HomeMy WebLinkAboutMINUTES - 09162003 - C.13 CLAIM / .
BOARDOF `A COUNTY
BOA .CTI ® S�� '- -�� ��S
Cowl Ag est tdhe County, ob District C7overned by
the Board of Supervisors, Routing Endorse-ments, NOTICE TO CLALMANT i
and Board Action, Allecton references are to The copy o his:.docuent mailed to you AS you,
%/e4lkrniCodes. notice of the 6cton taken on
your Ld6,bim by the
Board of Supervisors. (Paragraph IW!)etow), giver,
Pursuant to Govemnient Code Section 913 aand
915.4. pease note all"Warn zri s$4
CLA .N7'< I-SEI z
A771.0 DATE ,CEIVEDo AUGUST _�� 2003
ADDRESS; 246;,_ M. CIA D-R Y D��, E Y T C CLERK 01\7: � ��ST 1 2003
v
OLIN HILI -14523 HAND DFLIVERET-) BY
Y MAIL pOS';7D< RISKY N7AuLM--HTT
FROM: Clea of the Board of Supervisors TO: County Counsel
tt hed is a copy o e above-noted clam.
JOHN SIVEETE
Dated: AC tS® 2 3 y; Deputy
" . FROM. County Counsel O, Clerk of the Board of Supervisors
Tis c:xim complies sutbst tiablyw t`h Sections 910 &,:d 9;10. .
e This Clain FADS to cow%ly su'ostartia ay w-it Sectio?is 910 and 910,2, and we are so noffyingc1ai at. he
Board c mnot act for 15 days (Section 910o8),
Clairn is not timely h1ed, The Cleric srou'd return ca= on ground that it was filed :ate and se{id warming of
Clai giant's right to apply for leave to present slate claim (Section 9113).
Dated yepty County Counsel
�F
IIA. FROM; Clerk o the Board TO: Comity Courses (b) County Adrninistrator(2)
Clairn was returned as undmely with notwce to claimant(Section .1,34).
�. O y aai:nous vote otic Supervisors present:
This Claim is r eJ.ected it fall.
Other:
.d" .sv that this is a true and correct copy ofthe Board's Order entered sn.ts Anninutes for this date.
51411
meted, r s#° SOH`SWEETEN, CLERK, y F� � Deputy Clerk
� �N G(cove code se-ton 1 3,
subjecttocert exceptions, you ave only six ( ) mo.rlths trona tie date this notboe was personally served or depos:ted
in the ails to w ie a co,�actioll on this claim, See Goverrra .est Code Seotsora 945,6. You may seek the advice of
attorney of your Choice-in conanection,with this matter. If you wed to consult an attorney, you should do so
imediately. *For Additional Warning See Reverse Side of T' s Notice.
*y[ /+� �9 under
penalty
,>L /`q Vy y. e9 g[ e� > y+/`y
AFFIDAVIT F����..�ILry 7yG; �'ry J'y'�'$ Y�^gyp) g� ¢ ry ( p�
I 'd�e/Se�+^+re Winder �j.a al Wy Mf -r viy t.n�6be.I Lon- now, and at all finmes nerein rn-endo ed, have been a citizen. oL the United
States, over age 18; :.d th t today I deposited in t�e%Jetted States postal Servicein Martinez, California, postage -aaiy
prepaid eery ed copy ob tames Board Order and Notice to C � ant, addressed t;`. e caa, at s sho above.
Dated 3 JOHN SWEETEN,
WEEdYN, CdER J
Deputy
ep Cl
e-6X
BOAP VTSCP1Z OF CON7,&WCM':sA
M %-k-
=-, U1'T 0 M S TO CU-LVAIN T
A Cla-M re-1-at-Ing to c-auses of action for death or for in�ury to person or to per
property or growing arops and 'which accrue on or before December 31, 1387,
must be Presented not lalter than the 100th day after the accrual of the cause of
action. Claim relating to causes of action, for-death or for in'Jury to person
or to personal property or growing crops and wthic1h accrue on or after J'anuary 1,
1988tmt, be presented not later than six m-ohs after the accrual of the cause
of action. C"laims rela,!-.-ing I,- wany other cause of action mzt. bge Presented not
-1 6x,. 19
ler Lhan one year after It-he acczrml of he cause of action. (Go-A� Code §911.2.)
-a
B C1 ims =,.Ls' be filed w-',,..h the Meark of the Board of Supervisom at its office in
Room 106, County Adhinit M1-.'Lor. Bud.11dir-9, 651 ftne& Street, Fartinez, CA 94553.
C. If cla-M is against, a district, governed by the Board of Supervisors, rather than,
,!,-,he Colunty� the name of the ',District should be filled in.
D. . If the olzim is a,-ainst more than one public entity, separate clairns must be
fi-", ,-d ag-airst each public entity.
E. - Fraud. See Pera]-ty, for fraudulent claims, "Perial. Code Se--. 72 at 1he end of this
form.
021
mer 's '" ing stamp a M By Reserved
-L- x 161
"On
Against the 'a 31
Co=-ft-y of Contra Costa
L
f
D istri te
In name
The trader signed alaLmnant hereby makes claim aga,,,ni;t the County of Cont"M Costa or
the a'xve-ramed D- i-strict, in the sib of $ w �
this alaim, represents ,as f oUows and in supporl- o,:'
1. 'Wrier. did the da=ag- c or injUrly "Give exact, d:le and howr)
2 Where did the dia-mage or irju-ry ocacwr? (Include city and cownty)
3. Hlow did the damage or injury occwr? (Give detalls; use extra paper if
"equimd)
+ 4
44-
�nn
vv-
4. Wh-atw Particular act or amfission on the part of oo=ty or dUstrict, officers,
servants or emp'lloyees caused. the iny or damage?
e-
(over,
a W .at are toe rames of coon p' or distric aff'Lcers, servants or employees caush S-
the danage oa` in 1=ji?
�. What �' r ':'�"x.i.es do yo
u claim ? sul ted° (Give eaten," cf injuries or
damages c Lmedm Attach two estlimall,-e for aur damga. �a.r
,aif �� ,,r ✓�f
�LOS
„ta,ice'. id k ar i J r5 S �F �' •. j. %',r�6.e''ry �'.r..- j •�-�. y Q4�R�,.j�
d
prospective i ury or mage � o �:2
ate $
Names and addl- sses of wit.nesses, doctors and hnspitaI3.
Lisp the expend-1-ares� y'o`u made on -co—Cu ;� of d��� acoldent or ,�n4t---9C
4
P,
✓�'• � ��, yr •�
Goy. '`ode See. 9.1M p vi d s
?
"The claim, It -c-laimant
M 11NMETo: eAlltoe � _b' � � � ?m ���. ��J.-
Name aid Address ofAttorneyJ air
-- - a � � r�
rte'
f
� f s
em d
Te';L•, E � y fid' r ✓i�A � � s 7l
eeph. ��,,yon- Ag`�o. g�' �r l e epIhohggaeNo.
b ,�'a�/'`� d f E „yf .X�(,•��Wz.., �,; qq 55�� y
3G � Y8 � '9e' Ta 55 � d' � i4 lQ' 1% f'c `� :R "•G
N 0 T m b E
Section 72 of the Perms Code prcovides,.
ltrv&ry person wilm, with, rodent t0 defraud, p ser.'C-S or for
payment to any state board or off iaer� =- to &ny clty or distn';,ot board or
o ffB r, auth rize"d to allow or p 'the zue if `� q �d false or fetid, n'
S S 'wa S�. S6i mt,men 3 � �.L+t.
--maim-, bill, accot- C11 vouche�ry or !tinge Is punishable either by i risOam aat, -In
she county !ail for a pry.od of not more than on.a.year,,,, y, a Iftne off not exceed in
one thousand s p O 6 or by both impri-somment ana fine, or -by lmplr som—,ant 1,,n
the �e prison., by of � exceeding � � d m 0�1 or b.
as+. � �.�� ,"^s �� e � �d ��,a..�� �, ��� � � �
both g ri-so 1Z1- and fire.
............................... .... .
........................................................................................................................ .
07/15/2003 at 01<33 PM Job Number!
41212
CM'S AJT0 BODY
Federal IIS 4680469355
WE MEET THE NICEST PEOPLE BY ACCIDENT
2171. MONUMENT BLVD.
CONCORD, CA 94520
(925) 571-9432 Fax: (925) 688-8998
PRELIMINARY PSTT- Tx
Written By:
Adjuster:
Insured: LI-WI WAN Claim
Owner. LI--WI WAN Policy
Address: Deductible
Date of Loss,
Day" (92 5) 676-6348 Type of Lose;
Po=t of Impact;
eot KEE°S AUTO BODYia (925) 671-9432
Locatmon- 2171 MONUMENT BLVD.
CONCORD, CA 94520
-IVsu as ce
Company Days to Repair
1995 HOND CIVIC VX 4-1.SL-FI 3D
VIN: 2HCEH2378SH511233 Lic: 3LDM097 CA Prod Date: Odometer:
Rear Defogger T_nted Glass Body Side Moldings
Dual Mirrors Clear Coat Paint Power Brakes
Driver Air Bag Passenger Air Bag Bucket Seats
Recline/Lounge Seats Aluminum/Alloy Wheels
--------------------------------------------------------------------------------
NO. OP. DESCRIPTION QTY EXT, PRICE LABOR PAINT
1 REAR BUMPER
2 R&.I R&I bumper asst' 0.8
3* Rpr Bumper cover hatchback 1.5 2,2
4 Add for Clear Coat 0. 9
5 REAR LAMPS
6 R&I RT Backup lamp 0,3
7 R&I LT Backup lamp 0.3
8 LIFT GATE
9 Repl Gate 1 544.58 2.0 2 >5
i0 Add for Clear Coat 1.0
Il Repl Decal "CIVIC VX88 1 21.09 0.2
12 Re_ol Emblem "H°' 1 13.90 0.3
13 QUARTER PANEL
14* Rpr LT Quarter panel VX & CX 4.0 2 .2
15 Overlap Major Adj . Panel -0.4
16 Add for Clear Coat 0.4
17 Blnd RT Quarter panel VX & CX
180 Refn TINT COLOUR 0,5
194 i?AZ GAP a E GE 1 5,00 X
204 , � bvER CAR ._. 1 5.00 0.3
21# NOTE * ** NEED TEAR DOWN FOR o. l
Subtotals =_> 589.67 9.7 10.4
Parts 584.67
Body Labor 9.7 hrs @ $ 60.00/hr 582.00
Paint Labor 10.4 hrs @ $ 60.00/hr 624,00
Paint Supplies 10.4 hrs @ $ 24.00/hr 243.60
Body Supplies 8.0 hrs @ $ 8.00/hr 64<00
Sublet/Misc. 5.00
1
0711612003 at 01:33 PM Job Number:
412"12
PRELIMINARY ZSTI TE
1905 HOND CIVIC VX 4-1.51,-FI 3D
----------------------------------------------------
SUBTOTAL $ 2109.27
Sales Tax $ 898.27 @ 8.25005. 74 .21
GRAND TOTAL w $ 21.83.38
INSURANCE PAY $ 2283.38
ESTIMATE OF REPAIR
The Estimate of Repair includes parts, labor, diagnosis, and any applicable
taxes. If, on further inspection, additional parts or repairs are needed, you
will be contacted for authorization. We are not responsible for loss or damage
to your vehicle from fire, theft, accidents or any cause beyond our control.
All tests will be made by our employees at your risk.
AUTHORIZED SIGNATURE: DATE:
ADD`L REPAIR AUTHORIZATION AMOUNT:$ DATE:_
PHONE NO. : TIME: PERSON,
CONSENTING:
if vehicle is returned to customer before authorized repairs are performed, a
diagnostic and handling charge, including reassembly, will be made.
POWER OF ATTORNEY -
1 do hereby appoint the aforementioned business as my attorney ;.n fact to
accep- on my behalf any and all checks, drafts, or bills of exchange for
deposit to the aforementioned business" account for credit on my account for
repairs on my vehicle which has been released and accepted.
ACCEPTED BY:
DATE.
OFFICE USE ONLY==================-
DEDUCTIBLE:
NLY=============---=_DEDUCTIBLE: $
Received.. From. Amt Rec d Type of Payment Ba.lanceDue
Repaired As Per Owner own authorized.
2
07/15/2003 at O1:33 PM Job Number:
4=212
PRELIMINARY P_-STT_XW2E
1595 -OND CIVIC VX 4-1.5L-FI 3D
THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO
DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED MOTOR
ABBREVIATIONS/SYMBOLS; D=DISCONTINUED PART A=APPROXIMATE PRICE LABOR TYPES:
B=BODY LABOR D=DIAGNOSTIC E=ELECTRICAL F=FRAME G=GLASS M=MECHANICAL P=PAINT
LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXED MISCELLANEOUS PATHWAYS:
ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND CAPA=CERTIFIED AUTOMOTIVE
PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT, PRICE=UNIT
PRICE MULTIPLIED BY THE QUANTITY INCS.=INCLUDED MISC=MISCELLANEOUS NAGS==NATIONAL
AUTO GLASS SPECIFICATIONS NON-ADJ=NON ADJACENT 0/P:=OVERHAUL OP=OPERATION
NO=LINE NUMBER QTY=QUANTITY QUAL RECY=QUALITY RECYCLED PART QUAL REPL=QUALITY
REPLACEMENT PART COMP REPL PARTS=COMPETITIVE REPLACEMENT PARTS
RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL R&R=REMOVE
AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT=LEFT W/O=WITHOUT
W/ =WITH/_ SYMBOLS: *=MANUAL LINE ENTRY *=OTHER [IE. .MOTORS DATABASE
INFORMATION WAS CHANGED] **=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED TO
LINEn MQVP=MANUFACTURER°S QUALIFICATION AND VALIDATION PROGRAM.
Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from
the Guide AEG4430 Database Date 12/2002 and the parts selected are OEM-parts manufactured by the
vehicles Original Equipment Manufacturer. Asterisk (*) or Double Asterisk (**) indicates that the
parts and/or labor information provided by MOTOR may have been modified or may have come from an
alternate data source. Non-Original Equipment Manufacturer aftermarket parts are described as AM,
Qual Rep! Parts or Comp Repl Parts which stands for Competitive Replacement Parts. Used parts are
described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned parts are described as Recon.
Recored parts are described as Recore. NAGS Part Numbers and Prices are provided from National
Auto Glass Specifications,, Ince Pound sign (#) items indicate manual entries.
Pathways - A product of CCC Information_ Services Inc.
3
07/!6/2003 at- 02 e 04 PM job ]NT-,-:ber.
13030
JIM'S CALIFORNIA A=TTO BODY INC.
-cense aA178743edera' D 40942227228
EST. 1-962
2520 Monument Blvd.
Concord, CA 94520
(92-5) 689-61-1.7 Fax: (92-5N/ 689-7836
PRELIMINARY ESTIMATE
Written by: Sandy Medeiros
Adjuster:
Insured: l i wa„ Claim
Own a r: li wan Policy
Address g 2461. marci a dr Deduc Ible,
oleasa n1 A._ll, CA Date of Loco
Day- Type of Loes>
Evenin e Point of Impact:
Inspect
Insurance
Company. Days to Repair
1.995 m'OND. CIVIC VX 4-1 . 5L-FI 3D red Int
VIN. 2 = 2378S-H-51-1233 Lica 3ldmC97 CA, Prod Date: Odometer.
Rear Defcg9,er 'w'in�ed G"ass Body Side Moldings
Dual: �i � Power Brakes
Driver Air Bag Passenger Air Bac Bucket Sea's
decline/Lounge Seats A1.um r u /Alloy Wheels
-------------------------------------------------------------------------------
X. ^e. DESCRIPTION QTY EX'T. PRICE ?ABO SAI 1
-------------------------------------------------------------------------------
i REAR BUMPER
2 R&I R&I burn.per assy 0 . 8
3 Rel"n Bumper cover hatchback 2 .2
4 Add for Clear Coat 0 . 9
5 LL®m ' GATE
6 Repl Gate 1 544 . 68 2 . 0 2 . 5
7 Add for Clear Coate l . 0
8 IReQ1 Decal "CIV-IC VXi9 1 2x . 09 0 .2
9 RenI Em=blem: "has l 1.3 . 90 0 . 3
10 _ QUARTER PANEL
_1 AprLl Q�.arter b ar�el VX & CX 0 2 .2
12 Cverlaxo Ma-or Ad- . Panel -0 .4
13 Add for Clear Coat 0 .4
-4 R&I LT Glass assy -NCS"DA - . 5
5 ';.LL NAVE HIDDEN DAMAGE TO 11
REAR BODY f;
-- 6# COU".SDN T OPEN I T Aa TwMu Cd
ESvmMA!E?
1-744 SET-UP & MEASURE I 2 . 0
1
07/16/2003 azl 02 . 04 PM Job Number.
13030
P.RELIXINARY ESTIMATE
HOND CIV?C VX 4-! . SL-F! 31) reg. Into
-------------------------------------------------------------------------------
NO. OR. !ESCR1PT10N Q.-TY EXT". PRICE LABOR PAINT
-------------------------------------------------------------------------------
-, 84 71UT T. REAR. QUARTER I 3 . 5
13p >T INT" CQL,OR 1 ^ ,
20 COVER. CAR 1 5 . 00 0 . 1
21 RenI CORROSION PROT'E'CTION 1 10 . 00 0 .3
22 sm EX ADDITIVE 5 . 00
23# SuIc,I HAZARDOCS TRASTE 5 . 00
-------------------------------------------------------------------------------
Subtotals -_ 604 . 67 16 .2 8 . 8
Parts 6,4 . 67
Body Labor 1662 hrs @ $ 67 . 00/hr 1085 .40
Rant Labor 8 . 8 hrs @ $ 67 . 00/h r 539 . 60
Paint Supplies 8 . 8 hrs @ $ 28 . 00/hr 246 .40
----------------------------------------------------
SUBTOTAL $ 2526 . 07
Sales rax $ 851 . 07 @ 8 .2500% 70 .21
----------------------------------------------------
GRAND TOTAL $ 2596 .28
ADjUS TMENT S
Deductible 0 . 00
----------------------------------------------------
C
-----____®-------------------®___o---__e--_____--__
CUSTOMER PAY $ 0 . 00
INSURAINCE RAY
$ 2536 ,28
*****VISA / MASTERCARD 1 ATM - ACCEPTED FOR DEDUCTIBLE*****
True to Arany un forseen clrcumstances in the repairing- of automobiles, we recret
that we can only estimate, not vrom.ise a completion date and time .
T- •OL•LO} .TNG IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED O
DESCRIBE `FORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR
AR V1AT dN / Y T d o D=DISCON INUED PART" A=.APPROXIMATE PRICE LABOR TYPES :
3=13O?DY LABOR. D=DIAGNOSTIC :E=E1•ECTRICAL E=ERA.ME G=GLASS M=MECHA "I'CA L R=PAINT
LABOR. S=STRUCTURAL T=TAXED MISC2LL L\,EOLS X=NON TAXED MISCELLAT`�:EC S RAT! WAYS :
AD: =AD ACE�T ALGIN-A IG, A/M=AFTERMRK T BLND=BIDE D CARA=CER'TI F IED AUTOMOTIVE
PARTS ASSOCIA. TION D&R=DISCO_NW=T AND RECONNECT EST=ESTT_YA, 7EEXT. PRICE=UNI T
" sm CE BY1a.E QUANTITYuV T = yCLIUDEMI.SC=M_7 CELLAy/ -` N,A3s=6dwlO
A:.
AUTO GLASS Sp®CIEICATTONS NON-ADJ=NON ADJACENT /H=OVER'HA£.L O?=OPERATION
Nd= INE NUMBER QTY=QUAT`_TTwTY QUAL RECY=Q' ALyTY RECYCLED PART QUAL R.ERL=QUAI.ITY
'REPLACEMENT PAR". COMP R.EP7 PARTS=COMPETI'TIVE, REPLACEMENT PARTS
R�CONT3=RE:CO v T1 dN R:EF =R.EF NISH REPT-REPLACE R&I=REMOVE AND INSTALL R.&R=REMOVE
AND REPLACE RPR.=REPAaR RT=RIGHT SECT=,SEC'TI.ON SUEL=SUBLET L,`e;=LEE.T W/O=WITHOU'T
W/ =WIT-1-1/ SYMBOLS' i'= LP-N AL LIME ENTRY *=OTHER PTE .MOTORS DATABASE
INFORMATION, fAS Ca�A_\TGED1 *=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED Td
.INE. MQVP=� \vEACT"�7RER' S QUAL? ICAT-70N AND VALIDATION PRO'RAM.
2
07/16/2003 at 02 : 04 M Job Nunmber
PRELIMINARY ESTIMATE
1995 HOND CJVVim. 43D. -red Int ,
Estimate based on mo-= CRASH ESTIMATING GLIDE. Unless otherwise noted all items are derived from
the Guide AEG4430 Database mate 6/2003 and the parts selected are OEM-parts manufactured by the
vehicles Original E,uipment Manufacturer. Asterisk (*) or Double Asterisks indicates that the
parts and/or labor information provided by MOTOR may have been modified or .may have come from an
alternate data source. Non-Original Equipment Manufacturer aftermarket parts are described as AM,
Qual Real Parts or Cc= Rep- Parts which stands for Ccmpetitive Replacement Parts. Used parts are
described as -'_KQ, Qual Recy Parts, RCS', or USED. Reconditioned parts are described as .Recon.
Recored parts are described as Recore. NAGS Part Numbers and Prices are provided from National
Auto Glass Specifications, Inc. round. sign {#) items indicate manual entries.
Pathways - A product of CCC Information Services Inc.
3
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2,s rJ/c.De.�;s'vk �••��h• -�, ,,,, -'Y&8 fil<3C j �� `A3��hFfata�.�' � jfiiC��'� ?. 4���C •�,., ,
71
gas
BEATING P St a A Y EQUIPMENT EJSCTED FROM VEH&CL
L.AM SAO DEPLOYM o ,F.; eED
i,3-UNKNOWN
{c LAP St's.' EFSE - ° E E#1£ W-? 3 3.,i�NKP OWN
s ,o tr LAP SELL NOT USED
2 T0 PASSENGERS ESHOULDER HAFgESS CESEC � v ac PASMWEA
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CHP 556-Page 3(iF9.E.v, 7-67,> OR 042 - — - - -- 3I 43637
2 DATE: 6/27/ TIME: 1858 : #0709 OFC ID-. #356 A , —3` 36
3 PLEASANT HILL ' CONTRA COST / -MT. DIABLO
4 LOCA". g CONTRA COSTA BLVDa @ BOYD
lz
6 FACTS
7
8 NOTIFICATION:
7 ON 6/27/03 AT 1858 SIRS, I WAS DISPATCHED TO THE IN°I`E SEC-1 ION OF CONTRA COSTA
InIL �` "�� �� ACCIDENT.
BL; AN � IA � O-
Ai
12 B O'l-H V-. .ICC-ES W E RE A T 77-11-IEI R TINA�L D0 1N'FS OF R v-ST< ONE OF 51 s', VE;H IC` P S WAS A
,3 FIRE E E' GIN ,, #5, FROM "FHE C<A TRA ti �S A COUNTY � v�S � A �� ���� � ST�I� .
14 T DRIVERS 1 ;�N _I.E.—ETHEMSELVES WITS' �VALID CALL ORINTI RIV S LENS ES.
6 ALA T IMEES, SPE EIDS, AND M ASL'REMEN ",S ARE APPROXIMATE. MEASUREMENTS WE
;7 M A DEE ICY IPAClG.
8
19 SCENE DESCRIPTION-
20
SCRIPTI N.20 I THIS AREA CONTRA COSTA BLVD IS A N RTl. / SOUTIP. AS HA.L T PAVED ROADWA�r.
RDIS —�AST /WEST ASPHALT PAVED ROADWAY. THE ROADWAY WAS LEVEi— HE
BOYD AN
22ONDITIONS WERE CLEAR. ALL SIGMA"- LIGHTS, SIGNS, AND ROADWAY MARKINGS ER
23GOOD CONDITION AND WERE VISIBLE AT T-HE TIME OF THE COLLISION.
24
25 PARTIES:
26 V#I (FIRE 'NI INE) WAS LOCATED ON ITS S ST H EELS AT ITS INT ALP INT OF RES '. V#l
27 SUSTAINED `O AIM�°�GE, `I#: WAS LIVEN FROM Til
SEN E. D#- '��il� �; WORE HIS
2531I� ! SI IJz I; SEA I A s � "I E COLLISION. BOTH P# (BAKER) A J P#2
;.
29 (SAWYFR) WORE THEIR SE,ATBEL`I`S AT THE lk.'E H COLLISION.
30
3i #2 (HONDA) WAS LOCATED ON ITS WI EEi` S AT -S FINIAI.., POINT OF EST. V#2 SUSTA.xliED
32 MiNOR DAMAGETO ITS REAR HATCHBACK DOOR. V#2 WAS DRIVEN FROM T-HE s-HESCENE. .?�#2
33 "WAN) WORE li ITS II' { S' Olu-1-DEER.SEAT BELT AT THE TIME ICOL5: }i .
35 PHYSICAL EVIDENCE„
HER PHYSICA;_ EVIDENCE AT THLE SCENE. SGUF
36 THERE WERRN'O SKID MARKS OR OTI-14- I
37 >%'iLATORR :L OOK 3-'-,MM PHOTOGRAPHS OF THE SCFNF AND THIS VEHICLES AND CAIS
3 T HIE F" M TO ME. I STATER PLACED HE FII M T HE PHPD EVIDENCE ROOM FOR
39 P-. C ESSIi` O.
40
4 iNJUR w
42 ",--HERE WERE NO INJURIE'S 'IN TliliS COLLISION.
43
44 STATEMENTS:
45 D#s ( WARD) SAID �;E WAS `I RA E <I`G N/B OTS CONTRA COSTA BLVD IN, THE W/ TLjRN
46 r OLI- �.'�```""O OROYID D, WHE : E' BSEIRRV ; THE LIGHT C C ,—E "ROM GII Ir N T
47. YELLOW. D# SAID TIHAT THERE WAS A COU I-I✓ OF VE-1-.1CLES IN FRONT OF slM
48 AN'CL IING #2, WHl( ,H WAS 'DlRECTL�, ITN FRONT OF HI'vI. D4111 SAID HE SL �EED V#° TO
49 APPROXIMATELY " O TO THREE I' , AS WAS INTENDIN G TO STO-11D FOR THE .ED
v
LIGHT. tza SAID AS I: CAME �I I I N APPROXIMATELY �rJI "? Y i 3..i J= �,
CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY � .
BOARD ACTION. S . 16, 2003
Claim . . asst the o7_ty, o.,r Distnict Gowvered by
the Board ofS m rvisors, RoutinglIndorsernents, ; NOTICE TO CLA`TMANT
and Board Actioti. ll Seg-ons yerenCles are to he copy of this docur ent mailed to you ss your
California Government Codes. notice of the actin-n taken on your claim by the
$Board-of Supervisors. (paragraph lv below'),
given
.{£�Ssv ig�LfiSant o Gov. ���len3t 0..,+ode e.b�L�1 nil. salad
.. .. 71,3 A, Please S ot- a.Al G'F am;ngs".
A''4 U T< $21,137.84
R 1 1 W. LAWTON
ATTORNTEY, LINDA KING DAT E RECEIVED. AUGUST 12, 2003
A SS; 3-121 W. MARCH LANE, SUITE 200Y DE1IVER 'TO CL,��RKa At"-IUST 12, 2003
S 3 ICON, CA 9_5219
Y TMMC.130S TM AUGUST 11, 2003
FROG/'. Clary of the Board of Supervisors TO: County Counsel
a ttaohed is a copy of the above-rioted clan ,
JO�V SWE12 erk-
Dated° AUKUSIC 12, 2003Deputy-
7,
1 , F .0m, countycounsel TO: C"erk of the Board ofSue risor
j
°a� s Clan c rl-I'M s substantially�xaitl Sections and 9101.
;.fin ("lairn FAILS to com ply substant"ally with ectio s 910 and 910,2 and we axe so notifing claii.,nant. The
Board cv_-mot act for 15 days (Section 91.0.81.
Clay is not timely filed, The Clerk should return claim on ground that it was filed !eve and send way-ars ob
claimant's right to apply fol leave to present a late claim (Sectilon 9113).
Other,
s
Dated: , _ f ....: By. _ Deputy County Counsel
111. FROM: bork of the Board TO: County Counsel (l) Co",—t3y Administrator(2)
Claim. was ret=- ed as untimely with nnoticVe to claimant(SeVtion 911,3).
IV, � y unanimous vote of fhe Supe�ris visors prdsent;
11X This alai ,is r ected in fall,
Other:
a
certify that this ,s a tme and correct copy of the Board's Order entered:n its rrl°nutes for this date.
Dated;/ $. 41,114. JOSS EB ENI T, CLERK, By � ' m t� 3 Deputy Clerk
' ANIINKG (Gov. code s%ction 9 )
Subject to certain exceptions, you have orsix (6) d (nflis from the date this notice Yas personally served or deposited,
G o[ied;
in the la,. t0 tae a cow action on mils claim.. See over° ent Code Section 945.6. ��u may seely the advice of an
attorney Of your Choice in owmection wi !ds matten of you want to consult an attorney, yew should do so
iin.mediately. *Fork°Additional Warning See Reverse Side of This Notice.
ATT IVIS'OF TMAaL N --- -
I Ideclam undal penalty of perjury that.1 am now, and at a<.l times herein inentione ., have been a citizen of the United
States, over age 18; and. that today¢deposited in the United Stags Postal Service in Martinez, California, postage Bally
prepaid a card od cop;of psis Board Order and'Duce to Claarnait, addressed to the claimant as shown above,
Dared. f n jOjjjNTSWEE'� �s43 C11E � y Y Deputy Clerk
v
AUG, 5. 2QO3 6 f n s NO, 1008 P, 3
Malm MLRD OF SUPERVISORSMMSM
RONS."M CUTMAE
A, claims relating to caws of action &P death or for injury r= or to p v-
al property or grvwlng crops and KIM accrue as an before De ew 31$ '1987
must be Ped not later than the login day of ne cause of
i � MY= relating W causes of action f $e or Mr ice, to prat
or to parlonal propirty an growingnaupsand WHO , . . rwwwwrJamNary 1;
1938, must be Presented nat later thyn six months fttha acarna of the cause
f anticn. Claims rslating be anyother cause of action must to presented not
later tham one pear astar Wif the cause of anion. (GOA$ Code §911,2.)
Ba Clams must be filed with bba Clerk of the Board of SupervIzars at its office hn
Room 0A CountyAd-ministration Building, 651 We Street, vartinez, ci 94553.
Q if claim W agairot a district governed by the Mv! of supervisorst rather thaa-11
the CWKY, the naar of W; Distriat shwldbe fiNed in.
D, If the claim is agOnst more than oms public entity, sed to KaW must be
filed against qh110 entifyi
0d. See penalty for fraudulent claims, Penal, Code See E 72 at We and of this
Worm''
NEx Maim By hasarwd for Clark's filing stam
Allstate InndRECs
--
Asa
-r° to C -E f . IUG f 03
r
UMKARC
1 ail i:
M$
(Fill�qq
J name, ,
The undersigned Waigant borahr notes claim against N C=nty of Contra Cost or
the above-namsd District in the sum of 21,13A84 and in Support of
this KaLm represembalas follow-
- --=== --
1. When he cr �� cur? (Give wat date and tear)
march 27` 200 g �3 re
2. Whws did We damage aw wury cww?- MQUA city t )
.A
,e
R Now did th.8 daM58inw-t 0 (Give pull details; use extra paper ie
roQu d
N pari=.I , act w =iasiom on the part of aMXWQF or district Officer-g
servants womplayeas nanzed.thwinjory
Please see attached. e
a d -Idicl
14-
or comity or district omomrs, servanta or employees clusinQ
the or
What injuries do YOU (Give full e%tent of injuries or
4 AM& :b WOWS foraull % ,
Please see attach
HOW IMS the a=mt claimed above paid? Unalude the estimated amount of a4y
prospective injurydamage.)
Hazes ood addresses of w0nessez, doctors and hospitals,
9. Cant Qa axOndituresyou made an wount of this accident or L p
bdskmay.
75
Please see attached$
vT claim must be signed by the claimant
E SMS TV J Aktto
NaVA M Mdreas of Atm
9 ;1
321 W. Mhr
Ad ass
Stcc ;:c, CA 95219
Section 72 of the Onal Code providest
Mery perm who, with intent t deed, presents for encs or for
PaYment to an state board or officer, or Q any asumatty, city or district htlrd o
officer, autharized to Oka or pay the same if .gumuka, any false or fmudulent
010m, bill, k voucherxoi , Is p=isIhablatth or by 0prisohent i
the enuOy jai for a period of not More W by y3 rre�f yvn.��o c n
7$ R dd ¢tic 3� 5v ary'm a+` I:q
one thcusand J gopo)8 or by h °ora ` U10i'laaMwit OnftrA-,-'0r by LmPrisOmwrlt4
the state prison, by a We or =It, exoaeding tan t Y d.dol C$10,000, or Q.
both such 0prisonnert and fine.
Q ' t a t xe.
Allstate Insurance Co.
3112 West March La-ne#200
Stockton, CA 95219
Our Insured: kinds.King
Allstate Claim#; 1665806251
Date ofLosso 03/27/03
s o Vhkom It ay Concern.
Linda King, our ry--nsured, su fered a loss to her vehicle or. 3/217/03. The loss was cased
by a City of sn Ramon Police Department vehicle, was driv-111.1 by Charles
Escover, a police officer.
'While tie City of D�mvil e police report faults Ms. King for entering the roadway while it
was not safe to do so(Da villi p -report# 0368510), thareore causing the accidetnt,
Allstate contends that a reasonable and pr Idem perso-n would not expect an accelerating
ve c'e to be in the r�s�dv��y, with no warning lets or siren, in 2.school.zone.
The police report a?so states that the police officer G"TIM-€€ the vesicle was looking at the
it tenor of his vehicle, not,at the roadway, which contributed to this accident.
Moreover, two wit,-melsses to the accident clam that Ms. ding's vehicle was either or.the
white lisle desigr.ating the roadway, or behind it, when the accident occurred.
Allstate has already paid for rgpadrs to Ms. King's vehicle. Allstate expects to be
i -�
rersed fo.rthe'&m, age paid out according to the terms of Ms, King"s insurance
policy.with Allstate($20,137.84'), p s Ms. inR's deductible of$1,000, for a total of
$21,137.84,
Sincerely,
IIAP JV
Robert W. Lawton
Claims Adjuster
CLAIM e.,
COUNTY
BOARD ACTION: SEEK-1 . 16, 2003
Claim,A aii st the County, or"'1 .ct Governed by )
the:hoard of up.-I'alsors, Routing Endors nm nts, NOTICE TO L - ANT
and Boand Actio-n. All Section references o he copy of this document:-nailed eto you is you.-
California Govern ment Codes, ; notecc of the action e'Ucn Or. your claim by the
Board of upal"aisors< (Paragraph IV below'),, given
Pu=scant to Govemaneent Code Section 913 and
x}`15.4. Please rote all"W&ruin s".
CLA A SFYGS MIC AELLIDES
A77 0. N E Y UN'X_N'9�'WN DATE EIV AUGUST 12, 2003
ADDRESS: 61 I-Na, ENE GRA !A-NE Y DE111VERY TO CLERK N: AUGUST 12, 2003
ALA-14G, GA 94507 IN :. G FICC BY
BY MAIL POST RISK ?�: AG'NONN"T
QOM, mer of" Board ofupsrsnty ��
Attached is a co-,y of the above-noted claim,
a
N r
Dated. A GU 12, 2003 y: ep ty
- -
M FROM: County Counsel TO: Clerk of`fie Board ofp"ervis rs
;� This claim Complies substaitially with Sections 910 and 910.2.
I his Claim 7FAILS to comply substantially with Sections 910 d ad 910.2, and we are so notifying claimant. Time
Board cannot act for 15 days (Section 910.81.
ti Claim is not,timely filed. The Clerk should retimnn cla ry« on ground that it was filed late and scrod warnnnq of
clair ant's right to apply fir leave to present a late claim ( .ecticn 911,3)<
of tea®
Dated " „
puty County C unset
JIT, Claim
y5a�y -�yt�1erk ofd�:��.e Boa;rd@yqn untimely
y�y yCou ty{Counsselyq(1) o�Count Add iristrator�2)
a,.+ GS3a.},d Y as heZsae•a•1 e as kbl�d aAmely with.not.c.
o claimant(Sec elo n 911.3)a
IBJ. �), ER, By unanimous vote of the Supervisors present:
4"" This Claim is rejected Jin fialL
y r
/f
certify that this is a true and correct copy ofthe Board's Order entered in its minutes forthis dace,
Dave ° `� � 'Ae- j -1�T WPT , CLERK, By De- ty Clrerk
fPN (Gov. code section'91 � V -
ubiect to certain exceptions, you b eve only six '6; months from .e date his notice was perscrmly served or deposited
it &M'-_H to lQ a cow-t action on this clasrr_ See @ overnm.,ent Code Section 945<6, Youmay seek the advice, of an
attorney of your choice In connection with this utter. if you grant to consult ari attorney, you should do so
mmdiatwly. *For Additional Warming See .verse Side of This Notice,
- --
A F AVI T OF MAIMING
I dicclaro un,6r penalty ofper.;ury that I & now, and at a l bribes her-.3n mentioned, have been a citizen of the United
States, over age t8; and that today I deposited in the United States Postal Service in Martinez,. Califor-nia, postage fully
prepaid a certified copy of this Board Order and'_INTctice to Claimant, addressed to tante claimant. as shown above.
r_r
dated.• �- 4� �
b
w � s � i f , y :._:� . �� puty Cleric
r s i
c' e
la"m to: BOAM OF SUPEIRTISORS Or � sad 0 0 U.N
d C"ma i. ting to causes of action for death or for injury to rson or to per-
sonal -roperty or gminn crops and which accrue or, or before Declember 31, 1987,
vast be p l aced not later th-&-i the 100th day of ter tae accrual of thle cause of
action. ClaLmw relating to causes of action for-death or for injury to person
a�r to ;-,n-rscral property - 41r Crop's &nd w1hich a .-; or: or after Jany 1,
1988� must be presented not L Cl r th months afte.- the accrual of the case
of action. O5 ms 'l t-I to any ot"h r cause of action must be pmsented not
later. �;,b nr are year after the accripal of the cause of action. (Govt. C' e
C1A:, tble f-06-ad with the aerk o' the d " Supervisors at. its Of&ice In
R 10 , Co=ty Adminiattl$loni,ldinZ, 651 Pira Slexelet, lrez, CP. 94553.
C. ';ff claim is against a dietrict Rove ed by tine of Supervisors, rather than
the Court-Y, the name of the l)_,sEr°lc;l sh .Od loe filled in.
� f tie claim is a i� t more than one public entity, sep to c-I est be
fil-d azairzt each. public entity.
Fraud. See penalty for fraudulent clam, Penal. Code Seem 72 at the end of this
"arm.
Mlaim 3- �° ° �l r°' S filing st p
"
Ne W.
a nst the int�0� o Contra 1t6 a �4afCosta
�nz�� P011,
M M � �^•i".t
o
The =,dersi d cant hereby ;yes claim against, the CounIty of CoIntraca Cosmo Or
the qe-nd is-4-int ik Nhe s f and in support of
this cla.l a, p° s nts as follows:
pya h �d the damage ;.r, "y �) cur? ' � �L� ����L���'�
,oaf 4 �'i�j} 4°tT' .} .. `qq-t fi' Z,t C' # �$.' ,'"�.
t,o�t ¢gnere did the damage
.m_ or inju_-y incur? .(1-nal de �$�� and county)
�-n0 A did vdkbM �' (1-nallude �
n
vim. O d �. a 1
€ �tP
e How did the damage or in jj=y occur' (Give full details; use extra paper if
4. Whp_t particlilar act or oadssiar, on the art of county or di trgiat officei ,
e" ll"It . pl, °j s 9 . the in j}gym or.
... ........... ....
w'm � are tnres -f' -W y r isti-iofficers, "< p y using
6.
a e m9
axa.�'.a.ce�v-r+arvna oecew:r.h�r�.�m'ttaai.yYvwa�+rt:o.<m+svx+'.yatz .r6aamasssG-.rti+.+v�+.h�astuzm.¢v��sz�eh¢ m+�'+.warp.rami2s�i.atesmazacreuY�vrerateeL
Wt age or --furies do y d clam res-ted Give Pull ens f
Vur. s
damages claimed. Attach two, estimates for aur -a e. Vi e. �%,o
"dA °*i"4".
7 lHo was tine claimedamoiint of any
y ry$ � y$g above t ,}}yamestimated�
prospective
b. Names and addresses of witnesses doctors and h �J
Q,
sea
S
--
ream, ones----+asmaz�aw�wmaa-
6¢ a c st �lle Y`ti+'`�c i'fi` res o de as -_ a m � ' ✓Ac b j yy.-y
s��+es b€. n'd,�+s��.a"a''a o�mZr,��5+3�`ca �2 '� ��w a�v�a'Mi,'� if�is� s.rpY�em�7 accident i�d� �t�.,�.tetir.�Y ami
�x . tit Sad"d coLL
�s
Gov; Code Sec. '910.-2 provIldes:
. e laim =ust be signed , the f aim
NXIIMS TO-. ( tt2m) � some Merson pis- _ zl".�
Name nd address OF age
_T
a
It
Telephone No. Telephone 'No. � � �' � � �3
I � E
Section '72 o the ?MMUI Code Providest
!'Ever7 person °w" � with in'''e � def wa.A, p ats for allowance or for
g a� 9 city or did.'a i ., board or
l,icer,s auttharIzed to Wmow o-, pay the s&na if . .n gineb any fallse or fraudlil e:2
cl i 3 bill, oco=.., voucher, or writing, is. pu,ni h b ,e P-46-ther by imso t in
the -_O tY �Ja it` Or a period of not more than ane,year, by a �i�� not exceeding
one f.°�o° nd '( 1,0001� r by ' i ri e <t and fine�'- o y imprisonment
tie state prison., bey a fine of "n exceeding tern thusado ;gar ($10,000, or by,
both 'Cl'! imPrisOrlrllelnt ar.d. fl,3j .
,kdditional Notes on Claim u sno re:
swer to Quest.-'on# 1. Vkfhen did the damaige occur.
m s d s -d-.e car o the e�way �s d s t y road,
when- the tar was still liquid and sof and there was no wing sip, detour or avy
to,nnt present.
do not rernember the -exact date as I d d riot discove- the d&-nage�:°iweral days later
-when I drove the car again. I do not drive flihis car frequezatly, I estimate teat ithan=ened
during ire mziddle oft e third=meek to the meddle oft e fourth week In e" y 2001 she
date-whe a noticed the damage was the "d of August.
Answer of Qaestnon 43
How did the da-mage occuz.
it must have occur-ed illhen. T drove the L+S.y-c on he fteshl ?.aw' road when there as,
son lm aid tar and there was o ami or attendant S
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CLAIM
BOA SUPERVISORST T COU
BOARD An S ^:
Claim Against ffie County, or District Governer.by
,he Board ofSupervisors, Pouting l}n ars meets, NNOTICE TO CALMA T
and Boar.Action. All Section references are to The copy of this docunmentmg,led to you is your
C i`b l ov e-;=nenv+..+Dass, not..1ce troIF dhe ,edio taker.S.9r,you e l airn y tac
Board of Supennsors. (Paragraph IV elow), given
Pursuant e v int,Cod- Section 913 and
9ISA, Please rote all" in s"g
$250,000.00
T'I R T r J. .NAERECE VED: � AUGUST 14, 2003
BY DELIVERY TO CLERK ON
2033 1,\T0Rn-,H MAIN ;STREEPT, S JI E 353
WT CA 94596 BY MA
TT P STNL AUG-US ' 04, 2003
Attached Is a copy of fae above-noted clam.
SWEETEN. Clem
DWtppd&bdc AUGUST149 2003 ByJ Deputy.,td«.�
H� ' X > County Cows- T o Ciefk oa�h Board of Supervisors >
This cla-un cornp e s it stantually itla SectAons 910 and 9110.2,
ds Claim, FAILS to comply s bsta tial>y wit z Sections 910 and 910,2, and we are so a otafyUag claimant, Tae
:hoard cannot act for 15 days (Section 9 .0.8).
l ✓ CW- is not timely y filed. Tile Clerk 6sho r:6 retie, cl Gm3.rn on g,.r"ab&nd hat it was file'd latt! fib.dnd s en.d- ai Cling Of
claimant's right to k ply for leave present a late claim (Section 911.3')_
G offer:
Dated y: — qty my Counsel
td t+a TO: County Cow sel 11) Co tt Admi R trato-`( ), FROM.: Clerk
Claim was return o : .=t ely with notice to claimant(Section 911.3).
IVe BOARD ORDER, By unanimous vote of the Supervisors present:
'ans,Claim is rejected in Dull.
Other -n�
Y � ary that has is crrctt pyt � ard�s rdrntcr�r i is its :this date.
L ce b.a,b
Dat d �_ -0111-INT n uc s a f � r , " £
W. .INLN (Gov, code section X13')
Su vect tc certain e ceons, yo :gave otily six(6f n.ontffis frothe date Lhis notice was personally served or deposited
the aiI t r"le a cfj t ac ion o ta��s claim. c� eve u eft Code ectio 945.6, You may s�� tib adv ofan
attorney Of your choice in connection with" this matter. i you want,.o consult an, attorney, you s"hould do so
id ately *For. Additional Waging See Reverse Side of Mi.
AFF M., AV11T OF MAIL ING
of the Jrlited
States, ov�3 age 18; a d that today I depos,%,er.in t:ge jn°t d States Posta,. Service in Martinez, California, postage fully
prepaid a Gertlkled copy OfEthis Board Order andNotice to Clc'a:rnar t, addressed t: the c yaw Want as shown Obove.
;
a J B
Dated: � TP N Deputya "S�
OFFICE OF THE COUNTY COUNSEL ���� IL AO S.MA. C E I
COUNTY OF CONTRA COSTA � � i��: COUNTY COUNSEL
AdrninisfraV;cr 14a
651 PM's
&'ML9 91h .00v 1 — SHARON ANDERSON
f _ ¢
CaiS. om;E s. 94H3-1229
n 3 c( 3 GREGORY C. HARVEY
231 33 - i 9a sd111�11� b ° l VALERIE J. ANCNE
AwsTAws
(925) 646-1078 `fax)
s.n {
NOTICE OFUNITIMELITNESS
AS TO AORTI JN, OF THE CLAIM
TO: Robert J" Kal—u., Esq,
Law Of bees of Cobert J. a lrr
2033 'North Mlain. Street, Suite 353
al it Creek, CA 94595
Please T a e Notace as Follows:
1n regards to the c alms you sub-witted on August 14, 2003, or behalf of Pauline Kennedy, portions
of the claim are timely and portions are untilne y. TIC portions of the claim prior to February 4, 2003 that
you pre s€n1,ed against the County of Contra Costa governed ley the Board of Supervisors fail to eon ply
substantially with fhe requirements of California Goverment Code Sections 901 and 911.2, because they
were not Presented within six months after the evert or occurrence as provided by law. Because the
ortiors of the claire prior to February 4, 2003 were rot presented within the titne allowed by law, no
actior° v,,as taker or .biose ortiorrs of yo-a.-c aim. The claim was forwarded to the Board for action orly
on the timelly portions of the claims.
T ne only recourse at this time is to =1 without delay to th-e County of Contra Costa governed
by the Board of Supervisors iffir leave to present a late claim as to the claims which are untimely. See
Sections 911 4 to 912.2, inclusive, and Section 945.5 of the Government Code. Under some
c;rcum,stances, leave to;;resent a late c ai ?w.11 be granted. See Section 911.5 offhe Government Code.
SaLVANO B. MARCHESI
7
tt
3 V�
By
Janet . Holmes
Deputy Courrty Counsel
Page 1
CERTIFICATE OF SERVICE BY MAIL
(- v.E. §§ 1312, 1313a,2315.5,Evidence Code§§641,564)
declare t gat my business address is the Cou ty Counsel's raf ce of Contra Cos#a County,651 rine Street,Martinez,ez,Califcrnia 94553;1
ar a citizen of the Tnited States,oder 13 years of age,erg byes in Contra Costa County,and not a party to this actions. 1 served a true
copy of this NOTICE mss~UNT:IMELINESS AS TO A PORTION O THE CLAIM by placing it it an envelope addressed as shown
above,sea.%ed aro postage fully prepaid fhereor,and t-nereaf:er was,deposited this day in the U&Mail at Mari.r_ez,California.
i certify u oder penalty cf peruury that t1:d foregoing is trae ar correct. Executed in:tea-ti:nez,California.
Dated: August 18,23133
Kathy O'connO
Cc: verb of the Board of Supervisors(original?
R sic Management
Page 2
Y
4 ZZ-00-3
j
. Kk
Claim top BOAM (Y SUPERVIMRS OF W¢'3&Ra MSTA
sERUC�T.ON
Claims relating tQ causes of action for death or for injury to ppers= or to peg'-
I property or gMwjng Crops and' which accrue -1 or before December Sig 1987,
wust be prestrited. rot later Lhan tfm Hoath day after the acerjol of the cause of
action. Claim rely ting to cases of action for-death or for LnjwrT to person
or to perwm2 property or grwLng empsxi A w after Janes
1s
be preuented nat latter than six moths after the accrue of the muze
cf a tiOnt C ai= relating to wy olthw cause of action mit be presented t not
later thm om year aftw the amr-.al of the cause of action. (rte Code §91111.2.)
E. Claim =tet be filed with the Clerk of t-he Board of ? a at it . .offic iTI
Rocm 106, 0amty Ali t ti i Building, 6 1 Pim Street, Martinez' CA 94553.
C. Tf claim. f i; t district by the of Supervisors, rather t"ILan
ii;eco
�ty� the raw of the District shvald befi in.
® mf � IM i a..� �e p� ii entity, clai t bee
it � l agaltszt each public entity®
. . Fraud. See P ' lty for fraudulent calm $ Fey , Code Seca 72 at the end of this
f
CJaim By Peserved for Clerk's filing stamp
n inn ''.oUbe qty $. tt Cost^8 ) a
art/o;
CaNTIRA �WLEER DISTRICT and/or
G 4
The mdersignad alaLzant hweby, wkes claim against the Cotmty of Conti costa 01.1
the ?s-nDistrict Ln the sm oll 250 A ora; and in suppart of
t� clajm, repres—mts fo c :
1. Vhen mid the • e or i i= occur? (Give exact date and oma)
Beainr_i r.c, lrb or about August 2002 and continuing through 'he end of Mare, 2003
2. 'Whare did the d=age or injury (Incite city and ty) ��
50 Water Sweet, Bay PoInt, CA 945G5
3. How did the injury 9 ? (Gine IXUL details; use extra paper if
.- quz ) Cc ty, Dlstri,c- &and/or Public s cr;Ks Dept. , either directly or t rauah its
agent, Speve R. Rados, in.c. , and others, trespassed onto claLmant's property wit hat
authority or pe..i .sslon, cawased .1—Lysical damage to Land and st-ractures (fencing) a
r terferec yaw th sale.of arc � aid,b pally die Hca passage,of time d.lemic . of
What particular act or acissimthe pvt of Wminty or district officers,
w,e=P-IW—,,MeS CaUSed, the i� ' fie trespass and re asa,l to vacate
after zSoorts to police as nncted in Paraa'�-5 above.
o � tMe Immes of cotmty Or district officers, se--vants, or employees causing
the damage so injury? Cther than as indicated wed z n Para. 3 AbOVE4 u0mrown at this
time.
® What damge or i j i you claim s t ? (Give full extent of injuries or
damages claimed. Attar two estimates for cut
Per them damages due to trespass tc land, t�0 c��y) ,. lost interest on delayed
sale of property ($15,000) , emotional dist ess, heart disease, surgery, etc. ($200K)
-----------
7.
., aa- —
Flow was the amavnt claimed above computed? (include 'the estimted azount of any
prospective injury or Wage,) s shown i Para.. 6 above
Names and addresses of witnesses, doctors and b s i 3,
Steve R. Rados, ins:o , empicynes, names not yet known.
David Seat, Public Works.
Rib Pato, Ccstra Costa Niter
r. Axie Van Gemeren
9. List tha expenditures y= made on sc g.- of this azoident or injux-y-.
DATE MEM
March, 2003 Surgery Unknmci at this ti
. Code Sec. '9100 _8 vw
We claim signed by the claimant
D NOTICES TV (Atte s -SCUM.. badhAl f
ame
d<
Robert j. nn, Esq.
o
;? ....., y tty for Claimant
1AW CEFICES C RUERT J v TK„A, 0.109900 Signattuamv a
2033 �crt�vi Main Street, Suite 363
Walnut Creek,� 94596 � 2033 North Main Street.. Suite .363
(925) 932-9800 s
(925) 932-055 . yam; Walnut Creek, CA 94596
Telephone Q. 925-932-3800 Telephone NO. 925-932-9800
NTIE
Section 72 of the Perms Code grovidest
person who, with intent lux efr-s , presents for allowmance or fear
payment to any state bcard on officer, cc to any county, city or district bow or
offioar, authorizes to allow or pay the same if .genuiro, any false or fraudulent
claim, bill, account, voucher, or citing, is punishable either by imprisamment in
the county jail for a periodof nK zare than one-year, by a fire of not exceeding
one thousand 1,000), or by ,both such ImOrisorowt and Wei,- or by imprisorrnnt In
the state prison, by a fine of not exceeding ten thousand dollars ($10,DOO, cr b .
both sud imprisannent and fine.
S`MA7` 5..'ra q7�7 cc—, GPS 'Vn"t TT.4�y ,r4rsrzs_es�_�rtr
Law Ghees or
ROBERT KAHN.`
Pe- Executive Centre Buiiding
_dleN sz e 2033-No th Main Street,Suite 353 Wkwe
,925;932-9800 'ai?:ut Creek,Gaiifamia 94596-3726 (925)932-055I
� ) �^ rxn
August 1, 2003 nA.,
_
AUG a 0f Ji
s
Via "Courier x
One Hour legal
Re: Claim o audipe Kennedy
Enclosed is ti�:e original. and two (2) copies of a claim f^o n against he Contra Costa
Cis°. i:y P:.i Q Works Depa'tin—e it.
'Your instructions are to take the original and copies to the Public Works Department,
s
located at 255 ."lacier Drive in Martinez, phone number 313-2000, on Monday, August
4'� to t,, front desk, submit the ariginai claim and get either one or two copies tach with
some formn. offa "Received" stamp or signature and date.
I: is important tat we 'a=xe, evidence or the date tibe claim was submitted the
tsw at_ea
Pease return by U. S. V a1i, the signed or somped copy of the clairn to -,-a' oL ce in the
self=addressed, staaped envelope provided.
Thank you.
2f �- 3
RJIQ1-C-
Enclosures as noted.
Contra Public Works Department"' mmifts M.ShI8
Costa ftbft mks MmWr
County 255 Gadw Dr e R.mftchAywon
Maftez,CA 94553-4897 j�y 6 Enghae
FAX; (VS)313-2333 Jwvueiha JAmm
hae of Afth Svc&
u t �, 2003 P R. MoNorfee
Day a opqwkm
suares
LETTER OF TRANSMITTAL
To; Sharon -Hyrms-offord
ask Management
Summit Center
Suite 140
RegardingClaim Pauline Kennedy
3N ARE SENDNG YOU MHE FOULOWNG €SEMS:
COPIES DESCRIPTION
f Clam: form against Contra Costa County Public Wo Department
REMARKS-
Hi ham"p
attached fo,your t o e pion is the claim of Pauline Kennedy.
I talked to DaveSeat, 925-383-4321, Public Works Department constru<ion 3 pe or and he says the projecl 11
€e do }was not a Countyproject. believe Contra CostaWater Dlstrict hired Steve R. Rados. In--,to construd the
project'hat affecied Ms, Kennedy. Please call it you have any questions.
t
z
Signed:
Joe Yeo
Maintenance givision
Phone: 925-3137002