HomeMy WebLinkAboutMINUTES - 10271987 - 1.6 CLAIM A10/
BOARD OF SUPERVISORS 0 CONTRA COSTA COUNTY, CALIFORNIA
Claim .Against the County, or District governed by) BOARD ACTION
the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT October 27, 1987
andBoard 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: $50, 000. 00 Section 913 and 915.4. Please note all "Warnings".
CLAIMANT: KRISTEN L. HERRMANN County Counsel
P. O. Box 1856
ATT ORN_v: Vallejo, CA 94590 OCT 02 1987
Date received
ADDRESS:
Martine90GAE9053LERK ON September 25 , 1987 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.
IL gATCHELOR, Clerk
DATED: October 2, 1987 �q: Deputy
L. Hall
11. FROM: County Counsel TO: Clerk of the Board of Supervisors
Q� 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: Deputy County Counsel
III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2)
( ) Claim was returned as untimely with notice to claimant (Section 911.3).
1V. BOARD
ORDER: By unanimous vote of the Supervisors present
(V This Claim is rejected in full,
( ) Other:
I certify that this is a true and correct copy of the Board's Order entered in its minutes for
this date.
0 C T 2 7 1987
Dated: PHIL BATCHELOR, Clerk, By w , 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 `
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: OCT - 1997 BY: PHIL BATCHELOR by y
eput Clerk
CC: County Counsel County Administrator
CLAI:A T0: BOARD OF SUPERVIS;OSTF 0? CONTRA COSTA COUNTY
..
Instructio0s '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 Administr on Building, 651 Pine
Street, Martinez, CA '94553 (or mail to• P.f0' ll, Martinez-, SCA)
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, Pefial Code Sec. 72 at end
of this form.
RE: Claim by ) Reserved for Clerk's filing stamp:
Kristen L. Herrmann ) � .
Rfd
ID
Against the COUNTY OF CONTRA COSTA) ,.�JG :f ' X87
or DISTRICT)
Fill in name) )
. The undersigned claimant hereby makes claim against the County of Contra
Costa or the above-named District in the -sum of $ 50,000.00
and in support of this claim represents as follows:
------------------------------------------------------------------ ---
1. When did the damage or injury occur? (Give exact date and hour
Thursday, June 18, 1987 at 8:45pm
-------------------------------------------- ---------------------------
2. Where did the damage or injury occur? (Include city and county)
Solano County. Solano/Amador Intersection in Vallejo, CA.
3. How did the damage or injury occur? (Give full-details, use extra
sheets if required).
Contra Costa County Truck (#5123) failed to stop at his red light, therefore ,
hitting my side of the car broadside.
4. What particularact or omission on the part of county or district
officers, servants or employees caused the injury or damage?
Should have been paying closer attention to his driving and the traffic signals.
It is my opinion that the Contra Costa employee should have been restricted -
from driving in the first place, due to his own statement that this had been.
his 3rd or 4th accident.
(over)
CLAIM
BOARD OF SUPERVISORSOF• CONTRA COSTA COUNTY, CALIFORNIA
Claim Against the County, or District governed by) BOARD ACTION
the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT October 2 7, 1987
ane 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: $100, 000. 00 Section 913 and 915.4. Please note all "Warnings".
CLAIMANT: PATOP�ICIA A.Box 1856ERR'"IA'VN Counsel
� CoU�ty
Vallejo, CA 94590OCj 021997
ATTDR%EY:
Date received f"& g 53 ember 25 , 1987 hand del .
ADDRESS: BY DELIVwLtM��RKH p
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.
�b -
1L BATCHELOR, Clerk
DATED: October 2, 1987 : 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: BY: r - J� 8A-
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).
1V. BOARD ORDER: By unanimous vote of the Supervisors present
W� This Claim is rejected in full.
( ) Other:
1 certify that this is a true and correct copy of the Board's Order entered in its minutes for
this date.
Dated: OCT 2 7 1987 PHIL BATCHELOR, Clerk, By 1 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 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 T 2shown 6above.
,,v( ;
Dated: BY: PHIL BATCHELOR by Deputy Clerk
CC: County Counsel County Administrator
�CLI2 . T0: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
Instructions 't'o 'Cl'aimant
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, Goyt.' 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. eritity.
E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end
of this form.
RE: Claim by )Reserved for Clerk' s filing stamp:
Patricia A. Herrmann ) RECEIVED
Against the COUNTY OF CONTRA COSTA) „ �71987
or DISTRICT) a
Fill in name) ) �►�
The undersigned claimant hereby makes claim against the County of Contra
Costa or the above-named District in the -sum of $ 100.000.00
and in support of this claim represents as follows:
---------------------------------------'----------------------------------
1. When did the damage .or injury occur? (Give exact date and hour)
Thursday, June 18, 1987 at approximately 8:45pm.
---------- -------------------------------------------------------------
2. Where did the damage
or injury occur? (Include city and county)
City of Vallejo. Intersection of Amador Street and Solano Avenue.
Solano County.
---- ----------------------=-------------------=-- ---------------------
3. H-ow did the damage or injury occur? (Give full details , use extra
--sheets if required).
A Contra Costa County -truck ('5123) failed to stop for his red light.
4. What particular act or omission on the part of county or district
officers , servants or employees caused the injury or damage.) -
Employee driving the Contra Costa County truck was apparently not concentrating
on his driving, nor, was he looking where he was going.
(over)
5,, What are the names of county or district officers, servants-Cir-'.1,
-j employees causing the damage or irh'jury?
Mr. Curtis Howard Terrell
-------------------------------------------------------------------------
6: What damage or injuries do you claim. resulted? (Give full extent
of injuries or damages claimed. . Attach two estimates for auto
damage)
I received a severe headache that lasted for several days and severe lower
backpain that still requires medication. There was also minor cuts and bruises
_ _lho Saye,uLe-d"—my ,Duig was regi red throuch my_insurance carrier. __
7. How was the amount claimed above computed? (Include the estimated..
amount of any prospective injury or damage. )
Immediate pain and inconvenience - 15,000.00
Personal Loss - 10,000.00
Long Term Discomfort and Pain - 75,000.00
--------------------------f------------��-----------------------
8. Na�litnessa ram7auTey, 915lpue o lay,' VaQlej°rs� nd9 pitals.
Hospital - Kaiser Permanente - Dr. Reiswig
Private Physician - Dr. Alden - Emeryville, CA
-- --------------•-------------------------------------------------------
9.--List_ the expenditures you made on account of this accident or injury
i
DATE "" ''ITEM AMOUNT
fee Attached '
Govt. Code Sec. 910. 2 provides .
"The claim signed by the claiman
SEND NOTICES TO: (Attorney) or by 'soWe' per'sori 'ori his behalf.
Name and Address of Attorney ck-�
imant' s Signature
P.0'. Box 1856
Address
Vallejo, ' CA 94590
Telephone No. Telephone No. (707) 553-1088
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 , vouches-
or writing, is guilty of a felony. "
EXPENDITURES - As of September 25, 1987 only P.A. Herrmann
Medical $ 25.00
Personal 99177.28
Auto 700.00
As of today's date I have not been released from my physician' s care, nor, am
I going to be in the immediate future.
This document was received from the claimant on by an
(date)
employee, district officer, servant, etc. and will not be altered or changed in
any way. 'On the behalf of Contra Costa County I personally will take responsibility
for the documents I have received-on the above date.
Contra Costa County Respresentative
(signature)
HOUSING AUTHORITY
of the
• COUNTY OF CONTRA COSTA
3133 Estudillo Street • P.O.Box 2759 • Martinez,California 94553
� RECEIVED
,�,Vicentral Administration October 1, 1987
(415)372-0791
❑Construction&Engineering OCT A 1987
(415)372.7308
❑Development PHIL BATCHELOR
(415)372.7391 BO A S VIsoRS
El Fiscal Clerk of the Board
Acctg.&Financial Services
(415)372-8134 Contra Costa County
❑Housing Operations 651 Pine Street
(415)372.7400 Martinez, CA 94553
❑Occupancy Officer
(415)372.0796 Attention: Louise
❑Purchasing
(415)372.5327
Housing Offices Claimant: Hershel Olden
❑2102Buchanan Road Date of Claim: August 19, 1987
Antioch,CA 94509 Location: 317 Verde Street
(415)754.2565 No. Richmond, CA 94801.
❑801 "J"Street
Antioch.CA 94509
(415)757.2925 Attached is a Claim Against the Housing Authority of the County of
❑2425 Bisso Ln.,Suite 225 Contra Costa filed by Phillip M. Mi l l spaugh, Attorney at Law, on
Concord,CA94520
(415)687.879791 behalf of Hershel Olden.
❑P.O.Box 2396 Street We would appreciate this claim being processed as expeditiously as
Martinez,CA 94553
(415)372.8621 possible.
❑1601 N.Jade Street
No.Richmond,CA 94802 Thank you for your cooperation in this matter.
(415)232.8492
❑4th&Rosemary Ln. Sincerely,
Oakley.CA 94561
(415)625-2245
875 EI Pueblo
Avenue
Pittsburg,CA 94565
(415)432.3523
❑2 California Street Perfecto Villarreal
Rodeo.CA 94572 Executive Director
(415)799.4476
❑52 Pueblo Avenue PV• t
West Pittsburg,CA 94565
(415)458.3242
Attachment
HOUSING AUTHORITY OF THE COUNTY OF CONTRA COSTA
CLAIM AGAINST AND THE- COUNTY OF CONTRA COSTRA
a) The name and post office address of the. claimant;
Hershel Olden
c/o PHILLIP M. MILLSPAUGH
Attorney at Law
3616 Macdonald Avenue
Richmond, CA 94805
b) The post office address to which the person presenting
the claim desires notices to be sent;
Hershel Olden
c/o PHILLIP M. MILLSPAUGH
Attorney at Law
3616 Macdonald Avenue
Richmond, CA 94805
cy . The date, place and other circumstances of the occurrence
or transaction which gave rise to the claim asserted;
DATE: August 19 , 1987.
LOCATION: Housing Project common yard near
317 Verde Street, Richmond, CA.
OTHER CIRCUMSTANCES:
d) A general description of the indebtedness , obligation,
injury, damage or loss incurred so far as it may be
known at the time of presentation of the claim;
Claimant was visiting his mother at 317 Verde Street,
Richmond, CA and walked into a low wire or part of a
clothesline pole that was protruding out of said pole.
e) The name or names of the public employee or employees
causing the injury, damage, or loss;
Unknown.
f) The amount claimes as of the date of presentation of the
claim, including the estimated amount of any prospective
injury, damage, or loss, insofar as it may be known at the
time of the presentation of the claim, together with the
basis of computation of the amount claimed;
1. General damages in excess o-f $500, 000.
2, medical bills to date- not as yet known.
3. ' Future medical bills not as yet known.
4. Loss of wages, employment , or earning capacity
not as yet known.
5. The total of all special damages including
past, present and future is estimated by the
undersigned to be, or will ,' or may be approx-
imately $100,000.
X DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS
TRUE AND CORRECT.
Executed this ._ 6 day of -f 1598' at
Richmond, California.
HERSHEL OLDEN
..... i'f� ��ii.i��� O 1���.T•mal �.�w.� rr
CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA as the Board of
Cor. issioners of the Housing Authority of Contra Costa County
Claim Against the County, or District governed by) BOARD ACTION
the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT October 27, 1987
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
Am:unt: Approximately $600 ,000 Section 913 and 915.4. Please note aWyARMCJnsei
CLAIMANT: Hershel olden OCT U G 1987
ATTORNEY: Phillip M. Millspaugh Attorney at Law Martinez, CA 94553
Date received
ADDRESS: 3616 Macdc•nald Avenue BY DELIVERY TO CLERK ON Ort-nhPr 2 , 19$7
Richmond, CA 94805
BY MAIL POSTMARKED: October . 1 , 1987
1. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
DATED: October 5 , 1987 PpHHIL BATCHELOR, Clerk
BY: Deputy
n Cervelli
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: A4 7?, /A BY: Deputy County Counsel
III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2)
( ) Claim was returned as untimely with notice to claimant (Section 911.3).
IV. BOARD
ORDER: By unanimous vote of the Supervisors present
( `r) 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. e
Dated: OCT 2 7 1987 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
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 16; 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: OCT 2 9 1987 BY: PHIL BATCHELOR by uty Clerk
CC: County Counsel County Administrator
�\. 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 October 27 , 1987
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 bel �ik �b$10 to Government Code
Amcurt: Unspecified Section 913 and 9 lease note all "Warnings".
CLAim.Ai : EVERHART/ROBERTSON/-BURR/MSSEY 0C I 02 1987
John
ATTC:a.r;:,: Sharon Glenn Glenn Adjusters and Administrators
CA 94553
2201 Broadway 308 Date received
ADDRESS: Oakland, CA 94612 BY DELIVERY TO CLERK ON September 29 , 1987
BY MAIL POSTMARKED: September 28 , 1987
1. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached.is a copy of the above-noted claim. ppHH B
DATED: October 2, 1987 BYIL BATCHELOR, Clerk r
L. Hall
H. 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: JA /Deputy County Counsel
v
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 unanimous vote of the Superviscrs present
( Y1 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: OCT 2 7 1987 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 `
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: OCT 2 9 19187 BY: PHIL BATCHELOR by Z�e�Deputy Clerk
CC: County Counsel County Administrator
' RADIO CONTROLLED
A. ,.
LICENSE NO. AJO607121
JOHN GLENN ADJUSTERS AND ADMINISTRATORS
DAY AND NIGHT
2201 BROADWAY,308 OAKLAND,CALIFORNIA 94612 PHONE 415-834-9320
September 11, 1987
CERTIFIED MAIL
Edith Everhart
414 Allen Street
Martinez, CA 94553
Re: Insured: Central Contra Costa
Transit Authority
Claimant: Edith Everhart
D/L: 7/30/87
File: J 87-1000075
Dear. Ms. Everhart:
Please be advised the Central- Contra Costa Transit Autho-
rity is a governmental entity and any such claims
against the Authority must be presented within the
time allowed by the Government Code, Section 911.2.
At this time, I request that you file a verified claim in
compliance with such Government Codes within 100 days
of the date of the accident.
The Government Code requires a claim to state the follow-
ing:
1. The name and post office address of the claimant;
2. The post office address to which the person presenting'
the claim desires notices to be sent;
3: The date, place and other circumstances of the occur=
rence or transaction which gave rise to the claim.
asserted;
• 4 . A general description of the indebtedness, obligation, ,
injury, damage or loss incurred so far as it may be . . .
known at the time of presentation of the claim;
5. The name(s) of the public employee(s) causing the
injury, damage , or loss, if known; and
d AfM
g MS1pA1KL
9$ Off ices M
OAKLAND • PORTLAND 9 SAN RAFAEL 0 SAN JOSE
Edith Everhart
File: J 87-1000075
September 11, 1987
Page 2
6 . The amount claimed as of the date of presentation of
the claim, including the estimated amount of any
prospective injury, damage, or loss, insofar as it may
be known at the -time of the presentation of the claim,
together with the basis of computation of the amount
claimed.
You must forward your claim by CERTIFIED MAIL, to the
Central Contra Costa Transit Authority, 2477 Arnold
Industrial Way, Concord, CA 94520
If you have any questions -or you wish to- discuss any aspect
of this matter, please feel free -to contact the under-
signed.
Very truly yours,
JOHN GLENN ADJUSTERS
AND ADMINISTRATORS
Sharon Glenn
SG: ka
cc: County of Contra Costa
Enclosure: Copy of Statement
RADIO CONTROLLED
LICENSE NO. AJO607121
JOHN GLENN ADJUSTERS AND ADMINISTRATORS
DAY AND NIGHT
2201 BROADWAY, 308 OAKLAND, CALIFORNIA 94612 PHONE 415-834-9320
September 10, 1987 CERTIFIED MAIL
SEP1987
County of Contra Costa iLBoard of Supervisors [RECEIVE,
CL 651 Pine Street . :. .. .. ....
Martinez , CA 94553
Re: Insured: Central Contra Costa
Transit Authority
Claimants : Everhart/Robertson/Sura/Massey
D/L: 7/30/87 _
File: J 87-1000075
Dear Sir/Madame:
We are the claims representative for the Central Contra
Costa Transit Authority and their driver, John Guild,
relative to the above captioned matter.
It was reported that on July 30, 1987, approximately 1:50
p.m. , on westbound Boulevard Way between Saranap and
Rule Court, in Walnut Creek, recent road construction
in which new asphalt was layed was not layed even with
the roadway. As a result, our principal ' s veh- icle
was jolted abruptly and four bus passengers are
alleging injuries :
Edith Everhart Neda Bura
414 Allen Street 1329 Singing Wood Ct.
Martinez CA 94553 Walnut Creek CA 94595
(415) 228-2919 ( 415) 939-8447
Bertha Robertson Ruth Massey
1109 Pt. Armigan 1007 Sutter Street, Apt. 402
Walnut Creek CA 94595 San Francisco, CA 94109
( 415) 938-6637 ( 415 ) 775-2106
Based upon the information contained in our file, you
were responsible for this incident and the resulting
damages.
NSIAtANft
Offices in
*-. 1,
OAKLAND • PORTLAND • SAN RAFAEL • SAN JOSE
County of Contra Costa
File: J 87-1000075
September 10, 1987
Page 2
Upon completion of the itemized repair bill of the dam-
ages sustained to our principal ' s vehicle, a copy
will be forwarded to your office for reimbursement.
We request you indemnify and defend our principal and
their driver against any claims arising from this
incident.
Very truly yours,
JOHN GLENN ADJUSTERS
AND ADMINISTRATORS
'Sharon Glenn
SG • ka
cc: Everhart
Bura
Robertson
Massey
RADIO CONTROLLED
• LICENSE NO. AJOB07121
JOHN GLENN ADJUSTERS AND ADMINISTRATORS
DAY AND NIGHT
` 2201 BROADWAY,308 OAKLAND, CALIFORNIA 94612 PHONE 413-834-9320
September 11, 1987
CERTIFIED MAIL
Edith Everhart
414 Allen Street
Martinez, CA 94553
Re: Insured: Central Contra Costa-
Transit Authority
Claimant: Edith Everhart
D/L: 7/30/87
File: J 87-1000075
Dear Ms. Everhart:
Please be advised the Central Contra Costa Transit Autho-
rity is a governmental entity and any such claims
against the Authority must be presented within the
time allowed by the Government Code, Section 911.2.
At this time, I request that you file a verified claim in
compliance with such Government Codes within 100 days
of the date of the accident.
The Government Code requires a claim to state the follow-
ing:
1. The name -and post office address of the claimant;
2. The post office address to which the person presenting
the claim desires notices to be sent;
3 . The date, place and other circumstances of the occur-
rence or transaction which gave rise to the claim
asserted;
• 4 . A general description of the indebtedness, obligation, ,
injury, damage or loss incurred so far as it may be
known at the time of presentation of the claim;
5. The name( s) of the public employee(s) causing the
injury, damage, or loss, if known; and
ASSOCMON
NMIUMM
Offices in
h
�; OAKLAND • PORTLAND • SAN RAFAEL • SAN JOSE
Edith .Everhart
File: J 87-1000075
September 11 , 1987
Page 2
6. The amount claimed as of the date of presentation of
the claim, including the estimated amount of any
prospective injury, damage, or loss, insofar as it may
be known at the time of the presentation of the claim,
together with the basis of computation of the amount
claimed.
You must forward your claim by CERTIFIED MAIL, to the
Central Contra Costa Transit Authority, 2477 Arnold
Industrial Way, Concord, CA 94520
If you have any questions or you wish to discuss any aspect
of this matter, please feel free to contact the under-
signed.
Very truly yours,
JOHN GLENN ADJUSTERS
AND ADMINISTRATORS
Sharon Glenn
SG: ka
cc: County of Contra Costa
Enclosure: Copy of Statement