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HomeMy WebLinkAboutMINUTES - 12172002 - C.16-C.17 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION:DECEMBER 17.1 2002 Claim Against the County, or District Governed by ) the Beard 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: $5,000. ?".10 V 3 /f v oe, CLAIMANT: DONALD W. KUNKEL ~' `' MA ,r,q,j_.Z CAL.# , ATTORNEY: UNKNOWN DATE RECEIVED: NOVEMBER 20, 2002 ADDRESS: P.O. Box .373 BY DELIVERY TO CLERK ON: NOVEMBER 20, 2002 CROCKEIT', CA 94525 BY MAIL POSTMARKED: HAND DELIVERED FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim.. JOHN SWEETEN, Clerk Dated: NOVEMBER 20, 2002 By: Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors` r ( '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: I.L" By: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) ( } Claim was returned as untimely with notice to claimant(Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: ( ) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated:DECEMBER 17 , 2002 ,JOHN_ SWEETEN CLERK By , Deputy clerk WARNING(Gov. code section=O13) r 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. DECEMBER 18 200 f Dated: � JOHN SWEETEN, CLERK By Deputy Clerk OFFICE OF THE COUNTY COUNSEL SILVANO B.MARCHESI !;OUNTY OF CONTRA COSTA �t�E.r= ,t?�, COUNTY COUNSEL Administration Building 651 Pine Street,91' Floor _ `�,. CHIEF Ass�srSHARON L. ANDERSON Martinez, California 94553-1229 r 925 335-1800 ; ;t, GREGORY C.HARVEY ( } Q. - •+9�1Yot1 � "�L. .. , VALERIE J. RANCHf (925) 646-1078 (fax) + ,; `* AssisTANTs January 29, 2003 01M Donald W. Kunkel P.O. Box 373 Crockett, CA 94525 Re: Government Tort Claim of Donald W. Kunkel Dear Mr. Kunkel: Pursuant to your request,we are forwarding to you another copy of the Contra Costa County Board of Supervisor's Board Order regarding the Claim you submitted on November 20, 2002. The Board Order was properly served on you on December 18, 2002. In your phone conversation with our office yesterday,you confirmed the above address but stated that you had been house-sitting for a few months. Please note, as indicated on the face of the Board Order,that, subject to certain exceptions,you have only six(6)months from December 18, 2002 to file a court action on this claim. See Government Code Section 945.6. If it is your desire to seek the services of an attorney, you should do so immediately. Very truly yours, SILVANO B. MAI2CHESI COUNTY COUNSEL By: 1 � t Monika L. Cooper Deputy County Counsel MLClkmo Encl. CLAIM TO BOARD OF SUPERVISOR OF CONTRA COSTA COUNTY SUPPLEMENTAL SUPPORT QUESTIONNIAIRE AND THE FOLLOWING STATE FUNDED AGENCYS OF CONTRA COSTA COUNTY 11/14/02 (INCLUDING)1.Courts (Judge (David Flinn) Superior Court Judge 2. County County (Silvano B. Marchesei. County Counsel) 3. County Counsel DEPUTY (Beatrice Liu) 4. Sheriff Office (Warren Ruph) Cheif of Police Sheriff Office) 5. District Attorney Office. (Stephen M. Tokarz) DeputyDistrict Attorney $5.000eor 6 1. Damage occur ( June 18,2002 about 4,15pm 2. My personnel property was Distroyed by sheriff office. these personnel property was left to me by my late father estate around aug 12 1978 (Sheriff property room Clerk Stated The Judge order all guns Distroy, 2 week before I was to pick them up. 3. Statement by Sheriff Property Room Clerk Stated The Guns Where Ship to A (PIPE) SMELTER IN FREMONT Ca. (Althought (Contra Costa Sells guns rifles to gun dealers as reported by the contra costa times. As stated to make a profit. 4.(The Court System)(See above lists All of the Above.) 5. What are the Names of All of the Individuals All of the Above Including. THREE Sheriff officers 1. ANDRA Little Deputy, 2. William Farris, 3 Deputy name with held. 6. Ramage at this point have incure a multitude Base on the (Gross Intentional emotional distress. (Cost incurred) 7.Base on the Following: Transportion courts Phone Call to numerous to recall exact cost. Ambulance fee,Bridge toll,court Cost 3times,Letters postage,Detaining unlawfully detain against my will, Destroying Property, Intering With Out Search and seizure protocoled, Defrauding the tax payer of the tax dollars. Gross intentional emotional distress. Invasions of property, Civil Rights Remove As U.S. Fema Inspector. 8. Regional-MadicalrvCefiter: 2500 Alhambra Ave Martinez, Doctor David ,Doctor Pat nurse Tina See-Atbaeh ftbr defail o€ tle-Goverment Claim Form. 60Hours Lost Of Work Hours $1.276.40 Transportation & Toll 40.00 Court Cost, $196.00 plus Service fee 219.00 American Medical Response 570.82 Ruger Mark #2 (22Caliber) (Collectors Series) 280.66 LLama 380 460.50 Phone Call Cerified Mail _'61.48_ Plus Gross Intentional Emotional Distress $2.898.86 Pain &suffering & Interest @ Penalties 2..101.14 Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY t 1NSMUTIONS TO CLOT 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 10&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 officeinRoom 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 form. RE: Claim By ,r Reserved for Clerk's filing stamp RECEIVED Against the County of Centra Costa or ) NOV 2 0 2002 CLERK BOARD OF SUPERVISORS (Fill in name) District) CONTRA COSTA CO. ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of S 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) 3. How did the damage or injury occur?(Give full details;use extra paper if required) 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? 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 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.) 8. Names and addresses of witnesses, doctors, and hospitals. 9. List the expenditures you made on account of this accident or injury. 2ATE AM+f�CTNT } Gov. Code Sec. 9101.2 provides"The claim must be } signed by the claimant or by some person on his behalf" ENI)NOTICES Att m- Name and Address of Attorney } F } (Claimant's Signature) (Address) } K } Telephone No. )Telephone No. N077€C E Section 72 of the Pe"Code pnMdes: E=very person who,with intent to defraud,presents for allowance or the 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,bili,account, voucher,or writing,is punishable either by imprisonment in the minty jail for a period of not more than one year,by a fine of not exceeding one thousand(S 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(S 10,000),or by both such imprisonment and fine. �5s:. ..ert r ::-a' :.a...z.y,3 ✓. >S- :"w. -3 r.,: a{f :y>:r'+^ f ',•.....`. a g..r:v,. 5..:3'...-.v _ :sc::'x x '{ sr.,,^^t.0 xz_; •tr. :-_: ,fi '€' +'. fi .:. 5 �`S� i.' .;�+• •.�' 5:^4.r+t#}'s.'� ::c. :•;`-trrJ{.. ..F4 -:ai }...✓.�a: ,�'•,J,,a, �•3. y6 .?, ��• {.'+^a.Sv :,SS`�`>,'�`•.ate s :;{..,{.{.. 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J y ��' f} {`Y $ 4 ..'e 4.f t y J`•t. } r 3f } ;S:` ✓,�. #• a •3?,},4J �.Ky ..�fJF'•'•N:, a � },:$:!�, f S , Y,{w:,,'{:•;-'�•h{''.'.�• :4d.:: � s } t, a. :rS' C•'$;f.,• WK L '.pox"w". {k +: '£F•: /? rte"' €tt ..,._.:,:r a. £ ..;{t:.,_....s`-t±.tF. .�.'�h{�'':,,.... ...- ...,...:.,a., a:vx.... :s.`` JAN w v yY BILL L.00 YER Mare oft Cnliforraia =� Awrnly General I3,cMRTAxEAT OF JLI.S'YML FriliWA R,44S DIVI.SiON r.0.-! () BOX 92020 fil�C.�iANIET. C), CA 742:43-1.2.00 Publi::(y I fl 227-2221 ?=acsim:il:f916)227-370:�',, 19161.:213144 l- .i anuark, 17, 20022 CONTPLA CCS-,A C(-). SUPETUOR, COURT COURT STREEET, IRM 327 MARTINEZ,EZ, G'. 94573 , ` Y - ! f ; JAN K. K 0,F 7` r„- .,.....t.J aa:Deputy -i-• r�r r This Ie s'T is .t_ ,�-spo se to the hearing g set Q ebr; -j , 2,0C2 for respondlent 1, Da"l:ne Peek, do Cenj under of pe r",3), than I am `&,e legal custodian of Mlentau Faci:?iies Rer-;" C ircarir.'s Prohibition recordsa e e c rrairat ircd by '.�; ,r it ass.�rii i_zoni, i++e1 zr-LL er. ,.-,-Just m 113is File contains rtcords of indh iduals iegally prC}Mbited i2orn possessing ireni s. :after a careful search of our system, no record could be round on this. individual rased or, tb infonT`eat.on sw ::'$`ted.= 1- you have e an 1 u':he t.tris iJ.LS p1Laq' c c—nt�--t E;�?r;eze Peek 9 r '3" :664 .. 7 2222 �...:�.at{::a v�.,G.7�.... Sincerely, F , Dyk LE E P EES, Supt-:;isor For B111.L LOCK YER fi.tims General D 13.ac, TraO for Windows 0100 PP Case Number Report �.C.AE Filter: Case 44 exactly matches"31-1744.8 " Barcode Location Description 41597 R i O CANVAS BAG FULL OF tliiSC.AMMO GREY/SLUE GREY/SLUEBAG fi 14509 U S PIPE RUGEP MODEL MKII 22 CAL PivlGL 1.+5i0 u S PIPE" GABOUNDO LLAMA,880 380 CAL PISTOL f CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION:DECEMBER 17, 2002 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 915.4.915.4. Please note all"Warnings". AMOUNT: $703.83 0V 2 201 CLAIMANT: CHARLIE NEARY GIOUNTY COUNSEL MART€N Z CALIF. ATTORNEY: UNKNOWN DATE RECEIVED: -NOVEMBER 21, �,t002 ADDRESS: 311 TYBURN PLACE, BY DELIVERY TO CLERK'.ON: NOVEMBER 21, 2002 DANVILLE, CA 94526 BY MAIL POSTMARKED: HAND DELIVERED BY RISK MANAGEMENT FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEET gk Dated: NOVEMBER 21, 2002__ By: Deputy 71 H. FROM: County Counsel TO: Clerk of the Board of Supervisors o- ( T his 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: B . 1 i y' 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:DECEMBER 17 , 2002 JOIN SWEETEN, CLERK, By , Deputy Clerk WARNING(Gov. code sectiori`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, addressed to the claimant as shown above. Dated: DECEMBER 182200JOHNN SWEETEN, CLERK By s Deputy Clerk NOV-2`0-02 'fiED : 4 PI','7 P. 311 Tyburn Piave,Danvilie,CA 94526 I Charles + t 1117 NOV 2 1 Inn Penny bailey 1014 — c�.�o�so Yea jos=�c�°Iso�s NOVcoy 2 12002 To: Penny Bailey From: Charlie Neary Fax: 925-335-1421 mages: 5 Phone- Date: 11120/2002 Re: Claim CC: d urgent D For Review Cl Please Comment 0 Please Reply 13 Please Recycle Penny, Thanks for sending me the Claim Form. 1 am faxing it back to you along with the two estimates for repairs to my vehicle, l have already paid 00eals on Wheels"as this was the lower of the two bids, i do not have the receipt for the towing($ �0). Please give me a call with any quevions or concerns, 1 can be reached during the day at (925 362- 1771 ex, 203. Sincerely, Charles T. Neary NO Clailt to: BOARD OF SVERVISOPS OF COMA CWTA Ct)L1M A. C1aiTs mla"ing to causes of action for death or for in ury to peanscn or to ,er-- sorzl property or growing cn)ps and which: accrue on or be-fore Dececba. si, 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 g.-oving crops and which accrue on or after January 7., 1988, must be presented not :Lahr than six month3 after the accrual of the cause of action. Claims relating to any other cause of action wast. twe presented not later than one year after the accrual of the rause of action. (Govt. Cie §911.2.) B. Claims =st be filed with the. Clark of the mrd of Supervisors at its ,office in Roan 106, Cotrity Administration Building, 651. Pine Street, Martinez, CA 94553. C. If claim is against a district governed by 1-thellcard of Supervisors, rather t:.;:n the County, the name of the i7i3trict should be filled in. D. i,f the claim is against more th=*l one publ,i,o entity, separate claims =st be filed against each public ent:ity. E, ' Fraud. See penalty for frau,"Eulen4 claims, PEMAI Code Sac- '42 at the end of 'n s 0M.. RE: Claim By } Reserve- for Clerk's filing st :. Agai si une County of Contra Costa } or District) i 3n name) The mdersi.gned claimant hereby riakes claim aga.inst,_,be County of Contra Costa or the above-named District in the ;tum of $ � `7 c-"3 _ and. i.n slsppo^t of this claim represents as follows. : 1. When did the damage or injury occur? (Give exact elate and hour) N ie 1 "7 S 01 z.. 2. Where did the damage or injwr1 occur? (include city and county) v'OZ44- S LVO 3. Raw diad the damage or injury occur? (Give f .0 details, use extra Paper if required) t .c..,.- � 4. ir'hat particular act or omission on the part of county or district officers, servants car .employees caused, the,injury or damage? �9*d ti V T SSS SP- U,c ld of j. wmat are the rises of eoLrit:y or district officers, savants or ez : oyees c usir% the da-mage or injury? 5. What damage or injuries do you claim resulted? (Give ruii extent of inuries or damages claimed. Attach tmo estimates for auto d ge. 7. Hou was the amount claized above computed? (Include the estimated account of any prospective injury or damage.) S. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this aeciderst or injury: I1nTv I� f�C,r`'U�i'i Goy'. Code Sec. 910:2 provides- nThe claim atzt be signed by the claimant SM NOTICES 'TO-. (Atta:��y? toy, s : n eron his b&ha.l f." .� Name and Address of Attorney � " Claimants S 'Address) Telephone Ko. Telephone No. s + � 0xrr NCICS Section 72 of the renal Code provident "Every person who, with ir+tent to defraud, presents for allowwa nce or for payment to any state board or officer, cr to any county, city or dis"riot, board or off icer, authorized to allow cr pay the same if genuine, any false or fraudulent claim, bill, actount, vcgzcher, or writing, is punishable either by inpriso6ment in the county ,fail for a period cf not m=e than one year, by a fine of not exceeding one thousand ($1,000), or by Loth such imprisonment and fires, or by imprisorewnt In the state prison, by a fine of not exceeding ten thousmd dollars ($10,000, Or by both such imprisorsm nt and fire. M%4 r7»r ccc fire _ _, 4 SOLD �� Deals On Vft s I-,eL TO Wp- 1775 Concord Avenue _--� �--� Concord, California 94520 _ 2, (925) 827-0616 DATIE DATE S;IPPrrD SHIPPED YEA TERMS FO.S. SALESMAN OUR ORDER NO. ( I, -� (-6) - V IIs� I <::��l V14— QUAINM ITY UNIT ORDERED SHIPPED DESGFifPTiON�j��A n+^` '� — PRICE AMOUNT C 4L i Fd x F FL IT IS THE OWNERS RESPONSIBILITY TO INSPECT AND �SutrTotal RETORQUETHE LUG NUTS.RECHECK LUGNUTTOR>OUF: FIRST SO MILES C)AW N, AND PERIODICALLY THERE! STATE AEOUIRES TIRE RECYCLE FEE Ca:it Recycle Feet -Z �(J AFTR. FAILURE TO[RECHECK LUG NUT TORQUE MAS' — RESULT IN A SERIOUS ACCIDENT. Tax MOUNTED WHEFI-SVN-LESSOEFECTIVE CANNOT 91- Labor RETURNED.ALL RETURNS MUST E3C AUTHORIZED 114 ADVANCE.A i SIA HANDLING CHARGE WILL BE MADi:I ON ALL NEW RETURNED MERCHANDISE. INVOICE TOTAL B'P'D 6 16 PNI P. 5 �j CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: DECEMBER 17 2002 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 � k t'o \ tY Y }3 b• .*, Pursuant to Government Code Section 913 and 915.4. Please note all `°'Warnings33. AMOUNT: Exceed $50,000. _ .s_►r"'r' :; ;�v . _. CLAIMANT: CARLA OSBORNE BY AND THROUGH HER GUARDIAN AD LITEM PATRICIA CAMPBELL ATTORNEY: RICHARD C. BENNETT, ESQ. DATE RECEIVED: NOVEMBER 21 2002 BENETT, JOHNSON & GALLER ADDRESS: 1901HARRISON STREET, SUITE 165o BY DELIVERY TO CLERK ON:NOVEMBER 21,_ 2002 OAKLAND, CA 94612 BY MAIL POSTMARKED: _ NOVEMBER 20;,2002 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEETEYl &_`��� Dated: NOVEMBER 21, 2002 By: Deputy II. FROM: County'Counsel TO: Clerk of the Board of Supervisors (I'This claim complies substantially with Sections 910 and 910.2. ( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant.The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim(Section 911.3). ( ) Other: Dated: By: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) ( ) Claim was returned as untimely with notice to claimant(Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: { j 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. 1 Dated: DECEMBER 17 , 20040HN SWEETEN, CLERK., By ,Deputy Clerk WARNING(Gov. code section. 13) 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. DECEMBER 1.8 20 Dated: ISN SWEETEN, CLERK.By Deputy Clerk ( ��$ 1AW OFFICES 1 BENN , JOHNSON AN ASSOCUTION INCLUDING A''c'ROF'EBSIO AL CORPORATION November 20, 2002 MAIN OFFICE 1901 iiarrison Street 1.6th Floor Oakland,CA 94612 (510)444-5020 FAX(510; 835-4260 Via Certified Mail,Return Receil2t Requested TO WHOM IT MAY CONCERN: Re: PUBLIC ENTITY CLAIM FOR DAMAGES Carla Osborne, by and through her Guardian ad Litem, Patricia Campbell Dear Sir or Madam: Enclosed please find an original and one copy of the Public Entity Claim for Damages with regard to Carla Osborne. Please retain the original for your file, stamp the copy received, and return it to this office in the envelope provided herewith. Thank you for your courtesy and cooperation in this matter. Very truly yours, BENNETT, JOHNSON & GALLER Alice Musselman Secretary to Richard C. Bennett am Encl. X A PA Ot?:72dTY RIVERSIDE 0OJRT`I`Y SAMA.EARBAIRA 1001 Second Street 82500 Fiery. 111 GOT-Til Suite 275 suits 5 204 North Vine Street Napa,CA 94559 Indio,CA 92202 Sa_r~ta Maria,CA 93454 (707)257-2110 (619)342-6697 (805)922-6674 1 PUBLIC ENTITY CLAIM FOR DAMAGES 3 NOV 2 1 4 TO CLAIMEES: ZOOZ €�visxs cLR�rcu . s.`u r i . 5 State of California Including Health and Welfare Agency, 6 Department of Social Services, Department of Developmental Services 7 And Community Care Licensing Agency and presently unknown agents, 8 employees and independent contractors 9 c/o State Board of Control Government Claims 10 P.O. Box 3035 Sacramento, CA 95812-3035 11 George Miller Center West 12 and unknown agents and employees 2801 Robert Miller Drive 13 Richmond, CA 94806 14 Regional Center of the East Bay 7677 dakport Street, Suite 300 15 Oakland, CA 94621 16 Community Access — Supported Living, Inc. Trudy Smith 17 Helen Borgan L. Starkes 18 Rosalee Shubert Carla, the last name unknown 19 Terri Lieder 423 —40th Street 20 Oakland, CA 94609 21 County of Alameda and presently unknown agents and employees 22 c/o Clerk of the Board of Supervisors 1221 (yak Street, Rm. 536 23 Oakland, CA 94612 24 County of Contra Costa and presently unknown agents and employees 25 c/o Clerk of the Board of Supervisors 651 Pine St., Rm. 106 26 Martinez, CA 94553 27 Ill 28 1 FROM CLAIMANTS: 1 Carle Osborne 2 By and through her Guardian ad Litem Patricia Campbell 3 2126 Emerson St. 4 Berkley, CA 94705 ADDRESS TO WHICH NOTICES ARE TO BE SENT: 5 Richard C. Bennett, Esq. 6 Bennett, Johnson & Galler 1901 Harrison Street, Suite 1650 7 Oakland, CA 94612 510-444-5020 8 DATE CLAIM ACCRUED: 9 10 May 20, 2002 PLACE CLAIM ACCRUED: 11 George Miller Center West 12 2501 Robert Miller Drive Richmond, CA 94806 13 14 CIRCUMSTANCES GIVING RISE TO CLAIM: 15 Claimant, Carla Osborne, is a 42 year old woman, born on February 14, 1960, 16 with along history of severe developmental disability with marked impairment. Prior to 17 May 20, 2002, she resided in her own home at 481 Hanley Drive, Pinole, CA, and was 18 cared for by two live-in attendants. On May 20, 2002, Claimant was taken to George 19 Miller Center West for her normal day program. While at George Miller Center West, 20 Carla was fed a bagel. She started coughing while eating a part of the bagel which 21 constructed her airway. Thereafter, she suffered a cardiopulmonary arrest. She is now 22 comatose and has evidence of significant residual brain damage over and above her 23 previous disability. Prior to the instant incident, Carla was diagnosed with 24 developmental disability and was under the total and exclusive care, custody and control 25 of Claimees at the time of the incident who had been expressly advised to not feed her 26 bagels. 27 !J/ 28 2 1 FACTS SURROUNDING SAID CLAIM: 2 Notwithstanding the above facts, CLAIMEES and members of their staffs failed to 3 take appropriate action to render medical attention to the Claimant when she was 4 unable to feed or care for herself. CLAIMEES and their agents, employees and staff 5 members failed to follow Claimant's dietary restrictions, properly monitor, oversee, 6 follow, direct, access for quality assurance, follow protocol, follow procedures, failed to 7 regulate and cite for non-compliance, failed to properly oversee licensing, reporting, 8 inspecting, and record keeping of the facilities, staff and employees of George Miller 9 Center West responsible for the care and maintenance of Carla Osborne. CLAIMEES, 10 their agents, employees and staff members also failed to insure that the Claimant 11 received appropriate medical care and attention resulting in severe injury to her health 12 and well being. 13 CAUSATION: 14 For all of the reasons set forth above, the misfeasance and malfeasance by 15 CLAIMEES, and each of them, which occurred at the George Miller Center West, legally 16 caused the injuries and damages hereinabove described. 17 NATURE AND EXTENT OF DAMAGES: 18 CLAIMANT claims damages in an amount presently unknown for emotional 19 distress, pain and suffering, medical expenses, attendant care needs and all other civil 20 damages allowed by law. Damages claimed exceed $50,000.00 and jurisdiction over 21 this claim would rest in Superior Court. 22 DATED: November 10, 2002 BENNETT, JOHNSON & CALLER 23 24 By: RICHARD C. BENNETT 25 Attorneys for Claimants 26 27 28 \\SERVEMCL1ENTS\Osbome,Carla\clalm.doc 3 I PROOF OF SERVICE 2 I am employed in the County of Alameda, State of California. 3 I am over the age of eighteen(1 8)years and not a party to the within action. My business address is BENNETT, JOHNSON& GALLER, 1901 Harrison Street, Suite 1650, Oakland, 4 California 94612. 5 On November 20, 2002 I served the within: 6 PUBLIC ENTITY CLAIM FOR DAMAGES 7 on the parties to this action by placing a true copy thereof in a sealed envelope, addressed as 8 follows: 9 (See Attached) 10 (BY MAIL) I placed each such sealed envelope with postage thereon fully prepared for 11 first-class mail, for collection and mailing at Oakland, California, following ordinary business practices. I am readily familiar with the practice of BENNETT, JOHNSON& GALLER for 12 processing of correspondence, said practice being that in the course of ordinary business, 13 correspondence is deposited in the United States Postal Service the same day it is posted for processing. 14 F] (BY PERSONAL SERVICE) I caused each such envelope to be delivered by hand to the 15 addressees(s) noted above. 16 ® (BY FACSIMILE) I caused said document to be transmitted by Facsimile machine to the 17 number indicated after the address(es)noted above between the hours of 9:00 a.m. and 5:00 p.m. 18 I declare under penalty of perjury under the laws of the State of California, that the foregoing is true and correct. Executed at Oakland, California, on November 20, 2002. 19 20 21 Alice Musselman �` 22 23 24 25 26 27 28 State of California 1 Including Health and Welfare Agency, 2 Department of Social Services, Department of Developmental Services 3 And Community Care Licensing Agency and presently unknown agents, 4 employees and independent contractors c/o State Board of Control 6 Government Claims P.O. Box 3035 7 Sacramento, CA 958123035 8 George Miller Center West 9 and unknown agents and employees 2801 Robert Miller Drive 10 Richmond, CA 94806 11 Regional Center of the East Bay 7677 Oakport Street, Suite 300 12 Oakland, CA 94621 13 Community Access — Supported Living, Inc. 14 Trudy Smith Helen Borgan 15 L. Starkes Rosalee Shubert 16 Carla, the last name unknown Terri Lieder 17 423 -40th Street 18 Oakland, CA 94609 19 County of Alameda and presently unknown agents and employees 20 c/o Clerk of the Board of Supervisors 21 1221 Oak Street, Rm. 536 Oakland, CA 94612 22 County of Contra Costa 23 and presently unknown agents and employees c/o Clerk of the Board of Supervisors 24 651 Pine St., Rm. 106 25 Martinez, CA 94553 26 27 28 ............................ --- .......... .................................... ......................... .......... .......................................................................................... ........ ......... ............................. .................. ...................................................................................... ..................................... .................................... ... ........... ............... ... ......... ......... . .. . ........... ..................... ........ ... ...... .. ... .. ................... ...... ............................................................... ............................................................................................................................. ...... .... W -0 CY) Lo LO cz LY ts� iiiiiY .. IV LO M .................. CQ ru cr 4a MWOMMIM C3 E-4 pq ru ru ................ ..................................................................................... ....................... ..................... ............................................................................................. . ............................................ .. ...... .............. ... ... ....... ......... ............. ...... . ............. .............. ................... .... . .... ...... . ......... .... .. ............................... TO: BOARD OF SUPERVISORS FROM: John Sweeten, County Administrator .r Contra DATE: December 17, 2002 £ t CostaSUBJECT: MI &Final Settlement of Claim Ante pelf v. Contra Costa County v WCAS No. WCK 0058037 00. y SPECIFIC REQUEST($)OR RECOMMENDATION(S)S BACKGROUND AND JUSTIFICATION RECOMMENDATION: Receive this report concerning the final settlement of Anne Delf and authorize payment from the Workers' Compensation Trust fund in the amount of $26,500. BACKGROUND/REASONS FOR RECOMMENDATION: Heidi Adams, defense counsel for the County, has advised the County Administrator that within authorization, an agreement has been reached settling the workers' compensation claim of Anne Delf vs. Contra Costa County. This Board's December 3, 2002 closed session vote was Supervisors DeSaulnier, Glover, Uilkema, Gerber and Gioia —Yes. This action is taken so that terms of this final settlement and the earlier December 3, 2002 session vote of this Board authorizing its negotiated settlement are known publicly. CONTINUED ON ATTACHMENT: YES SIGNATURE: s sem. RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COIOMITTEE €-` APPROVE OTHER SIGNATURES: ACTION OF BOAT N DECEMBER 17 , 2002APPROVED AS RECOMMENDED XX OTHER VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOAR€? X X UNANIMOUS (ABSENT OF SUPERVISORS ON THE DATE SHOWN. AYES: NOES: ABSENT: ABSTAIN: ATTESTED DECEMBER 17 , 2002 C.tMy Document"oord OrderstBO-2002\BO-Deff.doc JOHN SWEETEN,CLERK OF THE BOARD OF Contact: Ran Harvey (335-1445} SUPERVISORS AND COUNTY ADMINISTRATOR cc: CAO,Risk Management DEPUTYAuditor-Controller BY s 4