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Home My WebLink AboutMINUTES - 09232008 - C.15 2 . a t CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ION: SEPTEMBER 23, 2008 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 Supervisors. (Paragraph IV below), AUG . 12008 2 given Pursuant to Government Code AMOUNT: $400.00 Section 913 and 915.4. Please note all COUNTY COUNSEL "Warnings". CLAIMANT: HAL WASHAUER MARTINEZ CALIF. ATTORNEY: UNKNOWN DATE RECEIVED: AUGUST 21, 2008 ADDRESS: 636 STEVENS COURT BY DELIVERY TO CLERKON: AUGUST 21, 2008 DANVILLE, CA 94506 BY MAIL POSTMARKED: HAND DELIVERED FROM: Clerk of the Board of Supervisors T0: County Counsel Attached isa copy of the above-noted claim. JOHN CULLEN, G � - Dated: AUGUST 21, 2008 By: Deputy LI. FROM: County Counsel TO: Clerk of the Board of Supervisors'^' ( 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). ( ) 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: I�?J�O� By: h�1t��,-i Deputy County Counsel i11. FROM. : Clerk of the Board TO: County Counsel.(I) County Administrator(2) O Claim was returned as untimely with notice to claimant (Section 911.3). LV. BOARD ORDER: By unanimous vote of the Supervisors present: (a/ 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' '�%Pg1d1�N CULLEN, CLERK, By, `— z/Deputy Clerk WA Nl. G (Gov.Zode 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. ff you want to consult an attorney,you should do so immediately. *For.Additiaial Warning See Reverse Side ofThis Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that 1. am now, and at all times herein mentioned, have been a citizen of the .United States, over age 18; and that today 1 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. i., Date • �.• JOHN CULLEN, CLERK By o Deputy Clerk r P This warning�daes not apply to claims which are not subject totl�e California Tort Claims Act such as actions„in_inveprse,condemnation 4 , . •.. - �ie 15�i11°r'iyt�Pe}I }�7 , actions for specific ,sic or injunction, ore deral Civil R!ghts claims. The above3list is not exlin st ve and`Iegal consultation is essentialto=titigeirst'a'nd all the separate limitations pe�riodsatha[may apply. The limitations period within which suit must be filed may be shorter or longer depending on the nature of the claim. Consult the specific statutes.and cases applicable to your particular claim. The County of Contra Costa does not waive any of its rights under California Tort Claims Act nor,does it waive rights under the statutes of limitations applicable to actions not subject to the California Tort Claims Act i • ,, nYS T . i0 t r 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. B. Fraud. See penalty for fraudulent claims,Penal Code Sec. 72 at the end of this form. aaasMan aage a_MEN as a a e mese r a•a a ee ages sag Ne signer ae'g a a Neva as am as s�at e a No NEWER r s ERI RE:• Clain By: Reserved for Clerk 41, �EIV "® ) AUG 1 2008 Against the County of Contra Costa or ) CLERK BOARD OF SUFERV�SO.iS CONTRA COsrq CO. 11Qd I�l�[1 �1�iU P. X11 District) (Fill in the nam ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$-4-C6 , e2> and in support of this claim represents as follows: .J 1. When did the ddnage or injury occur? (Give exact date and hour) 6--) o-r— 'Ap v . �5/4/6S 5�6116-5 2. Where did the damage or injury occur? (Include city and county) �liD`i-T� � Onl aZe+�'- (� •�lc�n� �i'i D R�LT�- K,CTCt-�d.S 3.. How did the damage or injury occur? (Give full details;use extra paper if required) 0040 Lb(AIZ:�k A-r 6�&, SIW� Owe, D�w� CN �1-W 4. What particular act or omission on e part of county or district officers, servantd, or employees caused the injury or damage? CA 1 Wrx, 'fp NftE W4tJ F AfMCF-1 A—FF- XroT Eft—, ROU v�. &40�� 5 What then es of county dis officers,servvanntsI ompToyeas^'ca g the , damage or injury? UN UUP &X W tTi+ -,r" (iUAAMA 7)--- �'1.G3)D i 6. )Kaz�t &mage or injuries do your claim resulted? (Give full extent of injuries or damages \ claimed. Attach two estimates for auto damage.) - l jL1fA�Tl7a� D� 7. How`w s the amount fteJ above computed? (Include the estimated amount of any prospective injury or damage.) :Lwvo66� -vvi c ftb&Maqx�br) 90VA57 A5 S. Names and addresses of witnesses, doctors,and hospitals: 9. List the expenditures you made lon account of 9-s accident or injury: DATE TIME AMOUNT sew lt:e a as a a a a 0 0 aartio a■O[r■arrt a&awj��rrt...a rarrrr a aaa .a��rarraaarar a[aaaaaaoaaau ) .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 ) 7RT 'tlignature) (Address) k 406 Telephone No. )Telephone No. &s rrKaRa•aa Rraan■Nunn a WORK San [arnat OOaWaar Rn■ra■aaa a■•[W•■a aWu UROWN 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. ■■■W•man■aRRWNa■sea■auto as a■■RraaNaRa■■K[W■Kala■••■araararRr■raNta•■WWWr•Mae aaan NRWal 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, _— I SERVICE 0.Box 461 SAN FWAON,CA 94583 �'� & 925-838-2710 POOL AND SPA REPAIRS Contractor License#727100 ""The Cool Pool People- NAME DATE Pp ORDER ADDRESS PHONE DATE PROMISED JOB NAME/LOCATION ORDKEN BY DESCRfPnON OF WORK /�. El DAY WORK ❑CONTRACT �� ^/1'/�✓1%cL. ��s✓/ G T G✓�^�.L%� ❑ EXTRA QTY DESCRIPTION �� PRICE ~AMOUNT 4.� LABOR HOURS RATE AMOUNT TOTAL MATERIALS TOTAL LABOR WORK ORDERED BY nLAKR - rnx AM DU�'J1JO�l`�LS DATECOMPLETED 91wk�Uu TOTAL ` i_ I2 0 4 3 3 SIGNATURE(I hereby acknowledge the satisfactory completion of the above described'v ork.) Rao:der Flom NESS CUSTE PA printing service t-a00-95ei 27 NESS;I:�c.Pa:rrC=%augh,kN 213459 wvw.nebs.oam Rat.No:6 2:79001316 AUG-5-2008 11:56A FROM: TO:2420838 P: 1/1 �L 1 76$420 INVOICE $OLP TO_ , SHIP TO moo.�nk�C�� . D R $ A94526 � �� ct- ADDRESS �anv C' CI STATE ZIP�� n ,n - CITY.STATE.ZIP 9' 3,]9�'r ..— CUSTOMER ORDER NO. (SOLD BY TERMS F.D.B. DATE E. S50 ORD'ERfE.D SHIPPED DESCRIPTION PRICE UNFf AMOUNT WcQeAAAg-4k. kL aM5 Laura Faria Residential Cleaning Services 925 759-3980 Invoice for Cleaning Services @ 636 Stevens Court, Danville, CA 94506 on 5/21/08: Wash down/remove construction dust from patio furniture and barbeque areas at rear yard of home. Total: $100.00 (paid in full)