HomeMy WebLinkAboutMINUTES - 08031999 - C26 CLAIM
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BOARD AM AUGUST 3, 1.999
Claim Against the County, or District Governed by
the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT
and Board Action. All Section references are to the copy of tNs documentrailed to you is your
California Government Codes. ) Mice of the action taken on your claim by the
Board of Supervisors. (Paragraph lir belovO,, liven
Y pursuant to Goverrrmnt Code Section 913 and
915.4. Please rote all '"Warnings".
6
N 0 OUN s S-L
MOUNT: done Specified
CLAIMANT: Renwick Gabbs
ATTORNTY: DATE RECEIVED: .Iu ay 19 1999
DRESS: 1819 Warren Dir. BY DELIVERY TO CLERK ON: L-y 2:19329
Rachnond CA 94801
BY MAIL POSTMARKED: Eg
L FRONL Clerk of the Board of Supervisors County Counsel
Attached is a copy of the above-noted claim.
DIEL BATOKLOR, Clerk��
Dated: July 2, 1999
Ey: Deputy �
IL 4Tn- County Counsel TO. Clerk of the Board of Supervis s
(�4 This claire complies substantially with Sections 910 and 910.2.
e
(
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 910.0.
( } Claire 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 claire (Section 911.3).
{ } Other:
Dated: # �. y: Deputy County Counsel
S U of
M. FR61N : Clerk of the Board T4. rounty Counsel (1) County Administrator (2)
( ) Claire was returned as untimely with n-otice to clairraant (Section 311.3).
'. BOARD ORDE3b By unanimous vote of the Supervisors present:
This Maim 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.
Hated' -Cd, -?i4q9 PUTT. RATrim.i.f R rtpr3c_ Rv �� _ rio ni"ty riprtr
Office of the County Counsel Contra Costa County
651 Fine Street, 9th Floor Phone: 335-1€300
Martinez, CA 94553 Fax: 646-1078
Date: July 1, 1999
To: AKIN M. CER`lELLI, CLERK OF THE BOARD
From: Victor J. Westman, County Counsel
By Gregory C. Harvey, Assistant County Counsel
Subj: Claim of Renwick Gibbs
Attached is a claim received by this office. I am forwarding it to you for
handling in your usual efficient manner.
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CONFIDENTIAL ATTORNEY CLIENT COMMUNICATION
Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNT
I SMC TION- S TO CLAIMM°IN T
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 10&day
after the accrual of the cause of action. Claims relating to causes of action for death or for injury to
persona 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 wase 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. Maims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County
Administration Building, 651 fine Street,Martinez, CA 94553.
C. If claire 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 claire is against more than one public entity, separate claims must be fled against each public
entity.
E. gaud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form.
RE: Claire By Reserved for Clerk's filing stamp
Against the County of Contra Costa,or )
District)
(Fill in name) )
The undersigned claimant hereby makes claire against the County of Contra Costa or the above-named district
in the sunny of$
and in support of this claim represents as follows:
1. When did the damage or injury occur? Give exact date and hour)
2. There did the damage or injury occur? (Include city and county)
3. How did the damage or injury occur? (Give full details;use extra paper if required)
4. What particular act or omission on the part of county or district officers, servants, or employees caused the
injury or damage?
5. 'what are the names of county or district officers, servants, or employees causing the damage or injury?
&. 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.)
8. Names and addresses of witnesses, doctors, and hospitals.
9. List the expenditures you made on account of this accident or injury.
DATE TME AIMC)
Gov. Code Sec. 910.2 provides "The claim must be
signed by the claimant or by some person on his behalf"
SEND NOTICES TO: fAttorat y
Name and Address of Attorney �
(Claimant's Signature)
}
(Address)
3
Telephone _ Telephone I .
NOTICE
Section 72 of the Penal Cade provides:
Every person who,with intent to defraud,presents for allowance or the payment to any state board or officer,or to any
county,city,or district hoard or officer,authorized to allow or pay the same if genuine,any false or fraudulent clams.,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 imprisanment and fine,or by imprisonment in the state prison,by a fine of not
exceeding ten thousand dollars($10,000),or by both such imprisonment and fine.
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Clairr. 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 10CP 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 Distric± 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
Against the County of Contra Costa or }` ECLERK,80ARD
UL 4 2 1999 I
District} i3F SU�'ER�fiSORS
(Fill in name) NTRA CO TACO,
R 2 I
The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district
in the sum or S . �_ and in support of this claim represents as follows:
1. Wheni{did the damage or injury occur?(Give exact date and hour)�p :
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2. Where did the damage or injury occur?{Include city and county) r _ ` '` 4 , r ,;�.
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3. How did the damage or injury occur?(Give full details;use extra a er if required)
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4. What particular act or omission on the part of county or district officers, servants, or employees caused the
injury or damage?
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5. What are the names of county or district cifiice'rs, servants, or employees causing the damage or injury?
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6. What damage or injuries do yo caim resulted?(Give full extent of injuries or damages claimed. Attach t
two estimates for auto damage.) f
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7. low was the amount claimed above computed?(Include the estimated amount of any prospective injury or
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8. Names and addresses of witnesses, doctors, and hospitals. v
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9. List the expenditures you made on account c of this accident or injury.
DATE TRAE AMOUNT
} Gov. Code Sec. 910.2 provides"The claim must be
}Attorn
SEND NOTICES TO: signed by the claimant or by some person on his behalf."
Name and Address of Attorney }
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.... Address) h tx*
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Telephone No. h 'y )Telephone No.
NOTICE
Section 72 of the Penal Code provides:
Every person who,with intent to defraud,presents for allowance or the payment to any state board or officer,or to any
county,city,or district board or officer,authorized to allow or pay the same if genuine,any false or fraudulent claim,bill.,account,
voucher,or writing,is punishable either by imprisonment in the county jail for a period of not more than one year,by a fine of not
exceeding one thousand($1,000),or by both such imprisonment and fine,or by imprisonment in the state prison,by a fine of not
exceeding ten thousand dollars($10,000),or by both such imprisonment and fine.
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VEPIFICATION OF PROOF OF SERVICE BY MAIC.
1
2 1 am .a citizen of the r United States and a resident of the county of
- 1 am over the age of eighteen ears of age and not a
<- g Y 9 party to the
4
within cause of action ; that my address is :
5
That l
6
served the within
(title of documents})
8 on the
9 in said action by placing a
(usually the respondent)
10 true copy of same In a seated envelope with postage fully prepaid and deposited same
11 �
in the United States Mail ?Ot et
12
and addressed (the
13 location of the person affecting service
14 as follows: MOr+ ''�C.Z,,. 'DC- C-rl+l� FCt�t�i
15 �nc. F 5ro rL
4.- n^L6�io te. / X06 M to
16 qO1 Cpor4)tv
17 ma i arm t ,.� CR. qq55,;�
1€3 l declare under penalty of penury that the foregoing is true and correct, except as
19
to matters stated upon Information and belief, and as to those matters f do believe them
20 ,�; .
to be true. Executed this 0 day of 'i. 199 at
21
22
t l ,California pursuant to provisions of California Code
23 of Civil Procedures, Sections 4446 and 2015.5.
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DECLARANT
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