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MINUTES - 10161984 - 1.15
CLAIM BCARD OF SUPERVISORS OF CONM COSTA COUNrx. CALIP'0MA • BaARD ACTION Claim Against the County, or District ) NOTICE TO CLAIMANT October 16,1984 governed by the Board of Supervisors, ) The coQy of th s document ma ed to you is your Routing Endorsements, and Board ) notice of the action taKen on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below) , to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "warnings". Claimant: Albert Damaschino 1187 Alta Mesa Drive Attorney: Moraga, CA 94556 Address: Amount: Unspecified By delivery to clerk on Date Received: September 11, 1984 By mail, postmarked on September 8, 1984 - I. FROM: Clerk of the Board ot supervisors County Counsel Attached is a copy of the above-noted claim. p Dated: September 11, 1984 &.R. QW997, Clerk, Byv( Deputy PNII BATCNELoR olene Edwards II. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) ( y(J 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. 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: & Deputy County Counsel III. FROM: Clerk of the Board TO: ) County Counsel, (2) County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD SER By unanimous vote of Supervisors present V) 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-,PiL BA-tcW-LoQ Dated: , Clerk, By �, jjG�c�,Q«= , Deputy Clerk WNRNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6) months from the date of 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. If you want to consult an attorney# you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave to present a late claim was mailed to claimant. P140, ggTcHEwP,, DATED: L� �G. �y�ly 5�' , Clerk, By Q�y �rri , Deputy Clerk T cc: County Administrator (2) County Counsel (1) CLAIM 1.! *_ AIM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions Lo Claimant A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day 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. (Sec. 911. 2 , Govt. Code) 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 (or mail to P.O. Box 911, Martinez, .CA) . 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 en+=tv, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims , Penal Code Sec. 72 at end of this form. RE: Claim by ) ReservEor Clerk' s filing stamps RECEIVED Against the COUNTY OF CONTRA COSTA) SEP ill 1984 or DISTRICT) PMH BATCYElOR (Fill in name) ) TERN BOARD Oi SUPERVISORS P "ONTAA COSTA CO. The undersigned claimant hereby i.takes claim against t e oun of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows : - - -- -- --------------------------------------- 1-.--When------ --- id the---dama -or---in 'uryoccur. (Give exact date and hour) � aZ % CJO QL oW& T.i Go T S/br L ----------- -------------------- ------ - --- --------------------------- 2. Where did the damage or injury occur? (Include city and county) �1 �9 rti RD. 3 F-l L'c; E cAJ ;4.4 4/"P,D. -i- (lam¢L L d1;E r J— .f L S"v i3 R/9 nN %t ___-- r0.�72,4 ----------------------------------------------- ------- 3. How did the damage or injury occur? (Give full details, use extra sheets if required) Th'E SiREE'l //9� .SEBnf C/1/a�'eCEil SoirET.•,�E i�uRi�v� ylii-,(Y�c, . ?/�E /C'o.aD W.�S GrE27 f7�sfTy �iLc.H 7.S�E Q.vA�'EL + vJ 77�F !'oiU Cir///6 Roird, Po.rc�i✓ei T/3 LL ij, /7i/F F'/L4r6L T/�/fjTf1.T/Yly .r/.N/�St/i�LlJ C.nrrl� F2c/n ihf= Citi C"*e,-.�IA-C 0,a2S ---C-'i-1l�E _ _ 4 . What particular act or omission on the part of cou y or district officers , servants or employees caused the injury or damage? (over) 15; 4wiat- 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 full extent of injuries or damages claimed. Attach two estimates for auto damage) ES G'L,4SS 22 L7, i1YErr..,,.a>Fs C.v%ti XC i til, KA 1w �:.G_ 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) --.--N-a-m-e-s-a--n-d--a-d-d-r-e-s-s-e-s--o-f--w-i-t-ne--s-s-e-s-,-d--o-c-t-o-r-s--a-n-d--h-o-s-p-i-ta--l-s-. ------------- --.--L-i-st-th-e--e-xp-e--n-d-i-t-u-r-e-s--y-o-u--m-a-d-e--o-n--ac--co--un--t--o-f--t-h-i-s--a-c-c-i-de--n-t--or- injury. DATE DATE ITEM AMOUNT I f w. Govt. Code Sec. 910. 2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on, his behalf. " Name and Address of Attorney s Claimant' s Signature 'Address Telephone No. Telephone No. �7 ************************************************************************** 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, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill , account, voucher, or writing, is guilty of a felony. " 000a� BOARD OF SUPERVISORS OF awmA cwm COommx cAmnI ITA BOARD ACTION C.'srsinCAgainst the County, or District', !. ' C '_ c13Nl7PICE TO CLAIMANT October 16, 1984 governed by the Board of Supervisors, ) The copy of M-s-do-c-u-me-RF-maTied to you is your Routing Endorsements, and Board } notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below), to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings•. Claimant: Leslie P. DeVille 138 Broderick Drive Attorney: Brentwood, CA 94513 Address: Amount: Unspecified By delivery to clerk on Date Received: September 6, 1984 By mail, postmarked on September 4. 1984 I. FROM: Clerk of the Board ot Supervisors County Counsel Attached is a copy of the above-noted claim. p p Dated: September 6, 1984 J.R. OLSSON, Clerk, By s�-��►rtt� �I[ty�t o� Deputy Jolene Edwards XI. FROM: County Counsel TO: Clerk of the Board of Supervisors / (Check only one) O,C ) 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. 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: Deputy County Counsel III. FRCM: Clerk of the Board TO: (1) Cty Ccunsel, (2) County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3) . IV. BOARD ORDER By unanimous vote of Supervisors present (,/1 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.PAp, 6pTct+eko2, Dated: a Clerk, By / �„�� , Deputy Clerk WART= (Gov. Code Section 913) Subject to certain exceptions, you have only six (6) months from the date of 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. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. we notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave to present a late claim was mailed to claimant. Pdi�.BaTCr+E��, DATED: (�.�. /y, /y}'y - , Clerk, By ( L: r� ,�� , Deputy Clerk cc: County Administrator (2) County Counsel (1) t CLAIM 0 0 0 2 CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions :o Claimant A. ' Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day 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. (Sec. 911. 2 , Govt. Code) 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 (or mail to P.O. Box 911 , Martinez , CA) " 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 ent-tv, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims , Penal Code Sec. 72 at end of this form. ************************************************************************ RE: Claim by J ( ) Reserved forDClr� k' sBfiling stamps 22FRE TCEI �jED Against the COUNTY OF CONTRA COSTA) Aa4l ... . or DISTRICT) (Fill in name) r.; a`aohs co The undersigned claimant hereby r.Lakes claim against abun o ntra Costa or. the above-named District in the - sum of $ �, ; ,� Co� . and in support of this claim represents as follows: ------ ------- "-- -------- i ------------------ 1Whendi-d--he damage or injury occur. (Give exact date and hour) ----------- ---------------------------------------------------------- 2. Where did the damage or injury occur? (Include city and county) ------------------------------------------------------------------------ __ 3. How did the damage or injury occur? (Give full details, use extra sheets if required) IS �_ - - - �--�� � j---------------------- 4. l What particular act or miss�bn on the part of county or district officers , servants or employees caused the injurylor damages .w-k.�� ,�C•�k .S�i.,a�,'�:-�.�a� �c�-r� SL-F �..a-1 .,r.� .� ... �, pw�.�--- .�,�.�/! 4" (over) 00023 5. Cdhat are the names of county or district officers, servants or employees causing the damage or injury? r) t V �f,` �Y''f't•ll ./`n"`�1 .�"`r -- —. c � � �vrZ�� Gti'��/M�✓.•vc1 ll- 6 . Wiatdamage or injuries do you aim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto - 0p damage) 7. How was the amount claimed abo#e computed? T (Include WArti�Tnat 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 ITEM AMOUNT ************************************************************************** Govt. Code Sec. 910. 2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some per_son on his behalf. " I Name and Address of Attorney j' an s �gna \re - A dress -115-r 3 Telephone No. Telephone No. (j/5-) /3 '/- 3 s�9/3 '/- 3 S�9 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, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine , any false or fraudulent claim, bill, account , voucher, or writing, is guilty of a felony. " Estimate Form Name Date 41 Address Z w State—Zip—Phone 69 2 Year —Model I.D. No. Color Prod. Date— TrimMileageLicense No�c:57Z' 49 5-'L2- Ins, Co. File No.—Claim Appraiser —Lic. No. Phone— Written- LirieRe- Re- No. pair place DESCRIPTION OF DAMAGE PARTS LABOR. fPAINT ................ :w..... 2 ti ...... ... 3 4 ... .. .. .. .......... 5 x: q .. ........ 6 F 7 8 ......... ..... 9 10 11 12 13 .......... ......... . ...... ......... ...... 14 15 .......... . ..... . ..... .......... 77= 777777= 16 . .. ... ..... 17 18 dd q 1.I .......... 19 777= 777777 20 X 21 r 4 v :xv 22 23 q 24 ........ ... ......... .......... :v ........... d ......... 4 25 .......... ..... 26 .......... 27 28 X. X 29 z 30 + F. TOTALS '""7777FF77T7 rA TP: 0., -777 ry PARTS Prices subject to invoice $ LABOR hrs.@$ $ BYER'S AUTO BODY REPAIR,+ INC. Paint $ 1377 Highway 4 Paint Supplies Shop Supplies $ 6 7 8 29 30 Brentwood, California 94513 Towing Storage $ Phone (415) 634-3198 Sublet $ Tax $ DAMAGE REPORT TOTAL $ %7 00025 CASEY'S CUSTOM PAINT & BODY SHOP ESTIMATE OF REPAIRS 1 142 N. Highway 4 Phone: 634-2211 BRENTWOOD, CALIFORNIA 94513 CALIF. B.A.R. REG. #AB57216R NAME ADDRESS = DATE E OF VEH E / YEA TYPE / LICENSE .` MILEAGE' SERIAL NO.IVIN O.1 I URED B DUSTER INSPECTOR PHONE HOME BUSINESS Labor Labor Labor SYM. • Hours PARTS SYM. Hours PARTS SYM. Hours PARTS Bumper Fender Fender Bumper Rail Fender Ornament Fender Ornament Bumper Brkt. Fender Shield Fender Shield Fender Mldg, Fender Mldg. Bumper Gd. Headlamp Headlamp Frt. System Headlamp Door Headlamp Door Frame Sealed Beam Sealed Beam Cross Member Cowl Cowl Door, Front Door, Front Wheel Door Lock Door Lock Hub Cap Door Hinge Door Hinge Hub& Drum Door Glass Door Glass Knuckle Vent Glass Vent Glass Knuckle Sup. Door Mldg. Door Mldg. Lr.Cont. Arm-Shaft Door Handle Door Handle License Frame-Brkt. Center Post Center Post Up. Cont. Arm-Shaft Door, Rear Door, Rear Shock lCoor Glass Door Glass Windshield Door Mldg. Door Mldg- Rocker Panel Rocker Panel Tie Rod Rocker Mldg. Rocker Mldg. Steering Gear Sill Plate I Sill Plate Steering Wheel Floor IFloor Horn Ring Frame IFrame Gravel Shield I Dog Leg jDog Leg Park. Light I Quar. Panel ` Quar. Panel Grille Quar. Midg. Quar. Mldg. Quar. Glass Quar. Glass Fender, Rear Fender, Rear Fender Mldg. Fender Mldg. Fender Pad Fender Pad Mirror Inst. Panel Horn Bumper 17 Front Seat Baffle. Side Bumper Rail I Front Seat Ad Baffle, Lower Bumper Brkt. Trim ;. Baffle, Upper Bumper Gd. Headlij9pg Lock Plate. Lr. Gravel Shield Top Lock Plate, Up. I Lower Panel Tire Hood Top IFloor Tube I IIV. H Hood Hinge Trunk Lid Batter Hood Mldg. Trunk Lock Paint L C/ Hoed Letters Trunk Handle Undercoa Ornament Tail Light Polish Rad. Sup. Tail Pipe Misc. Mateals Rad. Core Gas Tank ALITHoijRIZATION FOR REPAIRS Radio Antenna Frame You are hereby authorized to make the above Rad. Hoses Wheel specified repairs. Signed Fan Blade Hub& Drum Labor Mrs. Fan Belt Back Up Lite Parts g Water Pump Wheel Shield Wrecker Service 8 Motor License Frame—Brkt. Tax 8 Sublet 8� A—Align N—New OH—Overhaul S--Straighten or Repair EX—Exchange RC—Rechrome U—Used �� � p This estimpte is based on to est possible cost GpnSisten� yvith Quality work, and as such, is guaranteed.Items not covers by thls estimate or hrddan will be edakional. TOTAL 8 FORM ER 1002-C 147914C91U.OMLAYOVA CITY.LCS✓.CELE$ .]LI.rNLM1LI$CO .CMICIGG .KINCS MIO.TIC ro t 000 FREE - - ESTIMATE No. 401741 TIMETABLE ❑ DEPOSIT FOR PARTS APPOINTMENT DATE \\ �`j jc'1C..(�. NACUSTOMER /p� READING R DATE ADDRESS /3 `� (J{'`v �e��.n//-C �� PHONE 4y/5� (0 7 fit' 3 S'Z!' ESTIMATED ,�j LICENSE_/ CITY AND {'L ZIP e v BUSINESS YEAR AND (%'Q/ � f STATE Fes' I GGCc� J CODE (��� PHONE MODEL S3 ❑ ENAMEL (MAT. $19.95) ❑ACRYLIC (MAT$24.95) Cl MIRATHANE (MAT.529.95) PRICE COLOR: LABOR MATERIAL ❑ METALLIC . • PAINTING ❑ STARBURST ❑ SEALER TOUCH-UP 2.00 ❑ NO MAR PROTECTION ❑ DOORJAMBS ' �� EXTRAPREP ❑ WHEELS ❑ COMPLETE COLOR CHANGE /. }( p/ _❑ TU TONE l� (` rV^7D G� ❑ MATCH COLOR ❑ VINYL TOP RENEWAL ` C] PICKUP &PANELS 1 BALANCE FO.RWFA,R16. TOTAL PAINT 1111, l SUBTOTAL TOTAL MATERIAL Op 0 \ \ ❑SIDEMOLDING ❑GLASS ❑VINYLTOP ❑STRIPING ❑OTHER TOTAL SUBLET b. WORK DESCRIPTION PARTS METAL METAL LABOR MATERIAL mn�Lcfi� �(3�2(,n�/e tQp7?lQC0r OTA LS-400' TOTAL LABOR HOURS TOTAL PAINT LABOR n HOURS OF LABOR @ $ PER HR TOTAL$ TOTAL METAL LABOR TOTAL TOTAL MATERIAL TAXABLE 44 TOTAL SUBLET TOTAL PARTS CUSTOMER SIGNATURE X TOTAL TAX ALES TAX VOID AFTER 10 DAYS. SALES TOTAL THIS IS NOT AN INVOICE. q� NOT RESPONSIBLE FOR CRACKING OF BODY PLASTIC FROM PREVIOUS REPAIRS 0002 INVOICE INVOICE NO. s �CA 791 SOLD TO SHIP TO (� 1 , �e�i ( �e CUSTOMER'S ORDER SALESMAN TERMS SHIPPED VIA F.O.B. E /593 till 6 6s a o0 !c dv�a 75726 POLY PAK (50 SETS) 7P726 r�J fffs 00028 9 e7 DELTA DATSUN , INC. 2695 E. Leland Road • Pittsburg, California 94565 Pittsburg (415) 439-2046 Concord (415) 689-7030 C P Gly 90029 ii ' �� ���� �, �� , , , !1�, '�. ;fin ,�, rd,�� � f„! ` / i /� ,' . ✓����^ �y,�ef� /j'��_ _ CLAIM BOARD OF SUPERVISORS OF dwm OOSTA COUNN, CALn7omm BOARD ACTION Claim Against the County, or District ) NOTICE TO CLAIMANT October 16, 1984 governed by the Board of Supervisors, ) The copy of th s document ma ed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below) , to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant: Gradeway Construction Attorney: Brian Kaapcke Snow & Snow Address: 39155 Liberty St. , Suite 100 Fremont, CA 94538 r Amount: $4,563.00 By delivery to clerk on September 13,_1984 t Date Received: September 13, 1984 By mail, postmarked on I. FROM: Clerk of the Board ot Supervisors County Counsel Attached is a copy of the above-noted claim. Dated: September 13, 1984 ], Clerk, By Deputy PHIL BATCHELOR Jolene Edwar s II. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) This claim canplies 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. 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: _ c By: Deputy County Counsel III. FROM: Clerk of the Board TO: (1 County Counsel, (2) Cednty Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3) . IV. BOARD ORDER By unanimous vote of 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.pfl,L. ECHE,-oe, Dated: Cp�tt ./� , 'y�'� , Clerk, Byg Deputy Clerk WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6) months from the date of 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. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave to present a late claim was mailed to claimant. P{+11- 8ATCNEw2 DATED: ���- j�, /; ,J'% 9M38M, Clerk, By Deputv Clerk cc: County Administrator (2) County Counsel (1) 00030 CLAIM I SNOW $ SNOW 2 A Professional Corporation 39155 Liberty Street , . Suite 100 -� 3 Fremont , California 94538 �������� (415) 793-3811 4 Attorneys for Claimant SEPI3 1984 5 /H4 BA R OARD ViF WFE►EQVISOQS i 6 er. 7 8 In the Matter of the Claim of ) 9 GRADEWAY CONSTRUCTION ) NOTICE OF CLAIM FOR DAMAGES 10 against ) ) 11 CONTRA COSTA COUNTY, ) EAST BAY MUNICIPAL UTILITY ) 12 DISTRICT, RALPH LARIMER, and ) EARL IGAARD aka EARL AGUILAR ) 13 ) i 14 TO: CONTRA COSTA COUNTY, EAST BAY MUNICIPAL UTILITY DISTRICT, RALPH LARIMER and EARL IGAARD aka EARL AGUILAR: 15 GRADEWAY CONSTRUCTION hereby makes claim against EAST 16 BAY MUNICIPAL UTILITY DISTRICT, RALPH LARIMER, and EARL IGAARD 17 aka EARL AGUILAR for the sum of $4 , 4563 . 00 and makes the I 18 following statements in support of its claim. j 19 20 1 . Claimant ' s post office address is P. 0. Box 1808 , i Fremont , California 94538 . j 21 2 . Notices concerning the claim should be sent to SNOW i 22 23 F, SNOW, 39155 Liberty Street , Suite 100, Fremont , California 94538 . 24 ' 3. The date and place of the occurrence giving rise to 25 26 this claim: On or about September 13 , 1983 , claimant completed construction work in Assessment District No . 1980-4 , San Ramon 27 i Valley Boulevard at CroW Canyon Road , Contra Costa County, 28 LAW OFFICES OF SNOW. SNOW 000 33C: 9 A PROFESS M -1 SUITE IM30105 LIBERTY STREET FREMONT,CALIF.0AB38 (413)793.3811 II 1 California , as authorized by RALPH LARIMER and/or EARL IGAARD aka 2 AGUILAR. 3 4 . The circumstances giving rise to this claim are as 4 follows : , 5 At the above time and place , claimant was performing 6 construction work in Contra Costa County consisting of grading , 7 paving and other site work as authorized by claimant ' s written 8 contract with Contra Costa County dated May 2S , 1982 . Prior to 9 claimant ' s performance of the work for which this claim is made , 10 RALPH LARIMER and/or EARL IGAARD aka AGUILAR had authorized 11 performance of additional paving work consisting of 12 (a) Removed , cut-back and paved with 13 A.C. in water value and trench areas $1 , 266. 00 (b) Removed and paved water line trenches 19449. 00 i 14 (c) Paved water valves 11848 . 00 15 The reasonable value of the above described work is 16 $4 , 563 . 00. I 17 S . Claimant ' s injury consists of the fact that such I 18 work was performed at the reasonable value above described and 19 claimant has not been paid for the same. 20 6. The names of all public employees authorizing such 21 work are unknown except that it is known that RALPH LARIMER 22 and/or EARL IGAARD aka AGUILAR approved such work . Claimant is 23 informed and believes that RALPH LARIMER and/or EARL IGAARD aka 24 AGUILAR are employees of the EAST BAY MUNICIPAL UTILITY DISTRICT. 25 7. My claim as of this date is $4 , 563 .00. 26 8. The basis of the computation of this claim is stated 27 in Paragraph 4 28 00032 � J�///��� LAW OFFICES OF SNOW,SNOW 2 �....,.r -2- SUITE 2- SURE 100 Solea LME0 STREET FREMONT,CALIF.54530 (415)7033811 I above . 2 Dated : September 13 , 1984 . 3 SNOW SNOW i 4 5 By Brian as kAk e 6 Attorneys for Cla mant 7 i 8 9 10 11 12 I 13 14 15 16 17 18 I 19 20 21 22 23 24 25 26 27 fj F„�q i LAW OFFICES of 28 SNOW. SNOW -3- A FRwu��oRwL col.roRwnor. SURE loo 38155 LIBERTY STREET I FREMONT.CALIF.94938 14151 7933811 j CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION Claim Against the County, or District ) NOTICE TO CLAIMANT October 16, 198 governed by the Board of Supervisors, ) The copy of this document mailed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below), to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant: Barbara and Roy Halleybone Attorney: Bruce E. Krell 345 Grove Street Address: San Francisco, CA 94102 Amount: $2,510,000.00 By delivery to clerk on September 13, 1984 Date Received: September 13, 1984 By mail, postmarked on I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: September 13,1984 PHIL BATCHELOR, Clerk, By � _ ��i� . Deputy Jolene Edwards II. FROM: County Counsel T0: Clerk of the Board of Supervisors (Check only one) (J� ) 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. 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: 7,7L", . Deputy County Counsel III. FROM: Clerk of the Board TO: (1) County Counsel, (2) unty Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER By unanimous vote of 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 mi utes for this date. Dated: %�,/y p PHIL BATCHELOR, Clerk, By C� %�-�P err , Deputy Clerk WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6) months from the date of 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. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave to present a late claim was mailed to claimant. DATED: zt.r' i��� PHIL BATCHELOR, Clerk, By , Deputy Clerk cc: County Administrator (2) County Counsel (1) 00034 CLAIM LAW OFFICES OF Druce F. �Rrrll, Inc. A PROFESSIONAL CORPORATION BRUCE E. KRELL 345 GROVE STREET OF COUNSEL SAN FRANCISCO, CALIFORNIA 94102 EDWARD HOUSEMAN RICHARD J. WERTHIMER BRIAN J. MCCAFFREV AREA CDDE 415 TELEPHONE 561-4414 MARK S. LITWIN September 10 , 1984 County Counsel SEP 11 1984 Victor J. Westman County Counsel Martieel, CA 94553 Room 106 651 Pine Street Martinez , CA 94553 Re : Addendum to Claim against the County of Contra Costa Claimants Names : Barbara and Roy Halleybone Amount of Claim: $2 ,510 ,000 . 00 Claimant ' s Address : c/o 345 Grove Street, San Francisco, CA 94102 Phone Number: (415) 861-4414 The following information is being provided as an addendum to the claim filed on July 25 , 1984 and in response to your Notice of Insufficiency and/or Non-Acceptance of Claim. 1 . The circumstances of the occurrence and the circumstances giving rise to the claim against the County are as follows : This was a single car accident which occurred on Morgan Territory Road approximately . 8 of a mile south of Marsh Creek Road (please note the original claim form erroneously listed the location of the accident as 140 Shale Cliff Court, Clayton) . The vehicle involved was north bound and left the road after negotiating a curve in the road. Contra Costa County' s liability arises from several factors including but not limited to: improper design and construction of the road and adjacent shoulder; improper and inadequate maintenance of the road surface; inadequate and insufficient warning signs with regard to the curve; construction activity on the road which resulted in loose dirt on the road surface. 2. The names of the public employees responsible for these matters are not known to aimants at this time. E CEIVED RUCE E. KRELL SEP /3 1984 Attorney for Claimants BEK:d k PW{ATCKLON g IK{o c wrtIINWIS CONI. STA D { . 00 v3� CLAIM BOARD OF SUPERVISORS OF OOH MA COSTA C OUM Y, CALIPMeTIA BOARD ACTION Claim Against the County, or District ) BICE TO CLAIMANT October 16, 1984 governed by the Board of Supervisors, ) The copy of th s document milled to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below) , to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant: Richard W. Hixson 3124 Rogers Avenue Attorney: Walnut Creek, CA Address: t Amount: $162.90 By delivery to clerk on t Date Received: September 12, 1984 By mail, postmarked on September 11, 1984 I. FRONT: Clerk of the Board Ot SupervisorsCounty Counsel Attached is a copy of the above-noted claim. Dated: September 12, 1984 , Clerk, By _ .� _ Deputy PHIL BATCHELOR Jolene Edwards Ii. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) ( ) 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. Clerk should return claim an 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: Deputy County Counsel III. FROM: Clerk of the Board TO: (1) ounty Counsel, (2) County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3) . IV. BOARD ORDER By unanimous vote of 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.�µ�� BATCHE�.oK, Dated: `0,- _ G,/9 r , Clerk, By Ld- ` ::: 44 Deputy Clerk MRNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6) months from the date of 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 y y your choice in connection with this rc:•. matter. If you want to consult an attorney, you should do so immediately. 3 V. FROM: Clerk of the Board 70: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave to present a late claim was mailed to claimant. 6A-KffEJ-CA DATED: tPC/- /y, ly P , Clerk, By (��- �7L � ��✓ , Deputy Clerk cc: County Administrator (2) County Counsel (1) 03 CLAIM CLAIIM TO:' BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions :o Claimant 'A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day 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. (Sec. 911. 2 , Govt. Code) 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 (or mail to P.O. Box 911 , Martinez , _CA) , 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 en+ -tv, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims , Penal Code Sec. 72 at end of this form. RE: aim by ) Reserved for erk' s fi 'ng stamps .4 AD 7q1xs0N) ) ) RECEIVED Against the COUNTY OF CONTRA COSTA) SEP /A1984 or DISTRICT) ►ren BATCALOQ Fill in name) ) 2eo�e sure ONt 5TH CO. The undersigned claimant hereby makes claim against he County of Contra Costa or the above-named District in the sum of $ /(�L• �jC� and in support of this claim represents as follows : --------------------------------------------------------- damage did the or injury occur? (Give exact date and hour) /fg',�4 2. Where did th ---------damage---o-r--inj- -ury---occur?---------(Includ-----e---ci--ty a----nd-------county)------ e 4,,C V ye/2, / �'a�Tir.v �osT Co . ------------------------------------------------ ---------------------- 3. How did the damage or injury occur? (Give full details, use extra sheets if required) ------------------------------------------------------------------------ 4. What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? (over) _ - b3� PHOTOGRAPHY 1136h Saranap Ave. Walnut Creek,CA 94595 • (415)935-6033 Sept 79 1984 0 Dn July 25, 1984 I was driving on Happy Valley Road, just after turning ,off Bear Creek Rd. About 100 yds south of the intersection there is a right hand curve. I entered that curve driving about 25 mph. There was a severely eroded area of asphalt going from the shoulder into the roadway. By the time I saw the 10" deep hole my tire caught in the edge of the hole and forced my car into the hole. The result of this accident was that I had .both the front and rear right tires blown out, the right front rim dented, and I received a slight concussion. Enclosed are copies of the bills that I payed to get the car back into operation, as well as a few photographs of the scene. I am asking for full re-imbursement for these costs. If you feel you need further proof I have saved both tires that were destroyed, as well as more photo's of the scene and other wheel parts that have been left at the area from other auto accidents similar to mine. resp. Y Richard W. x as7 A AF MAJ 3440 T. DIABLO BLVD. LAFAYETTE, CALIFORNIA 94549 (415)284-7018 BUREAU OF AUTOMOTIVE REPAIR LICENSE NUMBER STREET ADDRESS En Y.STATE&LP CODE ✓S .' lieY 50, 4V _ 6 ,. I - CUBTOBUM NO. NOME rHONE BUS.PHONE CAR MAKE yyy YEAR El_ NSE MILEAGE ATE&TIME PROMISED ^tom TE - - SALESMAN CIRCLE ONE CIRC E ANVOICE o - VISA❑ MCC] AE❑ DC NUMBER 23- ��18 " . '; TArABL[ Lc - CHECK❑ FINANCE❑ OTHER ALL SERVICE DEPARTMENT PARTS OTY STOCK NUMBER DESCRIPTION UNIT PRICE NSION NEW UNLESS NOTED OTHERWISE. CUSTOMER DID❑ DID NOT❑ - + ','�' �. ;:•.. y'/_ MERCH REQUEST OLD PARTS BEFORE _ WORK STARTED. - \ EXCISE " MERCH .. . X OLD PARTS RECEIVED CUSTOMER SIGNATURE EXCISE GERARD TIRE IS NOT RESPONSIBLE FOR ANY DAMAGE DONE TO CUSTOM MERCH WHEELS OR MAGS. EXCISE CUSTOMER SIGNATURE MERCH ATTN: CUSTOM OR MAG WHEEL . USER. IT IS THE CUSTOMER'S RE- EXCISE SPONSIBILITY TO CHECK TIGHTNESS _. OF LUG NUTS AFTER 100 MILES AND 1 Z Z'6 . VALVE STEMS RUBBER METAL❑CHROME❑ EVERY 500 MILES THEREAFTER. –'•'v -`-; ALIGNMENT DRUMS/ROTORS 601010 O 0101 SHOCKS/STRUTS F# BEFORE AFTER BEFORE AFTER 610 O. O O O O SHOCKS/STRUTS R# -LOAM -R,CAM. LF i —LCAsv— RF _ SOOOOP #E FPSU _R.CAST_ LR KG F OR REVERSE SIDE BRAKE FALBIRKE WARRANTY L A _To&ADJ.- RR 'O 5 OO PKG# R (PACKAGES ' IN ORDER TO DO THE JOB IN ACOMPLETE MANNER.WE RECOMMEND THE FOLLOWING ITEMS: CITY DESCRIPTION LABOR PARTS PLEASE SEE SUB-TOTAL f `•� REVERSE SIDE FOR _ IF WARRANTY INFORMATION %SALES TAX , O 7 0 0 0 01010101 WHEEL BALANCE R❑ 1 O O - O 010 E.P.P.WARRANTY Y NO 13 O1601010 610 010 SHOCK LABOR 11401010 0 0 0 0 ALIGNMENT e � ♦ � J� r � 1. ( v 1 TOTAL AUTHORIZED PLEASE PAY THIS AMOUNT • • �: i:; :;; ADDITIONAL COST (PLUS TAXES) SALESMAN INSTALLATION DELIVERY RECEIPT(CHARGE INVOICES):1 acknowledge receipt of the goods and 0 O services listed on this invoice and state I am authorized to charge to the above INInAL MOUNTER account. I acknowledge terms are net 10th prox. and agree to pay a FINANCE CHARGE of 1'h%per month,which equals an Annual Rate of 18%,on all past due CUSTOMER NAME: MECHANIC O O balances,as well as reasonable collection and court costs whether or not suit is filed, AUTHORIZEDBY: including reasonable attorney's tees,in the event of default of payment. PHONE NO CALLED ALLIED BY DATE&TIME SAFETYCHECKER ROADTESTER P.O. NO. CUSTOMERSIGNATURE This estimate is based on our inspection at this time and does not cover CITY, ESTINA AND)CIR WORK AUTHORIZATION LABOR PARTS. additional pans or labor which may be required after the work has been _ started.After the work hall started.worn or damaged parts which are not 1 1:� ' .i.� /_:/1 ' T. _� /• 1, _I evident on first inspection may be discovered.This estimate cannot cover ! such contingencies.In cases,where additional work is deemed necessary. r' I customer authorization will be secured prior to commencement of that _ J �o K!S additional work.This estimate expires 15 days from date. ' I hereby authorize the repair work to be done along with the Necessary, materialandherebygrant you and/or your employees permission tooperste the vehicle herein described on streets,highways or elsewhere for the purpose of testing and/or inspection.An express mechanic's lien M hereby i / . �IL eGknowleag00 on above vanIGe to secure the amount of repairs therelp. Dealer not responsible for unavailability of pars or delays in parts shipments beyond dealers control nor for loss or damage to vehicle or articles felt in vehicle in case of fire,theft or any other cause beyond our cc 1. PLEASE / t AUTHynIZfO Y B MILEAGE. ', ASE PLUS APPLICABLE TAXES L7 n J q CLAIM CHECK: NO MERCHANDISE DELIVERED WITHOUT GERARD TIRE SERVICE INC. Z3- 21 S THIS CHECK.NOT RESPONSIBLE FOR GOODS LEFT OVER 10 DAYS NOR FOR LOSS BY FIRE OR THEFT. 3440 MT.DIABLO BLVD.,LAFAYETTE,CA(415)2S4-7018 � STORE FILE COPY �3�J I '� .;�c/��Idtrrr:.�;5, "',1,t::+ t.�ihlt•• wi'y '� =�a, ..�-,y_�i; fi� ..y""y+r'•r ' � ��C �� \r.�'� ,k f:t��K �I i�� ytY�`+�y`.�' s,.s _ a ver � r- vt wl1 T Y � ,`�sR t' ! a :��� 3'„Ys I.s�� �f'A '•fit 2.+wS''+, T . � k , ' �. ! y "�i('� � kt .yr,;s �°'y - �'r N i-'PM�a�� w '�.�er• yc� di'<F tv `Y. •�, ,i ati aril Y r �. ''r`t,{G'4 ( .K N�4tY.4'` } st" tifrs.L.;:y -' ;Fire ? .� r +5t' _ ... �<♦ .,,, + 7 ,`fr•.r., 1" y ( F°�• ,s�+�-� � 4' -t"t 1� � _N.1�M.. � .f.13 k.hY`r.t .s/Ti��Yh'�� }� x. ''�.t 1 ' r Y ' %a.r CLAIM BOARD OF SUPERVISORS Wg]W M=STA COURNr CALIFURNIA BOARD ACTION Claim Against the County, or District )S P 1984 NOTICE TO CLU , October 16, 1984 governed by the Board of Supervisors,.,a.;.,; The-,Oop,.;.'�� this document mailed to you is your Routing Endorsements, and Board ") ' . .laioe of the action taken on your claim by the Action. A11 Section references are ) Board of Supervisors (Paragraph IV, below) , to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings'. Claimant: H.V.A.C. Mechanical Corporation (Dan Marquez) Attorney: Clifford B. Malone, Jr. 1211 Newell Ave. , Suite 112 Address: Walnut Creek, CA 94596 Amount: $28,021.32 By delivery to clerk on Date Received: September 7, 1984 By mail, postmarked on September 6, 1984 I. FROM: Clerk of the Board ot supervisors County Counsel Attached is a copy of the above-noted claim. Dated: September 7, 1984 J.R. OLSSON, Clerk, By �,Zzezt .eG✓ Deputy Jolene Edwards II. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) ( ) 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. 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: L L 2 By: Deputy County Counsel III. FROM: Clerk of the Board TO: (1) County C sel, (2) County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3) . IV. BOARD By unanimous vote of 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 ytes mi for this date.pH1,_8g7coekoje, Dated �r . 4; 4,y4(74' , Clerk, BY ���. `�y,�-,� , Deputy Clerk WAI NING (Gov.. Code Section 913) Subject to certain exceptions, you have only six (6) months from the date of 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. If you want to consult an attorney, you should do so immediately. V. FRCM: Clerk of the Board 70: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave to present a late claim was mailed to claimant. PHIL, 8ATCnew2, DATED:1a / 9, /9"k, _ , Clerk, By -CO• �J� , Deputy Clerk cc: County Administrator (2) County Counsel (1) 0009 CLAIM I CLIFFORD B. MALONE, JR. Attorney at Law 2 1211 Newell Avenue, Suite 112 Walnut Creek, California 94596 1 rht ,� EJ` E D 3 (415) 939-9394 4 Attorney for Plaintiff OLSSC!" 5 CLERBC;...',G C).- SUPERVISORS CONU-j- CSTA CC. 4j 6 L 7 8 SUPERIOR COURT OF CALIFORNIA, COUNTY OF CONTRA COSTA 9 10 In the Matter of the Claim of: CASE NO. 11 H.V.A.C. MECHANICAL CORPORATION, a California corDoration (Dan CLAIM AGAINST PUBLIC 12 Marquez) , ENTITY 13 Claimant, 14 vs . 15 COUNTY OF CONTRA COSTA, 16a Public Entity. 17 18 H.V.A.C. MECHANICAL CORPORATION (DAN MARQUEZ) herebv 19 presents this claim to the COUNTY OF CONTRA COSTA BOARD OF 20 SUPERVISORS pursuant to §910 of the California Government Code. 21 1 . The name and post-office address of Claimant is as 22 follows : H.V.A.C. MECHANICAL CORPORATION (DAN MARQUEZ) , 2951 23 F Cloverdale Avenue, Concord, California 94518 . 24 2. The post-office address to which DAN MARQUEZ desires 25 notice of this claim to be sent is as follows : 2951 F Cloverdale 26 Avenue, Concord, California 94518 . 27 3 . On or about July 15 , 1983, at Martinez Claimant 28 entered into a contract to provide the County of Contra Costa 00044 I with air conditioning units and servicing equipment for the use, 2 benefit and enjoyment of the County, and at the direction of the 3 County employees and on agents, to be installed at Spanish Crown, 4 20 Allan Street, Martinez , California. 5 4 . The County of Contra Costa through their agents and 6 an employees has refused to allow H.V.A.C. MECHANICAL CORPORATION (DAN MARQUEZ) to remove said air conditioning units from the 8 subject property and has further refused to compensate H.V.A.C. 0 MECHANICAL CORPORATION (DAN MARQUEZ) for their labor or materials . 10 5 . So far as it is known to H .V.A.C. MECHANICAL CORPORATIO 11 (DAN MARQUEZ) at the date of filing this claim, H.V.A.C. MECHANICA 12 CORPORATION (DAN MARQUEZ) has incurred damages in the amount of 13 $28 ,021 . 32 due to the following breach of contract on October 22 , 14 1983 . 15 6 . The employees or agents of the County, who entered 16 into the above contract are unknown to the Claimant at this time 17 and are therefore designated as DOES 1 to 10, inclusive. 18 19 7 . At the time of presentation of this claim, H.V.A.C. 20 MECHANICAL CORPORATION (DAN MARQUEZ) claims damages in the 21 amount of $28 , 021 . 32 , computed on the basis of the following: 22 Billing Attached and labeled Exhibit "A" . 23 DATED: Y/3/) 24 25 ADAN04- 26 27 28 00045 -2- w j 1 iS I! CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION Claim Against the County, or District ) NOTICE TO CLAIMANT October 16, 198 governed by the Board of Supervisors, ) The copy of this document mailed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below), to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant: Charles B. Last Rt. 2, Box 725 Attorney: Brentwood, CA 94513 Address: Amount: $114.45 By delivery to clerk on Date Received: September 14, 1984 By mail, postmarked on September 13, 1984 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: September 14, 1984 PHIL BATCHELOR, Clerk, By Deputy Jolene Edwards II. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) 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. 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: Deputy County Counsel III. FROM: Clerk of the Board TO: ( County Counsel, County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER By unanimous vote of Supervisors present o� 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 mi tes for this date. Dated:/ /G /y p fl PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6) months from the date of 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. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave to present a late claim was mailed to,claimant. L DATED: . /fes�y�S/ PHIL BATCHELOR, Clerk, By �,dd- Deputy Clerk cc: County Administrator (2) County Counsel (1) CLAIM 00046 w ' CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions =o Claimant A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day 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. (Sec. 911. 2 , Govt. Code) 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 (or mail to P.O. Box 911 , Martinez, CA) , 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 en` :ty, separate claims must be filed again= ': each public entity. E. Fraud. See pena t .or fraudulent claims , Penal Code Sec. 72 at end of .this form. RE: Claim by ) Reservedc, C erk's filing stamps /� �, ,�, �.�} 57` j 7p0 //'r 7,26 RECEIVED Against the COUNTY OF CONTRA COSTA) SEP /A/ 1984 or DISTRICT) (Fill in name) ) nm MTCNEiot EEK BOARD F SUrEev601S CONT STA CO. The undersigned claimant hereby i.iakes claim again t the Count of Contra Costa or the above-named District in the sum of $ , and in support of this claim represents as followW: ----------- ------------------------------------------------------------ 1. When did the damage or injury occur? (Give exact date and hour) 23 /f�`I' X47` tog 4� ------------------- --------------------------------------------------- �2. er did Jdage or injury ccur (Include city And county) eof1-140 ! X00 cvw - _ -------- ---------------------- ----------------- ------------ — 3 How did the-----d-amage- or injury occur. Give full details-mus extra sh ts if req ire ) Ile -- ------- --------------------------------- 4. Wha particu ar act or omission the part of county or district ficers , servants o em to es used the injury or L �� l (over) SOLD BV DATE NAME r ADDRESS C SH C.O.D. CHARGE ON ACCT. S7 a/t / i _f I .......... ..... ............... ._....._..... ................. ..__.......... ........... ............._.. ................ .._.__._ ..._............. .. RECEIVED By Thank`You All claims and returned goods MUST be accompanied by this bin. Lo �o�8 California DD Emp1,I.D. Year Car Make/Model Color License/St. Odorteter k °r 2_1 f,1 19� MEPeL! A/ l gVK06�483380076/15IJ2.��AWs Unit Amount c Description SKU Numbe Qty. P ale a All Parts Are New Unless stated Other�4*A*T H i LL X41 1.75 tKrics e Block Denotes:Remanufactured/Rebuilt 4.2f TAX u+ & µ 897703515/00000000 8/24/84 3 CA 75.96 TTL Merchandise ,$� Customer Information Tax Merchandise Total Na OLA) IA0,;(- Including Tai NM Code Service Done of Sale Ada / /1 B0, ); �' Requested Done by of Sale 7 4' City st a Zip 99 5502 N heel Alinment 56PC Al �A ' 4:Fq,5 4 Whecl Phone lfumbers 99 467 1 Ali amen! �,( _q4,-4 us 5 Ycar Home us. 99 551 5 Alignment �_ 99 552 8 Brakes I authorize the work to a done as estimated. Montgomery Ward and their employees may Wheel operate and examine this vehicle for purposes 99 553 7 Balance of performing it-shop safety checks,inspection, Tlrne- diagnosing,testing,or delivery at my own risk. 99 5544 Up Ane express xp g -a-a geman's lien is acknotvl- Front edged on the vehicle to secure the amount 99 5557 _End Parts _ of repairs.I will not hold you liable for loss or Shock! damage to the vehicle or articles left in the 99 556 0 struts vehicle in cases of fire,theft,accident or any 99 5573 Exhaust other cause beyond your control. A storage charge of$5.00 per day is appli- cable 3 days after notification. 99 559 9 Other 99 4668 Booklet Customer's Rights You,the customer: U Battery _ A customer must always be given a _ written estimate for labor and parts Houi!y necessary for every repair job. Rato Labor Montgomery Ward may not charge for Flat Labor Tax any work done or parts supplied in excess Rate (if Applicable) of the estimate price without first Manual Labor Total obtaining the prior oral or written consent Used Including Tax of the customer. If AppGcab!e) A written estimate must include a 'T'OtSl AmoiBYStJ 96 statement of any automotive repair S service,which if required to be done,will O� Sale be done by someone other than the dealer or his employees. Revised Estimate A customer is entitled to re Empl.1.D. Add'l.Parts quest the $ signing/affixing Date Add'].Labor return of replaced parts, excepting such belolistline I acknowledge r reading and Time Total Add'l. parts that must be returned to the g y g manufacturer or distributor Qr a understanding m customer o has,and the Approved -...._ :; warrant arrangement. Ho uch aforementioned customer information:This ., "" ��---- y g purchase is aid for on the following terms: by(Name) ---:_,_.. .-....�_..._ P P 9 parts may be inspected by the customer, ❑Montgomery Ward Charge Account t71n Person ❑By Phone except when there has been no charge ❑Cash❑Jeffers n and ❑Visa/Mas ercharge Notice of Certification(if applicable) made for the replacement part. Customer%L%V I certify that the repgcnbed on the attached Customer wants old parts Signature X yro:k order have be tf pfrl �°fo1S[r edS I S v , No L03 S IMT 3 Account No. X Customer wants to inspect old parts. Clock Number(s) ILKST ❑Yes ❑No Approval No. X 'Pe:lormed Road Testi^lcck Numbers) Rlinntrrnmonr tATarri Coo f CLAIM a1 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION Claim Against the County, or District ) NOTICE TO CLAIMANT October 16, 1984 governed by the Board of Supervisors, ) The copy of this docunent mailed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below), to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant: Barbara D. Miller 10 Sheffield Court _ Attorney: San Pablo, CA 94806 S t P 1 " 1984 Address: Ci , Amount: $329.31 By delivery to clerk on Date Received: September 14, 1984 By mail, postmarked On September 13, 1984 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: September 14, 1984PHIL BATCHELOR, Clerk, By ��ia/ Deputy Jolene Edwards II. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) (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. 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: puty County Counsel III. FROM: Clerk of the Board TO: County Counsel, (2) County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3)• IV. BOARD ORDER By unanimous vote of 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 min}}tes for this date. Dated: PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6) months from the date of 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. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703• ( ) A warning of claimant's right to apply for leave to present a late claim was mailed to.claimant. DATED: /%r�L /�, iQs'S1 PHIL BATCHELOR, Clerk, ByDeputy Clerk d cc: County Administrator (2) County Counsel (1) CLAIM 0 0 01510 CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions :o Claimant A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day 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. (Sec. 911. 2 , Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 1,06 , County Administration Building, 651 Pine Street, Martinez , CA 94553 (or mail to P.O. Box 911 , Martinez , .CA) , 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 end of this form. RE: Claim by ) Reserved-e Clerl ' s, filing stamps PLr Uar ay M + I is r ) 10SHFFFIEi-C Cry ; RECEIVED Against the COUNTY OF CONTRA COSTA) SEP 1984 O r DISTRICT) ►Ml BATCHELOR (Fill in name) ) � IT. STA CO G� B DZW The undersigned claimant hereby cakes claim against the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: --------------------------------------------------------- damage did the or injury occur? (Give exact date and hour) C'�l�C'Ll:lT i1c1��� 2 -----------T--- ------------------------------------------------ . .. Where did tie dama e or injury occur? (Include city and county) lCc%nfrc+ Cc�dzr C cLu�I"y� u��lt Cl�� (vel cC l Scar l2rvrc CA _`M �r CINt. Mc. 2cl tz Uculx� Vier 2:oi ----------- --------------------L-- ------ _----_--- --__-_- 3. How did the damage Or injury occur? (Give full details,�use extra sheets if required) �SC5 AT 19 ---------------------------------------------------------------------- 4. What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? Do �k,►� c fi c ,.1 �" cis ct �� �t c�au-` I,,��►�1 (over) 00051 5. 'What are the names of county or district officers , servants or employees causing the damage or injury? Cj C�2 -------------------------------------- 6 . What damage or injuries do claim resulted. (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) ---------------------- 7 . How was the amoint claimed above com uted? (Include the estimated amount of any prospective injury or damage. ) 1 `Z"2 `�i l/lJ. ------ - -------- ------ ---- ---------/------�` ------------------ 8. Names- - and addresses--- of--w-itnesses, doctors and hospitals. CV�� ��•p�^,n,,•�� L�,V-L,�L p(.. ..t�� l,•�.'tt'�1-C/J...'Z-C,Q. (C,'1i1'2t'Y1�� --------------------------------------------------------------------- ---- 9. List the expenditures you made on account of this accident or injury: ITEM AMOUNT �"``'" "" "- • M • ' -- -� Govt. Code Sec. 910. 2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some' person on his behalf. " Name and Address of Attorney Claimant' s Signature C%r _\ Addrressr(( U+ 1 1 C H i-0 Telephone No. Telephone No. 027 cj(cV U)O-2J< C L41 L)3- X S 11 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, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account , voucher, or writing, is guilty of a felony. " 00052 17 Cl i. 7-A ZT 7.�lastrowo 2462 2nd STREET Allf l80b LIVERMORE, CA 94550 ESTIMATE SHEET AND REPAIR ORDER (415) 447.8523 BODY AND FRAME REPAIRS 0 EXPERT REFINISHING f NAME ,AG �yiG' ��/�` DATE �'�'�� 7 ADDRESS /O PHONF,,;:C737 S6C.�'"WORK INS. CO. YEAR-MODEL MAKE OF CAR BODY TYPO LICENSE NQ. BODY NO, DATE PARTS ORDERED PRODUCTION DATE Symbol FRONT Labor-Hrs. Parts Symbol LEFT Labor-Hrs. Parts Symbol RIGHT Labor-Hrs. Parts Bumper(U)Ex-New _ Fender, Fri.&Est. Fender,Fri,& Ext. .__ Bumper Paint. _ __ - _ _- _. Fender Shield _ --Fender Shield _. Bumper Brkt. _ , _ _ _ -_ _. Fender Mldg. _ _ Fender Mldg. Bumper Gd. .-_ _. _.Headlamp Headlamp Fit.System Headlamp Door _ Headlamp Door _ Frame Filler Panel _ Filler Panel _ - Cross Member - _._ -----.CowlAr -Post �--Cowl-Post /__V _., Wheel Windshield Windshield Mldg. -_.Hub Cap--Sm.-❑Lge. _ Door, Front Door, Front _--_.Fan BladeDoor Mldg. Door Hinge _. Lr.Cont.Arm __- Center Post __.Door Mldg. �__. Up.Cont.Arm _ _Door Rear _ Door Handle _.. Spindle Door Mldg. _ ____Center Post ._._..Steering Wheel Rocker Panel --___-Door Rear — -- - — --- — ---- — — —— _- _Gravel Shield . ,... .__.. _ __— Rocker Mldg. Door Mldg. _-Rad.Grille,Cit. Marker Lite __. Rocker Panel - ___ Rad.Grille,Side ... _--._...__. .—_._Quar. Inner Const. _. _ Rocker Mldg. _ _Grille Mldg. _ Quar. _ . Floor Park. Light _ .—_ Quar. Mldgs. _ _.____- Quar.-Inner Con. _Turn Signal _ Bumper Ex.-New ___._... _ _. _ Quar. Motor Mts. Bumper Paint. __- ._.__. Quar.Emblem g _ _. Bumper Brkt. .._- -_-.- Quar. Panel Lower _ Aim Head Light _... - Horn _ -__ Bumper Gd. _ -_ Quar. Mldgs. Lock Plate,Lr. Gravel Shield _ Marker Lite Lock Plate,Up. Lower Panel _ . Inst. Panel __- Hood Top __ Floor Front Seat Hood Hinge Trunk Lid __ Top _-_ Hood Mldg. _ Trunk Midge. Tire %Worn Rad.Shroud _ _ _ Tall Light Battery Rad.Sup. _ __ ___ -__ Back Up Light _._. Paint& Material Rao.Core Frame-Crossmember Stripping SUMMARY rJi Lebo Hrs _ $ Parts �. 1 hereby authorize the repair wore hereinafter set forth to be done along with the necessary material and agree that you are not responsible for loss or damage to vehicle or articles left in vehicle in case of fire,theft or any other cause beyond L your control or for any delays caused by unavailability of parts or delays in parts shipments by the supplier or transporter. Tax 1 hereby grant you and/or your employees permission to operate the vehicle herein described on streets,highways or elsewhere for the purpose of testing andfor inspection.An express mechanic's lien is hereby acknowledged on above Sublet $ vehicle to secure the amount of repairs thereto. Towing $ THIS WORK AUTHORIZED BY PARTS PRICES SUBJECT TOTAL_ $ TO DEALERS INVOICE nnnK.s DATE 19 ' I I (NAME OF PERSON OUOTE GIVEN TO or RECEIVED FROMI if FI ME � B O OUOT OROE Y JOB a E I J 8 J ti h vrre— JOB PHONE JOB NUMBER TYPE Of WORK ' DESC IPT N OF WORK NAT l 00055 CLAIM BOARD OF SUPERVISORS OF gwim COSTA COUNTY, CAL11"WIA BOARD ACTION Claim inst the County, or District ) NOTICE 70 CLAIMANTOctober 16, 1984 governed by the Board of Supervisors, ) The copy of this document mai ed to you is your Routing Endorsements, and Board ) notice of the action taken of your claim oy me Action. All Section references are ) Board of Supervisors (Paragraph IV, below) , to California Government Codes ) given pursuant to Government Cade Section 913 Claimant: Ken Nielsen and 915.4. Please note all "Wart y.Counsel P.O. Box 11 _ Attorney: Orinda, CA 94563 5 L P 10 1984 Address: Martinez, CA 94553 Amount: $89.95 By delivery to clerk on Date Received: September 10, 1984 By mail, postmarked on September 7, 1984 I, FROM: Clerk of the Board or Supervisors . _ County Counsel Attached is a copy of the above-noted claim. DD Dated: September 10, 1984 J.R. OLSSON, Clerk, By ` e.(1� � _ Deputy Jolene Edwards II. FROM, County Counsel 70: Clerk of the Board of Supervisors (Check only one) 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. 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 s•c1 $y: - '� / / Deputy County Counsel d III. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3) . IV. BOARD ORDER By unanimous vote of 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 mi utes for this date.p&L epTcHEwg, Dat � % z Clerk, B� _` Deputy Clerk WINM (Gov. Code Section 913) Subject to certain exceptions, you have only six (6) months from the date of 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. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave to present a late claim was mailed to claimant. Hit- darcoEaoR, DATED: /j/,! j�', jet 5l , Clerk, By Deputy Clerk cc: County Administrator (2) County Counsel (1) 0`001 q16 CLAIM CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions ;o Claimant .A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day 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. (Sec. 911 . 2 , Govt. Code) 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 (or mail to P.O. Box 911 , Martinez , .CA) . 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 end of this form. RE: Claim by ) Resery stamps RECEIVED SEP Ic, 1984 Against the COUNTY OF CONTRA COSTA) ) "RL MTOMEIOt CLERK ROAW OF SUFER460n or DISTRICT) e,� ca+ ACOSTACO. G (Fill in name) ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ q q S and in support of this claim represents as follows: ------------------------------------------------------------------------ d 1. When did the amage or injury occur? (Give exact date and hour) 0(='JS7'� 6lqN f}flCre, N(30&) 2. Where did the damage or injury occur? (Include city and county) GL OR l C-77A __L U rJ _ GK n1 D _C oN) .— __ ---------------P ---- -- -----/'��9-C o5 -_---3. How did the damage or injury occu ? (Give full details, use extra sheets if required) FKesH 77/f� A/As Slo^ 1'E0ec13 0ti MY ✓oevc k-'HSL r- Z),Q/ Uinl v c iv rE �_ v � ------------------------------------------------------------------------ 4. What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? f O uR 1 A) & HD 0 of D 0 /J ,�- 110' y HOT L7/,e+ y/ /},fJD 11LL0h/11Vv U�HICLLv5r) TO ��ss ovc-g ! r r3cpop T �� � c � . 00057 5.. .What 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 full extent of injuries or damages claimed. Attach two estimates for auto damage) - - -- - =-------------------- 7-.--H-ow---was---th-e--amount- -----claimed--------above------computed?-----------(In---clude the estimated amount of any prospective injury or damage. ) - ------------------------------------------------------------------------ 8.. Names and addresses of witnesses, doctors and hospitals. �_ . ------------------------------------------- 9 1ist,the. expenditure;s you made on account of this accident or injury : J DATE ITEM AMOUNT 3 s i Govt. Code Sec. 910. 2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " i Name and Address of Attorney z Claimant' s Signature p . 730-x / / Address �5�3 02iN A/.1, G /44 7�LI Telephone No. Telephone No. '--?7 ************************************************************************** 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, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account , voucher, or writing, is guilty of a felony. " 00058 1081 ❑ SERVICE ❑ WILLCALL PHONES _ /L DATE47 ` ❑ INSTALL ❑ DELIVER `/` NAME MAKE e e TC�,jLm '� J �1 �AyyggTT MODEL f SERIAL ITEM TO BE SERVICED7 ERVICE REQUEST QUAN. DESCRIPTION OF PARTS OR MATERIAL AMOUNT Uri t4lZ,2 '1 LABOR PERFORMED: Total Material Tax Total Labor tn Total Anwu DATE WANTEDDEPOSIT RECD.BY E �JGii L ESTIMATES ARE FOR LABOR ONLY,MATERIAL ADDITIONAL.WE WILL NOT BE RESPONSIBLE FOR LOSS,OR DAMAGE CAUSED BY FIRE,THEFT,TESTING OR ANY OTHER CAUSES BEYOND OUR CONTROL. DUPLICATE REPAIR ORDER AUTHORIZED BY: 4K 455 TERMS-NET CASH NO GOODS HELD OVER 30 DAYS PROFESSIONAL AUTO POLISHING O 3319 Mt. Diablo Blvd., Lafayette, California 94549 Professional.Detail Center for all vehicles MR. DETAIL BLUE CORAL COMPLETE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..$12995 (3 month warranty) 1. Buff and prepare exterior T Dress all rubber and trim 2. Buff wax 8. Clean tires and wheels 3. Seal wax 9. Fine detail 4. Finishing wax 10. MR. DETAIL COMPLETE INTERIOR 5. Polish all chrome 11. 3 month warranty 6. Prepare and dress vinyl top(if applicable) {Il 2. Wheels and Heels- two pair of.shoes shined free MR. DETAIL BLUE CORAL EXTERIOR ,. . . . . . . . . . . . . . . . . . . . . . . . . . 8995 (3 month warranty MR. DETAIL PORCELANIZE COMPLETE. . . . . . . . . . . . . . . . . . . . . . . . . 95 (6 month warranty) 1. Buff and prepare exterior 7. Prepare and dress vinyl top(if applicable) 2. Buff wax 8. Dress all rubber and trim 3. Seal wax 9. Clean tires and wheels 4. Hand glaze wax 10. MR. DETAIL COMPLETE INTERIOR 5. Finishing wax 11. 6 month warranty 6. Polish all chrome {112. Wheels and Heels- two pair of shoes shined free MR. DETAIL PORCELANIZE EXTERIOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10995 (6 month warranty) MR. DETAIL TEFLON® COMPLETE . . . . . . . . .. . . . . . . . • . . . . . . . . • . $23995 (2 year limited warranty) 1. Buff and prepare exterior 7. Dress all rubber and trim 2. Buff wax 8. Clean tires and wheels 3. Seal wax 9. MR. DETAIL COMPLETE INTERIOR 4. Application of PRO=POLYMER II - 10. 2 year limited warranty Fortified with TEFLON 11, 1st 6 month renewer free 5. Polish all chrome (if applicable) *12. Wheels and Heels- two pair of shoes shined free MR. DETAIL TEFLON° EXTERIOR . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . $19995 (2 year limited warranty) MR. DETAIL COMPLETE INTERIOR . . . . . $5995 1. Prepare and clean headliner 9 Clean detail areas 2. Prepare and shampoo all carpets and mats 10. Prepare, clean and dress dashboard and console 3. Prepare and clean all seats 11. Clean windows in and out 4. Prepare and clean all doors 12. Dress interior 5. Clean visor and hat rack 13. Vans, suburbans and larger vehicles- $79°5 6. Utilize "THERMAX"interior steam cleaning machine 14. Including PRO�DGARD Fabric Protection- S9495 7. Clean trunk 15. Including PR08GARD for larger vehicles - $11495 8. Clean door jams MR. DETAIL "SUPREME CARE" Program Ask us about a personally tailored program for your vehicle. PRODRENEWER (6 month reseal for TEFLON° protected finishes) . . . . . . . . . . . . . $3000 (for vans, suburbans and large vehicles - $4000) PRODGARD FABRIC PROTECON (3 year limited warranty) . . . . . . . . . . . . . . . . . . $4495 TI MR. DETAIL 3 MONTH SEALER . . . . . . (for vans, suburbans and larger vehicles- $4000)$3000 HANDWASH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1250 & sertvoF tt� For more information or appointment call: MR. DETAIL (415) 283-1190 00060 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION Claim Against the County, or District ) NOTICE TO CLAIMANT October 16, 1984 governed by the Board of Supervisors, ) The copy of—Wirs—do—mm—F—m—aTled to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below) , to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant: Pacific Gas and Electric Company 1030 Detroit Avenue Attorney: Concord, CA 94518 Address: t Amount: Unspecified By delivery to clerk On September 11, 1984 '_ { Date Received: September 11, 1984 By mail, postmarked on I. FROM: Clerk Df the Board ot Supervisors County Counsel Attached is a copy of the above-noted claim. pp Dated: September 11, 1984 dsi, Clerk, ByDeputy PHIL BATCHELOR Jolene Edwards II. FROM: County Ccunsel TO: Clerk of the Board of Supervisors (Check only one) ( ) 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. 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: Z Deputy County Counsel III. FROM: Clerk of the Board 70: (1 County Counsel, (2 County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3) . ra - IV. BOARD ORDER By unanimous vote of Supervisors present ( This claim is rejected in full. ( ) Other: I certi y that this is a true and correct copy of the Board's Order entered in its mi tes for this date.&I-. 8Arct4vLog Dated: . .�� /�,//� ,'Clerk, By _ � a� g� , Deputy Clerk WNING (Gov. Code Section 913) Subject to certain exceptions, you have Only six (6) months from the date of 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. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board TO: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave to present a late claim was mailed to claimant. PHI fjq?c"E"A DATED: d /�/f' V/�/ �jZ , Clerk, By ���`�x�• Deputy C++lerk cc: County Administrator (2) County Counsel (1) ©�U CLAIM PACIFIC GAS AND 1EI-,]ECrrT?,IC C0M1=-&1Z"Y 'intra. Cost;?. (7 I T A V E N 11 E 14 6854441 1030 D E T R 0 CONCORD, CALIFORNIA 9451 8 SEP 11 1984 Ccuni%�. September 4 , 1984 'S-Ep 51984 .1 P%`A 1 t PUIBUC wav\s DUI� Contra Costa County Public works Department 6th Floor, Administration Building Martinez , CA 94553 Attn: Public Works Director Gentlemen : On August 13 , 1984 your truck driver , J. C . Collins , damaged our electric facilities at 261 St . Mary' s St. in Martinez. When the cost of repairs has been determined , you will receive our bill for your payment. If it will be more convenient for you to have us refer this claim directly to your insurance company, we will do so at your request. If you have any questions regarding this matter , please contact me at 685-4441 . Sincerely, Susan J. piper Customer Services Representative SJP :cak A/R #J-84-4106 RECEIVED SEP -*/ 1984 PM BATCHELOR EBCOOi+iW F S PE SU IS SY YJ C V CO CLAIM BOARD OP SOPERVISOFS OF 02?M COSTA COUNTY, CALIFMUA BOARD ACTION Claim Against the County, or District ) NOTICE TO CLAIMANT October 16, 1984 governed by the Board of Supervisors, ) The copy of this d-3cm►ent ma ed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below) , to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all 'Warnings". Claimant: Webb Watson 2890 Treat Blvd. Attorney: Concord, CA 94518 Address: t Amount: Unspecified By delivery to clerk on - t Date Received: September 12, 1984 By mail, postmarked on GPprPm r io. i B 4 I. FROM: Clerk of the Board ot SupervisorsCounty Counsel Attached is a copy of the above-noted claim. Dated: September 12, '1984 , Clerk, By Deputy PHIL BATCHELOR Jolene Edwards II. FROM: County Counsel rM: Clerk of the Board of Supervisors (Check only one) C ) 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. 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: ZE 76 Deputy County Counsel III. FROM: Clerk of the Board TO: (1) County Counsel, 2) County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3) . IV. ORDER unanimous vote of Supervisors resent BOARD By upe P ( 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 mi utes for this date.QNIL 604TC c oc, Dated: .. / /f' 1"S� Q-�1' , Clerk, By � �r , Deputy Clerk tea. �* WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6) months from the date of 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. If you want to consult an attorney, you should do so immediately. V. FROM: Clerk of the Board M: (1) County Counsel, (2) County Administrator Attached are copies of the above claim. We notified the claimant of the Board's action on this claim by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. ( ) A warning of claimant's right to apply for leave to present a late claim was mailed to claimant. �i� gAtC Netiok, �l DATED: �/. /�/, l Y 4' , Clerk, By �_./J 7X-� � � , Deputv Clerk cc: County Administrator (2) County Counsel (1) CLAIM 0006-3 ' 'CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Y• Instructions �o Claimant A. ' Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day 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. (Sec. 911. 2 , Govt. Code) 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 (or mail to P.O. Box 911 , Martinez, .CA) , 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 en�ity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims , Penal Code Sec . 72 at end of .this form. RE: Claim by ) Reserved for� R+� fr' stamps RECEIVED Against the COUNTY OF CONTRA COSTA) SEP 1A 1984 or DISTRICT) •oMoo UPEW0o (Fill in name) , ONTu The undersigned claimant hereby cakes claim against the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows : ------------------------------------------------------ en1. Whdid the damage or injury occur? (Give exact date and hour) t 7- 3 % gzf ------- ------------------------------ --------------------------- 2.` Where did the damage or injury occur? (Include city and county) i 3. How did the damage or injury occur? (G ve full details, use extra sheets if required) J C/741. U/ 4. IE t particular act or omission q the part of county or district o` servants or employees caused the injury or d age? oder re ) .5*t' What are the names of county or district officers , servants or employees causing the damage or injury? - -- ------------------------------------------------------ 6-.--Wh-at--damage--------or--injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) f ; -- d U j ------------=--------------------- �' -- l-v 444 �ra� 7 . How was the amount claimed abdve c6mptited.= (Include the estimated amount of any prospective injury or damage. ) y� 00 ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. ------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: ITEM 1 AMOUNT CO �I785A ROO Govt. Code Sec. 910. 2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by someperson -on h.Jes Vehalf. " Name and Address of Attorney Cl i a ' Sat ale Telephone No. Telephone No. 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, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill , account , voucher, or writing, is guilty of a felony. " � r J � �