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HomeMy WebLinkAboutMINUTES - 07221997 - C10 CLAIM C ' BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA July 22, 1997 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 "Wa.rni.ng ". CLAIMANT: Nancy and Don Mello ATTORNEY: Eric M. Abramson JUS! 2 7 1997 Abramson & Smith LLP Date received COUNTY COUNSEL ADDRESS: 44 Montgomery St. , Ste. 2550 BY DELIVERY TO CLERK ON JuneM�FTINJ99j-I'4F San Francisco, CA 94104-4819 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: June 27, 1997 EaIL Bep�tyLOR, Clerk II. 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: a> �� BYDeputy 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: -7 - -;t- - 9 117 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 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: BY: PHIL BATCHELOR by J Deputy Clerk CC: County Counsel County Administrator I ABRAMSON & SMITH, LLP 2 ERIC M. ABRAMSON, Esq. , S .B . #103864 44 Montgomery Street, Suite 2550 RECEIVED 3 San Francisco, California 94104-4819 4 Telephone : (415) 421-7995 FAX: 421-0912 JUN 2 71997 5 Attorneys for Claimants IWACA.M. 6 NANCY and DON MELLO, CLERK BOARD OF SUPERVISORS 7 CONTRA COSTA CO. axi 8 9 SUPERIOR COURT OF THE STATE OF CALIFORNIA 10 IN AND FOR THE COUNTY OF CONTRA COSTA 11 12 13 NANCY MELLO, DON MELLO, ) Case No. ) 14 Claimants, ) CLAIM AGAINST PUBLIC ENTITIES 15 ) VS . ) 16 ) 17 CONTRA COSTA COUNTY, CONTRA ) COSTA COUNTY HEALTH SERVICES, ) 18 MERRITHEW MEMORIAL HOSPITAL ) 19 AND CLINICS, MARTINEZ HEALTH ) CENTER, JAMES TYSELL, M.D. , ) 20 BRUCE LONDON M.D. , FREDERICK ) 21 FOLEY M.D. , ) 22 Respondents . ) 23 ) 24 The above-named Claimants, through attorneys Abramson & Smith, 25 hereby make the following claims against the above-named public 26 entities and agents/employees : 27 1 . NAME AND ADDRESS OF CLAIMANTS : 28 Nancy and Don Mello; 13900 Byron Highway, Byron, CA 94514 . 29 2 . ADDRESS TO WHICH NOTICES ARE TO BE SENT: 30 Abramson & Smith, 44 Montgomery, Suite 2550, San Francisco, CA 31 94104 . 32 3 . DATE OF OCCURRENCE: 33 The cancer was diagnosed on or about December 30 , 1996 . The 34 malpractice was first suspected on or about December 30 , 1996 . 35 16 //// I The medical care Nancy Mello received which forms the basis of this 2 claim occurred during the approximate one to two year period 3 preceding December 30, 1996 . A 4 . PLACE OF OCCURRENCE: 5 Merrithew Hospital & Clinics, Contra Costa County Health 6 Services, Martinez Health Center, all within the County of Contra 7 Costa. 8 5 . CIRCUMSTANCES OF OCCURRENCE: 9 While Nancy Mello was under the medical care of respondents, 10 said respondents carelessly and negligently provided and failed to 11 provide medical care and treatment thereby resulting in cancerous 12 cells in said claimant ' s bladder to grow, spread and go undiagnosed, 13 thereby causing Nancy Mello to suffer personal injury, economic 14 damages, and pain and suffering and claimant Don Mello to suffer to 15 the loss of his wife Nancy Mello' s consortium. 16 6 . GENERAL DESCRIPTION OF INJURY, DAMAGES OR LOSS INCURRED: 17 Nancy Mello: personal injury, economic damages, pain, suffering, 18 fear, anxiety. 19 Don Mello: Loss of his wife ' s consortium. 20 7 . PUBLIC EMPLOYEES KNOWN TO CAUSE INJURY, DAMAGES OR LOSS : 21 At the present time the only persons whose identities are known 22 to claimants are James Tysell, M.D. , Bruce London, M.D. , and 23 Frederick Foley, M.D. 24 8 . AMOUNT CLAIMED: 25 Unknown at this time . However, jurisdiction rests in the 26 Superior Court . 27 DATED: June 26 , 1997 . ABRAMSON & SMITH 28 29 30 31 Eric M. Abramson 32 Attorneys for claimants NANCY and DON MELLO 33 34 EMA\NewCase\CI aim.Mel ` 35 36 1 ABRAMSON & SMITH, LLP �X 2 ERIC M. ABRAMSON, Esq. , S .B. #103864 44 Montgomery Street, Suite 2550 �Y� 3San Francisco, California 94104-4819 -Q(�' 4 Telephone : (415) 421-7995 FAX: 421-0912 11/l 5 Attorneys for Claimants 6 NANCY and DON MELLO, 7 8 9 SUPERIOR COURT OF THE STATE OF CALIFORNIA 10 IN AND FOR THE COUNTY OF CONTRA COSTA 11 12 13 NANCY MELLO, DON MELLO, ) Case No. 14 Claimants, ) CLAIM AGAINST PUBLIC ENTITIES 15 ) VS . ) 16 ) CONTRA COSTA COUNTY, CONTRA ) 17 COSTA COUNTY HEALTH SERVICES, RECEIVED 18 MERRITHEW MEMORIAL HOSPITAL ) tit, ; Cdu AND CLINICS, MARTINEZ HEALTH ) 19 CENTER, JAMES TYSELL, M.D. , ) JUL 1 X997 20 BRUCE LONDON M.D. , FREDERICK ) 21 FOLEY M.D. , ) CLERK BOARD OF SUP RS CONTRA COSTA CO. 22 Respondents . ) 23 ) 24 The above-named Claimants, through attorneys Abramson & Smith, 25 hereby make the following claims against the above-named public 26 entities and agents/employees : 27 1 . NAME AND ADDRESS OF CLAIMANTS : 28 Nancy and Don Mello; 13900 Byron Highway, Byron, CA 94514 . 29 2 . ADDRESS TO WHICH NOTICES ARE TO BE SENT: 30 Abramson & Smith, 44 Montgomery, Suite 2550, San Francisco, CA 31 94104 . 32 3 . DATE OF OCCURRENCE: 33 The cancer was diagnosed on or about December 30 , 1996 . The 34 malpractice was first suspected on or about December 30, 1996 . 35 16 //// , ... E I The medical care Nancy Mello received. which forms the basis of this 2 claim occurred during the approximate one to two year period 3 preceding December 30, 1996 . 4 4 . PLACE OF OCCURRENCE : 5 Merrithew Hospital & Clinics, Contra Costa County Health 6 Services, Martinez Health Center, all within the County of Contra 7 Costa. 8 5 . CIRCUMSTANCES OF OCCURRENCE : 9 While Nancy Mello was under the medical care of respondents, 10 said respondents carelessly and negligently provided and failed to 11 provide medical care and treatment thereby resulting in cancerous 12 cells in said claimant ' s bladder to grow, spread and go undiagnosed, 13 thereby causing Nancy Mello to suffer personal injury, economic 14 damages, and pain and suffering and claimant Don Mello to suffer to 15 the loss of his wife Nancy Mello ' s consortium. 16 6 . GENERAL DESCRIPTION OF INJURY, DAMAGES OR LOSS INCURRED: 17 Nancy Mello: personal injury, economic damages, pain, suffering, 18 fear, anxiety. 19 Don Mello: Loss of his wife ' s consortium. 20 7 . PUBLIC EMPLOYEES KNOWN TO CAUSE INJURY, DAMAGES OR LOSS : 21 At the present time the only persons whose identities are known 22 to claimants are James Tysell, M.D. , Bruce London, M.D. , and 23 Frederick Foley, M.D. 24 8 . AMOUNT CLAIMED: 25 Unknown at this time. However, jurisdiction rests in the 26 Superior Court . 27 DATED: June 26, 1997 . ABRAMSON & SMITH 28 29 --- 30 •\_ - 31 /Eric M. Abramson 32 Attorneys for claimants NANCY and DON MELLO 33 EMA\NewCaseiClaim.Mel 34 35 36 CLAIM C�� BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA July 22, 1997 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 pursyl n t-2 va�nnmen t Code Amount: Exceeds $25,000 Section 913 and 915.4. Please note all "Warning CLAIMANT: Janet Sherbourne JUN 2 ? 199? COUNTY COU ATTORNEY- MARTINEZ CALIF. Date received ADDRESS: 8510 Brentwood Blvd. , Apt. 212 BY DELIVERY TO CLERK ON June 26, 1997 Brentwood, CA 94513 BY MAIL POSTMARKED: June 25, 1997 �'erti£i ed M�ii I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. i DATED: June 27 1997 ppHHIL ATCHELOR, Clerk BY: Deputy 7__ II. FROM: County Counsel TO: Clerk of the Board of Supervisors 0()' 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: �/I.L••-7/ BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( v) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Oated: `��. /q�� PHIL BATCHELOR, Clerk, By Deputy Clerk 7�'t' 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: BY: PHIL BATCHELOR b Deputy Clerk CC: County Counsel County Administrator -',;Z-20-1997 1 :38PM FROM BALAMUTH LAW OFFICE 510 25d 0778 P. 2 RECEIVE® 1 Janet Sherbourne 8510 Brentwood Boulevard, Apt. #212 JUN 261997 2 Brentwood, CA 94513 CLERK BOARD OF 3 c�NrRA COCTA CC 1 4 5 6 IN THE MATTER OF THE. CLAIM OF 7 8 JANET .SHERBOURNE, ) CLAIM FOR PERSONAL INJURIES 9 ) (Government Code S 910) Claimant, ) 10 ) VS. ) 11 ) MERRITHEW MEMORIAL HOSPITAL, ) 12 COUNTY OF.. CONTRA COSTA, and ) DOES 1 through 100 ) 13 } Respondents. ) 14 ) 15 To the MERRItHEW MEMORIAL HOSPITAL and the COUNTY OF CONTRA 16 COSTA: 17 You are hereby notified that Janet Sherbourne. claims damages from 18 the Merrithew Memorial Hospital, the County of Contra Costa, and 19 others. 20 1. NAME AND ADDRESS OF CLAIMANTS: 21 Janet Sherbourne 8510 Brentwood Boulevard, Apt. #212 22 Brentwood, CA 941513 23 2. NOTICES/COMMUNICATIONS REGARDING CLAIMS TO BE SENT TO: 24 Janet Sherbourne 8510 Brentwood Boulevard, . Apt. #212 25 Brentwood, CA 941513 26 27 28 •'F-20-1997 1 :38PM FROM BALAMUTH LAW OFFICE 510 25d 0778 P. 3 1 3. DATE AND LOCATION OF INJURY/DAMAGES: 2 on or about December 27, 1996, claimant, Janet sherbourne, 3 suffered injuries and damages during surgery at Merrithew Memorial 4 Hospital, Contra Costa County's medical facility. Janet sherbourne 5 suffered serious injuries including, but not limited to, spinal cord 61 injury and nerve damage. 7 Claimant Janet Sherbourne alleges, and will prove, that Merrithew 8 Memorial Hospital and the County of Contra Costa provided negligent 9 medical treatment to claimant. This directly resulted in claimant"s 10 spinal cord and nerve. injuries. 11 4. NAMES OF PUBLIC EMPLOYEES CAUSING CLAIMANTIS INJURIES: 12 Claimant does not currently know the names of public employees 13 responsible for her injuries. 14 .5. INJURIES SUSTAINED: 15 Claimant has suffered injuries and damages including, but not 16 limited to, spinal cord and nerve injuries, medical expenses, lost 17 earning capacity, emotional and mental distress, pain and suffering, 18 and overall reduction in the quality of life. 19 20 21 22 23 24 25 26 27 28 -,6-20-1997 1 :38PM FROM BALAMUTH LAW OFFICE 510 25d 0778 P. d 1 6. AMQQ T OF CLAIMS: 2 The amount of this claim is far in excess of $25, 000., which means 3 that jurisdiction will rest in the Contra Costa County S>uperior .Court. 4 Dated: June &S, 1997. 5 6 7 By: 'A L "-Sherbome 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 ! . � § 33 , � � f , a ' � w � � o w g 03 f . 03 e ru ., . f §; t � CA { � a CAA > «N SUMER- . LO } \\ $� _ § \ \ CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA _ . July 22, 1997 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: $100.00 Section 913 and 915.4. Please note a1ll,",Wa.r-ni-nggss,-1 CLAIMANT: Penelope Rae Williams ATTORNEY: Date received UUUNTY COUI SEL June �&4RTfyF7AUF. ADDRESS: 604 Hidden Lakes Drive BY DELIVERY TO CLERK ON , 9.9/ Martinez, CA 94553 June 23 1997 BY MAIL POSTMARKED: , I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. June 27' BY: D 1997 PpHHIL BATCHELOR, Clerk DATED: eputy 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: A2 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 ( 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:_ PHIL BATCHELOR, Clerk, By ��.D�,, � Q,Qa� 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: :15 t °Ca BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator c .r RECEIVE JUN �-f� i CLERK ' ,si.lc SORs June 23, 1997 Board of Supervisors Contra Costa County County Administration Building 651 Pine Street, Room 106 Martinez, CA 94553 Dear Sirs/Madam: on the advise of legal counsel, I am resubmitting the attached claim. If you do not want this to go to court, I would like you to waive the statue of limitations which will be July 10, 1997. I await your expedient reply. Sincerely, Penelope Rae Williams 604 Hidden Lakes Drive Martinez, CA 9553 Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to personal 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. (Gov't 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 Penelope Rae Williams ) 604 Hidden Lakes Drive ) RECEIVE® Martinez , CA 94553 ) f1 Against the County of Contra Costa) or ) JUN 2 41997 County Assessors Office District) CLERK BOARD OF SUP RYlSORS (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 $_Loo . 00 and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) January 10 , 1997 2. Where did the damage or injury occur? (Include city and county) Martinez , Contra Costa County 3. How did the damage or injury occur? (Give full details; use extra paper if required) See attached I have been waiting for the reassessment money from 4. a parte u ar act or omission on the part of county or district officers, servants or employees caused the injury or damage? Not following their own procedures and refunding my money. (over) 5. What are the names of county or district officers, servants -or t;. employees causing the damage or injury? Larry Muth, Kathleen Rigeway, and STephen Dawkins 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ) Interest on my tax refund, penalty, and attorney fees 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) Interest on my property tax refund, penalty and ati-ornA�f�s 8. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury. ATE TIME AMOUNT Gov. Code Sec. 910.2 provides "The claim must be signed by the claimant or by some person on his SEND NOTICES TO: (Attorney) ) behalf. " Name and Address of Attorney (Claimant's Signature) 6 o 4 14 oUe__� • S�3 -Apkddress ) 1 W 68S'- iZ3o �c2 Telephone No. ) Telephone No.ff S 2a- ##############fit##########+Q#iii#dk3######:`'t#######!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. May 5, 1997 Board of Supervisors Contra Costa County County Administration Building 651 Pine Street, Room 106 Martinez, CA 94553 Dear Sirs/Madam: The damages are penalty and interest on money the County Assessor's Office has owed me since approximately July 1996. If I do not pay my property taxes, as per the attached article, I am penalized. I feel it is only fair that I assess the Assessor's Office or take it to Small Claims Court. In October when I spoke to Mr. Muth, I was informed that it was too late for a reduction of my 1995/1996 taxes. I informed him that there must be something wrong with the system if I follow every step I am told to follow and then be told it is too late. Apparently, after I convinced Mr. Muth to listen to me, he found out that I had fallen through a crack. As you can see from my letter dated February 27, 1996 (contact name and date) , I contacted various people at the Assessor's Office and this endeavor ended up taking two months. On December 26, 1996 I received a notice on the reassessment of my property. In response to my letter dated February 6, 1997 I received the letter from them dated February 12, 1997. Here it is May 5, 1997 and I still do not have my money. I have given them plenty of time to refund my tax money without it going this far. Now I will not settle for less than my tax money plus penalty and interest as that is what they would charge me if I did not pay my taxes on time. Thank you, and I await your response. I Sincerely, Penelope Rae Williams 604 Hidden Lakes Drive Martinez, CA 9553 Gus S.Kramer Contra Office of Assessor Assessor Costa 834 Court Street James D.Giacoma Martinez,California 94553 Assistant Assessor Count FAX: (510)313-7488 Valuation Telephone: (510)313-7400 Robert E.Nash Assistant Assessor Administration Date Parcel Number Dear Property Owner: We have received your letter expressing your concerns about the assessed value of your rroperty. We will review your property value as of January 1, 1997. Since your application was received after September 15, the law precludes us from lowering the value for March 1, 1996. To allow us time to collect all the available market information and complete our other work, you should be informed of our decision.on the value of your property by the third week of July, 1997. If you have not heard from our office by July 20, you should call and inquire about the status of your review. Any reduction in value will not be reflected until you receive your 97-98 tax bill in September 1997. In case you do not qualify for a reduction or do not agree with the value our valuation staff places on your property, you may file an appeal with the Assessment Appeals Board. Assessment appeal applications are available by writing to the Clerk of the Assessment Appeals Board, 651 Pine St., Room 106, Martinezi CA 94553 or by calling (510) 646-2374. The period for riling assessment appeals is July 2 through September 15, annually. If you need further explanation of your particular situation; please call our Public Service Section at (510) 313-7400. Very truly yours, STEPHEN DAWKINS PRINCIPAL APPRAISER stds/rvwltr.sd.dm LA w t0 F. a o lo w C4, 0 C4- f4 V, C4 0- 0 i�A 0.) Zo CA 0 0 w le. S U .0 ge Co pG + \� tie'"' d 3 5,1 0, V gs U> ;A O)s *'S u 6 r , February 6, 1997 Assessor Contra Costa County 834 Court Street Martinez, CA 94553 SUBJECT: 2225 Hillsborough Court Parcel No. (APN) 110-260-011-9 Dear Sir: Again, I am returning the Claim for Refund of Taxes dated January 10, 1997. The first claim for Refund of taxes showed a very different amount than this form. In 1995/1996 the Net assessed value on the roll for this piece of property was $275, 000. 00 not 250, 000. 00 The first Claim for Refund of taxes showed the net assessed value going from $275, 000.00 to $250, 000.00. I appealed and my letter to you fell through a crack, or so I was told in December 1996 after calling repeatedly. Please send a correct Claim for Refund of Taxes for the above property within 30 days or I will file a claim for penalties and interest on this money in Small Claims Court. I do feel that I have been very patient through your process and you° would assess me penalties and interest if I did not pay my taxes. Thank you in advance for your cooperation in this matter. Sincerely, Penelope Rae Williams 604 Hidden Lakes Drive Martinez, CA 94553 cc: Contra Costa Board of Supervisors 651 Pine Street Martinez, CA 94553 Gus S.Kramer Contra Office of Assessor Assessor Costa 834 Court Street lames D.Giacoma Martinez,California 94553 Assistant Assessur Count FAX: (510)313-7488 valuation Y Telephone: (510)313-7400 Robert G.Nash Assistant Assessor Administration December 26, 1996 WILLIAMS BILLY JACK & PENELOPE Parcel Number: 110-260-011-9 604 HIDDEN LAKES DR MARTINEZ CA 94553 RE: 2225 HILLSBOROUGH CT #1 CNCD We have discovered an error in the valuation for the above-referenced parcel . There has been a valuation change as follows: YEAR OLD VALUE* NEW VALUE* REASON FOR CHANGE 95 250,000 235,000 New Information Received *The OLD VALUE and NEW VALUE above are gross taxable values. Any applicable exemptions will be deducted on the corrected tax bill . This notification is informational only and does not constitute a tax bill . A corrected tax bill will be issued by the Tax Collector. (NOTE: If you do not receive a corrected bill before the December 10th or April 10th installment becomes delinquent, you NUST pay that tax bill. A corrected bill or refund will come at a later date.) If you are not in agreement with this corrected valuation, an application for reduction in assessment may be filed with the Assessment Appeals Board no later than sixty (60) days after the date your tax bill is mailed or upon receipt of a second notification letter from our office (S1605, S4986 Revenue and Taxation Code). Appeal inquiries should be directed to the Contra Costa County Assessment Appeals Board, Administration Building, Room 106, 651 Pine Street, Martinez, California, 94553. If we can answer any questions or be of assistance in this matter, please call (510) 313-7400 between 8 a.m. and 4 p.m. If your inquiry is in writing, please provide us with a daytime phone number where you may be reached. Very truly yours, G .- KRAMER, COUNTY AS SSOR +-1 Stephen Dawkins, Principal Appraiser R:B/sec res/4038 Rev. 12/18/96 1 February 27, 1996 'L`' i' , `Y( '(°� Assessor 1�` O.A to Contra Costa County -,,) r 834 Court Street r �� r(It 'Y- Martinez, Martinez, CA 94553 SUBJECT: 2225 Hillsborough Court Parcel No. (APN) 110-260-011-9 Dear Sir: I would like a reevaluation of the above mentioned piece of property. I feel that the attached assessment is still too high. The property at 2219 Hillsborough Court is now priced at $239, 000. 00 and he is hoping to sell. The Real Estate agent is Pat Wrexler and she can be reached at (510) 531-0343 . I believe the reason that he is having a difficult time selling this piece of property is because it backs up against the 242 freeway. The upstairs apartments are very difficult to rent in these two buildings because they are so close to the freeway. This, plus a drop in the market, I feel takes away from the value of the property. As I am not very familiar with having property reassessed I don't know if I can go . back later for 1995/1996 after I agree to an assessment. I feel the property was probably over assessed in 1994/1995 and that there is nothing I can do now. Thank you for your cooperation in this matter. Please let me know your findings. Sincerely, Penelope Rae Williams 604 Hidden Lakes Drive Martinez, CA 94553 ' a Gus S.Kramer Contra Office of Assessor Assessor CO3ta 834 Court Street James D.Giacoma ►7 ti Martinez,California 94553 Assistant Assessor \� FAX: (510)313-7488 valuation County ��`� i�� Telephone: (510)313-7400 Robert E.Nash Assistant Assessor Administration October 16, 1996 WILLIAMS BILLY JACK & PENELOPE Parcel Number: 110-260-011-9 0 604 HIDDEN LAKES DR MARTINEZ CA 94553 RE: 2225 HILLSBOROUGH CT #1 CNCD We have discovered an error in the valuation for the above-referenced parcel . There has been a valuation change as follows: YEAR OLD VALUE* NEW VALUE* REASON FOR CHANGE 96 250,000 235,000 New Information Received *Old/new value is gross taxable value. Any applicable exemptions will be deducted on the corrected bill. This notification is informational only and does not constitute a tax bill. A corrected tax bill will be issued by the Tax Collector in the near future. If you are not in agreement with this corrected valuation, an application for reduction in assessment may be filed with the Assessment Appeals Board no later than sixty (60) days after the date your tax bill is mailed or upon receipt of a second notification letter from our office (51605, S4986 Revenue and Taxation Code). Appeal inquiries should be directed to the Contra Costa County Assessment Appeals Board, Administration Building, Room 106, 651 Pine Street, Martinez, California, 94553. If we can answer any questions or be of assistance in this matter, please call (510) 313-7400 between 8 a.m. and 4 p.m. If your inquiry is in writing, please provide us with a daytime phone number where you may be reached. Very truly yours, G .- KRAMER, COUNTY AS SSOR Y✓ Stephen Dawkins - Principal Appraiser, Standards Division R:B/sec res/4038 Rev. 12/15/95 Office of Assessor ss Kramer Contra Assessor or Costa 834 Court Street James D.Giacoma Martinez,California 94553 Assistant Assessor County FAX: (510)313-7488 valuation Telephone: (510)313-7400 Robert E.Nash Assistant Assessor Administration Parcel Number Dear Property Owner, We have received your letter expressing concerns about the assessed value of your property. Recent changes to the Revenue and Taxation Code now allow the County Assessor to review and adjust values as of March 1st, 1995 (for the 95-96 fiscal year) , even though your request for reduction was received after September 15th. Prior to this change, September 15th was the deadline to both file a formal Assessment Appeal and informally request a reduction by mail . September 15th still remains . the final filing date to formally protest values with the Assessment Appeals Board as of March 1, 1995. However, due to the recent decline in property values and this new change in the law, property owners can still informally request reductions for the current (95-96) fiscal year. The Assessor's Office will review your value as of March 1st, 1995 and make a reduction if available sales information indicates your assessed value is higher than the current market value. You will be notified in writing of our determination. Regardless of the outcome, you must pay your 1995 - 1996 taxes as stated on your current bill . If a reduction is made, your taxes will be adjusted at a later date. If you need further explanation of your particular situation, please call our Public Service Section at (510) 313-7400. Very truly yours, S+-. OL.,,. C)O.Al;1� STEPHEN DAWKINS Chief, Standards for GUS S. KRAMER, Contra Costa County Assessor stds\reducton.ext.dm June 17, 1996 Assessor Contra Costa County 834 Court Street Martinez, CA 94553 SUBJECT: 2225 Hillsborough Court Parcel No. (APN) 110-260-011-9 Dear Sir: I would like a reevaluation of the above mentioned piece of property. I feel that the attached assessment is still too high. The property at 2219 Hillsborough Court is now priced at $239, 000. 00 and he is hoping to sell. The Real Estate agent is Pat Wrexler and she can be reached at (510) 531-0343 . I believe the reason that he is having a difficult time selling this piece of property is because it backs up against the 242 freeway. The upstairs apartments are very difficult to rent in these two buildings because they are so close to the freeway. This, plus a drop in the market, I feel takes away from the value of the property. As I am not very familiar with having property reassessed I don't know if I can go back later for 1995/1996 after I agree to an assessment. I feel the property was probably over assessed in 1994/1995 and that there is nothing I can do now. Thank you for your cooperation in this matter. Please let me know your findings. Sincerely, Penelope Rae Williams 604 Hidden Lakes Drive Martinez, CA 94553 S. Conira Office of Assessor Cuss Kramer Assess Costa 834 Court Street lames D.Giacoma Martinez,California 94553 Assistant Assessor County FAX: (5 10)313-7488 valuation Telephone: (5 10)313-7400 Robert E.Nash Assistant Assessur Administration May 15, 1996 WILLIAMS BILLY JACK & PENELOPE Parcel Number: 110-260-011-9 604 HIDDEN LAKES DR MARTINEZ CA 94553 RE: 2225 HILLSBOROUGH CT #1 CNCD We have discovered an error in the valuation for the above-referenced parcel. There has been a valuation change as follows: YEAR OLD VALUE* NEW VALUE* REASON FOR CHANGE 95 272,681 250,000 New Information Received *Old/new value is gross taxable value. Any applicable exemptions will be deducted on the corrected bill. This notification is informational only and does not constitute a tax bill. A corrected tax bill will be issued by the Tax Collector in the near future. If you are not in agreement with this corrected valuation, an application for reduction in assessment may be filed with the Assessment Appeals Board no later than sixty (60) days after the date your tax bill is mailed or upon receipt of a second notification letter from our office (S1605, S4986 Revenue and Taxation Code). Appeal inquiries should be directed to the Contra Costa County Assessment Appeals Board, Administration Building, Room 106, 651 Pine Street, Martinez, California, 94553. If we can answer any questions or be of assistance in this matter, please call (510) 313-1400 between 8 a.m. and 4 p.m. If your inquiry is in writing, please provide us with a daytime phone number where you may be reached. Very truly yours, G .- KRAMER, COUNTY AS SSOR ry Stephen Dawkins - Principal Appraiser, Standards Division R:B/sec res/4038 Rev. 12/15/95 Gus S.Kramer Contra Office of Assessor Assessor Costa834 Court Street lames D.Giacoma Martinez,California 94553 Assistant Assessor CountyFAX: (510)313-7488 Valuation Telephone: (510)313-7400 Robert E.Nash Assistant Assessor Administration Parcel Number 110- a(Q 0- 0)/--7 Dear Property Owner: We have received your letter expressing your concerns about the assessed value of your property. We will review your property' s value as of March 1, 1996. If you have not heard from our office by Sept 1, 1996, you should call and inquire about the status of your review. Any reduction in value will be reflected in your 96-97 taxes . In case you do not qualify for a reduction or do not agree with the value our valuation staff places on your property, you may file an appeal with the Assessment Appeals Board. Assessment appeal applications are available by writing to the Clerk of the Assessment Appeals Board, 651 Pine St. , Room 106, Martinez, CA 94553 or by calling ( 510 ) 646-2374 . The period for filing assessment appeals is July 2 through September 15, annually. , If you need further. explanation of your particular situation, please call our Public Service Section at (510) 313-.7400. Very truly yours, Sp+hn— in Principal Appraiser rvwltr.DMH:rp February 27, 1996 Assessor Contra Costa County 834 Court Street Martinez, CA 94553 SUBJECT: 2225 Hillsborough Court Parcel No. (APN) 1107260-011-9 Dear Sir: I would like a reevaluation of the above mentioned piece of property. I feel that you have assessed this piece of property way too high. The property at 2219 Hillsborough Court is now on the market and has been for almost a year because the market has dropped and the owner has it priced too high. I should have written last year, but I was not aware that I could question your appraisal. Thank you for your cooperation in this matter. Please let me know your findings. Sincerely, Penelope Rae Williams 604 Hidden Lakes Drive Martinez, CA 94553 1 � CO LO \ � • � f5�o �\ `& � � (31� � \ K 0 � s { � % �Q ',A 0) U # / > \\ � to m / UVAo P 0 � 0 U . � � @f � 9 e « � S � . / � . .. % - d ® \ U) . •4 � $ � � .� ' CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA July 22, 1997 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: $12,428.35 Section 91ij to all "Warnings". CLAIMANT: Robert W. and Cheryn E. Gliebe J UL - 1 1997 ATTORNEY: Date received MARTINEZCAI.IFL ADDRESS: 250 Stevenson Drive BY DELIVERY TO CLERK ON June 30, 1997 Pleasant Hill, CA 94523 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. DATED: July 1, 1997 BAIL BATC�ELOR, Clerk - II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: �( 2 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: '7 -Z _ q-q PHIL BATCHELOR, Clerk, 8,X Deputy Clerk GLT 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:- 19 9 BY: PHIL BATCHELOR b Deputy Clerk CC: County Counsel County Administrator C3aic �:;o: BOAM OF SVERVISORS OF CONTRA COSTA COUNTY INSTIMMONS TO CLAIMANT A. C12iss relating to causes of action for death or for injury to person or to per- sonal ersonal property or growing crops and sthich accrue on or before Dom' 31, 1987, muses 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 WmT to Pe!'-Wa . or to personal property or ging crops and %rich accrue ca or after JanuarY 1, 1988, must be presented not later than six months after the accrual al of the cause of action. Claims relating to any other cause of action mast be presented not later than on-- 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 306, 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 f-audulent claims, Penal.Code Ser. 72 at the end of this BE: Claim By ) Re erne :!Is filing stamp Crl RECEIVE® Against the County of Contra Com JUN 3 01997 or ) 10 It 5-a.m . District) CLERK BOARD OF SUPERVISORS Fill in CONTRA COSTA CO. n� ) She undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sof 1��4a $. 3-5 — and in support of um this claim represents as foliaws: 1. When did the damage or injury occur? "(Give exact date and hour) J nk4r .1 . 1 19 ci 7 5: 45 a^1 2. Where did the damage or injury oaaur? (Include city and.ccumty) 25a 5 + e4e,►x5-an 17 r. e4SGht f� f /9 3. How did the damage or.injury occur? (Give full details; use extra paper if required) see aft -aC- 4. What particular act or emission on the part of county or district officers, se--vants or employees caused the in jury or damage' l F -5. wnat are me names of county or district officer, servants or employees eausirg s a+ 1- 4 5. what damage or injuries do you claim resulted?- (Give full. extent of injuries or damages claimed. Attach two estimates for auto damage. S e e- C4-`j C, C- � �- Cl 7. Bow was the amount claimed above computed? (Include the estimated amm mt of any prospective injury or damage.) S. Names and addresses of witnesses, doctors and hospitals. S 2 a f+ G C_� e4 9. List the expenditures you made en account of this accident or injury: DAME ITE)" AMOUNT S P, e- p=it+ ae--ke4 Gov. Code Sec. 910:2 provides: "The claim must be signed by the claimant SEND NOTICES T0: (Attorne ) -- or bv some on his behalf." Name and Address of Attorney '_&-_C"_ - CL'66_.� �. is Signature 25 Stev 0 .br . Address. 5c4 l4 tvtnhq �o- Telephone No. Telephone No. 5 !4 y 2-5 2 Ll?j ,,i 0,9 3Y- 7 8/7 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 i-n the state prison, by a fine of not exceeding ten thousand dollars ($10.,000, or by' 'Doth sz:ch iTrisonment and fine. �• Knat •are he names or counLv or district officer, servants or employees causing the dawae or injury? y? 5. chat damage or injuries do you Claim resulted? (Give full extent of injuries ordamages claimed. Attach two estimates for auto damage. 5 e-e- G-` C' C- d . 7. Sow eras the am mt claimed above computed? (Include the estimated amount of any prospective injury or damage.) S -f- f- c� �' �' � Q. of S. !lames and addresses of witnesses, doctors and hospitals. 5e Gf+ GC-fed 9. List the expenditures you made on account of this accident or inuuy: DAME ITEM AMOUNT Gov. Code Sec. 910:2 provides.- "Me rovides:"The claim must be signed by the claimant SEND NOTICES TO.- (Attorney) or by some person on his behalf." Name and Address of Attorney P1 '21 CL-.4� ?-. t4s Signature 25 � Ste-ve.n Address, :P Q W -5 z 3 t � e- Telephone No. Telephone No.-b S 10- q�-5 2 L!7 .S►0.9 3 y- 7 8 I 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 ene year, by a fine of not exceeding. . one thousand ($1,000), or by both such imprisonment and fine, or by imprisoncneent in* the state prison, by a fine of not exceeding ten thousand dollars ($10.,000, or by' both S=h impriso-nnen'- and fine. Claim Presented to the Supervisors of Contra Costa County by Robert and Cheryn Gliebe 250 Stevenson Drive Pleasant Hill, CA 94523 3. How did the damage or injury occur? & 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? On January 1. at 5:45 we woke up to the sound of rushing water. We found water rushing from.the south- west corner of our backyard heading towards our house &pool. We tried to barricade and divert the muddy water from the pool by using patio cushions &furniture, lawn bags and anything we could find. We opened both gates to allow the water to flow out of the back yard. We started two pumps - one under our house and one in the pool to pump the water out to the street. Our pool filled up with muddy water and landscaping and then the water headed towards our home. When the water level on the patio reached several inches it flowed down the air vents and under our house. As the water level rose under the entire length of our home, it rushed out the crawl space door on the south, and out a small opening into the garage on the north. Our garage was flooded by the water rushing down the side of the house and pouring out from the opening of the crawl space. Our family room bathroom and closets were flooded by water that rose above the foundation and seeped into the seams at the concrete slap. When the rushing water stopped, we found that an old man hole that was buried under several feet of dirt had erupted. Our neighbor told us that the flood line was put in by the county in the late 40's, and was capped in the mid 50's when Murderer's Creek water backed up and flooded the yard. We had no prior knowledge of such a line or man hole. On January 2 we called the county flood control(313-2000) and they transferred me to Bill Gregory in public works and I explained the situation. He told me to talk to Ron Harvey in claims(335-1440). I left a message for Ron Harvey and he never returned my call. We also called our home owners insurance. They also did not return our call. On January 3 we did reach our insurance company and they advised us to contact the city and county. As it was Friday afternoon both county and city offices were closed. By January 6 the linoleum that had buckled in the kitchen had now cracked,the carpet was getting large lumps in it, and the house was starting to smell. We called the county and spoke to Ron Harvey. We explained everything to him and he suggested that we pursue our claim with our insurance company and to contact Phil Harrington in County Flood Control Engineering.We called Phil Harrington(313-2270) and left a message. We called the city office and they told me to go to the Public Works Dept and fill out a claim against the city. The City Attorney's office gave me a claim form and told me that we should speak to someone in the Public Works Dept. We spoke to Mario Moreno and he pulled out a city map and verified that a 24" storm drain did run through our property, carrying water from several storm drains down to Murderer's Creek. There is a storm line man hole located on our property for easy maintenance of the line. However,he informed us that the storm drain belongs to the county as part of their county flood control. Mario Moreno, and three other gentlemen made a site visit to our property and told us that the line belonged to the county. They said that they would investigate. AAA adjustor Julie Van Wyk arrived and filled out a report and took pictures. We smelled a gas leak in the back corner and we called PGE. PGE came out and found that the pool heater pilot light had gone out and was leaking gas. He shuts off the gas and said he cannot relight the pilot as a lot of junk has gotten into the heater. We must wait until the flood line is corrected and then have the heater cleaned out and relit. On January 7 we called the county flood county control and spoke to Phil Harrington. We explained everything that had happened and he said that he would talk to the people at Pleasant Hill public works. We called AAA and Pain Foster said that they would have Cal Engineering and Geology investigate,and there wasn't anything that they could do until they got a report. On January 8 we called Mario Moreno at Pleasant Hill Public Works and he said that they were still investigating. We asked if the County had been in touch and he said not yet. We called Phil Harrington and left a message and he does not return our call. We called Pam at AAA and she said that Cal Engineering would call and there isn't anything she could do at this time. On January 9 we called Phil Harrington and he said that they came by our property and investigated the line. He said that because Pleasant Hill incorporated in 1963 that they are now responsible for the flood lines and not the county. He said that he talked to Bill Lightfoot at Pleasant Hill Public Works and that they agreed to install a flow gate on the end of the line to prevent Murderer's Creek from back flowing and that a pressurized seal Robert&Cheryn Gliebe Page 2 would be put on the man hole to prevent the water from backing up into our yard and house. Phillip Gregory and Patricia Richards from Cal Engineering and Geology came by and took a full report with pictures. They also pointed out swelling along the center foundation where a large rise follows the length of our house, several cracks in the walls and ceiling,the sliding glass door in the family room was no longer squared and was hard to open, and the front door was sticking. They said that the carpets were very mushy indicating that the pad was wet and should be removed as soon as possible. The 24" flood line that runs through our property, drains at the middle of Murderer's Creek, and when the creek reaches the flood line the water begins to back up the line and erupts at the weakest point which is at the man hole located on our property. Unfortunately,many drain lines that were later tied into our line through drainage improvements and culverts under Pleasant Hill Road and on Wendell Ct., carry water from as far up as Dinosaur Hill through the line on our property. When the creek level is high the water begins to backup and the water that is running down from the hill meets and erupts onto our property and floods our home. When we spoke with Mario Moreno on Friday, January 31 he said that during the week of February 3 that PH Public Works would put a pressure seal on the man hole to prevent further flooding of our property. The city did in fact visit our property on Tuesday, February 4. However, a few days later we were informed by Mr. Moreno that his hands were tied and Leary Wong had advised him that the city would not put a seal on the man hole because it will make them liable for the damage to our property. As of today we are quite confused by contradicting statements from the county and the city. Due to the fact that the county did not give the city of Pleasant Hill the necessary records when the city incorporated, there is still much confusion regarding storm lines and their location. We do know, as informed by Debra Margolis,that the County and City knew that these lines were inadequate in the early 1980's, and this is why the County Flood Control and Water Conservation District came up with the Drainage Improvement Plan for Drainage Area 46 in August; 1984. We do not understand how the city and county can send water down lines and not have any responsibility for the lines themselves. At the last meeting with the city and county we were told what we could and could not do with the line on our property. We were also informed by Milton Kubicek and Leary Wong that it was our responsibility to replace the 120' of flood line at our expense, and that the City of Pleasant Hill would be sending us a letter to notify us of our responsibility. Both the city and county want controlling interest and yet no liability. According to our title company there was no easement or right of way on our property. If Murderer's Creek had been cleared of debris prior to the heavy rains, this flooding would not have occurred. Murderer's Creek is maintained by both the City of Pleasant Hill and the Contra Costa County Flood Control District. We feel that the City of Pleasant Hill and Contra Costa County Flood Control are jointly responsible for the flooding and the damage to our home. 5. What are the names of county or district officers, servants or employees causing the damage or injury? The flood water caused the damage but we were led to believe from Phil Harrington that the city of Pleasant Hill Public Works and the County Flood Control were going to correct the problem. Unfortunately,Phil Harrington quit his job a few days later. We were also being helped by Ron Harvey to piece information together and he asked me to FAX him some additional information and he would get right back tome. When I called him a few days later he told me that he had been told by his boss not to talk to me or provide me with any information for my claim. I later was told by Milton Kubicek that he had told Mr. Harvey not to give me any information as it might help my claim. 6. What damage or injuries do you claim resulted? See attached list of damages. 7. How was the amount claimed above computed? See attached estimates and receipts for repairs already made. S. Names and addresses of witnesses, doctors, and hospitals. Ted and Eyrlene Kammerer,260 Stevenson Dr., Pleasant Hill, CA 94523 9. List the expenditures you made on account of this accident or injury: See attached receipts for repairs already made. Damage Caused by January Flood Robert and Cheryn Gliebe 250 Stevenson Drive Pleasant Hill, CA 94523 Living Room, Entry, Hall, and Den Removal and disposing of carpets and pads $ 310.00 paid Replacing of subflooring, replace, repair, sand and finish hardwoods 1663.93 paid Drywall repair & paint 157.55 paid Total $ 2131.48 Front Replace and repair damaged posts on front porch $ 266.12 estimate Partial repair driveway 2561.52 estimate Total $ 2867.24 BACK Back Patio Repair and replace patio posts $ 176.88 estimate Replace indoor/outdoor carpeting 300.00 estimate Replace top soil & landscaping 73.74 paid Back Yard Fence 318.61 paid Top Soil replacement 250.00 estimate Replace landscaping 180.00 estimate, Total $ 1299.23 Pool Removal of landscaping and soil $ 162.50 paid Chemical balance 89.10 paid Replace damaged filter cartridge 93.00 estimate Replace & repair deck-o-seal 610.00 estimate Replace deck gate valves to pool & spa 475.80 estimate Replaster, refill, and water rebalance 4700.00 estimate Total $ 6353.92 TOTAL $12428.35 I OQ t i MN N E R E Q 0 O U-iz U •00 c, ,- - O O C O C N c U �=•'''� �' I CLdQSFn 6 Sm d en Lo � 's r 1 w N M w I ¢ Z O o~a m c E ; moan Ec m N m 1( Q ON—N 1 m>.m O N 1:1,6 h.d p ;am E0 cm Z C7j-0 �� �r aE � Z9SJD mL= N m 02 Q8:22 NOOO U Z 3t$aa ¢¢ Z m z m c r Z: 'LLJ .e .r2 Ir :+14— n h3 C RI i, O T LU 1 �- n ;�. m n.• n. n: c O.} Mca ® G { WX LL I cuCl) cuI Q < 4- co 1 Li w� w .qr 1 Il �'�..� �'• I ]E t.2 Iii 1 w w r 11 -J3, O6' 6 1 L N li rJ 40 c t cu C 12 � a m as¢ ca u .. .. .. .. .. .. I.. Ennf--— T L.; sa w V d x �.+• •.+ M � RS Ill B! 11 �. ILI J y.B' OE65 bEL(80b)W I&58Z•585(Z09):ZV•OV831ndW00 -. Buten$ Rudxood Mooring 360 Grand Aire.,#20t Oakland,Caufarnta 94610 Uemse n 639443 I N V O 1 C E Ref: # 1421 Data: May 8, 1997 To: Bob and Cheryn Gliebe 250 Stevenson Dr. Pleasant Hill,CA Attn: Bob and Cheryn 5101934-7817 For Laborand Services Furnished on: 250 Stevenson: Sand and refinish floors as per proposal.With an add-on of the trap door access and box of furniture sliders. Proposal Price $1,630 I G 3 O Add-on 80 } Total price $1,710 Pend 1,630 Total Due $80 r, u 'Terms are net cash and payable on presentation SINCE'''-� --ACCOUNTING COPY >;R? SHIPPED.'• 1934 --- :.,� k CORPORATE/ACCOUNTING OFFICE a� i '_,%FILLED BY' t;;giv,;;: 395 TAYLOR BLVD.,SUITE 225,PLEASANT HILL,CA 94523(510)674-8770 _ RETAIL DIVISION 2465 S.MAS. 351-40TH ST. - - 2120 PIEDMONT WAY 2880 N.MAGI ST. W - LAKEPORT,CA 95453 OAKLAND,CA 94609 PITTSBURG,CA 94565 WALNUT CREEK CA 94596 > PHONE:(707)263-8400 ' PHONE:(510)658-1826 PHONE:(510)432-0111 'PHONE:(510)935-8400 DELIVERED BY LU�VIBER WHOLESALE LUMBER TRUSS DIVISION TRUSS DIVISION - 6301 North State Street 6301 North State Street 7675 West 1.1th Street . - Calpelia CA 95418 Calpella,CA 95418. Tracy,CA 95376 - (707)485-8781 (707)485-8781 (209)832-8400 ACCOUNT NO,' SOLD TO: SHIP.TO:(SAME AS SOLD TO UNLESS SHOWN BELOW) f`INVOICENQ;, it if if ifit it if 004..3r�ti,:; .OUR ORDER NO t INVOICE DATE `;ORDER DATE ':r CUSTOMER;ORDER'NO./ORDERED'BY a >. MOW,SOLD .; �` � i . SOLD BY .- >� :-»-, fl�• ..f:'-:;DATE PROM:; u F�_f, rfA�;TER Jim C . 105FED97 i./ ;;. OADI ED I..,' 1Xi5•-FZL. DF/HF IJTL/BTP is 15 . 0 . 39/L.FT 4 . 6;_ 1, J. isl?XiO WOOD SCREWSiF•t-T HD PHP: 10543 1. . 2. all r110V F LLJ CC am 71 I - r— C�. UU 7. `gib 0, flU U.'Ufl" 0.-00 FINANCE CHARGE of %PER MONTHRECEIVED THE ABOVE IN GOOD CONDITION: if it if if if if if if End of 1•n v o i't-f it if it if if it it it �. %ANNUAL _ RCENTAGE RATE)will. IMPORTANT X charged on All Accounts Past Due. Read Terms and Conditions governing this sale on reverse side. let r4l 6.3 t;l r:-A14 ujCT Cr. C-1 uj N or -6 Ln 00 U7 zz�M C:) c, U-3 A- 4-- C 13, ca O fin. aer cc uj t— co Ln .14r cl) O cc CL.—z cl) O vo cli C:) CA'3 C-A C3 ui 00 ce tr., cli -j CO E=l a)(=10% • TrT) C-D a 0 O .-o — 4 = ! -4 LC% C) co uj Z �4 cera 4r Lo C cc� :) L61 ::r: rm ce- N v, CIO V- 2 Y4 L'i 6c: uj ��DATESHIPPED SINCE ACCOUNTING COPY .1934 CORPORATE/ACCOUNTING OFFICE ,;<F ILLED`BY 395 TAYLOR BLVD.,SUITE 225,PLEASANT HILL,CA 94523(510)674-8770 RETAIL DIVISION - 2465 S.MAIN ST. 351-40TH ST. 2120 PIEDMONT WAY 2860 N.MAIN ST. LAKEPORT,CA 95453 OAKLAND,CA 94609 PITTSBURG,CA 94565 WALNUT CREEK,CA 94596 DELIVERED"BY PHONE:(707)263-8400 PHONE:(510)658-1826 PHONE:(510)432-0111 PHONE:(510)935-8400 LUMBER WHOLESALE LUMBER TRUSS DIVISION TRUSS DIVISION 6301 North State Street 6301 North State Street 7675 West 11th Street .. Calpel4a,CA 95418 Calpelia,CA 95418 Tracy,CA 95376 (707)485-8781 (707)485-8781 (209)832-8400 r=ACCOUNT,NO; SOLD TO: SHIP TO:(SAME AS SOLD TO UNLESS SHOWN BELOW) mINVOfCE`NO:.' ikifif*CASHoititIf 004--113901,26 ;'OUR.ORDER'NO, r ry � INVOICE-,DATE -7 11 t 07AM 07FF'EYJ ��ORDER DATE' I CUSTOMER ORDER NOaORDERED:BY' t SOLD BY'` _ a.v _=; ,•5 ;;tier'°�''ZATE;P.ROM a, -PAGE ,• a., 0E1t�?: C Hti:Ct', 7l'E.UE. Ci F.("t l_k Uhf l+;ft?,:' Li'..i . • LOADDESCRIPTION ITEM NO. • 1. 1s INCH SHAKEfF'ELT 2 59 37 .I. . t_ 14. 1?IS _A 1.4 Y`.`. ' 0 . 00 1.1 95 0 . 00 0. 0() 0 . 00 1 . w.'s Its 10 k FINANCE CHARGE of. %PER MONTHRECEIVED THE ABOVE IN GOOD CONDITION: it it if it it if if it End i3{' 1nvu fr- >' if it A If it if if It %ANNUAL 'ERCENTAGE RATE)wil) IMPORTANT X e charged on All Accounts Past Due. Read Terms and Conditions governing this sale on reverse side. PA/IVT CO. • INVOICE INIUMBit w. LDATE - - TIME SOLD TO: SHIP TO: aCUSTOMER NO: PHONE NO JOB NO P.O. NO: . PAGE NO: QTYr ' ,ITEM CODE UM DESCRIPTION -,. PRICE EXTENSION 1 099 —011 ER �: +; a 1='(-1� 1!"i !tif�Ll_t✓i✓Vf�IaiG +_l1ii ,YrJ._.YlrvlS'I-NG-- TAPIE it f- = -7 . J W. - 4 'r l �-f_--'-. '�. ....._...cu.F_...�.,f� .--.... .mJ -�: _.... sw r.,.>.c.. i>:r s,a_.. .r "�..w C...ayu...n..v....._t r .r.>.,. _ _ ,>..._ .... r _:._.._....._.�.•.1,.,. S t .......+.J. .u.... ♦ 1'. -f I w 4 <FCrr.t-RK UAYL.I N 612' =: I TAXABLE OUB 7. 2,8 NON TAX G ILL UD 0. 0 6. 25 TAX' 0. 6 k2) 'E I AL. All claims must be made within 10 days.No materials returned without authorization. TENDER' TOTALallt"1 CASH REFUND All claims and returned goods MUST be accompanied CHANGE 1 c by original sales slip. ALL CASH REFUNDS must have signature and address of person receiving money. Tl Z y t?7`S e�Y';r 31 Starts April 1. i i RECEIVED BY: X T_ -----n(-_----------------�—Q------ - -.r - ------------- CUSTOMER COPY 1 i WE 531 11:75 AN -, RETAll,.' FOR 6.97 GME 5. SUBTOTAL 106.0--1 - - j STATE: _ --- L:i - - `- i- 13_^_9 L y C214 3 _r ... .f_. _.. .. .. ._... 1 Fjellbo & Son Construction F O Box 69 Clayton, CA 94517 Ofc: 510-672-4506 Fax: 510-672-1822 License #660977 04/07/97 Client: Sharon Gliebe Res. Ph: (510)934-7817 Address: 250 Stevenson Drive Pleasant Hill, CA 94523 Estimator: ERIK FJELLBO Bus. Ph: (510)672-4506 Fax: (510)672-1322 Estimate: GLIEBE3 OWNER '-ESTIMATE Fjellbo & Son Construction Sharon Gliebe 04/07/97 Page:2 Room: Office LxWxH: 10,5" x 1013" x 880" 331 SF Walls 107 SF Ceiling 438 SF Walls & Ceiling 107 SF Floor 14 SY Flooring 42 LF Floor Perimeter 84 SF Long Wall 82 SF Short Wall 42 LF Ceil. Perimeter DESCRIPTION UNITS REMOVE REPLACE TOTAL Sand, stain, and finish wood 107 SF @ 3.45= 369.15 floor Contents - manipulation 1 EA @ 43.94= 43.94 Room Total: Office 413.09 Room: Hallway LxWxH: 14110" x 317" x 8'0" 295 SF Walls 54 SF Ceiling 349 SF Walls & Ceiling 54 SF Floor 7 SY Flooring 37 LF Floor Perimeter 119 SF Long Wall 29 SF Short Wall 37 LF Ceil. Perimeter DESCRIPTION UNITS REMOVE REPLACE TOTAL Sand, stain, and finish wood 54 SF @ 3.45= 186.30 floor Framing for access hole in 1 EA @ 125.00= 125.00 crawl space Wood floor covering relay 1 EA @ 175.00= 175.00 around new access hole Room Total: Hallway 486.30 Room: Entry LxWxH: 610" x 410" x 8'0" 160 SF Walls 24 SF Ceiling 184 SF Walls & Ceiling 24 SF Floor 3 SY Flooring 20 LF Floor Perimeter 48 SF Long Wall 32 SF Short Wall 20 LF Ceil. Perimeter DESCRIPTION UNITS REMOVE REPLACE TOTAL Sand, stain, and finish wood 24 SF @ 3.45= 82.80 floor Room Total: Entry 82.80 Fjellbo & Son Construction Sharon Gliebe 04/07/97 Page:3 Room: Living Room LxWxH: 1918" x 1214" x 800" Subroom 1: Dinnette LxWxH: 916" x 714" x 8'0" 782 SF Walls 313 SF Ceiling 1,095 SF Walls & Ceiling 313 SF Floor 40 SY Flooring 98 LF Floor Perimeter 234 SF Long Wall 158 SF Short Wall 98 LF Ceil. Perimeter DESCRIPTION UNITS REMOVE REPLACE TOTAL Wood floor covering - Minimum 1 EA @ 175.00= 175.00 replacement Sand, stain, and finish wood 313 SF @ 3.45= 1,079.85 floor Contents - manipulation 1 EA @ 43.94= 43.94 Room Total: Living Room 1,298.79 Room: Left Side DESCRIPTION UNITS REMOVE REPLACE TOTAL R&R 61 tall fencing with 1x8 71 LF @ 2.00+ 16.80= 1,334.80 boards, posts set in concrete Haul debris - per pickup truck 1 EA @ 95.99+ 95.99 load Room Total: Left Side 1,430.79 Line Item Subtotal: 3,711.77 Fjellbo & Son Construction Sharon Gliebe 04/07/97 Page:4 Summary Total Line Items 3,711.77 Overhead ® 1096 x 3, 711.77 371.18 Profit ® 10w x 3, 711.77 371.18 Grand Total $4,454.13 Grand Total Areas: 1,568 SF Walls 498 SF Ceiling 2,066 SF Walls & Ceiling 498 SF Floor 64 SY Flooring 197 LF Floor Perimeter 485 SF Long Wall 301 SF Short Wall 197 LF Ceil. Perimeter (ERZFJELLBT' OWNER Fjellbo & Son Construction P O Box 69 Clayton, CA 94517 Ofc: 510-672-4506 Fax: 510-672-1822 License #660977 04/15/97 Client: Sharon Gliebe Res. Ph: (510) 934-7817 Address: 250 Stevenson Drive Bus. Ph: (510)642-5247 Pleasant Hill, CA 94523 Estimator: ERIK. FJELLBO Bus. Ph: (510)672-4506 Fax: (510)672-1822 Reference: Julie Van Wyk Bus. Ph: (510)671-2708 Ext: 322 Claims Adjuster Fax: (510) 798-8904 Company: AAA Insurance Address: 2055 Meridian Park Blvd. Concord, CA 94520 Estimate: GLIEBE2 File Number: 02-2924280 Cause: Damage caused by surface water from a overflowed, city owned, creek. Fjellbo & Son Construction Sharon Gliebe 04/15/97 Page:2 Room: Front DESCRIPTION UNITS REMOVE REPLACE TOTAL temporary support 1 EA @ 75.00= 75.00 R&R 4" x 4" square wood post 7 LF @ 1.36+ 12.00= 93 .52 (1.33 BF per LF) Paint/finish - post - wood 1 EA @ 35.00= 35.00 R&R Gutter / downspout - 10 LF @ 0.26+ 6.00= 62.60 galvanized R&R Asphalt driveway 620 SF @ 1.25+ 5.00= 3, 875.00 w/recompaction of existing base rock R&R 2" x 4" lumber - redwood 31 LF @ 0.46+ 6.00= 200.26 border Dumpster load 2 EA @ 243.13+ 486.26 Room Total: Front 4, 827.64 Room: Living Room LxWxH: 1918" x 1214" x 810" Subroom 1: Dining LxWxH: 916" x 714" x 81011 782 SF Walls 313 SF Ceiling 1,095 SF Walls & Ceiling 313 SF Floor 40 SY Flooring 98 LF Floor Perimeter 234 SF Long Wall 158 SF Short Wall 98 LF Ceil. Perimeter DESCRIPTION UNITS REMOVE REPLACE TOTAL Drywall repair - minimum chg 1 EA @ 150.00= 150.00 Paint the walls & ceiling 1,095 SF @ 0.45= 492.75 window drapery - manipulation 3 EA @ 25.86= 77.58 Contents - manipulation 1 EA @ 43.94= 43 .94 R&R Carpet - (material and 40 SY @ 1.66+ 22.53= 967.60 labor) - $22.53 SY installed allowa R&R Carpet pad - 9/16" rebond 34.78 SY @ 0.78+ 3.62= 153 .03 Fjellbo & Son Construction Sharon Gliebe 04/15/97 Page:3 Continued - Living Room DESCRIPTION UNITS REMOVE REPLACE TOTAL Finish wood floor - Minimum 1 EA @ 170.61= 170.61 charge Room Total: Living Room 2,055.51 Room: Back Patio DESCRIPTION UNITS REMOVE REPLACE TOTAL Concrete post base 1 EA @ 35.00= 35.00 R&R 4" x 4" square wood post 8 LF @ 1.36+ 12.00= 106.88 Paint/finish - post - wood 1 EA @ 35.00= 35. 00 Room Total: Back Patio 176.88 Room: Kitchen LxWxH: 812" x 5111" x 810" Subroom 1: Offsetl LxWxH: 6'1" x 314" x 810" Subroom 2: Offset2 LxWxH: 4111" x 3111" x 810" Subroom 3: Closet LxWxH: 212" x 118" x 810" 581 SF Walls 94 SF Ceiling 675 SF Walls & Ceiling 94 SF Floor 13 SY Flooring 74 LF Floor Perimeter 173 SF Long Wall 121 SF Short Wall 74 LF Ceil. Perimeter DESCRIPTION UNITS REMOVE REPLACE TOTAL R&R Vinyl floor covering (mat 13 SY @ 4.45+ 35.00= 512.85 allow 21.00 sy) R&R Underlaymert - 3/8" 94 SF @ 0.18+ 0.95= 106.22 particle board R&R Metal edge 10 LF @ 0.51+ 1.49= 20.00 Detach and reset baseboard 54 LF @ 1.20= 64.80 R&R Vinyl cove 20 LF @ 1.10+ 4.28= 107.60 Refrigerator - Detach & reset 1 EA @ 24.30= 24.30 Fjellbo & Son Construction Sharon Gliebe 04/15/97 Page:4 Continued - Kitchen DESCRIPTION UNITS REMOVE REPLACE TOTAL Range - electric - Detach & 1 EA @ 31.35= 31.35 reset Room Total: Kitchen 867.12 Room: Entry LXWxH: 610" X 410" x 810" 160 SF Walls 24 SF Ceiling 184 SF Walls & Ceiling 24 SF Floor 3 SY Flooring 20 LF Floor Perimeter 48 SF Long Wall 32 SF Short Wall 20 LF Ceil. Perimeter DESCRIPTION UNITS REMOVE REPLACE TOTAL R&R Carpet - (material and 3 SY @ 1.66+ 22.53= 72.57 labor) - $22.53 SY installed allowa R&R Carpet pad - 9/16" rebond 2.67 SY @ 0.78+ 3.62= 11.75 Room Total: Entry 84.32 Room: Office LxWxH: 1015" x 1013" x 810" 331 SF Walls 107 SF Ceiling 438 SF Walls & Ceiling 107 SF Floor 14 SY Flooring 42 LF Floor Perimeter 84 SF Long Wall 82 SF Short Wall 42 LF Ceil. Perimeter DESCRIPTION UNITS REMOVE REPLACE TOTAL R&R Carpet - (material and 14 SY @ 1.66+ 22.53= 338.66 labor) - $22.53 SY installed allowa R&R Carpet pad - 9/16" rebond 11.89 SY @ 0.78+ 3.62= 52.31 Room Total: Office 390.97 Fjellbo & Son Construction Sharon Gliebe 04/15/97 Page:5 Room: Hallway LxWxH: 14110" x 317" x 810" 295 SF Walls 54 SF Ceiling 349 SF Walls & Ceiling 54 SF Floor 7 SY Flooring 37 LF Floor Perimeter 119 SF Long Wall 29 SF Short Wall 37 LF Ceil. Perimeter DESCRIPTION UNITS REMOVE REPLACE TOTAL R&R Carpet - (material and 7 SY @ 1.66+ 22.53= 169.33 labor) - $22.53 SY installed allowa R&R Carpet pad - 9/16" rebond 6 SY @ 0.78+ 3.62= 26.40 Room Total: Hallway 195.73 Line Item Subtotal: 8, 598.17 Fjellbo & Son Construction Sharon Gliebe 04/15/97 Page:6 Summary Total Line Items 8,598.17 Overhead @ 10% x 8,598.17 859.82 Profit @ lOg x 8,598.17 859.82 Grand Total $10,317.81 Grand Total Areas: 2, 149 SF Walls 592 SF Ceiling 2,741 SF Walls & Ceiling 592 SF Floor 77 SY Flooring 271 LF Floor Perimeter 658 SF Long Wall 422 SF Short Wall 271 LF Ceil. Perimeter ERIK FJELLBO OWNER .1-1.11-r .t,-J'A , .mo i -.'•S ., �r< .", '• ;t -S.� +'�Y.` �L 4y`2'J•:% ski's+Ax r^.,Y?,�'n a�t 'si 'c`;�< . .: i'•�-,. J ,^ern.,..y��a � .r >1 �fr ,�:M t. L �'��; I r k e1 L r s-y t Yt Z Y 4 W i , •`"2 i l 1 r- _ ,�h. }:t}t t'f)4-jr}7 x",.,7i-a U,U�' ;,, ...r '�ilj �Z.lc- t F "�,n,,!'sSY' n r•Fg-..' 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Page 1 of 2 z QUOTE O 04/21 /1997 VALIDATION Store 634 CONCORD (l 2090 MERIDIAN PARK BLVD (j1 CONCORD CA 94520 N Phone (510) 798-9600 Cfl Salesperson: SFP Reviewer: CUSTOMER INFORMATION Last Name KAMMERER First Name THEODORE Phone-Home (510) 934-6419 Phone-Work Address _t2T-STEVENSON DR City PLEASANT HILL state CA vP 94523- company Reference FENCE PRO. • DESCRIPTION • R01 593-957 9. 00 EA 4X4 -8 ROUGH CONST HEART Y $8. 99 $80. 91 R02 488-598 9. 00 EA 1X12 - 8 ROUGH REDWOOD Y $7. 75 $69. 75 R03 593-926 18. 00 EA 2X4 - 8 RO CONST HEART Y $4. 60 $82. 80 R04 1 726-605 105. 00 EA 3/4X8X6 D.E. REDWOOD FENCING Y $2. 78 $291. 90 R05 866-423 14. 00 EA 50LB FENCE POST CONCRETE Y $1. 35 $18. 90 V06 515-663 1. 00 DELIVERY Y $50. 00 $50. 00 SUBTOTAL $594. 26 SALES TAX $49. 03 TOTAL $643. 29 AMOUNT PAID $0. 00 3 g G( P -_' Prices are subject to change DETAILED DESCRIPTION OF SERVICES > t1 > _:............. E..DEVERY:NE <<<<»< <>' > >.::::::.::._:ar::: .:..:_::.::::: 515-663 DELIVERY DELIVERY DATE: 04/24/1997 MERCHANDISE TO BE DELIVERED: ITEM DESCRIPTION R0100 593-957 9. 001 EA 14X4 -8 ROUGH CONST HEART R0200 488-598 9. 00 EA 11X12 - 8 ROUGH REDWOOD R0300 593-926 18. 00 EA 12X4 - 8 RO CONST HEART R0400 726-605 105. 00 EA 3/4X8X6 D.E. REDWOOD FENCING R0500 866-423 14. 00 EA 50LB FENCE POST CONCRETE N LO LO L!7 O z k REFERENCE CHARGES CREDITS BALANCE S 01/10 POOL„ASSESSMENT & TREATMENT: - 01/10 found pool water to have : a 01/10 clearity depth of six inches 01/10 due to a heavy mix of mud` 01/10 and debris . 01/10 01/10 ;Four initial visits to add O1/10 coagulant & assess water 01/`10 clarity for possible vacuum 35 .00 01/10 0110 01/10 Addition 1 qt . Down-n-Out. 16 ..00 16 00 01/13 Addition 6# Alum Floc . , 16 .00 : 16,.00 01/16 1 Gallon muratic acid. 2 -00 21 -00: 01/31 =2 Gallons Chlorine 1 "75 3 50 01/31 \ O1/�31 CLEANED MUD FROM POOL WITH :0:1/31 .PORT-.O-VAC. 1HR. 45MIN-.. 52- 50 52 .'50: '02,,',/03 : 02/03 SECOND VISIT TO CLEAN MUD` 02/03 FROM ,POOL WITH PORT-O-UAC 02/03 1HR. 15MIN 37 50 37 50 . tY z i THANK YOU FOR YOUR BUSINESS PAYABLE SUNDANCE POOLS MAINTENANCE AND REPAIR UPON =162 50 (510) 825-5260 RECEIPT .^ P.O.' BOX 2382 PLEASANT HILL, CA. 94523 rAankYou 1111 i v: n' 2 .tel'm .w$?te a K }�y t+v� '� �C* � x-„ � ,k,r, y ��,,a' •�.. :" EW fr�'t' _ah SC,t�+fir,),xw t y• 4J J r r.k ;°�, y "'�nr ,y+,•t;+? +.si:"St w,�. :Qa` •'t�'o .•rt" �r� ,,, 'k f�Y�.'� L���� r... Z°y. ..! ,,tt F f't7r 2 ^..w,Yt x f `�z ' 1 7 f rs •Tx a .. y S •� ';t' f"� 2 •.r ..✓ �aF 7°� � [ sars" a,,� arc+. Y{�d ,2 34. v,C�Y�`�<1 - � ,a Y�,�•t•4 5 s� °7."'�'i y"''w r,�4. `r ry3t� 'r{x♦•r..v z:z]f"1.r v h.,`, �� P; .•'v �' . f'tc. 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DATE /I 19 TO FRO (NAME OF PERSON QUOTE GIVEN TO or RIECEIVED FROM) - FIRM NAME ADDRESSIPNONE QUOTE 5ECORDED BY JOB NAME , )JOB DATE ' JOB LOCATION �013 PHONE 6/ ���S�rcJT�cG 9�3 .109 10NUMBER TYPE OF WORK G� r � Y s - `' �a • OESCF21PTfON OF WORK '� --� - n._5us...t -DRGC O fejfleC5�01E 6/6 . &e i i C�GcZ'c� /��/�Cl�/�/•ft�t S ' /d (pis 7 1 X23 ,2 P���c� ��� �j� 2 L.vrS� 1�i4-C_J� . $a DATE 19 97 TO FROM/ (NAME OF PERSON QUOTE GIVEN TO or RECEIVED FROM) F-14'-' FIRM NAME ADDRESS LAD PHONE I�( " Oy , QUOTE RECORDED BY CY�177Z' JOB NAME i JOB DATE ' JOB LOCATION �� JOB PHONE JOB NUMBER ` TYPE OF WORK 77,a> DESCRlPTt0N'OF WORK �z .x-:..:..mZZ,77..nc a.E..,_.,.,..4r.�,.i.a.. � I T-0 6-' P,-F PCKS7W�i ,Q r A) 1- 700; f 3. I i i CLAIM 0,1 0 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA July 22, 1997 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 purs�aqig,:t aGo'vernmeE;ta Amount. Exceeds $10,000 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: Jamie Carasis JUN 2 7 9997 COUNTY COUNSEL ATTORNEY: MARTINEZ CALIF. Date received ADDRESS: 2105 Crestview Lanes, Apt C BY DELIVERY TO CLERK ON June 26, 1997 Pittsburg, CA -94565 BY MAIL POSTMARKED: June 25, 1997 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: June 27, 1997 BYIL DeputyLOR, Clerk II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: �/P��Z 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: 7 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 05.6. 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 showR above. Dated: BY: PHIL BATCHELOR bDeputy Clerk CC: County Counsel County Administrator CLAIM AGAINST PUBLIC ENTITY RECEIVED 1. The name and post office address of the claimant: JUN 2-6 .1997 Ms. Jamie Carasis CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. 2105 Crestview Lane, Apt. C Pittsburg, CA 94565 2. The post office address to which the person presenting the claim desires notice to be sent: Ms. Jamie Carasis 2105 Crestview Lane, Apt. C Pittsburg, CA 94565 3. The date, place and other circumstances of the occurrence or transaction which gave rise to the claim asserted: In approximately May 1995 Ms. Jamie Carasis underwent corrective right ankle surgery by Dr. Avrum Gratch at Merrithew Memorial Hospital in Martinez, CA to correct a previous right ankle surgery done at another hospital. In addition, it is alleged that Dr. Gratch's surgery caused an infection which he did not treat in spite of numerous complaints about the spread and effects of the infection. Eventually, Ms. Carasis was hospitalized several times to treat the infection and had another surgery *n December 1996. She learned in February 1997 that Dr. Gratch had treated her improperly. 4. The general description of the indebtedness, obligation injury, damage or loss incurred so far as it may be known at the time of the presentation of the claim: Claimant Jamie Carasis had to undergo further c,�ricctive surge,.' to take ow dead bone in her ankle and to take out the infection. She was fitted with fixation hardware and is required to wear this fixation hardware for an at this time unknown duration. She has incurred medical expenses, loss of income earning capacity, and pain and suffering. 5. The name or names of the public employee or employees causing the injury, damage or loss, if known: Dr. Aurum Gratch. Claim Against Public Entity - continued Claimant: Ms. Jamie Carasis 6. The amount claimed if it totals less than $10,000 as of the date of presentation of the claim including the estimated amount of any prospective injury, damage or loss, insofar as it may be known at the time of the presentation of the claim together with the basis of the computation of the amount. If the amount claimed exceeds $10,000, no dollar amount shall be included in the claim. However, it shall indicate whether jurisdiction over the claim would rest in municipal court: The amount claimed exceeds $10,000 and jurisdiction rests in the Contra Costa County Superior Court. Dated: 7d", 1997 e Carasi - Claimant PROOF OF SERVICE I am over 18 years of age and am a party to the within action. I am a resident of the County of Contra Costa. On the date shown below, I served a true copy of: CLAIM AGAINST PUBLIC ENTITY on: Chief Administrative Officer Merrithew Memorial Hospital 2500 Alhambra Avenue Martinez, CA 94553 Clerk of the Board of Supervisors Contra Costa County 651 Pine Street, Room 106 Martinez, CA 94553 by placing true copy(ies) in postage-prepaid sealed envelopes) and by depositing the envelope (s) in a United States mailbox at Pittsburg, California. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct . Executed at Pittsburg, California on i2 Jan i Carasis cn � � � t t O •� O GM er O � v C Iwo, a R v �tn Qo a a, 7 Ul. 7 b� q N . � V-•QN r-1 cJ w CLAIM e ,//0 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA July 22, 1997 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: Exceeds $10,000.00 Section 913 ftJ%jj'Ve% i to all "Warnings". CLAIMANT: Esther Baum �=/ J U L - 1 1997 ATTORNEY: Jon Webster COUNTY COUNSEL The Law Offices of Jon Webster Date received MARTINEZ CALIF. ADDRESS: 3478 Buskirk Ave. , Ste 1000 BY DELIVERY TO CLERK ON June 30, 1997 Pleasant Hill, CA 94523 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. t DATED: June 30, 1997 all �epuHtyLOR, Clerk II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 7� f 8Y: 6Deputy 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:-7--,2?=�9 7 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 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: a-.S BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator y ,Claim 'to: 110AW SUFEF=RS OF CONTRA CWTA*Y 3307ROC7IONS TO CLAIRANT A. Claim 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 aetien 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 hast be filed with the Clerk of the Board of Supervisors at its office in Do= 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 70-r—m. eeeeea0a9eaeaa9aeaeaaeaaaeesea0001aaeeeee • * BE: Claim By Reservefor Clerk's fill stamp ESTHER BAUM ' r- RECEIVED Z—pinst t ®rty of Contra eta JUN 3 019M FLOOD CONTROL District) 1:00P•m. CLERK BOARD OF SUPERVISORS Fill in name ) r-NTRA Ck"C ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the slam of $ Excess of $10.000.00 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) 28 Vir inia Drive, Bav Point Colut Costa Countv 3. Now did the damage or injury occur? (Give full details] use extra paper if required) Claimant's residential property was flooded by rain water run-off collected by a creek and storm culvert immediately adjacent to claimant's property. Culvert/Creek was impro e� rly sized, maintained and operated by Coounty. _ 4. that particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? Negligence in the design, construction, maintanence and opertion of the flood control facilities. Claimant alleges this negligence was also born by Caltrans, (State of California) and the Bay Area Rapid Transit District (BART) by draining their respective rights of way in a negligent manner and exceeding the capacity of the flood control facilities that were in existence. (Over) 5.` What are the names of 0ity or district officers, serv._ .cs or employees causing the; damage or injury? The nam0®�ide�nties of the re�t2on_sijaLp Office. sLewD1QLPPR PrP 11nk QM7n to rla;mant, 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. Settlement of foundation, interior wall cracking/separation, loss of use and enjoyment of j2roj2erty, loss of er'sonal prol2erty bX Lo2d 7. Now was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) Claimant is seeking to establish exact loss at this time. Claimant will advise public agencies involved once claimant has determined this amount. S. Hames and addresses of witnesses, doctors and hospitals. N/A 9• List the expenditures you made on account of this accident or injury: D® TTMM AM=, Claimant is seeking to establish exact out o'f pocket damages. Claimant will advise public agencies involved once claimant has determined this amount. Gov. Code Sec. 910.2 provides: ^ must be signed by the claimant SEED NOTICES T0: (Attorney) r by so son on his behalf." Name and Address of Attorney Jon Webster The Law Offices of Jon Web� Claimant's Signature 3478 Buskirk Avenue, Ste i1- Pleasant Hill, CA 94523 (510) 686-8790 Address Telephone No. Telephone No. eeeeeee eeeemeea ee � NOTICE Sectim 72 of the Pena1 Code provides: n1very person mho, with intent to defraud, presents for allowanee 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 ($19000), or by both Such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,0009 or by both such imprisonment and fine. CLAIM e. ` BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA July 22 , 1997 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: Exceeds $10,000.00 Section04- lip �e note all "Warnings". IMIX CLAIMANT: Mr. and Mrs. Tahsin Bakr JUL - 3 1997 ATTORNEY: Sami I. Shamiyeh COUNTY COUNSEL Law Offices of A. Nick Shamiyeh Date recei WARTINEZ CALIF. ADDRESS: 2221 Olympic Blvd. , Ste. 100 BY DELIVERY TO CLERK ON July 2, 1997 Walnut Creek, CA 94596-0308 BY MAIL POSTMARKED: July 1, 1997 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. July 3 1997 PpHHIL BATCHELOR, Clerk DATED: e Blr: 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: 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 ( J) 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`)'7 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 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 _ BY: PHIL BATCHELOR b eputy Clerk CC: County Counsel County Administrator Law Offices of A. Nick Shamiyeh 2221 Olympic Boulevard, Suite 100 Walnut Creek, California 94595-0308 Telephone: (510) 935-9401 A. !hick Shamiyeh Facsimile: (,.510) 935-9407 Sami L Shamiyeh VRECJNf E 21991 July 1, 1997 O►�RKCON RA�OSTA CO.iSORS Clerk of the Board 651 Pine Street, Room 106 n .Icc2 11lUi Ll��.L, LCaLivi rail iw. l c�AY✓r✓ Re: CLAIM AGAINST COUNTY OF CONTRA COSTA The following claim is made pursuant to Government Code section 910: a. Claimants are Mr. and Mrs. Tahsin Ba.kr whose address is 3954 Quail Ridge Road, Lafayette, California; b. All notices regarding this claim s.ha11be sent to claimants' attorney, A. Nick Shamiyeh, 2221 Olympic Boulevard, Suite 100, Walnut Creek, California, 94595; C. On January 24, 1997, a major slide in the Tiffany Hills Subdivision damaged claimants' real property as well as the street directly affronting the property located at 3954 Quail Ridge Road, Lafayette, California. The cause of the sliding was a broken water main that was not timely repaired by EB'�TUD; as well as failure by EBMUD to adequately monitor, repair and maintain said water main in the above-mentioned subdivision; and failure of the City of Lafayette and County of Contra Costa to adequately maintain and supervise the area. d. The sliding has caused severe; damage to claimants' real property; and private road affronting it; as a result claimant has suffered emotional distress; e. The names of the public employees causing the injury are not currently known; L The amount of the claim exceeds $10,000.00 and jurisdiction would rest in. the Superior Court. THE LAW OFFICES OF A. NICK SHAMIYEFf By: Sami I. Shamiyeh, Attorney for Claimant . a gd � vo 0 \ Q % .4 , ® � r vo % \ � f � ak kq � W � � o g t� �3 ; Law Offices of A. Nick Shamiyeh 2221 Olympic Boulevard, Suite 100 Walnut Creek, California 94595-0308 Telephone: (510) 935-9401 A. Nick Shamiyeh Facsimile: (510) 935-9407 Sami L Shamiyeh REW ED .. JUL - 91997 July 8, 1997 CLERK BOARD OF SUPERVISORS Clerk of the Board CONTRA COSTS CO. 651 Pine Street, Room 106 Martinez, California 9455) Re: CLAIM AGAINST COUNTY OF CONTRA COSTA Dear Clerk: Enclosed please find a copy of a claim that was mailed to you on July 1, 1997. Please endorse the copy as being received and return it in the enclosed envelope. Very truly yours, Sarni I. Shamiyeh SIS Ael nm n a � a ©c. � ro � � 1 C-3 (N� SS fu a�. cd. x N o a PA t , :- 0 - 1 rn � v r��� CLAIM 6)1-0 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA July 22, 1997 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�vernment.Co.de Amount: $957.17 Section 913 and 915.4. Please noteav131 "Warnings". CLAIMANT: Enterprise Rent-A-Car JU"�l 2 7 8297 Claim # DX2353353 CuUAITYCOI9NSEL Brian Allen {_ 4aI3EZ CqL1F Date received ADDRESS: PO Box 5666 BY DELIVERY TO CLERK ON June 26, 1997 Concord, CA 94524 BY MAIL POSTMARKED: June 25, 1997 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. June 27 1997 pp IL BATCHELOR, Clerk DATED: Ba: Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors 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: ` BY: Deputy County Counsel I.II. 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. BOARDD 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: 7 - Z _ f Rq'� 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 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: BY: PHIL BATCHELOR b I Deputy Clerk CC: County Counsel County Administrator Claim to:, BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or .growing crops and which accrue on or before December .31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of.action for death or for injury to person or to 'personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code 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. � � * ;K• � +� � ;It ;tt � ;tt * � ,tt � * ;It � � � � � ;� ;It ;� i� ;tt � � '� � * * * � � � � � >� � � � RE: Claim By ) Reserved for Clerk's filing stamp LA 1 �� � � 23 5 3 S3 ) RECEIVED X 3 ) Against the County of Contra Costa ) JUN 2 6 1997 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 $ IRS-+, l 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 thedamageor injury occur?~(Include city and county) ` < -60V,�� 3. How did the damage or injury occur? (Give full details; use extra paper if W reqrequired) u c�� Qar`V11 L.o'� o-+C c(-,� �Qi9,4�(S� Qolic� �T (tilR5 �kerl �CNr cT 0 o.�v�dL k� E PriSL i-PA f-CAZ 2 C U�t �c,� wa 5 S ,D�- ------------^-�-—-------- 4. -------4. What particular act or omission on the part of county or district officers, servants or ,employees caused the injury or damage? Cp(,�,1 S o 525 �e1,��S ` Sam- 6�0. •: �o�� � ��. ��,,;,�.o -�-I 1 1.�- �vV J rS i c.P�vl - t-t��3�� (over) 5. wnat are the names of county or district officers, servants or employees causing the damage or injury? 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. 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. l v`VV�Q� 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT *, .WR. 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 �i� �Gla'imantls Signature BOK- 6000 Address CC rk /- A Telephone No. Telephone No. ©�- N O T I C E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if .genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, .by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand .dollars ($10,000, or by both such imprisonment and fine. renT-a-car P.O. Box 5666 Concord, CA 94524 510-609-6900 June 11, 1997 James Tellis 2222 Camino Ramon San Ramon, CA 94583 Our File Number. DX2353353 Date of Loss: 5-20-97 Location: Crow Canyon Vehicle: 97 Pontiac Grand Am e ' Dear Mr. Tellis: Our renter has advised us that he was involved in an accident with you or with a vehicle registered to you. The results of our investigation indicate that this accident is your responsibility. Accordingly,Enterprise Rent-A-Car is looking to you for payment of all damages sustained to our vehicle as indicated below: Damages $820.18 Loss of Use - 1 days @ $36.99/day 36.99 Administrative Fee 100.00 Total Amount Due $957.17 Documentation of our claim is enclosed for your review. Please remit payment to: Enterprise Rent-A-Car Attn: Brian Allen P.O. Box 5666 Concord, CA 94520 If you have any questions, please feel free to call me at (510) 609-69CH252. I look forward to hearing from you soon. Sincerely, Brian Allen Loss Control Administrator Encl. Mitchell Data Version: MAY 91 A Copyright (C) 1990-1996, Mitchell International Page 2 of 2 Ali Rights Reserved Date: 05/22/97 12:13 P.M. Estimate ID: 3332 Preliminary Profile ID: Enterprise R-A-C FLEET REPAIR SYSTEM, INC. 37440 CENTRALMONT PLACE FREMONT CA 94536 (510) 792-8747 E.P.A.ICAL000015992 FAX(510) 192-7853 B.A.R.1 AB176870 Damage Assessed By: Scott E1Ward� Insurance Co.: WA 0280 RETURN 5/28 Type of Loss: Collision Claim Number: DX 2353353 Insured: WA 0280 Claimant: EAST REGION LOSS CONTROL NEWARK BRANCH Address: P.O.Box 5666 Concord CA 94524 Mitchell Service: 912484 Description: 1997 PONTIAC GRAN AM SE 4D SEDAN VIN: 1G2NE52M9VC751211 License: 3SXR220 CA Mileage: 9,523 Color: RED L1ne Entry Labor Line Item Part Type/ Dollar Labor Item Number Type Operation Description Part Number Amount Unit 1 200178 REFIN REFINISH BUMPER/GRILLE COVER C 2.3 2 200624 BODY REMOVE/REPLACE R COMBINATION LAMP ASSEMBLY 16524360 GM PART 187.00 0.4 3 AUTO BODY CHECK/ADJUST READLAMPS 0.4 4 200652 BODY REPAIR ;HOOD PANEL 2.5' 5 AUTO REFIN REFINISH HOOD OUTSIDE C 3.0 6 200694 BODY REPAIR °R FENDER PANEL 2.3t 7 AUTO REFIN REFINISH R FENDER OUTSIDE C 2.3 8 AUTO REFIN ADD'L LABOR OPR CLEAR COAT 1.9 9 936012 ADD'L COST HAZARDOUS WASTE DISPOSAL 2.001 10 AUTO ADD'L COST PAINT MATERIALS 156.40` Judgement Item C Included in Clear Coat Calc Add'1 Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount Body 5.3 35.00 185.50 Taxable Parts 187.00 Refinish 9.2 35.00 322.00 Total Replacement Parts Amount: 187.00 Labor Subtotal 507.50 Labor Summary Totals 14.5 507.50 RATTRATF RECALL NUMBER: 00/00/00 00:00:00 3332 All Fights Reserved Date: 05/22/97 12:13 P.M. Estimate ID: 3332 Preliminary Profile ID: Enterprise R-A-C III. Additional Costs Amount IV. Adjustments Amount Taxable Costs 2.00 Customer Responsibility: 0.00 Non-Taxable Costs 156.40 Total Additional Costs: 158.120 I. Total Labor: 507.50 II. Total Replacement Parts: 187.00 III. Total Additional Costs: 158.40 Gross Total: 852.90 IV. Total Adjustments: 0.00 Net Total: 852.90 This is a preliminary estimate. Additional changes to the estimate may be required for the actual repair . Point of Impact: I RIGHT FRONT CORNER THANK YOU FOR CHOOSING FLEET REPAIR SYSTEMS FLEET REPAIR SYSTEMS, INC Invoice 37440 CENTRALMONT PLACE FREMONT, CA 94536-6537 DATE INVOICE NO. 5/28/97 11469 ENTERPRISE REN'!' A CAR PURCHASE ORDER#DX2353353 EAST REGION LOSS CONTROL UN WA0280 ATTN: MIKE DATE IN: 05/22/97 P.O. BOX 5666 DATE OtTI': 05/27/97 CONCORD, CA. 94524 VIN# IG2NE52M9VC751211 Y P.O.# REP YEAR MAKE MODEL COLOR LICENSE MILEAGE DX2353353 SE 1997 PONTIAC GRAN AM RED 3SXR220 9523 QTY NAME DISCRIPTION PER UNIT EXTENDED PRICE e 5.3 BL BODY LABOR TOTAL HOURS 35.00 185.50 9.2 PL PAINT LABOR TOTAL HOURS 35.00 _ 322.00 9.2 PT&MT PAINT &MATERIALS TOTAL 17.00 156.40 I HWD HAZARDOUS WASTE DISPOSAL 2.00 — 2.00 1 PR TTL PART PUTNAM BUICK 154.28 154.281 5. 4 Total $820.1 s s - STATE OF CALIFORNIA TRAFFIC COLLISION REPORT PAGE OF SPECIACCONDITIONS NO[NJ H&R FEL CITY JUDICIAL DISTRICT NUMBER EMERGENCY VEH 0 (] SAN RAMON WALNUT CREEK NO KILL H&R M1SD COUNTY DIST BEAT 0 SAN RAMON •902 C'Stars: OBOCSEL9 COLLISION OCCURRED ON: MO DAY YEAR TIME(24W) NCIC d I OFFICER I.D. 0 2410 SAN RAMON VALLEY BL. (PARKING LOT) 05 20 97 0037 9390 015132 A MILEPOST INFORMATION: DAY OF WEEK TOW AWAY PHOTOGRAPHS BY: TUESDAY []YES N NO SGT. BERRY N (I AT INTERSECTION WITH: STATE HWY REL SAN RAMON PD pa OR: . 2 mile (s) S of CROW CANYON RD. YES 14 NO NONE PARTY DRIVER'S LICENSE NUMBER STATE I CLASS SAFETY VEH YR MAKE/MODEUCOLOR LICENSE NUMBER STATE CLAS A0732318 ICA C G 94 FORD CROWN VI WHITE E268078 CA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DRIVER NAME(FIRST,MIDDLE,LAM om Duz-c'j P] JAMES REYES TELLES PEDES- STREET ADDRESS OWNER'S NAME [] SAME AS DRIVER TRrT 2222 CAMINO RAMON CITY OF SAN RAMON VE fED CITY/STATE/ZIP OWNER'S ADDRESS (] SAME AS DRIVER I SAN RAMON CA 94583 2222 CAMINO RAMON, SAN RAMON, CA 94583 BICY- SEX HAIR I EYES HEIGHT I WEIGHT BIRTHDATE RACE DISPO OF VEHICLE ON ORDERS OF: (] OFFICER P] DRIVER (]OTHER CLr) M 113LK BRN 5-07 165 12129 52 DRIVEN AWAY OTHER HOME PHONE BUSINESS PHONE PRIOR MECHANICAL DEFECTS: NONE APPARENT P] REFER TO NARRATIVE ( ] (] ( ) NONE (5 10) 275-2270 CHP USE ONLY DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED AREA INSURANCE CARRIER POLICY NUMBER VEHICLE TYPE (]UNK []NONE Pq MINOR SELF INSURED 48 I []MOD.[]MAJOR [ ]TOTAL DIR TRV ON STREET OR HIGHWAY SPD LMT PCF E PRIVATE PROPERTY IAIIAI B PARTY DRIVER'S LICENSE NUMBER STATE CLASS SAFETY VEH YR MAKE/MODEL/COLOR LICENSE NUMBER STATE 2 C2612057 ICA C G 97 PO_NTIAC 4/DR RED 3SXR220 CA DRIVER NAM E(FIRST,MIDDLE.LAST) P] TOM J SORO PEDES- STREET ADDRESS OWNER'S NAME (] SAME AS DRIVER TR1LA]N 2451 SANTA RITA #1312 ENTERPRISE RENT A CAR PARKED CITY/STATE/ZIP OWNER'S ADDRESS [] SAME AS DRIVER PErTL PLEASANTON CA 94566 2950 MERCED ST. 128, SAN LEANDRO, CA 94577 BICY- SEX HAIR EYES HEIGHT WEIGHT BIRTHDATE RACE DISPOOF VEHICLE ON ORDERS OF: (] OFFICER K] DRIVER []OTHER cL{s; M BRN BRN 5-08 150 0415 65 DRIVEN AWAY OTHER HOME PHONE BUSINESS PHONE PRIOR SIECHANICAL DEFECTS: NONE APPARENT K] REFER TO NARRATIVE ( ] ( ] (510) 462-0359 (510) 651-5800 CHP USE ONLY DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED AREA INSURANCE CARRIER POLICY NUMBER VEHICLE TYPE []UNK []NONE K]MINOR RENTAL 01 ( ]MOD.[]MAJOR []TOTAL DIR TRV I ON STREET OR HIGHWAY SPD LMT I PCF W PRIVATE PROPERTY PARTY DRIVER'S LICENSE NUMBER STATE CLASS SAFETY VEH YR MAKE/MODEL/COLOR LICENSE NUMBER STATE 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DRIVER NAME(FIRST,MIDDLE.LAST) [l PEDES' STREET ADDRESS OWNER'S NAME (] SAME AS DRIVER TRrf PARKED CITY/STATE/ZIP OWNER'S ADDRESS (] SAME AS DRIVER VErTL BICY- SEX HAIR EYES HEIGHTWEIGHT BIRTHDATE RACE DISPO OF VEHICLE ON ORDERS OF: [ OFFICER [] DRIVER []OTHER CL{S OTHER HOME PHONE BUSINESS PHONE PRIORMECHANICAL DEFECTS: NONE APPARENT[] REFER TO NARRATIVE [] [] CHP USE ONLY DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED AREA INSURANCE CARRIER POLICY NUMBER VEHICLE TYPE []LINK []NONE []MINOR []MOD.[]MAJOR []TOTAL DIR TRV I ON STREET OR HIGHWAY SPD LMT I PCF PREPAIZER'S NAME DISPATCH NOTIFIED REVIEWER'S NAME /f� DATE REVIEWED REED W 01513 2 Ya No N/A K/ � - STATE OF CALIFORNIA TRAFFIC COLLISION CODING PAGE Z oP DATE OF ORIGINAL INCIDENT 7T!0 2400) NCIC NUMBER OFFICER I.D. NUMBER 05 - 20 - 97 037 9390 015132 02005EL9 5- OWNERS -OWNERS NAME/ADDRESS NOTIFIED PROPERTY DESCRIPTION OF DAMAGE DAMAGE SEATING POSITION SAFETY EQUIPMENT EJECTED FROM VEH OCCUPANTS .M/C BICYCLE-HELNIET I-DRIVER A-NONE IN VEHICLE L-AIR BAG DEPLOYED 0-NOT EJECTED 2 to 6-PASSENGERS B-UNKNOWN M-AIR BAG NOT DEPLOYED DRIVER I-FULLY EJECTED 7-STA.WGN.REAR C-LAP BELT USED N-OTHER V-NO 2-PARTIALLY EJECTED 1 2 3 8-RR.OCC.TRK.OR VAN D-LAP BELT NOT USED P-NOT REQUIRED W-YES 3-UNKNOWN 9-POSITION UNKNOWN E-SHOULDER HARNESS USED 4 5 6 O-OTHER F-SHOULDER HARNESS NOT USED CHILD RESTRAINT PASSENGER G-LANSHOULDER HARNESS USED Q-IN VEHICLE USED X-NO 7 H-LAWSHOULDER HARNESS NOT USED R-IN VEHICLE NOT USED Y•YES 1-PASSIVE RESTRAINT USED S-IN VEHICLE USE UNKNOWN K-PASSIVE RESTRAINT NOT USED T-IN VEHICLE IMPROPER USE U-NONE IN VEHICLE ITEMS MARKED BELOW WHICH ARE FOLLOWED BY AN ASTERISK(')SHOULD BE EXPLAINED IN THE NARRATIVE PRLMARY COLLISION FACTOR MOVEJIEYT PRECEDING LIST NUMBER 011 OF PARTY AT FAULT TRAFFIC CONTROL DEVICES FlF21 3 TYPE OF VEHICLE 1 1213 COLLISION A VC SECTION VIOLATED: CITED A CONTROLS FUNCTIONING A PASSENGER CARISTN.WGN. I X I A STOPPED B CONTROLS NOT FUNCTIONING' B PASSENGER CAR W/TRAILER B PROCEEDING STRAIGHT 1 B OTHER IMPROPER DRIVING' C CONTROLS OBSCURED C MOTORCYCLE.;SCOOTER C RAN OFF ROAD C OTHER THAN DRIVER' X D NO CONTROLS PRESE.NTIFACTOR D PICKUP OR PANEL TRUCK X D MAKING RIGHT TURN D UNKNOWN' TYPE OF COLLISION E PICKURTANEL TRK.WJ TLA. E MAKING LEFT TURN E FELL ASLEEP' X A HEAD-ON F TRUCK OR TRUCK TRACTOR F MAKING U TURN WEATHER(MARK 1 TO 2 ITEMS) B SIDESWIPE G TRK.;TRK.TRACTOR W iTLR. G BACKING X A CLEAR C REAR END H SCHOOL BUS H SLOWING/STOPPING B CLOUDY D BROADSIDE I OTHER BUS I PASSING OTHER VEHICLE C RAINING E HIT OBJECT 1 EMERGENCY VEHICLE J CHANGING LANES D SNOWING. F OVERTURNED K HWY.CONST.EQUIPMENT K PARKING MANEUVER E FOG/VISIBILITY: G VEHICLE/PEDESTRIAN L BICYCLE L ENTERING TRAFFIC F OTHER': H OTHER': M OTHER VEHICLE M OTHER UNSAFE TURNING G WIND MOTOR VEHICLE INVOLVED WITH N PEDESTRIAN N XING INTO OPPOSING LANE LIGHTING A NON-COLLISION O MOPED O PARKED A DAYLIGHT B PEDESTRIAN P MERGING OTHER ASSOCIATED FACTOR B DUSK-DAWN X C OTHER MOTOR VEHICLE 1 1213 STARK I TO2ITEMS Q TRAVELING WRONG WAY X C DARK•STREET LIGHTS D MOTOR VEH ON OTHER ROADWAY A VC SECTION VIOLATION:CITE R OTHER': D DARK•NO STREET LIGHTS E PARKED MOTOR VEHICLE E DARK•STREET LIGI4TS NOT FUNCTION F TRAIN B VC SECTION VIOLATION:CITE ROADWAY SURFACE G BICYCLE SOBRIETY-DRUG ICAL A DRY H ANIMAL: C VC SECTION VIOLATION:CITE 1 213 (NIARKII TO ITENNIS) B WET X A HAD NOT BEEN DRINKING C SNOWY-ICY 1 FIXED OBJECT: E VIS.OBSCURED: B HBD-UNDER INFLUENCE X D SLIPPERY(MUDDY,OILY,ETC.) X F INATTENTION' X C HBD-NOT UNDER INFLUENCE J OTHER OBJECT: G STOP&GO TRAFFIC D HBD-IMPAIRMENT UNK.' ROADWAY CONDITIONS MARK I TO 2 ITEMS PEDESTRIAN'S ACTIONS H ENTERING/LEAVING RAMP E UNDER DRUG INFLUENCE* A HOLES,DEEP RUTS' X A NO PEDESTRIAN INVOLVED I PREVIOUS COLLISION F IMPAIRMENT-PHYSICAL- B LOOSE MATERIAL ON RDWY' B CROSSING IN XWALKANTERSECTION 1 UNFAMILIAR WITH ROAD G IMPAIRMENT NOT KNOWN C OBSTRUCTION ON ROADWAY' C CROSSING IN XWALK NOT AT K DEFECTIVE VEH.EQUIP.:CITE H NOT APPLICABLE INTERSECTION D CONSTRUCTION-REPAIR ZONE I SLEEPY/FATIGUED E REDUCED ROADWAY WIDTH D CROSSING NOT IN CROSSWALK L UNINVOLVED VEHICLE SPECIAL INFORMATION F FLOODED' E IN ROAD-INCLUDES SHOULDER M OTHER': A HAZARDOUS MATERIAL G OTHER': F NOT IN ROAD X N NONE APPARENT B SEATBELT FAILURE X H NO UNUSUAL CONDITIONS G APPROACHING/LEAVING SCHOOL BUS r=O RUNAWAY VEHICLE SKETCH MISCELLANEOUS STATE.OF CALIFORNIA NARRATIM UPPLEMENTAL PAGE 3 DATE OF INCIDENT TIME NCIC NUMBER OFFICER I.D. NUMBER _ 05/21/97 0037 9390 015132 -OB005FR5 ` 00 2410 SAN RAMON VALLEY BL. N (PARKING LOT) SKETCH V-1 V-2 40 CROW CANYON RD. .2 MILES PREPARER'S NAME I.D.NUMBER DATE REVIEWER'S NAME DATE J. A. WILLIAMS 011770 05/21/97 STATE'OF CALIFORNIA t, NARRATIVE/SUPPLEMENTAL PAGE 7 DATE OF INCIDENT TIME NCIC NUMBER OFFICER I.D. NUMBER 05/21/97 0037 9390 015132 -OB005FR5 2410 SAN RAMON VALLEY BL. N (PARKING LOT) RAISED DIAGRAM CONCRETE ISLANDS ' V-1 V-2 D Elmo CROW CANYON RD. .2 MILES 1 PREPARER'S NAME I.D.NUMBER DATE REVIEWER'S NAME DATE J. A. WILLIAMS 011770 05/21/97 STATE OF CALIFORNIA NA RRATIVE(SUPPLEMENTAL PACE -� DATE OF INCIDENT TIME NCIC NUMBER OFFICER I.D. NUMBER 05/21/97 0037 9390 015132 'OB005FR-) ' LEGEND X= THE NORTH RAISED CONCRETE ISLAND NORTH OF THE INVOLVED VEHICLES AS DEPICTED IN THE FACTUAL DIAGRAM. , Y= THE WEST RAISED CONCRETE ISLAND WEST OF THE INVOLVED VEHICLES AS DEPICTED IN THE FACTUAL DIAGRAM. POIN S OF REST: V-1 L/F WHEEL 5' S/ OF X AND 66' E/OF Y. L/R WHEEL 10' S/ OF X AND 63' E/ OF Y. V-2 R/F WHEEL 8' S/OF X AND 74' E/OF Y. R/R WHEEL 8' S/OF X AND 79' E/ OF Y. PHYSICAL EVIDENCE: NONE, PREPARER'S NAME I.D.NUMBER DATE REVIEWER'S NAME DATE J. A. WILLIAMS 011770 05/21/97 STATE OF CALIFORNIA NARRATIVE/SUPPLEMENTAL PAGE b DATE OF INCIDENT TIME NCIC NUMBER OFFICER I.D. NUMBER 05/21/97 0037 9390 015132 0B005ND4 1 NOTIFICATION: 2 I RECEIVED A CALL OF A PROPERTY DAMAGE ONLY ACCIDENT AT 0045 3 HRS. I RESPONDED FROM W/B I-580 AT HACIENDA DR. AND ARRIVED AT 4 THE SCENE AT 0058 HRS. 5 ALL SPEEDS, TIMES AND MEASUREMENTS, ARE APPROXIMATE. 6 ALL MEASUREMENTS WERE TAKEN BY ROLLMETER, AND ODOMETER 7 PACING. 8 9 SCENE: 10 THIS COLLISION OCCURRED IN A PRIVATE PARKING LOT LOCATED AT 11 2410 SAN RAMON VALLEY BLVD. THE PARKING LOT HAS NUMEROUS 12 RAISED CONCRETE ISLANDS. 13 14 VEHICLES AND PARTIES: 15 V-1 WAS LOCATED ON ITS WHEELS IN THE PRIVATE PARKING LOT OF 2410 16 SAN RAMON VALLEY BLVD. V-1 SUSTAINED MINOR DAMAGE TO IT'S 17 RIGHT FRONT FENDER. NO MECHANICAL DEFECTS WERE FOUND AND V-1 18 CARRIED NO PASSENGERS. 19 20 P-1 WAS LOCATED STANDING BY HIS VEHICLE. P-1 IDENTIFIED HIMSELF 21 WITH A CA. D.L. P-1 WAS DETERMINED TO BE THE DRIVER OF V-1 BY THE 22 FOLLOWING: HIS OWN ADMISSION AS TO BEING THE DRIVER OF V-1. 23 24 V-2 WAS LOCATED ON ITS WHEELS IN THE PRIVATE PARKING LOT OF 2410 25 SAN RAiMON VALLEY BLVD. V-1 SUSTAINED MINOR DAMAGE TO IT'S 26 RIGHT FRONT FENDER AND RIGHT HEADLIGHT AREA. NO MECHANICAL 27 DEFECTS WERE FOUND AND V-1 CARRIED NO PASSENGERS. 28 29 P-2 WAS LOCATED SITTING IN HIS VEHICLE. P-2 IDENTIFIED HIMSELF 30 WITH A CA. D.L. P-2 WAS DETERMINED TO BE THE DRIVER OF V-2 BY THE 31 FOLLOWING: HIS OWN ADMISSION AS TO BEING THE DRIVER OF V-2. 32 33 PHYSICAL EVIDENCE: 34 PAINT TRANSFERS WERE FOUND ON THE FRONT OF V-1 CONSISTENT 35 WITH THE PAINT COLOR OF V-2. 36 37 PAINT TRANSFERS WERE FOUND ON THE FRONT OF V-2 CONSISTENT 38 WITH THE PAINT COLOR OF V-1 39 40 PREPARER'S NAME I.D.NUMBER DATE REVIEWER'S NAME DATE W REED 015132 05/28/97 'STATE OF CALIFORNIA NARRATIVE/SUPPLEMENTAL PAGE 7 DATE OF INCIDENT TIME NCIC NUMBER OFFICER I.D. NUMBER 05/21/97 0037 9390 015132 OBOCSNI)4�1' \�. 1 OTHER FACTUAL INFORMATION: 2 AN UNKNOWN NUMBER OF PHOTOGRAPHS WERE TAKEN OF THE SCENE, 3 AND INVOLVED VEHICLES BY SGT. BARRY OF SAN RAMON P.D.. 4 _ 5 STATEMENTS: 6 P-1(TELLES) SEE ATTACHED STATEMENT. 7 8 P-2(SORO) RELATED I HAD PULLED OUT OF A PARKING SPACE AND WAS 9 DRIVING WEST OUT OF THE PARKING LOT. I STOPPED BEHIND A VEHICLE 10 MAKING A LEFT TURN. AS THE VEHICLE MADE THE LEFT TURN I SAW 11 THE POLICE CAR WAS MAKING A RIGHT TURN SO I JUST SAT THERE 12 WHILE HE TURNED. THE POLICE CAR CONTINUED TO MAKE THE TURN 13 AND APPEARED NOT TO SEE ME. HE CONTINUED DRIVING TOWARD ME 14 AND WE COLLIDED. 15 16 OPINIONS AND CONCLUSIONS: 17 18 SUMMARY: 19 V-1 WAS NB IN THE PRIVATE PARKING LOT OF 2410 SAN RAMON VALLEY 20 BLVD. STOPPED FOR A VEHICLE MAKING A LEFT TURN. V-2 WAS 21 STOPPED FACING IN A WESTERLY DIRECTION BEHIND THE VEHICLE 22 MAKING THE LEFT TURN. AS THE VEHICLE MADE THE LEFT TURN IN 23 FRONT OF V-1, P-I'S ATTENTION WAS DIVERTED TO THE DRIVER WHILE 24 MAKING A RIGHT TURN. WHILE MAKING A RIGHT TURN AT 25 APPROXIMATELY 5 M.P.H. IN A EASTERLY DIRECTION, P-1 ALLOWED THE 26 RIGHT FRONT OF V-1 TO STRIKE THE RIGHT FRONT OF V-2. AFTER THE 27 COLLISION BOTH VEHICLES REMAINED IN THE AREA OF THE IMPACT. 28 29 POINT OF IMPACT: 30 THE P.O.I. WAS BASED UPON THE LOCATION OF THE INVOLVED VEHICLES 31 AND WAS DETERMINED TO BE: 32 71' E/OF THE WEST RAISED CONCRETE ISLAND AND 10' S/OF THE NORTH 33 RAISED CONCRETE ISLAND. 34 35 CAUSE: 36 THE CAUSE OF THIS COLLISION WAS FOUND TO BE OTHER IMPROPER 37 DRIVING OF THE PART OF P-1. P-1 WAS INATTENTIVE TO HIS DRIVING BY 38 LOOKING LEFT WHILE MAKING A RIGHT TURN IN A PRIVATE PARKING 39 LOT. P-1 ALLOWED THE RIGHT FRONT OF V-1 TO STRIKE THE RIGHT 40 FRONT OF V-2. PREPARER'S NAME I.D.NUMBER DATE REVIEWER'S NAME DATE W REED 015132 05/28/97 STATE OF CALIFORNIA NARRATIVE/SUPPLEMENTAL PAGE g DATE OF INCIDENT TIME NCIC NUMBER OFFICER I.D. NUMBER 05/21/97 0037 9390 015132 0B005ND4 5:- INTOXICATION:INTOXICATION: 2 WHILE TALKING WITH P-2 (SORO) I SMELLED THE ODOR OF AN 3 ALCOHOLIC BEVERAGE ON HIS BREATH. I HAD P-2 PERFORM SEVERAL 4 PRE-EXPLAINED, AND DEMONSTRATED FIELD SOBRIETY TEST. P-2 WAS 5 FOUND NOT TO BE UNDER THE INFLUENCE OF ALCOHOL. 6 7 RECOMMENDATIONS: 8 NONE. PREPARER'S NAME I.D.NUMBER DATE REVIEWER'S NAME DATE W REED 015132 05/28/97 STATE OF CALIFORNIA NARRATIVE/SUPPLEMENTAL CNP 556(Rev 7-90)OPI 042 Page �f DATE OF INCIDENT/OCCURRENCE TIME(2400) NCIC NUMBER OFFICER I.D.NUMBER NUMBER ,S-_ zp - 97 0037 S'3 90 'X-ONE 'X'ONE TYPE SUPPLEMENTAL("X"APPLICABLE) ❑ Narrative ❑Collision report ❑ BA updatea Fatal ❑Hit and run update ❑Supplemental ❑Other: ❑Hazardous materials L—I School bus ❑Other: CITY/COUNTY/JUDICIAL DISTRICT REPORTING DISTRICT/BEAT CITATION NUMBER LOCATION/SUBJECT STATE HIGHWAY RELATED ❑Yes ❑No 1. A.1 2. .Z- �i�_S .r/G .c/ .✓ J- - �/L .cam Go — o�" 3. If 17' pe,47oc,17 -5 4. J To /Z F c LE�i T—.e.✓ 6. o 7. 8. T -/`?�?fi� 9. Co C - %• oc/T 10. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 125. 26. 27. 128. 29. 30. 31. PREPARER'S NAME AND I.D.NUMBER DATE REVIEWER'S NAME DATE — Use previous previous editions until depleted. 90 57541 — Wfi 0 $' : • u S v Cf' o CD p 0 r.-