Loading...
HomeMy WebLinkAboutMINUTES - 08111992 - 1.39 CLAIM _ JUL I ; 1992 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA COUNTY Cod MARTINE?, t1LIF. Claim Against the County, or District .governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 11, 1:92 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: $2,500 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: ALVAREZ, Pookey 206 Astrid Drive ATTORNEY: Pleasant Hill , CA' 94523 Date received ADDRESS: BY DELIVERY TO CLERK ON July 9, 1992 (hand delivered). BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. July 14, 1992 pp�HIL BATCHELOR, Clerk DATED: BY: Deputy I1. FROM: County Counsel TO: Clerk of the Board of kperpiors '--,(j ) 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: K /97- BY: �J �.• l.� r l Deputy County Counsel ' J 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD OR 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: A U G 1 1 1992 PHIL BATCHELOR, Clerk. By . Deputy Clerk YARNING (Gov. code sects ) Subject to certain exceptions. you have only six (6) months from the date this notice was personally served or deposited in the nail 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. FOR AMM ONAL WARNING SEE REVERSE SIDE OF THIS NOTICE. 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. AUG 14 1992 Dated: BY: PHIL BATCHELOR by Deputy Clerk County Counsel County Administrator Claim to: BOARD. OF SOPERPISORS OF CONTRA COSTA COUNTY INSTR moNS TO a AD4M r • 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, 19879 must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or 'to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code 5911.2.) B. Claims must be filed with the Clerk. of the Board of Supervisors at its office in Room 1069 County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If claim is against a .district governed by the Board of Supervisors, rather than the County, the name of the District should be 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 es • e � � � e � * rye * efeffes • ef * s • ee * see • ee * ee * aye RE: Claim By ) Reserved for Clerk's filing stamp "RECEIVED Against the County of. Contra Costa ) or JUL 91992 ) District) CLERK BOARD OF SUPERVISC (Fill in name ) CONTR;�COSTA c The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District 'in the sum of-$ lSt-)C) and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) vY�► �� g� l��p� 0 o 2. Where did the damage or injury occur? (Include city and county) P 3. How did the damage or injury occur? (Give full details; use extra paper if required)' �,,2.�� ams ��c ft 1, c` pQe;51. , hL '�oL�c,� '6hxO`o AhZ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury .or damage? (over) 5. What are the names of county or district officers, servants employees ca-aS � the damage or injury? cl�) 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damageiclaimed. Attach two estimates for auto damage. � a �C ,eoorr� 5� 7. How was the amount claimed above computed? (Include the estimated amount$gf any prospective inAury or damage.) `Z) �p -� o p a-A 8. Names and addresses of witnesses, doctors and hospitals. Qb DD 9. List the expenditures you made on account of this accident or injuL-y: DATE ITEM ',���a�� AMOUNT. .i Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney �4�Cl�ais Address �► ��� y\m Telephone No. Telephone No. G NOTICE Section 72 of the Penal Code provides: I� "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 stat.: prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such Imprisoricat and fine. CLAIM BOARD:OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 11, 1992 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: $39.67 Section 913 and 915.4. Please note all •Warnings". CLAIMANT: CARGILL, Ted 11. 4479 Fairway Drive . ATTORNEY: Rohnert Park, CA 94928 Date received ADDRESS: BY DELIVERY TO CLERK ON July 9, 1992 BY MAIL POSTMARKED: July 8, 1992 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. �IL BATCHELOR, Clerk DATED: July L4. 1992 : Deputy JJ. FROM: County Counsel TO: Clerk of the Board of 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: IC 912 BY: Deputy County Counsel 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 ( ) 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: AUG 11 1992 PHIL BATCHELOR, Clerk, B �&_ Deputy Clerk WARNING (Gov. code sec 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. FnR ATMITIONAT WARNING SEE REVERSE SIDE OF THIS NOTICE 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: AUG 14 1992 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSf crioNS To 6 AIMANT 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 an 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 orm. ee • c► a * a • eeaeeaaaef • fe * • aesaeaesae • • aaeea � ea RE: Claim By ) Reserved for Clerk's filing stamp ) RECEIVED Against the County of Contra Costa ) JUL 9 1992 or ) -Ic tz(L District) CLERK BOARD OF SUPERVISORS 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-$ 3 01. 6 -7 and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) oAj re-r\ L)klL A140 2. Where did the damage or injury occur? (Include city and county) �- — IZ. e�� ,. Com i n CoS i n F o 'V 1 4 3. How did the damage or injury occur? (Give full details; use extra paper if required) to A� e�� es. c, ccs (� (Z� S���O �.J � f / t A Deni Q 2 /li/l.rr S) 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? ()sIAi1 G74, r�`r'" ZAti S v 0 C D IF-/Z-2 F(1 . c r,-'L W 1 l e-JA2_U C,tv�C_ JAr L Vf_,"9- (over) 5. What are the names of county or district officers, servants or employees causing' - the damage or injury? o 7 ,<<z __----------- 6. What damage or injuries do--you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. WA 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors and hospitals. 874 %6Lo4i�3Q�oG� J% oAj o, J tk V ekA PAfrr)^ lG,z2 -iA _ 4y-9 Fq 240 A` tOGZ 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT cr-zS-g i LAQo2 a X19-_ - �- Zai C! Z V12 fr CM,2/10 e7 Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant. SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney la is Signature Address �N,y�L2� �q 2h, Cq• �y SL.Y Telephone No. Telephone No. ?D Z _aT a T"T-iF 4 • �t r it �t f � T�T� • NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by.imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. k I j ofe'cht a glfam gut. 8079 La Plaza COTATI, CA 94931 795-6976 795-7731 .. .'CUST.QMER;&ORpER NO. 1 PHONE, DATE. ..: NAME JZ ADDRESS:.. )1I SOLD BY CASH,,.,. C.O.D.; CHARGE' ON ACCT. MDSE.RETD. PAID OUT rM TY ^J PT TION` r �PRICE�� AMOUNT . �a ,1 u. F/ 1 - _ _ -- - - _ — — --------- I -- s TAX ' RECEIVED BY TOTAL 33217 All claims and returned goods < -' •; ;,1.it. MUST be accompanied by this bill. �CiJ _ Q1. 1 l.• PRODUCT 610-3.4 .Inc..Groton,Mass.01471. t 'tib.•.. -. cl z o m Z • Z m St ^ `� o . A SAI + N �. `fit�� • � 9 "� co th LO o :fit ..iVV� a• a�0o $aa8�� Z �,..t%', . •. � ,� •0 334 9 �N p � � h •�S .24 IA-%I . :y!1. �' �' A•,'.. �����R R �p$-p Q.n N� C1 fi C)� � - rJ< DD p D 19. oirN r ti \NCO\C�COPY ,R 1 iu ' 1 C.Y � f '7 �L J, 117" r Ln J �a9 CL- co Q til�ec`• N Z a. i ResAIM CLAIM JUL 3 i 1992 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA COUNSEL COUNTY couNs I� Claim Against the County, or District governed by) BOARD ACT IONNg° A' the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 11, 1992 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: Undetermined Section 913 and 915.4. Please note all "Warnings". CLAIMANT: CICERO, Casey Joe ATTORNEY: Law Offices of Richard J. Staskus Date received ADDRESS: One Almaden Blvd. Suite 600 BY DELIVERY TO CLERK ON July 22, 1992 (hand delivered) San Jose, CA 95113 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. July 30, 1992 gg�1L BATCHELOR, Cler DATED: BY: Deputy 2L�22a�� I1. FROM: County Counsel TO: Clerk of the Board of rvisors 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: 3 � cZ BY: ��� ! J J Deputy County Counsel U III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD OR ER: By unanimous vote of the Supervisors present ( ) This Claim is rejected in full.- ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated:A U G 11 1992 PHIL BATCHELOR, Clerk, By , Deputy Clerk WARNING (Gov. code se 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. FOR ADDTTTONAL WARNING SEE REVERSE SIDE OF THIS NOTICE. 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 16; and that today 1 deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: AUG 14 1992 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator t 1 2 3 RECEIVE® RICHARD J. STASKUS 4 STATE BAR NO. 72794 5 LAW OFFICES OF RICHARD J. STASKUS JUL 2 2 1992 Professional Co.eporation One Almaden Bod.'levard, Suite 600 0 OF SUPERVISORS 6 San Jose, Califorriia 95113 �pNTRACOSTACO. 7 Telephone: (408),; 995-0800 8 Attorneys for Claimant 9 10 11 CLAIM AGAINST PUBLIC ENTITY 12 This claim is made on behalf of CASEY JOE CICERO against the Contra Costa County 13 Adoption Services. 14 TO: Board of Supervisors 15 Contra Costa County 651 Pine Street 16 I° 17 Room 106' Martinez, CA 94553 18 TO; CITY OF SACRAMENTO . 19 City Clerk's Office 915 1 Stree t 20 Room 3041 Sacramento, CA 95814 21 22 TO: Sunrise Childrens Center 8344 Madison 23 Fairoaks, Ca. 24 25 The following claim for damages is made hereby by CASEY JOE CICERO, and the 26 particulars of the claim are as follows: 27 1. Name of Claimant: Casey Joe Cicero, a minor. 28 1 Permanent and Current Address: 6142 Via Casitas, Carmichael, California 95608 2 2. Address for Notices: 3 Casey Joe Cicero 4 c/o Law Offices of Richard J. Staskus One Almaden Boulevard, Suite 600 5 San Jose, California 95113 6 3. Amount of Claim: This claim is within the jurisdictional limits of the Superior Court. 7 4. Jurisdiction/Venue: Jurisdiction over this claim will rest in the Superior Court of 8 alifornia, County; of Sacramento. 9 5. Date and Place of Occurrence: On January 22, 1992 was assulted at a location 10 t or near WILL RDGERS SCHOOL on Papara Drive, in the City of Sacramento, County of 11 Sacramento, State of California. 12 13 6. Circumstances: On or about January 22, 1992,Claimant was assaulted with intent 14 o commit great bodily harm by Christopher Allen, a minor. 15 The basis for this claim is that the Adoption Services of Contra Costa County breached 16 its ministerial duties, including failure to properly investigate the assailant's background, to 17 1! 18 supervise, and failure to warn of the known dangerous propensities towards violence by 19 Christopher Allen; a prospective adoptee. Further, said agency failed to warn of known 20 dangerous psychological conditions experienced by Christopher Allen. Further, said agency 21 failed to provide adequate information to Christopher Allen's prospective adoptive parents 22 regarding his physical, mental, and emotional condition. Breach of said ministerial duties as 23 a result of the special relationship created by the agency created, contributed, changed, and 24 increased the conditions affecting the risk of.physical harm to persons by Christopher Allen, 25 thereby proximate;causing the mental, physical, and emotional injuries sustained by Claimant .I 26 Casey Joe Cicero'as a result of said assault and battery. 27 2 28 1 7. Itemization of Injuries, Extent of Damage, Basis of Computation: As a direct and 2 roximate result of the aforementioned acts, conduct, and omissions of the entity against j 3 Nhorn this claim is presented, claimant has suffered and sustained injury. Claimant claims all 4 eneral and special damages arising out of the aforementioned occurrence. 5 Claimant's injuries include, but are not limited to, open reduction internal fixation 6 andibular symphyseal fracture,arch bar replacement,intermaxillary fixation,closed reduction f bilateral subcondylar fracture, lacerations, contusions, pain and suffering, loss of earnings, 8 uture loss of earnings. 9 8. Employees Causing Injury and Damages: Other employees and agents of the entity 10 against whom this claim is presented who are responsible for the occurrences identified herein 11 re presently unknown to claimant. 12 13 14 Dated: July 20, 1992 15 16 LAW OFFICES OF RICHARD J. STASKUS 17 18 By: --' Richard Jf. 2r!as'kus 19 Attorneys for Claimant 20 21 he 22 23 24 25 26 27 3 28 1�• RECEIVED /, 3`! JUL 3 11992 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA COUNTY COUNSEL MARTINEZ rAUF. Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 11, 1992 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: Unspecified Section 913 and 915.4. Please note all "Warnings". CLAIMANT: DOE, Jane ATTORNEY: Date received July 20, 1992 (hand delivered) ADDRESS: 750 Willow Creek Terrace BY DELIVERY TO CLERK ON Brentwood, CA 94513 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: July 30, 1992 Deputy OR, Clerk 100, II. FROM: County Counsel TO: Clerk of the Board of SuWr4rfsors ( ) 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: 7nn !' Dated: + 31 112- BY: I -�nnX..Q,� Deputy County Counsel U 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). 1V. BOARD ORDER: By unanimous vote of the Supervisors present ( ) This Claim is rejected in full. ( ) Other: 1 certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: AUG 11 1992 PHIL BATCHELOR, Clerk, By . Deputy Clerk WARNING (Gov. code sec ion 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. FOR AIlDITTONAL WARNING SEE REVERSE SIDE OF THIS NOTICE 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: AUG 14 1992 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM T0: Mary Manko 750 Willow Creek Terrace Brentwood, CA 94513 Re: Claim of Jane Doe 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. XX 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. W_ESTMAN, C ty Counsel 1J : B `ti \r Y Deputy Cou y Counsel ..� CERTIFICATE OF SERVICE BY MAIL G.C.P. 55 1012, 1013a, 2015.5; Evid. C. 95 641, 6641 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 envelope(s) 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: July 31 , 1992 at Martinez, California cc: Clerk of the Board cf Supervisors (o 'ginal ) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.SS 910, 910.2, 920. 41 910. 8) Clair. to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIM{,NT 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. * * * * * * * * * * * * * * * * * * * * * * A * * * * * * * * * * * * * * * * * * * RE: Claim By ***JANE DoE ) Reserved for Clerk's filing stamp AKA: Mary Manko ) 750 Willow Creek Terrace, Brentwood, )Ca. 94513 Q: RECEIVED ) -. Against the County of Contra Costa or ) 'JUL:''2 0 199?_. SAME AS ABOVE g ���O'�-5 e_.rte• District) ERK CLBOARD OF SUPERVISORS 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 $ UNSPEC IFIED and in support of this claim represents as follows: —w------wwe-- --------M—wMw-----------w----w-------w— ----OO—w---- 1. When did the damage or injur�y Qce `?y� (Give exact date and hour) DISCOVERY r19G �-� ON OR ABOUT DECEKBER 20,_a_90;!�t z ,plan to pursue this case under DELAYEDPISTATURE __---- � ,����� i�. CALIFORNIA CIVIL CODE 340.1 --------------- Z------_ -------------------.-----------Me---------- 2. Where did the damage or injury occur? (Include city and county) AIERRITHEW REMORIAL-HOSPITAL, b•IARTINEZ, CALIFORNIA pr------------------------------ — 3. How did the damage or injury occur? (Give full details; use extra paper if required) I was sexually assaulted by a LIM TECHNICIAN, see attached for specifics. . 4. What particular act or omission on the part of county or district officers, servants or .employees caused the injury or damage? The Lab Technician, a COUNTY EMPLOYEE sexually molested/assaulted me while I was a patient at the hospital DUE TO SENSITIVE NATURE PLEASE FILE UNDER JANE DOE (over) 7. what are the names of county or district officers, servants or employees, causing the damage or injury? I AM ABLE TO IDENTIFY MY ASSAILANT and am investigating means of NAMING HIM ie. other hospital staff that has worked ht the hospital since 1967 and at that time ------------------------------------------------------------------------------------ 6. What damage or injuries do you claim resulted? (Give full extent •of injuries or damages claimed. Attach two estirdates for auto damage. Mental. trauma, depression, 'continued pro.blems •with life and trust issues -- stemming from Othis attacl}: ' 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury .or damage.) no amount computed. to date --------------------------------- ------ ------------------------------- $. Names and addresses of witnesses, doctors and hospitals. A housekeeper (male) observed the attack, I can also identify him., and am trying to find means of NAMING HIM also, staff that has worked at the hospital can assist -------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT _ UNSPECIFIED AT THIS TIME Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some oerson.on his. behalf." Name and Address of Attorney IN PRO PER MARY MANKO Claimant's Signature 750 Willow' Creek Terrace 759 WILLO14 CREEK TERRACE Brentwood, Ca. 94513 Address BRENTWOOD, CA. 94513 Telephone No. (5 10) 634-2493 Telephone No. (510)x2ifixx 634-2493 # # # # # # # V V V V 9 V V V V V # # # # # # # V V V V V 9 V V # # # NOTICE' Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for' payment to any state board or officer, or to any county;'city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. ATTACHMENT: JANE DOE VS. CONUTY OF CONTRA COSTA On or about December 20, 475�while I was a patient at PLrRRITHrw MEMORIAL HOSPITAL a Lab Technician Sexually Molested /:Assaulted, This memorial day I was home and remembered this, it had been supressed. I immediately revealed all details while in Therapy to FRAN MONTGOMERY, MFCC. This is what I KNOW TO BE TRUE: The Lab Tech. a white male in his 30s came to draw blood, with him was a HOUSEKEEPER in his 50s a white :Hale, IE CAN REMEMBER AND IDENTIFY BOTH. . . .while the lab tech drew bloodxR and/or pretended to he fondled my breast nipples and manipulated my vagina with his hand/fingers. The housekeeper watched he said: "I did not know you were STILL doing this, aren't you afaaid to get caught". . . .the lab tech. replied. . . . "WHO WILL BELIEVE THEM?" I SAID 1.70 AND I SCREAMED 'AND HE CONTINUED AND NO 0I4E CANIS TO MY RESCUE. Mary Manko aka JANE DOE 750 :•7illow Creek Terrace Brentwood, Ca. 94513 j RKEIVED CLAIM JUL 3 11992 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA COUNTY COUNSEL MARTINEZ, Fi4U& Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT August 11, 1992 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: $462.77 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: GERINGER, DeLores 1449 Arlington Drive' ATTORNEY: Lodi , CA 95242 Date received ADDRESS: BY DELIVERY TO CLERK ON July 17, 1992 BY MAIL POSTMARKED: July 16, 1992 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. IL gATCHELOR, Clerk DATED: July 30, 1992 : Deputy Il. FROM: County Counsel TO: Clerk of the Board of Su r ors ) 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: _ i Dated: it CIL BY: I 12,16 � /\ X � Deputy County Counsel TY 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) { ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( 14 This Claim is rejected in full. ( ) Other: I certify that this is a; true and correct copy of the Board's Order enured in its minutes for this date. Dated: PHIL 1 1992 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sect 13) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the nail 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. FOR ADDTTTONAL WARNING SEE REVERSE SIDE OF THIS NOTICE. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today 1 deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. AUG 14 1992 Dated: BY: PHIL BATCHELOR b Deputy Clerk CC: County Counsel County Administrator RECEIVED JUL 1 7 1992 " �- CLERK BOARUOF-SUPERVISORS- i CONTRA COSTA CO. �^ -- - -r L7-e,I- -� cc --- - A — - -e_ -4e-d-�- L� =-- -- - - I . -�"=- - - - -- .. ---- - - - ---- - - -- -__,a_�a_ __ _ -..� - - __ _ .__. - -- — _.._ ____.�P_ - _1��� -_- _--.-______ U'-C7 J�J�7 Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY ' INSTR MONS TO CLAWNT 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, 19879 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 6911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 1069 County Administration Building, 651 fine 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. s•.,.. .<n....,.AU*1 Zr� ::13;a.S Dn.,a1 Ode. Cel 77 at the. end nf. t.1�i g 1S e t T d4N• d'rG lIC:l aCli V� 1 Va . G��.a.aiGaV = , e rel o r. form. 6: 0 0 RE: Claim By ) Reserved for Clerk's filing stamp ) RECEIVED Against the County of Contra Costa ) or ) JUL 1 7 1992 District) CLERK BOARD OF SUPERVISORS 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-$ 17 and in support of this claim represents as 'follows: 1. When did the damage or injury occur? (Give exact date and hour) 2. Were did the damage .or injury occur? (Include city and county) 3. How did the damage or injury occur? (Give full details; use extra paper if required) 4. What particularact or emission on the part of county or district officers, servants or employees oaused the injuy .or damage? (over) 5. What are the names of county or district officers, servants or employees causing. the damage or may? 6. What damage or injuries do.-you cla salted ive full extent of injuries or damages claimed. Attach two estimates for auto damage. 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney Claimant's Signat /yy 9 Address ,1 e "¢- 2s- 4Z Telephone No. Telephone ::o. -_204. NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by.imprisonment in the county jail for a period of not more than one year, by a fine'of not exceeding one thousand ($1,000),. or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. ATTORNEY OR PARYY WITHOUT ATTORNEY/Name and Address]: TELEPHONE NO.: FOR RECORDER'S USE ONLY QRecording requested by,end return to: DELORES GERINGPER (209).. 368=2382 1449 Arlington Dr: Lodi, CA 95242 Q ATTORNEY FOR -+JUDGMENT CREDITOR„Q ASSIGNEE OF RECORD NAME OF COURT MUt�a AL COURT. STREET ADDRESS: 315 West Elm, Street :1 f MAILING ADDRESS: P.O. BOX .1030 1 I CITY AND IIP CODE: Lodi, CA.95241=1030. . ,. ,.....� ;:: •.•, BRANCH NAME: LODI JUDICIAL DISTRICT PLAINTIFF: DeLORES GERINGER .. DEFENDANT: DARREN J. WILSON CASE NUMBER: ® EXECUTION (Money,Judgment) SC-30210 WRIT Q POSSESSION OF Q Personal Property OF Q Real Property FOR COUNT USE ONLY 'I 1. To the Sheriff or any Marshal or Constable of the County of: CONTRA COSTA j You are directed to enforce the judgment described below with daily interest and, your costs as provided by law. 2. To any registered piociss server:,You are authorized to serve this writ only in accord �.... with CCP 699.080 or CCP 715.040. 3. (Name): DeLORES GERiNGER is the QX judgment c►ediltor Q assignee of record whose address is shown on this form above the court's name. 4. Judgment debtor(name and last known addressl: DARREN J. WI I. O N -1 g• Q See reverse for information on real or personal property to be de c/o Jiffy Lube Inc. livered under a writ of possession or sold under a writ of We. 6220 Pacific Ave. 10. Q This writ is issued on a sister-state judgment. Stockton, CA 95207 11. Total judgment . . . . . . . . . . . . $ 399. 07 12. Costs after judgment (per filed ; order or memo CCP 886.090) . s 24 .50 13. Subtotal Ladd 11 and 12) . . . . . $ 423.' 5 7 14. Credits . . . ... . . . . . . . . . . . . . $ _pp_ Q additional judgment debtors on reverse 15. Subtotal (subtract 14 from 13) . $ 4 2 3 .57 5. Judgment entered on (date): 12-23-91 16. Interest after judgment(per filed 6. Q Judgment renewed on (dates/: affidavit CCP 685.050) . . . . . . $ 14 . 70 17. Fee for issuance of writ . . . . . . $ 3. 50 7. Notice of sale under this writ 18. Total (add 15, 16, and 17) . . . . s 441. 77 a. Q has not been requested. 19. Levying officer:Add daily interest b. Q] has been requested (see reverse). from date of writ(at the legal rate 8. Q Joint debtor information on reverse. on 15)of . . . . . . . . . . . . . . . . $ . 10 ISEALI - 20. Q The amounts called for in items 11-19 are different for each debtor. These amounts are stated for each debtor on Attachment 20. Issued on GLENDA D. qpN 71 1. (date): 5-18-92 Clerk, by !it Deputy - NOTICE TO PERSON SERVED: .SEE REVERSE FOR IMPORTANT INFORMATION - (Continued on reverse) Form Approved by the Code of Civil Procedure, 1111 699.520,712.010,715.010 Judicial Council of California WRIT OF EXECUTION EJ-130 IRev.September 30. 1991'1 •C 5-L 'See note on reverse. Richard K. Rainey Sheriff - Coroner Costa 3018 Willow Pass Rd. C o u n t y Concord, Ca.94519 R F C I ;i t.„. ..7, N 'O 161';1? r. . „.„..,,,,,,,... Plaintiff : DEI ORES GERTNGF.R � omfendant: BARREN J . WTI SON -A,....:.._:.. i Court - L..00T MUNTCTPAI.. COURT Casey No_ SC-3021.0 vRd: .$21 .00- nPpol.dk i t on June± 5, �f r�nm: f.)F:I:ORF�. C.;l"RTNGFR . .•-'. ';., ;","''' . A report on this ar..tion will be mailed .to you in a timely manner .. Please: .do not: tal aphons our .tiff i rS. fnr- St..at6-5, =" . Fi1.s Nn.. 92-00306.1-0 06-OA,-92 DFI._ORES GF_.RINGFP 1449 ARl_.TNGTON OP - (510.) P _( 5.10 ) 646-5441 I...ODT , CA 95242 J i J Contra Richard K. Rainey Sheriff - Coroner Costa 3018 Willow Pass Rd. Concord, Ca.94519 County 5. ;, . • ii R L C E I P T N 0 .8226 Plaintiff) dELORES GERINGER Defendant : DARREN J. WILSON Court : MUNICIPAL COURT — Case No. SC-30210 Received: $,21 .00- Deposit. 6p .February 12 1992 . 'r Brom: DELORES GERINGER ,G,�c�.,,..cvan.�•.Y�-��'�L.�-.t��^f—.-=G+...��C..G�E,:AF..-,:=•-: 'J� .-A. report on this action will be mailed. to you In. a timel :manner. Pleaee .do not telephone our office for sy tatus.. File No. 9001879-0 02=13-.92 DELORES GERINGER 2 1449. ARLINGTON DR Telephone (510) 646-5441 LODI ; CA 95242 WRIT "OF ,EXECUTION ,;fib 'Thais -return . to court: represents a report of the levying officer's actions arid ''an accounting, of amounts collected plus costs incurred pursuant requirements of Section 699. 560 CCP or Section 488. 130 CCP. IJ MUNICIPAL COURT Case No. SC-30210 ; . DELORES GERING�R° vs`. 'DARREN WILSON File NO :92-001$79'::0.:.:;'. • Y .t � E ERI'NG ;:,r., ,•,kR.; 4`4:;):-AR L IN GT ON DR' . ,ar a ;. i' X7.14 gm®nt Debtor Levy Date Garnishee Amount' ------- --------- --------- ----- •�; f R. J. WILSON 02-27-.92 BROADBASE, INC.' .00 Dila� D�lt�. • 4 4, WIA, fa{ .:I .t;.:r,.`:.i:�. .:,,! i• ':.i: : � .. '�,. {:i'I :'�I�iu:.. -jJ'Y:' :h'.ii.K�t.: i•/ '�Y• .:f•,. 1.: '.1�:•. •�:..¢¢ ':f.13. ,.. ,. •.. , °.1,..••I:`' CI. .j.r',i' �tt:... ..I:.RLgY'VJi� .:4 �:' .1.. •:7,'. YI:1:7.i. �.: .:i +R®marks: SO . SUCH ADDRESS 3 ::, -------... - ---- •--------•---------------------------------- R :; :C.OL-LECTION OF MONEY: ,,,: ' Judgment Amount Due. . . . . . $402. 57 'i Interest Due on Line 15.of Writ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. 40 Levying Officer Fees and Expenses . • . . . . 21 .00 ki 267..4 .:,..Gout Code t"or',:s Assessment'.Fee.:,Sat'sf_i.® Total .Amount Received From Garnishees. .. . . . . . . . . . . . . . . . . . . . : . : . . . .00' Under Writ of Execution. .00 YPaid ' to the! Creditor. or His Attorney. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00 °;��;-•Judgment' Deficit. . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . $433.97 y �?`I.ri'� :is : ►`'�; :, 1,` Richard K. Rainey, Sheriff Cou ty of Contra Costa ''t;;� S a ® of California ,• By: 1992 HERIFF S AUTHORIZED AGENT ; ; Concord,. California .� z e ;L/J1 J S V 1 a cc o N Z�N y QJ Q� RECENW. 3y JUL 3 01992 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNI )OUN'y� f-ALIF.INFE MI_ Claim Against the County, or District governed by) BOARD ACTI1� the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 11, 1'992 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: Undetermined Section 913 and 915.4. Please note all •Warnings". CLAIMANT: HEEG, Michael ATTORNEY: John W. Larson & Associates 1655 N. Main Street,' Ste. 200 Date received ADDRESS: Walnut Creek, CA 94596 BY DELIVERY TO CLERK ON July 21, 1992 (via Risk Mg t) BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. BATCHELOR.DATED: July 30, 199211ATCHELOR. Clerk : Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors �(v ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: / n(� Deputy Count Dated: ! � � �Z BY: ,)��Cl!`IL1y Counsel f J 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:A U G 11 1992 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code se tion 3) 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. FOR AMTT OVAL WARNING SEE REVERSE SIDE OF THIS NOTICE 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:_ AUG 14 1997 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator LAW OFFICES John W. Larson & Associates '11,fl CFiFEK, A* AfAZA FAX.510 93-:-Oh63 Vi RECEIVED J01INW.LARSON I 2 1 1992 STEVU -N H.LARRA13FE JUL Reply to Walnut Creek CLERK BOARD OF SUPERVISORS CONTRA COSTA CO..-..- July 2 , 1992 Ms . Julie Aumont Claim Representative CONTRA COSTA COUNTY RISK MANAGEMENT 651 Pine Street, 6th Floor Martinez, California 94553 RE: Our Client: Michael Heeg Date/Loss May 15, 1992 Dear Ms . Aumont: This shall serve as a formal notice of claim for personal injury on behalf of Michael G. Heeg ,for injuries sustained- in an automobile accident with a Contra Costa County Sheriff's vehicle, California license number E-275539, car number 2007 . The driver was Officer Nancy I . Griese. Mr. Heeg was backing out of a designated parking stall at the Hungry Hunter Restaurant, located at 3201 Mt. Diablo Boulevard in Lafayette, and was about to move forward when he was suddenly struck from behind by a sheriff's vehicle which was backing out of a parking stall . A report was prepared by California Highway Patrol, local report number 5-166 . The proximate cause of this accident was the negligent operation of the sheriff vehicle by Officer Griese. As a result of the accident, Mr. Heeg sustained a thoracolumbar strain. He has treated with a chiropractor and is presently under the care of James R. Schneider, M.D. , Orthopedic Physician and Surgeon in Walnut Creek. I feel that the value of this case exceeds $10, 000. 00 and that, Ms. Julie Aumont July 2, 1992 Page 2 jurisdiction would rest in the Municipal Court. Please present this claim to the County Board of Supervisors at their next scheduled meeting for the purpose of accepting or rejecting this claim. V tr ' 1 urs teve arra e SHL:slc d:\qn\heeq\c-cccrisk.702 John W. Larson & Associates y . CLAIM R'l.E1VIV BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA J U L 14 1992 Claim Against the County, or District governed by) BOARDr&jakoM.the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGLWWMft 2 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: $300.00 Section 913 and 915.4. Please note all •Warnings". CLAIMANT: HOWARD, Gloria (Bank of America as Trustee) ATTORNEY: 1500 Newell Avenue, Suite 307 Walnut Creek, CA 94596 Date received 1992 ADDRESS: BY DELIVERY TO CLERK ON Duly 13, BY MAIL POSTMARKED: July 10, 1992 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. p�IL BATCHELOR, Clerk DATED: July 14, 1992 BY: Deputy ll. FROM: County Counsel TO: Clerk of the Board of Super isors 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 ' J II1. 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 ( V1 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: A U G 11 1992 PHIL BATCHELOR, Clerk, By ..Deputy Clerk WARNING (Gov. code sec(ion 3) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the nail 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. FOR AT)DTTTONAL WARNING SEE REVERSE SIDE OF THIS NOTICE 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: A U G 1 4 1992 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Clair 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.'l, 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 Bank of America NT & SA, as Trustee ) U/A Gloria Howard ) RECEIVED Against the County of Contra Costa ) JUL 1 31992 or. ) I i CLERK BOARD OF SUPERVIS District) CONTRA COSTA CO. Fill in name - ) The undersigned -claimant hereby makes claimagainst the County of Contra Costa or the above-named District in the sum.of $"300.00 (approx. ) and in support of this claim represents 46 follows: ---------. __________ __ .. - ------------------------------------------- 1. When did the damage, or injury occur? - (Give exact date and hour) damage discovered June 25, 1992 2. Where did-the damage or injury occur? (Include city and county) 1817 Del Rio Drive, Lafayette, CA, Contra. Costa County ---------------------------���--_-_-.._.:_ 3. How did the damage or injury occur? (Give full details; use extra paper if required) Tree dn.-.:county property fell on backyard fence.. -------------------=----------- ----=- � 4. What particular actor omission on the part .of county or district officers, servants or .employees caused the injury or damage? :Fa Aure :to: remove: dead tree before it fell: on: .fence. . (over) �. Wnat are t.ne narnees of county or district officers, servants or employees causing the damage or injury? N/A -------------------- -_-----.M____rt._-:------_»_-_-_----_---_--_ -------------------- 6. --_»-»_----_-»_r _6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. - Remove dead tree and reapir damaged fence, approx. $300.00 --------------_.._ a-- ----------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury'or damage.) Remove dead tree $100.0.0,-repair fence $200.b0 ---------------------------"" ------------- 8. Names and addresses of witnesses, doctors and hospitals. N/A --------------------- --------------------_...M.------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM U N/A Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorne ) or b some person on. his. behalf." Name and Address of Attorney Bank oA mer'ca, as Trustee.U[A Gloria -Howard B Lori Can eyimant' ture 1500 Newel I. Ave. , #307 Address Walnut Creek, CA 94596_ ' Telephone No. Telephone No. (510) 945-7486 NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for- allowance or far 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. ,r,y r� �pui1. .�• o , co o cr. ~' O On -r -� U'' 5- .r r o o cc) r Y ON a� � v y e Ln maet d y„ N J� v l4 `� CP s 5 C o fo 3U A z o CLAIM _ JUL 3 01992 BOARD. OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA OOUNW COUNSEL 4WTINEZ GAUR. Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 11, 1992 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: $24,999.00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: KITCHELL, Diann ATTORNEY: William J. O'Connor,;. Esq. Jacoby & Meyers Law Offices Date received ADDRESS: 100 Bush St. , Ste. 700 BY DELIVE Y TO C ERK ON July 23, 1992 San Francisco, CA 94104 �ert. 887 BY MAIL POSTMARKED: July 22, 1992 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: July 30, 1992 JJIL Bep�tyLOR, Clerk II. FROM: County Counsel TO: Clerk of the Board of Sup rs 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: 11 1Z 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. BOAR7ER: 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. AUG 11 1992 Dated: PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code ecti 913) Subject to certain exceptions, you have only six (6) months from a date this notice was personally served or deposited in the nail 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. FOR ADDTTTONAL WARNING SEE REVERSE SIDE OF THIS NOTICE 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: AUG 14 1992 BY: PHIL BATCHELOR b Deputy Clerk CC: County Counsel County Administrator I William J. O'Connor, Esq. RECEIVE® Bar No. 62296 2 Amanda L. Ebey Bar No. 142370 JUL 2 31992 3 JACOBY & MEYERS LAW OFFICES 100 Bush Street, Suite 700 CLERK BGARDp lSF lSF 1PERV !� 4 San Francisco, CA 94104 CONTRA COSTA C . (415) 399-8951 5 Attorneys for Claimant 6 7 CLAIM AGAINST COUNTY 8 OF CONTRA COSTA 9 10 DIANN KITCHELL ) CLAIM OF NEGLIGENCE AGAINST PUBLIC ENTITY/ 11 Claimant, ) GOVERNMENTAL DEFENDANT 12 V. ) Cal. Gov. Code Sec. 910 et seq 13 COUNTY OF CONTRA ) 14 COSTA ) 15 Respondent. ) . 16 ) 17 TO: COUNTY; OF CONTRA COSTA, ITS AGENTS, AND ATTORNEYS, 18 Claimant DIANN KITCHELL makes claim against COUNTY OF CONTRA 19 COSTA, for injuries. caused by negligent acts or omissions on or about 20 Januar 30 1992 at or near Empire pire Ave. between Hemlock Ave. and 0 21 Truman Lane, in an unincorporated section of Contra Costa County, U 22 N 22 California, at .or about 10: 36 AM, for the sum of $24,999. 00 and makes 23 the following statements in support of her claim: �o d 24 1. Claimant DIANN KITCHELL's date of birth is February 9, 5 cin c; 25 1943 , and her address is 1901 Gateway Drive, Oakley, CA 945661. om 8a.o 26 2 . Notices concerning this claim should be sent to William 27 J. O'Connor, Esq. , JACOBY & MEYERS, 100 Bush Street, Suite 700, San 28 1 We use recycled paper. Francisco, CA . 94104 . 3 The circumstances, date and place of the occurrences 2 giving rise to this claim are as follows: On or about January 30, 3 1992 , at or about 10: 36 AM, claimant was a passenger in an automobile 4 driving north on Empire Avenue,, a divided road with two lanes on 5 either side of a divider, between Truman Lane and Hemlock Ave. in 6 an unincorporated section of Contra Costa County in California. Due 7 to construction work being performed on said roadway, the vehicle 8 claimant was in was being driven in the southbound set of lanes, in 9 a temporary northbound lane closest to the divider. A vehicle 10 driving southbound in the lane furthest from the divider in the southbound roadway, switched lanes into the temporary northbound lane 12 and drove directly into claimant's car, unaware that the southbound 13 roadway was temporarily two way. This accident was proximately 14 caused by the County of Contra Costa's negligent failure to 15 adequately warn of the closed northbound lanes (and temporary use of 16 southbound roadway for two-way traffic) , post notices of this 17 situation, or prevent such an accident occurring. 18 4 . As a direct and proximate result of the foregoing, 19 claimant suffered injury to her head, neck, shoulders, and back, and . 20 M has suffered physical pain, discomfort, anxiety and mental suffering L'S 21 0. thereupon. 22 f3 5. As a further direct and proximate result of the 23 foregoing, claimant has been required to, and has obtained medical 24 Z,owl care by emergency medical personnel, surgeons and physicians, 25 Igo co including but not limited to $11.56. 16. The exact amount of the cost 00 u Mc of the aforesaid medical care at present totals approximately 27 $1156. 16 and is continuing. 28 2 We use recycled Paper. 1 6. The name of the public employee responsible for 2 Claimant's injury is unknown at this time. 3 7 . Jurisdiction of this matter will be in the Municipal Court of Contra Costa County. 4 5 8 . Other than the foregoing, further computation of the 6 claim herein is not capable of complete documentation at present. 7 However, such shall be provided as soon as available within the 8 period provided by law for determination of this claim. 9 10 11 12 '-7 22 Dated.. 'T 13 14 15 16 17 18 19 Respectfully submitted, 20 d m U 21 0 U y 22 LL 23 WiWOFCES onno sq. 'E JAYERS 24 LA 3 �5 N 25 Nm 26 27 28 3 We use r"ded paper. JACOBY& MEYERS LAW OFFICES- RECEIVED FFICES �+ RECEI ED PERSONAL INJURY UNIT 100 Bush Street,Suite 700,San Francisco,CA 94104 JUL 2 3 1992 415/399-8951: FAX:415/399-1939 CERTIFIED MAIL CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. July 22 , 1992 County of Contra Costa Board of Supervisors 651 Pine Street . Martinez, CA 94553 RE: Claim of Diann Kitchell Dear Sir/Madam: Please find enclosed the original and three copies of the claim of Diann Kitchell against the County of Contra Costa, for injuries she sustained on January 30, 1992 . Please file the claim and, after stamping it to indicate it has been received by your office, return one conformed copy to our office in the envelope provided. Thank you for your assistance in this matter. Very truly yours, y' Adain miller Law Clerk Enc. (4) 1i - , We use recycled paper. 1 O N pyo N Q C� O 6 1- i(j Na moi, Ci 0tL ' � y r U r � f 4 b+ * r a N , l 0 Z 0 N y cr, N Q O 3 ) -U �y 4 Z tD U O <3y CLAIM JUL 3 01992 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA country Cbt1 MARTIMZ N Claim Against the County. or District..governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements. ) NOTICE TO CLAIMANT AUG UST 11, 1992 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: $663.50 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: LURA, Michelle A. 174 Madelia Place ATTORNEY: San Ramon, CA 94583 Date received ADDRESS: BY DELIVERY TO CLERK ON July 21, 1992 (hand delivered) BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. IL gATCHELOR. Clerk DATED: July 30, 1992 : Deputy II. FROM: County Counsel TO: Clerk of the Board of Sup sors N ) 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: T / 3BY: �" {�Y.�,! ' /J Deputy County Counsel ' V III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) { ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD OPER: By unanimous vote of the Supervisors present (V) 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. AUG 11 1992 Dated: PHIL BATCHELOR. Clerk. B _. 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 rail 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. FOR AnDTTTONAL WARNING SEE REVERSE SIDE OF THIS NOTICE 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: AUG 14 1992 BY: PHIL BATCHELOR by; Deputy Clerk CC: County Counsel County Administrator Claim to: BOARD OF SWE RVISORS OF MRTRA OOSrA OQINTY . INS'T crioNS TO E Aa+M 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 an or before December 31, 19870 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 an or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code, 5911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, Cotmty Admirlistration 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 See. 72 at the end of this form. RE: Claim By ) Reser ed o ark's iling stamp RECEIVED Aga ) Inst the County of!.,Contra Costa ) JUL 2 1 1992 or District) CLERK BOARD OF SUPERVISORS 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-$ (05,�� and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) 2. where did the damage +orr injury occur? (Include city and county) �o"I_ ROMO ln, . Cnritra- _Cosa 3. How did the damage or' injury occur? (Give full details• use extra paper if required) �} 1 1" �se aZ i rl _-----.--_ i 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury .or damage? poi Ice- 0 ,A in 4z-. Ca (over) 5. lWhat are the names of county or district officers, servants or employees causing the damage or injury? 6. What damage or injuries do..you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. M e�d d LIQ 7. How was the amount claimed at6e oompu d? (Include the estimated amount of any prospective injury or damage.) Rt Ce 8. Names and addresses of witnesses, doctors and hospitals. Oa u� _W,_OwL5 gz43 Pi d dlt�rd_ D (; Ve_ San i arnol-L,C- gg6g3 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 6cqphire al-)d Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney Claimant's Signature Address CA � 5Sr3 Telephone No. Telephone No. 51 c a7t-��M 14, sf * f • VT saaf * fay NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by.imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000)9 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. Description of Claim At approximately 2:00, am. on January 25, 1992, Officer Michael Christiansen arrested me for 23152(A), which was later dismissed by the District Attorney due to lack of evidence. At approximately 2:45 am. Officer Michael Christiansen took into possession my silver watch with a mother of pearl face and marcasite stones and two amethyst stones, one 14kt. gold ring in the shape of a thin band with a swirl, one 14kt. gold ring with one blue sapphire in the shape of a marquise, one 14kt gold ring with a cz stone in the shape of a heart and one 14kt gold ring with five blue sapphires shaped in a marquise forming a "V" and eight tiny diamonds, two diamonds between each sapphire, a black and white rhinestone necklace dated back to the 1920's, one pair of black and white earrings and two black and white bracelets, my registration to my car and my proof of insurance card, wallet and keys. I had no cash While entering my belongings on the receipt I was writing in detail the description of my 14kt gold ring with five blue sapphires shaped in a marquise forming a "V" and eight tiny diamonds, two diamonds between each sapphire, Officer Michael Christiansen looked at my ring and told me he was not an appraiser, therefore, I was not allowed to write blue sapphires and diamonds and he crossed it out on the receipt, wrote 'gold metal color' and circled "4 rings." After Officer Christiansen took possession of my belongings to be put into the plastic baggy he then sent me to the restroom accompanied by Erin. Upon returning from the restroom, Officer Christiansen handcuffed me and I watched Officer Christiansen seal the baggy just before he took me to Martinez jail. I witnessed him sealing the bag; however, I was not afforded the opportunity to view my possessions in the baggy once it was sealed. Upon being released from Martinez jail, approximately 11:45 am., Sergeant Thakkur told me and others being released that we were not allowed to open our bags until reaching the lobby. When I reached the lobby I opened my bag in the presence of Dave W. Davis and found my silver watch with a mother of pearl face and marcasite stones and two amethyst stones, one 14kt gold ring in the shape of a thin band with a swirl, one 14kt gold ring with one blue sapphire in the shape of a marquise, one 14kt gold ring with a cz stone in the shape of a heart, a black and white rhinestone necklace dated back to the 1920's, one pair of black and white earrings and two black and white bracelets, my registration to my car and my proof of insurance card, wallet and keys. I did not find in the bag my 14kt gold ring with five blue sapphires shaped in a marquise forming a "V" and eight tiny diamonds, two diamonds between each sapphire. The monetary value is Six hundred sixty-three dollars and 50/ 100 ($663.50}. At that time I told the clerk in the lobby that the above mentioned ring was not in the baggy. The clerk informed me that I would have to take it up with the San Ramon Police Department and that they only acknowledge receipt of one sealed baggy. ;Er t. TAM'S WHOLESALE JEWELRY OUTLET f 7323 Village Parkway DUBLIN, CALIFORNIA 94568 = 415 828.6898 SOLD BY DATE NAME .. .. .�. ,. ADDRESS • �'; RECEIVED BV - __ 4225 Att claims and retumed.pools MUST lfe eccompnnled by thtd bi R:Y PROPERTY/CLOTHING RECEIPT CONTRA COSTA COUNTY REC. NO. 115,936 RACKays i'MD.F;;• :a.. DATE: Z' },.. . TIME: ciii•soii4� ::11%I�DF�� - NAME: ` y... .. ! BOOKING NBR: INTAKE CASH: $ ❑ SHIRT/BLOUSE ❑ DRESS F+ ❑ COAT/JACKET ❑ TIE/SCARF i ❑ SHORTS/PANTIES »: >, NYLONS ::St1NEATER j ❑ BELT C�'t u� GAG mG ykltlkS/BO ` S I OTHER:' 7� Y' r •XA 7 i BKG OFC: -- � INMATE SIGNATURt ave received all of my per- DATE: ` al, property and clothing. `•: S. :'.�.•b: � :- �� '/"may REL OFC:-. .�•. � ' .:�: '�'SIA 'SIG TUR _ �z•:' RECEIVED ' 1 3`I J U L 311992 CLAIM COUNTY COUNsa BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA AAARTINEZ, CAUR, Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 11, 1992 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: Undetermined Section 913 and 915.4. Please note all "Warnings". CLAIMANT: MAC DONALD, James L. ATTORNEY: Rory D. Jensen O'Brien, Sullivan & Jensen Date received ADDRESS: 1299 Newell Hill Place, Ste 300 BY DELIVERY TO CLERK ON July 22, 1992. (hand delivered) Walnut Creek, CA 94596 BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. July 30, 1992 p�I IL BATCHELOR, Clerk DATED: BY: Deputy Il. FROM: County Counsel 70: 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: i Dated: `� �- BY: ✓-CV,l- r Deputy County Counsel U 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). 1V. BOARD OR R: 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. AUG 11 1992 Dated: PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sec 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the nail 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. FOR AnnTTTONAL WARNING SEE REVERSE SIDE OF THIS NOTICE. 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:_ AUG 14 199 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator IK THUC:X1UNS 1U ULA un&Nl A: Claims relating to causes of action for death or for injury to person or to-per- sonal oper_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 JAMES L. MacDONALD } A .a RECEIVED-" Against the County of Contra Costa ) ` or qK F(_� JULI Om4jarbq4 4"44eADistrict) CLERK BOARD OF SUPERVISORS Fill in named ) CONTRA COSTA CO. The undersigned claimant,"hereby makes claim. against the County of Contra Costa or the above-named District in the sum of-$ 'JURISDICTION WI IN and in support of this claim represents as follows: THE SUPERIOR COURT (DAMAGES $500, 000 plus) 1. When did the damage or injury occur? (Give exact date and hour) JANUARY 23 , 1992 AT 9: 00 P.M. 2. inhere did the damage or injury occur? (Include city and county) IN FRONT OF THE PARK REGENCY APARTMENTS IN AN UNINCORPORATED AREA OF CONTRA COSTA COUNTY, ON THE BLOCK OF BUSKIRK AVENUE BETWEEN COGGINS DRIVE AND OAK ROAD, NEAR INTERSTATE 680. THE PARK REGENCY APARTMENTS LISTS ITS ADDRESS AS 312$ OAK ROAD WALNUT CREEK.- 3. Hou did the damage or injury occur? (Give full, details; use extra paper if required) SEE ATTACHED EXHIBIT "A. " 4. That particular act or omission on the part of county or district officers, servants or employees caused the inJury oar damage?THE FAILURE OF THE COUNTY TO PROPERLY MAINTAIN AND REPAIR SAID SI EWALK WHERE THE COUNTY KNEW OR SHOULD HAVE KNOWN OF THE DANGEROUS CONDITION THAT A SIDEWALK WITH A HOLE IN IT POSED TO PERSONS WALKING ON SAID SIDEWALK, ESPECIALLY WHERE THERE WAS INADEQUATE ILLUMINA- TION WHERE SAID HOLE WAS IN SAID SIDEWALK. THE FAILURE OF THE COUNTY TO PRO- VIDE ADEQUATE ILLUMINATION OR WARNINGS TO ALERT PEDESTRIANS OF SUCH A DANGEROUS CONDITION. SEE ATTACHED EXHIBIT "A. " (over) 5. 6what are the names of county or district officers, servants or employees causing the damage or injury? UNKNOWN. HOWEVER, CLAIMANT ALLEGES ON INFORMATION AND BELIEF THAT THE CONTRA COSTA COUNTY DEPARTMENT OF PUBLIC WORKS AND/OR OTHER COUNTY DEPARTMENTS AND/OR DISTRICTS WERE RESPONSIBLE FOR THE MAINTENANCE OF SAID -SIDEWALK. 6. What damage or injuries do.you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. DISPLACED LATERAL MALLEOLAR FRACTURE OF THE LEFT ANKLE WITH A DELTOID LIGAMENT TEAR. NUMEROUS BRUISES TO LEFT LEG, SHOULDER AND BACK STRAIN. 7. How•'was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) MEDICAL BILLS AND WAGE LOSS INFORMATION ARE BEING COLLECTED. MEDICAL BILLS ARE ESTIMATED TO BE APPROXIMATELY $10 , 000 WITH A WAGE LOSS OF APPROXIMATELY $30 , 000 , AND $500 , 000 PLUS FOR PAIN AND SUFFERING. 8. Names and addresses of witnesses, doctors and hospitals. CLAIMANT, JAMES MacDONALD, WAS THE ONLY WITNESS TO THE ACCIDENT. COPIES OF MEDICAL BILLS ARE ATTACHED. ADDITIONAL MEDICAL BILLS WILL BE SUPPLIED. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT SEE ATTACHED MEDICAL BILLS. Gov. Code Sec.•. 910.2 provides: "The claim must"t;e signed'by the. claimant'` SEND NOTICES TO: (Attorney) o some on on his behalf." Name and Address of Attorney RORY D. JENSEN O' BRIEN, SULLIVAN & JENSEN -aS-SigMat RORY D. JENSEN, 1299 NEWELL HILL PLACE, SUITE 300 ON BEH OF ES MacDONALD WALNUT CREEK, CALIFORNIA 1200 NEWELL HILL PLACE, NO. 314 Address WALNUT CREEK, CA 94596 Telephone No. 510-935-8800 Telephone No. -510-935-9291 NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeds?ng one thousand ($1,000), or by both such imprisonment and fine, or by imprisonments in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. EXHIBIT "A" CLAIMANT, JAMES L . MacDONALD, WAS INJURED WHILE WALKING ON THE SIDEWALK, NEAR THE WALNUT CREEK/PLEASANT HILL BORDER, AT WHICH TIME CLAIMANT WAS INJURED WHEN HE FELL IN A HOLE/DEPRESSION WITH A PIPE STICKING UP , WHICH RESULTED IN CLAIMANT BREAKING HIS LEFT ANKLE AND TEARING HIS LEFT DELTOID LIGAMENT AND SUSTAINING BRUISES AND STRAINS/SPRAINS AND INJURIES TO HIS LEFT LEG, SHOULDER AND BACK. CLAIMANT BELIEVES THAT THE COUNTY OF CONTRA COSTA AND/OR THE CONTRA COSTA COUNTY PUBLIC WORKS DEPARTMENT/DISTRICT WAS UNDER A DUTY TO PROPERLY MAINTAIN AND ILLUMINATE SAID SIDEWALK AND KNEW OR SHOULD HAVE KNOWN THAT SAID SIDEWALK CREATED A DANGEROUS CONDITION. IT WAS NEGLIGENT FOR THE COUNTY OF CONTRA COSTA AND/OR THE CONTRA COSTA COUNTY PUBLIC WORKS DEPARTMENT/DISTRICT NOT TO HAVE REPAIRED THE HOLE/DEPRESSION IN- SAID SIDEWALK AND NOT TO HAVE PROVIDED ADEQUATE LIGHTING FOR SAID SIDEWALK AT NIGHT. THE NAME(S) OF THE EMPLOYEES OF THE COUNTY OF CONTRA COSTA AND/OR THE CONTRA COSTA COUNTY PUBLIC WORKS DEPARTMENT/DISTRICT RESPONSIBLE FOR THE MAINTENANCE OF SAID SIDEWALK IS/ARE UNKNOWN AT THIS TIME. cc ASN-►Aw -r IM t t S THAT _r'r4'Z w4-trk- DISTMeT IS I kf p A 4 -r 2 E04 PONS 14c Er F-O k -r?Q T_ �4ot_,f I*V T '4 g StOf w �kt, K , 120 LA CASA VIA, STE. 203 WALNU-r GREEK, CA 94593 JAMES MACDONALD MUIR ORTHOPEDICS PO BOX 193 120 LA CASA VIA, STE. 203 LAFAYETTE, CA WALNUT CREEK, CA 94549 94598 EMPLOYER : PATIENT: JAMES MACDONALD INJURY : CLAIM NO. : 07 21 92 61-11886 B24. 8 01 28 92 6 90060 OFC INTERMD Es'r PT JAMES 56. 00 824. 8 01 28 92 6 73610 ANKLE X-RAY MIN 3V JAMES 52. 00 824. 8 01 31 92 6 27792 O/R LAT. ANKLE FX JAMES 1026. 00 90 DAYS POST OP CARE 824. 8 02 10 92 6 99024 POST OP VISIT JAMES N/C 824. 8 03 02 92 6 99070 SHORT LEG BRACE JAMES 150. 00 824. 8 03 02 92 6 73610 ANKLE X-RAY MIN 3V JAMES 52. 00 824. 8 03 02 92 6 99024 POST OP VISIT JAMES NIC 824. 8 03 06 92 6 73600 ANKLE X-RAY AP&LAT JAMES 39. 00 624. 8 03 06 92 6 99024 POST OP VISIT JAMES NIC .. 03 20 92 6 METROPOLITAN CHECK 672. 10CR 007380322 DOS 1-31-92 03 20 92 6 SUBSCRIBER ' S RESP. N/C YOUR RESPONSIBILITY IS $153. 90 03 20 92 6 SUBSCRIBER ' S RESP N/C $52. 00 APPLIED TO YOUR DEDUCTIBLE FOR 1�28/92 824. 8 03 27 92 6 99024 POST OP VISIT JAMES NIC 824. 8 03 27 92 6 73600 ANKLE X-RAY AP&LAT JAMES . 39. 00 624. 8 04 20 92 6 99024. POST OP VISIT JAMES N/C 824. 8 04 20 92 6 73600 ANKLE X-RAY AP&LAT JAMES 39. 00 05 29 92 E) METROPOLITAN CHECK 271. 15CR 007951397 DOS 3/2, 3/27, 4/20/92 05 29 92 6 SUBSCRIBER 'S RESP. N/C YOUR RESPONSIBILITY IS $47. 85 (ob 29 92 1 309. 75 BALANCE DUE: 3013. 75 DOUGLAS M. LANGE M. D. TAX I. D. NO. : 68-0049351 A_._..Claims relating to causes of action for death or for injury to person or to per- Ely or growing crops and which accrue on or before December 31, 1987, per- sonal proper' Decemb must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person onto personal proper-ty or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action m-,st be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims mist be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Fine Street, Flartinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See_ penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. * * * * * * * * * * * * * * * 0 * * * * * * * * * * * * # * * * * * * # * * * * * * * RE: Claim By Reserved for Clerk's filing stamp , JAMES L. MacDONALD RECEIVED Against the County of Contra Costa or JUL 2 31992 64+ZOL CLIS-��-- Wa4ZDistrict) CLERK BOARD OF SUPERVIS (Fill in E_�me CONTRA COSTA CO. The undersigned claimant hereby makes claim against the County of Co ra Costa or the above-named District in the sum of.$ JURISDICTION WI IN and in support of this claim represents as follows: THE SUPERIOR COURT (DAMAGES $500 , 000 plus) 2. When did the damage or injury occur? (Give exact date and hour) JANUARY 23 , 1992 AT 9 : 60 P.M. 2. Where did the damage or injury occur? (Include city and county) IN FRONT OF THE PARK REGENCY APARTMENTS IN AN UNINCORPORATED AREA OF CONTRA COSTA COUNTY, ON THE BLOCK OF BUSKIRK AVENUE BETWEEN COGGINS DRIVE AND OAK ROAD, NEAR INTERSTATE 680 . THE PARK REGENCY APARTMENTS LISTS ITS ADDRESS AS 3128 OAK ROAD,WALNUT moi. 3. How did the damage or injury occur? (Give full details; we extra paper if required) SEE .ATTACHED EXHIBIT "A. " 4. Whp-16-1 particular act or cmission on the part of cv=ty or district officers, I servants or e=loyees caused the in.tiry or damaize?THE FAILURE OF THE COUNTY TO PROPERLY MAINTAIN AND REPAIR SAID SI5EW­ALK WHEN THE COUNTY KNEW OR SHOULD HAVE KNOWN- OF THE DANGEROUS CONDITION THAT A SIDEWALK WITH A HOLE IN- IT POSED TO PERSONS WALKING ON SAID SIDEWALK, ESPECIALLY WHERE THERE WAS INADEQUATE ILLUMINA- TION WHERE SAID 'HOLE WAS. IN SAID SIDEWALK. THE FAILURE .OF THE COUNTY TO PRO- VIDE ADEQUATE ILLUMINATION OR WARNINGS TO ALERT PEDESTRIANS OF SUCH A DANGEROUS CONDITION . SEE ATTACHED EXHIBIT "A. " (over) �. GWhat are the names of county or district officers, servants or employees causing the damage or injury? UNKNOWN. HOWEVER CLAIMANT ALLEGES ON INFORMATION .,ND 'BELIFF THAT THE CONTRA COSTA COUNTY DEPARTMENT OF PUBLIC WORKS AND/OR OTHER COONTY DEPARTMENTS AND/OR DISTRICTS WERE RESPONSIBLE FOR THE MAINTENANCE OF SAID SIDEWALK. 6. What damage or injuries do.you claim resulted? (Give full extent of injuries+or damages claimed. Attach two estimates for auto mage. DISPLACED LATERAL MALLEOLAR FRACTURE OF THE LEFT ANKLE WITH A DELTOID LIGAMENT ,TEAR. NUMEROUS BRUISES TO LEFT LEG, SHOULDER AND BACK STRAIN. 7. How-was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) MEDICAL BILLS AND WAGE LOSS INFORMATION ARE BEING COLLECTED, MEDICAL BILLS ARE ESTIMATED TO BE APPROXIMATELY $10 , 000 WITH A WAGE LOSS OF APPROXIMATELY $30 , 000 , AND $500 , 000 PLUS FOR PAIN AND SUFFERING. 8. Names and addresses of witnesses, doctors and hospitals. CLAIMANT, JAMES MacDONALD, WAS THE ONLY WITNESS TO THE ACCIDENT. COPIES OF MEDICAL BILLS ARE ATTACHED. ADDITIONAL MEDICAL BILLS WILL BE SUPPLIED. 9. List the expenditures you made on account of this accident or injury: DATE ITS AMOUNT SEE ATTACHED MEDICAL BILLS. Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTIMS TO: (Attorney) by so n on his behalf." Name and Address of Attorney RORY D. JENSEN O' BRIEN, SULLIVAN & JENSEN -�} r`v�6-SiRnat RORY D. JENSEN, 1299 NEWELL HILL PLACE, SUITE 300 ON BEHALF F AMES MacDONALD WALNUT CREEK, CALIFORNIA 1200 NEWS HILL PLACE, NO. 314 Address WALNUT CREEK, CA 94596 Telephone No. 510-935-8800 Telephone No. 510-935-9291 NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for . payment to any state bca.rd 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 imprisonL--nt and fine, or by i=risonmen- in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. EXHIBIT "A" CLAIMANT , JAMES L . MacDONALD , WAS INJURED WHILE WALKING ON THE SIDEWALK, NEAR THE WALNUT CREEK/PLEASANT HILL BORDER, AT WHICH TIME CLAIMANT WAS INJURED WHEN HE FELL IN A HOLE/DEPRESSION WITH A PIPE STICKING UP, WHICH RESULTED IN CLAIMANT BREAKING HIS LEFT ANKLE AND TEARING HIS LEFT DELTOID LIGAMENT AND SUSTAINING BRUISES AND STRAINS/SPRAINS AND INJURIES TO HIS LEFT LEG, SHOULDER AND BACK. CLAIMANT BELIEVES THAT THE COUNTY OF CONTRA COSTA AND/OR THE CONTRA COSTA COUNTY PUBLIC WORKS DEPARTMENT/DISTRICT WAS UNDER A DUTY TO PROPERLY MAINTAIN AND ILLUMINATE SAID SIDEWALK AND KNEW OR SHOULD HAVE KNOWN THAT SAID SIDEWALK CREATED A DANGEROUS CONDITION . IT WAS NEGLIGENT FOR THE COUNTY OF CONTRA COSTA AND/OR THE CONTRA COSTA COUNTY PUBLIC WORKS DEPARTMENT/DISTRICT NOT TO HAVE REPAIRED THE HOLE/DEPRESSION IN SAID SIDEWALK AND NOT TO HAVE PROVIDED ADEQUATE LIGHTING FOR SAID SIDEWALK AT NIGHT . THE NAME(S) OF THE EMPLOYEES OF THE COUNTY OF CONTRA COSTA AND/OR THE CONTRA COSTA COUNTY PUBLIC WORKS DEPARTMENT/DISTRICT RESPONSIBLE FOR THE MAINTENANCE OF SAID SIDEWALK IS/ARE UNKNOWN AT THIS TIME. CLAIMANT BELIEVES THAT THE CONTRA COSTA WATER DISTRICT IS IN PART RESPONSIBLE FOR THE HOLE IN THE SIDEWALK AS ALLEGED ABOVE. -- WALNUT CREEK, CA a 94598 JAMES MACDONALD MUIR ORTHOPEDICS PO BOX 193 120 LA CASA VIA, STE. 203 LAFAYETTE, CA WALNUT CREEK, CA 94549 94598 EMPLOYER : PATIENT: JAMES MACDONALD INJURY : CLAIM NO. : 07 21 92 61-11886 324. 8 01 28 92 6 90060 OFC INTERMD EST PT JAMES 56. 00 324. 8 01 28 92 6 73610 ANKLE X-RAY MIN 3V JAMES 52. 00 124. 8 01 31 92 6 27792 O/R LAT. ANKLE FX JAMES 1026. 00 90 DAYS POST OP CARE 324. 8 02 10 92 6 99024 POST OP VISIT JAMES N/C 324. 8 03 02 92 6 99070 SHORT LEG BRACE JAMES 150. 00 624. 8 03 02 92 6 73610 ANKLE X-RAY MIN 3V JAMES 52. 00 824. 8 03 02 92 6 99024 POST OP VISIT JAMES N/C 624. 8 03 06 92 6 73600 ANKLE X-RAY AP&LAT JAMES 39. 00 824. 8 03 06 92 6 99024 POST OP VISIT JAMES N/C .. 03 20 92 6 METROPOLITAN CHECK 672. 10CR 007380322 DOS 1-31-92 03 20 92 6 SUBSCRIBER ' S RESP. N/C YOUR RESPONSIBILITY IS $153. 90 03 20 92 6 SUBSCRIBER ' S RES?. N/C $52. 00 APPLIED TO YOUR DEDUCTIBLE FOR '1/28/932 624. 8 03 27 92 6 99024 POST OP VISIT JAMES N/C 824. 8 03 27 92 6 73600 ANKLE X-RAY AP&LAT JAMES . 29. 00 824. 8 04 20 92 6 99024 POST OP VISIT JAMES N/C 624. 8 04 20 92 6 73600 ANKLE X-RAY AP&LAT JAMES 39. 00 05 29 92 6 METROPOLITAN CHECK 271. 15CR 007951397 DOS 3/2, 3/27, 4/20/92 05 29 92 6 SUBSCRIBER ' S RESP. N/C YOUR RESPONSIBILITY IS S47. 85 Ob 29 92 1 u09- 75 BALANCE DUE: 309. 7b DOUGLAS M. LANGE M. D. TAX I. D. NO. : 68-0049351 \ � \ � � r f � � r S Q ® i,0 . @ .. $ & . le, - . . 7 ® 4 . 4 - � Q A PA& ILAo � g t U � . � ¥� « 0 0 \ � } f \ a ! � ; @ . , � CLAIM JUL 3 11992 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA . COUNTY COUNSEL Claim Against the County, or District governed by) BOARD ACTION �11R the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 11, 1992 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: Undetermined Section 913 and 915.4. Please note all •Warnings". CLAIMANT: MAC DONALD, James L. ATTORNEY: Rory D. Jensen O'Brien, Sullivan & Jensen Date received ADDRESS: 1299 Newell Hill Pl . , Ste 300 BY DELIVERY TO CLERK ON July 22, 1992 (hand delivered) Walnut Creek, CA 94596 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ILATCHELOR, Cler DATED: July 30. 1992 : Deputy II. FROM: County Counsel TO: Clerk of the Board of SbTYgrvisors ) 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: • 'gyp � Dated: 31 BY: 1 Deputy County Counsel —i— 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 DER: By unanimous vote of the Supervisors present ( ) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated AUG 11 1992 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sect n ) 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. FOR ADDTTTONAT, WARNING SEE REVERSE SIDE OF THIS NOTICE. 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: AUG 14 1992 BY: PHIL BATCHELOR b Deputy Clerk CC: County Counsel County Administrator Claim to: LUAttJ LN' WrWv1.wr6> yr wan nn wuis w�r� I)MM TIONS Tao CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing craps and utich accrue on or before December 31, 19879 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 Mich 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 mist be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this To RE: Claim By Reserved for Clerk's filing stamp JAMES L. MacDONALD �cC ® G GA`rci V G Against the County of Contra Costa } JUL 22 1%-2or } 6 � CLERK District) CONTRA CSUPERVISORS COSTA Fill in name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of-$ JURISDICTION W/IN and in support of this claim represents as follows: THE SUPERIOR COURT (DAMAGES $500,'000 plus) 1. When did the damage or injury occur? (Give exact date and hour) JANUARY 23, 1992 AT 9 : 00 P.M. 2. Where did the damage or injury occur? (Include city and county) IN FRONT OF THE PARK REGENCY APARTMENTS IN AN UNINCORPORATED AREA OF CONTRA COSTA COUNTY, ON THE BLOCK OF BUSKIRK AVENUE BETWEEN COGGINS DRIVE AND OAK ROAD, NEAR INTERSTATE 6$0 . THE PARK REGENCY APARTMENTS LISTS ITS ADDRESS AS 312$ OAK ROAD _CA, 3. How did the damage or injury occur? (Give Rall details; use extra paper if required) SEE ATTACHED EXHIBIT "A. " 4. What particular act or omission on the part of county or district officers, PROPERLYservants or loyees caused the iniury or ------?THE FAILURE OF THE COUNTY TO ND REPAIR SAID SIDEWALK WHE THE COUNTY KNEW OR SHOULD HAVE KNOWN OF THE DANGEROUS CONDITION THAT A SIDEWALK WITH A HOLE IN IT POSED TO PERSONS WALKING ON SAID SIDEWALK, ESPECIALLY WHERE THERE WAS INADEQUATE ILLUMINA- TION WHERE SAID HOLE WAS IN SAID SIDEWALK. THE FAILURE OF THE COUNTY TO PRO- VIDE ADEQUATE ILLUMINATION OR WARNINGS TO ALERT PEDESTRIANS OF SUCH A DANGEROUS CONDITION. SEE ATTACHED EXHIBIT "A. " (over) 5. OWhat are the names of county or district officers, servants or employees causing the damage or injury? UNKNOWN. HOWEVER, CLAIMANT ALLEGES ON INFORMATION AND BELIEF THAT THE CONTRA COSTA COUNTY DEPARTMENT OF PUBLIC WORKS AND/OR OTHER COUNTY DEPARTMENTS AND/OR DISTRICTS WERE RESPONSIBLE FOR THE MAINTENANCE OF SAID -SIDEWALK. 6. What damage or injuries do.you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. DISPLACED LATERAL MALLEOLAR FRACTURE OF THE LEFT ANKLE WITH A DELTOID LIGAMENT TEAR. NUMEROUS BRUISES TO LEFT LEG, SHOULDER AND BACK STRAIN. 7. How-was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) MEDICAL BILLS AND WAGE LOSS INFORMATION ARE BEING COLLECTED. MEDICAL BILLS ARE ESTIMATED TO BE APPROXIMATELY $10 , 000 WITH A WAGE LOSS OF APPROXIMATELY $30 , 000 , AND $500 , 000 PLUS FOR PAIN AND SUFFERING. 8. Names and addresses of witnesses, doctors and hospitals. CLAIMANT, JAMES MacDONALD, WAS THE ONLY WITNESS TO THE ACCIDENT. COPIES OF MEDICAL BILLS ARE ATTACHED. ADDITIONAL MEDICAL BILLS WILL BE SUPPLIED. 9. List the expenditures you made on account of this accident or injury: DATE ITEM - : AMOUNT SEE ATTACHED MEDICAL BILLS. Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) Qr-,by some person on his behalf." Name and Address of Attorney RORY D. JENSEN O' BRIEN, SULLIVAN & JENSEN 8 9-S•i9nat RORY D. JENSEN, 1299 NEWELL HILL PLACE, SUITE 300 ON BE LF AMES MacDONALD WALNUT CREEK, CALIFORNIA 1200 NEWELL HILL PLACE, NO. 314 Address WALNUT CREEK, CA 94596 Telephone No. 510-935-8800 Telephone No. 510-935-9291 f f * * * * I T IT T T 9 Tf It * • f # NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by.imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. EXHIBIT "A" CLAIMANT, JAMES L . MacDONALD, WAS INJURED WHILE WALKING ON THE SIDEWALK, NEAR THE WALNUT CREEK/PLEASANT HILL BORDER, AT WHICH TIME CLAIMANT WAS INJURED WHEN HE FELL IN A HOLE/DEPRESSION WITH A PIPE STICKING UP, WHICH RESULTED IN CLAIMANT BREAKING HIS LEFT ANKLE AND TEARING HIS LEFT DELTOID LIGAMENT AND SUSTAINING BRUISES AND STRAINS/SPRAINS AND INJURIES TO HIS LEFT LEG, SHOULDER AND BACK. CLAIMANT BELIEVES THAT THE COUNTY OF CONTRA COSTA AND/OR THE CONTRA COSTA COUNTY PUBLIC WORKS DEPARTMENT/DISTRICT WAS UNDER A DUTY TO PROPERLY MAINTAIN AND ILLUMINATE SAID SIDEWALK AND KNEW OR SHOULD HAVE KNOWN THAT SAID. SIDEWALK CREATED A DANGEROUS CONDITION. IT WAS NEGLIGENT FOR THE COUNTY OF CONTRA COSTA AND/OR THE CONTRA COSTA COUNTY PUBLIC WORKS DEPARTMENT/DISTRICT NOT TO HAVE REPAIRED THE HOLE/DEPRESSION IN SAID SIDEWALK AND NOT TO HAVE PROVIDED ADEQUATE LIGHTING FOR SAID SIDEWALK AT NIGHT. THE NAME(S) OF THE EMPLOYEES OF THE COUNTY OF CONTRA COSTA AND/OR THE CONTRA COSTA COUNTY PUBLIC WORKS DEPARTMENT/DISTRICT RESPONSIBLE FOR THE MAINTENANCE OF SAID SIDEWALK IS/ARE UNKNOWN AT THIS TIME . 120 LA CASA VIA, STS;. ZVJj 4'kLNVT CREEK, CA 94598 JAMES MACDONALD MUIR ORTHOPEDICS PO BOX 193 120 LA CASA VIA, STE. 203 LAFAYETTE, CA WALNUT' CREEK, CA 94549 945138 EMPLOYER : PATIENT: JAMES MACDONALD INJURY: CLAIM NO. : 07 21 92 61-11a86 324. 8 01 28 92 6 90060 OFF INTERMD EST PT JAMES 56. 00 324. 8 01 28 92 6 73610 ANKLE X-RAY MIN 3V JAMES 52. 00 324. 8 01 31 92 6 27*792 O/R LAT. ANKLE: FX JAMES 1026. 00 90 DAYS POST OP CARE 824. 8 02 10 92 6 99024 POST OP VISIT JAMES N/C 824. 8 03 02 92 6 99070 SHORT LEG BRACE JAMES 150. 00 524. 8 03 02 92 6 73610 ANKLE X-RAY MIN 3V JAMES 52. 00 624. 8 03 02 92 6 99024 POST OP VISIT JAMES N/C 624. 8 03 06 92 6 73600 ANKLE X-RAY AP&LAT JAMES 39. 00 624. 8 03 06 92 6 99024 POST OP VISIT JAMES N/C '. 03 20 92 6 METROPOLITAN CHECK 672. 10CR 007380322 DOS 1-31-92 03 20 92 6 SUBSCRIBER' S RESP. N/C YOUR RESPONSIBILITY IS $153. 90 03 20 92 6 SUBSCRIBER ' S RESP. NIC $52. 00 APPLIED TO YOUR DEDUCTIBLE FOR 1/28/92 824. 8 03 27 92 6 99024 POST OP VISIT JAMES N/C 824. 8 03 27 92 6 73600 ANKLE X-RAY AP&LAT JAMES 39. 00 824. 6 04 20 92 6 99024 POST OP VISIT JAMES N/C 824. 8 04 20 92 6 73600 ANKLE X-RAY AP&LAT JAMES 39. 00 05 29 92 6 METROPOLITAN CHECK 271. 15CR 007951397 DOS 3/2, 3/27, 4/20/92 05 29 92 6 SUBSCRIBER ' S RESP. N/C YOUR RESPONSIBILITY IS $47. 85 Ob 29 92 1 309. 75 BALANCE DUE: 309. 75 DOUGLAS M. LANGE M. D. TAX I. D. NO. : 68-0049351 / 31 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA J U L 14 1992 U Claim Against the County, or District governed by) - BO NSE the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT P AUGUST 11, 1992- 92f and Board Action. All Section references are to ) The copy of this document mailed to you is your notice o California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: Undetermined Section 913 and 915.4. Please note all •Warnings". CLAIMANT: MANJARREZ, Gabriel ATTORNEY: Paul M. Curry Attorney Date received ADDRESS: 1401 Lakeside Dr. , Ste. 700 BY DELIVERY TO CLERK ON July 10, 1992 Oakland, CA 94612 BY MAIL POSTMARKED: July 9, 1992 (Cert P915 784 084) I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: July 14, 1992O IL Deputy OR, Clerk J Il. FROM: County Counsel TO: Clerk of the Board of Supekyj s This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other. Dated: / �l� / Z BY: ►! I Deputy County Counsel Ill. FROM: Clerk of the Board TO: County Counsel (1) County Adm' is ator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present Y/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: AUG 11 1992 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code se 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. EQR ADDITIONAL WARNING SEE REVERSE SIDE OF THIS NOTICE. 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: AUG 14 1992 BY: PHIL BATCHELOR by/' Deputy Clerk CC: County Counsel County Administrator RECEIVED County of Contra Costa: JUL 10 1992 Board of Supervisors 651 Pine Martinez,. CA 94553 CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. CLAIM AGAINST THE COUNTY OF CONTRA COSTA CLAIMANT'S NAME: GABRIEL MANJARREZ CLAIMANT'S ADDRESS: 447 "A" Street Telephone (510) 452-1608 Richmond, CA 94801 (Attorney) ADDRESS TO WHICH NOTICES ARE TO BE SENT: Paul M. Curry 1401 Lakeside Drive Suite 700 Oakland, CA 94612 DATE OF INCIDENT: January 26, 1992 LOCATION OF INCIDENT: 7th Street, Richmond, CA HOW DID INCIDENT OCCUR: After being unlawfully detained by Richmond Police officers, without any probable cause, Claimant produced accurate- and valid identification. Subsequently, Claimant was wrongfully detained, arrested and imprisoned in detention facilities/jails in Richmond, Martinez, Hayward, Oakland and Alameda County (Santa Rita) on the basis of a purported arrest warrant in Claimant's name or the name of another individual. In fact, no valid warrant existed for the arrest of Claimant and none was in the PIN system. After being transferred to the above-referenced facilities, Claimant was eventually released from Juvenile Hall, San Leandro, on or about January 31, 1992, after having spent almost six (6) days in custody. The above-referenced bench warrant for the arrest of Claimant was negligently confirmed by employees of the cities of Richmond, Martinez, Oakland/San Leandro; and by the employees of the counties of Contra Costa and Alameda. DESCRIBED INJURY OR DAMAGE: Severe emotional distress; loss of earnings and employment opportunity; and other damages unknown at this time. JURISDICTION OVER SAID CLAIM: Superior Court Signed by or on behalf of Claimant Dated: July 9 1992 PAUL M. CURRY Atto ney for Claimant I YVVYYYY©Yya� j 7 ...CQ L I oa 111�0��� Ij H 0 i4 M 0 Q Lr) L D � H u 00 • o U) W 0 %,�-4Q) N O N cc >4 rt r - z � w Ul �:) (d �-lP 00 rd T* � 'Q o N 56 U S tr13 `a � OO a�CC cr U N Y 7- o a - ~ W OS H W r Q a 0 r a W 4 W J z I 4 tY o- 6 U WO 3 6 < y Y Q. � O RECNIVID CLAIM JUL 3 01992 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA COUNSa 4AART'INEZ, CALIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT l U6 US'r ll., /g191- 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: OLIAZADEH, Vida ATTORNEY: Ronald P. Rives, Esq, Sanders, Dodson & Riyes Date received ADDRESS: 2211 Railroad Ave. BY DELIVERY TO CLERK ON July 21, 1992 (hand delivered) Pittsburg, CA 94565 BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: July 30, 1992 PPL Deputy OR, Clerk 11. 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: 131 ht- By: ! I Deputy County Counsel V 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: AUG 11 19 9� 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. FOR ADDTTTONAT WARNING SEE REVERSE SIDE OF THIS NOTICE AFFIDAVIT OF MAILING 1 declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez. California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: AUG 14 1992 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator 1 RONALD P. RIVES, ESQ. State Bar No. 58130 2 SANDERS, DODSON & RIVES 2211 Railroad Avenue ;: RECEIVED 3 Pittsburg, CA 94565 ;` (510) 432-3511 :"::• 4 ?' JUL 21 1992 5 Attorneys for ClaimantSUPERVISORS VIDA OLIAZADEH CONTRA COSTA CO. 6 7 8 9 VIDA OLIAZADEH, CLAIM AGAINST CONTRA COSTA COUNTY 10 Claimant, tn 11 aW vs. o 12 W 0 < o Iq. CONTRA COSTA COUNTY o a 13 o q° Defendants. a v' § 14 / W a � A 15 TO THE BOARD OF SUPERVISORS, COUNTY OF CONTRA COSTA, '651 PINE z a a 16 STREET, MARTINEZ, CALIFORNIA: 17 VIDA OLIAZADEH hereby makes claim against the COUNTY OF CONTRA 18 COSTA for the sum of $100, 000. 00 and makes the following statements 19 in support of the claim: 20 1. Claimant's post office address is: 235 Boyd Road, 21 Pleasant Hill, California, 94523 . 22 2 . Notices concerning this claim should be sent to: Ronald 23 P. Rives, Esq. of the Law Offices of Sanders, Dodson & Rives, 2211 24 Railroad Avenue, Pittsburg, California, 94565. 25 3 . The date and place of the circumstances giving rise to 26 this claim are: } 1 A. Date: February 27, 1992 . 2 B. Place: Merrithew County Hospital, Martinez, 3 California. 4 4 . The circumstances giving rise to this claim are as 5 follows: 6 On February 27, 1992 , Claimant was present at Merrithew 7 County Hospital for the purposes of having a blood sample taken to 8 be analyzed. At that time, an employee of Merrithew Hospital 9 acting in the course and scope of her employment for Contra Costa 10 County used:;a needle which was unsterilized and was previuosly used w It 11 to draw a blood sample from an obviously ill patient. This same W o za 12 needle was then used by the County employee to withdraw a blood U � � O N 4 c < a 13 sample from Claimant. u; X 14 5. Claimant has suffered exposure to contagious diseases A N m z 15 including AIDS and Hepatitis. She has suffered severe and � a 16 aggravated emotional distress due to her worry over contracting 17 communicable and deadly diseases as a result of the negligence of 18 said County employee. 19 6. The name of the public employee causing the injury is 20 unknown to Claimant. 21 7 . Claimaint's claim as of this date is in the amount of 22 $100, 000. 00. 23 8. The basis of the computation of the above amount is as 24 follows: 25 Medical expenses incurred to date: Unknown and 26 undetermined at this time. 2 1 Estimated future medical expenses: Unknown. 2 General damages: $100, 000. 00. 3 Total: $100, 000. 00. 4 The amount of this claim may be increased in the event that 5 Claimant receives information that she has actually contracted the 6 communicable disease. 7 DATED:3(4 2 ,(Gjq Z SAND S, ODSON & RIVES 8 9 RON LD P. RIVES, ESQ. ATTORNEY FOR CLAIMANT 10 w 11 W a 12 U m O Ow N A o 13 �i 14 W N m A 15 Z a d 16 17 18 19 20 21 22 23 24 25 26 3 �UL U 192 CLAIM COUN-Cy UNSEL BOARDIOF 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 August 11, 1992 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: $11,000.00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: MALONE, John CDC #D-14948 ATTORNEY: P.O. BOX 2210 L6/143,U Susanville, CA 96130 Date received ADDRESS: BY DELIVERY TO CLERK ON July 8, 1992 (via Risk Mgmt.) BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel . Attached is a copy of the above-noted claim. IVIL BATCHELOR, Clerk )&-,,.. DATED:July 8- 1992 i; eputy I loe FROM: County Counsel TO: Clerk of the Board of isors .) 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). is ( ) Other: is Dated: Z BY: n Deputy County Counsel T I11. FROM: Clerk of the Board TO: County Counsel (1) County Admini ator (2) I ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD RDER: BOAR 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. AUG 11 1992 Dated: .I PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code se(tion 13) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the wail 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. FOR ADDITIONAL WARNING SEE REVERSE SIDE OF THIS NOTICE. 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: AUG 14 1992 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator I: R JOHN MALONE'. C . D . C . #D-14948 RESERVE FOR FILING STAMP P . O . BOX 2210 L6/143U SUSANVILLE _ CA 96130 CLAIM NO . IN AND FOR THE G RECEIVED COUNTY OF CONTRA COSTA via gisic y) STATE OF CALIFORNIA JUL 81992 PROPERTY CLAIM CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. THE UNDERSIGNED CLAIMANT HEREBY MAKES CLAIM IN EQUITY • AGAINST THE COUNTY OF CONTRA COSTA FOR THE SUM OF 011 , 000 . 00 . SUPPORT OF SAID CLAIM FOLLOWS : WHEN DID LOSS OCCUR? LOSS OCCURRED ON MARCH 17 , 1992 WHERE DID LOSS OCCUR? AT MARTINEZ DETENTION FACILITY , HOW DID LOSS OCCUR? I FILED APPROPRIATE PAPER WORK TO HAVE LEGAL COPYS MADE : COPIES WERE NEVER FORWARDED TO ME DESPITE SEVERAL WRITTEN REQUESTS . ITEM DATE ACQUIRED PRESENT VALUE PETITION FOR WRIT OF MANDATE 03/06/92 $3 , 666 . 66 COMPLAINT , CIVIL RIGHTS ACTIONS SUIT 03/06/92 83 , 666 . 66 NOTICE OF MOTION AND MOTION FOR PRODUCTION OF 03/06/92 $3 , 666 . 66 HOW WAS THE AMOUNT CLAIMED ABOVE COMPUTED? THE LEAST EXPENSIVE ATTORNEYS I COULD FIND TO HANDLE MY CASE WAS SCOTT AND BASOTTI , ATTORNEYS AT LAW, AT $150 . 00 PER HOUR WITH A 55 , 000 . 00 RETAINER FEE . THE ESTIMATE TIME FOR THE THREE WRITSiWAS 40 HOURS EACH WRIT . A " CONSERVATIVE" ESTIMATE , AMOUNTING TO 811 , 000 . 00 . (PLEASE NOTE ATTACHED LETTER FROM,, SCOTT AND BURSOTTI ) . PAGE 1 LOCATION OF PROPERTY RECORDS WHICH WOULD REFLECT PROPERTY IN QUESTION: CONTRA COSTA COUNTY ASST . SHERIFF , MERALD T . MITOSINKA , DEPUTY SHERIFF , PETER CHRISTIANSEN, AND MARTINEZ DETENTION FACILITY LAW LIBRARIAN, "ALICIA" (LAST NAME UNKNOWN . WHAT STEPS HAVE YOU TAKEN TO RECOVER THE LOST PROPERTY? I ' VE HAD CORRESPONDENCE WITH THE CONTRA COSTA COUNTY SHERIFF' S DEPARTMENT REQUESTING MY LEGAL WRITS WHICH WERE TO BE COPIED BY THE DETENTION FACILITY LIBRARIAN , BUT NEVER FORTHCOMMING. PLEASE SEE ATTACHED CORRESPONDENCE . VERIFICATION I , THE UNDERSIGNED , SAY : I AM THE CLAIMANT IN THE ABOVE-ENTITLED ACTION: I HAVE READ THE FOREGOING CLAIM AND KNOW THE CONTENTS THEREOF AND THE SAME IS TRUE OF MY OWN KNOWLEDGE EXCEPT THOSE MATTERS WHICH ARE THEREIN STATED ON INFORMATION OR BELIEF , AND AS TO THOSE MATTERS I BELIEVE THEM TO BE TRUE . I DECLARE THE FOREGOING IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEGE UNDER PENALTY OF PERJURY . DATE : dJ SIGNAT E OF CLAIMANT : v PAGE 2 Contra Richard K. Rainey Sheriff-Coroner SHERIFF-CORONER Costa Warren E.Rupf 1000 Ward Street Assistant Sheriff Martinez, California 94553-0039 County Gerald T.Mitosinka (415) 646- ` Assistant Sheriff Rodger L.Davis Assistant Sheriff June 4, 1992 Mr. John Malone Box D 14 948 Tamal CA 94974 Dear Mr. Malone: I am responding to your letter of May 19 to Sheriff Rainey requesting copies of certain legal documents, i .e. , legal petition, motion and complaint. These documents were reproduced for you, at your request, while you were in custody here. Itis possible they were lost during or after your transfer to San Quentin. Sorry we are hot able to be of further assistance to you in this matter. Very truly yours, RICHARD K. RAINEY, Sheriff-Coroner Peter Christiansen enclosures cc : Chief Deputy Ard Asst. Sheriff Mitosinka Law Librarian AN EQUAL OPPORTUNITY EMPLOYER Sheriff-CoronerContra Richard K.Rainey SHERIFF-CORONER P.O. Box 391 Costa Warren E.Rupf Martinez, Ca%Wa 94553-0039 Assistant Sheriff (510) 646- County Gerald T.Mit riff Assistant Sheriff May 28, 1992 Rodger L.Davis Assistant Sheriff Mr. John Malone P. O. Box D-14948 Tamal, CA 94974 Dear Mr. Malone: We have received the your correspondence to Sheriff Rainey, dated May 19, 1992. I have forwarded these documents to the law librarian and asked her to look into the matter. Sincerely, RICH RD K. RAINEY, Sheriff-Coroner GE ALD T. MITOSINKA, Assistant Sheriff GTM/jmw AN EQUAL OPPORTUNITY EMPLOYER SHERIFF—CORONER'S DEPARTMENT Contra Costa County Administration Division 646-2402 Date: May 28, 1992 To: Felicia Troxa, Law Librarian Martinez Detention Facility From: Gerald T. Mitosinka, Assistant Sheriff"-7- 51 Subject: Correspondence from Former Inmate John Malone I am forwarding correspondence dated May 19, 1992, from Mr. John Malone, a former inmate at Martinez Detention Facility, and ask that you take care of the matter appropriately. GTM/jmw Enclosure cc: Chief Ard Sheriff-Coroner Richard K.Rainey Contra Costa County SHERIFF-CORONER Warren E. Rupf P.O. Box 391 Assistant Sheriff Martinez, California 94553-0039 Gerald T. (415) 372- Assistant lka Sheriff To: John Malone Date: May 26, 1992 P.O. Box D-14948 Tamal , CA. 94974 From: Subject: Mr . Malone; I received your letter of 5/9 and regret to inform you that Zhave not seen. your legal paperwork, nor has the other law clerk here at the facility. I remember making copies , etc. . for you on several differ- ent occassions , however, I suspect that in regards to your last request , copies were returned to you in the usual manner and since you were gone to S.Q. may have been discarded or lost . is If they should turn up in the library, I will forward them as soon as possible . Sincerely, )/,4 Ce A- Law Clerk Co. Co . County Detention Facility .f AN EQUAL OPPORTUNITY EMPLOYER I fir 1 L a.... .... �o con�r co _.__......... _ ___Q__14_ �1 - AD�srq�o j �r1� n�r�rsy __._.....----------------- the �..Qrr ...........1, tt Li _._.._ ......- _.._.- ...._ 0 .�O� OO -- �" { Y1L�� .. (,Aj0 - AO m-e C671A_P�a� v _. 4L... 4i.. I 1 i Ccs q�ss3 _ _ _ ._.__. . . .zdnt psi-�<vty �ou 6fc�.c.- ��.�u� c'�.bu� dist. t�o-�1(�r.►t.� litu.!-9 'AA ses;POL(W. - _........ . .. .... "T L f_att. .a.K.-w--,/ .AOeY,-,,O d Ie, Cd_daEU.yk-U14-s'►- d1k P.c lk t�o� , __...- -._ v GA LPW w4-: ccs Cos 1 SCA- . . .. ---._....--- ... . . _�_.lQ.e-�-�u.-�-to►� t-a�����-� �������C _�1�Guc�L��4-_ri�..t' �-o ._5avr. _C�u.�.uL�-��•-_ -- ._--- 3.1 1 a 9 ------------ v --�94 'OVL 6kLd aloa c,c-o- k, u j M� Grad o,,- , V... m meek as ale cL oDs L66 �--- ;s uk LJQ j --cuEl ces wl�e� was ��t �u5�oc(Y cares Ey /0,CL ilA6-S rcj)vt o Vti �1oaf- �asS�:S��-� �i e doC cc rv�Q w� c lho s 2 4-tc ,r h-e-c� yYlr. c��ner � P � ... ...... . . .. .. ..... .. _ _ ... .-. .. . . . ....... . . . lob o�- 0- �� ��1 5 - ��ar� ._Corti-��ru. ._�o s�-u lQ��e►�-(-�ov� . _ . .. CONTRACOSTA COUNTY : . IT Y .t•. :� .. .... ..... t DE ........ ....... .. , ,.,;:.:,::..:,:. f,.:...•:•.::. ?,:r;.:,,.:�;,,,,;,,;,, ,,,,,,, MEDICAL REQUEST. INMATE REQUEST FOR INFORMATIO , N`-- E Q . .. ... . .. .:.. i. . .. .. ............ ,.,. lel 1 From: gkg # C Date: / / �� Housing Assignment:sf Re uest )Grievance ) Appeal ( ) Other Check One: �� Request: ! i j\4 f.. A :sem•-' Date Recd `A / / �{ Recd By: Routed To. ANSWER: ( ) APPROVED . .. . ( )DENIED-(state reason) f r. .1� - S .;i•, �I u . .. . . . . . ... .... . _ ,. B Date:'` •�, Yellow:Re to lnmate';:`�;'�`:= :- :-: ;•%:�'�-:<• White:=�o Book. Pink:Kept by Inmate :.. ::'��'' PN.. • ET 024:FRM - - D - ,1., t i ff i ,t 1 Z ;?3 -.-'�: '1:=:'•t. f' _J:%4 -�Y{ •:':2R.nR ..•('.-':.. :''ni h%�.' '"k.K. �A u ssii�� .. i.. f ( CONTRA:::COSTA COUNTY: F. ;;; ;DETENTION•• FACILITY : r - ?yu r �,t o <K •i: MEDICAL•REQUEST INMATE.REQUEST FOR INFORMATION ...... .. .... ... ...... ... .. From: _ 9 �:1 1 To � i Bk'. : '.� .... '. �• .DOB) Date: %I�� /9 x Housing Assignment:::::. . Check One: Request ( ' )Grievance (.'. ) Appeal ( ) Other Request: 1 Lr . . I'�• t l S f,r ti 1.. ,t f, �.1 h 1. i .. , S��'•,:i.-i•�tY_'n`S.� .�:+'�.�[K�__ 'Lt:,�t:_`vif^;it�`�. i.�Rti2t r r Date Rec'd C'� / / {,`. Rec'd By: f:--," WAN�W Routed To: ANSWER: ( ) APPROVED ( ) DENIED-(state reason) . 5 . :i �F t; .F ? ....... . ' ' • ' ': : ' •: 'i Pink:Kept by Inmate . ..: Yellow:Reply to Inmate �. /White`To Bookingy'=`� :.:..,. .. .: ... .. .. ....•...I' �.- 'DET 024:FRM Date: I - . - - - '.ilii'• : t�f , i : [ ' Sten•'.' 3- �::1-- !.v?!C.. ./ .{ ..f. .'j', •'� -:y�. "4'. '"._ . .� .....✓. ,.:.:�trZ .:'il..G�. it..Kr.J- J^: _ir-ti�i' %ti!• :7+` ..._. ........i>....::-..�_...._.-.=>..:�.:. -:��..".::- r., �',!ti':`:.ti;., .ry.✓�,:C<Y.� .'�4;1 -v:y. .•�l=�i,:�i+.•�:". i`,,.:.� . ..... ...... , I. GOUNTY.;; ,� :; .:>: :': : � : ;'•;: , TE N TIC1N- F'A ,3 L'REQUEST, .` :� Vit.: .n '' • r=-t,i; �t REQUEST FOR INFORMATION },.. r...... <•,..r, �,.,.,,,,.<, ,,::... INMATE MEDICAL 1 ii From: 6 � ,..S Bkg # s>. Date:_ `l %16 1 11 Housing Assignment: Grievance Appeak On Request Other, R Request: (L c 1 4 A L. k `t L'7' tr i Redd By Date Recd` 1 1 hi AMU •.i.YLA...!Co-v. A•:dp.br+..r 7Na•p.rr,• . ted To:..: Red ou ANSWER: :`::: `'( ) APPROVED ( }DENIED-(state reason} :::::..... , r.-,.,-ems: .,�t^,�.,;,;•. a. k:Kept b Inmate Yellow:Reply tolnmate ;:;-.i':` White:To Bdoking , Pin , <. .. . ...., . DET 024.FRM...:...^r::i•;> i.y:i , - ',i>, 1, r �;f s f . .�.. ., .. :.... ,.... .,. ...,. ,.. ,,...,.., .{,, t%515:• +'Y<+ i{a l;t' }�1 ',�-t ^,4i•_rr - •:C�_ .r.r .S ,•^:,�4+i, , t �'•35:,:`�y'i�� - .r.•.;,. _c�::!... i`,Dj' � ?�'^. v,i. Ji Cv:. `,.+,. �,y^,'� '�.;c�•��+%�?i::;::;i;;� e p.11,,.,>.; , ��s a., ...d '•�=?':. 2. ,o:�;ti�:-.,�i'-�..,. .. .`-`= •!�=%; � ..�., •,^�r,.�t� `y .'�, .,�,.�, ,'a3f,...sL�'r•�f,}}t.�'�,�,htr.,�•.rt�. ,S� ..35F�:.. - sc 1 1 - r 1 , LAW OFFICES SCOTT & BARSOTTI JAMES E.SCOTT A PROFESSIONAL CORPORATION RICHARD A.BARSOTn 315 EAST LELAND ROAD• PITTSBURG,CA 94565-4981 510/432-2955 510/689-2433 FAX:510/427-6185 March 26, 1992 John Malone Contra Costa Detention Facility 901 Court Street Martincz CT 9^553 Dear Mr. Malone: I have received your letter of March 14,1992 . Our office would be willing to represent you. Our fee is $150. 00 per hour. We would require a retainer fee of $5000. 00 plus security for future fees. If you are interested in retaining this office, please contact me. Sincerely, SCOTT & BARSOTTI /ichard A. Barsotti RAB:mh CLAIM BOARD ;OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA COUNTY COU MARTINS �+� Claim Against the County, or District.;governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT August 11, 1992 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: $366.00 Section 913 and 915.4. Please note all °Warnings". CLAIMANT: ORTEGA, Ronald Eugene 4639 Pacheco Blvd. ATTORNEY: Martinez, CA 94553 Date received ADDRESS: BY DELIVERY TO CLERK ON July 17. 1992 BY MAIL POSTMARKED: July 16, 1992 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: July 30, 1992 gqIL BAATTCHELOR. Clerk II\FROM: County Counsel ' TO: Clerk of the Board of Supervisors ) This claim complies substantially with Sections 910 and 910.2. A5 �e o�l,�e� a ���Itifying s 5i�cr /(C, t ( ) This claim FAILS to comply�' substantially with Sections 910 and 910.2, and we are so C 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: T Dated: 31 8Y: IJ�..�X�� l� 1 Deputy County Counsel b 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). J IV. BOARD 0 R: By unanimous vote of the Supervisors present ( ) This Claim is rejected in full. ( ) Other: I certify that this is a:i.true and correct copy of the Board's Order entered in its minutes for this date. Dated: A U G 11 1992 PHIL BATCHELOR, Clerk, By , Deputy Clerk YARNING (Gov. code sect 3) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or III deposited in the nail to file a court action on this claim. See Government Code Section 945.6. a: 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. FOR ADDTTTONAT WARNING SEE REVERSE SIDE OF THIS NOTICE 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: BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator Claim to: BDARD O�+u FEEIV'ISORS OF t7dNTRA COSTA COUNTY ` A. t I WIMCTIONS TO CLAIMANT' Claims relating to causes cauof action for death or'for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1957, 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, 1955, 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 akstrict governed by the Board of Supervisors, rather than the County, the name oi, 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 worm`. _ cocoa +� * eaeee * eaaa * +� e * e +� faaaae * eeaae �ta * +� aeaa RE: Claim By } Reserved for Clerk's filing stamp 120AMi-D ve Etil E O)erE'C ARECEIVED } Against the County of.'Contra Costa ) JUL 17 1992 or District) CLERK BOARD OF SUR101:i 01 CONTRA COSTA CO.. Fill in name } The undersigned claimant. Hereby makes claim aga nst the County of Contra Costa or the above-named District in the sum of�$ 34P6 szx- and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) 2. Where did the damage or -injury occur? (Include city and county) n �oK-A- Cas7Y, tin � py�.CTER.t/i4Tl1/EUR.� /aOd .T�iv�scpSarz /�/��i��i;cv � �A. 9VS 1 3• How did the damage cr:`injury occur? (Give full details; use extra paper if required) ltJ/u!e o Stier-;�',!s t4Aain�-e*t .hca Fee bP�iH �k pf", a5f�l, A)Ae„ S 06A� -ied a of I ctf �i`aSla Va,(le alle e of Qb— /fie G,or.,v / &as `filer? v�c.:secf -{� 'ecst �� �Q� � 4ra/e Q YE'e�Yr�?r�fj47� S7SGeS {�Y �'- 2 f Q� Clts�? 4. What particular act c'r omission on the part of county or district officers, servants or employees;: caused the injury .c r damage? p ju 0Z� ��o.-�,s �q ve Yews�� zlo oh ar ,,,ec�ues - Y e�- V eAo-r� (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? � `lo�v�d �va•Lf �T. Z �,eg. 6. What damage or injuries do. you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for autodamage. da e -,0� r�.eu.'� •'a 67 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) see e o 8. Names and addresses of witnesses, doctors and hospitals. .,$•,e� ��4 aG.a cQ re��� C'oo:e� . 9. List the expenditures you made on account of this accident or injury: DATE ITEM Gov. Code Sec. 910.2 provides: " claim must be signed by the claimant SEND NOTICES TO: (Attorney) r b some persqhis be ." Name and Address of Attorney ' (Claimant's Signaturefi A11A ?ac-A&CO Address Telephone No. Telephone No. /�- f * * * 1F' �tf +t �tltf �tT * NOTICE Section 72of the Penal'Code°provides': i "Every person-who, with intent .to'defraud, presents. for allowance or,for' payment' td.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 Bounty- jail for a`period ;of not more than one year, by a fine of not exceeding one ••thousand ($1,00O),,or .by both such -imprisonment. and fine, ,or. by imprisonment in the state prison, by a fine of not exceeding. ten thousand dollars ($10,000, or by both such imprisonment and fine. ', I� ii .I • I G yo� a,ve �' ow P4 r o(e (�o u Q�e SuSJee t � � �%/y �.a,`n•few-.�c� -re e ua l; -/ o n� A au✓ a,o 'lie 4 l oa ---- ---- -_.--P( . T -- - •---- . -_.-• -- - - ----- -• - - ---- /4S(O Guo�K•ed �-/ vQllecp- -�o!/e�e __ _.. --"'` 5//��'.'�- ._�.z,�i �_ _ •_ .. _. ..... _ .. Z—_ _. . . is -- -- - ---- --• - - - I - �------ 7�a /h�v�Gve�-�Q. G�•_� G!-�y �tuc�reP. Z f=.`vs�` Ds��h,ec�_ -_ .... �- vouc�l' �u.� liLc - _/�Qv_o%_ 6•f�-sLev �e �,�y {�o.v4-.-c/ Aoa p� aa� �/ e s o�a-y ___ - - -- --- - --..—__,.. . _ Imo. .. --- -- --•----- -•--- -- ----• oa / - - - --/- ----- -- i' / �tu,:::;�7 pff-,ad (2-oede sfe It _ 1� a /-.k sed vee— , � e �PPe�.44_eQ L e /e - --/ ----- - --- J"e �a Cc i e X660 Ya - a-/- A)o� Lod)&,. GJ e vie)/� lea°, A(so -*' ul� � ah.ly y �,,� a o �00= - P- P-,�Y- - --------- ------- - - ---- - i DA 7-Z'S 91'A 5 S-O SO- Y/O 0 % ala �a 3 5� °" Ar 161z,l " io/o ,��a a a3�� a ;fir �r °� _—�� � 7� °O I,. �� � /�=° -- - - .---_—�X8°0 - - AYA '00 #410 4W- it 60 fzz 0.3 goo it on 41A, se- -7ri- 7 1 Y 00 ss Ace e- r7 Arnov I I Ove",41 ? id -0 V3q00 a CONTRA COSTA COUNTY COMMISSIONERS: BOARD OF PAROLE COMMISSIONERS CLEMHAIL.ERSON TY CHAIRPERSON GERALD S.BUCK .; CUSTODY ALTERNATIVES BUREAU COUNTY PROBATION OFFICER 900 Thompson Street RICHARD K.RAINEY Martinez,California 94553 O� (415)646-4713/4 SHERIFF-CORONER `4 SECRETARY/NPAROLE OFFICER oosTA couK `3~ RECE�Vr � COUNTY PAROLE AUG 2 9 191 xx MAXIMUM.. SUPERVISION PAROLE Ans d............ EMERGENCY PAROLE CONTRA COSTA COUNTY PAROLE AGRFMdE' TO: ORTEGA; Ronald .. BPC # 1399A The PAROLE BOARD has granted. you a release on parole effective August 29, 1991 Parole will terminate on April 1, 1992 This parole is accepted by you, subject to the following agreement and conditions. Should. you violate any condition of parole, you are subject to rearrest and the Parole' Board. may modify, suspend or revoke your parole, order your return to jail. and refix your discharge date. Whenever any problems arise or you do not understand what. is expected of you, talk to your Parole Officer/Agent. AGREEMENT OF PAROLE I agree to waive extradition to the State of California from any State or Territory of the United .States, or from the District of Columbia., and also agree that I will. not contest any effort to return me to the State of California. Whenever it is determined by the Parole Board, based. upon. medical or psychiatric advice, that` I am incapable of conducting myself in an acceptable manner, I understand the' PAROLE. BOARD may, if necessary for treatment., order my placement in a community hospital. or my return to the custody of the Sheriff. I agree that my person, . residence and any property under my control may be searched without a warrant at any time by any law enforcement officer or agent of the Parole Board. I have read, or have had read to me, this Agreement and the following conditions of my parole. I fully understand th d I agree to abide by and strictly follow them. I fully understande p alties ' v ved ould I violate this Agreement or the Conditions of Pa e. ,A Signature of Pa `olee . WITNESSED: Parole Officer/ nt Date Original to Parole Rev 4/90 Copy to Probation Copy to File CONDITIONS OF PAROLE R R C R 1 V E D AUG 2 9 1991 1. RELEASE, REPORTING AND TRAVEL: ARs'd.. Unless other arrangements are approved in writing, I agree to report to my PAROLE OFFICER immediately upon my release. I will not leave the State of California without prior written approval of my PAROLE OFFICER. ' I agree to maintain permanent residence and operating telephone. I agree to inform my PAROLE OFFICER within 24 hours or sooner of any change in my employment, residence or telephone number. I understand that I am subject to arrest for escape if I leave the county to which I am paroled without the permission of my PAROLE OFFICER. 2. PAROLE OFFICER INSTRUCTIONS: I agree to comply with any instructions which may be issued by my PAROLE OFFICER, including participation in anti-narcotic testing. 3 . CRIMINAL CONDUCT: I will not engage in conduct prohibited by law (State, Federal, County or Municipal) . I will notify my PAROLE OFFICER within 24 hours or sooner of any arrest or violation. 4. SPECIAL CONDITIONS: I agree to the following special conditions: You are to be in school full-time or have full-time employment. You are to attend three NA meetings per week. It is recommended that you take an anti-theft class. You are to appear in the County Parole Office as directed by your Parole Officer. Your parole will terminate as of April 1, 1992. Signature of arolee WITNESSED: AROLE FICER/AGENT DATE RFV 'i/90 s-E CONTRA COSTA COUNTY COMMISSIONERS: ��j.__"; �,-:___•�,� CLEMITT L.SWAGERTY BOARD. OF PAROLE COMMISSIONERS CHAIRPERSON GERALD S.BUCK • �-__ _ CUSTODY ALTERNATIVES BUREAU COUNTY PROBATION OFFICER 900 Thompson Street e RICHARD K.RAINEY Martinez,California 94553 C 1 V e p SHERIFF-CORONER GA`O (415)646-4713/4 `9 y AUG ���� LT.THOMAS LAMBERT O _ l7 SECRETARY/PAROLE OFFICER sr9 colo aRs•d. PAROLEE: ORTEGA, Ronald B.P.C. # 1399A MAXIMUM SUPERVISION PAROLE PROGRAM- CONDITIONS. Maintain daily curfew and be present at your listed residence between the hour of a.m. p. and 6 �m /p.m. You will be subject to unannounced personal and/or telephone contact. rfew times are subject to change upon notice. submit to regular chemical testing for illicit drugs and/or alcohol as directed by the Parole Officer. Report as directed to the Parole and/or Probation Officer. Do not use, possess, - or have under your control any drug, narcotic or drug �7_completely paraphernalia unless prescribed by a licensed physician. 91 abstain from the use of alcoholic beverages. �Do not frequent any place where alcohol is the main order of business. Do not possess or have under your control any firearms/dangerous weapons. ro not operate any motor vehicle unless licensed to do so by the California Department. of Motor Vehicles. Maintain legal liability insurance coverage for any motor vehicle you drive. articipate in a counseling program as prescribed by the Parole Board or agents and not leave or terminate any such program without the express consent of the Parole/Probation Officer. Oq -6 Obtain gainful employment within a reasonable and agreed upon time from Parole release and not change or terminate such employment without. the permission of the Parole Officer. Full-+,;_e sc / cg•.., be DATE I have reviewed with the parole agent and fully understand and consent to these terms/conditions. I further understand that a v' ion of any of th e co ditions may result in my a ate ar a t. Parole A nt's r nat4rb Parolee s Si nature g DATE DATE REV 2/91 sE CONTRA COSTA COUNTY COMMISSIONERS: O CLEMITT L.SWAGERTY BOARD OF PAROLE COMMISSIONERS CHAIRPERSON •j,!+/ / GERALD S.BUCK •;/ CUSTODY ALTERNATIVES BUREAU COUNTY PROBATION OFFICER 900 Thompson Street ^ y a Martinez,California 94553 RICHARD K.RAINEY' SHERIFF-CORONER y O (415)646-4713/4 '1 LT.THOMAS LAMBERT f ~ AUG ���/SECRETARY/PAROLE OFFICER z g ***FEE AGREEMENT ** Qqs d egg, PROGRAM PARTICIPANT: ORTEGA, Ronald E.H.D. # B.P.C. #_1399A PHONE # 1. PAY AN ADMINISTRATION AND APPLICATION FEE OF $40 . 00. PAID DUE BY 9-5,-9 r DUE D 2. PAY A MAINTENANCE FEE OF $ Z O O PER DAY, $ / 'f 0 D PER WEEK FOR PROGRAM SUPERVISION. I WILL PAY MY WEEKLY FEES AT THE CUSTODY ALTERNATIVE BUREAU BY WEEItU LlAY OF EVERY WEEK BETWEEN SAM AND 5PM. I UNDERSTAND THAT MY APPEARANCE IS MANDATORY UNLESS MONIES ARE PAID IN ADVANCE (BEFORE. WEDNESDAY) - 3 . POST A DEPOSIT IN THE AMOUNT OF $ (MIN. $50 . 00) . PAID DUE BY DATE DATE 4. I AUTHORIZE .'THE TRANSFER OF REMAINING FUNDS ON DEPOSIT WITH THE / -�WORK FURLOUGH PROGRAM TO THE CUSTODY ALTERNATIVE BUREAU. �� 5. ��J I AM PRESENTLY UNEMPLOYED. I WILL OBTAIN EMPLOYMENTABY�THE DATE AGREED UPON. - 05 - f DATE I understand that I will pay a "one-time" non-refundable application fee and a weekly maintenance/supervision fee to partici-pate. in the program. The fee requirements have been fully explained and discussed with me. I understand that any exceptions will be dealt with on an individual basis and that unauthorized past. due. fees may cause. my Termination date. to be delayed. I agree to make all payments due in cash or by money order-no personal checks. Any overpayment will be refunded upon my completion of the program. I understand that if I fail to make the required. payments, that any unpaid. balance may be referred to the Office of Revenue Collection for collection action. I further agree. to pay reasonable collections. fees, attorney's fees, interest all court costs should Contra Cos County br' g tion against me. Witness' ignature Participant's Si ure (. 9/ Date Date ***Cash/Money Order payments may be made at the. Custody Alternative Bureau office located at 900 Thompson Street, Martinez, CA 94553 . REV 7/91 • sE__t CONTRA COSTA COUNTY COMMISSIONERS:CLEMITT L.SWAGERrY ` - BOARD OF PAROLE COMMISSIONERS CHAIRPERSON • / � ` ' GERALD S.BUCK •; _ CUSTODY ALTERNATIVES BUREAU COUNTY PROBATION OFFICER 900 Thompson Street Martinez,California 94553 RICHARD K.RAINEYR ¢ O (415)646-4713/4 ^ SHERIFF-CORONER //�4�/� LT.THOMAS LAMBERT O q COU1Z� �ti 4110 �O SECRETARY/ PAROLE OFFICER - ��sd 91991 CUSTODY ALTERNATIVE BUREAU NOTIFICATION OF DECISION TO THE SENTENCING JUDGE Date: August 29, 1991 Regarding: ORTEGA, Ronald Docket: 90007-6/881293-5 and 890875--8 The Honorable Judge Merrill Court Contra Costa Superior Your Honor: ORTEGA, Ronald has applied for release to either County Parole or The Electronic Home Detention Program and has been: COUNTY PAROLE GRANTED REGULAR PAROLE xx GRANTED MAXIMUM SUPERVISION PAROLE DENIED PAROLE WITHDRAWN APPLICATION ELECTRONIC HOME DETENTION GRANTED ELECTRONIC HOME DETENTION DENIED ELECTRONIC HOME DETENTION WITHDRAWN APPLICATION Sincerely, Custody Alternative Bureau. Director Contra Costa County By: Copy to File FEV ?/89 TNLQSD/9 REGULAR: PROGRAM # EKG # PROGRAM START DATE FEE START DATE RELEASE DATE MSPP: xx 1399A 91018185) August 29 1991 9 u G. Z9 Avril 1 1992 END: NAME BSS S OF PAY �A L FEE Other ORTEGA Ronald �i Sc,00 w��c RA DOB HEIGHT �� WEIGHT � BEY ARG PR ORS _ -12 s / z RDJJ. q26 CHA 1203./ 5FP 7. (— HOME ADDRESS: E S T `FI ' ,Q ECT PHONE. CROSS ST MAP A � 5-F 961-11/elft 7o 7-7 y.S-1713 OA5-1 3 "e .� �,•:.�e r ..fir EMERGENCY CONTACT: {yo2EE�,1 -rT oTt+E2 6 PHONE. - 73.3 Y Su GGE M ) � EMPLOYED BY: ADDRESS PHONE WORK LOCATION: ADDRESS PHONE SUPERVISOR: PHONE OCCUPATION SHIFT WORK? OVERTIME? SCHEDULE TRANSPORTATION DAY LEAVE RETURN DRIVERS LICENCE STATUS? _ .5 is P MON. w 6 INSURANCE: TUE. A. `oe 6 V�'D WED. (0A P Abdn THUR. A I P (CSI u ? J 199, PRI. b A 6 -- 14 E ---- SAT. SUN, b 4 6 P vqa u-TiMEsc�{Seatl.ALT nprABW/RJQA�IES oIIEGE MWF 8A- Zsp,- TTH - pA� ���� T1�SSP-gP PROBATION OFFICER: PtL.AMEOA (ZooNT f Saflimg2Y C..1-• Pa03PT 1 C PHONE #: Field Contacts (Date j Time) LX Dnxj / Alcobol Tests (Date arx3 Results) 7 r 1. 6. 1• 6• 2 i 2. I 3 cs. 3 4. 9. 4. '3• 5. 10. 5. 10. )IJ/tv ounselinq Attendance (Dates) 3 x Curfew Q)pchs (Date / Tifoe)2?0 1. 6. 7 . 6. 2 7 3 8• 3 ' 4. 9 11. 9. 5. 10. 5. 10. Otber Contacts / Activities (Specify) 2 3. 4. 6. 7 8. CONTRA COSTA COUNTY COMMISSIONERS: CLEMITT L.SWAGERTY .; BOARD OF PAROLE COMMISSIONERS CHAIRPERSON fGERALD S.BUCK •; l- '• CUSTODY ALTERNATIVES BUREAU COUNTY PROBATION OFFICER n 900 Thompson Street C1 .,�:;;i�I,i�iA s L� RICHARD K.RAINEY Martinez,California 94553 FC SHERIFF-CORONER `- C (415)646-4713/4 c• •, - ;��4 A� ��I/�^ LT.THOMAS LAMBERT f�0,sjq-COUK� A�s o � 919�,,J SECRETARY/PAROLE OFFICER ORDER OF RELEASE d BPC W: 1399A ) COUNTY PAROLE NAME: ORTEGA, Ronald Eugene ) MAXIMUM SUPERVISION PAROLE DOB: 01/17/62 ) EMERGENCY PAROLE BRG #: 91018185J ) UNCONDITIONAL TO HOLD DRT #: 90007-6/881293-5 ) (inter-agency release) and 890875-8 ) AGENCY: COURT: Contra Costa Superior ) HOLD#: It is hereby ordered that the above parolee be released from. custody this 29th day of August 19 91 The Parole Termination Date is April 1, 1992 , at 0800 hours. If revoked, the parolee has 123 days remaining to be served on the original custody sentence for which he/she was paroled. No credit will be given for the time while on parole in the event of revocation. UNCONDITIONAL ONLY: This Order is valid only for the release to (AGENCY) subject to In the event that parolee is not picked up (HOLD #) by the above agency, this Order is considered NULL AND VOID and parolee is no longer subject to release. This Order would. then be returned to the Custody Alternative Bureau with notification that parolee was not picked up. Board Of Parole Commissioners Contra Costa County By: ,✓C P ole Officer/Agent (Affix Seal) Original to Booking Copy to File Copy to Parolee Copy to Probation REV 3/90 space is available. Job Search is enerally Limited to l0 working days. A job Search is applicable to incustody inmates only. Employment may include child care during daylight hours. Exceptions to this rule are considered on an individual basis and subject to the particular needs of the specific program for which you are applying- 4 . Applicants must possess sufficient capacity for self-control to enable him or her - to - comply with the conditions and restriction of the Program. A willingness to comply with the Program rules is essential. 5. The elements of the offense committed shall be evaluation' factors as well as the conviction offense. 6 . Types of employment/school are subject to approval based upon suitability for program purposes. 7 . APPLICATION FEE: A onetime, non-refundable application fee of $40 . 00 is due for all applications. Fees are subject to the applicant' s ability to pay. The amount of the application is subject to change. j 8 . MAINTENANCE FEES: i a. Approved applicants are subject to a daily maintenance fee equal to one hour of the applicant's gross wage. b. Maintenance fees are due weekly in cash, money order or cashiers check. (Work Furlough accepts only cash. 9 . Those persons who violate the terms or conditions of their program are subject to removal from program, participation and placement in a direct custody environment. Additional penalties may be imposed. 2 o A O V G �'1 Z� •t 0 o 04 v r n �-- •o r q D n d+ t d�'Y O� 5 gni Q Gr U-� � c9 O CO 00O 4 p o V29� o UOvia0 US o AO W O S 0000 OOOC OOOi O _ O o ..:. t oc V5o U O L S S S o a i :f �.. SA O , 4 0 .94 � { O 0000000000000 0 � l O L o USA ct QWnrn' � Ift V ccs N HWE-4 cn H v' p H H v-4 > H QD V tJ G'l S3 I Ilk 0*1 I < di r Z� ca {.1 L Ln < > ' o '14 p � V w CIS WI aC-L4 ICA zc pyo 't �_ . INSMCTIONS TO CLAIMANT A.. Clam 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. Claim 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 .tthe accrual of the cause of action. (Govt. Code 5911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 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: * * * * * * * * * * * * * a * a * * * * * * * * * * * * * * * * * a a * * * * * * * * RE: Claim By ) Reserved for Clerk's filing stamp C Against the County of Contra Costa ) b 0 or Fill in name District)) The undersigned elaimant..hereby. makes claim agonst the County of Contra Costa or the above-named District in �the sum of-$ 347 6 and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) $, TW,6:EA1 10 3 t To O/12 q 2.: Where did the damage or -injury occur? (Include city and county) ,C�u�e� v.� /coo it 0/LtpSdh Z-/ xlI4r17.,v3� 04 9(Is-s-3 / 3. How did the damage or injury occur? (Give full details; use extra paper if required) (,oJh,r'Ie o� 5Aer��,�'s /�Q ro% 2 wa.s Grss� -he�1 Q ae 44AaAn7Yh.a.hce Fee bef/A./- (� b_. ,,�f��j�/, lJhen 2" 05 �'yoz f a 8�`QS1d Va_41e .Gu' /!e e �-f �6°P Lutes hest v zisec! f� 6� a b " d 7`f►c �xz ro/e L2!Ej±7-t 7%a-/- 57"r-,{mss AV d 4-10-0 4. What particular. aet or omission on the part of county or district officers, servants or employees caused the injury -or damage? ,, Yd � � �ve velks ed AD ? !2 on av � �ecjc.es� TaY � v,e� Ae (over) 5. What are the names .of county or district officers, servants or employees causing the damage or injury? 6. What damage or injuries do, you claim resulted? (Give full extent of injuries or damages claimed. , Attach. two estimates for auto�'damage. da e Pa., / ;i-,,e,�4- eL ba-r-e� 40 P4 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: ! claim must be signed by the claimant SEND NOTICES TO: (Attorney) .-w byJ some so his behAH." Name and Address of Attorney (Claimant's SignaturEfi IVIA Address "12-e 7�Le Telephone No. Telephone No. I I V I I V T NOTICE .Section 72 of the Penal Code provides: "Every person who, with' intent .to defraud; presents for,allowance or for payment to -any state 'board or officer, %or -to any oountyi,bity.-or..district"board, or officer, authorized to allow or pay the same if genuine, any false or friudulent 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 onethousand ($1,000), .or .by both such imprisonment and fifiep ,qr by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. I t�o v a.re 01, P4 r o(e q o u are SuSJee f C- da-%l, e PUG.[ one Aav✓ Qg /'AL" 4��(IC�/�7� G(iaSs Gu�Ce . ; i O ..� ....�.... _%h�d�GvE'r�C,Q_.. . (,�,.•7`Z� lr., Y . . ��d�e�. _. �'�� Q�-{�c.]he�.... �e QSKe� Lacks-= 7i�o� iy A- pe t-d2- (2,1 eW e El-g'C 7'��d'>, dvel`� d�� o� lee a��l,4y740 we e`► d ;,�ec� -a 5 -5/ � -. ,r i d�`r c�le 74' cog 7%e �- ��� d �- lie / a-y Zoe2_4�_ Af OA—e y l//o/2 k-a°, g(sa ?� Gv� ah.lc� S-u70pose A Vzz% §77,v 'I AdT P�y. A!1,0�nlT Amo u i �o !` Oo / D 1014 do 3 -3b-3 110 .i /z3 : 00 60 i. / 60 3 44 7 13 74 67606 s 5 )9m WfIO- eve t Am oar i Qvew ,cl //0,3/5a — C9I � � �0��� ��vld �a✓P �Qrd •w '�jF3 7- - i� i! i� r ?e op lEu e-ic- E: QR.�C C^!1. ........ S 'aR-deo RS R "C���-��..,e �"4"u ltK� A40 WAS C.I-%A Rg60 A C�A���. iIRTG OT 2.0�/�rrfC s.ao less +k,.. 4LQ- IAI�f KAIC, �f-2�9-911-0 1'I9-9Z Me, OeC%A SiJNeo AN Arj(ZCt ^e^I+ AMD ACCZ;VC4 /3 C0101 *..1ktJZP- HR.�tfc�� en�tosp._._C P\;>Ime-m+ 12-ZI-97- Tec ut-i4i'meo As 4- %Jr*s CaO Icss -�„� -}�L:� c�a.l,� rte►+c.� �ta. Off- 4 whs p`lc -6 ri 11 � 1 ' I C�d Jlsc- CV641 G'�tn�g � Ci o��ct '�'hq� �o E2e�ur2� 1� ...SG _"CU\\� �Y-�G .._c'�1 (-IL{ -9 Z TkS Gor.) ���`iJcrs �S GOAC.'A."i C(.4+" r, «.... c l w, $ 7.00. �,r ka'i G .a o - ----. ..---- ---2._._�Q�'C4A_...��.�...�,w.V.e ... o�K j�c�+w►o. -�4 �nC ��5. � �eoo� ��c a.elo4�%�s�, n-�r,D tee's . -_-- ...._..As_..._.A. _. s:1��;a-e ----.�.1�e.'�r_......._R.e�4ReeS�"�� �c... �►ad oJa�C �SOO / /. 1. br."r.', fr{it;"�.� ;fin: ;_b:: _ t�•,,�.r;:: '. rf'i� r!!_' 'ir(.i .(,'�'.fyt?� ..,,.r::.. -,.: .. . '�`: �.,.:i• ' '' COUNTY. CUSTODY 1'.AI�T�RL�16TIVR SUT.' EA ',rac CONT12Ap,`;COSTA--. . ! !..'.•l:• '':;nom• ti. ,,••r;:••.'• - Jz� 41 .(. (ri<:�,f. thy.:. ;':i:... r . ,;-:';: =;' ; :l ix-',.r'i.\'f INDIVIDUAL.,PROGRAIS . ClUWGES' . 1 jViS f• :.' c, .. lti 5,!•J'e IX, it,; r : e ..; ;J : t . ,. r. g. +� • o i:;. l 1. f. ti . v a =: 1. % „ «. w::3 �. u�, 40 - ): k� 4 .:ji ,( •c••ir'\• tff- I. 1 L 5. y, 4 1 42:.. Y •-q• �L. n T 1�1- a� l�/� .i,ii UU ! , i C. ti� ,y" :5a, ('� I 'rt •q. d SY' t�.JT:S/j�Ql►. "4ig s.N., '".:.^.:i';°-{.,tet:.,,!I., 2. �. 1. „e94s• . ;w. 'M `Y.-"''•`4.: .;a•.,;• �.,_ ,q, X7.7{.� _ 1I;�V.`"'. .. - •` :ifr '�7 -r+'.? Gail 1.. _ :l a _ _. Parti i ): - -;;:� 1. r rt,,. :: `•1 1) L,e . i ''a', .1;a'•':.:'Ai` '•j< >::':t,' ,.f Ira.+L 4 .. li . J't.. '+fit, i= 1. .;I ' •:}1, w• ,,'s'r'ic X rn:7 f� ..,a^.2. v1' .,1�t.> ♦ .:['L 4.•'I,• .��',_ n f..t..^•.�,h-'^' qr4L'',. •f • ' ,.I'.,Z,. .:,L'�rtr+ t eF• t, .1! da 7rA^,rti'(1. v t a'' r. t ., t,�-.iY r� ��y� x� , } '�'E ,rl1' ^L•S 4 ..Ili,' tSL'-: :-•ri, :9:•'..- Ir r:: W',�. _ Jl� h 1}f !f r- L r:. �}y1 1 1 .�` .CS,,,, L,�'. 1'•: .. •l, i... "y-. .i:l :Y :',,'!�( : :' :r.. S::_ ,'w.��.:!:.:.�+Li,•'.:.':_. •. ..� rRe es'ted,. Change.,a•.. ,:_a_ ;; �; r" ".' T'p �+.rr: .. .- :�•4 ` }t f:17!'r'. A; ,.7v / .4:17r :r -,12t.,OO�r r•��•t„TS Q'0^. £• W./. :•`:�•i,lasC:_'7;r;'::i',V�':r`L�" '?.`„l�1,'.�ri' r•� ,�; M. • MN'.,. .j�`� G'•:.G"•'i:t'::i: 1 C .:Y'S :C •i;.�}, iv+rr `l. ,;.. ;,..Y.%1- 4.rr�?'"�. ;1. ,sr .7�` .•. - :.`44V N.J, f'1_ ^ e,...�. '�o�r!` - ';�' :•Y'''om :- \,;:. .:x' :��:;1i�' ;r:: ), <�.ice,• n7p, •E. tI. ,K. ,.0 .t h' .. i,r ,wri-, 1 ..� '1 -t.,,1,}-j�. .lt. . ••O.V• 1.-<.:„,.h`;:., .[" G, ,.•:-i `�1 a,YI? ' t.r.9:�t?�� ,>i ;,aSL•}�:;';.., .,::,'';i:' V. �' a.+9�"' .„�-:.�.J:ae.+l o:r° +.�• - )1. si.rf ., i.•t.J' ;. .r.. 1'i � e:..•;,.•_ J KA.,r '`r �.`' ,. ? ''^+tfL +r.::74'►?...r ' p,^•.: :i`:' �',<..•a. r ;f. i r }t,.tiFfJ.,.: 3 ' { ?�. M.: .i:;-.' tp,S•�?z,:J= :'ci;:,>„ ��s. .�w c 4>;i s i'.4 ., ..,.. 4''. •:Rr. �C Ri•., r :atz .S .1.4 r+�k r 'R r7'4 c. t -} ..,i, .:'N .. h 5. +. .rr ,+ , t'r i � i,. .a' :� n. ,,s. ,.. 1LL a. t ! ♦ f (. •W. 'L • l'� ,ty ! J- l �. li,, Yo -. U. 2.• t• /. -• } L �( :f. y, { t.r• Y.1 t ,':- J' F Lira,. I��`.a�, .r '3•'i r .'�:Vie' r 't. �' :��i..: r . ry r s I a 1•• ti /;:•/••r ,f q, ..t �. M .i' C1- �f i• A t rl. 1. t ^r. e 1r t: �' -I �t r 4 (L t. _ ,.rl. 1 J l6 A_ try. • 9 n f.: 1• ry�f • c c•' S . , . ...,. .Y �': . `}` L. - ,...rl `�• . . . •): 1 \. r�- L.. t� �V.'�1- % . son: ` L..., ., 6 Re ,` h:1.: u' G :'4 /.+l Com: ^ t i i ". . }. a N1V. a V. w1, fJ .: i 4 _ 4 Vl`.! R: tl//� V .. .. . - ­ !� . ... ,, ..:., . S . . x. t a, til r.:. ::, ?:rye ::;-� . ;. .. ,. , ..'.r.,!.7. . m. ... . . . . , . ... . :..�; ?.. ;�.._. .:. ... . ::..: .. , ­ . ��-�:,. _ !. . . .. ... � t' r :l.: .... 1., - .. _,. .�L�= nl, . . . ..... � . . f•' - "f 1,- - :� !• ,.,� . '1, - .. r: J:L, �r:., _ r(.. .0. �!.. t•, ,::. . . :' „r: /r . . . . . :I.: =1 ✓.: I:r ///•,L7 :`/ 7 Z . /�}�,C .1 1 C r :0 0 l 4 9• .. . . . . . aTS . In J f / -C IL' . . c .. \ . . :.. : .. r::: :i:, . .; r•' f ).. n' ,,..r {;i:�. _ ".i.:"w: ti'% ., 5 a n. l'. r• r d r o: "!r• •.ir�.. S ,'L yy r'r: +,- •{: ••e L'' <. ,. t_• Fa _ r! t'',� 1 ) _ Y .,.•s. 'fir... 1-�4 i ,.. .y,r �{ 7 x+• .N Hifi% +{ ` �-�x f !. r•^'. J''•• L�C �i r•. .1. 5 S� } a •a' :.'�,. ,.1...,.. rt a ,rt. I ^F ti:. f.. i, - .a '•.r.. "r•A+ � t� ..',.`r,'Q , .J. 'rt YL�.'.C'•,`�"' )' - r,.?:::. 'r.r::,4 .� 1 J V':1..- •:"1i'a'• .1.�,.t p •1�. .0 '., ..! ! tin,;,a.,: tt. 'i ••'•`]r +ar. ,:.t �:i .(• rr. .a. .-. , w-4.:: +':.:'„^,:,�; ...r. r. C 1.. .•u'!i,i ,p :.7 r:. .+fi :�i•i(. .:'4. , :;it.,t•: !j,.: +., ah -§_.,-,J:ti.... .(; �.> - ..L, •� ,a:i I. '.,..�'.:. �"i!c'' ••r�k 7W: 9,,• " 7r+ "f�+' 7(t`4';:-•rrft(:`i,�'r ;:':: -Ci,iS•.;7/r �,�V A .wJS•' ,.'L, ,,.y', _.(,...,_,. },>:' .fir !,r .� ::1 ;!'n.• ..,1 ir,. "� iZ alta _ . 1 J.1� �'%F�'. Jl. ;b, r.r -r: t;.ct fTf.y♦.. 1, r•:Yi!,:r;.-.A `tet Y 4r' Lr Int,i A- .fi L ) �� r,w r ti�ir.. ?4• ,a,i'r.�::f�[ s'C�Spl;:`,�'i,F': •:r„•,,L:;-+. ,a .:,t..r..t,,};L•a ••a:+i.f:}.;-r';. _ ,t.}} � �. r o-• 1. ,.y`.:.•,,.• .. :.it::'• - 14....,'.x.::::•:v' ';`itrS::.'•.L:•':t.,=.�rSI1y'yry�;",:;.r:;:: -:•. -',•. `r:� '.r.,r ..J... ..'.t.::"'•.: 'f:J :�.�4 �J�`1 :,: .<'Y Z,(.. :'Y,:.',5:.\3•:'_i G:.c.. -�,a.)t A':% y� ,'. 'i. ': R L 7"+' t7�On: Ci r. �r ':� «.• rf :n::,.,. 1, i(J �A•^ ..,, 1-:.• :};:ice I .L ♦, ly f: 1' t • �,1 T aa�r ( a S4 / ;'� ay J :-i' 1 1 a 5 t 7r %IS Y! .It •�•� �r., .11 ;; ti .ii :. ,.,_.a,F,�_ Mia w .. ;� :_` _,lil.: r +'i L Z ;:tL•s Y f _a :'i' r. % - U.1..., a- >: : ,,:�. .: rAra�::,. :jf - y. 1 h ::� f. .C;4,:c S• x..:':= , V, :.',s .,. c• x. t.: r.:,. J F: •)r r A. 0 Sir :}::, r ::��, rA rr. .� ,:-!.'� .,fit(.•'•'^ ?t:: , '.,' 4 r 4: _ : :1. N. a. t 2.. J.' F - 11:;� i:a::,:. •t•`Y•, 5•;• ::' "1 ''::. 1. •5" i�' (• �I s :c rrb' �r .> J.w' ,a "4 a i : .fit ...t J• .• ... .... .. ..a�.: >- t*-.�.r...,. .:-•...,, �'' '•:i��' t'r� r:;s.. ;v: •.d,,,.J:l:.^-• _'� a:{. )... ..i(,±,.y, ] pl. �2.'r.�• :r�,,, •A-. •i..l"-,:_i �:Y�`•`'� M. _if Y..'t.y�';:••;�t'.':'1. 't° iR't � 1'.' 4 4 \• -'•u, "3, .i ..f... ,J ,a5'. r" 'i' 4 - �'._ rt ap. .�i7- /1!r , 6, y r'l.'• 4 ..l•... `•^.. V - •1 7.i' r. •. . >.r; (�� � . �:. «. _ -r v t i• ::fir :;+., .t4 L r t: ja .•�'• .i T• •u• r ',, Y^ri •r. :.f. ..:• .�' �. tom' ::;: =i� it G- - t tt"•.- •r 4 +, r :L Y' .t 1 ,r.' .r'• r� ,:- \• :Y e• r :t y .V •'S •'b n:d.•• r y 5 ^L S l ; T,� 4.•r ('r'. ,•C"' "•i .ria'` .+�1!• t..r { •I 1.: i4 T �1•n .�;,L; -,. ...Y a ��'�'�`.:•,,:. `' ti t •. .i :r.. ''r� _ 1 _t•' ..far :i. '4. ,,� {. :%t f ''�.;' ,f: �rr. ..i'Ft•' .s2E...,,:i• L^, ) +J.:3 „'1i S t: �\ j,:+:, + �:- :i.: rte:,.i.n .%� n§. r:N.n. . ..•5J'•' .) fs.r. f t•: r. N't a r.+, t I k - 1 L•' i:" .'a: •�{ ., •(%cam i V.:r! .t'1+;:,�.�. .•,, r6,,. ri•... .r, ice... F. :.,.. Lr'•`4,7 r ll..r:.•.. �. ..(7 r...1,. rar v % ,,�t + ��y .1:: ;,': ...,(`,,;tt : i '41Csl, t `ci girt. 's:�Sr'Tratu�e'.j.' .: 5 G 'J'�•L:' t � 1; .r' r4, .,. ,..I `':f ',r, r'"^IP3Z' P. -e1 ,7. ,.,. :ItT..!i. ::,:,,.. ')1 •:•.�' .,;:.I. S,. s Si tunr :t: ..1'. Z;,tM1'.. •,? .rl 1"r 11":':'.. tn:Di•Z' I,. �'.', [�. : �! ,: 1T ZtTres g. f'. .,,;r , Y. +. r , s �If..; '+k"£:iY. u�J:;:.t:. <•, �,�' .:i�•. .ri••+'.r,tK'1 ri.-r,:n 5,,.• .t.. :.S ac - R 'r: n .tit 7: 3•'1r -t: pp u{. •. [rL r :l J L, �11� .,. :•t� 1. ''r'J .C. ..� Y ,`: a '" .L '1' !'r•r 1 ..L r,t: �a� H(. ` •.4 i 1 :.i• T' 4 'C '1 'i !•• r t 'ice. '•i' -4. 'kl'a.�w, -Y, i 1 .1 a •{ .•S" r �•' is _ +,,, a.-3•. ;,,• �.. r is Y ��1: '`�'• .,l moi;:;.. a~ r i. : !•- f. t� 'i• i! J I. :) •fir: y h Lf•'y'' .i; :'i''.: 7 '�' ,7. :t!ai. ..t w. :t,. ;'�i•::'+,•(`:',1'..r..yer, 1),, -/,''� -x '.)� C, i .fG• ,:.,, ,< x i�r,! .r{, ,. ;r.i.. �.i,.,� ;.,.. ,,i t .yv.:J�.:..wr.-LL4a ,1'h� It'}f!:.. "),..�,,r•_(. .' al+: w;.� 1(. .1• •:- lr•, +•!' ':. .. , •;SL , w 1.". =y .t.. .t FIs r��{a .•?i'!:Y`'..r rt: ,'l' ,, ';' L .i �:.� r}•1) +{1 l � JI■� xy d •1 f'-�. 1' •'1. .. l.y.i`.•,1••, 1. u,3i r'+A ,r '\'+rQ-1/i. L r r: '. 'i�% .ni •7% ..t',r •ra. '. `'�: lv')f',J......r �� ,c• ,✓.:�S.+. ��,r .v.,.A... 'y ,r• }� { J, ..1::.' •! r..2t..1 `m. �.:,• t:v; ,.Ir•'. .t .;9:;�I:fr'if.rl:R:( .S:• ,+ .K._ f%T' ra::w•`'r1�14. "R•ra'}ir:.'�..7:... .::'.:\�'.i.. .�:r.[,f(?•„rIr. ..,!K .... {:r. . ,'F`. w Y �' .,';,.:,.. ..f! i.;.. ;:; ::i4:'�L _��-�� : �,. +r. ., �, ..',•Date .fir 'i :C:"::it"i. t\'.�.S;9ts;•' :-�: .,�. �i.ji7f.t.. «.: ':+:'.: <:.,,. ..��:�'' •t:�fJru'�'•. a9 Ni, .5:4l..'.4,. 't R: i •4_ .,: ;TS,,•. ?t/gE �t ; (,::Date•' 1di�. rc €S"`'•'7R' ) ua`, f''`-s i,r,,;y .ra.l,_ Y r K }. C, 4.',5a f• e;P .., F:;i' ry � �.+. 11"�L�.�; ;i l..•. r�J• }JL -'I�+s wM^�,�'o f.f� ;L '• 4! /�REv't,7 :9' rr '),,r. .l4. �h, 7 :;;�-i',. � 1,-, :,,t3. `li "d:�- �';:u w: k«.f; ,5:t: r. 1 �• F , rr } / ;�'�' •�t), \..1': .u. ,�-'l•. r. .;L(1j1+�ffL, . •k.♦ .h5 '` 7'Jy.., 1p�tri1.11•,r,� a,.£�A(lihi" S rt'•!: k .r,r :.7� '(•,: w +.,. �:,,•'.1: .i :y 'J �h.l!i;l('�•' >.I.w1 .1 r AV) .7, 1 :4' .rl.. o.. •'-�'r`l.N Z. ! ��" ,il r. S;fid.. -4f: .�); "%N l [•� ::,Y f..,...1:.. �`ti fi yy ;tf; a .1' y L R ;;;:, SY•.{. �.-1 ..i''�4. �,�i, 4S, G, ..I' S !L.t:�_,:'i.• - .1. nJ=•k7. •• •.t,, !` f. , 'If �1' .. .l. J � r1 ;kr 1' 4it.' '♦) 1 ., ; )•, ii):::K r, �1. ,', ' yifi 11 ,,,{{ ;G: rry i7^tt: N 4 7fr.:t .+ L�{�L•vrypr 't.?..a{,jr , .+•'A.;-; i'n��.��'n F'•1•l•fa;�. ....i5•rr.9,••!y .l,7r..r.:.1.9.'1Y`::...1'.. i:'r .. ...,FSL _ .Z ail 1"d6N: F .,s:-,f.- .1 JI.I C,l 6.a ..r.�.. .ul,�f•.rG�.. . - n F , RECEIVES- • JUL 311992 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA COUNTY COUNSEL MARTINEr,. [AuF, Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 11, 1992 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: $267.92 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: SOUNTHAVONG, Khouang 43 Heather Drive ATTORNEY: San Pablo, CA 94806 ; Date received ADDRESS: BY DELIVERY TO CLERK ON July 22, 1992 (via Risk Mgmt) BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: July 30', 1992 JqIL BAATTCHELOR, Clerk 11. FROM: County Counsel TO: Clerk of the Board of Su isors �(.r ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: Z BY: � Deputy County Counsel i I11. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( V) This Claim is rejected in full. ( ) Other: I certify that this is a :true and correct copy of the Board's Order entered in its minutes for this date. Dated: A U G 11 1992 PHIL BATCHELOR, Clerk, B . 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. FOR ADDITIONAL WARNING SEE REVERSE SIDE OF THIS NOTICE 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:_ 9--•r 2-- 9 Z BY: PHIL BATCHELOR by Deputy Clerk 001 CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMAAANT 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 I form. * * * * * * * * * * * *. * * * * * * * * * .* * iF * * # * * * # RE: Claim By ) Reserved for Clerk's filing stamp Y(N-UUAnSG SounSCI�AJU�Gr ) 4.1 1 l��i H c 2 o R . e3 XN P Pt81_0 ) �� RECEIVE® y i yz� I Against the County of ContragCosta ) JUL 22 10 or ) - /h CLERK BOARD OF SUPER 0 f 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 injury occur? (Give exact date and hour) i LA_ - 01 ,' $oo A-M 2. Where did-the damage or injury occur? (Include city and county) p Cor �ne� o Sa,, Pablo lhre aA,-d N-it -", f2,ud , SaK Poi to , (R Y g� 3• How did the damage or injury occur? (Give full details; use extra paper if required) p w L t 11 �. c.o"t--e' Cc�'�e 1 c"'SC CG.` Vr Ln c.K 6 o GSC- m" ��'0 6 v�nQU tU W a �, -9 J I 4. What particular act or omission on the part of county or district officers, servants or .employees caused the injury or damage? (over) 1 wnat, are the names of county or district officers, servants or employees causirig the damage or injury? Mf- -------------- r _ 1 5. What damage-or injuries do you- iclaim resulted?- (GiveTfull-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.) {vr �a.r a,--4 L.� toot" _—---------.._--__________________...�____---___ 3. Names and addresses of witnesses, doctors and hospitals. -—-------------------------------Ne. _+.____—_was—__--___--_____�p_ _ +� 9. List the expenditures you made on account of this accident or injury; DATE ITEM AMOUNT Se y •L Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorne ) or by some person on his behalf." Name and Address of Attorney '�Ona ��ti.�/' - 7 • 17-q xi (Glaimant's Signature Address Telephone No. Telephone No. --0 L- i NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to. allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a ,period of not more than one year, by a fine of not exceeding one thousand ($1,000) i�ior ,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. . is LAO—MIEN AUTOISERVICES ESTIMATE ONLY 876 # AL 1 2 8 4 6 3 (51.0) P-36-6718 TuesdaJulyy 14 1992 561 23rd STREET 1! Customer: SOUNTHAVAG, KHOUAG. RICHMOND, CA 9480.4 Address: 43 HEATER DR SAN PABLO, CA 94806 Estivate Amount Auth by Phone Date Time By 1 N 6 u Contact Ph: (415) 222-1041 OTHER PH: (415) 596•4442 ORIGINAL $251.30 ! 07/14/92 2:00 PM Vehicle: 1985 Mazda 626 4G ji License/Tag: 1NRB597 Odometer: 115816 VIN JMIGC311XF1730242 Te Shop j Price Parts Labor ch Code Description Estimate Part Id Part Description Qty Each Amount Amount I� K17 LEFT REAR TAIL LIGHT $251.30 8201.30 850.00 ASSEMBLLY, RENEW I. II I,! I • Ij I II; ,i I ;II I III II' WARRANTY: Work will warranty for 90 da: or 3,000 miles whichever co®es first PARTS TOTAL $20 1. 30 from the date of delivery. The firm will re air free of charge any defects in material and workmanship to the vehicke oentioned here. All work to be done in our shop only. This does not include towing charges. LABOR TOTAL $50. 00 I hereby authorize the abovF.i repairwork to be done along with any necessary materials. you and your employee say operate above vehicle for pur- poses of testing, inspection or deliv6ry at my risk. You will not be held res- ponsible for any loss or damage to veFiicle or articles left in vehicle in case of fire, theft,accident or any other [pause beyondyour control. I have read and understand the above and acknowledge receipt of an estmate."By law, you may choose another facility to perfori any needed repair or adjustments which SUBTOTAL $251. 30 the smog check test indicates are necessary". II SALES TAX $i 6. 61 II Customer Signature 44,0, I; TOTAL $267. 91 I• IIS p r • P .t' v 4ll I If 0'014 T?A COSTA COUNTY a RECEIVED uUL 20 '92 't+'RISK "MANAGED. ENT r 3q 14 Rye IM CLAIM JUL 3 i i992 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA COUNTY OOUNSa MARTINIy CAUF. Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 11, 1992 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: Undetermined Section 913 and 915.4. Please note all "Warnings". CLAIMANT: STONEBARGER, Amanda a minor ATTORNEY: Paul D. Hiles Schwartz, Silber & Hiles Date received ADDRESS: 540 Lennon Lane, Ste_ 250 BY DELIVERY TO CLERK ON July 17, 1992 Walnut Creek, CA 94598 BY MIAIL POSTMARKED: July 16, 1992 1. FROM: Clerk of the Board of Supervisors TO: County Counsel . Attached is a copy of the above-noted claim. DATED: July 30, 1992 PIL BAATTCeDuVELOR, Cler 4I. FRDM: County Counsel TO: Clerk of the Board of rvisors J ) 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: 3I1 2, BY: IJ �. . Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD 0 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: A U G 11 1992 PHIL BATCHELOR, Clerk, By , 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 wail 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. FOR AT)T)TTTONAL WARNING SEE REVERSE SIDE OF THIS NOTICE. 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: ,�_( Z� Z BY: PHIL BATCHELOR by Deputy Clerk 7 101, CC: County Counsel County Administrator Paul D. Hiles, Esq. Ronald M. Schwartz, Esq. SCHWARTZ, SILBER & HILES 7Ki 10� 540 Lennon Lane, Suite 250 Walnut Creek, CA 94598 Telephone: (510) 932-4314 J✓J Attorneys for Claimant CLER[". --_J Amanda Stonebarger, a minor A��VISORS CLAIM against COUNTY OF CONTRA COSTA The undersigned hereby presents the following claim against the County of Contra Costa. 1. Date of accident or occurrence: April 6, 1992 2 . Name and address of claimant for notice purposes: Amanda Stonebarger, a minor, c/o her attorneys, Schwartz, Silber & Hiles, 540 Lennon Lane, Suite 250, Walnut Creek, CA 94598 ; (510) 932-4314. 3 . Description and place of the accident or occurrence: Claimant, while a patient at Martinez Health Center, sustained burns on her leg due to the improper and negligent application of medication by county health care employees. 4. Name and post office address of claimant: Amanda Stonebarger, a minor, 2470 Bella Vista Avenue, Martinez, CA 94553 . 5. Description of injury, damage or loss insofar as presently known: Burns to back of right leg, the level of permanent injury and/or scarring unknown at this time. 6. Name of employees causing injury, damage or loss: Nancy Owens, M.D. and other employees whose identities are unknown. 7. Description of the kind and value of damage: Medical bills, pain and suffering, emotional distress, and general damages for personal injuries sustained by Amanda Stonebarger in an amount which is not presently known, although jurisdiction is believed to rest within the Superior Court. DATED: July 16, 1992 ib,Lul Hil s Attorne r Claimant Amanda Stonebarger, a minor 2 SCHWARTZ, SILBER & HILES An Association of Attorneys 540 Lennon Lane, Suite 250 Paul D. Hiles Walnut Creek, California 94598 Telephone Gary J. Silber (510)932-4314 Ronald M. Schwartz Facsimile .July 16, 1992REC (510)256-3950 JUL .F ""- � CONTRA CO Tq ERVtSORy CO. , Clerk, Board of Supervisors Certified/Return 651 Pine Street, #106 Receipt Requested Martinez, CA 94553 Re: My Client: Amanda Stonebarger, a minor D/Accident: 04-06-92 Dear Sir/Madam: Please file the enclosed Claim and return a filed endorsed copy to our office in the self-addressed stamped envelope provided. If you have any questions, please do not hesitate to call. Ve truly urs. PAUL LES PDH:nis Enc. y t � r• �T P%6 • - r• tfS i �Vvo 4� vo (ll (+1 O � ro 01 4 ) N r-A cd CJS V3 � t x o -tt o� N J• � 0 o� ti 2✓ v 1 t RECEIVE® CLAIM JUL 3 11992 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA ' COUNTY OOUNsa Claim Against the County, or District governed by) BOARD AVOMEz.. rmo. the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT August 11, 1992 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $1,000,000.00 Section' 913 and 915.4. Please note all "Warnings". CLAIMANT: VANDERPOOL, Bruce C. 2822 Delmore Road ATTORNEY: San Pad.!!,). CA 94806 Date received July 16, 1992 ADDRESS: BY DELIVERY TO CLERK ON BY KAI'L POSTMARKED: July 14, 1992 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. FpH!L BATCHELOR, Clerk DATED: July 30_, 1992 BY: Deputy 00, JI. FROM: County Counsel TO: Clerk of the Board of Supervisors �L ) This claim complies substantially with Sections 9,10 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 T (12 J BY: � �G�XE'_. v.,l I Deputy County Counsel I1I. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD OR ER: By unanimous vote of the Supervisors present W) 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. i (] Dated: A U G 1 1 1992 PHIL BATCHELOR, Clerk, By . Deputy Clerk WARNING (Gov. code sec 3) 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, IEOR ADDTTTONA . WARNING SEE REVERSE SIDE OF THIS NOTICE. 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: —/Z-�L BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Claim to: 84ARD';OFRVIS4RS t�F: CC1tT!'RA COSTA COUNTY INSZ'RQGTIOHS TO CLAIM M A. Claims relating to causes of action for death or for Injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or ,to personal property or growing crops; and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code 5911.2.) B. Claims must be tiled with the Clerk of the Board of Supervisors at its office in Room 1069 County Administration Building, 651 Pine Street, Mu tinez, 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 claUds, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp yu� � rt �2 'r .. ) SEC�� Against the County o Contra Costa ) ;JU ! 1992 or ) 6 District) CLERK BOARD OF StJF n�iS0 . C0MT1RA CGS7A u0. Fill in name The undersigned claimant hereby makes claim.against the County of Contra Costa or the above-named District in the sum of 0 00 60Ot M and in support of. this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) I,.'9 91. 2. Where did the damage or injury occur? (Include city and county) /,� DN'Ti'ct� 3. How did the damage ar. inhuy occur?. (Give full details; use extra paper if required) LM PtA'rkf GA?-MES W,)4-1L,6 1,..�"ew& A . . f tv- 1-�1 ' $ /fit iFox Ll -�� f ya fel 4. what particular act or omission on the part of oounty .or district officers , servants or employees caused the injury .or damage? MOO MAL-r-C---I:Ok SLY ST-fzL)e-#< 1N0 'Amo bre -�- : ' A.S A rJLC M (over) 5. What are the names of county or district officers, servants or employees causir.Z the damage or injury? Oepwry dt4TT-1-F"5 6. What damage or injuries do,you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto e. 7 NAv E C S 7-AJJ7- ; a,ge,v, ' neo L �S� 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) /l0U�i' � ,,"aYL-rr e A *o 1,,oss 6A7 WA(o�'S 74' A-VERA .30A000 r ,C9Ae- rd 8. Names and addresses of witnesses, doctors and hospitals. 4°/'A7'1MaZ CoraluT�j -oSP/�`.yd,.._ 9 // AVY614 �N C-1C WT T-� SC- � 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT IGov. Code Sec. 910.2 provides: •The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney G Cla��iman��t's Signature Address Telephone No. Telephone No.c zdo -7 &- r7ll NOTICE Section 72 of the Penal Code provides: "Every person who, .with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. LU Cal IN. tro 4 kL Ir T.N cr, ja RECEIVED /. 39 AMENDED JUL 3 01992 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA COUNTY OOUNSR MARTINEZ CAUR Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 11 1992 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: $700,000.00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: DEMPSTER, Teresa Uribe ° ATTORNEY: Eric Goldman Goldman & Goldman Date received Jul 27, 1992 ADDRESS: Attorneys at Law BY DELIVERY TO CLERK ON Y 1910 Olympic Blvd. Ste. 220 Jul 24, 1992 Walnut Creek, CA 94596 BY MAIL POSTMARKED: Y I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. p�IL BATCHELOR, Clerk DATED: July 30. 1992 _ BY: Deputy II. FROM: County Counsel TO: Clerk of the Board of Su ors This A,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: �Q� De ut Count Counsel Dated: � > � `�? BY: � �,� � _ P y y 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. AUG 11 1992S:" Dated: PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. FOR 9DDITIONA WARNING SEE REVERSE SIDE OF THIS NOTICE 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: — 1 Z BY: PHIL BATCHELOR - Q. Deputy Clerk CC: County Counsel County Administrator GOLDMAN 8 GOLDMAN ATTORNEYS AT LAW 1910 OLYMPIC BOULEVARD SUITE: 220 WALNUT CREEK, CALIFORNIA 9459G RECEIVED(SIO) 939-6629 JUL 2 7 1992 July 91 1992 CLERK BOARD OF SUPERVISORS I CONTRA COSTA CO. Contra Costa County Room 106 County Administration Building 651 Pine Street Martinez, CA 94553 Re: Claim by Teresa Uribe Dempster Dear County: Please file the enclosed amendment to claim on behalf of Teresa Uribe Dempster against the county and conform the copy of the claim and return it to me in the enclosed SASE. Thank you. Cklaim to: MUD OF SUPERVISORS (F. COh—L RA C=TA =7Y 1kTSTRJC710fZS TO CUrwillT .k 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 lNth 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 mast be presented not later than one year after the accnial of the cause of action. (Govt. Code §911.2. ) B. Claims mist be filed :frith 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 mist 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 AMENDMENT TO CLAIM Reserved for Clerk's filing stamp TERE.SAURIBE DEMPSTER 1101_11'- RECEIVED Against the County of Contra Costa JUL 2 71992 or CLERK BOARD OF SUPERVISC—g-7 MERRITHEW MEMORIAL HOSPITALDistrict) 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 $ $700, 000. 0o and in support of this claim represents asfollows: 1. When did the damage or injury occur? (Give exact date and hour) 2/10/92 2. Where did the damage or injury occur? (Include city and county) Merrithew Memorial Hospital, Martinez, CA, County of Contra Costa I — 3. Bow did the damage or injury occur? (Give full details; use extra paper if re Claim9un2t went in; to hospital for surgery to remove a lump from her leg. The surgeons, Weiss and Schoeld, operated on thewrong part of her body and took out a "generous portion" of tissue. When the mistake was discovered, claimant was returngd fQr Q1]'V_qQr-y - 4. What particular act !or omission on the part of county or district officers, servants or employees caused the injury or damage? The surgeons, Weiss and Schoeld, operated on the wrong part of claimant 's body and negligently caused injury. The doctors have a pattern and practice of negligence and conscious disregard for Patients. The hospital was negligent in its review of the surgeons and in granting and continuing the doctors ' hospital privileges . (over) 5. �Welat are the names of county or district officers, servants or employees causing the damage or injury? Dr. Stephen D. Weiss; Dr. Kristi Schoeld, staff and administration of Merrithew Memorial Hospital, persons responsible for review of staff privilege sw________—__-----_ __ 6. What damage or injuries do you claim resulted? (Give full extent of injuries or d es claimed. Attach two e timat s for auto damage., Thergeons negligently mane a �arge eep incision through subcutaneous tissue and removed a large mass of healthy tissue. Pain, infection, large u91.y scar) emotional distress . 7.—how was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) Pain and suffering, unnecessary surgery, permanent large rough scar, punitive damages against doctors. ---------------------------------------- ------------------------------------ 8. Names and addresses of witnesses, doctors and hospitals. Hospital staff, nurses, doctors at Merrithew Memorial Hospital. ----------------------- 9. List the expenditures you made-on account of this accident or injury: DATE ITEM AN}O= d Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person n his belf." Name and Address of Attorney Eric Goldman, Esq. j Goldman & Goldman Claimant's Signature 1910 Olympic Blvd. , Suite 220 Walnut Creek, CA 94596 By: Eric Goldman, Esq. Address Attorney for Teresa Uribe Dempster Telephone No. ( 51 0) 93.9-6629 ! Telephone No. N 0 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 bcard 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. / «>f � Ap� \\ . A JIVI . r� � �® V # Q #® w- 0. � ��2�� �- � » � rA A ® � . g * ƒ S 6 « C » d ® 4 & \ \ 0 S , % \ » \ \ �