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HomeMy WebLinkAboutMINUTES - 10271998 - C22 CLAIM ' CAL ORRNIA A00 Oct 27, 1998 Claim Against the County, or District Governed by ) 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 California Government Godes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given =117 MID pursuant to Government"Warnings".Section 913 and 915.4. Please note all Warnings . AMOUNT: $5,000 OCI 1998 COUNTY CLAIMANT: Jamie D. Aldred COUNSEL DATE RECEIVED: ADDRESS: 963 Almaden Circle BY DELIVERY TO CLERK ON: Oakley CA 94561. BY MAIL POSTMARKED: Sept 29, 1998_ L FRONT: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, C rk Dated: Oct 5, 1998 By: Deputy H. FRONT: County Counsel TO: Clerk of the Board of Super ' ors ( 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: } � rG 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: ( j This Claim is rejected in full. ( } Other: I certify that this is a true and correct copy of the Board's Order a red in its mutes for this date. Dated: / PHIL BATCHELOR, Clerk, BClerk WARNING (Gov. cod ection 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. *For Additional Warning See Reverse Side of This Notice. 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, ad sled tote claimant as shown above. Dated: By. PHIL BATCHELOR By Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUP' OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or gnawing crops and *hich 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 Rraiwing crops and uhicah ao nw 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 aconaal of the cause, of action. {Govt. Code §912.2. B. Claims mint be filed with the Clark of the Poem of Supervisors' at its office in Roam 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 Yom. ee � � e �tae � � eeeaa �teit � eei� aa � �t �t * ea � a * aaaa � � a � � � RE: Claim By Reserved for Clerk's filing stamp ECE WFIRR ty of Contra Ms-U—) 01998 or CLEr, ;E.£?C+RfJ OF SUPERVISORS District) C;r, tRACCSYA CO. 711717in ME r....... The undersigned claimant hereby makes claim against the County of Contra Costa or the above• rrataed District in the stn of � 0 ., and in support sof this claim represents -as follow 1. When did the damage_or injury occur? (Give exact date and hour) 114 Up 14U 2. Where id the or Wury o0ow? (Include city and county) 3. xoK did the injury oomik (Give full de its; use paper,if required) W r'► t M �ti .. Vni, om . Wy.•% �. L IDJ WW` ✓ �/�yJ,�r 1 � y� `r�r�. l 7 J(.I M i kw�� y4414A Ott a V r"4W rY �jtj�y�, 4. Onat particular act or omission on the part of oaunty or istrict officer , b servants or . ees caused.the njury car.damage?-�(' p 3�'t a 0+ .� (over) ....... ................ . what, are tree names of county or district officers, servants or employees causing the damage or injury? Nm , 5. What damage or injuries do you claim resulted? (Give full extent of ,in juries or a� Y' t twc 1por ss to • V Y"O Y¢S.t UCL S�Gtc Y"1 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) - dVA.. E. Name: and addresses of witnesses, doctors .and hospitals. Ow.,uo l v " G� �Wr-, "'k. h C . s W " Lar�Y+.^wwwawaw,wrMY�rMrr+M�Mr '��� �YYrr 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT oxto Gov. Code . :. 914.2 provides "The claim must be signed by the claimant SEND NOTICES T4s (Attorrse ) or by some person ta~t his.be'alf." Name and Address of Attorney ' (claimant's S gnaturs Address Telephone No. Telephone No. V eaeae * a eaaeaeee '7F' aee NOTICE Section 72 of the Penal Code provides: "Every person uto, 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, iss�punishable either by imprisso6ment in the county jail-for a period of not more thran tine-year, by a fine of not exceeding me thousand ($1,403), or by-both such imprison nt and fine,-'dr^by imprisonmentin the stage prison, by a fine of not exceeding ten thousand dollars ($14,000, or by. both such imprisonment and fine. ..... 34. August 24, 1998 Charles Rte,M.D. 50.40 August 24,1998 Sav-On Pharmacy 10.40 August 24, 1998 John Hampton,D.C.,D.A.B.C.O. 40.00 August 26, 1998 John Hampton,D.C.,D.A.B.C.O. 44.00 August 29, 1999 John Hampton,D.C.,DA-B.C.O. 40.00 August 31,1998 John Hampton,D.C.,D.A.B.C.O. 40.00 September 4, 1998 John Hampton,D.C.,D.A.B.C.O. 44.00 August 24, 1998 Lost Wage(8 hours @,,17.65) 141.20 August 25, 1999 Lost Wage(8 hours @ 17.65) 141.20 Air ct 26, 199 UM W (8 hours fn`1.17.65) 141.20 TOTAL MEDICAL RELATED EXPENDITURES $ 683.60 Total Claim Amount Requested: $5,400.00 1 3 4 Jl ft 8136 iEv oa` , NEW Mtn 5!A01 AL (925)525-755 ' OWLESRENNER JAMIE ALDRED 963 ALMADEN (925)825-3478 OAKLEY,CA 94587 N #!Out zEN GTABLETByTEVAU 000093.0149-off (N v,98 60 5x WE CAN CALL YOUR DOCTOR FOR A REFILL.PLEASE ASK. DP8 REF:41893519 OAO 3 4 O KiE"CM., NEW AL (925) MC7Q1'PfJ1 (925)525-7557 12#1719.00 owuS REAR JAMIE ALDRED 963 ALMADEhI (925}825.3478 OAKLLEY,CA 84587 "MROCODONFJAPAP r.&M To ey wATSO sw out {}52544 07-05 0824198 30 , VvECMCALL YU DOCTOR FOR A REFILL PLEASE ASK.- DPS REF:41921519 000 CHARGES J. RENhlER, M.D. 2415 HIGH SCHOOL AVENUE, SUITE 800 CONCORD,CALIFORNIA 84520 Pract jwwName PHONE.(925)687-2200 Ric'r&,:;t Ca-m ie. de' 514, e ' ..r. 9$801 9Yk061S iii..... 3aw6rin ...ikSkt�ni 1340I i 95791-:. kkttDatkst #1140 Ut11rd # xwl I1p2b EMiilgn tD2Oan 11402 i$iR&VUW* 45!14 40 J8863 o Ifou9nt 18901 B.006 BBZ70 Exdron $.iUM Iti00 90704' L#81wnr C/Opp k xwk 11c72 6d1i1n ' o.�Ifto Iffm tate J2iM0 rwd+15 7w telae/ '1.420an *10 rnSwkoeo w 167i� J�4*0 TSR 46338# Exarat 4q4 WS4 II740 1071E ik000 R4s" *0126 iltaelt Q0701 94211 atd #bowl #72I1 Nfrd�pplW 11906 ft*Tq M#4Q 8$I*2 > 71Ts^k6 # 10140 xd 90711 (i Ati40 9821E 1 ho 20 0 xa�t4atomd 90701 iamaAl+0w 99Il0 1QE14 xiS>MMsr $1180 9eQifC 19214 xar* its*' MMNomS• 99050 AttrNpuri- 9$042 tt LIM um xvOIF# $6111 812 907E6 dk200 ' 47170 *er 1-004 H11 10744 J0848 3Q210 YY:LsSgns $1 k•19 W745 C4iNlphs J51dE 44E30 OSan SrLSt 47210 S lOs !16-46 J0790 Nddw Trokyaw ;685 Wt Lu 0.&1 DO 11261 168 $0737 JIM -29ePM 14A4n, 9m Wd Lw 1,1400 17"4'42 Yr w"Yrus 90721 �+ ,0171 Aew1Wt 91064 8lgly 49106 Musk$ 00705 SlaatiitRttn ,11470 A8se0X ;742 QkQSmt Ik400 MSWp#AubNt 94748 Y14arfl 13895 Aboft*t4Bul" $83 2 ion 584.0 HowhV Loss 3$9;2 joi-I 723.* UM 4$3:9 Asda 703.1 ata kcn 7x5.9 Hem*Ws 560.7 923.9 UTk 3399:0 Roust 309.9 37Pq 496 Hemorrhoids 455.5 Iipd 7131.40 V irlMis 9i#.t0 AN*$ 477.9 11ra.Abr sign 91tI 1 S $73.3 * 795.0 Vercuc" 07Rt0 Amwwthia 4 AD 414.9 054..9 MOW* 486 Ye1rd$ toms 079.99 2$5.0 pion 3** 272.4 462 WON Chid Check Y20.2 Am%W OYN V72.3 a1 1191.3 H n"n 401.1892.9 844 V22.2427.9 rkiabel4kS 240.00 t 939,9?18.14 787,91 Insomnia 78052' Tot 79$:3 thr" 493.9 DNarlicult lnhntinr 5$2.01 Kowais Actinic 70911 693.5 8idn, 238.2 76 A L ao"ien ;'49.2vdum 984.208$9,3Reactio995.2 ! 783.8 &mnft V741 623 626.6 Ate uW S oms $27.2 $gkxure LOgiordat W*.3 31r>ar silo 490 A2$.3 NWj&*&AfoMncj 747.01 473,9 Hc++1+ . 849:0 ndcrrwakr+t $17:6 27 ender 8479 9$$9' aadtllk 726,4110.1 C15tvlal $47.0 886.1 780 7 #eat 793.00 ora R vu-3 6184 nectuea 829.0 Bilis#Redia 9$2.6$ 4w Nw 740.2 #A M V70.0 I 4118,9 Exwos 980.10 aidoniflr MAO 428.0 Rif 00.6k.: Pttn Abdo 789;01 DiordlK 244.8 GoneusSton 1155:9 woo I 724.5 onNlttlss 443 72.2.0 784.0 Pa1n Chao* 734.62 kliitl6"colt !43$.0 • wmucnoNws AUTHONUTNJN TO RMJAW 94%WWU1YM AM At CR I PAYMENT: I tofhor#t Ctwift J.Hers! M.D.to folemo arty motto V4wm Wn nrosssary to prow"k*wAnm Ir servk"r*ndrttd. I#Am stftr"p4rofam o3 Ms"blwwft d mWY to DWI"J.PAA MF,M.D. I wd&*WW 9w1 I"W be m$P0nWW W ohtrpa not oowrtd by mrdia7 bofw ta, ...................................... ... ------------------ DATE AWFERENCE -VESCRIPTION CHARGES auRRENT PREVIOUS CRiOITS ALANCE BALANCE NAME THIS IS MA WCER FOR THIS AMOUNT THIS IS A ffi-MMUT OF%UR ACCOUNT 75 PRE PROCEDURE OPT-5 CODE FEE PROCEDURE CPT_6 DATE OF SERVICE__9!7�-4-If , 1 0 Focused 982011 IFLHot/Cold Therapy 97010 0 Expended 90202 ❑Mechanical Traction 97012 ❑Detailed 99203 0 Electrical Stim. 97014 0 Comprehensive 99204 EJ Manual Traction 97122 ❑Complex 99205 L1 Diathermy 97024 3171%111:1� 0 Electrical Stim.(Manual) 97118 LJ Minimal 99211 0 Ultrasound 97128 7ED070T0R7SSIGNATURE: 0 Focused x 99212 0 Vapoccolant Spray 97139 0 Expanded 99213 "0AskHmSoft Tie.Mobil. 97250 0, NOIr-M 0 Detailed 99214 _j X •Comprehensive 99215 U Spine,Single View 72020 •Brief 90040 0 Cervical,AP&LAT 72040 ASSIGNMENT AND RELEASE I hereby authortre and dire 0 Limited 90050 13 Cervical,Davis Series 72052 MY ftumnce benefits to be paid directly to the Doctor. I a' 0 Thoracic,AP&LAT 72070 111nancialty MW01191ble for non-covered servim.I also author; U Medicare Spinal Manip: 98940 Lumbar,AP&LAT 72100 the Doctor to release any information required. C1 Manipulation 0 Lumbossoral W/Obkjues 72110 0 Lumbosacral,wA3endIng 72114 0 C By MT SpinPhysical 1-2 Regions ian 97260 11 Lumbosacral,Sending Only 72120 jMffg> -w) 0 CMT Spinal 2-3 Regions 98941rf hw 0 CMT Spinal 5 Regions MM42 , ., tore htsured Parson CMT Extra Spinal I or More 98943 f=fitting and Supplying ED- 11 —Cervical Dollar Iz— IHAMPMN r-RIMPRACTIC OFFIZE 0 —TENS Unit JOHN HAMPTON, D.C., D.A.B.C.O. 0 -Lumbosacral Suppor Chkoproak Orftpedist 0 —fee Pack 3385 MAIN ST.,surrE A 0 Special Reports 99080 P.O.SOX 799 0 OAKLEY.CA. 94561 ❑ C510)$25-4600 SS#SSO-72-5138 55553 UC# 17172 If 5 11 RAI ANCE 6 N A ----- ---------- THIS IS YOUR RECEIPT FOR THIS AMOUNT 4 THIS IS A STAUWXT OF YOUR ACCOUNT TO DATE PROCEDURE CPT-5 CODE FEE PROCEDURE CPT_5 FEE NX-712:7717,121 T*j:'A14:V'1 ___ ' DATE OF SERVICE Focused 99201 0 HotiCold Therapy 97010 10 Expanded 99202 0 Mechanical Traction 97012 ❑Detailed 99203 0 Electrical Stim. 97014 0 Comprehensive 99204 0 Manual Traction 97122 0 Complex 99205 Cl Diathermy 97024 *_;k7 Electrical StIm.(Manual) 97118 0 Minimal 99211 ❑Ultrasound 97128 DOE07TORSFSIGNATURE: 0 Focused 99212 ❑Vapocoolant Spray 97139 0 Expanded 90213fat ReleaselSoft Tie.Mobil. 97254 ❑ 6 , ! Detailed 99214 4 * cei'm X 0 Comprehensive 99215 LJ Spine,Single View 72020 0 Brief 90040 0 Cervical,AP&LAT 72040 ASSIGNMENT AND RELEASE—1 hereby authorize and dire( 0 Limited 8050 0 Cervical,Davis Series 72052 my insurance benefits to be paid directly to the Doctor. I at 0 Thoracic,AP&LAT 72070 fivertclalty responsible for non-omrod services:I ateo suillortz 0 Lumber;AP&LAT 72100 the Doctor to release any Irliormation required. U Medicare Spinal Manip: 98940 0 Lumbosacral w/01bliques 72110 Manipulation ❑ 0 Lumbosacral,wMending 72114 By Physician 72120 0 mt,Sending Only &V 'MT Spinal 1-2 Reglonq,��00 Lombosao 4 OC OMT Spinal 2-3 Regions 98941 0 ❑CMT Spinal 5 Regions 98942Insured Person 0 CMT Extra Spinal I or More 98943 Fitting and Supplying ED— 11TESAIWTIC 0 —Cervical Colter LO_ 0 —TENS Unit JOHN HAMPTON, D.C., D.A.B.C.O. 11 —Lumbosacral Suppor Ch#VPMCUC orftwist 0 —fee Pack 3385 MAIN ST..SUITE A 0 Special Reports 99080FtO.Box 799 0 OAKLEY.CA. 9456I 0 C510)1325-46W$ C) ss#ago-'n-siss 55593 UC* 17172 i tCREWS THIS iS�R'!Oft ►T'FOR THIS AMOUNT THIS IS A STAT9111M OF YOUR ACCOUNT TO DATE PROCEDUIRE GFrr 5 CODE FEE PROCEDURE CPt:5 FEE DATE OF SE MIT?, . •TIM •01 SERVICE ` Focused 99201 i-foUCold Therapy 97010 r s ❑sanded 99202 ❑Mechanical Traction 97012 ❑Detatlad 99203 ❑Electrical Stun, 97014 ❑Comprehensive 99204 0 Manual Trection 97122 ❑Cornlex 99205 ,...«.,oma ❑Lsiatherrny+ 97024 _ ❑Electrical Stkn.(Manuaq 97118 ED Minimal 99211 ❑Ultrasound 97128 DOCTORS SIGNATURE: }�Focused 99212 ElYaprscr>olont Spray 97139 ❑ 99213 RaleasslSoft Tis,Mobil, 97250 Expanded❑Detailed 99214 ► ❑Comprehensive 99215 El Spine,Singie View 72020 40 ❑Cervical,AP&LAT 72040 ASSIGNMENT AND RELEASE_—I hereby authorize and dire El Brief 900 ❑Limited 90040 0 Cervical.Davis Series 72052 my insurance bsnefiis to be pond directly to the Doctor. i a ❑Thoracic,AP&LAT 72070 ltnancially responsible br non-cowered servicesi also author. ❑Lumbar,AP&LRT 72160 the Doctor to ratesse any Inbrrnation required. Medicare Spinal Manip: 988940 0 Uxnboosacng w/Obilques 72110 t ❑Manipulation ❑Lumbosacral,w0onding 712114 By Physician 87280 ❑Lumbosacral,Sending Only 72120 f I /� /� ❑GMT'Spinal 1-2 Regions 0 "I ►i'�2+1 ❑CMT spinal 2-3 Regions 7 [� x ❑CMT Spinal 5 Regions 98942 , ignafuretnnrrsed Person ❑CMT Extra spinal 1 or More 98843 Fitting and Supplying ED— tHAMPTON EM95PRACTM OFF! © Cervical Colter LO nit JOHN HAMF+'t ON.D.C.,D.A.B.G.Q. © L.urnbosa TENS seca'al s+,ppor Chfrrfpradist c6c oruw © ice Pack 3385 MAIN ST..sum A ©Special Reports 99080 RO.Box 799 OAKLEY.CA. 94561 ❑ 1510)625-46017 $ �, ...-- SS*558.72.9138 55626 e1C#r 17172 77_. PMTS, r .. , c; t T141S IS YOUR IMCEWT FOR THIS AMOUNT THIS IS A f➢TA'1MiWT OF YOUR ACCOUNT TO DATE PROCEDURE OPT-5 CODE FEE PROCEDURE OPT-5 FEE DATE OF SERVICE :. Focused 99201 0 Hot/Oold Therapy 97010 n + ❑Expanded 99202 ❑Mechanical Traction 97012 0 Detailed 99203 ❑Electrical Stlm. 97014 0 Comprehensive 99204 ❑Manual Traction 97122 ❑Complex 99205 ❑Diathermy 97084 -« ❑Electrical Stim.(Manual) 97118 Minimal 99211 ❑Ultrasound 97128 MORS SIGNATURE: Focused 99212 ❑Vapocoolant Spray 97139 ©expanded 49213 sl Tis.,Mobl. 91260 ` ► . ❑Compre99214 X henshre 99215 Spine,Single View 72020 ❑ Brief 90©40 ❑Cervical,AP&LAT 72040 ASSIGNMENT AND RELEASE--i hereby authorize and dire ❑Umited 90050 [I Cervical,Davis Series 72052 my Insurancebsneftta to be paid directly to U Doctor. 1 a ❑'Thoracic,AP&LAT 72070 financially responsible for Bred services.I alio authors Mad#cera Spineii Man#p: 98940 0 Lumbar,AP&LAT 72100 ft Doctor to release any#nlormation required ' ❑Manipulation 0 Lumbosacral w#Xfliques 72110 i ❑Lumbosacral,w Mending 72114 By Physician 97260 0 Lumbosacral,Sending Drily 72120 ❑owr Spinal 1-2 Regions d © l I ' ❑CMT Spinal 2-3 Regions OS941 CMT Spinal 5 Regions 98942sture Insured PWSOif 0 OM1'Extra Spinal 1 or More 98943 Fltthtq and Supplying ED— HAAGwrON EM95PRXEM OFFICE Cervical Dollar LQ JOHN HAMPTON.D.C.. DA-B.C.O. TENS Unit C Nmpmcdc OrlhopedW F ❑ t.ly*X &&rat Suppor 0 too Pack 8365 MAIN Sr.Stat t E a ❑Special Reports 99W RC1.111OX 7'99 ❑ OAKI.LrY.CA. 94561 p CSfa7 625-4600 t $ � as#r 1182-724 1 3e 556 tfiG#17172 55 D7'w '. d THIS IS YOUR IMCNIPT FOR THIS AMOUNT THIS E5 A 11T`ATUORT OF YOUR ACCOUNT TO DATE PROCEDURE OFT-5 CODE FEE PROCEDUREGPT:5 FEE DATE OF SERVICE :fir 0 Focused 99201 HoUCotd Therapy 97010 • w 0 Expanded 99202 0 Mechanical Traction 97012 0 Detailed 99203 0 Electrical Stim. 97014 0 Comprehensive 99204 0 Manual Traction 97122 0 Complex 99205 D Otathermy 97024 ,. , ❑Electrical Stim.(Manual) 97118 Minimal 99211 0 Ultrasound 97128 D007TORS 0 Focused 99212 0 Yapocoolant Spray 97139 0 Expanded 99213 © ectal Releaset5oft Tis,Mobil, 97250 0 Detailed 99214 , • , X 0 Cori hensive 99215 Ll Spine,Single view 72020 D brief 90040 0 Cervical,AP&LAT 72040 ASSIGNMENT AND RELEASE—I hereby authofte and direr 0 Brief d 90050 0 Cervical,Davis Series 72052 my Insurance benefks to be pal! directly to the Doctor.I arr 0 Thoracic,AP&LAT 72070 financially responsible for non-covered services.I also auftrize •""V 7` 'l 0 Lumbar;AP&LAT 72100 the Doctor to release any Ink matdon required. Medicare Spinal Menip: 98940 0 Lumbosacral w/Obliques 72110 0 Manipulation 0 Lumbosacral,w/Bending 72114 By Physician 97260 0 Lumbosacral,Bending Only 72120 111 0 CMT Spinal 1-2 Regions 4Q 0 / 0 CMT Spinal 2-3 Regions 98941 ® . •CMP Spinal 5 Regions 98942 ,. m , + Si aturs insured Person C7 CMT Extra Spinal 1 or More 98943 Lj Fitting and Supplying EO THE 1OFFICE 0 Cervical Colter LO F JOHN HAMMON, D.C.,D.A.B.C.O. 0 TENS Unit CJ Ghi Lumbosacral Suppor mopractic Orthopedist ® lee Pack 3385 MAIN 57:,SUITE A [ special Reports 99080 RO.BOX 799 0 OAXLEY,CA. 94561 0 4510)62S-+°X600 * $ 1` 11 ..^" SS#558-72-5138 55735 /7 C! UC* 1717.2 r `V�4 • �.T.v 8"i 4 4 L w �F r z : r y �'. �. 'k � 4� fid• .,^A. .. r •r t �g je e IP- ..... r. .yds i fir+t y { Cj) �> �::... m � , 4' �. �r ��+�� t«� �i 4g '_ t i ' 4 b �..Aql'(>� r t:. ;Ci',y �„ �y�` ._ �. ��rs.,• :.,� �`. >i" 'ajFp'�- #. �"� � .� � �� � �. �� ,}��� ,., r t. �"� .. I� �� a � . ;� .��� � - -, �r .,:�, :.. .. . _ . , �. . t . . r .� � � - - . ; R+ C.. L Aod 'i. r tr v t- w Cy4 � Q X tire, Tyy 1 le, Vf JN o r t S x s; CLAIM BOARD OF SUPERVISORS OFCONTRA COSTA COUNDC,SAI TFORNLA BOARD ACTtOI♦k Oct 27, 1998 Claim Against the County, or District Governed by ) 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 California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given cgr pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: unknown SEP 3 0 1998 0""TV COUNSEL CLAIMANT: Ronald Baker MA14TINEZ CALIF. ATTORNEY: DATE RECEIVED: ADDRESS: 1240 Walker Avenue #101 BY DELIVERY TO CLERK. ON: Sept 30, 1998 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, er Dated: Sept 30, 1998 By: Deputy H. FROM: County Counsel TO: Clerk of the Board of Sup v' ors (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: 7._ ;`Ie By: � y _ � � t Deputy County Counsel M. FRONVI• 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 a red in its mi utes for this date. Dated: PHIL BATCHELOR, Cleric, B y Clerk WARNING (Gov. code ction 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. *For Additional Warning See Reverse Side of This Notice. 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 Posta Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, ressed to the laimant as shown above. Dated: By: PHIL BATCHELOR B Deputy Clerk CC: County Counsel County Administrator CONTRA COSTA COUNTY County Administrator Risk Management Division 2530 Arnold Drive, Suite 140 Martinez, CA 94510 September 29, 1998 TO: CLERK OF THE BOARD RECEIVED FROM: Ron Harvey R9 S,E P x ' ' i 9 Liability Claims Manager CLERK BOARI}Of SUPERVISORS CONTRA COSTA CO. SUBJECT: Ronald Baker Please process the attached Notice of Intent as a claim. If you have any questions feel free to call me at 335-1443. Rh MEMORANDUM CONTRA COSTA REGIONAL MEDICAL CENTER CONTRA COSTA CONTRA COSTA HEALTH SERVICES HEALTH CENTERS 2500 Alhambra Avenue Martinez, California 94553 925 370-5195 September 25, 1998 To: Contra Costa County Counsel � f From: William Walker,MD,Health Services Director jj�� ; l� Re: Ronald Baker Enclosed please find a§364 Notice of Intent to Commence Action regarding the above-named patient mailed to Administration at Contra Costa Regional Medical Center and received 9-23-98. cc: Ron Harvey enc. .t +Contra Costa Substance Abuse+Contra Costa Emergency Medical Services+Contra Costa Environmental Health•Contra Costa Health Plan+ •Contra Costa Hazardous Materials+Contra Costa Mental Health• Contra Costa Regional Medical Center•Contra Costa Health Centers• Ronald Baker 1240 Walker Avenue,#101 Walnut Creek, CA 94596 1 f15�,3_ September 18, 1998 MERRITHEW MEMORIAL HOSPITAL Administration Department 2500 Alhambra Avenue Martinez, CA 94553 Gentlepersons: The surgery of May 20, 1998 was successful in removing the tumor from my colon, for which I thank you. Unfortunately, I do not now have full use of my left leg, which was not an expected result of the surgery. Therefore, would you kindly consider this a ninety-day notice that I would intend to file suit against you and/or someone under your control for professional negligence or lack of informed consent. My damages include my inability to properly use my left leg and walknormally; medical expenses; future medical expenses; loss of earning capacity; life enjoyment;pain and suffering. Very truly yours, , �1 RONALD BAKER •c c 3 s r .t? ix tN #L gD 4�l SU tdm (8 ;ucn > � > � 0 rn csa al > m CD3 M (Dy �-- q kj } 82 } t . ......... ......... ... ..... . ...... ........ CLAIM BOARD OF SUPER'YISOBS OF CONTRA COSTA COUNTY, CA_UIFORNTA BOARD A 'f101rk Get 27, 1998 Claim Against the County, or District Governed by ) 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 California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph IU below), given ~,4a_ pursuit to Government Code Section 913 and 915.4. Please note all "Warnings". OCT 0 8 AMOUNT: $9,999 COUNTY C0v MARTINEZ Cn�,,- CLAIMANT: Duane Robert Blake ATTORNEY: DATE RECEIVED: ADDRESS: 234 16th Street Apt 42 BY DELIVERY TO CLERK ON: Richmond CA 94801 BY MAIL POSTMARKED: Sept 28, 1998 L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, erk Dated: Oct 5, 1998 By: Deputy H. FROM- County Counsel TO: Clerk of the Board of Su1676sors (A This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.$). ( ) 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: 7 Dated: % z _By: ..�W� 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: JW This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Orderent din its inutes for this date. Dated: / PHIL BATCHELOR, Clerk, ByZgg� epqy 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAUJNG 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, dressed to the claimant as shown above. Dated: e By: PHIL BATC14ELOR B Deputy Clerk "C: County Counsel County Administrator Claim to: SOMW Op SUpERvISORS of CONTRA COSTA COUNTYCLAIMANT A. 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 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 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. (Gov't 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. baud, See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By Reserved for Clerk's filing stamp EE G ? � yplpmv Against the County of Contra Costa or District) -�- (Fill in name) ) The undersigned claimant hereby makes claim against the Cs unt f 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) ` , 2. Where did the damiike o injury occur (I clude city and county) Co 3. How did the damage or inju ccur7 (Give full data ; use extra paper if required) )AaarJ t "� 4. What articular act or omissio n the pl coun y or district officers, servants or employees caused the injury or damage? i (over) 5. what are the names of county or district officersi# servants or mplo des causing the dam11ag��e or injury? 6. what damage yr injuries do you claim resulted? (Give full extent - r of injuries or damages claid, Attach two estimates for auto damage. ) , f ICi� �_ ; _ met s 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) Y 4 s. Names and addriiises itnesses, doctors the hospitals. s. List the expenditures you made on account of this accident or injury. 33 } Gov. Code Sec. 910.2 provides "The claim must be signed by the } claimant or by some person on his Name and Address of Attorney } (Claimant's 'Signa ure) (Address) t : � t P } 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, 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 ($1,000) , or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($io,000, or by both such imprisonment and fine. I ` i" '� -�•�,. _. '.._..'�.,�,r i�`%.- ° '` ....off ,<..,, ,� ..}.., 2 �.'�' �` .._.`. Y. _�:. <p!;`':� .3.... _ \.. _._.. _._. _._.. 4 t i i� P f $� 744 i CLAIM I NLA-- � Oct 27, 1998 Claim Against the County, or District Governed by 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 California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and mot"Cra'aWTED 915.4. Please note all "Warnings". UZ AMOUNT: Unknown OCT CLAIMANT: Anne Bransfordnt"r � ATTORNEY: DATE RECEIVED: ADDRESS: 1.8 Citadel Court BY DELIVERY TO CLERK ON: Pleasant Dill CA 94523 BY MAIL POSTMARKED: 29 Sept 1998 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELO. , Clerk Dated: Oct 5, 1998 By: Deputy IL FROM: County Counsel TO: Clerk of the Board of Sue isors { ) This claim complies substantially with Sections 91.0 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: Deputy Count CounselDated: BY: 111L 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 Claire is r@jected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order en red in its minutes for this date. Dated: s�+ "� . ', '" PAIL 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAHJNG 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 PostService in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, ressed to the claimant as shown above. Dated: By: PHIL BATCHELOR By Deputy Clerk CC: County Counsel County Administrator VICTOR J.WESTMAN DEPUTIES: COUNTY COUNSEL CONTRA COSTA COUNTY PHILIP S.ALTHOFF JANICE L.AMENTA OFFICE OFTHECOUNTY COUNSEL SHARON L.ANDERSON ANDREA W CASSIDY ARTHUR W.WALENTA,JR. VICKIE L.DAWES COUNTY ADMINISTRATION BUILDING MARKE S.ESTIS ASSISTANT COUNTY COUNSEL 651''PINESTREET,9th FLOOR MICHAEL D.FARR MARTINEZ,CALIFORNIA 94553-1229 LILLIAN T.FUJII DENNIS .GRAVES SILVANO B.MARCNESI GREGORY YC.HARV GREGORY C.HARVEY ASSISTANT COUNTY COUNSEL JANET L.HOLMES KEVIN T KERR GAYLE MUGGLi BERNARD L.KNAPP EDWARD V LANE,JR. OFFICE MANAGER MARY ANN MASON PAUL R.MUF1Z PHILIP J-PHONE(925)335-1800 VALERIE..RANCHED FAX(925)646-10713 DAVID E SCHMIDT DIANA J.SILVER BARBARA N.SUTLIFFE JACOUELINE Y.WOODS NOT_ICE CIE IN UEEIC ENCY. AN�/.� Nf`M CCEPTANCE OF CLAI TO: Anne Bransford 18 Citadel Ct. Pleasant Hill, CA 94523 RE: CLAIM OF: Please Tape Notice as Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code Section 910 and 910.2, or is otherwise insufficient for the reasons checked below: [ IL The claim fails to state the name and post office address of the claimant. [ j 2. The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. [x] 3. The claim fails to state the date,place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. [ ] 4. The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. [ ] 5. The claim fails to state whether the amount claimed exceeds ten thousand dollars($10,000). If the claim totals less than ten thousand dollars($10,000),the claim fails to state the amount claimed as of the date of presentation,the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ($10,000),the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. [ ] 6. The claim is not signed by the claimant or by some person on his behalf. Page 1 [x] 7. Other: The claim fails to describe any duty or obligation of the public entity and any action giving rise to the claim. VICTOR.J. WESTMAN, County Counsel By Deputy County Counsel CERBEICATE OF SEI.VJCE BY MAIL. (C.C.P.§§ 1012, 1013a,2015.5;Evidence Code§§641,664) 1 declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California 94553;1 am a citizen of the United States,over 18 years of age,employed in Contra Costa County,and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non-acceptance of Claim by placing it in an envelope addressed as shown above,sealed and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S.Mail at Martinez,California. I certify under penalty of perjury that the foregoing is true and correct. Dated: October 9, 1998,at Martinez,California. cc: Clerk of the Board of Supervisors(original) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM:GOVT.CODE§§910,910.2,920.4,910.8) Page 2 Claim to: 3)oIRD or Bmmeon CSF COBTRI CoBTR CoMqTYXN8TRUCTIOM TO CUM= �T � A. 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 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 3anuary 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. (Gov't Code 911.2.) B. Claims must be fired with the ClygJ_th# Borst. ,. 9"u a sots at its office in d¢, county Administration Buiiding, x � ne treat,Martinez, C!AC_w94553. _ 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 entityr' separate claims must be filed against each public entity. E. ,rraud., See penalty for fraudulent claims, Penal Code Sec. 72 at the and of this form. t��ree+�+�rt�+��r�*�e�r+��r�+e��+r+r�r#�s�r*�terr�+e�t�rt�rf�►�t*gree,�,��r�:a#+e�tr�e#�r�r#��r�e�te��t�,���t RE: Claim By Reserved for Clerk's filing stamp REC} Against the County of Contra Costa} F 0 1998 or ) {Fill in-name) ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sun of and in support of this claim repress isZSA o ow g 1. When did the damage or injury occur? (Give exact date and hour)' : r ._ t. < 7<ar <^ 2. Where did the damage or injury occur? (Include city and county) 3. How did the damage or injury occur? (Give full details; use extra gape if gaited} , ,, 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? aCem__ _ ewe£?? '4 (over) w 5. What are the names of county or district officers, servants or employees causing the damage or injury? 6. What damage or injuries do you claim resulted? (Give mull extent of injuries or damages claimed. Attach two estimates for auto damage.a��.,�.�.•� .. he .� - 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 3&_ ' 8. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury. AMOUNT rr�r��,t���f+r�ra�rr*�t����a�r����*ate�rs��r���+�+r#��►�e+�rta�ta��►���*ta���r�**+�##� Gov. Code Sec. 910.2 provides } "The claim must be signed by the } claimant or by some person on his Name and Address of Attorney } �j (Claimant's Signature) } (Address) ) Telephone Na. ) ) Telephone No.(�.����a-Z Z-7,�5" �r:����f��,�+►+t,�,��►+�*+t�t��a���fi�:,�s��r�,���a��s���c����,tea,��t�r�r+�,��r��r�,�ta�rr�r�t,�rr►*� 310TICI 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 ($1o,000, or by both such imprisonment and fine. 4, IIWC- " � 41I ( I 1 Y Q �b w� tj n S� ` � .` } 6 M Y 1{ � f r 4 �I R r ,'y CLAIM V _ LSA BOARD AO Oct 27, 1998 Claim Against the County, or District Governed by 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 California Government Cedes. } notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given out a pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". C 9998 AMOUNT: $25,000 WJ CAL F�' CLAIMANT: Rahsaan Coleman ATTORNEY: DATE RECEIVED: ADDRESS: 901 Court Street BY DELIVERY TO CLERK ON: Martinez CA 94553 BY MAIL POSTMARKED: 24 Sept 1998 L FROM; Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. r PHIL BATCHE Clerk Dated: Sept 29, 1998 By: Deputy H. FRONE County Counsel TO: Clerk of the Board of ervisors (,X This claim complies substantially with Sections 910 and 910.2. ( ) This claim NAILS 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: X2-117 424 �+ .f�� Deputy County Counsel III. FRON1 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: 0< This Claim is rejected in full. { ) Other: I certify that this is a true and correct copy of the Board's Order e red in its inutes for this date. Dated:&L-� `y� PHIL BATCHELOR, Clerk, By eputy Clerk WARNING (Gov. code s ction 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. *For Additional Darning See Reverse Side of This Notice. AFFIDAVIT OF MATING 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, ressed to the claimant as shown above. Dated: By: PHIL BATCHELOR B y,. uty Clerk CC: County Counsel County Administrator ��` 'k,..R�.17'r�'•. !°.�'4�}`F 3".,; .�Sx�. �iry ��1ff�•. 3� :� '3^! f x "•xLrHtyeaeme»eaxxm '. RECEIVE.."' )gy }� > .yam Olivia! t +�9£°:. 3F 3.f` :' �f fi ai:3t `' L,/ i'S ia! 1-14 f (t+{ r,Z�'-37) fs Ike ;:.mat-'gypp..fix-��s� .•.��+. c—L i ;�W`€ +164.-.-t �^�;•�'S�.� � �f:�..�21-�•^:� �a�.t�c'�"`t�5 �r�'[ti: .,. l int. :.. ti 4 }�.:. 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Nils a .. .I• 3 . t i 5 '+ r : :. 011 ............ ...... ..........� 2 S 3 66 < :. 4 k { ry s}{ x 7{ S X 5 717 5 f t t 3.',. a: t...... 3 rte.. o,,. ... ... : ,,,r}.> :. T: ..f .. : :; ?:is { £ {: ..r :-.. .. .: on J.. _ sit I _ .moi.....t. :: ..._:: jolt. £ •.5 2;4 3 r-:1 i r p.'> S> r i f' k:. '645{q> . y ' ', 5 { r t S :t .. x 34 t` Y is > � r :> a,:" b..{ C ,.. f t� y �+. : h��#..::: ?f''•..:. 4< ... tom.: +d. .:r {k' :. {.::. ::9:: ( f �• }y ££{ y y`^' st,„, k, t :s ,9 {'�`', 5 •..r k b t..3: 5 {t"5.•Y. b:•. u ; } 5 : G f S 1 jYy4 / O �4 y ------------ 2 fi f S s .. r n - :x f _ uv ' ''' y : c n � CLAIM BOARD OF SUPERYISORS OF CMM COSIA CDENM CALEDONIA BOARDAOO Oct 27, 1998 Claim Against the County, or District Caverned by the Board of Supervisors, Routing Endorsements, ) NOTICETO CLAIMANT and Board Action. All Section references are to The copy of this document mailed to you is your California Government Codes. ) notice of the action]taken on your claim by the 13MIKUWT EID Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and OCT 0 1 1998 915.4. Please note all "Warnings". AMOUNT: $12,500 + N �Lt � GlALIFMART IN CLAIMANT: Lesley O. Graham and Norene Jucksch-Graham ATTORNEY: DATE RECEIVED: ADDRESS: 1112 Kelvin Road BY DELIVERY TO CLERK ON: Sept 29, 1998 El Sobrante -BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. I PHIL BATCHELOR erk I Dated: Sept 29, 1998 By: Deputy 141 H. FROM: County Counsel TO: Clerk of the Board of SuR§elsors { ) 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). { C ) Other: Dated: By: � Deputy County Counsel M. 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 en red in its minutes for this date. OF or Dated: e ? PHIL BATCHELOR, Clerk, By Clerk WARNING (Gov. ode sdefion 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAKING 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 Po al Service in Martinez, California, postage fully prepaid as certified copy of this Board Order and Notice to Claimant, dressed to the claimant as shown above. Dated:-.,-.. 10.3$97, By: PHIL BATCHELOR By eputy Clerk CC: County Counsel County Administrator _....... ......... ......... .._... _.. ......... ......... ... ...._. ................ .. ... _ ........ ....... ........ .._... ......... ........ ........ .......................... ........ SEP 24--1- 1998 Lesley O. Graham and Norene Jucksch-Graham 1112 Kelvin Road El Sobrante, CA 94803 September 10, 1998 REII/ED Risk Management, SES E Liability Claims Section County of Contra Costa CLERK 84ARj)0 SUFERViSQRS 651 Pine Street ►TRA 5tA Martinez, CA 94556 Delivered certified Mail, return receipt requested NOTICE OF INTENT TO FILE CLAIM FOR DAMAGES This correspondence shall constitute our formal notice of intent to claim, and eventually sue, if necessary, for damages to the property and structures at 31.56 Delta Road, Brentwood, CA 94513,which are situated on APN 420-130-010-0. This claim is for water damages. This claim is made by Lesley O. Graham and Norene Jucksch-Graham, hereinafter referred to as"Claimants," whose mailing address is 1112 Kelvin Road, El Sobrante, CA 94803. This claim is made against the County of Contra Costa, its employees, contractors and agents, hereinafter collectively referred to as"County." This claim is based on the willful, negligent and unlawful collection, diversion, conveyance and retention of water collected from East Contra Costa Irrigation District (ECCID)facilities and other sources including the Eden Plains Road culvert, which inundated multiple properties northeast of the Santa Fe railroad tracks in the vicinity of Delta Road and Byron Highway commencing on or about February 2, 1998. This claim is made for damages resulting from the collection, diversion, inadequate distribution and ultimate retention of water through County facilities which was collected and diverted from ECCID Facilities and other intentional man-made conveyances and diversions. This is not a claim for storm runoff damages. The specifics of this claim are substantiated by eyewitness accounts, still photographs, aerial photographs and videotape which clearly demonstrate the volume, rate of discharge and path of water flowing to the impacted properties via County owned and maintained conveyances. The County failedto act in a responsible manner to prevent or mitigate this flooding which occurred repeatedly over several days. The resulting diversion and retention of water caused flooding to our property which resulted in damages being sustained to that property. The items damaged include: Extensive water damage to road across property which connects structures on property to Delta Road. Estimated cost for replacement of road is$12,500. Claimants additionally claim damages for loss of use of Claimants' property, declined property values, hardship, pain and suffering, and Claimants may seek punitive and exemplary damages if such damages are appropriate. Claimants demand that the County cease and desist diverting water onto Claimants' property. Claimants demand that the County seek immediate injunctive relief against those parties responsible for said damages if not the County. Claimants vxpect the County to act in good faith, mitigate damages caul and offer fair compensation for hardship, pain and suffering, and for the other damages which it has inflicted. Lesley 0. Graham and -.OW. No ene Jucksclt-Grabtanm, Claimants 1112 Kelvin Road El Sobrante, CA 948€13 ... . ..... ..... _ CLAIM BOART-f' OF SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNIA BOARD ACTIO ft Oct 27, 1908 Claim Against the County, or district Governed by ) the Board of Supervisors, flouting Endorsements, } NOTICE TO CLAIMANT and Board Action. All Section references are to } The copy of this document mailed to you is your California Government Codes. } notice of the action taken on your claim by the Board of Supervisors. (Paragraph 1V below), given , t3"Cpursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: $12,500 + CLAIMANT: Cliff L. and Florence G. Miccia �' �`tl�i�CALiI�� ATTORNEY: DATE RECEIVED: ADDRESS: 2020 South Six Sh000ter Road BY DELIVERY TO CLERK ON: Sept 29, 1998 Apache .function AZ 85219 BY MAIL POSTMARKED: L FROM: Clerk of the Board of Supervisors TO County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, perk Dated: Sept 29, 1998 By: Deputy ' - ► II. FROM: County Counsel TO: Clerk of the Board of Supe isors { ) This claim complies substantially with Sections 910 and 910.2. { ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely Bled. The Clerk should return claim on ground that it was filedlate and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). { +) Other: e la.i ro ,f -H z`oe L+t g_,,,�o reat �aclaA • i &J P,-4->Piwv.....t . . a G$=t, i ei Oi7f7. - + i t�� °,- ss -Cep.- ///, . •- I't�� Dated: ,% j By: Deputy County Counsel M. 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 a ered in its minutes for this date. Dated: %�L PHIL BATCHELOR, Clerk, By eputy Clerk WARNING (Gov. code se ion 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. *For Additional Warning See Reverse Side of This Notice. 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, ahuressed to the claimant as shown above. Dated: l�" By: PHIL BATCHELOR By Deputy-Clerk CC: County Counsel County Administrator RonH . Cliff L. Miccia and s Florence G. Miccia RE.CEI'-ED 2020 South Six Shooter Road Apache Junction, AZ 85219 L5533EP `2 9 i998 September 10, 1998 CLERK BORA,!)OF SUPERVISORS Risk Management, Liability Claims Section County of Contra Costa 651 Pine Street Martinez, CA 94556 Delivered certified Mail, return receipt requested NOTICE OF INTENT TO FILE CLAIM FOR DAMAGES This correspondence shall constitute our formal notice of intent to claim, and eventually sue, if necessary, for damages to the property and structures at 3156 Delta Road, Brentwood, CA 94513, which are situated:on APN 020-130-010-0. This claim is for water damages. This claire is made by Cliff L. Miccia and Florence G. Miccia, hereinafter referred to as "Claimants,"whose mailing address is 2020 South Sir Shooter Road, Apache Junction, AZ 85219. This claim is made against the County of Contra Costa,its employees, contractors and agents, hereinafter collectively referred to as"County." This claim is based on the willful, negligent and unlawful collection, diversion, conveyance and retention of water collected from East Contra Costa Irrigation District (ECOID) facilities and ether sources including the Eden Plains Road culvert, which inundated multiple properties northeast of the Santa Fe railroad tracks in the vicinity of Delta Road and Byron Highway commencing on or about February 2, 1998. This claim is made for damages resulting from the collection, diversion, inadequate distribution and ultimate retention of water through County facilities which was collected and diverted from ECCID Facilities and other intentional man-made conveyances and diversions. This is not a claim for storm runoff damages. The specifics of this claim are substantiated by eyewitness accounts, still photographs, aerial photographs and videotape which clearly demonstrate the volume, rate of discharge and path of water flowing to the impacted properties via County owned and maintained conveyances. The County failed to act in a responsible manner to prevent or mitigate this flooding which occurred repeatedly over several days. The resulting diversion and retention of water caused flooding to our property which resulted in damages being sustained to that property. The items damaged include: Extensive water damage to road across property which connects structures on property to Delta Road. Estimated cost for replacement of road is $12,500. Claimants additionally claim damages for loss of use of Claimants' property, declined property values, hardship, pain and suffering, and Claimant may seek punitive and exemplary damages if such damages are appropriate. Claimants demand that the County cease and desist diverting water onto Claimants' property- Claimants demand that the County seek immediate injunctive relief against those parties responsible for said damages if not the County. Claimants expect the County to act in good faith, mitigate damages caused and offer fair compensation for hardship, pain and suffering, and for the other damages which it has inflicted. V K r Cliff L. Mccia and Florence G. Micciai..w4r. �'fi` +•c.c.,i.o.. 2020 South Six Shooter Road Apache Junction, AZ 85219 r 4941, ce r� rU w tr m ' # Lrl st t , .ti at¢ � a�z-ca• 4...1.11"1 BQARD Of SUMEYISORS OF CONTRA COSTA COUN'T`Y CALM—QBNIA Housing Authority of Contra Costa County BOARD Oct 27, 1998 Claim Against the County, or District Governed by } the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to 1 The copy of this document mailed to you is your California Government Codes. I notice of the action takers on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note',all "Warnings". AMOUNT: $300.00g$ CLAIMANT: Jennifer Pierre ogouG ATTORNEY: DATE RECEIVED: ADDRESS: 1224 Trigger Court BY DELIVERY TO CLERK. ON: Rodeo CA 94572 BY MAIL POSTMARKED: Sept 30, 1998 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHEL , Clerk Dated: Oct 5, 1998 By: Deputy H. FROM: County Counsel TO: Clerk of the Board of S ervisors ( ) This claim complies substantially with Sections 910 and 910.2. ( v<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: �'' '" w` _ By: t� ---i--- Deputy County Counsel HL 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: )CI This Claim is rejected in full. ( ) Other: i certify that this is a true and correct copy of the Board's Order en, ed in its minutes for this date. Dated: PHIL BATCHELOR, Clerk, By , ty Clerk WARNING (Gov. code sec ion 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAELING 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 Pos Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, ressed to the . imant as shown above. Dated: By: PHIL BATCHELOR B Deputy Clerk CC: County Counsel County Administrator 'VICTOR J.WSSTMAN DEPUTIES- VICTOR COSTA COUNTY A PHILIP S. LTHCFF COUNTY COUNSEL ' JANICEL.AMENTA OFFICE OF THE COUNT( COUNSEL SHARON L.ANDERSON ANDREA W.CASSIDY ARTHUR W.WALENTA,JR. COUNTY ADMINISTRATION BUILDING, MARMARE L.DATES KE S.ESTkS ASSISTANT COUNTY COUNSEL 651 PINE STREET,9th FLOOR MICHAEL 0.FARR MARTINEZ, CALIFORNIA 94553-1229 LILLIAN T.FUJII DENNIS C.GRAVES SILVANO B.MARCHES] GREGORY C.HARVEY HOLMES ASSISTANT COUNTY COUNSEL JANET L. ERR KEVIN T.KERR BERNARD L.KNAPP GAYLE MUGGLI EDWARD V.LANE,JR. OFFICE MANAGER MARY ANN MASON PAUL R.MUNIZ PHILIP R VALERIE J.RANCHE PHONE(925)335-1800 CHE J. FAX(925)646-1078 DAVID F.SCHMIDT DIANA J.SILVER BARBARA N.SUTLIFFE JACQUELINE Y.WOODS NOTICE OF U FICIENCY AND/ R NON-A CEPTANCE OFC AIM TO: Jennifer Pierre 1224 Trigger Ct. Rodeo, CA 94572 RE: CLAIM OF: Please Take Notice as Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code Section 910 and 910.2, or is otherwise insufficient for the reasons checked below: [ 11. The claim fails to state the name and post office address of the claimant. [ ] 2. The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. [x] 3. The claim fails to state the date,place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. [ ] 4. The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. [ ] 5. The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000). If the claim totals less than ten thousand dollars($10,000),the claim fails to state the amount claimed as of the date of presentation,the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars($10,000),the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court'. [ ] 6. The claim is not signed by the claimant or by some person on his behalf. Page 1 [x ] 7. Other: The claim fails to include the year of the alleged injury. VICTOR J. WESTMAN, County Counsel Deputy County Counsel CER.TIFICATE OF SERVICE BY MAIL (C.C.P.§§ 1012, 1013a,2015.5;Evidence Code§§641,664) 1 declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California 94553;I am a citizen of the United States,over 18 years of age,employed in Contra Costa County,and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non-acceptance of Claim by placing it in an envelope addressed as shown above,sealed and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S.Mail at Martinez,California. I certify under penalty of perjury that the foregoing is true and correct. Dated: October 9, 1998,at Martinez,California. cc: Clerk of the Board of Supervisors(original) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM:GOVT.CODE§§910,910,2,920.4,910,8) Page 2 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 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 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 Cleric of the Beard of Supervisors at its office in Room 106, County Administration Building,651 fine 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 roust;be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code See. 72 at the end ofthis form. RE: Claim.By ) .Reserved for Clerk's filing stamp Jennifer Pierre ) x �pVF9V5e%9MKtixvP..+' Against the County of Contra Costa W` or The Housing Authority of Contra Costa (District) (Fill in name) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sura of$ . ' and in support of this claim represents as follows: : v.W L a6 {Y'v} r # %� ..i L atc� a r;l r#, mz'i /La-ad cru' �f C r t uz 1. When did the damage or injury occur? (Give exact date and hour) ,.( � .�6 S/�(i`t..'i, 'A ,7L { � !�.�`�� w.�:�'#/ �?cAa�4.�,frtz,: .'R✓. 2. ere did the damage or injury ccur? (Include city And county) % lw.. 't r f.J /Lf(r? t ,y''l+' L ry• ~;r•j°'W 3. How slid the damage or injury occur? (Give full details; use extra pal/per if required) 4. What particulaeact or omission on the part of county or district officers, se is or employees caused the injury or damage?nL?° I I V ,? '.y° I / r { Lf1 ; „�/ 4 ow em ?/C his ;R C�irifCs2'CTi r�.�}"'i,,j,`•.� ��'`� , � �}ai 5. 'What are the names of county or district officers, servants or employees causing the damage or injury? . What Mriage or injuries do you claim re ulted? (Give full extent of injuries or ` damages claimed. Attached two estimates for auto damage.) �/ ,.�_ M %•? ownskl,-` dist 3 : Y#'s`t 144Ai # k°S 7. How was the`amount claimed"above computed'?'(Include the estim ted'amount of any prospective injury or damage.) I **I k� 8. Names and addresses of witnesses, doctors and hospitals. : 9. List the expenditures you made on account of this accident or injury: BATE ITEM AMO JNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICE TO: (Attorney) or by some person on his behalf." Name and Address of Attorney (Claimant's Signaturej' .f (Address) Telephone No. Telephone No '12 .. , 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( 10,000)or by both such imprisonment and fine." cimform �. ,��. ��. 2�ktici+�k#n� f+} z 1 = � � � }} �.:. � � fe� b ,b> 5. �+�, +�. s„a /^. +ry.. h— t ...�� �",7'. r_ cif /'`� �j +r �{y�J /� d y-F �. - f ;1 4_ �1 _ -� ��,j , .� Wo a �'` � � U '` o ,� cr � a .� � � � � � CI..AIM BOARD OF SUMMS t?F CONIM COST 00 NE , ORNIL = AO Oct 27, 1 998 Crim Against the County, or District Governed by � 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 California Government Codes. } notice of the action taken on your claim by the Board of ,Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: $12,500 + OCT CouNSEL CLAIMANT: Frederick Torn Reeves p7 N CAU R ATTORNEY: DATE RECEIVED: ADDRESS: 2191 San Rimo Court BY DELIVERY TO CLERK. ON: Sept 29, 1998 San Leandro CA 94578 BY MAIL POSTMARKED: L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELO , Jerk Dated: Sept 29, 1998 By: Deputy IL FROM: County Counsel TO: Clerk of the Board of Sup lsors ( ) 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). (X) Other: a 5 t44 i�7 s ,5' re,,a.� _ µ a% r' t: r t N 1 / 21i :n c s n `r c,-ra d -fey r' J r - r �/a •r 'e `fit. Z 10 9y4-4 Dated: / ""`%` By: r Deputy County Counsel M. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). ,1�407 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 e Bred in its minutes for this date. Dated: le PHIL BATCHELOR, Clerk, B , Deputy Clerk WARNING (Gov. code 446tion 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. *Por Additional Warning See Reverse Side of This Notice. 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 Po I Service in Martinez, California., postage fully prepaid a tified copy of this Board Order and Notice to Claimant, dressed to tl claimant as shown above. Dated By: PML BATCHELOR B putt' Clerk CC: County Counsel County Administrator S 2 4 1,998 Fredrick Tom Reeves 2191 San Riuto Court Sant Lemiro,CA 94578 September 10, 1998 ` Risk Management, :_ « >., Liability Claims Section County of Contra Costa Cl€RK 8bAR0 c. 'rA CA rSHRs T c i'A . 651 Pine Street Martinez, CA 94556 Delivered certified Mail, return receipt requested NOTICE OF INTENT TO FILE CLAIM FOR DAMAGES This correspondence shall constitute my formal notice of intent to claim, and eventually sue, if necessary, for damages to the property and structures at 3156 Delta:Road, Brentwood, CA 94513, which are situated on APN 420-130-410-0. This claim is for water damages. This claim is made by Fredrick Tone Reeves, hereinafter referred to as"Claimant," whose mailing address is 2191 San Rimo Court, San Leandro, CA 94578. This claim is made against the County of Contra Costa,its employees, contractors and agents, hereinafter collectively referred to as"County." This claim is based on the willful, negligent and unlawful collection, diversion, conveyance and retention of water collected from:bast Contra Costa Irrigation District (ECCID)facilities and other sources including the Eden Plains Road culvert,which inundated multiple properties northeast of the Santa Fe railroad tracks in the vicinity of Delta Road and Byron Highway commencing on or about February 2, 1998. This claim is made for damages resulting from the collection, diversion, inadequate distribution and ultimate retention of water through County facilities which was collected and diverted from ECCID Facilities and other intentional man-made conveyances and diversions. This is not a claim for storm runoff damages. The specifics of this claim are substantiated by eyewitness accounts, still photographs, aerial photographs and videotape which clearly demonstrate the volume, rate of discharge and path of water flowing to the impacted properties via County owned and maintained conveyances. The County failed to act in a responsible manner to prevent or mitigate this flooding which occurred repeatedly over several days. The resulting diversion and retention of water caused flooding to my property which resulted in damages being sustained to that property. The items damages!include: Extensive water damage to road across property which connects structures on property to Delta Toad. Estimates)cost for replacement of road is $12,500. Claimant additionally claims damages for loss of use ofClaimant's property, declined property values, hardship, pain and suffering, and Claimant may seek punitive and exemplary damages if such damages are appropriate. Claimant demands that the County cease and desist diverting water onto Claima'nt's property. Claimant demands that the County seek immediate injunctive relief against those parties responsible for said damages if not the County. Claimant expects the County to act in good faith, mitigate damages caused and offer fair compensation for hardship, pain and suffering;, and for the other damages which it has inflicted. Fredrick Tom Reeves, Claimant 2191 San Rimo Court , San Leandro, CA 94578 .... � . 4L t xRk J,a LU LIJ A S T X , M j » L til f arrr rioo U7 o� CWC�pro�"l'1 cn 000—%j© a) s c7 m