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HomeMy WebLinkAboutMINUTES - 09122000 - C28 CLAM C BOARD OF-SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNLA BOARD ACTIat1E SEPrIMEMER 12,2000 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 this document mailed to you is your California Government Codes. ► notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given ' �� pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". :J "u AMOUNT: $3,634.27 CCaU� ''�'COUNSELhA!„R' _-Z CALIF. CLAIMANT: RAYMOND F. HARRINGTON ATTORNEY: DATE RECEIVED: JULY 28, 2000 ADDRESS: 3 LAUREL Cr. BY DELIVERY TO CLERK ON: JULY 28 2000 MARTINEZ CA 94553 BY MAIL POSTMARKED: HAND-DELIVERED L FRONE Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk, Dated: JULY 28, 2000 By: Deputy H. FRONL• County Counsel TO: Clerk of the Board of S ervisors { 'This claim complies substantially with Sections 910 and 910.2. { ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.$). ( ) 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: C Deputy County Counsel M. 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: r0—?000P1-1IL 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 NIAIIITG 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:' Cy: PIAL BATCHELOR By 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 personal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100x' day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988,must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code§911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building,651 Pine Street,Martinez,CA 94553. C. If Claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity,separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim by /41JM(a13 t'- /'f'4,Z- 0b V,"0,10 ) Reserved for Clerk's Filing Stamp RECEIVED Against the County of Contra Costa JUL 2 8 ZOOO or CLEW BOARD 5F SUPERVISORS CONTRA COSTA CO. District) (Fill in Name) The undersigned claimant hereby makes claim against the County of Contra Costa or the above named District in the sum of S 3ftc+3,19 and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact nate and Hour) Q 9'3 0 !A-m "'-"__________________ 2. Where did the damage or injury occur? (Include City and County) 3. How did the damage or injury occur? (Give fail 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? Lk)4S t /l 6_ e-/- 1 v Gin t.t.S ?0o r J 9 -m,0_61— (Over) CONTRA COSTA COUNTY VEHICLE ACCIDENT REPORT Appendix- A Date of Accident Time of Acc?dent !� 3 l7 4 County Driver (Print) Department/Division hL✓ Gi1� ` _ Werk Phone . Driver's License No. Expiration Date Police, Report Taken? t000'.yes ... no Citation Issued? yes A0.0-, no ,t� 1� Which Police Agency? rer4m Officer.Badge No. County Vehicle Equip. No. License Plate No. Year/kake/Type Accident Location (address)-..... f L4L)&I J44 80Ujq1&z4 Name/Address-Insurance Company/Agent if personal or rental vehicle on County business. Vehicle No. 2 Driver � ri+t+lt-4&orAj Phone No. = Address. a kq el JY' ru Driver's License No. SC71?9 33 Vehicle License No. JL--I A100f Registered Owner/Address 5 4,ma Year/Make/Type ') baa t,rs A I+c}a-OMA 4-,/7`-• LA6 21k Insurance Company/Agent FoLr+or 4:,/)'s 30kAc,r r,4 11 q2-S- (If more than two vehicles, attach supplemental page.) { ----------------------------------------•----------------------------i------- List Inlu.red Parties: 1. Named Phone No. Address City State Zip Code 2. Name Phone No. Address City State Zip Code 3. Name Phone No. Address City State Zip Code (Circle 1, 2, or 3 if a County employee.) List Witnesses: I. Name Phone No. Address City State Zip Code 2. Name Phone No. Address City State Zip Code 3. Name Phone No. Address City ;..State Zia Code U-2 ?Cp p) r - C-- 200 ��-lA)ur �c� � 4 2911 S ` 92S0 ''' $610i . 1010 , V �_ d W r H A R 1 N": 1 0!�t` /� CUAN. CLASS DESCRIPTION PRICE AMOUNT . '47 0 00 ` ixl7j{r"J . 0 708050100267 j t CC NAL AUTO 800Y INC T Sub H c C 0 CA ; 't �1 t TOTAL r i REFERENCE NO. TAX FOLIOICHECK NO. -"SERVER !� 9itiN HERE SAL SLIP '"f(✓ of oo• ON.«rlo..In" � � APORTANTt gE'TMWTHIS COPY FOR YOUR RECORDS , Twat RSeSoa e s rww wb)pS1� w tlw roAl+I.t,.C+rdl+okNr.ape«nw+t. d■M.u.r. RO: 0000513.00 Detailed Customer Invoice Page: I 7/13/00 4:31PM Bernal Auto Body Inc. 406 North Buchanan Circle Pacheco,CA.94553 925-689-0360 FAX:925-689-0715 i RAYMOND HARRINGTON Date of Loss: 6/27/00 FARMERS 3 LAUREL CT. MARTINEZ,CA 94553 Year: 97 Make: TOYOTA Home: Model: TACOMA Phone: Work: Type: 2 DOOR Fax: Est.: LARRY Style: 4X4 Adjuster: Received: 6/28/00 Color: LT BLUEMT Claim#: M5-118914 Del. Date: License: CA 5L14008 Policy: 96-0130674662 Date Paid: M4leage: 17,870 Betterment: VIN: 4TAWN72N9VZ243463 Deductible: 240.00 PARTS,SUBLET,AND MISCELLANEOUS CHARGES Date Descripti-on ---T Part/Account# # Est.List Vend.List Suppl. Ext. 770-170-6-'R1hM:'i'DO0lIi >v �� �4i"f6.._..._- ---- - 473-54 7/01/00 jREPL.LT NAMEPLATE"TOYOTATACOMA i 75473-04010 1 26.06 26.06 0.00 26.06 7/01/00 ILT RUN CHANNEL 1168151-04010 1 88.86 88.86. 0.00 88.86 7/01100 I,REPL LT WINDOW REGULATOR POWER 69802-35090 1'', 85.77 85.77 0.00 85.77 7/01/00 REPL LT GUIDE FT CHANNEL 167402-04010 1 31.22 31.22 0.00 31.22 7/01/00 ;REPL LT GUIDE CHANNEL REAR 67404-04010 1 40.17 40.171 0,00 40.17 7/01/00 REPL LT UPPER HINGE :68730-34010 1 36.75 36.75 0.00 36.75 7/01/00 REPL LT LOWER HINGE 68740-34010 1 I 36.75 36.75 0.00, 36.75 7/01/00 REPL.LT CHECK ARM 68602-04010 1 48.52 48.52; 0.00' 48.52 7/01/00 JREPL LT FENDER 53812-04070 1 122.94 122.941 0.00 122.941 COVERCAR 2044 1 5.00 5.001 0.00 5.00! HAZARDOUS WASTE REMOVAL 12144 1 5.41: 5.41 0.00 5.41 OEM 5%PART DISCOUNT 2055 1 -49,53 -49.53{ 0.00 -49.53 ,PAINT MATERIALS 2044 1, 350.00 350.00; 0.00; 350.00 6/27/00 !TOW TO SHOP 2066 1 0,00 143.00) 143,001 143 LABOR AND LABOR TEAMS Date I Description Operation Team Units Amount REPL LT DOOR SHELL REPLACE :LUIS 4.00: 220.00 REPL LT DOOR SHELL 1Refinish (BLANCHA 3.301 181.50 :CLEAR COAT LT DOOR REFINISH BLANCHA 1,301 71.503 STONE GUARD LT DOOR LWR ':REFINISH BLANCHA 0.501 27.50 ,R&I MIRROR LT DOOR !ADI} 1LUIS 0.501 27.50 !ADD FOR POWER UNITS ADD LUIS 0.40 22.00 REPL.LT NAMEPLATE"TOYOTATACOMA I RPL ACE ILUIS 0.301 16.50 REPL LT UPPER HINGE REPLACE LUIS 0.301 16.50; !REPL LT UPPER HINGE RefinishI BLANCHA 0.301 16.50' ,REPL LT LOWER HINGE REPLACE !LUIS 1 � 0.30! 16.50 'REPL LT LOWER HINGE Refinish BLANCHA 0.301, 16.50 RBaI LT DOOR GLASSR&I LUIS 0.00, 0.00 CAB OTHER ;LUIS 0.001 0.00 1R&I LT DOOR WISTRIP R&I i 11.LUIS 0.001 0.00! (REPL LT HINGE PILLARREPLACE 'LUIS 2.001 110.00 SRO: 0000513.00 Detailed Customer Invoice Page: 2 7/13/00 4:31PM -11 �1'�T�I TGE7�ILr'CRe tR f'rust CLEAR COAT LT HINGE PILLAR ;REFINISH BLANCHA 0.201 1 1.00 IR&I LT DRIP W'STRIP JR&I LUIS 0.10! 5.50 IR&I RT DRIP W'STRIP jR&I LUIS 0.10 5.50. f BLEND ROOF PANEL 'REFINISH BLANCHA : 1.40 77.00' ;BLEND LT SIDE PANEL REFINISH BLANCHA 1.30 71.50 j R&I LT SIDE GLASS R&i LUIS 1.00 55.00 !R&I LT SIDE TRIM PNL �,R&I LUIS 0.401 22.00 1R&I RT SIDE TRIM PNL IR&I LUIS 0.40 22.001 ROPE BACK GLASS !OTHER BLANCHA I 0.50 27.% ROPE WINDSHIELD OTHER BLANCHA 0.50 27.50 R&I CAMPERSHELL R&I i LUIS 1.50 82.50 IREPL SET BACK BOX REPLACE LUIS i 1.50, 82,50 jREPL LT FENDER REPLACE !LUIS 1.50` 82.50 I,REPL LT FENDER Refinish BLANCHA i 2.20 121.00 :OVERLAP MAJ PNL-LT FNDR REFINISH E BLANCHA -0.40 -22.00 (CLEAR COAT LT FENDER REFINISH BLANCHA 0.40 22.00 !STONE GUARD 'REFINISH BLANCHA 0.30 16.50 jEDGE LT FENDER IREFINISH !BLANCHA 0.50 27.50 !CLEAR COAT EDGE FNDR LT REFINISH BLANCHA '; 0.10 5.50 R&I LT MUD GUARD R&I LUIS 0.30 16.50' �R&I LT WHEEL OPNG MLDG R&I LUIS ( 0.30 16.50 IBLEND HOOD !REFINISH BLANCHA 1.30, 71.50 R&I BUG Sr GELD j R&I :LUIS 0.40 22.00 !COLOR SAND AND RUB REFINISH SHOP 3.001 65.00 COVER CAR REFINISH BLANCHA uol 5.50: Units Est. SUpp Total _ Total Category Rate I pp LA3( R -7-841.50 55. 0 - _ '.PAINT LABOR ( 55.00 18.10 995.50 995.50, PAINT MATERIAL 355.00 355.00 PARTS 941.05 941.05 SUBLET 143.001 143.00 !HAZARDOUS WASTE 5.41' 5.41 ;Subtotals 33.40' 3,138.46' 143.00 3,281.46 !SALES TAX I 106.92 106.92 (Grand Total: 33.40 3,245.38 143.00 3,388.38 E . _ Eiernal Auto_Bo_dy_Inc. __ 406 North Buchanan Circle Pacheco,CA.94553 925-689-0360 FAX:925-689-0715 Signature Date STATT OF CALIPOWA TRAFFlOt LLISIAN REPORT-Property DarriSge Only orokw toorrd r, tob SVLCI COND9TIONS � ����/y�./1✓,��' d DISTNCT NUMBER OARC4 ,' � tI AT WTERSEC'tION WIT" C... 7` DAY BP- TOW h-A' STATE NWiWAV TED 11 OR: PEETtMILSS OP S' S T T F S []vAn NO 0YE0 MHO PARTY DMVKR'S LICENSE NUMBER ISTAINJ CLASS ISAMY SWAP. SHAD* SKMH �i- f DAiRAOED DRIVER NAME(VAST,MIDDLE.LAST) "FNDNE NUMBER AREA NORTH PE0. STRSSThDDREss WTI alp fKYEN, SIX SIRTNQATE IINSURANCK .r AiCVCLE DIRL TRAVEL.aR OTMRT �- '� S►BED LMt[. 5(Y OTNSR Edt.YR. M AKI t MODEL!COLOR LICENSE NUMBER !MATE YEN.TYPE PARTY` �h aR 1 L PARTY ONVER'SIACSNSE NUMBER 4a ST#TE GLASS SAFETY EBUIP. SNAD� , r � � ��� a DAMAOED (J ( DRIVER NAME(FIRST.MIDDLIL LAST) P#K*w NUMBER AREA - PSD. 7RCET ADDRESS .;,�... .. CITY/ST#TEIYIPLi ": P SEx BIRTHDATE { A,�M�I�," NtML�E � e/J�„r'�+p CYCLE WR. EL ON STREETQR Nlapw#Y AJC 8"SC.. . , y.T.,N� OTHER -. EL t GD ' j /"'""'Gr/';t✓`- (7 VEK TYPE PARTY C k/p-J✓e77 47� NAME /V'(tT ` /L'" !7'V / .Gig,/ P /ER Cl AOS SEX INANE .ADDRESS 6�- PNdNE NUMBER PARTY NO. 13 1 AROPAADNM DAMAGED PROr::RMT CI ZR IMPQR'I"ANTREFULLY Keep this report. This is your record is accident. To comply with California Vehicle Code (Vr)_.Section 20002 (duty where property dame , you:,must either: a. Give the owner or son in chcrge of such property the name and address of the driver and owner of the vehicle; or in t sense of the owner, b. Lea written notice in a conspjcuous place on the other vehicle or damaged property, giving the name address of the driver and owner'of the vehicle involved and a statement of the circumstances. This information is necessary for the completion of your state SR-1 Form, Report of T Accident, and your insurance report, VEHICLE CODE SECTION 16000 The driver of a 'vehicle involved in an acciaent resuIti n damage to the property of any ONE party in excess of the amount stated in VC Section 16000 or in injury or death of any person MUST submit a SR-1 Form to the California Department of Motor Vehicles ' in 10 days. ._ Nate: Failure to comply may resul suspension of your driver's license. Form SR-1 may be ob ed from the Department of Motor Vehicles, the California Highway Patrol, any police station, motor vehicti§club, or insurance agent. If city or state property is damaged, you will be contacted regarding possible liability. CHP 5db-43(REVY t--48)0P1042 � _.--� ; FRAC-48 REV,4/8S Enterprise �4��, °i '��� }K'IV A[yCbd( ENTERPRISE RENT-A.-CAR C "ANY OF SAN FRANCISCO"',, WE 7.34A- 6:00P TH "1..30A-- �S,:001'- CALENDAR 2291 VIA DE MERCADO S,fSU&S E:.�L. 925--685-3900FR 7:30A�- 6:00P SA 9:00A-12'.-000 rr'aK- em YACA 94 R itENTAL E x I.D.# r,,� RENIAL t14 TYPE A= EMENT D -468332 233 MILES YEAR O RENTER r r N1NnTUNA RAYMOND* O CHARGE 1049 ASTART CHARGES IF DIFFERENT ADDRESS „,'f NOME PHONE CITY STATE ZIP OFFICE NO E ORIGINAL VEHICLE r t; COLOR LICENSE NO. LOCAL ADDRESS T ERP ONE - CALENDAR DAY MODEL 40K,99? 'DRIVER S LICENSE STATE EXPIRES HOURS 0 r a IN _ O HEIGHT WEIGHT EYES HAIR YS @ 1j f MILE- OUT J 31,,.!/33 AGE OUT SOC3fLL SECURITY# EMPLOYER ......... .._..-..-- DRIVEN S CU ST PAY -'--'-"- BILL COMPANY ^ CONDITION AGREED TO " TO , -LATER ADDRESS -� . jtd' cfTY STATE ZIP it VEHICLE 1C FEL 18 EXT. _ t" r ''c,,,, ..« ' RENTER ACCEPTS t '- T•R RENTER REQUESTS DAMAGE WAIVER{DVI{AT RENTER DAMAGE DAILY TEL SHOWNWN ADJQININ©C—MN.SEE TQM' {{\\..✓✓,Jl" RESPONSi BIt.ITY \ R£UERS£.7HISlS.bT.INSURANCE. X }�W a.vgb�ly RENTER DECLiNF.S R E RENTER QSze"pE L idENT INsvR- RENTERPERSONAL AN[:E( If%T'4AILY N N AOJAtENTOUT 1/ $ a/g aJ's 7/a F ACCIDENT 1NSURANGI caLunsN'ANa HA$r RT Ht RfiIPIc;ATE. }( f..+ ',.+,l �'' E ��// RENTER DECLINES NT-R RENTER REfUh PLEMENTAL RENTER .^ ' E IN E 1/a t/i X01 a a 3/f 7/a F OPTIONAL SUPPLEMENTAL r� ''i LIABILITY\PROTE f Pf AT AILY RATE ++..tt LIABILITY PRUTECinN tSL j SHOWN IN COLUMN.uEE REVERSE. x ���.' 9..9,- `��' ADDITIONAL DRIVER)—NONE PERMITTED NIITHOUT ENTERPRISE'S APPROVAL. ~ REPLACEMENT VEHICLE I request Enterprise's pe n to allow un nn-ir r n r UI:--R t-T.- M ' - AGE LICENSE NO. f pQ STATE EXP, t A �y (� E T TAX ,h G M i..wf fi `'V `COLOR LICENSE NO. Who is under my con of and direction to drive the rented vehicle for me and in my behalf. i am responsible FUEL CHARGE for their acts While re driving, and for fulfilling terms and conditions of this agreement. MODEL SCAR# AUTH.9Y X E ENTER ENTERPRISE'S RE#, MILE­ IN P RMISSION 6RANTED F VEHICLE TO LEAVE THE STATE, 'YES STATES AUT':'BY� AGE O T ENT RPRtS ' P DRIVEN CA ONLY � I � TOTAL CHARGES CONDITION AGREED TO .... . REFUNDNO GASOLINE -I DAY MINIMUM X ACKNOWLEDC4,11ENT OF TERMS AND CONDITIONS TER DEPOSITS ^ O RENTEfi DATE REFUNDS ct {� 8 ' 2/0 j ENTER EMPL. .—..I Y 4.->✓ REP ! r�" 1` # 124 e; � E=? A WILL, DATMIME OR AMOUNT PO BY T`{PE DATE P[t. RUTH x CLOSED BY F OUT E % 1/43/4 t/a 5/a �/a 7/a F IIARURk DEP. t •�Ic' 0.12001 E IN t/8 '/.o a/a t/z E/a e/+ TiF EXT. ADDT't.' PAID CASH CHECK .CARO CHARGE L TO DEP. S —"at. e Vic:a. "} 6Y EXT. ADDrL W RECEIPT FOR CASH REFUND TO DEP. RE { EXT, ADDT'L DATE — AMOUNT —.� V TO DER RECEIVED ——._ EXT. ADDTL DEP. CLAIM INFORMATION TO ACDITiONAL INFORMATION: � PPL,OR (t.ERPAGS CAN CAUSE DEATH 01, IN. UF. ,,7 I MANUFACTURER I S RECOMMENDATIONS ARE NOT CLQ FOLLOWED. SEE MOUNTER NOTICE OR OWNER f S' MANUAL_„ NSI7 LOSS 3TATF: REQUIRED DAILY TAX E_QUAi.. 1/365TH_ FEE PHONE DATE THE RENTED VEHICLE'S ANNUAL L.FCE t4SE 1"EE PHONE NAME RANGING FROM M s .123/DAY — $1.64/I)AY. jRENTER RESPONSIBLE FOR AND REPAIR SHOP IAUTHORIZES CHARGES TO THEIR k-I; I '' 'i I' L .f'i''"_._._ !CREDIT CARE) FOR TRAFFIC TYPE CAR CON=A COSTA COLWry•vEfiZCLE ACCIDENT REPORT Appendix A Date of Accidents O Z�' Time of Accr�'ent 1 3_a4M County Driver (Print) Department/Division f' l►G.: LLQ `' +Mork Phone q22- 5��► , Driver's License No. Expiration gate Police. Report .Taken? yo .yes ._.. no Citation.Issued? yes +✓' no Which PoliceAgency? sr-w tJoo- Officer.Badge No.. 3.q 7 County Vehicle Equip. No. _ License Plate No. Year/kake/Type p Accident Location (address) 20/7 I.t)A-1Ak 19ouie- rw. Name/Address-Insurance Company/Agent if personal or rental vehicle on County business. Vehicle No. 2 Driver ICA.t P;4AA44gr&fij Phone No. q - %1, ,'2 7 Address_ 3__kj4,c.&ff cg-- p�f"L.. Driver's License No. S4)Og337fo Vehicle License No._.5 141009¢' Registered Owner/Address 5HM&r Year/Make/Type 92 L2 A- !+4(-O n1 A Insurance Company/Agent FOLtr* :"z_S -6;t rt ..� �2� 3$ " U04 (If more than two vehicles, attach supplemental page.) { ---------------------------------------------------------------------------- List_Iniured Parties: 1. Name Phone No. Address City State Zip Cade 2. Name Phone No. Address City State Zip Gude 0 3. Name Phone No. Address City State Zip Cade (Circle 1, 2, or 3 if a County e=ployee. ) List Witnesses: 1. Name Phone No. Address City State Zip Cade 2. Name Phone No. Address City State Zip Code 3. Name Phone No. Address