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Home My WebLink AboutMINUTES - 07202004 - C.11 CLAIM WARD OF-SUPERYMORS OF CONTRACODLTRA COSTA COUNTY 6� • P—QAUN: J_QY_ 0., O Claim Against the County, or District Governed by ) the Board of Supervisors,Routing Endorsements, ) NOTICE TO CLAIMANT and Beard 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 °€ n )Board of Supervisors. (Paragraph IV below), giv f pursuant to Government Code Section 913 and 15.4. Please note all Warnings AMOUNT: NON-ECONOMIC DAMAGES EXCEED $509000.00 N1AT 1N "Z CAi,R CLAIMANT: RICHARD EDWARDS, `.DANIEL EDWARDS (minor), DAVID EDWARDS (minor), JENNA EI3WARDS. (minor), JOEL EDWARDS (minor) ATTORNEY: KEVIN L. DOME;rCUS DATE RECEIVED: JUNE 14, 2004 ADDRESS: WALKUP, MELODIA, KELLY, BY'HELIVERY TO CLERK ON: JUNE 14, 2004 WECHT & SCI OENBERGER 650 CALIFORNIA STREET, 26th FIMR BY MAIL POSTMARKED: BAND DELIVERED SAN FRANCISCO, CA 94108 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim.. JOHN SWE E rk Dated: JUNE 14 2004 By: Deputy II. WOM County Counsel, TO: Clerk of the Bard of Sup isors (),,-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. ♦ pf.:.- \..: f !Y'f By. . . Deputy Co4nty Cott rq 111. 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 they Board's Order entered in its minutes for this date. Dated: JOHN SWEETEN, CLERK, By De uty Clerk WARNING(Gov. code secti 913) Subject to certain exceptions,you have only six(6)months from the date this notice was personally served or depot 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 Wami!!&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 Unite, States,over age 18; and that today I deposited in the United States Postal Service in Martinez, California,postage fi prepaid a certified copy of this Board Order and.Notice to Claimant, addressed to the claimant as shown above. Dated; JC1I N SWEETEN, CLERK.By Deputy Cl WALKUP, MELODIA,KELLY WECHT& SCHOENBERGER 650 California Street, 26th Floor San Francisco, CA 94148 (415) 981-7210 Attorneys for Claimants itsclast CLAIM FOR DAMAGES AGAINST CONTRA COSTA COUNTY TO: Contra Costa County c/o Board of Supervisors Contra Costa County 651 fine Street, Room 106 Martinez, CA 94553 The following claim for damages is hereby made by and on behalf of Richard Edwards, Daniel Edwards, David Edwards, Jenna Edwards, and Joel Edwards, against you, and each of you, the particulars of the claim being as follows: A. NAME AND ADDRESS OF CLAIMANTS: Richard Edwards Daniel Edwards (a minor) David.Edwards (a minor) Jenna Edwards (a minor) Joel Edwards (a minor) 860 Walnut Drive Oakley, CA 94561 B. ADDRESS TO WHICH NOTICES ARE TO BE SENT: Kevin L. Domecus Walkup, lvlelodia, Kelly, Wecht& Schoenberger 650 California Street, 26th Floor San Francisco, CA 94108 v � Claim for Damages Re: Melanie Lynn Euwards, Dec. Page 2 C. DATE,PLACE AND OTHER CIRCUMSTANCES WHICH GIVE RISE TO THE CLAIM: December 12, 2003 Contra Costa Regional Medical Center 2500 Alhambra Avenue Martinez,California D. DESCRIPTION OF INJURIES AND DAMAGES: The claimants' decedent, Melanie Lynn Edwards, died on December 12, 2003 as a result of complications of an infection. During the preceding months, the decedent had received medical evaluations and treatment at the Contra Costa Regional Medical Center. Said treatment was provided by health care providers who were agents and employees of the County of Contra Costa and/or the Regional Medical Center. Said healthcare providers negligently treated the decedent by causing, exacerbating, and failing to timely diagnose and treat the decedent's infection, causing her death. The loss of income, gifts, or benefits that claimants would have expected to receive from decedent; Funeral and burial expenses; and The amount paid, and reasonably certain to be paid in the future, to obtain household services that decedent would have provided. In addition, claimants,the decedent's surviving spouse and children, have suffered the loss of care, comfort, society, companionship, support, love, affection and moral support, as is allowed under California law. E. EMPLOYEES CAUSING INJURY AND DAMAGES: The identities of the public employees causing the injury and damage are presently unknown. r t Claim for Damages Re: Melanie Lynn Edwards,Dec. Page 3 F. AMOUNT CLAIMED Non-economic damages exceed$50,000. Economic damages have not yet been determined. Jurisdiction will lie in the Contra Costa County Superior Court. WALKUP, MELODIA,KELLY, WECHT& SCHOENEERGER DATED: June 11, 2004 KEVIN L. OMECUS Attorney for Claimants WALKUP, MELODIA, KELLY WECHT & SCHOENBERGER 650 California.Street, 2e Floor San Francisco, CA 94108 (415) 981-7210 Attorneys for Claimants CLAIM FOR DAMAGES AGAINST CONTRA COSTA REGIONAL MEDICAL CENTER TO: Contra Costa Regional Medical Center c/o Board of Supervisors Contra Costa County 651 Fine Street, Room 106 Martinez, CA 94553 The following claim for damages is hereby made by and on behalf of Richard Edwards, Daniel Edwards, David Edwards, Jenna Edwards, and Joel Edwards, against you, and each of you,the particulars of the claim being as follows: A. NAME AND ADDRESS OF CLAIMANTS: Richard Edwards Daniel Edwards( minor) _ David Edwards (a minor) Jenna Edwards (a minor) Joel Edwards(a minor) 860 Walnut Drive Oakley, CA 94561 B. ADDRESS TO WHICH NOTICES ARE TO BE SENT: Kevin L. Domecus Walkup, Melodia,Kelly, Wecht& Schoenberger 650 California Street, 26th Floor San Francisco, CA 94108 Maim for Damages Re: Melanie Lynn Eu, arils,Dec. Page 2 C. DATE, PLACE AND OTHER CIRCUMSTANCES WHICH GIVE RISE TO THE CLAIM: December 12, 2003 Contra Costa Regional Medical Center 2500 Alhambra Avenue Martinez, California D. DESCRIPTION OF INJURIES AND DAMAGES: The claimants' decedent,Melanie Lynn Edwards, died on December 12, 2003 as a result of complications of an infection. During the preceding months, the decedent had received medical evaluations and treatment at the Contra Costa Regional Medical Center. Said treatment was provided by health care providers who were agents and employees of the County of Contra Costa and/or the Regional Medical Center. Said healthcare providers negligently treated the decedent by causing, exacerbating, and failing to timely diagnose and treat the decedent's infection, causing her death. The loss of income, gifts, or benefits that claimants would have expected to receive from decedent; Funerat.andb al expenses;and The amount paid, and reasonably certain to be paid in the future, to obtain household services that decedent would have provided. In addition, claimants, the decedent's surviving spouse and children,have suffered the loss of care,comfort, society, companionship, support, love, affection and moral support, as is allowed under California law. E. EMPLOYEES CAUSING INJURY AND DAMAGES: The identities of the public employees causing the injury and damage are presently unknown. Claim for Damages Re: Melanie Lynn Eu.wwards,Dec. Page 3 F. AMOUNT CLAIMED Non-economic damages exceed$50,000. Economic damages have not yet leen determined. Jurisdiction will lie in the Contra Costa County Superior Court. WALKUP,MELODIA, KELLY, WECHT& SCHOENBERGER DATED: June 11, 2004 t _A KEVIN L.MM-ECUS Attorney for Claimants CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY ` BOARD ACTION. JULY 20, 2004' 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 Beard of Supervisors. (Paragraph IV below), given Pursuant to Government Code Section 913 and 573�1 915.4. Please note all "Warnings". AMOUNT: $2,658.09 1 r J U � ,a ��3 04 CLAIMANT: DeANN NANCE Cl0UNTY EE NIA TIN,EZ CAs_.R ATTORNEY: UNKNOWN DATE RECEIVED: JUNE 1.4, 20014 ADDRESS: 4290 WILSON LANE BY DELIVERY TO CLERK ON: JUNE 14, 2004 CONCORD, CA 94521.-1263 BY MAIL POSTMARKED: JUNE 10, 2004 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEET k Dated: By Deputy II. MOM: County Counsel„ TO: Clerk of the Board of Supervisors (tefw'"s claim complies substantiially 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 tate and send warning of claimant's right to apply for leave to present a late claim(Section 911.3). { ) Other: Dated: '` By: ., Deputy County Counse 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. POARD 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: JOHN SWEETEN, CLERK,By A6E� -_ ____ , Deputy Clerk WARNING(Gov. code sect on 913) Subject to certain exceptions, you have only six(6)months from the date this notice was personally served or deposite( 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: 0/ JOHN SWEETEN, CLERK By Deputy Clerk C \olt) CV�o Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUtl"I'Y INSTRUCTIONS M CL.ADIAPi`T' A. Clams relating to causes of action for death or for injury to person or to per- sonal property or growing craps 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 acute 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 rust 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 .cuff ice in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94558. 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 b-- filed efiled against each public entity. E. ' Fraud. See penalty for fraudulent claims, Venal. Code Sec. 72 at the end of this form. RE: Claim By ) 'Reserved for Clerk's filing stamp } RECEIVED Against the County of Contra Costa ) JUN I or ) District) c € s �.PERSORS Fill in name ) c � U A CO. The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 265'8 01 and in support of, s, this claim represents -as follows: .4g i&-Pvt#tS ,0oCq L .4 ilb' y� l�'.� 1. When raid the damage or injury occur? (Give exact date and hour) LA a-,CN_11� 2. Where did the damage or injury occur? (Include city and county) 3. How did th ge or injury occur? `(Give full ails; use extra paper if required) 4. What particular act or omission on the part of county or district officers, servants or .employee-s caused. the injury or damage? (ntranl 5. Wriat are the names of county or district officers, servants or employees causing the damage or injury? 6. What damage or injuries do you claim resulted? Give fulfil ;tent of i 'e car damages claimed. Attach two: estimates for auto damage. '.14 dA rin J 7. How was the amount claimed above computed? (Include the estimated amount of y prospective injury or damage.) WA.Z 5 0, 1-71-, ,eo*r c 1 7.4,0,X 9 iso A *;,c Y2 0 �C1` A O ,,yy�r 9-s c`w, H r£ totsg^ } TCd / GwLS atYrf✓ �j r� o tis erF;3o 7-oPA rt, 8. Names and addresses of witnesses, doctors and hospitals. LV ' 11 9. List the expenditures you made on account of this accident or injury; D. TS IMM AMOUNT Noae Gov'. Code Sec. 910:2 provides: "The claim must be signed by the claimant SEND NOTICES TO (Attorney) or by some 2erson on his.behalf." Name and Address of Attorney f Claimants igrfature t � C Address 4 , C, SlIS- Telephone No. Telephone No. 5 T �F N 0 T I C E Section 72 of the Penal. Cade provides: "Every person who, with intent to defraud, presents for allos«�rce or for payment to any state beard 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 Maim, bill, account, voucher, or writing, is punishable either by imprisonment- in the county jail for a period of not more than ane 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 ($10,300, or by . both such imprisonment and fine. APR-29-200 ► 11 :22 AM BERNAL.AUT 0BODY P.02 29/2004 ar 11 : 15 AM Job Number: 464 !ZFML Amo BODY Inc License #:AK120990 Federal ID #: 680044723 OUR GREATEST ASSET IS A SATISFIED CUSTOMER 406 N HUCHANAN CI R. PACHECO, CA 94553 (925) 689-0360 Fax: (925) 689-0715 PRzLrXnWY 29TZM1aiTS Wratten By; LARRY BERNAL Adjuster: Insured: Claim 0 (rinser: DEANN NANO Policy Address: Deduotible: Date of Lose: Fax: (925} 689-6587 Type of Loss: Collision Point of impact: 6. Rear Inspect BERNAL AUTO BODY INC Bunina z a: (925) 6$9-0360 Location: 400, N. BUCHANAN CIR. PAC' E00, vA 94553 insurance Company: 2 Days to Repair ua4 BUIC :SKY ARK CUSTOM 6-3. 1? -FI 40 SED wHT VIN: 1G4NV55M6RC301203 Lia: 3HFW923 CA Prod bate: Odometer, UNK Body Side Moldings Dual Mirrors ,':t.;storm Clear Coat Paj.nt Power Steering L(.twer Brake.,, Power Locks Anti-Lock Brakes (4) Air Roo 010th Seats Split Bench Seats :.< iinelL }unr,e Seats Deluxe Wheel Covers ------------------------------------------------------------------------------- DESCF,IPT?ON QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 1 REAR BUMPER 2t I':p r Bumper cover 1. 5 2,7 Add for Clear Coat i .1 4# FLEX ADDITIVE I 8.00 5 ON bumper assy 2. 0 6 Papl RT Molding upper fascia 1 37 . 90 Incl. 7 Rti�pl LT Molding upper fascia 1 38 . 55 Incl. 1�epl Molding lower fascia w/o Oran 1 40. 62 Incl. spart. +1# COLOR I INT 1 0 . 5 ! # HAZARDOUS WASTE REMOVAL 1 5.00 ------------------------------------------------------------------------------- Subtota,l:s 130. 07 4 .0 3.8 1 APP—f29—XO04 11 :22 AM PtEl�NAi.A13 E CJS03:Y 9'2S'6996715 P.03 o t 11: 15 AM Job Number: PnmmzxhRY ZsT2 ATZ 1994 BUIL SKYLARK CUSTOM 6-3.IL-F-I 4D SED WHT Parts 130.07 Body Labor 4.0 hrs C $ 68.00/hr 272.00 Faint Labor 3.8 hrs @ $ 68.00/hr 258.40 Paint Supplies 3.8 hrs to $ 29.04/hr 110.20 -----------------------------------------------w____ SURTOTAL w 774.67 Sales Tax S 240.27 @ 8.25001 19.82 ---------------------------------------------------- GRAND TOTAL $ 790.49 FOLLOWING !S A tJIST OF ASEktVIATIONS OR SYMBOLS THAT MAY BE USED TO i "t.RIBE 4ORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR "r�7RvVTATION.',/SYMBOLS: D=DISCONTINUED PART A-APPROXIMATE PRICE LABOR TYPES: -B0')Y %ABOR D=DIAGNCSTIC E-ELECTRICAL F=FRAME G=GT-ASS M=MECKANICAL PLAINT 5-;;i'RttC:TURA1 'i'=TAXEb MISCELLANEOUS X-NON TAXED MISCELLANEOUS PATHWAYS: ALGN=A'1ICN A/M-AFTERMARKET BLND=$LZND CAPA=CERTIFIED AUTOMOTIVE A;i '�(.'Tj A "ION :)&R=DISCONNZCT AND RECONNECT EST=E'STIMATE EXT. PRICE=UNIT i F i{.iw ia:Ll'It'i, ED BY TETE QUANTITY INCL=INCLUDED MISC-MISCLLLANEOUS NAGS-NATIONAL GLAS.' ztt''I`rC�'i ICaa' IONS NCIH-ADj-NON ADJACEN?' Cr/II-OVERT AC Iw {"3P Ot?ERATIOR QTY-(QUANTITY QUAL RELY=QUALITY RECYCLED PART QUAL RL"PLzQUAL2TY I:',r1RT CO14P REPL PARTS=COMPETITIVE REPLACEMENT PARTS ONO:14ION REFN-REFINISH R.EPL=REPLACE p,&I-REMOVE AND INSTALS. R&�t�FiEMt3VE lCJ": REPLI A+;E Is'PR—REPAIR RT-RIGHT SECT.SECTION SUBL=SUBLET LT=LEFT W/O-WITHOUT =W T T?3/ "t`t'�1I301LS: 4=MANUAL LINE: ENTRY *-OTHER [JE. MOTORS DATABASE :.F;iRMAT""t)N WAS CHANGED] '"=DATASASIw LINE WITH AFTERMARKET N=NOTES ATTACHED TO MQV"='MANUcAC;Tt'RER'S QUALIFICATION AND VALIDATION PROGRAM. �.,, > ..,•t :tr>7':)tt `RASH TV� ..t: to C;rr ?s:s <athcs^wise norgti .a', 1 i~tial.+ art �fstri.ved fro ::'•.. .. Uat:a 312(1r�n ..nd i.tm parts ae-W.tod arm by the »'t1t: i. N.rt;1°y'STi?.7 k', i3.:1dE4Cti:!'f" . h»t:CrL3,i i`} rYS Ile.t.bla A41F ".j7} j °) (t.3 i.:.;r:•. t .t .; t"rar �3r. (1xgV ^it:t� ky V.t)PC)R .lily it_Avc., soon mot1F('s•: :)i' Inny a.aac F rim, .to. an imci NCtttl:iy a i.:3rcv r1«C61:'Itt81 f+`• t'.+:trt s n.Y? uCSi�3eSCt an A10, Parts wt.'i<-h s t.fands for c'o'npet i ti'7a itwpl ae;?mt5tak. ?carr..::. used parts are Racy Parts, }at:y, us t;sE;t?. Ac?c: oda cored part::s arc dw sc:r.Lbed as Raton. .t•,!As:..: +,►.z:st. r:.bcsci as Racc,rrt. KA;; hart. Ntambc,.3 and Pr.ic:e.t rxrsa �rot�x.cted tram Ha is a rr,,t,:, Vo-.m.J s�.on (�!} :.-emi.M ;.Y'lC��.Lc1t.F. m: tflllltli t:"t t.rlt:3. A prcd;,ter tl t.0 w t.Lor-matior. Services Trae::. 2 �y 14 ��.: )F` ??✓� ��. v'` ? i l -:1 FY��:v' •? 2 i. YF '•_� T `'yt .,, S - � ' l X- , : 3 EXP[ r. l �.�{ ISSUE DATE: '05f26/04 EMPLOYEE: DEANN P. NANCE SSN: XXX—XX—,XXXX GROUP: MOTHER LODE HOLDING COMPANY GROUP ID: MOTHER LODE CLAIM: 100-515-04-144411 - DEANN P NANCE INCURRED: 03/19/04 4290WILSON LN PATIENT: DEANN P. NANCE CONCORD CA 94521-1263 .. ........................ . T 1y1rd i- r.ty AdmFrr9sk'r.Yc>rs PO BOX 45018, FRESNO, CA 93718-5018 Phone: 559.499.2450 tls�t�t � c R�xSa iPI!olapo CosR� �Sr�L� �Bx Cq-ray PAS �� k�T3B CCri7� ,%2[ltVA» CC71x DISCO A,�6t�N'P .i�dott�tx... xuo UNT PCT fitd0'l7NT '' A) 03/19-03/19104 410 86.00 86.10 70 .00 .00 .00 as qQ Qd x r.' YOU HAVE SATISFIED $ .00 OF YOUR STANDARD DEDUCTIBLE gTNER.ItlSURANCE CREDITS ,d0 YOU HAVE SATISFIED $ .00 OF YOUR STANDARD FAMILY DEDUCTIBLE YOU HAVE SATISFIED $ ,00 OF YOUR PPO DEDUCTIBLE T(1TAL TAY14ENT;AMQ0N7 00 YOU HAVE SATISFIED S .00 OF YOUR PPO FAMILY DEDUCTIBLE PATIENTRESPONSIBiLITY 86.00 " Pei ANT 61iiiIEUTION ODE PAYEE - AMOUNT CI ECK iFU99ER ACCOUNT A) ELIZABETH DELANEY, MD $0.00 001528287 EMP) DEANN P.- STANCE $0.00 { F .:.4v'r:. Y F Y iii:•:•`::X,•::••i ......•...:.f::::•:•fe..�i:;.e,, ,:.• :.v:•::ti^:•};•iw::::;•:+\`1\.:k\•:\v.. ....................... ...n:o ♦�:: v:• .:::. :4. 410 PHYSICIAN—OFFICE VISIT 70 .REQUESTED INFORMATION NOT RECEIVED :A t E 3 A NEW CLAIM WILL BE INITIATED ONCE REQUESTED INFORMATION IS RECEIVED. WE ARE UNABLE TO PROCESS CHARGES UNTIL WE CAN OBTAIN THE TI3IRD PARTY LIABILITY INFORMATION FROM THE MEMBER, j THIS IS YOUR ONLY COPY. PLEASE RETAIN FOR YOUR RECORDS. 1 of 1 CLAIM + f BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION.JULY 20, 2004 Claim Against the County, or District Governed by ) the Beard 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), give. s 1115.4. ursuant to Government Code Section 913 and - � p l9Please note all"Warnings". AMOUNT: $690.00 - $722.00 COUNTY TY COU aE CLAIMANT: GREG VANIER MARTINEZ CALF , ATTORNEY: UNKNOWN DATE RECEIVED: JUNE 17, 2004 ADDRESS: 2475 SANTA BARBARA COURT BY DELIVERY TO CLERK ON: JUNE 17, 2004 BYRON, CA 94514 BY MAIL POSTMARKED: JUNE 10, 2004 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEEZI erk Dated: JUNE 17, 2004 By: Deputy H. MOM: 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 fled. 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: b ` ' ; t Deputy County Couns III. FROM: Clerk ofthe 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: "� JOHN SWEETEN, 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 deposit 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 full prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: *II JOHN SWEETEN, CLERK.By Deputy Clef Clain to: BOARD OF SUPERVISORS OF CONM COSTA CCDM INSMUCTIONS 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 §911.2•) B. Claims mmt be filed with the Cleric of the Board of Supervisors at its .office in Roam 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If claim is against a district governed by the Burd of Supervisors, rather than. the County, the rase of the District should be filled in. D. If the claim is against more than one public entity, separate claims must b-- filed efiled 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 REC El ED Against the County of Contra Costa ) JU or c I R "8DARD DE S$PERVISOR$ CO TRS co CD 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 $ (Ogo,ev -" ,06 and in support of this claim represents "as follows: I. When -lid the damage or injury occur? (Give exact date and hour) 2. Where did the damage or injury occur? (Include city and county) }( iv,;e_,7. , � � , x &x'41{ rG: <� a � ..i �_ C✓tiF_� � Z,�%1[ 3. How did the damage or injury occur? (Give full details; use extra paper if required) s3 S' >;^,c t... a- L., .>?i v. t:t �i / !•r t 1_ r':YeLC� ^-e y' am u, }'C.l 3'C: iZ-is ,` _ �'_as-. moi,'!'k•�.., Cb �}.Yi't, c:i i 4 2 i .f, fpp y# �Y a E4;.',.`fc:S 1 i r'`�..Z✓ �il (-%✓ t.. �-..�N o�f`§'c'?-/.+�� r j� �,e`k ti3si�z '--�✓Y3 ; � S t.!'G� +•'L.. 4. What particular act or omission on the part of county or district officers, servants +or .emlployees caused. the. injury or damage's ell r Z + � bJ j. Wriest are tree rames of county or district officers, servants or employees causing the da.z.ge or injury? 5. What damage or injuries do you claim resulted? (Give full extent of injuries on damages claimed. Attach two estimates for auto damage. . fE 7. How was the amount claimed above computed? (.include the estimated amount of any prospective injury or damage.) �3. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made can account of this accident or injury: DATE I"M AMOUNT Gov. Code Sec. provides: 'The claim must be signed by the claimant SEND NOTICES TO: (Attorney) orb ., some person on Is.behalf.n Name and Address of Attorney `' f y ai.rmnt Is Signature Address 5- 141 Telephone No. Telephone No. +� N O T I C E Section 72 of the Venal 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 ,bath ;such ir*risorment 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. 06/09/2004 at 04 :28 PM Job Number: 25297 VORNHA.GEN BODY AND PAINT, INC License # :AF 167121 Federal. ID # : 680466225 600 Harvest Park Dr . Brentwood, CA 94513 (925) 516-1.969 Fax: (925) 516-9166 PRELIMINARY ESTIMATE Written By: Joel Novero Adjuster: Insured: GREG VANIER Claim # Owner: GREG VANIER Policy # Address: 2475 SANTA BARBARA CT Deductible: BYRON, CA 94514 Date of Lass: Day: (925) 516-2188 Type of Loss: Point of Impact: Inspect VORNHAGEN BODY AND PAINT, INC Business: (925) 51661969 Location: 600 Harvest Park Dr . Brentwood, CA 94513 Insurance Company: Days to Repair 1999 DODG GRAND CARAVAN 4X2 ES 6-3 . 6L-FI 4D VAN PWP "VIN: 1B4GP74L3XB601888 Lic: 4DZT189 CA Prod Date: 11/1998 Odometer: 88535 Air Conditioning Rear Defogger Tilt Wheel Cruise Control Intermittent Wipers Keyless Entry Rear Wiper Body Side Moldings Dual Mirrors Privacy Glass Roof Console Fog Lamps Rear Spoiler Clear Coat Paint Power Steering Power Brakes Power Windows Power Locks Power Driver Seat Power Mirrors Anti-Lock Brakes (4) Driver Air Bag Passenger Air Bag Traction Control Cloth Seats Bucket Seats 7 Passenger Option 4TH Door Truck/Van Aluminum/Alloy Wheels _.._____-_w___________________________w__-________..._____-_______o_-________a-___ NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 1 WHEELS 2 Repl RT/Front Wheel 17x6. 6 1 282 . 00 m 0 . 3 3# VALUE STEM 1 2 . 50 T 4# TIRE MOUNT AND BALANCE 1 20 . 00 5# Repl. RT FRT TIRE MICHELIN MX4 1 189 . 27 215/60/17 6# POUR WHEEL ALIGNMENT 1 135. 00 X ------------------------------------------------------------------------------- Subtotals => 628 . 77 0 . 3 0 . 0 1 06/09/2004 at 04 : 28 PM Job Number: 25297 PRELIMINARY ESTIMATE 1999 DODG CRANK CARAVAN 4X2 ES 6-3. 8L-FI 4D VAN PWP Parts 491 . 27 Body Labor 0 . 3 hrs @ $ 70 . 00/hr 21 . 00 Sublet/Misc. 137 . 50 ---------------------------------------------------- SUBTOTAL $ 649 . 77 Sales Tax $ 493 . 77 @ 8 . 2500% 40 . 74 ---------------------------------------------------- GRAND TOTAL $ 690. 51 ADJUSTMENTS : Deductible 0 . 00 ---------------------------------------------------- CUSTOMER PAY $ 0 . 00 INSURANCE PAY $ 690 . 51 This is just an estimate of repairs, if on father 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 cause beyond our control . Nor are we responsible for any damage to car alarms and stereos ! We warrant our workmanship, including refinishing, for one year. 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=CLASS M=MECHANICAL P=PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXES? 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 INCL=INCLUDED MISC=MISCELLANEOUS NAGS=NATIONAL AUTO GLASS SPECIFICATIONS NON-ADJ=NON ADJACENT O/H=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 W1 =WITH/_ SYMBOLS: #=MANUAL LINE ENTRY *=OTHER [IE. .MOTORS DATABASE INFORMATION WAS CHANGED] **=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED TO LINE . MQVP=MANUFACTURERIS QUALIFICATION AND VALIDATION PROGRAM. Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from. the Guide DR3TE96 Database Date 4/2004 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 Repl 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, Inc. Pound sign (#) items indicate manual entries. 2 06109/2004 at 04 : 28 PM Job Number . 25297 PRELIMINARY ESTIMATE 1999 DODG GRAND CARAVAN 4X2 ES 6-3 . 8L-FI 4D VAN PWP Pathways - A product of CCC informations Services Inc, 3 06109/2004 at 11:52 AM Job Number: 17163 CASEY'S AUTO BODY INC. License #:AB220391 Federal ID #:30-001613 Quality is our Number 1 Concern 4515 O'Hara Brentwood, CA 94513 (925) 634-2211 Fax: (925) 634-7257 PRELIMINARY ESTIMATE Written by: John Mancuso # Adjuster: Insured: GREG VANIER Claim # Owner: GREG VANIER Policy # Address: 2475 SANTA BARBARA CT Deductible: BYRON, CA 94514 Date of boss: Day: (925) 516-2188 Type of Loss: Point of Fact: 1 . Right Front Inspect CASEY'S AUTO BODY INC. Business: (925) 634-2211 Location: 4515 O'Hara Brentwood, CA 94513 Insurance Coupany: Days to Repair 1999 DODG GRAND CARAVAN 4X2 ES 6-3. 8L-FI 4D VAN WHITE Int:TAN VIN: 1B4GP74L3XB601888 Lic: 4DZT189 CA Prod Date: Odomster: Air Conditioning Rear Defogger Tilt Wheel Cruise Control Intermittent Wipers Keyless Entry Rear Wiper Body Side Moldings Dual Mirrors Privacy Glass Roof Console Fog Lamps Rear Spoiler Clear Coat Paint Power Steering Power Brakes Power Windows Power Locks Power Driver Seat Power Mirrors Anti-bock Brakes (4) Driver Air Bag Passenger Air Bag Traction Control Cloth Seats Bucket Seats 7 Passenger Option 4TH Door Truck/Van Aluminum/Alloy Wheels ---------------------------_.------_--------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 1# Subl Two Wheel Alignment 1 72 . 00 X 2## Set and Measure 1 2 . 0 F 3# Tire Mount and Balance 1 18 . 50 X 4## Repl MICHELIN 215/60R17 1 125 . 00 5 WHEELS 6 Repl RT/Front Wheel 17x6. 6 1 282 . 00 m 0 . 3 --------_.----------------------_-------------------__--------------------------- Subtotals =_> 497 .50 2 .3 0 . 0 1 06/09/2004 at 11:52 AM Job Number: ;7163 PRELIMINARY ESTIMATE 1999 DODG GRAND CARAVAN 4X2 ES 6-3 . 8L-FI 4D VAN WHITE Int:TAN Parts 407 . 00 Bony Labor 0 . 3 hrs @ $ 70 . 00/hr 21.00 Frame Labor 2 . 0 hrs @ $ 85. 00/hr 170. 00 Sublet/Misc. 90 .50 ---------------------------------------------------- SUBTOTAL $ 688 .50 Sales Tax $ 407 . 00 @ 8 . 2500% 33 . 58 GRAND TOTAL $ 722 .08 ADJUSTMENTS: Deductible 0 .00 CUSTOMER PAY $ 0.00 INSURANCE PAY $ 722 . 08 This is just an estimate of repairs, if on futher inspection, additional parts or repairs are needed, you will be contacted for authorization.. We are not responsible for loss or damage from fire, theft accidents or causes beyond our control to your vehicle. Storage charges will occur 48 hours after customer is not ified that vehicle is completed . Casey's Auto Body guarantees all repairs performed on your vehicle including parts, workmanship and refinishing for a period of not less than one year from the time of completion of repairs. Defects in craftmanship or refinishing are warranteed for as long as you own your vehicle. Failure to present an Insurance estimate at time of repairs may result in additional costs to you. 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 BLVD=BLEND CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT. PRICE=UNIT PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NAGS=NATIONAL AUTO GLASS SPECIFICATIONS NON-ADJ=NON .ADJACENT O/H=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 LINE. MQVP=MANUFACTURER'S QUALIFICATION AND VALIDATION PROGRAM. 2 06/09/2004 at 11:52 A_-M Job Number 17163 PRELIMINARY ESTIMATE 1999 DGDG GRAND CARAVAN 4X2 ES 6-3 . 8L-FI 4D VAN WHITE Int:TAN Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide DR3TE96 Database Date 4/2004 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. Tilde sign (-) items indicate MOTOR Not-Included Labor operations. Non-Original Equipment Manufacturer aftermarket parts are described as AM, Qual Repl Parts or Comp Repl Parts which stands for Competitive Replacement Parts. Used parts are described as LKQ, Qual Recy Farts, 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, Inc. Found sign (#) items indicate manual entries. 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IN t• ,L..L �T f .ak,fM . .tC Y'b' Ia4}�.[pC,'(n,��y�,F„ ✓ Yrt•"' .. f Y i}rn � {yi't " .•.}•hT'' :.vJ+/ n ,d{FfR4' ' lFF00t°""'' h .v tr, oc rar}x� Y r APPLICATION TO FILE LATE CLAIM / BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION JULY 20, 2004 Application to File Late Claim } NOTICE TO APPLICANT Against the County,Routing } The copy of this document mailed to you is your Endorsements, and Board Action.) notice of the action taken on your application.by (All Section References are to ) the Beard of Supervisors (Paragraph III,below), California Government Code) ) given pursuant to Government Code Sections 911.8 and 915.4. Please note the""WARNING"below. Ire 9 57T Claimant: LIONSGATE DEVELOPMENT CORPORATION KENNETH BARKER �: } Attorney: UNKNOWN ' ` ", , t 2fu—D4 Address: P.O. BOX 408 ` ) TYCO'MSE AiAMO, CA 94507 !vi AA AT NEN CAL1R Amount: LNKNOWN By delivery to Clerk on: JUNE 1.4, 2004 Date Received: JUNE 14, 2004 By mail,postmarked on: 2QQ4 I. FROM: Clerk of the Board of Supervisors TO: County Counsel i i Attached is a copy of the above noted Application to File Late Claim. DATED: JUNE 14, 2004 JOHN SWEETEN, Clerk,By: DEPUTY 11. FROM: County Counsel TO: Cle of thiBoard if Supervisors ( } The Board should grant this Application to File Late Claim (Section 911.6). ( ��~ The Board should deny this Application to File Late Claim (Section 911.6). DATED: SILVANO B.MARCHESI,County Counsel, DEPUTY III. BOARD ORDER By unanimous vote of Supervisors present (Check one only) ( } This Application is granted (Section 911.6). This Application to File Late Claim is denied(Section 911.6). I certify that this a true and correct copy of the Board's Order entered In its minutes for this date. DATE: " OHN SWEETEN,Clerk,By: DEPUTY WARNING (Gov. Code §911.8) If you wish to file a court action on this matter,you must first petition the appropriate court for an order relieving you from the provisions of Government Code Section 945.4(claims presentation requirement).See Government Code Section 946.6. Such petition must be filed with the court within six(6)months from the date your application for leave to present a late claim was denied. 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. IV. FROM: Clerk of the Board TO: (1)County Counsel (2)County Administrator Attached are copies of the above Application. We notified the applicant of the Board's action on this Application by mailing a copy of this document,and a memo thereof has been Bled and endorsed on the Board's copy of this Claim in accordance with Section 29703. DATED: JOHN SWEETEN,Clerk,By: DEPUTY V. FR )County Counsel (2)County Administrator TO:4CIerk of the Board of Supervisors Received copies of this Application and Board Order. DATED: County Counsel, By: County Administrator,By: APPLICATION TO FILE LATE CLAIM LIONSfiATE DEVELOPMENT CORPORATION Mailing Address: R 0.Box 408, Alamo, California 94507 telephone {925} 83,-8500 Fax (925) 83 -8582 RECEIVED JUN I. 4 2004 VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED No.7003 0500 0000 4264 3631 CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. Contra Costa Board of Supervisors, and Ms Monika L. Cooper, June 10, 2004 CONTRA COSTA COUNTY, County Counsel, 651 Pine Street, Martinez, CA 94553-1229 RE: CLAIM BY LIONSGATE DEVELOPMENT CORPORATION- COUNTY LETTER OF JUNE 1,2004 - UNTIMLENESS FOR FILING THE CLAIM . Dear Board of Supervisors, and Ms. Cooper, This letter is an appeal of the determination that the subject claim was untimely filed for the following reasons; 1)Lionsgate Development Corporation only purchased the property at 2501 Warren Road, 'Walnut Creek in April 2003, and the flood damages caused by County negligence and unlawful conduct were not apparent until on or about June 1, 2003. The claim was filed on April 29, 2004, which date was within the one year time period of knowledge of the event or occurrence as required by Gov. Code Sections 901, 911.2.Therefore, the County errs. The subject claim was timely filed within eleven months of the discovery of the event or occurrence,which is within the one year claim time period allowed by law. 2) The claim includes damages caused by the County's unknown construction of a buried ten(10)inch public storm water drain pipe line(approx. 250 feet long)across 2501 Warren Road, Walnut Creek, with out an easement, or other agreement. The County's unlawful conduct constitutes the seizure of private property for public use without just compensation. This is a violation of the Fifth Amendment to the Constitution of the United States of America. Violations of the Constitution are not subject to a one year statute of limitations. 3) The claim includes damages caused by County construction of the above noted a buried ten(10)inch public storm water drainage system for public storm flow waters collected up Page No. 2 Letter to County Board of Supervisors. to a quarter of a mile from the site, and concentrated into the County Junction Box at the corner of Warren Road and Boulevard Way. The County negligently failed to maintain its Junction Box which resulted in the claimed flooding damages. The County's negligence is a tort which is not subject to a one year statute of limitations. 4)The claim includes damages caused by the County's inverse condemnation of private property improperly seized by the County for public storm drain purposes. Inverse condemnation claims are not subject to a one year statute of limitations. For the above noted reasons it is most respectfully requested that the County accept the subject claim as submitted. Not to do so would not only be an injustice, it would also rub salt in Lionsgate's severe financial wound.. Sincerely, Kenneth Barker, President, Lionsgate Development Corporation.