HomeMy WebLinkAboutMINUTES - 11031998 - C30 1.1.11,111,....I.........................................................................................I..............I..................................................... ..........-
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CLAIM '
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CAIR-0-ENIA
BOARD AM Nov 3, 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 docun-ent mailed to you is your
California Government Codes. notice of the action taken on your claim by the
IRT Board of Supervisors. (Paragraph IV below), given
". pursuant to Governnent Code Section 913 and
0 C T 0 9 1998 915.4. Please note all "Warnings".
AMOUNT: $7.50 CouNTY COUNSEL
MARTINSZCALIF.
CLAIMANT: Paul D. Moser, Nathaniel Briggs,
Harry Willet
ATTORNEY: DATE RECEIVED:
ADDRESS: 901 Court Street BY DELIVERY TO CLERK ON: Oct 7, 1998
Martinez
BY MAIL POSTMARKED:
I. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
PHIL B 4CR, Clerk
Dated: Oct 9, 1998 By: Deputy
M FROM: County Counsel TO: Clerk of the Board upervisors
This claim complies substantially with Sections 910 and 910.2.
This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The
Board cannot act for 15 days (Section 910.8).
Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of
claimant's right to apply for leave to present a late claim (Section 911.3).
) Other:
Dated:— By: Deputy County Counsel
E[[. 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, 'uty
73 PHIL BATCHELOR, Clerk, By ep Clerk
WARNING (Gov. code section 91-11
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, addressed to the claimant as shown above.
Dated. ?13y: PHIL BATCHELOR By JLrZ _Deputy Clerk
CC: County Counsel County Administrator
..................................................................................................................................I.....11.111.1111.1.111,
.......... .......................................................................
Claim U3 BOARD 07 BUMVISORS Or CONTRA COSTA COUNTY
INAIRID22IONS TO CLKXKAM
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, 1987t 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. (GovOt Code 911.2.)
B. Claims must be filed with the Clark of the board of Supervisors at its
office in Room 106* County Administration Building, 651 Pine Street,
Kartinoz, 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. Zraud, See penalty for fraudulent claims, Penal Code Sec. 72 at the
and of this form.
RE: Claim By Reserved for Clerk's filing stamp
RECEIVED
Against the County of Contra Costa) OCT0
or 98
CLERK BOARD OF SUPERVISORS
- --District) CO RA
DTA CD.
(Fill in name)
The undersigned claimant hereby makes claim against the County of
Contra Costa or the above-named District in the sum of $
and in support of this claim represents as follows:
I. Whin did the damage or injury occur? (Give axac,t date and hour)
2. Where did the damage or injury occur? (Include city and county)
C)U,
3. Now did the dame or injury occur? (Give fulMdetails; use extra
paper if required)
2
4. What particular act or omission on the part ot,,7—county or district
officers, servants or employees caused the injury or damage?
(over)
5. what are the names of county or district officers, servants or
employees causing the damage or injury?
:. }y f $
O< y
S .
t3. what damage or injuri s do you claim resulted? (Give full extent
of injuries or damages claimed. Attach two estimates for auto
damage. )
7. Now was the amount claimed above omputed? (include that estimated'
amount of any prospective injury or damage. )
a. Names and addresses of witnoasses, doctors and hospitals. f
9. List the expenditures you wade on account of this accident or
injury.
} Gov. Code Sec. 9101.2 provides
"The claim must be signed by the
" } claimant or by some person on his
fiJN "
Name and Address of Attorney ) � '. ,
}
} s (Claimant's 'Signature)
• } c:L
} (address)
}
Telephone No. } Telephone No.
NOTICE
Section 72 of the Penal Code provides:
Every person who, with intent to defraud, presents for allowance
or for payment to any state Lard or officer, or to any county, city
or district board or officer, authorised to allow or pay the same if
genuine, any false or fraudulent claim, bill, account, voucher, or
writing, is punishable tither by imprisonment in the county jail for
a period of not sore 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 tan
thousand dollars ($10,000, or by both such imprisonment and fine.
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APPLICATION. TO FILE LATE CLAIM
BOARD OF SCPERVT RS OF CONTRA CO5fA W—MCALIFORNIA
BDARD ACTION
:
Application to File Late Crim ) NOTICE Ta APPLICANT Nov 3, 193$
Against the County, Routing ) The copy of this anent mai to you is your
Endorsements, and Heard Action.) notice of the action taken on your application by
(All Section References are to the Hoard of Supervisors (Paragraph III, below),
California Goverment Code.) ) given pursuant to Government Cade Sections 911.8 and
915.4. Please note the "WAMCW" below.
Claimant: David Anderson Wi 1 I lams RIE(9183VIE
Attorney* OCT 15 1998
Address: 5555 4iant Hwy COUNTY COUNSEL
MARTINEZ TINEZ CALIF,
Richmond CA 94806
Amount: By delivery to Clerk on
Date Reoeived: By mail, postmarked on Oct 5. 199&„
r.._...__._
I. WOR Clerk of the Board of Supervisors 70 County Counsel
Attached is a copy of the above noted Appiioat to Fil kteClaim.
DATED: Oct 15, 1998 PHIL BATCHELAR, Clerk, By Deputy
I. : County Counsel V TOO Jerk of the Ra—rd of Supervisors
The Board should grant this Application to File Late Claim (Section 911.6).
�) The Burd should deny this Application to File Late Claim (Section 911.6).
DATED. / t - VICTOR WESTMAN, County Counsel, By....�°, sr�f £. ��°,df Deputy
I. WARD 4-E-3 By mous Vote Of Supervisors presen
(Check one only)
( ) This Application is granted (Section 911.6).
t
This Application to File Late Claim is denied (Section 911.6).
I certify that this is a true and correct copy of the Board's Order entered in its
minutes for this date.
DATE. ( '" . 4L- -df PHIL BATCHELOR, Clerk, By ! '
Deputy
WARNING (0ov. Code $911.8)
if you wish to file a court action On this matter, you must first petition the
apprWiate court for an order relieving you from the provisions of ooverremt Code
Section 945.4 (claims presentation requirement). See Govern mt Code Section 946.6. Such
petition must be filed with the court within six (6) months from the date your application
for leave to present a late claim wles denied.
You may seek the advise of any attorney of your choice in oonnection with this
matter. If VaMt to consult an attxm
should do Sao immediately's
V. : Clark O : county y Administrator
Attached are copies of the above Application. We notifed the applicant of the
Board's action on this Application by mailing a copy of this document, and a memo thereof
has ben filed and endorsed on the Board's copy of this Claim in accordance with Section
'9703.
DATED: ~` ` "M BATCH R, Clerk De
BY puty
V. FROM: 1 unty tinsel 2 County Adminis for TGs Clark of the Boar*
Received copies of this Application and Board Order. of Supervisors
DATED: County Counsel, By
County Administrator, By
APPLICATION TO FILE LATE CLAIM
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