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MINUTES - 07252006 - C.21
CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION- JULY 25 , 2006 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 California Government Codes. you is your notice of the action taken on your claim by the Board of RSUN 2 1 2006 Supervisors. (Paragraph IV below), given Pursuant to Government Code COUNTY COUNSEL Section 913 and 915.4. Please note all AMOUNT: UNKNOWN MARTINEZ CALIF. "Warnings". CLAINIANT: NNAMDI ONWUZULIKE ATTORNEY: UNKNOWN DATE RECEIVED: JUNE 21, 2006 AMAMGBO & ASSOCIATES BY DELIVERYTO CLERK ON: JUNE 21 , 2006 ADDRESS: 7901 OAKPORT ST. #4900 OAKLAND, CA 94621 BY MAIL POSTMARKED: HAND DELIVERED FROM: Clerk ofthe Board of Supervisors TO: County Counsel - Attached is a copy of the above-noted claire. JOHN CULLEN, e Dated: JUNE 21, 2006 By: Deputy— IIClerk of the. FROM: County Counsel TO: Board of Supervisors (w)<'his 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). (v<Claini =tiinely filed. selld- rlaia4afW9 !-ighf to a 11h 1�f_ A (Wrother- 5-c-e— C n4-w Coonlwlt raendisqq s7jr�4vn_4 /x�, e-balin_ nn4ir.,a Coo'? I q,7d Q n eeeS r_10Sr-,KL,,1'C e C104 _11e e f-h n 0"07 v«/ti he'l i'z'.0-Awy. Dated, By: f'l*"?0ten_ Deputy County Counsel IR FROM: Clerk of theBoardTO: County Counsel (1) County Administrator(2) O Claim was returned as untimely with notice to claimant (Sectiori 911.3). IV. DOARD 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 JA4kHN CULLEN, CLERK, By Deputy Clerk WARN 6 ov. code section 913) Subject to certain exceptions,you have only six(6)mouths from the date this notice was personally served or deposited in the mail to file court action on this Claim.See Government Code Section 945.6.You may seek the advice or an attorney of your choice in conliectiou with this matter. If you want to consult an attorney,you should do so itninediately. *For Additional Warnhig See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of per 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 Atartinez, California, postage fully prepaid .4 certified copy of this Board 01-deralld Notice to Cfaimmit, addressed to the claimant as sljoivij above. C72!o;.1 Date( IO.HN CULLEN, CLERK By Deputy Clerk ` OFFICE OF THE COUNTY COUNSEL ��_ SILVANO B. MARCHESI COUNTY OF CONTRA COSTA �r' =__�� COUNTY COUNSEL Administration Building 651 Pine Street, 91" Floor c `�� SHARON L. ANDERSON Martinez, California 94553-1229 _ CHIEF ASSISTANT (925) 335-1800 GREGORY C. HARVEY �� _° �.,��ipg1\ �=� :� (925) 646-1078 (fax) ®�,�� a� ©� VALERIE J. RANCHE ASSISTANTS COU% STATUTORY WARNING PURSUANT TO GOVERNMENT CODE SECTION 911.3 TO: Nnamdi Onwuzulike c/o Amamgbo & Associates 7901 Oakport Street, #4900 Oakland, CA 94621 RE: CLAIM OF NNAMDI ONWUZULIKE Please Take Notice as Follows: The claim you presented to the Contra Costa County Board of Supervisors on June 21, 2006 was reviewed by the County Counsel. The portion of the claim prior to December 21, 2005 was not presented within six months after the event or occurrence as required by law. Because you allege a continuing violation of the claim, the claim is "timely on its face" and will be reviewed and acted upon by the Board of Supervisors within the statutory time period. To preserve the rights of the County, its departments and employees to challenge the validity of your continuing violation claim, you are warned pursuant to statute that, if your continuing violation argument is improper, your claim is late and is being returned because it was not presented within six months after the event or occurrence as required by law. (See Gov. Code, §§ 901, 911.2.) Because the claim may not have been presented within the time allowed by law, we warn you that, to preserve your right in the event you claim is determined to be late, you only recourse at this time is to apply without delay to the Contra Costa County Board of Supervisors for leave to present a late claim. (See Gov. Code, §§ 911.4 to 912.2, inclusive, and 946.6.) Under some circumstances, leave to present a late claim will be granted. (See Gov. Code, § 911.6.) SILVANO B. MARCHESI COUNTY COUNSEL By: Monika L.L. Cooper Deputy County Counsel Page 1 CERTIFICATE OF SERVICE BY MAIL (Code Civ. Proc., §§ 1012, 1013a, 2015.5; Evid. Code, §§ 641, 664) I am a resident of the State of California, over the age of eighteen years, and not a party to the within action. My business address is Office of the County Counsel, 651 Pine Street, 9th Floor, Martinez, CA 94553-1229. On 4"b I served a true copy of this Notice of Untimeliness as to a Portion of the Claim by placing doc ent in a sealed envelope with postage thereon fully prepaid, in the United States mail at Martinez, California addressed to Nnamdi Onwuzulike, c/o Amamgbo & Associates, 7901 Oakport Street, 94900, Oakland, CA 94621, as set forth above. 1 am readily familiar with Office of County Counsel's practice of collection and processing of correspondence for mailing. Under that practice, it would be deposited with the U.S. Postal Service on that same day with postage thereon fully prepaid in the ordinary course of business. I declare under penalty of perjury under the laws of the State of California and the United States of America that the above is true and correct. Executed on 7 ZG, at Martinez, California. Kathleen O'Connell cc: Clerk of the Board of Supervisors(original) Risk Management I:\TORT\RISK-MGT\CLAIMS\Statutes\Onwuzulike.wpd Page 2 '05/23/2006 10:33 CONTRA COSTA COUNTY CLERK OF THE 4 915106156025 NO.160 1701 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. A claim. relating to a cause of action for death or for injury to person or to personal property or growing crops shall be presented not later than six months after the accrual of the cause of action. A claim relating to any other cause of action shall be presented not later than one year after the accrual of the cause of action. (Gov. Cods § 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 governedby 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.. I RE: Claim By: Reserved for Clerk's filing stamp N/NAAA b i ON IMUZ t� L I K E j JUN � Against the County of Contra Costa or ) 2 1 2006 CLERK BOA�IRp OJ-8 UPERV{SORS Pik P,L!C ��F F-n//]112 District) corvrRA cosr�ca. (Fill in the name) ) DAViE) CDi_E!MAtV =7 ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$ V tlvi,�l and in support of this claim represents as follows.- I. ollows:1. When didthe damage or injury occur? (Give exact date and hour) L2 30— Oj2. Where did the damage or injury occur? (include city and county)MAkT iNF7—.CbN T KA OZSTA OA U NTy J 3. How did the damage or injury occur? (Give full details; use extra paper if required) 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? See. 5 What are the names of county or district officers, servants,or employees causing the damage or injury? 'DA V i D Co LC M AIN .05/23/2006 10:33 CONTRA COSTA COUNTY CLERK OF THE 4 915106156025 NO.160 P02 6. What damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) i_P7A M A T 10 N cS t-�= 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses,doctors,and hospitals: 9. List the expenditures you made on account of this accident or injury: DATE TIME AMOUNT NfNf�NNN�rsr�Nr■rrrrrrrrrrrrr�r�rr��rrrrrFrM�•■rrrrrrrrrr■■■■■■■rrrrrrrr�r■■■■■r�rrri ) Gov'. Code Sec. 910.2 provides "The claim shall be ) signed by the claimant or by some person on his behalf.,, SEND NOTICES TO: (Attorney) ) Name and address of Attorney ) (Claimant's Signature) ) .Coddress) �,�� ��D/ /o f Telephone No. ) Telephone No. 510 — 4015 — (�,0O O ■rr�rrNrNrrrrNfNrN�rr�rrfrf���r�■■rrrrrrrrrrrrrrr�r�r■■rrrrrarrrrrorrrrr■■■■■■■rNfrr� PUBLIC RECORDS NOTICE: Please be advised that this claim form, or any claim filed with the County under die Tort Claims Act, is subject to public disclosure under the California Public Records Act. (Gov. Code, §§ 6500 et seq.) Furthermore, any attachments,add.endums,or supplements attached to the claim form, including medical records, are also subject to public disclosure. NrNfffrrr�r■■■■••rrrrrrrrrNrrrrr■r■■■■•■■rrrrNrrrrrrr�rr■■■■■■■■rrrrfffrrffrr■■rrr�r� NOTICE: Section 72 of the Penal Code provides: Every person who, with intent to defraud, presents for allowance or for paynient 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 dollars ($1,000.00), or by both such imprisonment and fine, or by imprisonment in the state prison, by a. fine of not exceeding ten thousand dollars ($10,000),or by both such imprisonment and fine. Nnamdi Onwuzulike 2464 Taylor Way Antioch, CA 94531 February 16, 2006 Gilbert Ruiz Chair Merit Board Contra Costa County 651 Pine Street 3Td Floor. Martinez, CA 94553 Dear Mr. Ruiz: In the Merit Board meeting of January 24, 2006, I was instructed by the Merit Board to state clearly in writing how I was discriminated against by the Public Defender. In addition to what I have stated to the Board on January 24, 2006 and previously presented to the Merit Board in writing, I offer the following statement: During my first year and a half of work as a temporary employee,based upon my job performance and much praise for my work by the attorneys and staff whom I was assisting,the Public Defender,David C. Coleman,personally promised that he would seek to create a permanent position for me, which didn't happen until two years after he made that promise. I was eventually given a permanent job in the same position of Network Administrator in May 15, 2005 to provide the same work I did as a temporary Network Administrator, I worked in this permanent position for six months and provided excellent professional service to the department. Since being made a permanent employee I have never been given a negative evaluation regarding my job. However, during my years of service with the Public Defender's Office, on several occasions, the Public Defender, David C. Coleman,personally told me that he had noticed that I had developed many friendships in the office. Mr. Coleman said that this bothered him, adding that these friendships would not add any value to my employment in the office because nobody really cares about me and that he holds all the marbles in the Public Defender's office. In addition, he reminded me that this is not my country,Nigeria is, and advised me to go to my Nigerian community and develop friendships where I would be better served. Mr. Coleman said that in his country(the United States of America),things worked differently and that if I wanted any future in this job, I need to accept his terms of the employment. Mr. Coleman made this last comment to me after I was made a permanent employee in the Department during a conversation we had about another employee who also worked with the computer system in the department. I believe I was discriminated against by the comments David Coleman made about my national origin,the country of Nigeria, and terminated from my employment based upon this expressed bias against my national origin. Prior to my termination from employment with the county I worked in the Public Defender's Office for a total of four years and one month. Before becoming a permanent employee of the County I worked in the Public Defender's Office for three years and six months as a temporary Network Administrator. During that period, I fulfilled my assignment and managed the department's computer network in three different office locations. I migrated the department's network from Windows NT to the Windows 2000 Active Directory network,provided high-level technical support to users, setup and configured all the file/print servers and desktops for all the attorneys and staff in the office network, setup and configured digital imaging servers, setup and configured the terminal server, setup new desktops across the network and created and managed computer and user accounts. I created all desktop images for different computer hardware and upgraded the operating system on all user computers from Windows NT to Windows XP Professional in the three Public Defender office sites. In addition, I was responsible for recommending specifications for hardware purchases, troubleshooting network connectivity issues, documenting critical network and systems information, configuring wireless connectivity, managing backup and the disaster recovery and business continuity process, and providing responsive desktop support in the three Public Defender office sites (Martinez, ADO and Richmond). During the four years and one month that I worked in the Public Defender's Office, I was never given any performance evaluation that indicated that I wasn't doing my job well. So I was shocked when David Coleman announced to me on Friday,November 18, 2005, in his office, that he didn't think that my employment in the Public Defender's Office was working out well. During that meeting Mr. Coleman added that he thought that I was having lots of problems integrating into the culture of the department and had come to the conclusion that my probationary period was not working out well. In addition,he said I had been linked to missing items in the office and fraudulent charges on the credit of employees, saying that it"bordered on trust"and later advised me to resign quietly so that I didn't suffer more than it is necessary. I denied to him that any of this was true and told him that I had not taken anything from anyone in the office. Additionally,when I asked for the specifics of the allegations,he declined to provide me any explanations, saying he will only provide details if he is pushed to do so. Before I left his office,he took away my key to the building and my official cell phone, asked me to leave the building and told me he was placing me on a two-week admin leave without further explanation. On Tuesday,December 13,2005,David Coleman requested that I come to his office. At that time he announced to me that he has decided to terminate my employment with County of Contra Costa on December 30, 2005 without any further explanation. Based upon the foregoing, I believe that I have been treated extremely poorly after four years of dedicated service to the Public Defender's Office. I assert that I have been discriminated against by the expressed and implied bias of the Public Defender through the words he has stated to me during my employment and the action he has taken terminating my employment. I am completely innocent of stealing from anyone in the department. Therefore, I would like to contest and appeal this termination and ask that my job be restored so I can go back to work as soon as possible. I assert my termination was made without just cause. I am prepared to sign a statement under oath that I have stolen nothing, and I am also willing to submit to a polygraph test to clear my name, if necessary. Thank you, Nnamdi Onwuzulike Network Administrator Public Defender's Office (925) 778 7503 (Home) CLAIM41 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY 67, 041 BOARD ACTION:JULY 25, 2006 Clairn Against the County, or District Governed by the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action. All Section referOnces are to The copy of this document mailed to California Government Codes. you is your notice of the action taken on your claim by the Board of R!UN 2 2 2006 Supervisors. (Paragraph IV below), given Pursuant to Government Code COUNTY COUNSEL Section 913 and 915.4. Please note all AMOUNT: $500,000 .00 MARTINEZCALIF. "Warnings". TIANA REACHA CLAWSON, a minor CLAIMANT! by and through her guardian ad litem, CINDY SELTMAN ATTORNEY: MICHAEL PETER S EMANSKy DATE RECEIVED-. JUNE 22, 2006 ADDRESS: SEMANSKY LAW FIRM BY DELIVERY TO CLERK ON: JUNE 22 , 2006 535 MAIN STREET, THIRD FLOOR MARTINEZ, CA 94553 BY MAIL POSTMARKED: HAND DELIVERED FROM., Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JUNE 22 , 2006 JOHN CULLEN, r Dated: By: Deputy--, If. FROM: County Counsel TO- Clerk of the Board of Sup'e-rvisors 44"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). Clairn is not timely filed. The Clerk should return clairn 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). O Other'. AA Dated: .3- of By Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) Clairn was returned as untimely with notice to claimant (Section 911.3). tv IwARD ORDER: By unanimous vote of the Supervisors present: V' This Clairn 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- OW OJOHN CULLEN, CLERK, By DeputyClerk of WARM?W(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,rile a court action on this claim.See Goveniment Code Section 945.6.You may seelt the advice of an attoilley of your choice in connection with this matter. N you want to consult an attoniey,you should do so immediately. *For Additioual Warring See Reverse Side of'"ifs Notice. AFFIDAVIT OF MAILING I declare under- penalty of pet jul-y (lint I ain now, and at all times herein mentioned, have Been a citizen of the United States, over age .18: and that today I deposited iii the United StalesPoslat Service in Martinez, Califfirida, postage fully prepaid 9 certified copy of this tionud Order mid Notice to Claimant, addressed to the C110111.111t as S1101VII above. Date(! IOVIN CtXLER CLERK By Deputy Clerk BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. A claim relating to a cause of action for.death or for injury to person or to personal property or growing crops shall be presented not later than six months after the accrual of the cause of action. A claim relating to any other cause of action shall be presented not later than one year after the accrual of the cause of action. (Gov. 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. moon memos ml RE: Claim By: Reserved for Clerk's filing stamp TIANA REACHA CLAWSON, a Minor, by and ) through .her guardian ad .liem, Cindy ) Against the County of Contra Costa or 'e man ) L/V/V District) ctk2006 (Fill in the name) ) o Rq opsU� CCSTy CpR��So�S The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$ 500,000.00 and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) 3/25/06, 9:03 a.m. 2. Where did the damage or injury occur? (Include city and county) Alves Lane, 40 feet north of Water Street, unincorporated area of Delta Superior, Contra Costa County, California. 3. How did the damage or injury occur? (Give full details; use extra paper if required)Claimant was walking and riding her stakeboard on the Delta de Anza Regional Trail, heading from west to east crossing Alves Lane. A motorist struck claimant. 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? The County failed to have any signs in the direction of travel of the motorist who struck claimant, did not have any warning signs for motorists driving north on Alves Lane approaching the regional trail. 5 What are the names of county or district officers, servants, or employees causing the damage or injury? Unknown l r 6. What damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed, Att*htwo estimates for auto damage. Fractured left wrist, fractured right orbital rim, acia scarring, concussion, hea trauma, neck and back injuries, eye damage, shock and emotional trauma. Medical specials approximately $125,000.00 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injuryor damage.) Medical bills 8. Names and addresses of witnesses, doctors,,and hospitals: John Muir Medical Center, Kaiser Permanente 9. List the expenditures you,made on account of this accident or injury: DATE TIME AMOUNT ) Gov. Code Sec. 910.2 provides"The claim shall be ) signed by the claimant or by some person on his behalf." SEND NOTICES TO: (Attorney) ) Name and address of Attorney ) Michael Peter Semansky, Esq. (Claimant's Signature) Semansky Law Firm 535 Main Street, Third Floor ) Martinez, CA 94553 ) 1092 Shoreview Drive (Address) Bay Point, CA 94565 Telephone No. )Telephone No. (925) 458-3191 ■................................................e...■.............o................1 PUBLIC RECORDS NOTICE: Please be advised that this claim form, or any claim filed withthe County under the Tort Claims Act, is subject to public disclosure under the California Public Records Act. (Gov. Code, §§ 6500 et seq.) Furthermore, any attachments,addendums,or supplements attached to the claim form, including medical records, are also subject to public disclosure. ■.......t...\.\..\..........................\............t man O■...■1 NOTICE: Section 72 of the Penal Code provides: Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city, or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account voucher, or writing, is punishable either by imprisonment in the County jail for a period of not more than one year, by a fine of not exceeding one thousand dollars ($1,000.00), or by both such imprisonment and fine,,or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000), or by both such imprisonment and fine. CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION- JULY 25,_ 2006 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action. All Section referenc ta. The copy of this document mailed to California Government Codes. ou is your notice of the action taken JUN 2 3 2-006 B-11 your claim by the Board of , Supervisors. (Paragraph IV below), COUNTY COUNSEL given Pursuant to Government Code AMOUNT: $629 .21 MARTINEZ CALIF. Section 913 and 915.4. Please note all "Warnings". CLAIMANT: PLACER COUNTY SHERIFF CORONER-MARSHALL BY: EDWARD N. BONNER JUNE 23, 2006 ATTORNEY: UNKNOWN DATE RECEIVED MAIN OFFICE ADDRESS: P.O. BOX 6990 BY DELIVERY TO CLERK ON: JUNE 23, 2006 AUBURN, CA 95604 BY MAIL POSTMARKED: JUNE 23 � 2006 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JUNE 23 � 2006 JOHN CULLEN Dated: - By: Deputy 11. FROM-. County Counsel TO: Clerk of the Board of SdpeFvis'ors (Vy"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 ou 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). O Other Dated: By: Deputy County Counsel 111, FROM: Clerk or the Board TO: County Counsel (1) County Administrator(2) O Claim was returned as untimely with notice to claimant (Section 911.3). IV BOA" 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. HN CULLEN, CLERK, By Deputy Clerk WIN (Gov. code section 91-3) Subject to certaiu exceptions,you have only six(6)months from the date this notice was personally served or deposited hi the mail to file court action on this claim.See Government Code Section 945.6.You may seek the advice of air attorney of your choice in connection with this inatter, If you want to consult an attoniey,you should,do so immediately. *For Additional War nhig See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty or per 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 Posial Service in Martinez, California, postage fully prepaid a certified copy of this Maud Order and,Nofice to Claimmit, addressed to the claimant as shown above. Dated 10.1-IN CULLLN, CLERK By Deputy Clerk �RPLACER COON SHERI IA' �co� CORONER-MARSHAL TAR � .L MAIN OFFICE TAHOE SUBSTA ON pl"9CER CO P.O.BOX 6990 DRAWER 1710 AUBURN,CA 95604 TAHOE CITY,CA 96145 EST. 1851 ,S`H E R F F PH:(530)889-7800 FAX:(530)889.7899 PH:(530)581.6300 FAX:(530)581-6377 EDWARD N.BONNER STEPHEN L.D'ARCY SHERIFF-CORONER-MARSHAL UNDERSHERIFF CLAIM AGAINST THE COUNTY OF CONTRA COSTA Board of Supervisors County of Contra Costa 651 Pine St. Martinez,CA 94553 Re: Case Number.SO-06-810 The Placer County Sheriff's Department files this claim of$629.21 for reimbursement under Government Code 26614.5 for Search and Rescue expenses. Victim: Vida,Thomas John 3090 Fostoria Cir Danville,CA 94526 How search occurred: Became lost while skiing due to poor visibility Expenses: $729.21 100.00 Deduction pursuant to G.C.26614.5 $629.21 Report and expense sheets are attached. Please make the check payable to County of Placer County Sheriff's Department, Attn:Accounting Department,P.O.Box 6990,Auburn,CA 95604. Sincerely, Edward N.Bonner Sheriff—Coroner-Marshal i Placer County Sheriffs Search & Rescue Expense Summary Vida, Thomas Jon S006-810 01/17/06 Sugar Bowl Sid Area — Soda Springs, CA Contra Costa County Food & Beverage: Raley's $ 65.82 Steve Twomey Robert Wright Doug Reed Bill Healy Russ Viehmann Dirk Schoonmaker Mike Bennett Jimmy Smith Sarah Lagano Scoop Remineh Bernie Miller TJ Johnson Mark Johnson Officers Wages: Dep. David Hunt 8 hrs. @$69.83 $558.64 Dep. Bob Bumpus 1.5 hrs. @ $69.83 $104.75 OVERALL TOTAL $ 729.21 PLACER COUNTY SHERIFF'S DEPARTMENT 4) RECORD TYPE MISSING PERSON REPORTING ERIN (check type whichbest descxibes) ❑ Runaway Juvenile ❑ Voluntary Missing Adult 3 1) Check One: [ADULT ❑. JUVENILE ❑ Parental/FamilyAbduction • ❑ Non-Family Abduction 2), Reporting Agencyr4 T1 01 e4t f V-' 3) ORI ❑ Stranger Abduction ❑ Dependent Adult 5) Case#-SU0 Lost Catastrophe 6) Doi# 'Q� 7) NCIC#/YI 7d'`��l / '° ❑ Unknown Circumstances 8) CATEGORY: X At Risk ❑ Prior Missing ❑ Sexual Exploitation Suspected lJ 9) Name 1l1 DR,:?:?26, Jd S ;bl`fr) Date/Time Missing 111130 }� 10) Alias 1 Alias 2 1 11} 12) 13) 14) 15) EYE 16) HAIR 17) DATE OF 4GENDER RACE HGT. WGT. COLOR COLOR/LENGTH BIRTH Male W ❑ C ❑ BLK ❑ HAZ ❑ BLK ❑ RED ❑ H ❑ J ❑ BLU ❑ MAR ❑ BLN ❑ SDY ❑ Female ❑ B ❑ F /Q r3 9 BRO ❑ PNK BRO ❑ WHT 7-/9'73 ❑ Unknown ❑ 1 ❑ O ❑ GRY ❑ MUL GRY ❑ XXX ❑ X ❑ GRN ❑ XXX L9ngth, ilk 18).Residence AddresS/2,6© ,,► J� r7 • CitY/, c._A1,A)Ur a<�ek 19) Location Last SeenlO'T,C&Jgl W ,' Syc A*-t Probable Destination Kerr< Known Associates AA1Zav4 ., ,�"Ow S J 21) Mental Condition 22) SS# Cil# FBI# DL# rt, 23) Photo Available: ❑ Yes A No Age in Photo Photo/X-Ray Waiver Release Signed: ❑ Yes ❑ No (Attach Fhatn) 24) Scars/Marks/Tattoos (locate/describe)•Cyk.%,477-7/ff/2,91 25) Skeletal X-Rays Available: ❑ Yes Q"No; Broken Bones/Missing Organs: Al 26) Dental X-Rays Available: ❑ Yes £f No; (Attach Chart and X-Rays) Dentures: ❑ Upper ❑ Lower ❑. Full ❑ Partial 27) Visible Dental Work A)-4 28) Dentist's Name tzAt _h- Phone 29) Glasses ❑ Contact Lens A Clothing Description/Size K,o0cj r Xd4Kg-Rza ezi 30) Jewelry Description 31) It Vehicle Involved: ❑ S ❑ MP Lic.# Make Model Year . 32) If abduction, did abduction involve movement of missing person in the commission of a crime? ❑ Yes ❑ No 33) Suspect Name DOB 34) Relationship to Victim Warrant# 35) Reporting Party Z &d�y Phone M§'_360_11417 36) Relationship to Missing Person / 4e.-I.3 Date Reported / /?-6 6 37) Additional InformationAV,0 W+.s -A)6 401rrk- ,0 3 613 ?• .Gr f�Ctt��t1'� 61f,- Z4,4 g,- r t•t T �a?i'o e,4 i eF A_c tl� s ,telcw ee 46s f 38) Reporting Officer/Agency Contacts ,p '�f S /� Phone -� 9/93 PLACER COUNTY SHERIFF /CORONER'S DEPARTMENT VALUE LOSS CRIME - INCIDENT REPORT REPORT'NUMBER $ GEO CODE 269 CONNECTED REPORTS h *_ SECTION F M CRIME TITLE A r INCIDENT SEARCH AND RESCUE B C D LOCATION OF OCCURRENCE M0. I DAY I YR. I TIME MO. DAY YR, TIME SUGAR BOWL SKI AREA REPORTED 1 1171061 1750 OCCURRED 1 17 06 1430 SODA SPRINGS, CALIFORNIA 1 17 6 1750 IYIP NAME(LAST,FIRST,MIDDLE)FIRM IF BUSINESS RACE SEX AGE HT. WT. HAIR BIRTHDAY A B C D X11! VIDA'THOMAS JON W M 32 510121 R 7/16/1963 X ADDRESS CITY RESIDENCE PHONE BUSINESS PHONE 'RES. 3090 FOSTORIA CIRCLE, DANVILLE, CA. 94526 925-973-0573 925-933-7800 OCCUPATION VICTIM'S VEHICLE(YEAR,MAKE,MODEL,LICENSE NUMBER) BUS GROGANS BAR AND GRILL IP NAME(LAST,FIRST,MIDDLE) RACE SEX AGE HT. WT. HAIR BIRTHDAY A B C D GAINES' HOLLY ANNE _ W I F 125 509111341BI-14 4/16/1981 I X ADDRESS i, CIT/ RESIDENCE PHONE BUSINESS PHONE RES. 2406 WEST CLIFFE LANE;WALNUT CREEK, CA.94597 925-256-8107 925-939-3000 P.O. OCCUPATION VICTIM'S VEHICLE(YEAR,MAKE,MODEL,LICENSE NUMBER) BUS JOHN MUIR MEDICAL CENTER NURSE RP NAME(LAST,FIRST,MIDDLE) ARRESTED YES NO MIRANDA YES NO A B C D PETERS,ARRON RICHARD I X I I ix I X ADDRESS I CITY RESIDENCE PHONE BUSINESS PHONE RES. 3090 FOSTORIA CIRCLE, DANVILLE, CA.94526 925-973-0573 925-933-7800 P.O. SCHOOL IF JUVENILE OCCUPATION 'Bus GROGANS BAR AND GRILL RACE SEX AGE DATE OF BIRTH HT. WT. HAIR EYES CLOTHING W M 125111-14-198116031195BRO BLU ADDITIONAL DESCRIPTION (1)TATTOO (2)MARKS&SCARS (3)HAIR TYPE (4)FACIAL HAIR (5)TEETH (6)SPEECH (7)COMPLEXION SUSPECT VEHICLE LICENSE NUMBER STATE MANUFACTURE MAKE MODEL YEAR COLORS TOP - BOTTOM CHARACTERISTICS (1)DAMAGE (BODY,WINDOWS,INTERIOR,REPAIRS) (2)CUSTOM WHEELS (3)INTERIOR DESCRIPTION DESCRIBE CHARACTERISTICS OF PREMISES AND AREA WHERE OFFENSE/INCIDENT OCCURRED SKI AREA/RESORT DESCRIBE WEAPON-INSTRUMENT-EQUIPMENT-TRICK-DEVICE OR FORCE USED MOTIVE-TYPE OF PROPERTY TALEN OR OTHER REASON FOR OFFENSE HAT DID SUSPECT SAY-NOT PECULIAITIES GIVE A BRIEF SYNOPSIS AND BEGIN INVESTIGATION ON CONTINUATION REPORT (MP)Vida reported missing by(RP)'friend Peters. Peters last saw his friend on the east side of Mt- Lincoln as they exited the ski lift with another friend, (IP) Gaines. PCSO Search and Rescue Team Members conducted a search of the area and subsequently located (MP)Vida out of bounds near Cold Stream Canyon. (MP)Vida was in good medical condition and stated he had got lost due to poor visibility. RESPONDING OFFICER(S) REPORTING OFFICER 'IAPP OVIIdG OFFICER=TITLE ;10D. Hunt/Bumpus/ McNamma D. Hunt ,4�sa y J i'( � ) .�'` f .. PLACER COUNTY SHERIFF / CORONER DEPARTMENT ADDITIONAL INDEXING REPORT NUMBER S006-,-81& . , CONNECTED REPORTS VICTIM- VIDA, THOMAS JOHN SECTIONM CRIME TITLE E F G H ADDITIONAL VICTIMS / REPORTING PERSON /SUSPECTS NAME(LAST,FIRST,MIDDLE) ARRESTED YES NO MIRANDA YFS NOA 8-[-C D IP PHOUNG, DAVID X-1 XI X ADDRESS CITY RESIDENCE PHONE BUSINESS PHONE RES. 3030 FOSTORIA CIRCLE, DANVILLE,CA 94526 925-973-0573 925-933-7800 P.O. SCHOOL IF JUVENILE OCCUPATION BUS N/A I N/A RACE SEX AGE BIRTHDATE HT. WT. HAIR EYES CLOTHING A I M 1 2 1 7 74:. 508 1 165 BLK I BRO ADDITIONAL DESCRIPTION (1)TATTOO (2)MARKS&SCARS (3)HAIR TYPE (4)FACIAL HAIR (5)TEETH (6)SPEECH (7)COMPLEXION NAME(LAST,FIRST,MIDDLE) ARRESTED YES NO MIRANDA YES NO A B C D ADDRESS CITY RESIDENCE PHONE BUSINESS PHONE RES. " SCHOOL IF JUVENILE OCCUPATION BUS RACE SEX AGE BIRTHDATE HT. WE. HAIR EYES CLOTHING ADDITIONAL DESCRIPTION (1)TATTOO (2)MARKS&SCARS (3)HAIR TYPE (4)FACIAL HAIR (5)TEETH (6)SPEECH (7)COMPLEXION NAME(LAST,FIRST,MIDDLE) I ARRESTED YES NO MIRANDA YES NO A B C D ADDRESS CITY RESIDENCE PHONE BUSINESS PHONE RES. P.O. SCHOOL IF JUVENILE OCCUPATION BUS RACE SEX AGE BIRTHDATE HT. WT. HAIR EYES CLOTHING ADDITIONAL DESCRIPTION (1)TATTOO (2)MARKS&SCARS (3)HAIR TYPE (4)FACIAL HAIR (5)TEETH (6)SPEECH (7)COMPLEXION ADDITIONAL VEHICLES LICENSE NUMBER STATE MANUFACTURE MODEL YEAR COLORS TOP - BOTTOM CHARACTERISTICS (1) DAMAGE (BODY,WINDOWS,INTERIOR,REPAIRS) (2)WHEELS(CUSTOM) (3)INTERIOR DESCRIPTION LICENSE NUMBER STATE MANUFACTURE MODEL YEAR COLORS TOP - BOTTOM ( ) )INTERIOR DESCRIPTION --�, 4,,., PLACER COUNTY SHERIFF'S DEPARTMENT SEARCH & RESCUE SIGN IN LOG S.A.R. UNIT: PCSO NO:O. E.S. NO: DATE: / ' '� !. OPS PERIOD TIMES: to INCIDENT NAME: �FCzZ" LOCATION SEARCH &RESCUE [r TRAINING [ ] ADMIN. [ ] MAINT. [ J EVIDENCE [ ] TIME IN STARTS ON DATE LISTED ABOVE (Do not exceed 24 hours per page) ID # NAME (Last,First M. ) UNIT TIME IN TIME OUT HOURS lltwol f ( 2 ( 1 p` ' / 3 �.� �� r 1 5 ✓�1� S ^/"�aC�VZ 1 C1 z ' '� -1 j rte•-•-, �' t�(6�gc, � aB�C �2 o Ili �?. � �� 8 JAM/, Ll )10 .12 13 14 15 16 17 18 19 20 TOTAL .!-TOURS THIS. PAGE': �1 Reporting Officer Supervisor White = Recorder/Report Yellow = Finance Pink = Plans Police Call 0060103484 Page I of 4 Detailed History for Police Call #P060103484 As ®f 1/18/2006 01:01:25 Priority:3 Type:SAR-SEARCH& RESCUE Location:SUGAR BOWL,TR at 800 MULE EARS DR,TR LocCross:btwn PENNYROYAL LN and DEAD END Created: 01/17/2006 17:06:57 PDO] 531600 Entered: 01/17/200617:10:41 PDO] 531600 Dispatch: 01/17/2006 17:24:48 PD05 S31059 Enroute: 01/17/2006 17:26:56 M047 556580 Onscene: 01/17/200618:50:38 TD02 531089 Transprt: 01/18/2006 00:02:50 TD02 531089 Complete: 01/18/2006 00:59:12 TD02 S31089 Closed: 01/18/2006 01.00:07 TD02 531089 PrimeUnit:62I11 Dispo:RT Type:SAR-SEARCH&RESCUE Name:FRANK,MARSHAL Phone:530-426-6759 Address: Agency:SO Darea:ST1(SA1)Beat:EDWRD Block:269 Case#:SO060000810 F.i Detail 17:06:57 CREATE S31600/PDO1 Location:SUGAR BOWL,TR Type:MPR Name:FRANK,MARSHAL Phone:530-426-6759 Darea:SA1 Area:269 Type Desc:MISSING PRSN RPT Infwat 800 MULE EARS DR,TR LocCross:btwn PENNYROYAL LN and DEAD END Priority:4 ResponseACSO Agency:SO Map:014H5 LoeType:C 17:10:41 ENTRY TypeDese:MISSING PRSN RPT-->POSS SAR Coin ment:MISSING SNOWBOARDER BIDA,THOMAS 31 YRS.LS APPORX 1400.HE AND 3 OTHER SNOWBOARDERS WERE SKING ON ROLLER PASS AND GOT SEPARATED. 17:10:41 -PREMIS Comment:FPR,PPR 17:11:12 SELECT S31059/PD05 17:11:20 NOMORE S31600/PD01 17:12:18 MISC S31059/PD05 Comment:PER SGT SNEED CONTACT SGT THOMAS 17:12:23 VIEWED 17:13:05 MISC S98670/PD02 Comment:MSG LEFT ON CELL FOR SGT THOMAS,WILL TRY HOME 17:13:28 MISC Comment:THOMAS PAGED 17:15:17 MISC S31059/PD05 Comment:6134 ADVD TO 10-21 DISPATCH 17:15:38 MISC S98670/PD02 Comment:MSG LEFT AT HOME FOR SGT THOMAS 17:18:16 MISC Comment:TRYING TO CALL SGT WELLS,NO ANSWER ON CELL,LEFT MSG ON HOME PHONE 17:19:25 MISC S31059/PD05 Comment:6134 ADVD PENDING 17:19:52 MISC Comment:ATC SGT THOMAS VIA RADIO UTL 17:21:03 MISC S98670/PD02 Comment:10-39 TORNBERG,CALL STEVE PARK,OR PAUL LONG AND HAVE THEM HANDLE 17:21:52 MISC Coin ment:PER TORNBERG,WELLS IS OUT OF TOWN 17:22:41 MISC Comment:MSG LEFT ON PARK'S HOME MACHINE 17:24:13 MISC Comment:MSG LEFT ON PARK'S CELL PHONE 17:24:48 DISP S31059/PD05 1113.4 Operator:S56580 OperNames:ROSSO, MARK 17:24:48-PRIU 6134 17:25:35 MISC S98670/PDO2. Com in en t:MSG LEFT ON LONG'S HOME MACHINE 17:26:56 *ENRTE S56580/MO47 0134 17:28:10 MISC S98670/PD02 Comment:MSG LEFT ON SEIPERTS CELL 17:28:56 MISC Comment:MP DOES NOT HAVE HOME PHONE,ONLY CELL, ITS BEEN CONFIRMED THAT CELL IS STILL IN THE LOCKED VEH IN THE Police Call 0060103484 Page 2 of 4 P/LOT THAT THE MP HAS THE KEYS FOR 17:34:15 MISC Comment:PER TORNBERG HAVE TAHOE START ONE OF THEIR COORDINATORS BECAUSE THEY ARE CLOSER AND THEN START ONE FROM FH AS THE SECONDARY AND TO TAKE IT OVER. 17:38:39 MISC Comment:MSG LEFT FOR MEEH ON CEL PHONE,HOME LINE IS 10-6 17:44:45 MISC Comment:MCNAMA IS AT K9 TRAINING IN ROSEVILLE HE WOULD HAVE APPROX 2 1/2 HR ETA,WILL RESPOND IF NO ONE ELSE CAN BE REACHED 17:46:44 MISC 531059/PD05 Comment:PER LT TORNBERG SEND 6631 BY DEPUTY MEEH'S RES TO ADV HIM OF THE SAR CALLOUT 17:46:52 MISC S98670/PD02, Comment:MEEH PAGED 17:47:08 MISC 531059/PD05 Comment:10-39 HUDSON PER PD02 17:47:12 MISC 598670/PD02 Comment:66314HUDSON GOING BY MEEHIS HOUSE TO SEE IF HE IS THERE 17:49:08 MISC 579491flrD03, 0.04.Comment:CYA SGT CUTTING AND SGT INGALLS.TRY HUNT ' FIRST 17:50:12 MISC 598670/PD02 Comment:10-39 TAHOE AT APPROX 1735 HRS,THEY WILL TRY AND CONTACT ONE OF THEIR COORDINATORS 17:50:27 MISC SXTRAI/TD01, Comment:10-39 HUNT.MAY BE ABLE TO ASSIST. WILL CALL BACK IN A FEW MINS TO CONFIRM 17:55:56 MISC Comment:10-39 PER PERRIRAZ.NO ANSWER.LEFT MESSAGE - 17:56:04 MISC 531059/PD05 Comment:29 CLEAR UTL LCL AND UTL REV DL FOR BIDA,THOMAS 31 YRS 17:56:11 MISC 579491f1rD03 6134.Coin ment:HUNT WILL BE COORDINATOR 17:56:54 MISC 6134 Comm ent:GET NORDIC TEAM,SNOWMO'S AND SNOWCAT 2 IF POSS 17:58:27 MISC 6134 Comment:RP IS EMPLOYE- E,FRIENDS ARE W/EMPL 17:59:11 MISC 598670/PD02 Comment:DET HUNT WILL BE ER AND TAHOE WILL START THE NORDIC TEAM,SNOWMOBILES AND POSS A SNOW CAT 18:02:19 MISC 579491/TD03 6134 Comment:MT JUDAH AT FIRST AID ROOM NEXT TO SHIPPING/RECEIVING 18:03:19 MISC SXTRA1/TD0I Comment:JOHN PANG WILL BE COOORDINATOR.HOME#530/581-2641 18:03:53 MISC 579491frDO3 6,13-4 Coin ment:SUBJ IS HEAVY SET,EXPERT,NO FOOD/WATER, NO CELL.LSW: CACKY JACKET W/BLU PANELS,BLK SNOWPANTS,BLK HELMUT. 18:04:18 MISC 598670/PD02 Comment:PER TORNBERG CANCEL 6134 SINCE TAHOE HAS COORDINATOR ER 18:04:23 MISC 579491/TD03 6134 Coin men t:5'1 0/215 SHAVED HEAD/GRAY HAIR. 18:04:35 MISC 6134-Comment:SOUL PATCH 18:05:26 MISC .6134 Comment:FRANK MARSHAL CELL: 916-837-0478(MIKE PLESSAS) 18:05:26 PRMPT 531059/PD05 611,104. 18:05:26-VIEWED 6,134 18:05:43 MISC 598670/PD02 ' Coin ment:TORNBERG/WHEN WE CONTACT ONE OF OUR COORDINATORS THEY ARE ORDER-ED TO RESPOND TO BE SECONDARY 18:05:57 DISP 5310591PD05 60.3-11,Operator:S79560 OperNames:HUDSON,JAMES 18:05:57-PRIU 6631 18:06:15 ULA .6631.-,Location:6185 OLD MILL RD Coniment:MSG DELIVERED TO DEPUTY MEEH 18:06:20 PRMPT 6631 18:06:20-VIEWED 6631 18:06:57 CHANGE 579491/TDO3 Type:MPR-->SAR Response:ICSO-->None Priority:4-->3 TypeDesc:POSS SAR-->SEARCH&RESCUE 18:07:10 MISC 598670/PD02 Comment:10-39 MEEH,HE WILL BE RESPONDING 18:08:19 MISC 531089/TD02 Comment:DEP WAGNER SICK,DEP LASAGNA WILL CALL BACK AND ADVISE P61ice Call #P060103484 Page 3 of 4 18:08:19 MISC S98670/PD02 Comment:10-39 TORNBERG 18:08:38 REDIR S79491/TD03' Type:SAR-->SAR Darea:SAI-->ST1 18:09:24 MISC S31089/TD02 1, Comment:BAUMBO-WILL BE LEAVING AN HOUR. 18:10:09 MISC SXTRAI/TD0.1 Comment:TJ FROM TAHOE NORDIC SNOWMOBILE SLED IS BROKEN BUT WILL CALL BACK IF HE CAN PUT TOGETHER A TEAM 18:10:22 DISP S79491/TD03 62111 Operator:S66501 OperNames:HUNT,DAVID 18:10:22-PRIU 6.211.1_ 18:10:34 MISC S31089/TD02. Comment:DENNIS KREUNGAL NOT HOME 18:12:59 MISC Comment:BILL HEALY WILL BE ENROUTE SHORTLY FROM INCLINE 18:15:11 MISC Comment:KATHY CHILCOTE-NOT AVAILBLE,IF DESPERATE,CALL BACK. 18:16:06 ENRTE 42:11.1 18:18:44 MISC Comment:LASAGNA NOT AVAILABLE 18:20:14 MISC SXTRAI/TD61 Comment:PANG PAGED TO SEE IF HE CAN GET A SNOWCAT 18:20:48 MISC S79491/TD03 Comment:AT LEAST 1 SNOWCAT 18:22:35 MISC Comment:RUSS VEIHEIM 308-1911 18:25:28 MISC Comment:PANG WILL PASS NORDIC COORD TO RUSS V 18:38:01 MISC S98670/PD02 Comment:MEEH NOT AVAIL AFTER ALL,BUMPUS ER 18:38:27 MISC Comment:SGT THOMAS CALLED,HE ADVD TO CALL MCNAMA OUT OF K9 TRAINING AND HAVE HIM RESPOND UP WBUMPUS AS WELL 18:39:39 MISC Comment:10-39 MCNAMA 18:41:22 MISC S79491/'ID03 Comment:FIRST AID 426-6758 18:45:41 MISC Comment:LODGE GO UPSTAIRS. 18:50:38 ONSCN S31089/TD02 62.11.1:. 19:00:08 MISC S79491/TD031, Comment:NEW STAGING: MT JUDAH LODGE UPSTAIRS 19:01:45 MISC SXTRAI/TD01 Comment:BAUMBO CELL 308-9929 19:05:02 MISC S31059/PD05 Comment:6776 IN ROUTE FROM FORESTHILL 19:08:45 BACKUP S31089/TD02 TCMVAN UnitID:62111 19:09:44 BACKER S98670/PD02, K64 UnitID:62111 Operator:S60931 OperNames:MCNAMA,GLENN 19:14:11 ENRTE S31089/TD02 TCMVAN 19:14:17 MISC S79491/TD03 Comment:OKAY.IS HE ANOTHER COORDINATOR? 19:18:01 MISC S31089/TD02 Comment:WE NEED A PIO,CALL DAN INGALLS 19:21:35-TEMPNO Number:SO$TD028125 ID:SO 19:21:35 CASE Case#:S0060000810 19:21:35-PERMNO Number:SO$TD028125-->SO060000810 19:29:36 MISC SXTRAI/TD01 Comm ent:VIDA,THOMAS JON UNK DOB IS OUT OF DANVILLE.3090 FOSTORIA CIR.WMA 510 215LBS BRO HAIR&GOATEE.SHAVED SALT&PEPPER HAIR 19:30:35 LOGM 62111 Message:f20601.1.80330000012 Received:01/17/2006 19:30:14 19:33:52 MISC S98670/PD02 Comment:IF THERE ARE ANY PRESS CALLS PER MALIM DIRECT THEM TO THE TAHOE 19:34:02 MISC Comment:THE TAHOE PIO 19:48:35 MISC S31089/TD02 621.;1_1_Comment:WORKING OFF SAR FREQUENCY LINCOLN REPEATER 20:00:52 MISC SXTRAI/TD01 Comment:PIO INGALLS CELL#392-0044 20:10:50 ONSCN S31089/TD02 TC M,VAN. 20:26:19 MISC Com in en t:USFS GV NOTIFIED-THEY WILL PAGE OUT THE ONCALL AND HAVE THEM 10-21 DISPATCH 20:28:19 MISC S79491/TD03 Comment:CYA C3/FULENWIDER 20:34:46 MISC SXTRAI/TD01 Comment:NORDIC TEAM CONSISTS OF ROBERT WRIGHT,RUSS BEIMANN,MIKE KENNETT,DIRK SHOOMAKER,BERNIE MELLER, MARK JOHNSON,STEVE PWOMEY,SARAH LAGANO 20:35:15 MISC Com ment:SNOWMOBILE ARE TJ JOHNSON& BAUMBO 20:35:34 MISC Com►nent:SNOWCAT ARE SCOOP REMINEH& JIMMY SMITH 21:18:06 XPRMPT S31089/TD02 K64 21:18:06 XDISP 6776 Operator:S29640 OperNames:THOMSON, HELEN Police Call #P060103484 Page 4 of 4 21:18:09 ONSCN 6776 21:24:58 MISC S79491/TD03 6776 Comment:CELL: 9068203 21:35:24 LOGM SXTRAI/TD01 62111 Messaize:02060118053500002O Received:0 1/17/200621:35:13 21:35:54 PRIOR S31600/PD01 Location:SUGAR BOWLJR 21:39:56 LOGM SXTRA1/TD0I 62111 Message:02,0601180539000030 Received:01/17/2006 21:39:29 Comment:NIC# 21:49:16 MISC S31089/TD02 Comment:NO HARD LINE INSIDE THE LODGE 21:52:46 MISC Comment:LT TORNBERG 308-0746 22:00:00 MISC S92750/PD07 Comment:PER LT TORNBERG MISSING PERSON HAS BEEN LOCATED 22:10:35 LOGM SXTRA1/TD01 .621.11 Message:02060118061,0000033 Received:01/17/2006 22:10:20 Comment:CANCEL MP 22:13:01 MISC S79491/TD031 Comment:CYA FULENWIDER FOUND 22:17:41 MISC S31059/PD05 6776 Comment:IN ROUTE TO MY A 22:35:23 MISC S31089/TD02 62111 Comment:CB MOVED TO-COLD SPRINGS CANYON,SUBJ HAS BEEN FOUND. 22:43:23 MISC Comment:CORRECTION-COLD STREAM CANYON 23:02:28 ULA '.11CM-Y'A N Location:COLD STREAM CANYON 23:02:36 ULA 62111 Location:COLD STREAM CANYON 23:39:10 *CLEAR S72000/M014 6776 Case#:SOSTD028125 101/18/20061 00:02:50 TRANSP S31089/TD02 , 62, 11-1-1 Location:SUGARBOWL Comment:11-48 FOR 2 00:03:01 CHGLOC Location:PCSO TAHOE,TC 00:38:10 ULA TIC MYAN 00:38:15 CLEAR TCMVAN Case#:SO$TDO28125 00:59:12 CMPLT 62111 Comment:11-48 COMPLETE,SUBJS DROPPED OFF AT THE HOLIDAY INN IN TRUCKEE.ENROUTE TO A. 01:00:07 CLEAR 62111 Dispo:RT Case#:SO$TDO28125 Com ment:REPORT TAKEN FOR SAR. SUBJ FOUND IN GOOD HEALTH.DETECTIVE HUNT TO WRITE. 01:00:07-CLEAR 01:00:07 CLOSE r) � p�� o ui c!)N S Vbd N cin•. 6 N C 0 azoc o 5 o >d ci Lu r #� X SSVJo a3lW)S31fd �. •t . ON U Lo 2: CO0. 0 C Cl) (Z C: ±ri o V- 0 co w Z Z o O LL (nz$w IM LL a::)om Fr 4, U o U LLJ X cc co C) S z U p CLU30 Q Ua a U W CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY C4- 021 BOARD ACTION- JULY 25, 2006 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 California Government Codes. en( you is your notice of the action taken g on your claim by the Board of RJUN 2 3 2006 Supervisors. (Paragraph 1V below), given Pursuant to Government Code COUNTY COUNSEL Section 913 and 915.4. Please note all AMOUNT: $100.00 MARTINEZ CALIF. "Warnings". CLAIMANT: JOHN A. KIRK, JR. ATTORNEY: UNKNOWN DATE RECEIVED- JUNE 23, 2006 . ADDRESS: 1651 MINNESOTA AVENUE BY DELIVERY TO CLERK ON: JUNE 23, 2006 BRENTWOOD, CA 94513 RECEIVED FROM BY MAIL POSTMARKED: RISK MANAGEMENT FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JUNE 23, 2006 JOHN CULLEN, Dated: By: Deputy 11. FROM: County Counsel TO. Clerk of the Board of Sufervisors (v-y"�Fhis 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). O 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). O Other: Dated: —26 6<P By: Deputy County Counsel 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). 1V. OARD ORDER: By unanimous vote of the Supervisors present: This Claim is rejected in full. O Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Date JOHN CULLEN, CLERK, By Deputy Clerk W1M (Gov. code section 913) Subject to certain exceptions,you have ouly six(6)months from the date this notice was personally served or deposited in the mail to filen court action on this claim.See Government Code Section 945.6.You may seek the advice of an attorney of your choice in comiection with this matter. Ifyou want to consult an attorney,you should;do so inumediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare carder penalty of per jui-y that I ain now, and at all times herein mentioned, have bee!) a citizeii of the United States, over age .18; crud that today I deposited in the Uuited StatesPostal Service in Martinez, California, postage fully prepaid a certified copy of this ,13oaud Order mid-Notice to Claimant, addressed to the claimalit as shown above. JOHN CULLEN, CLERK Bir Deputy Clerk BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. A claim relating to a cause of action for death or for injury to person or to personal property or growing crops shall be presented not later than six months after the accrual of the cause of action. A claim relating to any other cause of action shall be.presented notaWTff1"aHYdfSy6F?0RQ after the accrual of the cause of action. (Gov. Code § 911.2.) JUN 2 1 2UU6 B. Claims must be filed with the Clerk of the Board of Supervisors at its,office in Room :1__4.6, 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. as a a Xaa as a a Sax Ran*asataaa a a a as as ago a a axonal Oman a as a a as a a a was Xaa a as aal[a X1129 a as a RE: Claim By: Reserved for Clerk's filing stamp } RECEIVED Against the County.of Contra Costa or } ) JUN 2 3 2006 District) CLERK BOARD QFSUPERVISORS (Fill in the name) } CONTRA COSTA CO. } The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$ 1c` ,()Q and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) F e)Q lt{ Z DO(o 2. Where did the damage or injury occur? (Include city and county) I How did the damage or injury occur? (Give full details;use extra paper if required) Q, qNr- 4ary'- \eco-� d��' -One- Oig 4t"e- &POW "l- +YUC-cs�L,'G wlattszkis-�, ar}d,: h\-�- :A, - 4r+i- vv.\,rrat- c>r, oo' +Moo -oc a� bmf 4 Cif"'. V 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? ,\vre- -Aro -ecuye— - Aars)L 5 What are the names of comity or district officers, servants, or employees causing the damage or injury? 5�2.�.�,r� fie.-+r'��-✓'" —Ln�S -��ack� 1 F 6. What damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) 1�5y'&&_ � t S rice:v eJ &0� _�_o �2 6,\"�c-v d r�v1 v.g ,Mo oar�„aw,e �K--<)J— C.- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors, and hospitals: C4.,P off►.ce.� C�w.o.,.. �1�33� O'r``5`J e, i=o�,c,1-z;�0 0.v. S 4Z�J�Piv�. CGZ C� — h�51-Gc�r f►'� CC&l-, r ►^C 9. List the expenditures you made on account of this accident or injury: DATE TME AMOUNT - dlao�o(o pebtoff,y 0(U0 1-0, ■.....aaaaaaaaaaaaaaMason 0aKaaaaaaaaaEMERSON aaaaaaaNunn aaaaaaaaaaaaaaaaaaanaaaaaaaaal ) .Gov. Code Sec. 910.2 provides"The claim shall be ) signed by the claimant or by some person on his behalf." SEND NOTICES TO: (Attornev) Name and address of Attorney ) (Claimant's Signature) (Address) CA- otk�k Telephone No. ) Telephone No. 9-2 —5-W -H 0(0 c( a sommossommasom was amen so am a son a a aaaaasaal PUBLIC RECORDS NOTICE: Please be advised that this claim form, or any claim filed with the County under the Tort Claims Act, is subject to public disclosure under the California Public Records Act. (Gov. Code, §§ 6500 et seq.) Furthermore, any attachments,addendums, or supplements attached to the claim form, including medical records, are also subject to public disclosure. aaaaaaaaaaaaaaaamen ■aaaaaaaaaaa■aaaaaaaaaa■eaaNunn Oman monsoon common aaaaaaman aaaaaaaal NOTICE: Section. 72 of the Penal Code provides: Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city, or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account voucher, or writing, is punishable either by imprisonment in the County jail for a period of not more than one year, by a fine of not exceeding one thousand dollars ($1,000.00), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000), or by both such imprisonment and fine. CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: JULY 25, 2006 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board.Action. All Section refeViThe copy of this document cl�5ejft# California Government Codes. )j@ nt mailed to you is your notice of the action taken a JUN 2 3 2006 on your claim by the Board of Supervisors. (Paragraph IV below), COUNTY COUNSEL given Pursuant to Government Code MARTINEZ CALIF. Section 913 and 915.4. Please note all AMOUNT: $4) 691 .38 "Warnings". CLAIMANT. STATE , FARM INSURANCE COMPANIES FOR: ROBERT J. LLOYD ATTORNEY: UNKNOWN DATE RECEIVED: JUNE 23, 2006 STATEFARMMUTUAL AUTOMOBILE ADDRESS: INSURANCE COMPANY BY DELIVERY TO CLERK ON: JUNE 23, 2006 BY: MEGG BEVERAGE RECEIVED FROM P.O. BOX 2371 BY MAIL POSTMARKED: RISK MANAGEMENT BLOOMINGTON, IL. 61702-2371 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN CULLEN, r Dated JUNE 23, 2006 By: Deputy 11. FROM: County Counsel TO: Clerk of the Board of Sufervisors, V"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- - -0(P Dated.- 3By: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) O Claim was returned as untimely with notice to claimant (Section 911.3). I\/ BOARD ORDER: By unanimous vote of the Supervisors present: This Clahn 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 dipe%HN CULLEN, CLEBY, Deputy Clerk - gt�� M V WARN4flWGov. code section 913) Subject to ceilain exceptions,you have only six(6)moliflis fivni the date this notice was personally served or deposited hi the mail to rile a court action on this claim.See Government Code Section 945.6.You inny seeks the advice of an attorney of your choice in connection with this njattej-. If you want to consult an attorney,you should do so immediately. *ForAdditioual Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under pei'lalty of peijuiy ttlat I aur now, and at all times herein mentioned, have been a citizen of the United States, over o'le 8; and that today I deposited in the United StalesPostal Service in Atlartinlez, California, postage fully prepaid a certified copy of this Board Ordermid Notice to Claimant, addressed to the claimant as shown above. Dated: 60.11N CULLEN, CLERK By Deputy Clerk • • STATE FARM State Farm Insurance Companies t ' INSURANCE State Farm Insurance Subrogation Services May 11, 2006 PO Box 2371 Bloomington, IL 61702-2371 Certified Mail-Return Receip R D Penny Bailey Contra Costa County JUN 2 3 2006 2530 Arnold Dr. , Ste 140 Martinas, CA 94553 CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. RE : Claim Number: 05-5265-001 Our Insured: Robert J Lloyd Date of Loss : March 10, 2006 008 Your Insured: City of San Ramon Your Insured Driver: Michael Schneider Your Claim Number: 60403 Your Policy Number: unknown Loss Location: San Ramon Valley Blvd. San Ramon, CA Insured' s Out-of-pocket : $204 . 19 Dear Ms . Bailey: We have been informed you are the liability carrier for the party involved in this loss with our insured. Our investigation indicates your insured is responsible for this claim. Therefore, we are seeking recovery from you. This letter is to notify you of our subrogation claim and request your cooperation in settling this matter. To assist you in your review, here is a breakdown of the amounts State Farm paid by Cause of Loss : 041/045 - Uninsured Motorist BI $n/a 042 - Uninsured Motorist PD $n/a 300 series/400 —Comp/Collision $4 , 066 . 12 501 - Rental $375 .26 600/050 - Med Pay/ PIP $n/a Other $n/a Salvage Recovery $n/a Amount State Farm Paid $4, 441 . 38 Insured Deductible $250 . 00 Total Claim Amount $4 , 691 . 38 State Farm is seeking 1000 of the total claim Amount Payable to State Farm: $4 , 691 . 38 HOME OFFICES: BLOOMINGTON, ILLINOIS 61710-0001 Contra Costa County Page 2 May 11, 2006 Please remit payment of this claim, or contact us to discuss settlement . Include our claim number on the payment . Thank you for your cooperation. If you have any questions, please call 877-457-8276 and any member of Team 460 may assist you. In order to assist you in evaluating and processing the subrogation claim' we are asserting, we may provide nonpublic personal information about our customer. We are sharing this information to effect, administer, or enforce a transaction authorized by the consumer. However, you are neither authorized nor permitted to: (1) use the customer information we provided for any purpose other than to evaluate and process the subrogation claim, or (2) disclose or share the customer information we provide for any purpose other than to evaluate and process the subrogation claim. Sincerely, / zdL Megg Beverage Claim Representative (877) 457-8276, Team 60 State Farm Mutual, Automobile Insurance Company Enclosure (s) C6�zti 'j)r 1=•=I IA.M • RB Z 0 0 0 6 Z • date : 05-12-06 page: 1 ........;:;:;. :.:'ii:.: ............:...::::::.:'. ..::::.:':::::::.::::.............. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY AUTO PAYMENTS BY COL c '.'`' turil �r policy number named insured date of loss LLO Y D RO B ERT S O 3 —1 O —0 6 CO L 4 O O C denotes consolidated payment E denotes EFT payment P denotes previous data COL: 4 0 0 indemnity: 4 066 . 12 di r rcov: 0 . 00 expense: 0 . 00 payment number payee amount status COL pay cd rsn reporting party E 102885218K SYMMONS BODY & 4, 066 . 12 PAID 400 1 Named Insu C O L -501 C denotes consolidated payment E denotes EFT payment P denotes previous data COL: 5 01 indemnity: 375 . 26 di r rcov: 0 . 00 expense: 0 . 00 payment number payee amount status COL pay cd rsn reporting party, E 102885152K ENTERPRISE RENT 375 . 26 PAID 501 1 Named Insu •�•..•... RBZ00032 • date : 05-12-06 �.�.•��® time : 06 : 01 AM ...................................................................................... ........................ ...................................................................................... ...................................................................................... STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY VEHICLE DAMAGE REPORT � � ux.. date of loss :............................................ ................................................................................... .................................................................................. 03-10-06 .................................................................................. ................................................................................... -A- Estimate Vehicle Info Vehicle Owner: LLOYD, KAYHLEEN Vehicle Description: 98 Volvo S70 4D Sed RED Date: 4/6/2006 09:07 AM Estimate ID: 05-5265-00101 Estimate Version: 4 Supplement: 3(F) 4/11/2006 01:26:51 PM FINAL Profile ID: STATE FARM SYMMONS BODY & FENDER , INC. 509 SAN RAMON VALLEY BLVD DANVILLE, CA 94526 (925) 820-3317 Fax: (925) 820-8897 Tax ID: 94-2536583 BAR#: AE070127-053102 EPA #:CAL00077-0284 Damage Assessed By: JIM WALTON Supplemented By: JIM WALTON Type of Loss: Collision Date of Loss: 3/10/2006 Arrival Date: 3/22/2006 Accident Date: 4/10/2006 Deductible: 250.00 File Number: FINAL Claim Number: 05-5265-00101 Insured: KAYHLEEN LLOYD Owner: KAYHLEEN LLOYD Address: 488 SCOTTS MILL RD. DANVILLE, CA 94526 Telephone: Work Phone: (510) 247-0665 Home Phone: (925) 820-7539 Mitchell Service: 912373 Description: 1998 Volvo S70 GLT Vehicle Production Date: 3/97 Body Style: 4D Sed Drive Train: 2.4L Turbo Inj 5 Cyt 4A FWD VIN: YV1LS5645W1430487 License: 3WPT789 CA Mileage: 119,406 OEM/ALT: 0 Search Code: 8316836 Color: RED Options: Alum/Alloy Wheels, Air Conditioning, Power Steering, Power Windows, Power Door Locks, Power Passenger Seat, Tilt Steering Wheel, Cruise Control, Electric Defogger, Leather Seats, Automatic Transmission, Traction Control/Electronic, Premium Sound Sys., Power Driver Seat, AM-FM Stereo/CDPtayer(Singte), Passenger-Front Air Bag, 4-Door, Driver-Front Air Bag. Line Entry Labor Line Item Part Type/ Dollar Labor Item Number Type Operation Description Part Number Amount Units S2 1 800118 BDY REMOVE/REPLACE R FRT REPLACE DOOR ASSY Quat Recycled Part 450.00* 1.4 2 AUTO REF REFINISH R FRT DOOR C 1.7 3 AUTO REF REFINISH R FRT ADD FOR JAMBS & INTERIOR C 1.0 4 *** END OF ATG SECTION *** 5 200018 BDY REMOVE/INSTALL FRT BUMPER ASSY 0.5 6 200077 BDY REMOVE/INSTALL R PARK/SIGNAL LAMP 0.5 # 7 200215 REF BLEND R FENDER OUTSIDE C 1.0 8 200230 BDY REMOVE/INSTALL R FENDER MUDGUARD 0.3 S1 9 200232 BDY REMOVE/REPLACE R FENDER ADHESIVE EMBLEM 9178471-0 29.63* 0.2 S1 10 202818 BDY REMOVE/REPLACE R FENDER ADHESIVE MOULDING 9178500-6 35.97* 0.2 11 AUTO REF REFINISH R FENDER MOULDING C 0.3 ESTIMATE RECALL NUMBER: 3/16/2006 08:36:24 05-5265-00101 UltraMate is a Trademark of Mitchell International Mitchell Data Version: FEB-06_A Copyright (C) 1994 - 2005 Mitchell International Page 1 of 4 UltraMate Version: 5.0.214 All Rights Reserved Date: 4/6/2006 09:07 AM Estimate ID: 05-5265-00101 Estimate Version: 4 Supplement: 3(F) 4/11/2006 01:26:51 PM FINAL Profile ID: STATE FARM 12 200877 REF REFINISH R FRT UPR MIRROR COVER C 0.5 13 200879 BDY REMOVE/INSTALL R FRT REAR VIEW MIRROR 1.2 # 14 200881 BDY REMOVE/REPLACE R FRT DOOR ADHESIVE MOULDING 9178502-2 73.48 0.2 15 AUTO REF REFINISH R FRT DOOR MOULDING C 0.5 16 200901 BDY REMOVE/INSTALL R FRT DOOR TRIM PANEL INC 17 200919 BDY REMOVE/INSTALL R FRT OTR DOOR HANDLE. 0.2 # 18 200975 REF REFINISH R REAR DOOR OUTSIDE C 1.7 19 200979 REF REFINISH R REAR ADD FOR JAMBS C 0.5 S2 20 200981 BDY REPAIR R REAR DOOR SHELL Existing 1.0 * 21 200983 BDY REPAIR R REAR DOOR REPAIR PANEL Existing 5.5 * 22 203267 BDY REMOVE/INSTALL R REAR BELT MOULDING 0.3 S1 23 202280 BDY REMOVE/REPLACE R REAR DOOR ADHESIVE MOULDING 9178504-8 35.97* 0.2 24 AUTO REF REFINISH R REAR DOOR MOULDING C 0.5 S1 25 204777 BDY REMOVE/REPLACE R REAR DOOR REAR BLACKOUT TAPE 6808682-6 9.95* 0.2 26 200997 BDY REMOVE/INSTALL R REAR DOOR TRIM PANEL INC S3 27 201053 BDY REMOVE/REPLACE R REAR DOOR SUPPORT 1372622-9 9.23* S3 28 900500 BDY* REMOVE/REPLACE WEATHERSTRIP CLIPS New 21.36* 0.0 29 201017 BDY REMOVE/INSTALL R REAR OTR DOOR HANDLE 0.6 # 30 201049 BDY REMOVE/REPLACE R REAR DOOR WEATHERSTRIP 9187361-2 163.61 0.3 31 201075 BDY REMOVE/INSTALL R ROOF DRIP MOULDING 0.4 32 203815 GLS REPAIR BACK WINDOW GLASS Existing 0.3 *# 33 ROPE WEATHERSTRIP 34 203470 REF REFINISH R ADD FOR PILLAR C 0.5 35 201163 REF BLEND R OTR ROOF RAIL W/PILLAR C 0.6 S2 36 203847 BDY REPAIR R QUARTER OUTER PANEL Existing 2.0 *# 37 AUTO REF REFINISH R QUARTER PANEL OUTSIDE C 2.0 S3 38 203867 BDY REMOVE/REPLACE R QUARTER FUEL DOOR LATCH 9187727-4 3.03* S3 39 900500 BDY* ACCESS/INSPECT DATE IN AND INCOMING MILEAGE 3/22/06 119406 Existing 0.0 S3 40 900500 BDY* ACCESS/INSPECT 'DATE COMPLETED4/10/06 Existing 0.0 S3 41 900500 BDY* ACCESS/INSPECT AUTHORIZATION TO PAY SECURED. Existing 0.0 S3 42 900500 BDY* ACCESS/INSPECT OWNER PROVIDED WITH COPY OF Existing 0.0 S3 43 900500 BDY* ACCESS/INSPECT ESTIMATE/ FINAL BILL. Existing 0.0 44 204439 BDY REMOVE/INSTALL R ROCKER MOULDING 0.4 S1 45 203889 BDY REMOVE/REPLACE R QUARTER STONE DEFLECTOR 9484129-3 14.18* 0.2 46 201443 GLS REMOVE/INSTALL R QTR GLASS STATIONARY Sublet 68.75* 0.0 *# 47 201858 BDY REMOVE/INSTALL R REAR OTR LENS & HOUSING 0.4 S2 48 201928 REF REFINISH REAR BUMPER COVER C 2.2 49 SPOT PAINT FULL CLEAR 50 201932 BDY REMOVE/INSTALL REAR BUMPER ASSY 0:7 51 204563 BDY REPAIR REAR BUMPER COVER Existing 1.0 *, 52 936012 ADDIL COST HAZARDOUS WASTE DISPOSAL 3.00* S2 53 933002 REF ADDIL OPR CLEAR COAT 3.3 54 933003 BDY* ADDIL OPR TINT COLOR 0.5 55 933005 BDY ADDIL OPR RESTORE CORROSION PROTECTION 4.00* 0.3 * 56 933017 BDY* ADDIL OPR FINISH SAND AND BUFF 1.4 * 57 933018 BDY* ADDIL OPR MASK FOR OVERSPRAY 6.00* 58 AUTO ADDIL COST PAINT/MATERIALS 489.00* * - Judgement Item # - Labor Note Applies C - Included in Clear Coat Calc ESTIMATE RECALL NUMBER: 3/16/2006 08:36:24 05-5265-00101 UltraMate is a Trademark of Mitchell International Mitchell Data Version: FEB-06_A Copyright (C) 1994 - 2005 Mitchell International Page 2 of 4 UltraMate Version: 5.0.214 AIL Rights Reserved Date: 4/6/2006 09:07 AM Estimate ID: 05-5265-00101 Estimate Version: 4 Supplement: 3(F) 4/11/2006 01:26:51 PM FINAL Profile ID: STATE FARM Add'l Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount Body 20.1 72.00 10.00 0.00 1,457.20 Taxable Parts 846.41 Refinish 16.3 72.00 0.00 0.00 1,173.60 Parts Adjustments 135.00 Glass 0.3 72.00 0.00 68.75 90.35 Sales Tax @ 8.250% 80.97 Non-Taxable Labor 2,721.15 Total Replacement Parts Amount 1,062.38 Labor Summary 36.7 2,721.15 III. Additional Costs Amount IV. Adjustments Amount Taxable Costs 492.00 Insurance Deductible 250.00- Sales Tax @ 8.250% 40.59 Customer Responsibility 250.00- Total Additional Costs 532.59 I. Total Labor: 2,721.15 11. Total Replacement Parts: 1,062.38 III. Total Additional Costs: 532.59 Gross Total: 4,316.12 IV. Total Adjustments: 250.00- Net Total: 4,066.12 Less Original Net Total: 4,184.35 Net Supplement Amount: 118.23- Sl: VICKY KEENAN 12.24 S2: JIM WALTON 159.73- S3: JIM WALTON 29.26 Point(s) of Impact 3 RIGHT SIDE (P) ESTIMATE RECALL NUMBER: 3/16/2006 08:36:24 05-5265-00101 UltraMate is�a Trademark of Mitchell International Mitchell Data Version: FEB_06_A Copyright (C) 1994 - 2005 Mitchell International Page 3 of 4 UltraMate Version: 5.0.214 All Rights Reserved Date: 4/6/2006 09:07 AM Estimate ID: 05-5265-00101 Estimate Version: 4 Supplement: 3(F) 4/11/2006 01:26:51 PM FINAL Profile ID: STATE FARM Insurance Co: STATE FARM Inspection Site: SYMMONS BODY & FENDER, INC Address: P.O. BOX 6401 ROHNERT PARK, CA 94927-6401 Telephone: (800) 440-6175 Body Shop: SYMMONS BODY SHOP Address: 509 SAN RAMON VALLEY BLVD DANVILLE, CA 94526 Telephone: (925) -82-0-33 ext. 17 I Hereby authorize Symmons Body & Fender Inc. to make the above reapirs. Body Shop will not be responsible for loss or damage to vehicle or articles left in vehicle in case of Fire, Theft or Accident. X IF ADDTIONAL DAMAGE IS FOUND OR SUPPLEMENT APPROVAL IS NEEDED FROM INSURANCE COMPANY A DELAY MAY OCCUR. Cycle Time Information Drop Off Date: 3/22/2006 Repair Dates: Promise Date: 4/6/2006 Pick Up Date: 4/10/2006 Completion Date: 4/10/2006 ESTIMATE RECALL NUMBER: 3/16/2006 08:36:24 05-5265-00101 ULtraMate is a Trademark of Mitchell International Mitchell Data Version: FEB_06—A Copyright (C) 1994 - 2005 Mitchell International Page 4 of 4 ULtraMate Version: 5.0.214 All Rights Reserved Choicepoint 4/2006 11 : 11 PAGE 001/006 0 a Server C h o i c e Po i n t ChoicePoint Police Records P.O.Box 740167 Atlanta,GA 30374-0167 Phone: 1,800.934.9698 Fax 1.800.934.6449 Email: orderpoint,support@choicepoint.com REPORT ATTACHED PAGE COUNT: 6 CLIENT : SF5305 DIVISION : 102059921CO ADJUSTER : XCAQO4 CLAIM : 05-5265-001 TRANSACTION# : 162965041 DATE : 04/21/2006 DATE OF LOSS : 03/10/2006 TIME OF LOSS : 05:00 PM STREET : CITY: SAN RAMON COUNTY : CONTRA COSTA STATE : CA INVESTIGATING AGENCY : DANVILLE PD REPORT NUMBER : 06636 REPORT TYPE : Auto Accident PARTY 1 : KATHLEEN A LLOYD PARTY 2 : CITY OF SAN RAFAEL PARTY 3 : CAR : S70 MAKE : VOLVO YEAR : 1998 TAG : DRIVER LICENSE : E0354784 ADDITIONAL INFO : NOTE : Ohoicepoint 4/2006 11 : 11 PAGE 002/006 ax Server - 0 I � .., -:-:.::--::: .::w:: -- ----::::-:-:........,....... -::: . :::*� Tg: CALIFORNIA .u* * ... -...�.....................:::::::::::m : p ,:p::.::..,.::. .:,:.:,:::::.: :..... 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