7 DATE d- _WORK PHONE A�4"7-S �(42(92HOME PHONE ADDRESS— `SQ-1 CITY I" 1..1 L`)Qc STATE ifaA -ZIP YEAR n>IAKE V ti-I 'S MODEL effas�'0_1 —I.D.NO ' PAINT CODE PROD.DATE TRIM MILEAGE LICENSE NO. DATE OF LOSS WRITTEN BY INS.CO. FILE NO CLAIM NO. P.O.NO. ADJUSTER LIC NO. PHONE Deductible!Betterment ]LINE RE- RE- DETAILS OF REPAIR PARTS INDEX q N0. PAIR PLACE R=Repair S=Straighten A=Aftermarket N=New PI PARTS LABOR PAINT SUBLET/MISC. 1 R/C=Recycle/Rechrome/Recore U=Used R=Rebuilt 3 r 2 7 66�J%- p- �- rbc # / 2 10 11 A 12 13 14 l � -316 I r 117 y1g 19 i i20 21 '22 23 24 25 I -- -- -- --— =26 27 I I hereby authorize the above work and acknowledge receipt of copy. TOTALS 0 3 i i Sighed X Date PARTS Prices subject to invoice $ �� { LABOR`r Cars.@41-.:S� $ S 2- Shop Shop Supplies $ ALLIED BODY & FRAME SHO? Paint Supe@ plies � , 721•�C� 1345 San Pablo Ave. Towing/Storage $ I Berkeley, California 94702 Sublet/Miscellaneous $ EPA/Waste Disposal Charge $ Phone (415) 525-3542 $ FAX # (415) 525-7076 SUB TOTAL $ , B.A.R. AD1395 $ 26 I TAX ....................... $ �•` -4' - TOTAL $ _ o1988 I/D/E/Ainc. Form No.t0p8 I/D/ inE.,DnellOl£/AWaY.CetdMre111Daie05e902•CALL.TOLL FREEI-BOD-635.9261 < _ r .z- Aof *41cw > r i e.A gyp. 100010 'e . lr •,a R cdco- lwli I i I i I I i II i ' �t At �T IP 71 l-M.M. -low ■ i i S. I i I IIi I I Ef I ■ ■ ti s y 1 I ��71 CLAIM x"+ BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA � a i� 'claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT SEPTEMBER -18, 1990 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: Unknown Section 913 and 915.4. Please note all "Warnings". RPtEIVED CLAIMANT: WOODALL, Glenn and Jackie AUG ," 01990 ATTORNEY: Thomas F. Castle, Esq. Date received Gabriela'A. Alvarez, Esq. COUNTY COUNSEL August 1� ;`R�199'0CA"F' ADDRESS: Rockwell, Castel & Cason BY DELIVERY TO CLERK ON 2930 Camino Diablo, Ste. 300 Cert, P177-99 Walnut Creek, CA 94596-7785 BY MAII. POSTMARKED: AugustC 13, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: August 17, 1990 gaIL BATCHELOR, Clerk uty II. FROM: County Counsel TO: . Clerk of the Board of Sbpirrvisors ( ) 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: 120 (9 o BY:LA 9=4 _�h Alun 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 entereduin its minutes for this date. Dated: S E P 18 1990 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: SEP 18 1990 BY: PHIL BATCHELOR,by Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: Glenn arsd Jackie Woodall Thomas F. stle, Esq. Gabriela A. A rez, Esq. Rockwell, Castle Cason 2930 Camino Diablo, te. 300 Walnut Creek, CA 94596- 785 Re: Claim of GLENN AND JACKIE WOODALL Please Take Notice As Follows: The claim you presented against the County of Contra Costa or District governed .by the Board of Supervisors fails to comply substantially with the requirements of California Government Code section 910 and 910 . 2, or is otherwise insufficient for the reasons checked below: 1 . The claim fails to state the name and post office address of the claimant. 2 . The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. 3 . - The claim fails to state the date, place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. 4 . The claim fails to state the name(s ) of the public employee(s) causing the injury, damage, or loss, if known. x 5 . The claim fails to state whether the amount claimed exceeds ten thousand dollars ( $10,000 ) . If the claim totals less than ten thousand dollars ( $10, 000 ) , the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ( $10,000) , the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. 6 . The claim is not signed by the claimant or by some person on his behalf . 7 . Other: VICTOR J. WESTMAN, County Counsel By. nali Deputy unty Counsel CERTIFICATE OF SERVICE BY MAIL C.C.P. 99 1012, 1013a, 2015 .5; Evid. C. 99 641 , 664 ) My business address is the County Counsel's Office of Contra Costa County, Co. Admin. Bldg. , P.O.- Box 69, Martinez, California, 94553, and I am a citizen of the United States, over 18 years of age., employed in Contra Costa County, and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non Acceptance of Claim by placing it in an envelopes ) addressed as shown above (which is/are place(s ) having delivery service by U.S . Mail) , which envelope(s ) was then sealed and postage fully prepaid thereon, and thereafter was, on this day deposited in the U.S . Mail at Martinez/Concord, Contra Costa County, California. I certify under penalty of perjury that the foregoing is true and correct. Dated: U , at Martinez, California. cc: Clerk of the Board of Supervisors ( igin 1) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 . 4, 910 . 8) THOMAS F. CASTLE, ESQ. RECEIVED GABRIELA A. ALVAREZ, ESQ. ROCKWELL, CASTLE & CASON e,¢r'1-. (�I�?-Qy&'• yZ 2930 Camino Diablo, Suite 300 AUG 14 1990 Walnut Creek, CA 94596-3936 Telephone: (415) 932-7785 CLERK BOARD OF SUPERVISO Attorneys for defendants CONTRA COSTA CO. GLEN WOODALL and JACKIE WOODALL CLAIM AGAINST THE COUNTY OF CONTRA COSTA CLAIMANTS' NAMES: Glenn and Jackie Woodall AMOUNT OF CLAIM: Unknown CLAIMANTS' ADDRESS: 1533 Woodland Drive, Pittsburg, CA 94565 ADDRESS TO WHICH NOTICES ARE TO BE SENT: Thomas F. Castle, Esq. Gabriela A. Alvarez, Esq. Rockwell, Castle & Cason 2930 Camino Diablo, Suite 300 .Walnut Creek, CA 94596-3936 DATE OF- SERVICE: :June .26, 1990 LOCATION OF. INCIDENT: 1541 Woodland Drive, Pittsburg, CA 94565 HOW INCIDENT OCCURRED:. On June 26, 1990, claimants were served with a summons and complaint for negligence, negligent supervision, intentional and negligent infliction of emotional injury, filed in the Superior Court of the State of California, County of Contra Costa, by Lynn Coburn, Jeffrey T. Coburn, and Brian J. Coburn. . A copy of said complaint is attached hereto as Exhibit "A" and is incorporated herein by this reference. In said complaint, plaintiffs allege that they sustained injuries as a result of the actions of a foster child placed in claimants' home by the County of Contra. Costa. Claimants seek total or partial equitable indemnity from the county. DESCRIBE INJURY OR DAMAGE: Claimants are being requested to compensate plaintiffs Coburn for damage to personal property and emotional distress. Claimants contend that the County of Contra Costa is partly or wholly responsible for any damages plaintiffs may 'have sustained due to its negligence and carelessness in placing foster child Janet Danner in their home without properly }investigating. or informing them of the child's background and special needs. The precise amount of damages sustained by plaintiffs is unknown- at present. NAME OF PUBLIC EMPLOYEE OR EMPLOYEES CAUSING INJURY, IF KNOWN: Not known at present„ ITEMIZATION OF CLAIM: The amount. and nature of damages sustained by plaintiffs Coburn is presently unknown. Dated and executed at Walnut Creek, California, on August /3 , 1990. SIGNED BY OR ON BEHALF OF CLAIMANT: ROCKWELL, CASTLE & CASON By Gabriela A. Alvare 4 Attorneys for clai ant Glenn and Jackie W 11 r t t C Y Y Y „'• Y Y �---�� 'r N% 7 w ,L�br1 ,�. c,n 1t1 r tf1 ^~ OO U }A k N O (13 ' N O � � Tesco �r 0 0 "0 a"r r- r a N 10 c, . NN 0 ` ci O d 6 Q 1Y �6 co U i CC C t 4`' AMENDED CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA . �. a 3 Claim Against the County, or District governed by) BOARD 'ACTION the Board of Supervisors, Routing -Endorsements, ) , NOTICE TO CLAIMANT. SEPTEMBER and Board Action. All Section references are'to ) '.,,The copy of this documentmailed 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: Unknown Section 913 and 915.4. Please note all "Warnings CLAIMANT: WOODALL, .Glenn, and' Jackie• ATTORNEY: Thomas F. Castle; ..Esq. Gabriela•a. Alvarez, 'Esq. Date received ADDRESS: Rockwell, Castle & Cason BY DELIVERY TO CLERK•ON August 24, 1990 2930 Camino Diablo., Suite 300 Cert., P177 998 343 Walnut Creek, CA 94596-3936 BY MAIL POSTMARKED: August 22, 1990 1. FROM: . Clerk of the Board of Supervisors TO: County Counsel' Attached is a copy of the above-noted claim, ppHHIL ATCHELOR, Clerk DATED: August 27, 1990 BY: �eputy I1. FROM: County Counsel TO: Clerk of the Board of Su visors �(v ) This claim complies substantially'with Sections 910 and '910..2. ( ) This claim FAILS to comply substantially with Sections 91O and 910.2, and welare so notifying claimant. The Board cannot act for 15 days (Section 910.8) ( ) Claim isnot 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: j� c Dated: BY:I )_ 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 1 R 1990 PHIL BATCHELOR, Clerk, B , .Deputy 'Clerk WARNING (Gov. code sec on 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, U. AFFIDAVIT OF MAILING . 1.declare under penalty,of perjury that I am now, and,at all. times-herein mentioned, have been a citizen of.the United' States, over age 19; 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 abbo�Ave. Dated: SEP 18 1990 BY; PHIL .BATCHELOR by Deputy Clerk CC: County Counsel County Administrator. . THOMAS F. CASTLE, ESQ. RECEIVED GABRIELA A. ALVAREZ, ESQ. � P1,71-9 RS' 30 ROCKWELL, CASTLE & CASON AUG 2 4 1990 2930 Camino Diablo, Suite 300 Walnut Creek, CA 94596-3936 Telephone: (415) 932-7785 CLERK BOARDOFSUPERVIS CONTRA'COSTA C . Attorneys for defendants GLENN WOODALL and JACKIE WOODALI, AMENDED CLAIM AGAINST THE COUNTY OF CONTRA COSTA CLAIMANTS' NAMES: Glenn and Jackie Woodall AMOUNT OF CLAIM: Unknown CLAIMANTS' ADDRESS: 1533 Woodland Drive, Pittsburg, CA 94565 ADDRESS TO WHICH NOTICES ARE TO BE SENT: Thomas F. Castle, Esq. Gabriela A. Alvarez, Esq. Rockwell, Castle & Cason 2930 Camino Diablo, Suite 300 Walnut Creek, CA 94596-3936 DATE OF SERVICE: June 26, 1990 LOCATION OF INCIDENT: 1541 Woodland Drive Pittsburg, CA 94565 HOW INCIDENT OCCURRED: On June 26, 1990, claimants were served with a summons and complaint for negligence, negligent supervision, intentional and negligent infliction of emotional injury, filed in the Superior Court of the State of California, County of Contra Costa, by Lynn Coburn, Jeffrey T. Coburn, and Brian J.Coburn. A copy of said complaint is attached hereto as Exhibit "A" and is incorporated herein by this reference. In said complaint, plaintiffs allege that they sustained injuries as a result of the actions of a foster child placed in claimants' home by the County of Contra Costa. Claimants seek total or partial equitable indemnity from the county. DESCRIBE INJURY OR DAMAGE: Claimants are being requested to compensate plaintiffs Coburn for damage to personal property and emotional distress. . Claimants contend that the County of Contra Costa is partly or wholly responsible for any damages plaintiffs may have sustained due to its negligence and carelessness in placing foster child Janet Danner in their home without properly investigating or informing them of the child's background and special needs. The precise amount of damages sustained by plaintiffs is unknown at present:. NAME OF PUBLIC EMPLOYEE OR EMPLOYEES CAUSING INJURY, IFKNOWN: Not known at present. ITEMIZATION OF CLAIM: The precise amount .of damages sustained by plaintiffs Coburn is presently unknown. However, plaintiffs have filed a complaint in Superior Court seeking damages in excess of $25, 000 (see Exhibit "A") ; the Superior Court therefore has proper jurisdiction over this matter. Claimants contend that the County of Contra Costa is wholly or partially liable for any damages plaintiffs may have sustained. Dated and executed at Walnut Creek, California, on August 9.3 , 1990. SIGNED BY OR ON BEHALF OF CLAIMANTS: ROCKWELL, CASTLE & CASON By: ' "- / A�2� Gabriela A. Alvarez Attorneys for claimants Glenn and Jackie Wooal 2 1 WILLIAM S. MILLER Attorney at Law i 2 500 Ygnacio Valley Road, Suite 250 Walnut Creek, California 94596 3 Telephone: (415) 947-1119 4 Attorney for Plaintiffs JuN' 21990 1 5 S.L WEIR ' Cour:y Clerk CONTRA COSTA COUNTYBy j 6 RK WAD ll,Deputy I 7 8 SUPERIOR COURT FOR THE COUNTY OF CONTRA COSTA I 9 STATE OF CALIFORNIA i to 0__�k90F02509 11 LYNN COBURN, JEFFREY T. Coburn, ) CASE NO. a minor, by his guardian ad ) 12 litem, LYNN COBURN, and BRIAN J. ) '1 COBURN, a minor, by his guardian) 13 ad litem, LYNN. COBURN ) COMPLAINT FOR DAMAGES FOR NEGLIGENCE, NEGLIGENT 14 Plaintiffs ) SUPERVISION, INTENTIONAL AND NEGLIGENT INFLICTION 15 vs. ) EMOTIONAL INJURY / 16 GLENN WOODALL and JACKIE ) WOODALL and DOES 1-10, ) 17 inclusive.. ) N105,L. (LOOt,L RULES) j� ) �u C r(1Sr.tS ASSIGNEDTO DEPT. C' ✓ 18 Defendants'. ) R-R� AhoC01�1ESUNuEtiGi1VE�,"'IZ .TCODE68600 ( 19 GENERAL ALLEGATIONS 20 1. Plaintiffs and each of them have resided continuously in ��— 21 the County of Contra Costa, State of California at all times 22 material herein. 23 2. Plaintiff LYNN COBURN is the mother of plaintiffs BRIAN J. 24 COBURN and JEFFREY T. COBURN who are each minors under the age of 25 fourteen years, and heretofore and by order of the above-entitled 26 court duly given and made is the duly appointed guardian ad litem 27 for said minors for the purpose of bring the within action, and she 28 EXHIBIT ] 1 ever since has been, and still is the duly appointed, qualified and 2 acting guardian ad litem for said minor plaintiffs. 3 3 .- On or about June 20 , 1989 the plaintiffs, and each of 4 them, resided in a dwelling located at 1541 Woodland Drive, 5 Pittsburgh, California, within the County of Contra Costa, and at 6 the time of the incident alleged herein were occupying said 7 dwelling. 8 4. Defendants GLENN WOODALL and JACKIE WOODALL are husband 9 and wife. whose principal residence at the time of the incident 10 alleged herein =was 1533 Woodland Drive, Pittsburgh, California. 11 Said residence is located within the County of `Contra Costa and is 12 adjacent to the dwelling in which plaintiffs resided on or about 13 June 20 , 1989. Plaintiffs are informed and believe and thereupon 14 allege that defendants WOODALL are engaged in the business or 15 activity of providing foster care for minor children for profit and 16 that said business or activity is conducted at 1533 Woodland Drive 17 and is under . contract with . .or under_ the , supervision of the 18 Department of Social Services of the. County of Contra Costa and/ or 19 the State of California or some agency thereof: 20 5. Defendant DOE 1 is a minor child that was residing with 21 defendants GLENN and JACKIE WOODALL. at all times material herein 22 and was under their direct custody, supervision and control . 23 6,. Plaintiffs are informed and believe ,'that Defendant DOE 24 1 was the foster child of GLENN and JACKIE WOODALL at all times 25 material and was placed in their care and custody by one or more 26 the county or state agencies identified in paragraph 4 of this 27 Complaint. 28 1 7 . On or about June 20 , 1989 a fire was started on the property 2 of defendant GLENN and JACKIE WOODALL. Plaintiff's are informed 3 and believe and thereupon allege that the fire was started by 4 defendant DOE 1. The fire was not contained and spread to the 5 dwelling occupied by .plaintiffs. 6 8. The true names of the Defendants sued herein as Does 1 7 through 10, inclusive, are unknown to Plaintiff. Plaintiff will 8 amend this complaint to allege the true names of said Doe 9 defendants when the names of said defendants are discovered. 10 9. Plaintiff is informed and believes that each of the 11 defendants acted as the principal, agent, employer, employee, 12 partner, co-conspirator, joint venturer or associate of each of the 13 other defendants and is in some manner or fashion liable to 14 plaintiff herein. 15 FIRST CAUSE OF ACTION (Intentional Destruction of Personal Property) 16 10. Plaintiffs reallege each and every allegation contained 17 in paragraphs 1 through 9, inclu,sve' ''`oi the General Allegations, 18 and restates each and every matter as if set forth fully herein. 19 11. Defendant DOE 1 started the fire with the intent that it 20 burn out of control and cause damage to the property of the 21 plaintiffs. 22 12. The fire started by Defendant DOE 1 caused damage to 23 personal property of the plaintiffs in an amount to be proven at 24 trial and in excess of $25,000, and said fire was the proximate 25 cause of the damage to said property. 26 � WHEREFORE, plaintiffs pray for judgment as hereinafter set 27 forth. 28 1 SECOND CAUSE OF ACTION (Intentional Infliction of Emotional Distress) 2 13. Plaintiffs reallege each and every allegation contained 3 in paragraphs 1 through 9 , inclusive, of the General Allegations 4 and restate each and every matter as if set forth fully herein. 5 14 . Defendant DOE 1 started the fire with the intent that is 6 spread to the dwelling in which the plaintiffs resided and cause 7 them injury. 8 15. Plaintiffs were able to escape the fire without suffer-ing 9 burns or cuts, but each of them has experienced anxiety, fear, loss 10 of sleep and emotional distress since the fire. 11 16. The fire started by Defendant DOE 1 was the direct and 12 proximate cause of the anxiety, fear, loss of sleep and emotional 13 distress suffered by the plaintiffs, and each of them,. since the 14 fire, and plaintiffs and each of them, has suffered general and 15 special damages in an amount to be proven at trial and in excess 16 of of $25,000.00. 17 WHEREFOkk, plalniciri's"=-N `a.r for judgment as hereinafter set 18 forth. 19 THIRD CAUSE OF ACTION 20 (Negligence) 21 17. Plaintiffs reallege each and every allegation contained 22 in paragraphs 1 through 9 , inclusive, of the General Allegations 23 and restate each and every matter as if set forth fully herein. 24 18. Defendant DOE 1 failed to exercise reasonable care and 25 diligence in igniting and/or guarding the fire that she 26 started. 27 19. As a direct and proximate result of the failure of 28 1 Defendant DOE 1 to exercise reasonable care in igniting and/or 2 guarding the fire, it spread to the dwelling occupied by the 3 plaintiffs damaging their personal property and causing them to 4 suffer fear, loss of sleep, emotional distress and anxiety. 5 20. As a direct and proximate cause of the negligence of 6 Defendant DOE 1 as heretofore alleged, plaintiffs, and each of them 7 have suffered damages an loss of their personal property and have $ suffered personal injury, including general and special damages in 9 an amount to be proven at trial and in excess of $25,000. 10 WHEREFORE, plaintiffs pray for judgment as hereinafter set 11 forth. 12 FOURTH. CAUSE OF ACTION (Negligent Supervision) 13 21. Plaintiffs reallege each and every allegation contained 14 in paragraphs l through 9, inclusive, of the General Allegations, 15 paragraphs. 11 and 12 of the First Cause of Action, paragraphs 14 16 and 15 of the Second Cause of Action and paragraphs 18 and 19 of 17 the- h iu wase .A, ion and restate each and every matter as if 18 set forth fully herein. 19 22. Defendants GLENN and JACKIE WOODALL, in their capacity as 20 foster parents of Defendant DOE l; had the duty and responsibility 21 to supervise her activities while said Defendant was in their 22 coustody and control. 23 23. Defendants GLENN and JACKIE WOODALL failed to excerice 24 reasonable supervision and control over Defendant DOE 1 in that 25 they intentionally or negligently enabled her to ignite a fire in 26 their yard without providing adequate safeguards or supervision to 27 prevent the uncontrolled spread of the fire. 28 1 24 . As a direct and proximate result of Defendant GLENN and 2 JACKIE WOODALL'S failure to supervise defendant DOE 1, the fire 3 spread out of control .and to the dwelling of plaintiffs. 4 25. As a further direct and proximate result of the negligent 5 supervision of defendant DOE 1 by defendants GLENN and JACKIE 6 WOODALL, plaintiffs and each of , them, have sufferred .damage to 7 their peroperty and person, both general and special , in an amount 8 to be proven at trial and in excess of $25,000. 9 WHEREFORE, plaintiffs pray for judgment as follows: 10 1. For general damages according to proof. 11 2. For special damages according to proof. 12 3. For such other and further relief as is just and 13 equitable. 14 Dated: June 1/ , 1990 15 William S. Miller, Esq. 16 Attorney for Plaintiffs 17 18 19 20 21 22 23 24 25 26 27 28 IE:11D C=) HW Thank you for using C) Return Receipt Service. �7- Ci -at CA aJ m mm Er Er 45 ZepIs esierm et44 uo pe4eldwoo SS3HCl(]V Ngn-.L3u jn6A si C) C-1 CY) 0 U)M 0 Co 06LO 100) LZ 3 CO 3: Cd 0 CY) C's CC CNI