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HomeMy WebLinkAboutMINUTES - 01191988 - 1.13 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION i the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT January 19 , 1988 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: $195 : 00 Section 913 and 915.4. Please note al1PgW YgQQunSe) CLAIMANT: CAROL DIANE KATZMAN JAN U G 1988 1229 Rimer Drive ATTORNEY: Moraga, CA 94556 Martinez, CA 94553 Date received ADDRESS: BY DELIVERY TO CLERK ON December 21 , 1987 BY MAIL POSTMARKED: December 18 , 1987 I. FROM: Clerk of the Board of Supervisors 'TO: County Counsel Attached is a copy of the above-noted claim. DATED: January 6, 1988 JYIL BATCHELOR, Clerk L. Hall 1I. 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: a� /r, BY: azlnA AtkE&uty 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 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: JAN 19 1988 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 OrderZ.Notice to Claimant, addressed to the claimant as shown above. Dated: JAN 2 2 1988 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator CLAIM TO: BOARD OF SUPERVISORS OF CONTRA CO§* Q�Xappticationto: " Instructions to Claimant0erk of the Board '1 ©iJ,vO ��PT j .O.Box9I1 Martinez,Califomla 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. (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 or this form. RE: Claim by )Rese ' 'ng stamps R KEIVED Against the COUNTY OF CONTRA COSTA) C 211987 or DISTRICT) (Fill in name ) ey cT 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: -------------------------r-i----------------------=-------------- --- I. When did the damage or injury occur? (Give exact date and hour] 2. Wfiere aid t�ea or dama injury occur? (Include cit and count ) 9 7 Y Y Y ---- mos 7�9 _ 3. How did the damage or in3ury occur? (Giveu�� �etai�s, use extra sheets if required) •�.,� .S%. S Gly��l � � • 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? 6. What damage or fn�uries do you claim resulted? Give full extent of injuries of damages claimed. - Attach two estimates for auto damage) ------------------------------------------------------------------------- 7. Sow was the amount claimed above computed3 (Include the estimated amount of any prospective injury or damage.) - ---------------------------------------------- 6. Names and addresses of witnesses, doctors and hospitals. �. L1 e;expend ur s :you made on account of this accident or an�ury: ITEM AMOUNT a t F 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 (T,4 r-nl, ti CZ , j Zf-hr4 J\) . C of ant s Signature Address Telephone No. Telephone No. ��� --7 -f NOTICE Section 72 of the Penal Code provides: "Everytperson who, with intent to defraud, presents for all-owance 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 �' f 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 January 19 , 1988 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: $500, 000- 00 Section 913 and 915.4. Please note a110' �P,irlgssit. S@I CLAIMANT: CARLENE K. ALLEN YY l� 2675 Fayette Drive #308 JAN U 6 1988 ATTORNEY: Mountain View, CA 94040 Date received Martinez, CA 94553 ADDRESS: BY DELIVERY TO CLERK ON December 21 , 1987 BY MAIL POSTMARKED: December 18 , 1987 Certified P 678 666 758 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: January 6, 1988 EaIL BAATTCYELOR, 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: law-. 6 1 9p � BY xa&z4e 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 unanimous 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:)AN 19 1988 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: J Q N 2 2 1988 BY: PHIL BATCHELOR by r eputy Clerk CC: County Counsel County Administrator RECEIVED CLAIM _ DEC 211987 against P RD O County of Contra Costa - TQAc BY (GOVERNMENT CODE, SEC. 910) DATE: December 18 , 1987 The undersigned hereby presents the following claim against the County of Contra Costa. 1. Date of Accident or Occurrence: September 10, 1987 2. Name and Address of Claimant: Carlene K. Allen, 2675 Fayette Drive, #308 , Mountain View, CA, 94040. 3 . Description and Place of the Accident or Occurrence: I was involved in an automobile accident which occurred on Mota Drive at or near its intersection with Azores Circle in an unincorporated area of Contra Costa County on 9/10/87 . A vehicle being driven by David Romero turned in front of me and we collided. I had been travelling southbound on Mota Drive and Mr. Romero had been northbound on Mota before the collision. There was a stop for traffic going eastbound on Azores Circle but no traffic controls, stop signs, signals, warnings, or other controls for traffic on Mota Drive. Nor was the speed limit on Mota clearly marked. The County is liable for the collision because of its creation and design of a dangerous condition of public property as described above and because the County had constructive and/or actual notice of the dangerous condition because of previous accidents at or near the intersection. 4. Names of employees involved, and type, make and number of equipment, if applicable and if known: Names of county employees who were involved are at this time unknown but would include the persons at the planning department and/or streets and highways department who designed, engineered, built, and failed to maintain the intersection in a safe condition. 5. Description of the kind and value of damage: Personal injuries including, but not limited to, back pain, other soft tissue injuries, and emotional distress. 6. Cost estimates or bills: The full amount of medical bills are at this time unknown because I still am having problems but I estimate I have incurred at least $1,000. 00 in medical bills to date. Bills are not attached. 7. Amount of Claim: Medical bills of at least $1, 000. 00 and very likely more. (I reserve my right to make claim for the full amount) . General damages in the amount of $500,000. 00. CARLENE K. ALLEN CLAIM / f` 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 January 19 , 1988 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, 388 . 09 Section 913 and 915.4. Please note all °Wat"0000ty Counsel CLAIMANT: FAPUERS II4SURANCE EXCHANGE JAN U G 1988 P. O. Box 4035 ATTORNEY.: Concord, CA 94521 Martinez, CA 94553 Date received ADDRESS: BY DELIVERY TO CLERK ON December 22 , 1987 BY MAIL POSTMARKED: December 16 , 1987 I. FROM: Clerk of the Board of Supervisors f, TO: County Counsel Attached is a copy of the above-noted claim. DATED: January 6 , 1988 EVIL DeputyLOR, Clerk 2-2c all 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: oe 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). IV. BOARD ORDER: By unanimous 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. JAIL 19 3 988 Dated: PHIL BATCHELOR, Clerk, By 157fDeputy 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: JAN 2 2 1988 08 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator de r TH E ,i sa-& Farmers Insurance Group .F COMPANIES OL0 IW om F a KW 4M Date: October 29 , 1987 CONCM, CALf1 ORMA 94524 rhoaft 14151 81,7-I N6 • Contra Costa County Risk Management , RAN 651 Pine Street, sixth Floor Martinez , CA 911553 ATTN: RON HARVEY DEC 17 1987 IN REPLY PLEASE REFER TO: 0UR CLAIM N0: R2 25969 oar+: William Arnold Lou Dare: 10/02/87 _ ow Poky". 96-5845-79-47 wwtien: Fara Bureau Road at Concord Boulevard, Concord, CA Tow tom: MOBILE LIBRARY------DRIVER: WILFRED ATMOS Tow Poky No.: .Tom add. (i.d. ow i.e. -.i ue�aetawe: 2 4 0.0 0 We previously placed you on formal notice of our subrogation claim for the cost of repair. We have not received a reply regarding your intentions toward the disposition of this claim. Your prompt attention to this matter would be appreciated. Very truly yours, SUBROGATION CLAIMS ❑ The above party is not insured with our Company. ❑ Investigation still pending. Follow up in days. ❑ Personal injuries pending. Follow up in days. ❑ Call regarding settlement on ❑ Other: Date Signed 23-038810-8214012001STPgINTEDIN U.S.A. O„ WE ARE MEMBERS OF THE INTERCOMPANY ARBITRATION AGREEMENT r _ • 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 (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 ) Reseor CierkIrs 11 1 ng stamps ay FaNlfy' as�ce� ; RECEIVED t X C-ba.,t'i a21987 Against the COUNTY OF CONTRA COSTA) DEC 2 P BA E R R or DISTRICT) CL Fill in name) ) By . The undersigned claimant hereby makes claim against he Coty o Contra Costa or the above-named District in the sum of $ � J ?he)96 and in support of this claim represents as follows: ------------------------------------------------------------------------ 1. When did the damage or injury occur? (Give exact date and hour) e;- copm on Oct u-ev- a , 1Citn ------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) e-0 C C n d ei Ydi C�on cod , e�x�'1Yu C�o�ntL� ------------------------------------------------------------------------ 3. How did the damage or injury occur? (Give full details, use extra sheets if required) >- pw; wi ffred Enos Cdri v'i n , �'"1�b► l�, 1-i b I�L� 4. What particular act off' omission on the part of county or district officers , servants or employees caused the injury or damage? �"atk I fCc CLO-rn"te5 -tz) CGU r l n� � S I �' ttvrCa, Cl�J t`C - (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? (-,JC- YV-- Of ar1,vim- �c.7' u) i tfre-d t�Y1 z4 l3 S i l V-2 r' `3+, _ _ _ _ _ _ Q�1'C.1'11'Yl C-�G_!_. Com- _ C_I L-Jr) 6. -What damage-or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) clC�-c�nr�geS �i-� � 6 ! , Oal -- --- --- ------------- ----- ---------- -- ------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) Ic� l tCAJ3 -e- Ma CF,,'-n-.p SGL ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. ------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 577 Govt. Code Sec. 910.2 provides: "The claim signed by the claimant SEND NOTICES TO- y) or by some person on his behalf. " Name and Address of Attorney -'►'1C- l�Wvrut� r` Y �s � Claimant' s Signature Po 601- Flo es �^�., Addre s s Cot ,clAnCt CA- Telephone No. Telephone No. ************************************************************************** NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or , to any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is guilty of a felony. " 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 January- 19 , 1988 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: $20, 000- 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: MARGARITA GLATFELTER County Counsel c/o Smith & Darst ATTORNEY: 1340 Arnold Drive #126 JAN U 6 1988 Martinez , CA 94553 Date received ADDRESS: BY DELIVERY TO CLERK ON Dec embezMll8tjndt4FGA34ana BY MAIL POSTMARKED: no envelope I. FROM: .Clerk of the Board of Supervisors rTO: County Counsel Attached is a copy of the above-noted claim. DATED: Januar 6 , 1988 PpHHIL BATCHELOR, Clerk January BY: Deputy L. Ha 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: 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 (�) 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: JAN 19 1988 PHIL BATCHELOR, Clerk, By eputy 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: JAN 2 2 1988 BY: PHIL BATCHELOR by e � puty Clerk CC: County Counsel County Administrator DONALD W. DARST, ESQ. Smith & Darst A Professional Law Corporation 1340 Arnold Drive, Suite 126 Martinez, CA 94553 Attorneys for Zezhriah Matthew Glatfelter TO: Contra Costa County 1801 Shell Avenue Martinez, California 94553 CLAIM FOR DAMAGES Margarita Glatfelter, on behalf of Zezhriah Matthew Glatfelter, a minor, hereby makes a claim against the County of Contra Costa for the sum of $20, 000. 00 and makes the following statements in support of the claim: 1. The address of claimant herein is: Zezhriah Matthew Glatfelter c/o Smith & Darst 1340 Arnold Drive, Suite 126 Martinez, California 94553 2 . All notices concerning the claim should be sent to: Smith & Darst 1340 Arnold Drive, Suite 126 Martinez, California 94553 3 . The date and place of the accident giving rise to this claim occurred on October 12, 1987 at 7: 52 a.m. on Alhambra Avenue in the City of Martinez, Contra Costa County, California. 4 . The circumstances giving rise to this claim are as follows: At the above time and place, claimant was riding his bicycle in the cross walk at the corner of Main Street and • Alhambra Avenue in a North to South direction. At that time Bruce Wayne Vincent, while driving a 1974 orange Dodge van, license plate -number E633511 drove into the cross-walk and over claimant and claimant's bicycle. 5. Claimant' s injuries are: concussion, headaches, neck pain, right knee pain, left elbow pain, left shoulder pain, bilateral TMJ pain, lower back pain, cervico-cranial syndrome; moderate post traumatic cervical , thoracic , lumbar musculoligamentous sprain/strain injury, abrasions and scrapes on claimant's shin, vomiting and emotional distress. 6. The name of the public employee causing the claimant' s injuries is Bruce Wayne Vincent. 7 . The claim made herein, as of this date, is $20, 000. 00. 8 . The basis of computation of the above amount is: Medical expenses to date: $ 1, 000. 00 Estimated future medical expenses unknown Loss of wages unknown General damages $19 , 000. 00 Total $20, 000. 00 Dated: December 14 , 1987 . SMITH & D S By: DONA W. DAR T, Attorney for Claimant Zezhriah Matthew Glatfelter 2