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HomeMy WebLinkAboutMINUTES - 08052008 - C.23 (8) CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COU' 4T�Y BOARD ACTION: t(� 2 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) ICE TO CLAIMANT and Board Action. All Section references are to ) ZAy of this document mailed t o California Government Codes. ���� you is your notice of the action taken ag on your claim by the Board of Supervisors. (Paragraph IV below), JUN 2 7 2008M given Pursuant to Government Code AMOUNT: ,w,K,VLv,L)n COUNTY COUNSEL Section 913 and 915.4. Please note all MARTINEZ CALIF. "Warnings". CLAIMANT:Sohn CCAYve- ATTORNEY: DATE RECEIVED:�,_Uo 2f ADDRESS: �-�,� i � .�C� BY DELIVERY TO CLERK ON: �Kkfw BY MAIL POSTMARKED. W �- '�G J FROM: Clerk of the Board of Supervisors T0: County Counsel Attached is a copy of the above-noted claim. Q / JOHN CULLEN, Jerk DatedCJl,(.OL 6 , By: Deputyl�l,�(LIJL- 11. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. ( ,KThis 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). O Other: Dated: By: Deputy County Counsel 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). LV.ABOARD 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. Dated: CULLEN, CLERK, By eputy Clerk WARNI.N (Gov. code section 913). Subject to certain exceptions,you have only six(6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim.See Government Code Section 945.6.You may seek the advice of an attorney of your choice in connection with this matter. 4f'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:9"�� X_ �OHN CULLEN, CLERK By _Deputy Clerk OFFICE OF THE COUNTY COUNSEL $EAZ SILVANO B. MARCHESI COUNTY OF CONTRA COSTA ,t1Z+.� ��+ COUNTY COUNSEL Juvenile Division .;': __�.* P.O.Box 69 SHARON L. ANDERSON Martinez, California 94553-0116 :_ _ _ CHIEF ASSISTANT (925) 335-1830 _ S GREGORY C. HARVEY (925) 646-2461 (fax) ;� T VALERIE J. RANCHE y AsSISTANrS srA�couK'�`L NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM July 15, 2008 TO: John Cline 411 H Street Martinez, CA 94553 RE: CLAIM OF JOHN CLINE Please Take Notice as Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code Section 910 and 910.2, or is otherwise insufficient for the reasons checked below: [ ] L The claim fails to state the name and post office address of the claimant. [ ] 2. The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. [ ] 3. The claim fails to state the date, place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. [ ] 4. The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. [X] 5. The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000). If the claim totals less than ten thousand dollars ($10,000), the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. [ ] 6. The claim is not signed by the claimant or by some person on his or her behalf. John Cline Re: Claim of John Cline July 15, 2008 Page Two [ ] 7. You are required to submit your claim on the proper form, which is enclosed. Please resubmit your claim on the enclosed form, including all the required information. Gov. Code, § 910.4. Please be aware that you have only a limited period of time in which to file an amended claim. See Gov. Code, § 910.6. [ 18. Other: SILVANO B. MARCHESI COUNTY COUNSEL ,�42 By: �IfiV Monika L. Cooper Deputy County Counsel 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 July 15, 2008, I served a true copy of this Notice of Insufficiency and/or Non-Acceptance of Claim by placing the document in a sealed envelope with postage thereon fully prepaid, in the United States mail at Martinez, California addressed to John Cline,411 H Street,Martinez,CA 94553, , as set forth above. I 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 aws of the State of California and the United States of America that the above is true and correct. Executed on .fir 2.0 , at Martinez, California. Enclosure cc: Clerk of the Board of Supervisors(original) Risk Management JUN-24-2008 11:36A FROM:TC INSPECTIQN 707-747-6100 TO: 19253351421 P.2 BOARD OF SUPERVISORS OF CON'T'RA COSTA COUNTY , INSTRUCTIONS TO G' AIN1�I�1T f 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 redadag to any other cause of action shall be presented not later than one y ar 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. 1 16, 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, I be naive of the District should be filled in. D. If the claim is agflinst more than one public cndty, separate claims must be Med against public entity. E. Fraud. See penalty for fraudulent claims,Penal Code Sec. 72 at the end of this form. tea 9 MONS WOssss■t■s■RUN tau MUMEUi RR■■RL MG912maxpas■0 VVENElsls\[wn Haakw9tte9■t C ae RE: Claim By. Reserved for Clerk's filing stamp Im RECEIVED Against the County of Contra Costa or ) - JUN 2' 6 2008 District) CLERK BOARD OF SUPERVISORS (Fillla the nHme) ) ^'ONTRA COSTA CO. The m2dzrsignsd claimant hereby mak claim against the County of Contra Costa or the above-w= district is the sum of and in support of this claim mprzsents as follows: L When did the damage or injury occur? (Crive exact date and boor) 2. Whzre did the damage or injiuy occur? (include city and county) MZ - ofmg Mo -1 nem (A,gtt5 53,' 3. Now did the damage o� iujmy ocotu? (Give full details;use extra paper if required) uU1 4. Wbat'particular act or omission on the part of county or district officers, servants, or employ es caged the injury or damage? NA 5 What are the names of coimty or district officers, servants, or employees causing the damage or injury? VW� 7 'a Ala NS I N DOO NO l : l l JUN-24-2008 11:37A FROM:TC INSPECTION 707-747-6100 TO 253351421 P.3 6. Ma damage or iq ies do your claim rested? ve £Ull extent of injuries or daLnaQ claimed. Att=h two estimates for auto damage.) N 7. How ams the atnoUrlt claimed above computed? (include the estimated amount of a iy prospective iWnry or damage.) 8. Names and addresses of witnesses, doctors, and hospitals: IW� 9. List the expenditures you made on account of this accident or injury: DDA`TEl AM UNT amaaaaaa/aaa ala amaamaINa■a a a as a aaa a as as aaa a a a s AN as a aa•NOW map I NOW WKS maam.•...■■ase■ at .Gov. Code Sec. 910.2 provides"The claim shell be signed by the claimant or by soma person on his behalf" SII NOTICES TO: (Attorney) 1 Name anil address of Attorney ) (Claimant's Sigaature) (Address) Telephone No. ) Telephone No. Q 2�1 `fi.�.5- Z01i a■a a a a a a a s a a a m A a m a a a m a a f a+•••a m an an a a a a r a a a a a a a s q■a a a a m a a a a a A a r.a l a a m a s m a a m m■■a a a•9 NMI PUBLIC RECORDS NOTICE: Please be advised th&this claim form, Or MY claim Med with the County uadcr the Tort Claims Act,is subj to public disclomm under the California Public Records Aet. (Gov. Code, 55 6500 et seq.) Furhermam, iny attachments,addendu=, or supplemats attachtd to the claim form,including medical retards, are also snbj to public disclosure. rasaandBEno as ms a ansa as as a•m it a ME a a amp as a at a ass a P a■a ram a ass a a amass an as MIR aoa■arms■ ■as NOTICE: Section 72 of the Puny)Code provides: Every person who, with intent to deed, presents for allowance or for paymet to any state board or office , ar to my county, city, or district board or offi=, authorized to allow or pay the same' if "Muine. any fal_ or uandulant claim., bill, account voucher, or writing, is punishable either by imprisonment in the County jail r a period of not more than one year, by a fine of not exceeding one thousand dollars ($1,000.00), or by both uch imprisonment and fine, or by imprisonment in jhc state prison, by a fine of not =v=ii ig ten thousand do Lars (S10M1 n�by both imn [ en n ,Q,,,,,, ... �, o...s^..ch rri✓onz:t_�an fie: � F 6(9 'ON 1NA1900 KA DOD NOl : l l Hol 'bZ V" JUN-24-2008 11:37A FROM:TC INSPEC N 707-747-6100 Tj9253351421 PA NATE OF CAUPOR➢A TRAFFIC COLLISION REPORT CHP 6W Page 1 olev 743)OR 061 Page 1 SAL CONDMCNE no. ►sr aaaK PwnvZ7 LOMPtrmKoft o E] bIARma M1'Austo oa-a99 „awaft-F-- -FSMWM 0-fTwhar VdAy 0 p CCWMACOSTA 203 2 MasHOH ccMuMa oH¢ no MAY Y[Ak * A=k t& L 2121 ORANCE ST 0ZP1 008 2193 CA0071400 1 c OAY blP wwl.K 1M AWAY PHDH A X rne� T FRIDAY Yae H+o 0 wT�TIM unvi ruTz w�IM N OR �o a,nTr oan+WML�>iAiwvs IWATE cum a ,o a-AMEaAP. YEN MAMIAIDDEL40OLM STATE 1 07616133 CA C M G 20W FORDT40MM 1164612 CA on,vr�t NAW " ,.....__ bw ❑s.►e.t den e► ❑x CAROLYN 13LTIAB=FET3XRUW C0N1RA C05TA C0VNW P f"ri r�ofiiiiC" AaoR &OK 4S DM= ❑ CC AND4AL SERVICES 2167 WATERBIAD WAY,MARTMM cmAs�Aas� apag, oa aPPlCER ©OiLVOi OTf�e ❑ DRTVEN m0m Sc» acnsr 0"" � ��anr r.�eii'r"" wrrHtiATe wvz amaaw�exew�rs .�.. _ F 077-1 ELM 5'61 150 OSl28/39i1 W X �� �e �� 70Qa11ReaaTp��uweEq 1 FDNF1 5 PIIGR .0-{A19'R ELEKILMS Abler (_] 415-205- 2 ,,,w -- l3WAiM/OG CAli�6l' TOIJ�II'MiOtf[ p MCO����H+[x.toyEc �!'.,yd CONMA COSTA COUNTY SEZY INSU R&N/A u OR OF IMAIML 1 0" CAimmlaw 10OWMAY CA N ORANGE ST 25 — c+or H TCRR OAL.T DCMGM VAMY MWEM8UCeNWWjWM fm" GLOBS Am9AA SAF6T'/ Vmwm• "lCpilE STATL g =31413 CA C 1945 OLD&MMALMM 1yFA4a7 CA 1-i sAWAsaa� ❑ MV CLM 3orm CLINE SUMLIAMMW vrn s reAs ❑ z1z1ORANGEST 21210RANGESi,-MARmmu UIYRTAw" OFvailaf if,'D6k1cw may OWVEjC OTiei ® MARTWEC,cn 54553 PA1i1M AT SCIS S8C +ASC HFM`Jff W6GYfP q� MM1R�f±lSl. p10►cA1r. 9li KAPfL1'1NG ❑ F BRO DRO 6' 185 09!08/1983 %et=cEstom IaNNnumft 103RV69YOFDOi3UQ mTex How From ®cam OW.HAar; ogrAaso As�w [� 925-4352045 wnacTYPO Buw H NorE n wwx UNKNO%N UNKNOWN Ol 01 �G wM 11'�JJJ)nrrtv�x I — i DR OF aRA11� ph CR T SPEM uin W DOT N ORANGE ST 75 uu r _ sO"MG MMU PAM DRlV828 9'11176AM44 SAFETY eMP. 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