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HomeMy WebLinkAboutMINUTES - 08031993 - 1.15 RIECENM ,. CLAIM `�� � 1993BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA 7 AUNTY COUNSEL Claim Against the County, or District governed by) BOARD ACTIMMINEi: +CALIF• the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT AUGUST 3, 1993 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: $1,433.04 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: LINSTAD, Steve ATTORNEY: Date received ADDRESS: 2898 Wright Ave. BY DELIVERY TO CLERK ON June 30, 1993 Pinole, CA 94564 BY MAIL POSTMARKED: June 29, -1993 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PpHHIL BATCHELOR, Clerk DATED: July 1, 1993 81: Deputy 11. FROM: County Counsel TO: Clerk of the Board of Supervisors (✓) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: w 1 M3 3 BYDeputy 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). 1V. 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: &jAad 1441 PHIL BATCHELOR. Clerk, By Deputy Clerk WARNING (Gov. code sectio 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 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: 3 7 BY: PHIL BATCHELOR by )ZXDeputy Clerk CC: County Counsel County Administrator This warning does not apply to claims which are not subject to the California Tort Claims Act such as actions in inverse condemnation, actions for specific relief such as mandamus or injunction, or Federal Civil Rights claims. The above list is not exhaustive and legal consultation is essential to understand all the separate limitations periods that may apply. The limitations period within which suit must be filed may be shorter or longer depending on the nature of the claim. Consult the specific statutes and cases applicable to your particular claim. The County of Contra Costa does not waive any of its rights under California Tort Claims Act nor does it waive rights under the statutes of limitations applicable to actions not subject to the California Tort Claims Act. I Clam to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY' INSTRUCTIONS TO CLAIMANT A. Clams 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 dayafter 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. 44 i RE: Claim By ) Reserved for Clerk's filing stamp ) - Against the County of Contra Costa ) A3 0 or ) District) 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 $ /?1-33 - 0 and in support of this claim represents as follows: _-- -- --------N__--- ----------------------------- 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) � So� ��-��- /1 �o�►� ►rig �©5-r�-�� _-r------MN------N__-_N_N__NNN-N-_ANN 3. How did the damage or injury occur? (Give full details; useextrapaper if required) �-� ­�2Ce Y //!��cl L �C- . - the d&,J��'/% �e o. c� o� /� n� Y'a� cl /.Gtr'%/ oqt 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? C�id t7 —7LO Q! s� C? V cmcq_3 AM M �. (over) ae� 7 5. wnat are tne names of coun.y or district officers, servants or employees causing the uaage or injury? 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. 7. How was the amount claimed above computed? _(Include the estimated amount of any prospective injury or damage.) ------------------------------------- ----------------------------------------- $. Names and addresses of witnesses, doctors and hospitals.. -- --------------------------------------------M--MO- ---------------------------- 9. List the expenditures you made on-account of this accident or injury: DATE ITEM AMOUNT e # # # # # # # # # .# +# }; lF 11y# 9F �F �F �F.* dF * # 1! # # �f # �F # �1 W •I Gov. Code Sec. 910.2 provides: �, [�air; "The claim must be signed by the claimant SEND NOTICES TO:..:;,"(+`Atte. ��= or by some person on his behalf." Name and Address ofVA!ttorriey U V7 Clai is Signat Address � oo lc, _ Z �( Telephone No. Telephone No. 23 NOTICE Section 72 of the Penal Code provides: "Every person who, 'with intent .to defraud, presents for allowance or for payment to any. state board or officer, or'to any county, city or district board or officer, authorized to allow :or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing:, is punishable either by imprisonment in the county jail for a period of .not more than one year, by a fine of not exceeding one thousand ($1,000)., or by both such. imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by .both such imprisonment and fine. 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As S ( . f �� Office-White,Customer-Canary, Estimate-Pink I PIAA autoBODY g©© TELIFAX:510-525-4746 WILLIAM CHUNG 'PAGER:510-539-2309 10551 SAN PABLO AVE., EL CERRITO CA94530