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HomeMy WebLinkAboutMINUTES - 09241996 - C10 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA September 24, 1996 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT 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 �jga�� Amount: $1,000.00 Section 913 and 915.4. Please note all rnings". �° CLAIMANT: David S. Bacon SFP 0 1 1996 COUNTY COUNSEL ATTORNEY: MARTINEZ CALIF. Date received ADDRESS: 2472 Southview Dr. BY DELIVERY TO CLERK ON September 3. 1996 Alamo, CA 94507 BY MAIL POSTMARKED: Hand Delivered I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: September 3, 1996 IVIL BAATTCNELOR, Cle�� II. FROM: County Counsel TO: Clerk of the Board of Supervisors N'4 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:- ,ea Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (x) 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: d 9- PHIL BATCHELOR, Clerk. A- , 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 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: 09- —qcP BY: PHIL BATCHELOR byLj ,_/ii�---`Deputy Clerk CC: County Covnsel County Administrator Clair :o: BOAPM OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT h. 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. Claims relating to causes of action for death or for injury to person • or to personal property or growing cps and %&ich accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of,action must be presented not later than one year after the accrual of the cause of action. (Govt. Code 5911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 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 Fo--=. BE: Claim By ) Reserved for Clerk's filing stamp RECEIVED Against the County of Contra Costa SEP _ 3 or ) District.) CLERK BOARD OF jUPERVISORS Fill in name ) CONTRA COSTA CC. 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 follaws: 2. When did the de or injury occur? (Give exact date and hour) fockle/k/i ke- �d eD - or - 2. did the damage injury occur? (Include city and county) 3. How did the damage or injury occur? (Give full details; use extra paper if reouired) 4. What particular act or omission on the part of county or district officers, se-rvan or employees caused the injury or damage? AA:4 FJO-L o'-A,-e -st�EA Lock A s ' ri �. wnat are r.ne sees of county or district officers, servants or employees causing the c4azaage or injLry? ti 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto dazage. 7. How was the ,amount claimed abovecomP uted?( Include tileamount estimated am nt of any prospective injury or damage.} $. Vamnes and addresses of witnesses, doctors and hospitals. J . 9. List the expenditures you made on account of this accident or injury: DATE ITEM Maw .a Gov. Code Sec. 910:2 provides: ,ty claim t be signed by the claimant SEND NOTICES T0: (Atta_*•ne }n.ri ' ? -Ap'l_ _ "''b some s behalf.*' Name and Address of Attorney _ C a 's SignTvr- A,L) r e�.�dress. Telephone No. Telephone No. � 021 w b C •►'�`. W�� T W 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 s-ch i.Yriso~nt-- t and fine. CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA September 24, 1996 ,Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: Unknown Section 913 and 915.4. Please note all CLAIMANT: Harold and Janice Burnett SEP 0 9 1996 ATTORNEY: Date 'received MARTINEZCAUF� ADDRESS: 1600 Francis St. BY AELIVERY TO CLERK ON September 4, 1996 Crockett, CA 94525 SY MAIL POSTMARKED: September 3, 1996 f. I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ��?L �e �HHELOR, C1e DATED: September 9, 1996 p tX 1I. FROM: County Counsel TO: Clerk of the Board of Supervisors (X) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: Deputy County Counsel III. FROM: Clerk, of the Board TO: County Counsel (1) County Administrator (2) ( .) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ! ) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: �9 PHIL BATCHELOR, Clerk, Bj �j , 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 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: 0G—2(y 9c� BY: PHIL BATCHELOR by�j�-N—R mit-act Deputy Clerk CC: County Counsel County Administrator T A , Ciair_� to: BOAP,D OF SUPERVISORS OF CONTRA =A COUNTY INSTRUCTIONS TO CLAD%NT A. Clai:s 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 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 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 f or-_ R£: Claim By ) Reserved for Clerk's f lines s�taa„mp RECE1�lE� SEP - 419% Against the County of Contra Costa ) or CLERK BOARD OF SUPERVISORS CONTRA COSTA District) Fill in name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: 1. When did the damage or injury occur? -(Give exact date and hour) 2. Where cRd the damage or injury occur? (Include city and county) t(oob -- 3. How did the damage or injury occur? (Give full details; use extra paper if required) -WQ COy\�Co\ A (_eX\A.ovq ed�� S ctvl K.Nein Over ori. �- a�LR_r we LosuJ�,,. V\k CL"I - ba.-y-- �QI ar\& -�� d cicr�v� ov r dr�v w` '� Crxd . N� becc�w.Q siu c�C s cam° s c bac\ drove h cx�r �v br r� r- eS cl C�uS bre 6tt?�� Mi . 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? _ Art wnat are tne names of county or district officers, servants or employees causing -he tam age or "n jury? 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. kVk,V\% ar\6 - bcoyav\ brkc_k �,r Y__1 r. 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) )DI LAY\O_�O�� -�O C)b4CUI\ C166L\_J P\�Oj J2Stj'vll�t" ) -LJ2 0-� Sk - CX p\c V)p-w% 1�00 34,ZL Names and addresses of witnesses, doctors and hospitals. 0-ko-Ar Y-, 9. List the expenditures you made on account of this accident or injury: DATE AMOUNT Gov. Code Sec. 910:2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney orb some person onhisbehalf." Name and Address of Attorney (Claimant's Signature) (Address) Telephone No. Telephone No. V V I %1V I W I 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 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 010,000, or by both sUch imprisoni7�ent a--. d fine. JOB WORK ORDER DATE JOB NAME �J 9 SEND BILL TO U�� I r G ell c 111 e, JOB LOCATION ADDRESS I L r <a c 13-; f CITY l CITLY, PHONE APT. ❑DAY WORK ❑CONTRACT [:]EXTRA DES IPTION OF WORK: STARTING DATE 12-1 C. 2 i —19— DAY s_DAY OF WEEK ❑A.M. Mechanic P.M. Helper TOTAL LABOR TOTAL MATERIAL TAX ❑ TOTAL AMOUNT DUE FOR ABOVE WORK:OR _ $ BILLING TO BE MAILED AFTER COMPLETION OF WORK �- I hereby acknowledge the satisfactory Completion of the above-described work: CUSTOMER'S SIGNATURE❑NO ONE HOME Work Ordered By Date Completed Order Taken By Received Payment By: AVERY FORM NO.65-026 TnpGcme AVERY FORM NO. 65-016 D.pBcote PRINTED IN USA 4 3 i r i VVt , (411 N V� � 9U > CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA September 24, 1996 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT 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: Unmown Section 913 and 915.4. Please note all CLAIMANT: County Office of Education and Contra Costa County JI�RL�1 � iii`:::�i♦♦` Schools Insurance Group SEP 0 6 1996 ATTORNEY: Bayard J. Miller, Esq. COUNSE The Miller Law Firm Date received CaU TINEZCALIFL ADDRESS: 3708 Mt. Diablo Blvd. , Ste. 210 BY DELIVERY TO CLERK ON September 6, 1 Lafayette, CA 94549-3610 BY MAIL POSTMARKED: Hand Delivered I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: September 6, 1996 IVIL Bepu yLOR, C II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). l ( ) 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: 7/tP/7 BY: eputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (,) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: 0 9- 0_. c7(f PHIL BATCHELOR, Clerk, B L " , Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. * 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_2 G �� BY: PHIL BATCHELOR ��L�Qc-- Deputy Clerk CC: County Counsel County Administrator 1 Bayard J. Miller, Esq. (SBN 124843) THE MILLER LAW FIRM RECEIVED 2 3708 .Mt . Diablo Boulevard Suite 210 f �5 '�i -P-'.►-�ti 3 Lafayette, CA 94549-3610 ;SEP -6W6 (510) 284-6130 4 - Attorneys for Claimants CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. 5- 6 7 In the Matter of the Claim 8 of 9 COUNTY OFFICE OF EDUCATION and CONTRA COSTA COUNTY CLAIM 10 SCHOOLS INSURANCE GROUP; (Gov' t Code Section 910) 11 - Claimants, [Claim in Subrogation] 12 V. KATHRYN DeRUSSO 13 CONTRA COSTA COUNTY PROBATION DEPARTMENT, a 14 public/governmental entity. 15 Claimants, COUNTY OFFICE OF EDUCATION and CONTRA COSTA 16 COUNTY SCHOOLS INSURANCE GROUP, hereby present this claim to 17 the CONTRA COSTA COUNTY PROBATION DEPARTMENT, a public/ 18 governmental entity, pursuant to Section 910 of the California 19 Government Code. 20 1 . The names and addresses of claimants are as follows : 21 COUNTY OFFICE OF EDUCATION, 77 Santa Barbara Road, Pleasant 22 Hill, California 94523 and CONTRA COSTA COUNTY SCHOOLS 23 INSURANCE GROUP, 3478 Buskirk Avenue, Suite 333 , Pleasant Hill, 24 ` California 94523 . 25 2 . The address to which the above claimants desire 26 1 - notice of this claim to be sent is as follows : Bayard J. 27 Miller, Esq. , The Miller Law Firm, 3708 Mt . Diablo Boulevard, 28 CLAIM [Government Code Section 9101 Page 1 F 1 Suite 210, Lafayette, California 94549-3610 . 2 3 . On March 14 , 1996, at CONTRA COSTA COUNTY JUVENILE 3 HALL, 202 Glacier Drive, Martinez, California 94553 , Ms . 4 Kathryn DeRusso sustained personal injuries caused by. an 5 assailant (student) , Marcus Cotton, while in the course and 6 . scope of her employment as a teacher with the COUNTY OFFICE OF 7 EDUCATION. 8 At said time, the COUNTY OFFICE OF EDUCATION provided 9 workers' compensation insurance to its employees by and through 10 a self-administered program of CONTRA COSTA COUNTY SCHOOLS INSURANCE GROUP. 12 As a result of the injuries she sustained, Ms . DeRusso 13 made demand and claim against claimants for workers' compen- 14 sation benefits which benefits have been and continue to be 15 provided. 16 Investigation has revealed that the above-described 17 public/governmental entity is liable to Kathryn DeRusso based 18 on its failure to provide adequate security and training. 19 Therefore, COUNTY OFFICE OF EDUCATION and CONTRA COSTA COUNTY 20. SCHOOLS INSURANCE GROUP make this claim in subrogation seeking 21 to recover the amount of all workers' compensation benefits 22 paid to Ms. DeRusso. 23 i 4 . So far as it is known to counsel for claimants at the Z4 date of filing this claim, the person injured; namely, Kathryn 25 +' DeRusso, has incurred damages in an amount uncertain and 26 i, unknown. 27 5 . The names of the public employee or employees or 28 ' officers of the above-described governmental entity causing the CLAIM [Government Code Section 9101 Page 2 f: "r 1 , injury(ies) and damage (s) to Kathryn DeRusso are unknown at 2 this time. 3'' 6 . At the time of presentation of this claim, the 4 claimants, COUNTY OFFICE OF EDUCATION and CONTRA COSTA COUNTY 5i SCHOOLS, INSURANCE GROUP, claim damages in the amount of 61' $1, 190 . 61 in medical, temporary total disability in the amount 7 ° of $5, 376 and expenses in the amount of $1, 445 . 90 and 8r continuing. 9 10 DATED: September 4, 1996 THE MILLER LAW FIRM 11 12 13 BAY D J. M R At me f r Claimants T4 C UNTY OFFI OF EDUCATION and CONTRA 15 COSTA COUNTY SCHOOLS INSURANCE GROUP 16 17 18 19 20 21 22 23 24 25 26 27 28 CLAIM [Government Code Section 9101 Page 3 I PROOF OF -SERVICE BY HAND 2 I, BAYARD J. MILLER, declare under penalty of perjury that 3 , the following facts are true and correct : 4 I am a citizen of the United States, over the age of 18 5 years, and not a party to or interested in ,the within action. I 6 am an licensed attorney at The Miller Law Firm, and my business 7 address is 3708 Mt . Diablo Boulevard, Suite 210, Lafayette, 8 California 94549 . 9 On September 6, 1996, I personally served the attached 10 ,document: CLAIM [CONTRA COSTA COUNTY PROBATION DEPARTMENT] in 11 said action by placing a true and correct copy thereof in a ,sealed envelope, addressed as follows : 12 13 Clerk of the Board of Supervisors CONTRA COSTA COUNTY 14 County Administration Building 651 Pine Street, Room 106 15 i Martinez, CA 94553 (510) 646-2371 16 17 by personally delivering the envelope to the office of the 18 Yaddressee as indicated. - 19 Executed on September 6, 1996, at L ette, California. 20 r 21 BA J. L 22 23 24 25 26, 27 28 RECEIVE® 1 Bayard J. Miller, Esq. (SBN 124843) �� THE MILLER LAW FIRM !SEP - 6 W6 23708 Mt . Diablo Boulevard � Suite 210 CLERK BOARD OF SUPERVISORS 3 Lafayette, CA 94549-3610 CONTRA COSTA CO. (510) 284-6130 4 Attorneys for Claimants 5 6 7 In the Matter of the Claim 8 of 9 COUNTY OFFICE OF EDUCATION and CONTRA COSTA COUNTY CLAIM 10 SCHOOLS INSURANCE GROUP; (Gov' t Code Section 910) 11 Claimants, [Claim in Subrogation] 12 V. KATHRYN DeRUSSO 13 CONTRA COSTA COUNTY JUVENILE HALL, a public/governmental 14 entity. 15 Claimants, COUNTY OFFICE OF EDUCATION and CONTRA COSTA 16 COUNTY SCHOOLS INSURANCE GROUP, hereby present this claim to 17 the CONTRA COSTA COUNTY JUVENILE HALL, a public/governmental 18 entity, pursuant to Section 910 of the California Government 19 Code . 20 1 . The names and addresses of claimants are as follows : 21 COUNTY OFFICE OF EDUCATION, 77 Santa Barbara Road, Pleasant 22 Hill, California 94523 and CONTRA COSTA COUNTY SCHOOLS 23 INSURANCE GROUP, 3478 Buskirk Avenue, Suite 333 , Pleasant Hill, 24 California 94523 . 25 2 . The address to which the above claimants desire 26 notice of this claim to be sent is as follows : Bayard J. 27 Miller, Esq. , The Miller Law Firm, 3708 Mt . Diablo Boulevard, 28 CLAIM [Government Code Section 9101 Page 1 1 , Suite 210, Lafayette, California 94549-3610 . 2 3 . On March 14, 1996, at CONTRA COSTA COUNTY JUVENILE 3 HALL, 202 Glacier Drive, Martinez, California 94553 , Ms . 4 Kathryn DeRusso sustained personal injuries caused by an 5 assailant (student) , Marcus Cotton; while in the course and 6 scope of her employment as a teacher with the COUNTY OFFICE OF 7 EDUCATION. 8 At said time, the COUNTY OFFICE OF EDUCATION provided 9 workers, compensation insurance to its employees by and through 10 a self-administered program of _ CONTRA COSTA COUNTY SCHOOLS 11 INSURANCE GROUP. 12 As a result of the injuries she sustained, Ms . DeRusso 13 made demand and claim against claimants for workers, 14 compensation benefits which benefits have been and continue to 15 be provided. 16 Investigation has revealed that the above-described 17 public/governmental entity is liable to Kathryn DeRusso based 18 on its failure to provide adequate security. and training. 19 Therefore, COUNTY OFFICE OF EDUCATION and CONTRA COSTA COUNTY 20 SCHOOLS INSURANCE GROUP make this claim in subrogation seeking 21 to recover the amount of all workers, compensation benefits 22 paid to Ms . DeRusso. 23 4 . So far as it is known to counsel for claimants at the 24 date of filing this claim, the person injured; namely, Kathryn 25 DeRusso, has incurred damages in an amount uncertain and 26 ' unknown. 27 ; 5 . The names of the public employee or employees ' or 28 officers of the above-described governmental entity causing the CLAIM [Government Code Section 9101 Page 2 j injury(ies) and damage (s) to Kathryn DeRusso are unknown at 2 this time. 3 : 6 . At the time of presentation of this claim, the 4 ; claimants, COUNTY OFFICE OF EDUCATION and CONTRA COSTA COUNTY 5 SCHOOLS INSURANCE GROUP, claim damages in the amount of 6 ' $1, 190 . 61 in medical, temporary total disability in the amount V of $5, 376 and expenses in the amount of $1, 445 . 90 and 8 continuing. 9 10 DATED: September 4, 1996 THE MILLER LAW FIRM 1j 12 13 BAY D J7 ER At rneys o Claimants 14 C UNTY OF E OF EDUCATION and CONTRA 15 COSTA COUNTY SCHOOLS INSURANCE GROUP 16 17 18 19 20 21 22 23 24 25 26 27 28 CLAIM [Government Code Section 9101 Page 3 1 PROOF OF SERVICE BY HAND 2 I, BAYARD J. MILLER, declare under penalty of perjury that 3 the following 'facts are true and correct : I am a citizen of the United States, over the age of 18 4 5 years, and not a party to or interested in the within action. I 6 am an licensed attorney at The Miller Law Firm, and my business 7 address is 3708 Mt . Diablo Boulevard, Suite 210, Lafayette, 8 California 94549 . 9 On September 6, 1996, I personally served the attached 10 document : CLAIM [CONTRA COSTA COUNTY JUVENILE HALL] in said 11. action by placing a true and correct copy thereof in a sealed 12 envelope, addressed as follows : Clerk of the Board of Supervisors 13 CONTRA COSTA COUNTY 14 County Administration Building 651 Pine Street, Room 106 15 Martinez, CA 94553 (510) 646-2371 16 17 Iby personally. delivering the envelope to the office of the 18 !addressee as indicated. 19 Executed on September 6, 1996, at Laf tte, California. 20 f , 21 :I BA J. ER 22 23 ; 24 25 j' 26. 27, 28 , G a si I aMesq. (SBN 124843) THE MILLER LAWFIRMRECEIVED 2 3708 Mt . Diablo Boulevard '�mVC Suite 210 SEP _ 6 W 3 Lafayette, CA 94549-3610 (510) 284-6130 CLERK BOARD OF SUPERVISORS 4 CONTRA COSTA CO. Attorneys for Claimants 5 6 7 In the Matter of the Claim 8 of 9 COUNTY OFFICE OF EDUCATION and CONTRA COSTA COUNTY CLAIM 10 SCHOOLS INSURANCE GROUP; (Gov' t Code Section 910) 11 Claimants, [Claim in Subrogation] 12 V. KATHRYN DeRUSSO 13 CONTRA COSTA COUNTY, a public/governmental entity. 14 / 15 Claimants, COUNTY OFFICE OF EDUCATION and CONTRA COSTA 16 COUNTY SCHOOLS INSURANCE GROUP, hereby present this claim to 17 CONTRA COSTA COUNTY, a public/governmental entity, pursuant to 18 Section 910 of the California Government Code. 19 1 . The names and addresses of claimants are as follows : 20 COUNTY OFFICE OF EDUCATION, 77 Santa Barbara Road, Pleasant 21 Hill, California 94523 and CONTRA COSTA COUNTY SCHOOLS 22 INSURANCE GROUP, 3478 Buskirk Avenue, Suite 333 , Pleasant Hill, 23 California 94523 . 24 2 . The address to which the above claimants desire 25 notice of this claim to be sent is as follows : Bayard J. 26 Miller, Esq. , The Miller Law Firm, 3708 Mt . Diablo Boulevard, 27 Suite 210, Lafayette, California 94549-3610 . 28 3 . On March 14, 1996, at CONTRA COSTA COUNTY JUVENILE CLAIM [Government Code Section 910] Page 1 1 HALL, 202 Glacier Drive, Martinez, California 94553, Ms . 2 Kathryn DeRusso sustained personal injuries caused by an 3 assailant (student) , Marcus Cotton, while in the course and 4 scope of her employment as a teacher with the COUNTY OFFICE OF 5 EDUCATION. 6 At said time, the COUNTY OFFICE OF EDUCATION provided 7 workers' compensation insurance to its employees by and through 8 a self-administered program of CONTRA COSTA COUNTY SCHOOLS � q INSURANCE GROUP. 10 As a result of the injuries she sustained, Ms . DeRusso 11 made demand and claim against claimants for workers' compen- 12 sation benefits which benefits have been and continue to be 13 provided. 14 Investigation has revealed that the above-described 15 public/governmental entity is liable to Kathryn DeRusso based 16 on its failure to provide adequate security and training. 17 Therefore, COUNTY OFFICE OF EDUCATION and CONTRA COSTA COUNTY 18 SCHOOLS INSURANCE GROUP make this claim. in subrogation seeking 19 to recover the amount of all workers' compensation benefits l 20 paid to Ms . DeRusso. 21 4 . So far as it is known to counsel- for claimants at the 22 date of filing this claim, the person injured; namely, Kathryn 23 DeRusso, has incurred damages in an amount uncertain and 24 unknown. 25 5 . The names of the public employee or employees or 26 officers of the above-described governmental entity causing the 27 injury(ies) and damage (s) to Kathryn DeRusso are unknown at 28 this time. CLAIM [Government Code Section 9101 Page 2 1 6 . At the time .of presentation of this claim, the 2 claimants, COUNTY OFFICE OF EDUCATION and CONTRA COSTA COUNTY 3 SCHOOLS INSURANCE GROUP, claim damages in the amount of 4 , $1, 190 . 61 in medical, temporary total disability in the amount 5 ' of $5, 376 and -expenses in the amount of $1, 445 . 90 and 6 ; continuing. 7 ' g DATED: September 4, 1996 THE MILLER LAW FIRM 9 10 11 J. I L R 7CD eys f r Claimants 12 OFFI OF ION and CONTRA 13 COSTA COUNTY SCHOOLS INSURANCE GROUP 14 15 16 17 ,18 19 20 21 22 23 24 25 26 27 28 CLAIM [Government Code Section 9101 Page 3 1 PROOF OF SERVICE BY HAND 2 I, BAYARD J. MILLER, declare under penalty of perjury that 3 the following facts are true and correct : 4 I am a citizen of the United States, over the age of 18 5 years, and not a party to or interested in the within action. I 6 am an licensed attorney at The Miller Law Firm, and my business 7 address is 3708 Mt . Diablo Boulevard, Suite 210, Lafayette, 8 California 94549 . 9 On September 6, 1996, I personally served the attached 10 document : CLAIM [CONTRA COSTA COUNTY] in said action by placing 11 a true and correct copy thereof in a sealed envelope, addressed 12 as follows : 13 Clerk of the Board of Supervisors CONTRA COSTA COUNTY 14 County Administration Building 651 Pine Street, Room 106 15 Martinez; CA 94553 (510) 646-2371 16 17 by personally delivering the envelope to the office of the 18 addressee as indicated. 19 Executed on September 6, 1996, at a ette, California. 20 21 D J. LER 22 23 24 25 26 27 ' 28 C .ick CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA September 24, 1996 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $10,000.00+ Section 913 and 915.4. Please note all � t CLAIMANT: Kathryn Derusso SEP 0 9 1996 ATTORNEY: P. Randall Noah, SBN 136452 Law Offices of P. Randall Noah Date received COUNTY COUNSEL Se tember 4 MA�T,(yEZ CALIF. ADDRESS: 8 Camino Encinas, Ste. 220 BY DELIVERY TO CLERK ON P , 1 yy6b Orinda, CA 94563 Via Risk Management BY MAIL POSTMARKED: g J , I. FROM: Clerk of the Board of Supervisors" TO: County Counsel Attached is a copy of the above-Doted claim. PpH�{IL BATCHELOR, Clerk DATED: September 9, 1996 , Bl�: Depu-ty II. FROM: County Counsel TO: Clerk of the Board of Supervisors (�) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present 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: 0 9—-Z`�`9 PHIL BATCHELOR, Clerk, Byv cam— , Deputy Clerk WARNING (Gov. code section 913) �T 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. �r Gated: d g —2 h —9C.o BY: PHIL BATCHELOR bye Cs Deputy Clerk CC: County Counsel County Administrator 1 1 ECEIV P. Randall Noah, SBN 136452 2 Law Offices of P. Randall Noah SW -d 8 Camino Encinas, Suite 220 yak, 3 Orinda, CA 94563 OF Su RVISORS Tel. (510) 253-5540 CLERK 4 CONTR/k COSTA CO. 5 6 KATHRYN DERUSSO ) CLAIMS FOR PERSONAL INJURIES 7 V. ) [SECTION 910 OF THE GOVERNMENT CODE] 8 CONTRA COSTA COUNTY, And ) CONTRA COSTA COUNTY PROBATION ) 9 DEPARTMENT ) ) 10 ) ) 11 12 13 To the Contra Costa County Board Of Supervisors, Contra Costa County Probation Department, and the County of Contra 14 Costa: 15 You are hereby notified that Kathryn DeRusso, who 16 resides at 923 Hamilton Dr. , Pleasant Hill, California, 17 18 claims damages from Contra Costa County and the Contra Costa 19 County Probation Department, in an amount over Ten Thousand Dollars ($10, 000) , computed as of the date of presentation of 20 this claim. 21 22 This claim is based on personal injuries sustained by Claimant on or about March 14, 1996, when Claimant was 23 24 physically attacked by a juvenile being held at the Contra Costa County Juvenile Hall in Martinez, resulting in serious 25 26 injury to the Claimant. 27 28 • • 1 At the time of the attack, Claimant was working as a 2 school teacher for the Contra Costa County Office of 3 Education, and assigned to a classroom in the Contra Costa 4 County Juvenile Hall. Claimant is informed and believes that 5 the Contra Costa County Probation Department operates and 6 maintains the Contra Costa County Juvenile Hall. 7 The County of Contra Costa, Contra Costa County 8 Probation Department, and their employees, were generally 9 negligent through their careless operation, which included 10 providing security at the Hall, and maintenance of the 11 Juvenile Hall, in breach of their duty to the Office of 12 Education teachers to provide proper security and facilities 13 for the personal safety of the teachers. The County of 14 Contra Costa` s, and Contra Costa County Probation 15 Department' s negligence was the proximate cause of the 16 injuries and damages suffered by the Claimant. 17 As a proximate result of the negligence of the County of 18 Contra Costa, and Contra Costa County Probation Department, 19 Claimant suffered serious physical, mental and emotional 20 injuries when she was attacked by a student at the Hall. 21 Claimant additionally suffered damages in the form of medical 22 expenses, lost wages, loss of earning capacity, and will 23 continue to suffer medical expenses and lost wages into the 24 future, all proximately caused by the negligence of the 25 County of Contra Costa, and Contra Costa County Probation 26 Department. 27 28 1 2 Jurisdiction of the claim would rest in Superior Court. 3 All notices or other communications with regard to this 4 claim should be sent to Claimant, care of, P. Randall Noah, 5 Law Offices of P. Randall Noah, 8 Camino Sncinas, 6 Suite 220, Orinda, CA 94563 . z -T8 Dated: �k: ' By: U P.' Randall Noah, 9 Attorney for Claimant, 10 Kathryn DeRusso 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 3 . 28 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA September 24, 1996 ;Cl.aim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT 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 Govoqe Amount: $2567.21 Section 913 and 915.4. Please note all "Warnings". 131,---Q_ , CLAIMANT: Julia E. Shandera Sip 0 ATTORNEY: MARIEjjIVZ R'dQoI Date received ADDRESS: 707 Skyline Dr. BY DELIVERY TO CLERK ON September 10, 1996 Martinez, CA 94553 BY MAIL POSTMARKED: Hand Delivered I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. QQHHIL BBATCHtELOR, Cie k DATED: September 10, 1996 Bl: Depu y II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 9"�� -�� BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (X ) 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. (( -.�� Oa ted: ©9- a�—9C� PHIL BATCHELOR, Clerk, By��o-KGs-- , 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 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: bq' BY: PHIL BATCHELOR Deputy Clerk CC: County Covnsel County Administrator . G].aim 'to: BOARD OF SOPER'VISORS OF CONTRA COSTA COMM INSTRDCTIDNS 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, 19871, must be presented not later than the 1DOth 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 Administratim 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 To—m. f a e s e e • • �r e e e f • s e • e • e • • • e f a e s f e e e f s f e e e e f e • e RE: Claim By ) Reserved for Clerk's filing stamp JULIA F. SHANDERA ) RECEIVE® Against the County of Contra Costa ) `� or ) SEP ! 01996 s District) CLE GOARDOWSUPERVISORS (Fill in name ) L 69MM COSTA CO. The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ X56-7_ 21, and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) 7/31 /26 at arnbrpAi i Lely 5: 15,pm-- 2. Where did the damage or injury occur? (Include city and county) Merrithew Memorial Hospital parking lot (lower level ) -Contra Costa Co. 3. How did the damage or injury occur? (Give ?Lill details; use extra paper if required) (See photographs which I have included) My car was parked,Merrithew Memorial parking lot in the lower level limbs falling from a high level did extensive damage to my car 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? My car was parked adjacerit `to the Redwood Park area and HUGE limbs and branches were left all around my car after the accident. (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? No person caused the limbs to break and fall with force and with so many people around each day, thank God it didn' t injure or=everi+__worse. 1, 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Ittach two estimates for auto damage. Fxt'ensive forceful damage` to` the exterior of the car including the top and trunk. 1 back passenger door now does not-open- 7. How was the amount claimed above coMuted? (Include the estimated amount of any prospective injury or damage.) By two , d flferent auto repair shops. I do not mind that the speakers were both knocked off their slots in the trunk and the radio now doesn 't work. But it is now difficult & dangerous to drive with the 8. Hames and addresses of Witnesses, doctors and hospitals. Unknown - only -way I became aware was PSO left me a "WARNING" on windshield approaching` ny.'. car"' :'1 -obser ed.1 limbs trunks of trees- a mess was . a�rgiind my car, �..��M 9. List the expenditures you made on account of this accident or injury: DAM ITEM 8/7/96 estimates ( 2) $2567. 21 f � f • f • i • � � f � • � � f i IF � � # i i � � • � ! � � * f * � i � i � f N � IF 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 ClaimantsSignature) (Address) Telephone No. Telephone No. fe • • fse * sa • ee • e fcre NOTICE Section 72 of the Penal Code provides: aEvery person who, With intent to defraud, presents for allowance or for payment to any state board or offioer, 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 ($29000)9 cr by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($1090009 or by both such imprisonment and fine. / - , . t - . ..... ......:........ ....yy+pd�.... .. h ...... .............. ..... ....:............. 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