The URL can be used to link to this page

Home My WebLink AboutMINUTES - 11181986 - 1.31 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Nov. 18 , 1986 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: �1, 106. 0 4 Section 913 and 915.4. Please not all "WARNINGS". CLAIMANT: Jeffrey LaCour (Minor) ; Kay LaCour, (Guardian) 625 Harrogate Court ATTORNEY: Walnut Creek, CA 94593 Date received ADDRESS: BY DELIVERY TO CLERK ON BY MAIL POSTMARKED: Oct. 14, 1986 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: October 17, 1986 gqIL ELOR, Clerk 8ATCH: Deputy 11. FROM: County Counsel TO: Clerk of the Board of Supervisors (�() This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). { ) Other: Dated: ,2-/, BY: 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). IV. BOARD ORDER: By unaimous vote of the Supervisors present (x) 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. 1�Vnn��6 Dated: %OV 1 $ PHIL BATCHELOR, Clerk, By 151 Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or 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. 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. NOV 191986 Dated: BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator JCIL M TO; BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions to 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 ) Reser Is filing stamps 1 �, � �o� ►- nor? RECE1171R � Against the COUNTY OF CONTRA COSTA) U"r�" 1�G0 PHIL DATCMFLOA or DISTRICT) CLER BOARDOFILI EpISORs (Fill in name) ) er .� r,�••..• y The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 16'q_3 ' p and in support of this claim represents as follows: ------------------------------------------------------------------------ d 1. When did the amage or injury occur? (Give exact date and hour) .Tu 1'y ��*� y�� 5 ' ,3 o ---------------- --------=---------------------------------------------- 2. Where did the damage or injury occur? (Include city and county) ------------------------------------------ ----- - ----G �tis 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) i 6'.1 as tr.aue i I n:`: :_'rt f'It o _ _en I t 'E11 I . a.t .appr ox imato1 Y 25 t des. per hour- AF, i app('c:.ac hl i;d th{e into _ _ - tion at [l { abI o R'c- id} the car i n front of me ste pped very =_.;.adde( I x: i n the mi ddl e of the irtt_( s ect iorl . in or ds.-- to .a vc,id =tr' i i', frig this (' end of this i L. i .n hit 1 _ Ri L:n ! �,pped the _ leph rl pole �.iJ �_�ni:�'L, 1 i :� i _,t::l fi('°:;e_i t ." t )` i_ t �,�, h t io ci .. pole i t ii ';h. . "!: , r e r,d is"{- m ', `'a.r' e t h d s i_aJ.:= i ri g t.i. = d a,rri a I n i_{ c a t e:d . n F, r' „ph f_” - and the er:_1 ct ed,' _ s t i r-.i s epal r' . -1-htP fi: i r. :_,{: it.he _th;erau tomobI Iy Kat Ie Mcf?erRIi!ttq stated .h _.t: h @'r T I r' : t� W=.:'r, ) (I.- L'i a.. "= t. -.F' ❑ ;p i 1 c.{: t h t ) ., ter e c . i (! VJ a.'c }rl"rs _. p.._ =.en'=,t Ir: i..icr, `y,C 4V:%h'i" i l " = - rle 3.i'1="'. _.hOU tEr -':-t T' her f.:- =tort as she ent_red' the irlte'r'se ti .r: . Ph;otogr .aphs cIsar' 1 . 11 s t r. < tE that t = `f,r-. = i gr! !{I,g'_ comp ! etel - h. de om. iy i,!:I Itr: tt 1 a e e r ea.ched the . liter'= _ _ } 1 on Motograph 11 1) . { : 1_)strate'e that there IJ d to be _. 1 E77jr:a I; _+.r'�', ) n� pi, i rited on the r oa.d, b1Jt { . had not been even RI I n )m a1 I (?10. ) n ='.) ned . PhiQb'- apt, 111 I `- _. '.a IeIw ' n thi is .Q .1 to _ -i's= d! r'ec t i =r. Trom, %jh i ch i b!a_. t r _.w e f r:ri : i t i 1 1 t_ =tr;. te'_ that there wd_ tilt w=.i'I 1 l i s fi a�,.�] a ,-_. 1_)F' A H E 9:;D IL 1 be? . i e v t 1 a,t the CCG t.i ri f; t'J.y< c ea.r 1 v n ) rent in not rr!a! ntaI r( i ri the ex 1 =.t l r1:-1 s ti�p s grl and p _. i r t e d a —i-iP hle r oatd t th ( s ) rI t:_r :_.e c t i f}r: J a.nd ) n -'aI1 ) rlgl to adequate i ;. Warn driver=- ref _. estop afl_a,d . ) h i '= n _-11 ge n c e c1eari .. I,,ta s. the ca.0 se pt this acc ; de nt V:lfti t_h re'<.U1 ted in d a a i a rye to flay au to.r i o L; 11e a.nd w h i ChI coo d, In fact , h.a. )e r'esul ted in Ser ibus irljui-y to ;rte and the pa.s=_engers I n my automob I l e . BUREAU OF AUTOMOTIVE //►► D l /J/�� J 1 . / REPAIR a CERTIFICATE#21743 �QS'Y7u CNQQL (/26dy & Paint S40r A-''NEW S-SOVERHAUL j N-NEW S-STRAIGHTEN OR REPAIR MARE YEA 14.35 MNIF ST Q •t P.QhROX 4771 • PHONE"S-2720 • WALNUT CREEK. LIF "NIA d _ jt lT Iia loL1 NAME DATE STYLEG , MODEL �`�O HOME C8Y1�C ADDRESS QO PHONE SERIAL NO. BUS. CITY PHONE MILEAGE UC.NO. INSURED 4.C" afm PHONE 36 RIGHT FRONT LABOR LABOR PARTS LABOR LABOR PARLABOR LABOR PARTS RIGIR E FENDER AMT. HR AMT. SYM. UNDER HOOD AMT. NRS. AMT. SYN. LEFT SIDE AMT. HRS. AMT. FENDER FRONT i WATER PUMP QTR.PANEL FENDER SHIELD MOTOR MTS. WHEEL HOUSE ; FENDER,MLDG. , CLUTCH LINKAGE QTR.EXT. HEADLAMP ASSY. GENERATOR QTR.MDLG. HEADLAMP DOOR OTR:GLASS SEAL BEAM OTR.ORN. COWL } RIGHT RIONT SIDE SIDE LIGHT PARK.LIGHT DOOR FRONT UNDER a SIDE GHT DOOR HINGE STRUT ASSY. ja O DOOR GLASS I ISPINDLE V ENT.GLASS LR.CONT.ARM"SHAFT DOOR MDLG. UP.CONT.ARM-SHAFT HOOD DOOR HANDLE SHOCK NAME PLAT DOOR LOCK HUB&DRUM IV HOOD TOP CENTER POST TIE ROD HOOD HINGE I DOOR REAR GAS TANK HOOD MLDG. DOOR GLASS AXLE ORNAMENT DOOR MLDG. SPRING WINDSHIELD DOOR LOCK I WHEEL ADHESIVE ROCKER PANEL FRT.SYSTEM ROCKER MDLG. HUBCAP OR,COVER LEFT LER FRT.FENDER DOG LEG TRIM RING FENDER FRONT OTR.PANEL FRAME FENDER,SHIELD I QTR.MLDG. CROSS MEMBER FENDER,MLDG. 1OTR.GLASS FLOOR j HEADLAMP ASSY. SIDE LIGHT HEADLAMP DOOR SEAL BEAM REAR MISC. COWL BUMPER STEERING GEAR PARK,LIGHT BUMPER TIP STEERING WHEEL LENS BUMPER BRKT. HORN RING SIDE LIGHT BUMPER SHOCK INST.PANEL BUMPERGD. DASH PAD BUMPER FILLER FRONT SEAT LOWER PANEL TRIM - "- FRONT GRAVEL SHIELD TOP BUMPER - OD TRUNK HINGES TIRE %WORN BUMPER TIP TRUNK LID FED.TAX u pec 4 Al BUMPER BRKT. TRUNK LIGHT BATTER _ BUMPER SHOCK TAIL LIGHT BUMPER GD. TAIL PIPE BUMPER FILLER "L/ s REAR GLASS STRIPES 00 GRAVEL SHIELD ER LEFT SIDE RAD.GRILL DOOR FRONT ORNAMENT JJ DOOR HINGE DR.HINGE POST DOOR GLASS UNDER HOOD VENT.GLASS DOOR MLDGS. RAD.SUP. DOOR HANDLE RAD.CORE DOOR LOCK FAINT f MATERIAL ANTIFREEZE CENTER POST TOTAL NRS. IN S RAD.HOSES DOOR REAR FAN BELT DOOR GLASS NET PARTS FAN BLADE DOOR MLDGS. FAN CLUTCH DOOR LOCK FAN SHROUD' ROCKER PANEL ADV. TOW AIC CONDENSOR ROCKER MLDGS% !TAX AIC RECHARGE DOG LEG GRAND TOTAL p MBF This estimate is based on our inspection and does not cover additional porta or labor which may be required after the work has been started.Aft r►the work has started, worn or damaged parts which are not evident on first inspection may be discovered. Naturally this estimate cannot cover such conn gencies. This estimate is for immediate acceptance. ctEj 0 1,01 its f YEAR—7—J---MAKEa rMODEL PAINT CODE DATE MILEAGE- ---L,CENSE N,650-:76-vli • NO NO. I I I DESCRIPTION OF DAMAGE Y'.. . ;CARTS I .¢i#BOR'=t PAINT • 't`:AIL OTNEII MEN --mMENNOMMOMMI, mm-- rim, RMOMAMME MWINUMMOME MEN ME�� IN NONE —OMENMEME ON MOENMEa3 MO MOM IMMEN�ii�i��i EN IN �MEMEME ii miMNmmmmmm WIN =i��■�■�i ii OMiNMiMEiEMi 1 • • 11 t�� k� �t� 4 y - w•'. � .F`.y q 1 k �.�rz�.lZ `-�d "!•(:�^y '1�S�;a+x �`�!s � .r� t • . ' - - f t �°i$�,°a �} 't{.tet d 3 y'^r}�d ♦ ♦t'`k3't�$\ 'Vs♦_+S •y 4{ a' ? V �r"f^ t..,`�r '� e�'S.i �?J,i�•y,({,�'ry rY/H� 1 r t¢i XK�l + # '4 { �' '« �G c;♦ ?w �7 �?''.�+ef tf �"T",}va ti`,.t S'k�N Feu. tL5`Jd"� ey,..,lrlw�` jyX°.. 1#F yz L 1 r{j�fY .r«m.,<t : .�rt t t i � v«'n R 5� Y �Rd y,* Ta• 4�fs 3 �� 3•?94� Ta �� y4 'a�: � .�� 'X' �4a�'tq«.iX.-.t' �a� i. a. F`'s Sk�'_� ' C'z 44 �y��z u";L y�.'' 4 e �{X{CGCG r :<!. �E ''J4 v' i2�� .�• K.4ra Y �✓TX •. > t t ". 7y� s £ f 4. u�• r ,y .�j '� t.�', I 3 �,,sz13 3 t+ s` �a 44 .L'.1. $. yi- '�• !�J : 7Y!.11{1y � Y�• ' ��I �j i 'd off 1 : � � � !• �nj. 3:•.�. Y 4x �X. '• X y r••a( { S Y r ,,.f �--. �. -:ett4'(+ ��. y�,♦� •t •jam - � •t L 'i i -1 Y~•t,f Sit ,�♦ '/�{�.y �� , '''' � j�y�4T �t tr��ti� {: ? ."F '�t.tt`f��y.b. ,S r � �'�.ri•'Y !•' � ! rt •pV4 �e . � Sya: # !. ix 8 l tr n1! e- p st l #. x WA Sv' { jt"�1 s. {�%'�Fq•• ,• a r t t ' ., fail Y f ♦�... al.. yl 1� '�1 t^{r�' r ah jw ^'I tP r.xi 1. If �� 'Y-' �' '� ^R ! d'♦ 4 - s t rt11 r F �♦ 4 c�Y ur a •♦i. tiS n1R1{��FL yin N �. `� j ''✓a .' ti'F�". :rFl 4,j !'i' S. s v,1�lTTS-y ` � § •.'.f{ Y. _ M r lot ,`^,L]XJ�'Sr{' R 3'♦4r �r' ':.,F�.r.1d�'. �Wf yds► i` t V�' o Y4V�yy� r ♦ � � n it {t *fit i ♦ e i - r' M�� Yi• l� r�i•"* A ay 4 � `:e F � � j x .a f Z/\ Y .dw ��v fv CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Nov. 18 , 1986 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $68 .49 Section 913 and 915.4. Please not all `WARNINGS". CLAIMANT: Kristin A. Cooper 2649 W. Newell Avenue, ATTORNEY: Walnut Creek, CA 9459.5 Date received ADDRESS: BY DELIVERY TO CLERK ON BY MAIL POSTMARKED: October 15 , 1986 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. October 17 1986 PH IL BATCHELOR, Clerk DATED: BY: Deputy 11. FROM: County Counsel TO: Clerk of the Board of Supervisors (x) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The.Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: CY C .c;2,--V, / 9A BY: c i �7�-C.�-l�d- '�p�ity 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). IV. BOARD ORDER: By unaimous vote of the Supervisors present This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: �OV PHIL BATCHELOR, Clerk, ByZX_� Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or 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. 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. c Dated: Nov 19 IM6 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator A'CL,�ZM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions to 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 Cor mail to P.O. Box 911, Marta.nez, 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 o his form. RE: Claim by ) Reser ed for Clerk' s fil 'ng stamps RECEIVED ) Against the COUNTY OF CONTRA COSTA) PHIL BATCHELOR CLERK BOARD F$UPERVI$OR$ CONTRA 08TA CO. or DISTRICT) By . #„ .. ....... owty Fill in name ) The undersigned claimant hereby makes 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 : ------------------------------------------------------------------- --- 1. When did the damage or injury occur? (Give exact date and hour] 9/70/S�; !t / 'o63 P /19 -_M----------------------------------------------------------- 2. Where did the damage or injury occur? (Include city and county) . �rC7 0 0 3. H- ictll Ae 1 "� u1' 4<4 ------ -- ---- - ------ ow .----- ow ---L- - did the damage or injury occur? (Give full details, use extr sheets if required) Ork4L_/t� S bane maul btx Pole "tel LllloCkad iwzZl bow �JAl a)1ele-iiL 071 ` LQ Sh-eek, -----------------------------------------=------------------------------ 4. What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? �,'erlCF Ds 6Lt-f M *l bei u)/,L;& nCro f Yl`� i-Pa0t ��tovta�c( w� ha L4 (over) 5. What are the names of county or district officers,--.servantswr•= employees causing the damage or injury? -T r'., le �5eIAI ------------------------------------------------------------------------- 6. What damage or injuries do you claim resulted? (Give full extent of injuries or .damages claimed. Attach two estimates for auto damage) Ijt�Ix C C( ------------ -------------------------------------------------- 7. How was the am int claimed above computed? (Include the estimated amount of any prospective injury or damage. ) ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. �n ---------- L Q Sic FX ✓Vi Sicy cLrf 1/1�t tt? ne --------------------------------------------------------------------=---- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT J J-X ************************************************************************** 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 &V6' tsl "' Wellll nature Telephone No. Telephone No.��y/� ************************************************************************** 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. " , '1 ': ':I n.l �: • .'•c'lq•�,(�1 \•��''• '''N'+ ...t4i:y'j4::::tai:�'4 '•,1'L �:t. �1 ::a. a.';.�.1�; .. k..i ; .• JOB WORK ORDER AtE JOB SENO BILL TO .1 ''. JOB LOCATION ADDRESS C11 Y CITU 1 PHONE. APT. ❑DAV WORK ❑CONrnACT ❑EXTnA ..'."`1' };•"�,• DESCRIPTION OF WORK: Si,4pTING OnTE9 i ^•e'rt:��'j`.." DAY OF — WEEK Mechanic :: , , ❑rM. Ilclper s"��s TOTAL LABOR >��::'t'.•:'!, TOTAL MATERIAL r— `;.,\ .:� r a:; n„•q., It.... i-t1� f. TAX .�•�--. ❑ TOTAL AMOUNT DUE FOR ABOVE WORK:OR �J ”" ": '(.,'": :'•"�� E] BILLING TO BE MAILED AFTER COMPLETION OF WORK ! •! 1' } I hereby acknowledge the satisfactory T, Completion�''' . Completion of the above-described work: i'• `'•jP '+.:I:i. CUSTOMER'S SIGNATURE ONO ONE HOME ',l •,1r.+.yt•`z i;?.i�.i Work Ordered By Dale Completed Order Taken By ''i "'i-•:I':i+- Received Payment By: i ">j ';!�I�'•'•�`' AICO FORM NO.65-026 141;cwe AICD FORM NO.65.016 0-Phr•., r•.vs,\ .i ''\ .f •'�'•• ••r.':-I` ,_5;.•.: •�'. .t'.. ,-rl .. .Ili .' .t< �� ;:.• rt•l t, � .,'�.11• t�11�m.)a. �� t 1S+a 'n� is .I i. t .i .uti.. ..J� .��J. •r ..: :' i ryt. r 'U A.rO{"r .fy lairti y\ v�� y4 � A �,,» ..� ��' i,C . t ' T�MATE . .oa S • � 16 C.--- N r=. M fp11Y NO.11� r r{ y .. 1y Airy a '!r ray �A �� 'tl•�q, i }e �;�j� I�J�'� R � L ...ty i� t i ` �1 tr . ty :.L it yt i � iYrl!' >§,�'t yl' �r�,.� r ��+f� -t[�ayy�t�nl• t�!'F t� ; arfr f�{ iJ. �. ` i7 "�f rt. t f JC•- f l rR1It. '�a� � e � )J � y •�' 1 '}t�i „�3 i F a :. y y�. t l #"i e• ..�•,l 1 t a15 `iri'r t ��” y 6 Y to p� f T.•� ; .la r. �•� f. E.a _ �� t_s4 Ay rrp RR r A s r IY' .�a .i '14 r � • � y`av�� t{z�Lti !d r�. • a r! � �' / . .., � Y.� �!'�. - �. 1 Y .y h_. �+.<ft�y �i'1 � -•�� "1r + a tiy1�`x� t ` '�.y-� Y?: !... J !y 1 _ CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors. Routing Endorsements, ) NOTICE TO CLAIMANT November 18 , 1986 and Board Action. All Section references are to ) The copy of this document nailed to you is your notice o California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragr,yh IV &#.....:, ;;.. ;_.4,...:... :, :...,. :at Code Amount: ,510, 000,000. 00 Section 913 and 915.4. Please not all •WARNINGS°. yl'I w� �VYvV+S CLAIMANT: . S.P. ADAMS ET AL OCT 2 1'1986 ATTORNEY: C/o William D. McCann McNichols, McCann, Seibel & Date received Miar6rjo CA 04:5)C ADDRESS: Inderbitzen BY DELIVERY TO CLERK ON October 14, 1986 18 Crow Canyon Court Suite 395 . BY MAIL POSTMARKED: October 9 , 1986 San Ramon, .CA 94583 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: October 21 , 1986 jVIL BAATTCVELOR, Clerk epuL. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: AgIfI . 0 2A BY: �� eputy County Counsel 61 III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unaimous vote of the Supervisors present (x) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: NOV 181986 81986 PHIL BATCHELOR, Clerk, By 3 0 Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or 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. 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:_ NOV 1 9 1QAR BY: PHIL BATCHELOR by G� Deputy Clerk I CC: County Counsel County Administrator i RECEIVED CLAIM AGAINST PUBLIC ENTITY OCT/ 196 TO: CONTRA COSTA COUNTY BOARD OF SUPERVISORS Asa aaT/° EV T S. P, Adams and Sue Ann Adams hereby make s .. the Contra Costa County Board of Supervisors for the sum of TEN MILLION DOLLARS ( $10 , 000 , 000 . 00 ) and make the following statements in support of their claim. 1. Claimants address for purposes of this claim is via their attorneys, McNICHOLS, McCANN, SEIBEL & INDERBITZEN, 18 Crow Canyon Court, Suite 395, San Ramon, California 94583 . 2 . Notices concerning the claim should be sent to William D. McCann, McNICHOLS, McCANN, SEIBEL & INDERBITZEN, 18 Crow Canyon Court, Suite 395, San Ramon, California 94583 . 3. The date and place of the incident giving rise to this claim are August 27, 1986, City of Danville, California. 4. The circumstances giving rise to this claim are as follows: Claimants' minor child, Shannon Adams, was legally riding her bicycle in the East-bound lane of Sycamore Valley Road on the East-bound side of Highway 680 when she was crushed and killed by the rear wheels of a gravel truck which , also proceeding Eastbound on Sycamore Valley Road, overtook and killed her. The death of Shannon Adams was proximately caused by the following acts and/or omissions of the Contra Costa County Board of Supervisors: (1) Failing to properly post a sign warning vehicles of the narrowing of Sycamore Valley Road at the point of impact. . (2) Negligently designing the roadway. (3) Negligently maintaining the roadway. (4) Negligently failing to enforce requirements imposed upon builders and developers in the Tassajara Road- Blackhawk area, requiring them to widen Sycamore Valley Road. (5) Negligently failing to enforce requirements imposed upon thbuilders and developers of the Town and Country Shopping Center to continue the widening of the Sycamore Valley overpass to encompass that stretch of Sycamore Valley Road, immediately preceeding Eastward thereafter, on which stretch of road claimants' decedent was killed. (6) Failing to adequately investigate, document, and/or explicate, the ultra-hazzardous condition of this stretch of road so as to prevent future catastrophes of the type which occurred to Shannon Adams. 5 . Claimants ' injuries are TEN MILLION DOLLARS ($10 , 000 , 000 . 00) damages for wrongful death and loss of the comfort, society, deport, and emotional sustenance of their daughter, Shannon Adams. 6. The names of the public employees causing the claimants' injuries are unknown at this time. 7. My claim as of the date of this claim is TEN MILLION FIVE THOUSAND DOLLARS ($10,005,000.00) . 8. The basis of computation of the above amounts is as follows: 2 • i Burial and related expenses incurred to date - $5 , 000 . 00 ; General damages - $10 , 000 , 000 . 00 . Total $101005,000.00. Dated: McNICHOLS, MCCANN, SEIBEL & INDERBITZEN C iam- - 'D McCann, Esq. - 3 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by,) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT November 18 , 1986 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Gvver:a;:.�rt Amount: $100, 000. 00 Section 913 and 915.4. Please not all "WARNINGS". County CoL!nSnl CLAIMANT: CARL TAYLOR OCT 21,w6 ATTORNEY: Date received (��rt-1ne=, CA 9_145�5 ADDRESS: 901 Court Street BY DELIVERY TO CLERK ON October 14, 1986 Martinez, CA 94553 BY MA1l POSTMARKED: October 10, 1986 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: October 21, 1986 IqIL gATCHELOR Clerk : Deputy CL L. Hall 11. FROM: County Counsel TO: Clerk of the Board of Supervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: U �Rpui� County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unaimous vote of the Supervisors present I ) 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. $ �*16 Dated: %131 1 PHIL BATCHELOR, Clerk, By 6 Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or 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. 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. NOV 191986 Dated: BY: PHIL BATCHELOR by / i'�Deputy Clerk CC: County Counsel County Administrator J CLAIM TO: BOARD OF SUPERVISORS OF CONTRA CCP rF0994Xapplication to: ' Instructions to ClaimantC•erk of the Board W/06 Madinez,Califomia 94553 A. r'laims relating to causes of action for death or for injury to ;. ...:ion 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 , California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. . E. Fraud. See penalty forrfraudulent ,claims, Penal Code Sec. 72 at end of—this form. RE: Claim by -7 y )Reserve ing stamps c� �e: :� / D 1� ECEIVB ) R .Against the COUNTY OF CONTRA COSTA) ` Ins or DISTRICT) �� " aos � (Fillin name ) ..c.. .. The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ c.-L and in support of this claim represents as follows: ' --^-_-^__^-_--_-^__-_ --------------- -........-------- 1. When did the damage or injury occur? (Give exact date and hour] -�•- / 3 - - -- ^-- ------ ^- -^ .Ti^^e---- - ls:S h \ ❑y I-. '�-- 2. Where didfie t :damage or injury occur? (Include city and county) i�� /('; 7c fc , ! lG�r, --' � at Ciy Yah!/• Wr I� %� //t r17P./� H�{.+;J/�f�:, 37-flow did the damage or injury occur? (Give full details, use extra sheets if required) �Gn G< Y. o cJ S S• n C ��! r.� tJ 7' �J C: Xs S r a: /- ,-• r r i r !( C!• u r T1.f.rr,� 7't; In J S r let, :.c r• Wfac/ n r j1tC �f' /t'� r �� :.r / r 7')rW ,; 4. What particular act or omission on the part of county or distHet officers , servants or employees caused the injury or damage? (over) • 5. What are the name's 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 claime�. Attach two estimates for auto damagef j 1 /�✓e G A� /7 G ,�� '.'• c ll 1. 1. i>I.C�J 1 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury ordamage. ) ( t'::. irn _•{ l: ('I ��'tI i:Y r, !""t Yif 7tr r !: - ,%Y'":1/ ...t i/• ,f 1,I n n C / UL� 1 w L,a; ! /j !' C_ ! !r ♦ ��' 8. Names and addresses of witnesses, doctors and hospitals. �./: rt.. �4 PG (1 n T -/-hl-•t•Y ---------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT *,r****,r,rs*,r*,r*,t,r**********,t***t*****,►********t*taw**************+r��,r*****�r Govt. Code Sec. 910.2 provides: "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " r Name and Address of Attorney %/'.'T r'; -f �'}�� J/ c Claimantt_/ls gnature Address 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 br 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 feftny. " CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County. or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements. ) NOTICE TO CLAIMANT November 18 , 1986 and Board Action. All Section references are to The copy of this document mailed to you is your notice of ralifornia Government Codes. ) the action taken on your claim by the Board of Supervisors -� (Yarayrapn iV beiuw). given pursuant to Government Code Amount: $1, 000, 000. 00 Section 913 and 915.4. Please not all "WARNINGS". County Counsel CLAIMANT. FREDDERRICK O'GEAN WILCOTS OCT 2 4'1986 c/o Charles J. 47right ATTORNEY: 1616 - .23rd Street Martinez, CA C.11i5::3 San Pablo, CA 94806 Date received ADDRESS: BY DELIVERY TO CLERK ON October 20, 1986 BY MAIL POSTMARKED: October 17, 1986 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. IL BATCHELOR, Clerk �� DATED: October 22 , 1986 Jd: Deputy L, Hall I1. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. (�) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying ` claimant. The Board cannot act for 15 days (Section 910.8). ( I Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: `" 4% BY: t ` 4-4-&-e� puty County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). 1V. BOARD ORDER: By unaimous vote of the Supervisors present This Claim is rejected in full. Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: NOV 18 1986 PHIL BATCHELOR, Clerk. By. GLz� . Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or 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. 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:_ NOV I Q lir BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator II TO: r'BOAl2Z OF SUPERVISORS OF CONTRA C CLA?M TO. CWg,�6TRrapp11cet1on1o: Instructions to 'ClaimantClerk of the Board .O.Box 911 ~ Martinez,CaNtomla 94553 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. JSec. 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 , California 94553. C. If claim is against a district governed.,by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the .claim is against more than one public entity, separate claims must be filed against -each. public entity. ' E: Fraud. See penalty . for fraudulent claims,, -Penal Code Sec.- 72 -at end oT this form. RE: Claim by --,, )Reserved for Clerk's filing 'stamps Freddertick O' Gean Wilcotc RECEIVED Against the COUNTY OF CONTRA COSTA) UC;l��iaP, or Richmond Unified School DISTRICT) aWDULoa Fill In name } C AK Ov oAs .. . . ...... The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 1, 00010o0_ nn and in support of this claim represents as follows: --:--------------- ----------------- --.--Wh----di---h---d-a-m-a-g-e--ar ;.n)ury occur? (Give exact date and-ho- rj7 September 17, 1986 2. Where did trie damage or inju------------------------------y occy y (Include cit and count ) JoAnn Drive and Moyers Road, City of Richmond, Contra Costa County ---------------- •--------------------------------- ----T--------------- 3. How did the damage or injury occur? (Give full details , use extra sheets if required) Claimant was struck by car while exiting unescorted from bus. 4. -what particular act or. omission on the part of county or district officers , servants or employees caused the injury or damage?. Failure to supervise. (over) `. 5., What are the navies of county or district officers , servants or employees causing the damage or injury? Richmond Unified School District - Superintendent, etc. De 'Anza High School - Principal ------`-- ----•r--�.-T--f--T-------------T------- - rT--••- --- 6. What damage or in�uriea do. you claim resulted? ZGive full extent of injuries or damages claimed. Attach two estimates -for auto damage) Personal injuries as yet unknown; broken clavicle and collapsed hung.' - - --- --------------------------------------------------------'-- 7-.--How---wa--s the-- amount claimed -above .computed7 (include the estimated amount of any prospective injury or.-damage. ) I do not have bills at this time. 8. Names and addresses of witnesses, doctors and hospitals. Driver of AC Transit bus # 1302 Driver of vehicle involved in collision Emergency Doctor, John Muir Hospital, Walnut .Creek, CA 9. List .the expenditures you made on account of this accident or njury: DATE ITEM AMOUNT Have ,not received medical specials at this time. - Govt. . Code Sec. 91U.2 provides : "The claim signed by the claiman SEND NOTICES TO: (Attorney) or b s ,e . erson. on his behalf. Name and Address of Attorney C aimant s ignat re Charles J. Wright 1616 - 23rd Street dress. San Pablo, CA 94806„mac� - J L==am Telephone No. 415/233-6166 'rP?RPh^ne. No- 41 -5/231-eatib «««*«««*f►«*«,t,t,tit,ttrt«*«*,t*+t***«**«*«*«+t**r*««+tre*«««««*+t««t+t«yrit*art««rr*t**«*• 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. ” j' CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County. or District governed by) BOAR_ DATION the Board of Supervisors, Routing Endorsements. ) NOTICE TO CLAIMANT November 18 1986 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice df California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph it y„ramant :b Government Code Amount: $1001000. 00 Section 913 and 915.4. Please not all 6WARe81 flty CounSc.1 CLAIMANT: DAN LENSCIMIDT _ OCT 21'1986- 401 Georgia St . 9E149 ATTORNEY: Vallejo, CA 94590 Martine,-, CA 1045 .3 ADDRESS: BY DELLIVERRYY TO CLERK ON Oete V( October 21 , 1986 T BY MAIL POSTMARKED: no postmark 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: October 22 . 1986 Evil DeputyLOR. Clerk L. Hall 11. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. (}� This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely 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 921.3). i ( ) Other: Dated: 2 Z puty 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). IV. BOARD ORDER: By unaimous vote of the Supervisors present 0 This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: NOV 1 8 1986 PHIL BATCHELOR. Clerk, By ` Deputy Clerk i WARNING (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. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING 1 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: N O V 19 198 BY: PHIL BATCHELOR by eputy Clerk i CC: County Counsel County Administrator CLAIM TO: BOARD OF SUPERVISORS OF CONTRA CCJN*rF0WKapp11cat1on to: Instructions to ClaimantVerk of the Board .. f1106 Martinez Califomia94553 - 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 cauBe 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 i Street, Martinez, California 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 im. 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 ofthis form. _ RE: Claim .by .)Reserved ' stamps g�� -��s�� RECEIVED ) Against the COUNTY OF CONTRA COSTA) oGr�/ts86 19ff-� ) PM AT LOq .tom PLCP,SFi'T iY/L/ C / rY DISTRICT) m 0 UPEq (� YF ' (Filln name ) er .... .. .!. .. .. The' undersigned claimant hereby makes claim against the County of Contra ' Costa or the above-named District in the sum of $ /00 ,0C)o '.'and in support of this claim represents as follows: , g.---W—h—e—n—d —d —t—h—e—.d—a—m—a—g—e--o—r—l—n3T—u—y—o--ur—-- Give -----d—a—t—ee------•sur --- --- T- -- --------T-T----------------------T---"--------- a �. WFere did tie .damage or inJury occur? (Include city and count : ------all --F—-------------T----- --------- ----------- T--- — — T ------ iN, did the damage or injury occur? (GiveuII �etai.is, use extra sheets if required) - . 4. What ti parcular act ar omission on the art of county or district - ,. . officers, servants or employees caused the injury or damage? d (over) 5. What are the names of county or district officers, servants or employees causing the damage ,or injury? � a �� cCc� f '�fz.✓� /��.✓o CsrJ/THEY .: °: ----- _ s„ L p �SAN2�iT' 6. What damage or injuries do you claim resufted?- GIve_Null extent of injuries or damages- claimed. ttach two estimates for"au'to damage) �� -e cam, p , ----------- ----------------------- - ----o-`--- -----How was the amount cla - imed above c-om-puted?------ .(Include the------estima-----ted--- amount of any prospective injury or damage. )- 7;-1 amage. ) `+ I, _tom �y/�' ✓ � ��t-C.2r�.�-�'��. � o•. ------1--••---------------------------------------••------------••--- 8. Names and addresses of witnesses, doctors aan'd) hospitals. n. . ' '' C=c?:•l�Jf>�G. 1.1/`�'.�Q-�-�I-Cr`e: �'/6�6 GC/-P/X!-'fi�'GC.�ft,o�efir�. (� o✓+��`'- i p' d tai✓'�, ?-/.�--86 a �.�cci�..:��'-ems�-n. e��'u� �lG�u�:��o-C' c-� �•o�.c.��. afL -/3- 1'•6 0 9. a" Lst"the expenditures you made on account of this accident or injury: DATE ' : ` Yx ITEM AMOUNT 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 Attorneyo Claimants Signature Address °, Telephone No. J,'Z _c:2_ZIFI 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 br 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, " , TRT-`/�'IFiVT OF I=wc rS • .3 986 " lop 0001-9 i Ol -v:• � ` - .e%/2t%!/y/J�lScQ...e�%��rr GLt/ 0 �rc•2.: uAUv` ..c%dWl.�.o •G'C�f'��i�r/'C�s^2%li�K'7 ;..,,'�,�',; Al ALi �, O O �y^ a �- / //�- '.�/ a �� ;�`� • �� fr . a 4 \ \ M - _}'a • 4,.}� '.� ��p'� �'I�. T'r� ` I 1'�� 'fit "♦'-' _ ,LiE�� w/`^�f �i�%/w ��i(/G(.lJa G.T /�'fi"'�� :,w Y �..F �yw�'� V- a ----'.--_.--c:�.. R� ,� a tv� - __ _�•!".Y?;.*. I � y .pn • ��\ 4�� C \ ' .1_Yf `�IY�_�J�O��.�IV i�� /M/✓-\0 � (r'/� .R/�"_ _ �S,�iy_ �•r� i�.' i, aR Lc�c� 00,zr�, — �✓Nim"�^" L f - - • -IY»�� " � C• T L � J.. �`Y G� yk_'J7 r1•,- O %' SI-4- ^L l.iL-1J C7/•'�Y��/�,��_I-�•J/.- .— /,..J /` IFi".:1�.� �_� !/�//.e��' r " 10. � '"f• O �l`rr ?�� /ate �^1y��y'�lJjj d��G �f/JL�, V 1 T��,��f/ elf Jor- �'� � � SN: .�"� :'/�4_'iC `sC�'i ,� ��' �. ,:r�C'/`z,�,Jr-,+tic♦` j=: 4+ � -;trG'.r. 'ia�.•• h' O t ` �' r+t4 ca3,-F� f� xxk, ti -.'�� '2�'t2°C�!G 4�,�"7?1'.-G- i�6<ir ��C�''cwiG+ /� /J � `� •' a.;.ex � . . ��4►:� a7a�J+7J'-'rG-`GX .C� til GZG3 GL..��^��E:^GZMG�/7 ;��.=i.'/�,.,,+iC�C�i�if ! - �-M i i -r..OIO�:r"'�7 1 ..•w,� I��i (.s�'r/S .T'f/JfKT.a t. eiP. '.. s + 74E .Aleii 'rs.iv��`i+"IC^� `_`7 • 'r..:_: �.iw'°�"w.,.7F_�'ti i' y ,-�.�''"^M',p,h`: K.'ptT +► °1RSi'.i' :. sy::t�.\. z« 1 ti 'G./ i.+G.�^c.,.�• i��C7� •aw�/�{. .AM�w11� taw -. 'tiir..6..r`n.M�" ."��/>f K✓ 0 _i �/// ^bean �i i -�' „rta+CZ,4cQ''y,.,,a.c�Ma�ov,40P ot" iY�7?�itati�:�t� 'F" -^-�!� y'r' • ~ �i�� .�{„ 6""',.R!i..��7C; '�C!'L+?._ � rr' i ''GC�Z 'yO(y • ��, Ma D ,t � �. s'�2►? ''�7 _ «^�Z % r�Ci�Y'tP.cL!Ja f (T C=0 fic'.-r r•-r^a^-+ ./��F�/ � p ' iA��r'7'�•�F/6�L.+ .+�N�% wc"F/ �1� -� �- -''TY•.+`' .�.1"'w - i�lp _ q; - .4 sem' ;k ! i�iti � ,��.�.�51 s. r"�' .i� �r,2-. �%` k�'1:�,.., '^r.�y�y� .'�4k+�.r �r"�• *'4, x • i ,� y�7n� ^//��1�"r `-1`..f7f2%^{.r�(r ��qy/j` ,;{ �,q�J , 10 e b- ailw: _ �« a`\ 'i" '+cr1•«. nem - 00W.�,a��. Kms• -1 -'"� K t�.�t-'T-�rmw� it -ri_ �fY�;,M�� '.�rsli.iVl/Rl��i�'��i��_�i.'i(/Y��%'�� •` ' .y��E/w!.i. '�'`_' „r �'3�-��.:.t�K •-mak-.. •s" �. t�' s,; O -i.._ ♦ {�� r p�++l K ' ��✓ t _-..a.y__ '/•'►/"�/ Z ✓GO+l+i��7� 'S(�!e Q� ��•/iG��.L��_wa a_—,-'a.�, Ad— 'Cop''__��('' %ri�'� •._ '` �. --,r�4�'j�rr/"'�rrTS � j 11 ae a 40 /��\ • r • .,»ri �',.i ``_ .:t.:� _ �iv1Le-� i e� CSC- • �/.�i�//�/�w--•- • �` 4 ' • Del 4t r oof�.' .. tri• -.��TKti' �✓ �.F--'t�sFs e a 1> _ • a TSS' J� ''a_.• v�� v i�A 'a+:/�T� O..-� � -±-^ 'rte Av P"z IP ,�i1t _cry cG/U • •te t� ; a� _'/G��7r V��+��'�'�^�/'Y•bMPCS„s/�W `O - /Lv ivc+ -O O ~� ,�Y .. -. - '�:'S: .0 r We -_ ' -a:i `'�t:. :3)l�t1�Y'�c+'�Aa � ":. ��..=.;}•:i.+�s�...�ai�� ,_._ ' IV ir- r Mit � ,` -• P - ii��i�f.f/v i ^ 9 L a�' .{c., 7b dam_ 1., •F C '+- 14.' ' will 3,n2-i- ' -• i ? v ol� IF • h -]� `!G%C%tP.QiY1L .5�3 a-.... �� s `e - o / e . - 'r,.'ti` ..:f...a....� a F• -"r—♦�.+� }.. y�<'<14'ZoiClab.. Q/!'LQ'iiiC�`?.GQCG'• �-:� -•cG 1a.J♦i' �:��%'Z /f•NJ� �/� K�t //lic. , __..i'".ir..l .i,N'•� ,.__ .. �l�e :y- :.�:_ „ GGr i•..CSG- ��e�-��'q�-C��a�s�»�r .. `.. ' Ole " - nq • �_� '1^•.��i2il��iQ�f� -/7LC4� top- 0 IV' &17 �' ,ti" - ! \ y_-.art-. �SJ�.'�♦ �• y r �- e � e •41 " sk- �� rye .z��..G��a=/I�, i�� - ' —IN'�Y'�(• •! tir ~ - 7 �O�I/ f .r,� ,• •" G , 314 0-x; o -_'�.� .��'a.': �s .�.`��CL4"�i/'�C:l�'T^c�. r'71't.+2 X.O�S's��J'7�Gr"v�•�=--i *tc.- ;"'—�'"�.�..,�'*= _..,.*.._..._.'�: C.-..F X.R+a.. l5i.r2..' O iF"_ic...r--••.(/ �.r:' W '/'i c/ DO �j OF __• t _ el-,�..� .�•'�'_. _��N H.wrie"��5" _ .t'ii/±`{Tff"."'i��'W7 w�Il♦'�.�. a w -_ -,•"C r' _.. .. _•-__ // O • \. O CA �; r+y' Ae - ��' ,.•.. ��k�:�:��/�:�Gnr- .�Gr�a.� �cr.��z�`�co�.+w-f � �:IZ:a.�-Q. : c� -• - - ��-��iE�:~�i1 ��L� 10��7'1:14��/� �S�Q.. J� :.♦4"�:��= 274 / .•--.• �4w=rad+'�1' ��i�G�9�9�'A��:r�/, /-i"""�aM��1� .�`..;.I�VIs�iC .• � ' .-r..:\fr +w• . `_ LaeNL- ot I , N I/ �'-:. ^ •4 � H � VE 4 Awf ��i��iii�� _.�._..._.. 'A-Ci. ..CT,ifG. �rILi1LG0 .,G,�S^dr2�' C�+��!!c.!��+ ! •4�"y' '�`�'r'^ N"ikip- wn�'i ]� rY'f f•': �,�y/L++p rw.v�c t�.rr0 i�i'"�cG.r _ _ ..//'_c.� Z 7r, Coll a Y ♦ V S x�`l. .4.r Ii *��.. �:A��%�V'aiCr•G.i:j/`v�IC��1�`��`�C�' �.[/JL+G{ Si�Ay.� •. 11,11 y Gam. L li, dill to, pw Mod ., - � • ,.- ;y ,, „}•. rad.. y� rC 7 .ate i .��.�5 • ,. �s �!� �, y �w `� ?. ��v, '4 —"'�'• >.: w ��y^GACA +'C�.�� ` Y "'�}. �. � as+-r t aT =• � � � - • i. � � �._�� mss"' •!-� ' r _ _../+'! • .v/��`� /� ��/(.r/1 /� ��i�" � y� Off_ ��$ T7-- . a" •uY.,V a _. / / ,,yam/ � -u }y� .�•s� • .♦lei f• - -- -. • airy ��,� �, . -;F,�-:��; 4ZJ#�"p�e -07 r lif ,a 3j V y M Aj[ UGi ,.Gi�1za[B/k� /J40YJa op f..4 �. ♦} ' r Y y ' ' !r/GAAE _ s WG �p J 2 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT November 18 , 1986 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes_ �) the action taken on your claim by the Board of Supervisors iraragraph IV below), given pursuant is 6ovo:, :z;.: :..:a Amount: $1, 000, 000. 00 Section 913 and 915.4. Please not all "WARNGS"6unlyC.GL r1Sol CLAIMANT: DIARY ELLEN HA14KINS l: c/o Douglas L. Gardner OCT 2 1986 ATTORNEY: Boatwright,, Adams & Bechelli CA g (�3t(tf18Z Date received , 1738 Grant Street ADDRESS: Concord, CA 94520 BY DELIVERY TO CLERK ON October 22 , 1986 BY MAIL POSTMARKED: October 21 , 1986 Certified P 363 766 708 I. FROM: Clerk of the Board of Supervisors TO: .County Counsel Attached is a copy of the above-noted claim. October 23 1986 PpHHIL BATCHELOR, Clerk DATED, 8Y: Deputy L. Hall 11. FROM: County Counsel 70: Clerk of the Board of Supervisors (,y This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 6r=�c� / l� (o BY:T'11 �County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOA�RDD ORDER: By unaimous vote of the Supervisors present (Jcl This Claim is rejected in full. (/ `) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: NOV 18 19$6 PHIL BATCHELOR, Clerk, By. ' � Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or 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. 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:_ NOV 19 1986 BY: PHIL BATCHELOR by Deputy Clerk I CC: County Counsel County Administrator 1'J CLAIM AGAINST THE COUNTY OF CONTRA COSTA, CONTRA COSTA COUNTY TRANSIT AND BAY AREA RAPID TRANSIT (Pursuant to Government Code Section 910 et seq. ) CLAIMANT 'S NAME: MARY ELLEN HANKINS AMOUNT OF CLAIM: $1, 000, 000. 00 CLAIMANT 'S ADDRESS: 3615 Northwood #C, Concord, CA 94520 ADDRESS TO WHICH NOTICE ARE TO BE SENT: DOUGLAS L. GARDNER BOATWRIGHT, ADAMS & BECHELLI 1738 Grant Street Concord, CA 94520 Telephone (415) 687-9121 DATE CAUSE OF ACTION August 7, 1986 ACCRUED: LOCATION OF INCIDENT: Crosswalk at bus loading zone in Concord BART Station. HOW INCIDENT OCCURRED: On August 7, 1986 at approximately 7: 00 P.M. , claimant was struck by a Contra Costa County Connection bus while crossing the bus zone access road at the Concord BART Station. Claimant had stopped at the curb prior to entering RECEIVEDthe street , seen the bus in question stopped at a stop sign a considerable distance down the road and proceeded into the street. Claimant crossed in P HELO the crosswalk provided which was drawn aeK aS P ORS across the street at an angle so e► Claimant had her back to the oncoming °aPuty bus. Approximately three quarters of the way across the street , claimant was struck by bus number 309, driven by Laura Marie Young. MS. HANKINS was taken from the scene, to John Muir Hospital, Walnut Creek by ambulance. DESCRIPTION OF INJURY OR DAMAGES : At the present time it impossible to determine the degree of injuries suffered by claimant. However she was transported to John Muir Hospital by ambulance and admitted for head injuries and abrasions. 1 PUBLIC EMPLOYEE (S) Claimant is informed and believes the CAUSING INJURY OR driver of the bus in question is Laura DAMAGE: Marie Young, an employee of Central Contra Costa Transit Authority, a subdivision of Contra Costa County. The Claimant does not know who designed the crosswalk, but believes it was negligently designed and maintained in the present configuration by employees of the Bay Area Rapid Transit District. ITEMIZATION OF CLAIM: Claimant is unaware at present of . the total amount of medical expenses which will be incurred as a result of this accident. To date claimant has incurred medical expenses in excess of $4, 000, 00. Claimant continues to experience headache pain, dizziness and memory loss and has no olfactory senses . Treatment is continuing. Further, claimant has already missed work for 11 days and claims lost wages therefore in the amount of $820. 00 to date. It is anticiapted more time off work will be required for medical treatment, but it is impossible to know how much. The balance of the claim is for general damages in order to compensate claimant for her pain and suffering, mental and emotional stress and continuing loss of her sense of smell . DATED: October 21, 1986 DOUPrXS L. GARDNER BO WRIGHT, ADAMS & BECHELLI Attorneys for Claimant 2 PROOF OF SERVICE BY MAIL- CCP 1013x, 2015.5 1 1 declare that: CONTRA COSTA. 2 I am(a resident of/employed in)the county of . .. . . . . . . . . . . . . . . . .. . . . . . . . . ... . . . . . . . . . . . . . . . . . .California. ;COUNTY WNER[MAILING OCCURRED; 3 1 am over the age of eighteen years and not a party of the within entitled cause; my(business/residence)address is: 4 1738 Grant Street, Concord, CA 94520 October 21 1986 CLAIM 5 On. . . .. . . . . . . . . . . . . . ... . . . ..... ,Iserved the attached. ......... . .... . .. . . . . .... . . . .. . . . . . . IDATEI 8 Interested Parties 7 .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . on the. .. . . . . . . . . . . . . . .. . . 8 in said cause, by placing a true copy thereof enclosed in a sealed envelope with postage thereon fully prepaid,in the Concord .. . . , addressed as follows: 9 United States mail at . . . . . . . . . . . . . . . . . . . . .. . . . 10 CCC Transit Authority 11 Director of Personnel Cheryl Rodriguez 12 2477 Arnold Industrial Way Concord, CA 94520 13 BART District Secretary Phillin Ormsbee 14 800, Madison Street 15 Oakland, CA 94607 16 Contra Costa County Clerk of the Board 17 Kathy Knowles 651 Pine Street 18 Martinez , CA 94553 19 20 21 22 1 declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct,and that 23 this declaration was executed on 24 October 21, 1986 Concord . . . . . . . . . . . . . . . . ,at . . . . . . . . . . . . . . . . ... .. . . .. . . .. California. IDATEI IPLACEI 25 26 s. M.. 70.!LIN . .. ... . ..... ITVPE OR PRINT NAME; SIONATYR[ •ARON PR[G•IOIIM NO 22 �, 3 1 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT November 18 , 186 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice o California Government Codes. T_) the action taken on your claim by the Board of Supervisors (Paragraph ,IV below), Viven Pu.-M=int "..aG• Amount: $858 . 96 Section 913 and 915.4. Please not all WARNovW�:t:,a,e,nt CotounS2! 1ii8'S". Y CLAIMANT: CRAIG E. TULL 0 C T 2 1'1986 1 Cyclotron Road LBL 50-245 Martinez CA ATTORNEY: Berkeley, CA 94720 - Date received ADDRESS: BY DELIVERY TO CLERK ON October 21 , 1986 hand del . BY MAIL POSTMARKED: no envelope 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: BY October 23 , 1986 ppHIL BDATCHELOR, Clerkit/ : eputy L. Hall 11. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.6). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: C / ��G BY: Lam/ duty County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). 1V. BOARD ORDER: By unaimous vote of the Supervisors present ( This Claim is rejected in full. (, `) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. 4 O4 Dated: NOV 18 1986 PHIL BATCHELOR, Clerk, By , Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or 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. 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: NOV 19 1986 BY: PHIL BATCHELOR by Deputy Clerk !I CC: County Counsel County Administrator I CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions to 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 , California 94553. C. If claim is against a district governed by the Board of Supervisors , rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims , Penal Code Sec. 72 at end of this form. RE: Cl im by ) Reserved for Clerk' s filin stamps . RECEIVED Against the COUNTY OF CONTRA COSTA) or DISTRICT) R AT u`eR 6088 Fill in name) ) � BY n. D" The undersigned claimant hereby makes claim againstthe County of Contra Costa or the above-named District in the sum of $ YSTO �6 and in support of this claim represents as follows: ------------- --------------------------------------------------------- l. When did the damage or injury occur? (Give exact date and hour) Is-� ---•r------------------------------------ ----------------------- 2. Wh a did the damage or injury occur? (Include city and county) 9S , C��a_ (S4C � ,6� U�6 < 1 ------------------------------------------------- - --- 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) 5. What are the names of county or district officers, servants or employees causing the damage or injury? -------------------------------------------------------(Give----full----e-x----tent------ 6. What damage or injuries do you claim resulted? of injuries or damages claimed. Attach two estimates for auto damage) t F sy- % H 7. How was the amount claimed an co uted. (Include the estimated, amount of any prospective injury or damage. ) --. Names --addr-e-s-s-e-s--o--w-it-n-e-s-s-e-s--do-c--o-rs---a-nd-ho-s-p-ita---s--------------- ---madae .----------------mad-e---o-n-a-c--co-u-n-t-o---th-is--a-cc--ide-n--or-------- injury: DATE _ � ITEMD�� AMOUNT D- fit¢ 3S� Govt. Code Sec. 910.2 provides : "The claim signed by tbe claimant SEND NOTICES TO: (Attorney) o some person o i behalf. " nn � Name and Address of Attorney /CQ1 L, • / Cl ima tis S , iture lso A ress Telephone No. Telephone No. (tits 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. " October 22, 1986 Contra Costa County 100-37th St. Richmond, CA Dear Sirs: This is an account of an incident which resulted in damage to my motorcycle in Contra Costa County, the summer of 1986. On July 14, 1986 I was driving my 1982 Yamaha Vision from El Sobrante, California to Hayward, California to meet a friend. At approximately 7:15, I turned onto southbound San Pablo Dam Road from Valley View Road where they join in Richmond, California. I proceeded south on San Pablo Dam Road through town until the road turns into a highway south of town. On the highway in front of me a white pickup truck was traveling southbound at a speed of approximately 45 mph. Since the speed limit on the highway is 55 mph I decided to pass the pickup truck at the first opportunity and accelerate to that speed. The only opportunity within the first 4 miles was the turn lane for the northern most entrance to the San Pablo Reservoir Recreation Area. As we were passing the cement islands of the entrance, I pulled into the left band lane (turning lane) of the highway. However, although there were no warning signs along the highway, the turning lane at this point is divided from the main flow of traffic by a series of small cement "warning bumps". These cement bumps are painted white and are located on the white line between the two traffic lanes, making them very difficult to see clearly. When I hit one of these cement bumps, both my motorcycle wheels literally lost all contact with the the road surface. It was only my twelve years of motorcycling experience and a good measure of luck that saved me from grave personal injury or death. I was able to retain my bal- ance when I landed and did not drop my cycle or fall myself. However, my motorcycle did sus- tain significant damage. The total damages to my motorcycle were estimated as $858.96 (eight hundred fifty eight dollars ninety eight cents) by Berkeley Yamaha. Inclosed please find a copy of the estimate. This includes parts and labor for replacing both front and back wheels on my cycle. I am requesting that these damages be paid by Contra Costa County because the cement bumps on San Pablo Dam Rd are not marked in any way, nor made to be easily visible to a driver on the road. Hence, they constitute a dangerous hazard for any vehicle on the road, and threaten motorcycle riders with possibly fatal injury. Sincerely, / 7✓ `v v — a Craig E. ull 1 Cyclo on Rd. LBL 50-245 Berkeley, CA 94720 I BERKELEY YAMAHA 735 Gilman Street ® � BERKELEY, CALIFORNIA 94710 (415) 525-5525 CUSTOMER'S ORDER NO. PHONE DA ., NAME EE ADDRESS �� SOLD BY CASH C.O. . CHARGE ON ACCT. MDSE,RETD. PAID OUT i OTY. DESCRIPTION ` ll AMOUNT ' I f _ Ca r 4 @ip- - I I I -- II TAX RECEIVED BY TOTAL .00 I All claims and returned goods MUST be accompanied by this bill. 0233 PRODUCT 610 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County. or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements. ) NOTICE TO CLAIMANT November 18 , 186 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice o California Government Codes. ) the action taken on your claim by the Board of Supervisors jvaragraph iV below), given pursuant to Government Code Amount: $500, 000. 00 Section 913 and 915.4. Please not all •YARQt nsr1y Counsel CLAIMANT: BONNIE ANI1 MARIE ROSS AS GUARDIAN AD LITEM OF TONYA F. OCT 2 11985 c/o Gordon W. Odell, Jr. Martinez, GA 0�1a 3 ATTORNEY: Boatwright, Adams & Bechelli 1738 Grant Street Date received ADDRESS: Concord, CA 94520 BY DELIVERY TO CLERK ON October 21, 1986 BY MAIL POSTMARKED:October 20, 1986 Certified P 078 178 365 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. October 22 1986 ppHIL BATCHELOR, Clerk ^��/ DATED: 8Y: Deputy L•� � �'� L. Hall 11. FROM: County Counsel TO: Clerk of the Board of Supervisors (}� This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.6). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 40 a 198' BY: uty County Counsel 61 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unaimous vote of the Supervisors present This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: V 1 8 1986 PHIL BATCHELOR, Clerk, By_g , Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or 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. 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. 1 Dated: NOV 1 9 1986 BY: PHIL BATCHELOR by Deputy Clerk i CC: County Counsel County Administrator 4 1 CLAIM AGAINST STATE OF CALIFORNIA 2 AND 3 COUNTY OF CONTRA COSTA 4 Pursuant to Government Code Section 910 3 CLAIMANTS ' NAMES: BONNIE ANN MARIE ROSS , mother as 6 guardian ad litem of TONYA F. , a minor. Claimant 's full name is known to counsel and will be 7 revealed on court order. 8 CLAIMANTS ' ADDRESS: BONNIE ANN MARIE ROSS 2501 Camara Circle, Apt. E 9 Concord, CA 94520 10 TONYA F. c/o YOUTH HOMES 11 1537 Sunnyvale Avenue Walnut Creek, CA 94596 12 AMOUNT OF CLAIM: $500, 000. 00 13 ADDRESS TO WHICH NOTICES 14 ARE TO BE SENT: GORDON W. ODELL , JR. BOATWRIGHT, ADAMS & BECHELLI 15 1738 Grant Street 16 Concord, CA 94520 (415) 687-9121 17 DATE OF INCIDENT: Approximately July 16, 1986 18 LOCATION OF INCIDENT: Vicinity of Arlington House, 19 6374 Arlington Boulevard, Richmond, California 94805 20 HOW DID INCIDENT OCCUR: The minor was a ward of the court 21 and under the care, custody, and control of the County of Contra Costa and/or the State of 22 California at the above address . Through negligent supervision, said 23 minor was allowed to leave the facility between 10: 30 p.m. on 24 Onl 7/15/86 and 2: 00 a.m. 7/16/86. She (', was forcibly raped within approxi- mately ey k ' ��TO, mately two blocks of the above "gegr c6 address . She has not been given 26 counseling since the above date. 27 oqs It has been requested. ti 28 WATWRIGHT,ADAMS h BECHELLI ATTORNEYS AT LAW 1798 GRANT STREET 1 CONCORD,CA 94520 1 14151 8879121 3 ' I NAME OF PUBLIC EMPLOYEE OR EMPLOYEES CAUSING INJURY 2 OR DAMAGE, IF KNOWN: Presently unknown. Claimant believes MARY BARKUS was one of the 3 persons in charge of the facility. 4 ITEMIZATION OF CLAIM: Claimant does not know the total 5 amount of expenses which will be 6 incurred. Claimant asks general and special damages of $500, 000. 00. 7 SIGNED BY OR ON BEHALF OF CLAIMANT: 8 Dated: �(, �u'�5� BOATWRIGHT, ADAMS & BECHELLI 9 , V 1# 11. 10 By: GORDON W. OD L, JR. 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 DATWRIGHT,ADAMS B BECHELLI ATTORNEYS AT LAW 1795 GRANT STREET 2 CONCORD.CA 94520 L (4151 957.9121 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County. or District governed by) BOAR_ D_-_ ACTION the Board of Supervisors. Routing Endorsements. ) NOTICE TO CLAIMANT November 18 , 1986 and Board Action. All Section references are to ) The copy of this document wailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: -$88 . 43 Section 913 and 915.4. Please not all "WARNINGS". County COLnsei CLAIMANT: FRANCIS GARCIA OCT 21' 1986 ATTORNEY: rr lyfi�tt,�,S6C q g .40 Date received October 2��GCJJ ADDRESS: 33 No. Jackson Way BY DELIVERY TO CLERK ON , Alamo, CA - 94507 October 17, 1986 BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel • Attached is a copy of the above-noted claim. �i��C��---.` IL DATED: October 21BATCHELOR, Clerk , 1986 �q: Deputy L. Hall 11. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2. and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 6 ��, /9 Z� BY: eputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unaimous vote of the Supervisors present (x) 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. NOV 181986 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 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. AFFIDAVIT OF MAILING I declare under penalty of perjury that 1 am now, and at all times herein wentioned, 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. Dated: NOV 19 1986 BY: PHIL BATCHELOR by Deputy Clerk I CC: County Counsel County Administrator CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions to Claimant r 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 9.110, 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 ) Reserve stamps Francis Garcia ) RECEI`IEIJ Against the COUNTY OF CONTRA COSTA) gTCM on As or DISTRICT) CL oc Fill in name ) By ..... 0ep1� The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $88.43 and in support of this claim represents as follows: ------------------------------------------------------------------------ d 1. When did the amage or injury occur? (Give exact date and hour) October 8, 1986 - Approximately 3.00 - 3: 30 PSI ------ ----T--------------------------------------- -----------------•�-- 2. Where did the damage or injury occur? (Include city and county) On Livorna Road approaching Danville Blvd. , Alamo, CC County, The road was being resurfaced. --------------------------------------------------------T--------------- 3. How did the damage or injury occur? (Give full details, use extra sheets if required) The control arm governing the rear right wheel was damaged upon striking the curb . This was caused by the action of slamming on breaks in order to avoid hitting a county truck and subsequently ----r innizz -4puz-Aa-iA se-graveI---------------------------------------- 4. Wiat particular ac� or omission on the part of county or district officers , servants or employees caused the injury or damage? The driver of the truck failed to signal before pulling out in front of my car. He had been parked at the side of the road . .(over) J 5. What are the names of county or district officers;.=:serVZnts':.:orS, I employees causing the damage or injury? bo- nt know. It wasn' t until I recommenced driving and picked up speed on Danville Boulevard that I realized there was a problem with my car. ------ - - ------------------------------------------------------------- 6. Wh-at-damage-- or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) As previously stated, damage.'-to the control arm. The auto was taken into the service station that evening and repaired the next day. -------------------------------------------------------------------=----- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) The amount was computed by Bob Bridgedale' s Chevron station of Danville . He usually has a conservative estimate. ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. NONE -- - =-----------------------------------------------------I------------ - 9. List the expenditures you made on account of this accident or injury: ` /DATE ITEM AMOUNT October 9 , 1986 Gasoline and time on my Not claimed mother' s part i when she drove Govt. Code Sec. 910. 2 provides : "The claim signed by the claimant SEND NOTICES T0: '' - (Attorney) . . . . . or by some persona on his behalf. " Name and Address of Attorney yClaimant' s i nature Address IS Mo .16rkc6n T•]aa, Alaron, USA7 Telephone No. Telephone No. 820-5360 ************************************************************************** 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. " a CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors. Routing Endorsements. ) NOTICE TO CLAIMANT November 18, 1936 and Board Action, All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes, ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuaet to Govermn nt CoJZ: Amount: $1, 260. 00 Section 913 and 915.4. Please not all "WARNINGS". Conl:nty Counsel CLAIMANT: DAVID R. SIMONSON (1('T 2 1' 1986 ATTORNEY: I'0artiri ?, CA 045 Date received ADDRESS: 346 Pippo Avenue BY DELIVERY TO CLERK ON October 20 , 1986 Brentwood, CA 94513 BY MAIL POSTMARKED: October 15 , 1986 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim, BiL BATCHELOR, Clerk DATED: October 15, 1936 L. Hall 11. FROM: County Counsel TO: Clerk of the Board of Supervisors (x This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply. substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: ��. �qo BY:� �i{- .� �� 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). IV. BOARD ORDER: By unaimous vote of the Supervisors present (X) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated. A" 18 19$6 PHIL BATCHELOR, Clerk. By . Deputy Clerk WARNING (Gov, code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or 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. 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 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: NOV 1.9 1�6' BY: PHIL BATCHELOR by Deputy Clerk I I CC: County Counsel County Administrator CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions 'to 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 Cor 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 ) Reser g stamps David R. Simnngnn ) RECEIVED ) Bcz,Z�19as Against the COUNTY OF CONTRA COSTA) Log or DISTRICT) CL K o�� UPE RS Fill in name) ) sr •• • • • ••• ••• The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 1 , 260 . 00 and in support of this claim represents as follows: -------------------------------------------------------- --------- 1. When did the damage or injury occur? (Give exact date and hour) 7/9/86 1300 hours ------ ----T--------------or----in-j---ury--occur?--------(InE-clu---d-ee-----city---and--- -county)--------- 2. Where did the damage Uninc. Contra Costa County / Fairview Ave. 72 feet south of SandCreekRd. ------------------------H-ow--d--i-d--th-e---d-am--ag--e--o-r-injury occur? (Give---u-- de-aTi----u-se-.�------- extra sheets if required) See Calif . Traffic Collision Report # 7-101 ------------------------------------------------------------------------ 4. What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? Violation of 21802W CVC (over) r 5. What are the names of—county or district officers,t".servants>wr.._ ... employees causing the damage or injury? Joseph Frank Gill Jr. #34574 Contra Costa County Sheriff ------------------------------------------------------------------------- 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) Damage exceeds value of vehicle (value from Calf . Auto Assoc. @low valu. --.--H-o-w--w-a-s-th-e--a-m-o-u-n-t--c-l-a-i-m-e-d--a-b-o-ve---computed? (Include -e---i-m--a-t-ed- --- amount of any prospective injury or damage. ) See above -- ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. Included in Collision Report #7-101 ---- --------------T----------------------------------------------------- 9. dist the expenditures you made on account of this accident or injury. DATE ITEM AMOUNT Claim for value of vehicle only i 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 346 re s . Brentwood CA 94513 Telephone No. Telephone No. 634-7387 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. " +• CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT November 18 , 01986 and Board Action. All Section references are to The copy of this document mailed to you is your not-ice of California Government Codes. ) the action taken on your claim by the Board of Supervisors ,. _. ..._„__ _._ (Paragraph IV below), give, parswu-.6 io C,;vzrm.;:: : Cc s Amount: $99 . 96 Section 913 and 915.4. Please not all "WARNOWinty Counsel CLAIMANT: BERTHA MOORE (FOSTER PARENT ON BEHALF OF BRIAN BALLINGER) OCT 2 1. 1956 ATTORNEY: N11ai*dne7, CA 045::n Date received October 13 , 1986 ADDRESS: 117 Arlington Drive BY DELIVERY TO CLERK ON Pittsburg, CA 94565 BY MAIL POSTMARKED: no postmark 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: October 21, 1986 gVILATCHELOR, Clerk : BATCHELOR, L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely 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). i ( ) Other: Dated: V-cx. C;�- 7o//0 6 BY:� uty County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unaimous vote of the Supervisors present (x) 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. OP _ PHIL BATCHELOR, Clerk, By NOV g ,�� , Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or 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. 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. I Dated: tV'tJ'� 19 19Rf; BY: PHIL BATCHELOR by Deputy Clerk i CC: County Counsel County Administrator CLAIM Tb:, BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions to 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 Cor 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 - for ing stamps RECEIVED Against the COUNTY OF CONTRA COSTA) OCT O M6 IL 9 E ISO or DISTRICT) C C Aft Fill in name) ) ... ..........O"Uty By .. . .. : ... The undersigned claimant hereby makes claim against thCounty of Contra Costa or the above-named District in the sum of $ q`f and in support of this claim represents as follows: ------ --- d--------------------------------------------------------- 1. Wh-en--did the amage or injury occur? (Give exact date and hour) Z 2. W ere d d the damage or injury occur? (Include city abd county) 2-5 A-An 87o" ,lam P Try", ----------------------------------------------------- ------------------ 3. How did the damage or injury occur? (Give full details, use extra sheets if required) 4v C"d'v-fi� rot,/" h>V-1 e z -- ------ ------- ----------------------- - ------- ------ ------ --- 4 . What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? naxei A- (over) 5. What are the names of county or district officers ..,servantse-ar, :.T..".rL 1 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) 4 2 Vii - urr� claws 9 47 ------- ----------------- H 7. ow�was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) See, at t a-lke ce L-" a9 Aet� ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. - ---- -.1-"J-------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: , DATE ITEM AMOUNT q�� • � eon � �� 9 _ ,e4,b ry 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 U:C1 ,0, lla�i�a�nt' s Signa ure --9 ddr�ess Ckq 6 ( 6 Telephone No. Telephone No. IR 9 lot 1p 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. " APPLICATION TO. FILE LATE CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION Application to File Late Claim ) NOTICE TO APPLICANT November 18 , 1986 Against the County, Routing ) The copy of this document mailed to you is your Endorsements, and Board Action.) notice of the action taken on your application by (All Section References are to the Board of Supervisors (Paragraph III, below), California Government Code.) ) given pursuant to Government Code Sections 911.8 and 915.4. Please note the "WARNING" below. County Counse! Claimant: MID-CENTURY AUTO INSURA110E c/o Frank J. Drago OCT 2 1'1986 Attorney: Attorney Street rney At Law 700 Martirez, CA 9 15: Address: Napa, CA 94559 Amount: $3, 665 ,88 By delivery to Clerk on October 20 , 1986 Date Received: October 20, 1986 By mail, postmarked on not legible I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above noted Application F le to Claim. DATED: Oct . 20, 1936. PHIL BATCHELOR, Clerk, By Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) The Board should grant this Application to File Late Claim (Section 911.6). The Board should deny this Application to File Late Claim (Section 911.6). DATED: (fu �fltlq,L VICTOR WESTMAN, County Counsel, III. BOARD ORDER By unanimous vote of Supervisors presedt (Check one only) ( ) This Application is granted (Section 911.6). This Application to File Late Claim is denied (Section 911.6). I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. DATE: NOV 18 1986 PHIL BATCHELOR, Clerk, By,�� WARNING (Gov. Code S911.8) If you wish to file a court action on this matter, you must first petition the appropriate Court for an order relieving you from the provisions of Government Code Section 945.4 (claims presentation requirement). See Government Code Section 946.6. Such petition must be filed with the Court within six (6) months from the date your applioation for leave to present a late claim was denied. You may seek the advise of any attorney of your choice in Connection with this matter. If you want to Consult an attorney, u should do so immediately. V. FROM: Clerk of the Board TO: 1 County Counsel 2 County A nis or Attached are copies of the above Application. We notifed the applicant of the Board's action on this Application by mailing a copy of this document, and a memo thereof. has ben filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. DATED: NOV 19 1986 PHIL BATCHELOR, Clerk, BX Deputy V. FROM: 1 County Counsel 2 County Administrator TO: Clerk of the Board of Supervisors Received copies of this Application and Board Order. DATED: County Counsel, By. County Administrator, By. APPLICATION TO FILE LATE CLAIM 1 Frank J. Drago BALLATI , CARBONE & DRAGO 2 Attorneys at Law 700 Franklin Street 3 Napa, California 94559 V (707) 257-6255 4 cc�K N, �O I a�s6 Attorneys for Mid-Century By ar 5 Auto Insurance �pEv .� as 6 7 Claim of Mid-Century ) 8 Auto Insurance, ) 9 vs. ) APPLICATION FOR LEAVE TO PRESENT LATE CLAIM ON 10 County of Contra Costa, ) BEHALF OF CLAIMANT (Govt. Code section 911 . 4) 11 ) 12 TO THE BOARD OF SUPERVISORS OF THE COUNTY OF CONTRA COSTA: 13 1 . Application is hereby made, pursuant to Government 14 Code section 911 . 4 for leave to present a late claim founded on 15 a cause of action in subrogation for property damage arising 16 from an accident involving claimant' s insured and a Contra Costa 17 County vehicle. Said automobile accident occurred on April 17, 18 1986 , and a claim was not presented within the 100 day period 19 provided by Government Code section 911 . 2. The proposed claim 20 attached hereto as Exhibit "A" is incorporated herein by this 21 reference. 22 2 . The failure to present this claim within the 100 23 24 day period specified in Government Code section 911 .2 was through mistake, inadvertence, surprise and/or excusable neglect 25 as is more fully set forth in the attached declaration of Jean 26 Brooks (Exhibit "B") . Furthermore, the County of Contra Costa 27 28 has not been prejudiced by this failure since it has been aware -1- I of this claim and is proceeding to investigate claimant' s 2 insured' s claim for return of his deductible. 3 3. This application is being presented within a 4 reasonable time after the accrual of this cause of action, as 5 more particularly shown by the declaration of Jean Brooks 6 (Exhibit "B") . 7 WHEREFORE, it is respectfully requested that this 8 application be granted and that the attached proposed claim be 9 received and acted on in accordance with Government Code 10 sections 912 . 4-913 . 11 DATED: October , 1986 12 Respectfully submitted, 13 BALLATI , CARBONE & DRAGO 14 15 By: 16 Frank J. Drago Attorneys for laim nt 17 18 19 20 21 22 23 24 25 26 27 28 -2- I Frank J. Drago BALLATI , CARBONE & DRAGO 2 Attorneys at Law 700 Franklin Street 3 Napa, California 94559 (707) 257-6255 4 Attorneys for Claimant 5 6 7 Claim of Mid-Century ) 8 Auto Insurance, ) CLAIM FOR DAMAGES 9 vs. ) (PROPERTY DAMAGE) 10 County of Contra Costa, ) 11 ) 12 TO: BOARD OF SUPERVISORS, COUNTY OF CONTRA COSTA 13 Mid-Century, through its attorneys, Ballati, Carbone & 14 Drago, hereby makes claim against the County of Contra Costa for 15 the sum of $3 , 665. 88 and makes the following statements in 16 support of the claim: 17 1 . Claimant ' s address of 380 Pittman Road, Fairfield, 18 California. 19 2 . Notices concerning the claim should be sent to 20 Frank J. Drago, Esq. , Ballati, Carbone & Drago, 700 Franklin 21 Street, Napa, California 94559 . 22 3. The date and place of the occurrence giving rise to 23 this claim are: April 17, 1986, on Pacheco Boulevard, Contra 24 Costa County, California. 25 4. The circumstances giving rise to this claim are as 26 follows: on April 17, 1986, claimant' s insured was driving his 27 vehicle westbound on Pacheco when a car owned by the County of 28 Contra Costa and operated by a county employee changed lanes -1- EXHIBIT A I causing the herein referred to auto accident. The county 2 employee was cited for an unsafe lane change. 3 5. Claimant' s insured sustained property damage to his 4 1979 Pontiac Firebird. Claimant has paid the sum of $3,665. 88 5 and claimant' s insured paid a deductible of $1, 000. 00 . 6 6 . The name of the public employee causing claimant' s 7 damages is Carl Doolittle. 8 7. The amount of the claim as of the date of this 9 claim is $3 , 665 . 88 . 10 8 . The basis of computation of the above amount is as 11 follows: property damage per estimate of $4 , 665. 88 , less the 12 claimant' s insured' s deductible of $1 , 000 . 00. 13 DATED: October , 1986 14 BALLATI CARBONE & DRAGO 15 16 BY• Frank J. Drag 17 Attorneys for Claimant 18 19 20 21 22 23 24 25 26 27 28 -2- I Frank J. Drago BALLATI , CARBONE & DRAGO 2 Attorneys at Law 700 Franklin Street 3 Napa, California 94559 (707) 257-6255 4 Attorneys for Claimant 5 6 7 8 Claim of Mid-Century ) Auto Insurance, ) 9 ) 10 vs. ) DECLARATION OF JEAN BROOKS 11 County of Contra Costa, ) 12 ) 13 14 I, JEAN BROOKS, declare: 15 1 . I am a Senior Claims Analyst for the Branch Claims 16 Office of Mid-Century Auto Insurance located at 380 Pittman 17 Road, Fairfield, California, claimant herein. 18 2. At all times herein mentioned, Mid-Century Auto 19 Insurance was the insurer for Kiwon Kim insuring that certain 20 vehicle described as a 1979 Pontiac Firebird. 21 3. On or about April 17 , 1986 , claimant' s insured 22 suffered property damage to said vehicle in the amount of 23 $4 , 665 . 88 as the result of the negligence of an employee of the 24 County of Contra Costa. Claimant has paid to, or was assigned 25 by, its insured under said policy of insurance the sum of 26 $3 , 665. 88 and its insured incurred a deductible charge of 27 $1 , 000 . 00 . The final payment to the insured and the body shop 28 that did the repairs was on June 10 , 1986 . -1- EOst... '"cC r. 8 j� r 1 4. August 22 , 1986 was the first date that claimant 2 became aware of the involvement of the County of Contra Costa as 3 owner of the responsible vehicle. The police report was 4 requested from the CHP on August 27 , 1986 , and received on 5 September 9, 1986 . On that same day, September 9, 1986 , a 6 demand was sent to the County of Contra Costa asserting the 7 subrogation rights of the claimant. On September 30 , 1986 I 8 received a call from Judy Omik of George Hills Co. , wherein she 9 indicated the claim would not be paid although she was 10 proceeding to work with the insured on his claim for return of 11 his deductible. 12 5. Since claimant was totally unaware of the 13 involvement of the County until after the 100 days had run, 14 request is made that claimant be allowed to present a late claim 15 as reflected in Exhibit "A. " 16 I declare under penalty of perjury under the laws of 17 the State of California that the foregoing is true and correct 18 and that this declaration was executed on October 13 , 1986 at 19 Suisun, California. 20 Je rooks 21 22 23 24 25 26 27 28 -2- I Frank J. Drago BALLATI, CARBONE & DRAGO 2 Attorneys at Law 700 Franklin Street 3 Napa, California 94559 (707) 257-6255 4 Attorneys for Claimant 5 6 7 Claim of Mid-Century ) 8 Auto Insurance, ) CLAIM FOR DAMAGES 9 vs. ) (PROPERTY DAMAGE) ) 10 County of Contra Costa, ) 11 > 12 TO: BOARD OF SUPERVISORS, COUNTY OF CONTRA COSTA 13 Mid-Century, through its attorneys, Ballati, Carbone & 14 Drago, hereby makes claim against the County of Contra Costa for 15 the sum of $3 , 665 . 88 and makes the following statements in 16 support of the claim: 17 1 . Claimant' s address of 380 Pittman Road, Fairfield, 18 California. 19 2. Notices concerning the claim should be sent to 20 Frank J. Drago, Esq. , Ballati, Carbone & Drago, 700 Franklin 21 Street, Napa, California 94559 . 22 3 . The date and place of the occurrence giving rise to 23 this claim are: April 17 , 1986 , on Pacheco Boulevard, Contra 24 Costa County, California. 25 4. The circumstances giving rise to this claim are as 26 follows: on April 17 , 1986 , claimant' s insured was driving his 27 vehicle westbound on Pacheco when a car owned by the County of 28 Contra Costa and operated by a county employee changed lanes -1- I causing the herein referred to auto accident. The county 2 employee was cited for an unsafe lane change. 3 5. Claimant' s insured sustained property damage to his 4 1979 Pontiac Firebird. Claimant has paid the sum of $3 , 665. 88 5 and claimant' s insured paid a deductible of $1 , 000 . 00 . 6 6. The name of the public employee causing claimant' s 7 damages is Carl Doolittle. 8 7 . The amount of the claim as of the date of this 9 claim is $3 , 665 . 88 . 10 8. The basis of computation of the above amount is as 11 follows: property damage per estimate of $4 , 665 . 88 , less the 12 claimant' s insured' s deductible of $1 , 000 . 00 . 13 DATED: October , 1986 14 BALLATI CARBONE & DRAGO 15 16 By• S Z, Frank J. Drag 17 Attorneys for Claimant 18 19 20 21 22 23 24 25 26 27 28 -2-