HomeMy WebLinkAboutMINUTES - 01101995 - 1.3 Pac Bell CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
January 1,0, 1995
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: $5000.00 Section 913 and 915.4. Please note all "Warnings".
CLAIMANT: Pacific Bell c/o M.R. Gylock
ATTORNEY:
Date received
ADDRESS: 401 Lennon Lane, Room 208 M BY DELIVERY TO CLERK ON December 2, 1994
Walnut Creek, CA 94598
BY MAIL POSTMARKED: December 1, 1994
I. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
December 6 1994 OIL BATCHELOR, Clerk w
DATED: OI Deputy °,� Q .
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: 4 BY:, ,C__ j/ 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: S PHIL BATCHELOR, Clerk, By, (qA a 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. p
Dated: / //--q_<', BY: PHIL BATCHELOR by�, �4,-0 Q Deputy Clerk
CC: County Counsel County Administrator
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9
Claim Against the County of Contra Costa
Pacific Bell presents a claim for damages against theCounty of Contra Costa
as provided in Government Code Section 900 et seq.
Claimant's Address
Pacific Bell Claims
Attention M. R. Gylock
401 Lennon Lane, Room 208M
Walnut Creek, CA 94598
Date of Occurrence: 10/14/94
Location: PALM AVE/MARTINEZ AVE, MARTINEZ
Circumstances Causing Claim: A contractor, V&M Construction, working for the countyt
damaged a cable while placing a storm drain for the district.
Description of Damage: One 800 pair communications cable and conduit
Amount of Claim: 5000.00
Note: This is an estimated amount. When the final bill is complete it will be forwarded to your
Office.
Date of Claim: November 29, 1994
Pacific Bell Case No.: N468081
X
ichael Gylock
Area Claims Manager
Claims 401 Lennon Lane,Room 20BM PACIFIC BELL
Walnut Creek,California 94598
(510)977-2171 A Pacific Telesis Company
y, RECEIVED
November 29, 1994
Case No.: N468081
CiF 21c�a l
County of Contra Costa, Board of Supervisors CLERK BOARD of u:
651 Pine Street CONTRA Co
Martinez, CA 94553
Ladies/Gentlemen:
We are sending you the attached claim notice pursuant to Section 910 of the California
Government Code.
In order to be assured that you have received this claim, I would like you to sign and return an
enclosed acknowledgment of receipt form. Please fill out the form and return it in the stamped
addressed envelope.
Thank you for your cooperation. If you have any questions, please call me on (510)977-2171.
Very truly yours,
�Michae Gyl
Area Claims Manager
attachments
CLAIM , -3c)
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
January r0, 1995
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
Mount: $500,000.00 Section 913 and 915.4. Please note all "Warnings".
CLAIMANT: Dwight Session
ATTORNEY:
Date received
ADDRESS: West County Detention Facility BY DELIVERY TO CLERK ON December 2, 1�§4 `
5535 Giant Highway
Richmond, CA 94806 BY MAIL POSTMARKED: December 1, 1994
I. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
IL gATCHELOR, Clerk j
DATED: December 6, 1994 ��: Deputy k ( ULA
e
Il. FROM: County Counsel TO: Clerk of the Board of Supervisors
(v-)- This claim complies substantially with Sections 910 and 910.2.
( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying
claimant. The Board cannot act for 15 days (Section 910.8).
( ) Claim is not timely filed. 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).
( they: 1}F 1S C 1F1 LS DrG�ti�i�(� A� O ALS )NLtD'irv, 5 bC�Uf11�LIIyU wl�f6A/ S/X
f M<) P2�_&h W I— De�JQ) t 2 a, i S9 q. AN rA -c I t 2. 1AIn o w 7 s g vs r 25t-
L)(1�v v�i} r3 Y_ RPP a CA7to J pO2 6-eA Vt, i D PRt NN7 A "-r? CLAt M
Dated: lo�-I� Cl BY: ?S-� Deputy County Counsel
II1. 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: PHIL BATCHELOR, Clerk, By_�p� , ( 1Q p��� 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: ) - )I -CIS BY: PHIL BATCHELOR by , , (?4 Q��^ Deputy Clerk
CC: County Counsel County Administrator
CONFIDENTIAL
COUNTY COUNSEL' S OFFICE
CONTRA COSTA COUNTY
MARTINEZ, CALIFORNIA
MEMORANDUM
Date: October 7, 1994
TO: Jeanne Maglio, Clerk of the Board of Supervisors
Attention: Shirley Casillas, Deputy Clerk
FROM: victor J. Westman, County Counsel
By: Brandon Baum, Deputy County Counsel 3
RE: Claim of William Session
Some of the incidents referred to in the claim form
occurred beyond six months of the date of filing. Some occurred
within six months . I believe the attached notice of late filing
should be sufficient to notify Mr. Session of the problem. For the
remainder of the claim, i .e. , the incidents occurring within the
six month period, the Board should consider and act on the claim.
Plese let me know if this is confusing or will not fit within your
claims procedures .
TO: Dwight Session
West County Detention Facility
5535 Giant Highway
Richmond, CA 94806
NOTICE TO CLAIMANT
(Of Late-Filed Claim)
(Government Code Section 911. 3)
The claim you presented to the Board of Supervisors of
Contra Costa County, California, as governing body of the
County of Contra Costa
on December 2 , 1994 has been reviewed by County Counsel and is being
partially returned to you herewith because:
Some of the alleged tortious incidents referred to in
your claim occurred prior to six months from the date of the filing
of your claim. If you wish to have the incidents considered with
your claim, and if you wish to pursue further legal action should
your claim be rejected, you must apply for leave to present a late
claim as to these incidents.
Because that portion of your claim was not presented
within the time allowed by law, no action was taken on that portion
of your claim.
Your only recourse at this time as to those incidents
occurring prior to six months of the filing of your claim is to apply
without delay for leave to present a late claim. (See Government
Code sections 911.4 to 912 .2 and 946 .6) Under some circumstances
leave to present a late claim will be granted. (See Government Code
section 911 .6)
You may seek the advice of an attorney of your choice in
connection with this matter. If you desire to consult an attorney,
you should do so immediately.
PHIL BATCHELOR, Clerk of the
Board of Supervisors and County
Administrator
By. �'J l
Deputy Clerk
Dated: DEC 0. 71994
Enclosure
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 copy of the above
Notice to Claimant (of Late Submitted Claim , addressed to the
claimant as shown above.
Date: DEC ` 7 1994 By Phil Batchelor by e". �� 1A A -'
Deputy Clerk
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1 Mr. Dwight Session RECEIVED
2 5535 Giant Highway
3 Richmond,Ca. 94806 199a
4
6 CLERK BOARd
7
8
9 Dwight Session )
10 Plaintiff )
11 )
12 V. )
13 )
14 County of Contra Costa, ) COMPLAINT
15 Contra Costa County )
16 Public Defenders Office )
17 and )
18 )
19 Evangeline Brown )
20 Defendant(s) )
21 )
22
23
24
25 The undersigned claimant makes claim against the County of Contra
26 Costa or the above-named District in the spun of $500 ,000.00 and
27 in support of this claim represents as fellows :
28
29 --------------------------------------------------------------
30 1 . When did damage or injury occur? (Give exact date and hour)
31
32 August 16, 1994 and thereafter
33
34 2. Where did damage or injury occur? (Include city and county)
35
36 Martinez, California. Contra Costa County.
37
38 3 . How did the damage or injury occur? (Give frill details ; use
39 extra paper if required) .
40
41 Mal-intent, Malpractice, Malfeasance by breach of
42 duties by Public Defender.
43
44
45 4 . What particular act or omission on the part of county or
46 district officers, servants or employees caused the injury or
47 damage?
48 A. Failure to consolidate cases as she represented she
49 had.
50 B. Disclosure of information prejudicial to client by
51 Public Defender.
52 It is my belief that I currently have grounds for and intend
1
1 to pursue an action for legal malpractice against Evangeline
2 Brown and the Contra Costa County Public Defenders Office.
3 The action is grounded on the following facts and events;
4 1. In late January or early February of 1994 Ms. Brown was
5 the subject of a Marsden Motion which I brought before
6 the Municipal Court, Delta Branch, the Honorable Judge
7 Jerry Bellachi presiding. Judge Bellachi refused to
8 appoint other counsel but did consent to allowing me to
9 proceed in Pro Per.
10
11 In that status I was able to arrive at the agreement
12 represented by the plea bargain discussed in the
13 opening pages of this letter. The occurrence of this
14 Mardsen Motion set up an apparent conflict of interest
15 between Ms. Brown and myself. When I was rearrested
16 Ms. Brown was once again appointed as my public
17 Defender. I have to assume that this appointment
18 occurred by virtue of automatic assignment due to our
19 previous albeit unsuccessful attorney-client
20 relationship.
21
22 Since her appointment Ms. Brown has failed to chronicle
23 the history of these proceedings in a way that would
24 provide the court with a clarification of the points of
25 confusion that arose as a result of her failure to
26 consolidate the misdemeanor petty theft with the felony
27 petty thefts. This failure resulted in my detention
28 for two ( 2) days beyond Judge Fliers order releasing me
29 from custody in March of 1994. At a point in time in
30 February she had represented to me that such a
31 consolidation had been accomplished.
32
33 Further, her failure to accomplish this consolidation
34 she represented had been done directly contributed to
35 the misdemeanor charge of petty theft being dismissed
36 and refiled as a felony. At best, the refiling has
37 thoroughly confused the status of that case (in terms
38 of being within or without the scope of the plea
39 bargain) . At worst, the refiling of that case could
40 lead to the need to file a writ of Error Corim Nobis
41 due to the fact that the scope of the original plea
42 would be much more circumscribed than I reasonably
43 understood it to be. This of course would greatly
44 delay all of the proceedings and give rise to many
45 months of unnecessary incarceration for me.
46
47 Then, after her reappointment as my Public Defender in
48 June, Ms. Brown did not take the necessary steps to
49 excuse herself based on my prior Marsden Motion.
50 Rather, shockingly, in August 16, 1994, in Department
51 15 she stood up in open court and stated she wanted to
52 "make a record that I was hard headed and
2
1 unreasonable. " She took this outrageous tact without
2 any prior notice to me out of anger because I attempted
3 to explain to her that I had already been sentenced on
4 the "new petty theft case. " Then, unbelievably, she
5 stood up in open court and stated that I had been the
6 subject of a warrant on charges that I had been in
7 possession of cocaine. Ms. Brown volunteered Sua
8 Sponte. No request for such information was made by
9 anyone. The District Attorney indicated that Ms. Brown
10 was misinformed. Incredibly, she insisted that such a
11 warrant had been issued.
12
13 First, she was wrong. In fact no such warrant was
14 extant. Second, this was an outrageous violation of
15 her ethical duties to me, her "client. " Two ( 2 ) days
16 after Ms. Brown' s statements injurious to my interests,
17 I was charged with possession of cocaine. Based on
18 these factors I am prosecuting a claim for legal
19 malpractice against Ms. Brown, the Contra Costa County
20 Public Defenders Office and the County of Contra Costa.
21 Thus, an irreconcilable conflict of interest exists
22 between Ms. Brown and I.
23 5 . What are the names of county �=r district of f ir_.ers, servants or
24 employees cau.sing the damage (,,r injury?
25
26 Evangeline Brown
27
28 6. What damage or injury do you claim resulted? (Give Full extent
29 of injuries or damage claimed. Attach two estimates for auto
30 damage.
31
32 Loss of Freedom, Loss of rights, Violation of all
33 due process . Delay in release from custody.
34
35 7 . Haw was the amount claimed above computed? (Include the
36 estimated amount of & prospective injury or damage. )
37
38 $500,000.00 General Damages, Stress Aggravation,
39 Mental Stress.
40
41
42 S . Names and addresses of witnesses , doctors and hospitals .
43
44 Not currently Ascertained
45
46 9 . List the expenditures you made on account of this injury:
47 Date Item Amount
48
49 Not Currently Ascertained
50
51
52
3
1 Gov. Code Sec. 910.2 provides:
2 "The claim must be signed by
3 the claimant or by some other
4 person on his behalf.
5
6
7
8
9
10 NAME AND ADDRESS OF CLAIMANT
11 MR. Dwight Session
12 West County Detention Facility (C imarnt Signature)
13 5535 Giant Highway
14 Richmond, Ca. 94806
15
16
17
18
19
20
21
22
23
24
25
4
1
2
3
4
5 NOTICE
6
7 Section 72 of the Penal Code provides:
8
9 "Every person who, with the intent to defraud, presents for
10 allowance or for payment to ant state board or officer, or to any
11 county, city or district board or officer, authorized to allow or
12 pay the same if genuine, any false or fraudulent claim, bill ,
13 account, voucher, or writing, is punishable either by
14 imprisonment in the county jail for a period of not more then one
15 ( 1 ) year, by fine of not exceeding one (1 ) thousand ($1 ,000 ) , or
16 by both such imprisonment and fine, or by imprisonment in the
17 state prison, by fine of not exceeding ten( 10) thousand dollars
18 ($10,000 , or by both imprisonment and fine.
5
CLAIM •3C7
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
January 10, 1995
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: $500,000.00 Section 913 and 915.4. Please note all "Warnings".
CLAIMANT: Deanna Lynn Powell
ATTORNEY:
Date received
ADDRESS: 1053 Second St. #6 BY DELIVERY TO CLERK ON December 2,
Lafayette, CA 94549
BY MAIL POSTMARKED: Hand Delivered
1. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
��IL gATCHELOR, Clerk
DATED: December 6. 1994 : Deputy
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).
( ) 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: TL Deputy 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 unanimous vote of the Supervisors present
( ✓f 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: 1 -/Q —95' PHIL BATCHELOR, Clerk, By, , �jfd111p 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: 1 .. --95 BY: PHIL BATCHELOR by . ��,�, J Deputy Clerk
CC: County Counsel County Administrator
Claim 'to: BOARD OF SUPERVISORS OF ODNPRA COSTA OOUN7Y
INSTRUCTIONS TO CLAIMANT
A. Claims relating to causes of action for death or for injury --•o person or to per-
sonal property or growing crops and Mich accrue on or before December 31, 1987,
must be presented not later than the 100th day after the accrual of the cause of
action. Claims relating to causes of action for death or for injury to person
or to personal property or growing crops and Mich accrue on or after January 1,
1988, must be presented not later than six months 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. (Govt. Code §911.2.)
B. Claims must be filed with the Clerk of the Board of Supervisors at its office in
Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553•
C. If claim is against a district governed by the Board of Supervisors, rather than
the County, the name of the District should be filled in.
D. If the claim is against more than one public entity, separate claims must be
filed against each public entity.
E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this
3 0-r.
i f 0 0 • ! 0 * 0 • a e a f s ! 0 0 i f • • • • f 0 0 i • 0 • f i f * a 0 0 ! • 0 a
RE: Claim By ) Reserved for Clerk's filing stamp
RECEIVED
Against the County o Contra Costa ) DEC - 21994
or )
CLERK BOARD OF SUPERVISOR
District) CONTRA COSTA C .
Fill in name )
The undersigned claimant hereby makes claim against the Cc ty of Contra Costa or
the above-named District in the sun of $ 6TV and in support of
this claim represents as follows:
---- ----------
1. When did the damage or in occur? (Give exact date and hour)
22 q(4 1 ' d Y\/,\
2. Where did the damage or injury occur? (Includ , cit and ounty)(�
l 1 u Mck r-V)Yn 2 CCL_ /e�o
L la WP-Uf
3. How did the damage cr injury occur? (GIV4 full details; use extra paper if
required)
_XYZ 1 1 2 Z _Ct�u1s ���'�..--Ct S -��c�1�.��L oA 0.,- �-
4. What particular act or omission on the part of county or district officers,
servants or employees caused the injury or damage?
ryl C_
(over)
It
5. 0Whatare the names of county or district officers, servants or employees causing`
the damage or injury?
LCI r�z 1S' `tc^c4LL
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5. What damage or injuries do you claim resulted? (Give full extent of injuries or
damages claimed. Attach two estimates for auto damage.
7. How was the amount claimed above computed? (Include the estimated amount of any
prospective injury or damage.) 1 i
S. Names and addresses of witnesses, doctors and hospitals.-4-le- Pa.-zr�
rte . C C
9. List the expenditures you made on account of this accident or injury:
DATE ITEMS AMOUNT
e a s • f e e e s s f s s s s • s s s' s s s s s s s e s s s • f e s s s f es s s s
Gov. Code Sec. 910.2 provides:
"The claim must benhi
d by the claimant
SEND NOTICES TO: (Attorney) or some s
son behalf."
REFand Address of Attorney c
la 'sSignature)
ve-- 72, CP C=,4 a
(Address)
Telephone No. Telephone No.
ee • a # a Irsssssss * 'i • ee
NOTICE
Section 72 of the Penal Code provides:
"Every person who, with intent to defraud, presents for allowance or for
payment to any state board or officer, or to any county, city or district board or
officer, authorized to allow or pay the same if genuine, any false or fraudulent
claim, bill, account, voucher, or writing, is punishable either by imprisonment in
the county jail for a period of not more than one year, by a fine of not exceeding
one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in
the state prison, by a fine of not exceeding ten thousand dollars ($1090000 or by
both such imprisonment and fine.
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CLAIM
. BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA January 10, ?995
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
Mount: $349.97 or $337.92 Section 913 and 915.4. Please note all -Warnings".
CLAIMANT: Keisha M. Brro'oks
ATTORNEY
Date received
ADDRESS: 121 Daisy Ct. BY DELIVERY TO CLERK ON December 9, 1994
Hercules, CA 94547
BY MAIL POSTMARKED: December 8, 1994
1. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
DATED: December 9, 1994 BIL Bep�LyLOR, Clerk ,
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: BY: ��--�-- ®J'L�_ 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. BOARDD 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: - D _ 9 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. J
Dated: I- /1 `T BY: PHIL BATCHELOR by O , Q Deputy Clerk
CC: County Counsel County Administrator
Cn)
Clai6 to; BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
INSTRUCTIONS TO CL.ADONT
A. Claims relating to causes of action for death or for injury to person or to per-
sonal property or growing crops and which accrue on or before December 31, 1987,
must be presented not later than the 100th day after the accrual of the cause of
action. Claims relating to causes of action for death or for injury to person
or to personal property or growing crops and which accrue on or after January 1,
1988, must be presented not later than six mouths 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. (Govt. Code 6911.2.)
B. Claims must be filed With the Clerk of the Board of Supervisors at its office in
Roam 1069 County Administration Building, 651 Pine Street, Martinez, CA 94553•
C. If claim is against a district governed by the Board of Supervisors, rather than
the County, the name of the District should be filled in.
D. If the claim is against more than one public entity, separate claims must be
filed against each public entity.
E. Fraud. Ste penalty for fraudulent claims;, Penal C Son, 72 at tJie end of this,
To—m.
RE: Claim By ) Reserved for Clerk's filing stamp
RECEIVED
Against the County of Contra Costa )
or
�� ,�rCkl?k& �S District) CLERK BOARD OF SUPER ISORS,
Fil in name ) CONThA COSTA CO.
The undersigned claimant hereby makes clim against the County of Contra Costa or
the above-named District in the sum of $1�4q, t`l 6r$L' and in support of
this claim represents as follows:
1.- When did the damage or injury occur? (Give exact date and hour)
2. Where did the damage or injury occur? (Include city and county)
ion¢ , 4_C., 622d, C-Cc ( - rG2 C &Sfa 6 Vie- -
3. How did the damage or injury occur? (Give Hill details; use extra paper if
required) C C C r S JfU S sip` aA, �LJ� U2l, t.�- J a rJ
C� c� r,6&1 k� - �• o-,, f'., l,gP --e.-�JSicQ�
4. What particular act or omission on the part of county or district officers,
servants or employees caused the injury or damage? .7-f- M_90S„r4-.. n e 2�
! G t f 04 a r cKj- `u S lit j k t_c kA-Q-
/4t CX-VJ& k6_kA_e C e 44C, at- hk cam . hof rrZ rte..
(over)
5. tWKat are the names of county or district officers, servants or employees causing
the damage or injury?
--------
La " '460-4-h�5�5---�� r--------------------
6. What damage or injuries do you claim resulted? (Give Hill extent of injuries or
damages claimed. Attach two estimates for auto damage.
7. How was the amount claimed above computed? (Include the estimated amount of any
prospective injury or damage.)
8. Names and addresses of witnesses, doctors and hospitals.
ire-c,cu O ori e r ---
`=9. List the expenditures you made on account of this accident or injury:
DATE ITEM AMOUNT
Gov. Code Sec. 910.2 provides:
"The claim must be signed by the claimant
SEND NOTICES TO: (Attorney) or by some person on his behalf."
Name and Address of Attorney
�V—
(Clair5antlb Signature
lam/ OL , eA
A -ess
Telephone Nu. Telephone Ho.(ga)
NOTICE
Section 72 of the Penal Code provides:
"Every person who, with intent to defraud, presents for allowance or for
payment to any state board or officer, or to any county, city or district board or
officer, authorized to allow or pay the same if genuine, any false or fraudulent
claim, bill, account, voucher, or writing, is punishable either by imprisonment in
the county jail for a period of not more than one year, by a fine of not exceeding
one thousand ($1,000), or by both such imprisonment and fine, or by imprisom)ent in
the state prison, by a fine of not exceeding ten thousand dollars ($109000, or by
both such imprisonment and fine.
I --
I
HILLTOP FORD ESTIMATE OF REPAIRS
• ' 3280 Auto Plaza
Phone 222-4444 R.O. NO:
RICHMOND, CALIF. 94806
Complete Service All Makes of Cars
NAME ADDRESS DATE
r .. ,
MAKE OF VEHICLE YEAR TYPE LICENSE NO. MILEAGE SERIAL NO.(VIN NO.)
INSURED BY ADJUSTER INSPECTOR PHONE
HOME
BUSINESS
Labor Labor Labor
SYM. '• Hours PARTS SYM. Hours PARTS SYM. Hours PARTS
Bumper Fender Fender
Bumper Rail Fender Ornament Fender Ornament
Bumper Brkt. Fender Shield Fender Shield
Fender Mldg. Fender Mldg.
Bumper Gd. Headlamp Headlamp
Frt. System Headlamp Door Headlamp Door
Frame Sealed Beam Sealed Beam
Cross Member Cowl Cowl
Door, Front Door, Front
Wheel Door Lock Door Lock
Hub Cap Door Hinge Door Hinge
Hub&Drum Door Glass Door Glass
Knuckle Vent Glass Vent Glass
Knuckle Sup. Door Mldg. Door Mldg.
Lr. Cont.Arm-Shaft Door Handle Door Handle
License Frame-Brkt. Center Post Center Post
Up. Cont.Arm-Shaft Door, Rear Door, Rear
Shock Door Glass Door Glass
Windshield Door Mldg. Door Mldg.
Rocker Panel Rocker Panel
Tie Rod Rocker Mldg. Rocker Mldg.
Steering Gear Sill Plate Sill Plate
Steering Wheel Floor Floor
Horn Ring Frame Frame
Gravel Shield Dog Leg Dog Leg
Park. Light Quar. Panel Quar. Panel
Grille Quar. Mldg. Quar. Mldg.
Quar. Glass Quar. Glass
Fender, Rear Fender, Rear
Fender Mldg. Fender Mldg.
Fender Pad Fender Pad
Mirror Inst. Panel
Horn Bumper Front Seat
Baffle, Side Bumper Rail Front Seat Adj.
Baffle, Lower Bumper Brkt. Trim
Baffle, Upper Bumper Gd. Headlining
Lock Plate, Lr. Gravel Shield Top
Lock Plate, Up. Lower Panel Tire
Hood Top Floor Tube
Hood Hinge Trunk Lid Battery
Hood Mldg. Trunk Lock Paint
Hood Letters Trunk Handle U-adercoat
Ornament Tail Light Polish
Rad. Sup. Tail Pipe Misc. Materials
Rad. Core Gas Tank AUTHORIZATION FOR REPAIRS
Radio Antenna Frame You are hereby authorized to make the above
specified repairs.
Rad. Hoses Wheel Signed
Fan Blade Hub&Drum Labor Hrs. $/
Fan Belt Back Up Lite Parts $
Water Pump Wheel Shield Wrecker Service _$
Motor License Frame-Brkt. Tax $
Sublet $
A—Align N—New OH—Overhaul S—Straighten or Repair EX—Exchange RC—Rechrome U—Used $
This estimate is based on lowest possible cost consistent with quality.work, and as such, is TOTAL$
guaranteed. Items not covered by this estimate or hidden will be additional.
GPD-111041(ER-1002-C)REYNOLDS/NORICK
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Fed. ID#68-0133657
Unibody&Frame Paint&Body
Specialists Work _ - _ - -
PARTS
PAINT/MISC
SUBLET
M&T AUTOBODY&PAINT, INC. BODY LABOR �:�,� ,;y , r$ 3
FRAME LABOR . 00 C;s n 31 r o
AMERICAN&FOREIGN CAR REPAIR PAINT LABOR ; 1121 ,r"X153,00.
--Insurance Work Accepted-- MECH LABOR 00, @d$1:1. 00-
TOW
(5 )1060 -22 4 STORAGE
5 9 DETAIL
FAX(510) 685-7295 TAX ;,, VV
TOTAL EST.♦ < ��
ncn!lrrTIPI G - E,