HomeMy WebLinkAboutMINUTES - 02042003 - C17 CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
BOAP,D ACTION: FEBRUARY 04 s 2030:
Claire 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 claire by the
s w Board of Supervisors. (Paragraph IV below), given
CPursuant to Government Code Section 913 and
SS 99
915.4. Please note all "Warnings".
100 000. CDOU TY COUNSELAMOUNT: 9 AR € EZ x_';R
CLAIMANT: DDI ALD V. GILBERTSON
ATTORNEY: UNKNOWN BATE RECEIVED: DECEMBER 30, 2002
ADDRESS: 3255 MT. DIABLO CT. #25 BY DELIVERY TO CLERK.ON:DECEMBER 3Q, 2002
LAFAYETTE, CA 94549
BY MAIL POSTMARKED: HLND_ DEL YERE_D BY
DONALD V. GILBERTSO!
FROM: Clerk of the Board of Supervisors TOCounty Counsel
Attached is a copy of the above-noted clam.
JOHN SWEETE,? , Clerk
Dated: �� � F ��� 02 02 By: Deputy '
II. FROM: County Counsel TO: Clerk of the Board of Supervisors
( This claim complies substantially with Sections 910 and 91 O3 2.
( ) This Claire 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 claims on ground that it was filed late and send warning of
claimant's right to apply for lease to present a late clam.(Section 911,3).
( ) Other:
Dated Bye ` % s f° Deputy County Counsel
III, FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2)
( r) Claim was returned as untimely with notice to claimant(Section 911.3).
IV, BOARD ORDER.: By unanimous vote of the Supervisors present:
(x3 This Taint 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.
Bated: FEBRUARY 4, 2003 JOHN SWEETEN, CLEF, By . A .� , Deputy Clerk
WARNING(Gov. code section 913)
Subject to certain exceptions, you have only sic (6) months from the date this notice was personally served or deposited
in the snail to bile a court action on this claim. See Government Code Section 945.6. You may seep 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 MAILING
I declare under penalty of perjury that I am now, and at all tithes 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.
FEBRUARY 0 5 2003 ' �.:
Gated: s JOHN SWEETEN, CLERK By ;R. �,. �- R.- Deputy clerk
aimt BOARD OFsmwivisms C ' cm°3 k m= wmm
ENSMCTIONS To aAIMANT
Claim relating to causes of action fdeath or for injury to person or to per®
song property or sing crops and acer#.�e on or fore December 3l, 1987
rpt be presented not later than the 100th day_after the accrual of the cause of
action. Claim relating to cases of action for death or for injury to person
r r =qty car crops and which a ru on or after � i,
988 s gust be presented got later than six mwaths after° the accrual of. the cause
' ac tion Clam l tir et�r of tto must preserr ed not
later one year afters the acenual of the cause: of..action. (Com. Code X13
B. Claim t.be 1led with tbe l.e of the of Supemisors, at its office in
Rom.106 Aistati nidi651 PiStt$ tieCtt CA '94553.
C. wf 01jim is against a district governed bly the Bcar6 of Supervisors, rather than
the County, t came of the District should be filled in.
D. If thm
cla mj .iss again�t ormeq tn one puwIic entity, separate ala rptbe
fil� i 1iJ ea Mrta :�i.b,.Lic ent it
�8
E. Fraud. See penalty for fra.udulen t.-c .aims a PerAl Code Sec. T-2-at the.end. of th-13
Clam By .€ V. GiLECK'l-SON Reserved for Clare's 'filing e
a
s RECEIVED
Iga.ir t the County of Contac. C st
or DEC 3 4 2002
w� �m i:3tr'ct €LEBOARD -r
(Fill in mmell ) .
The undersigned cla nt 'Hereby des claim aga ins the County of Contra Costa or
the above-named District in the sum of and, in Isupport of
this claim represents as for,owsp
19 When cid the d e�or injury ,occur? (Give exact date and Your
2e Where did the damage or in : rymoccw? (Include city anud qty)
9
A 'Hots did the damage or in-' occur°? (Give full details; use eXt cape
required) * 's 04� s 5 � 56th' 1-' � Q 7
° �44 ti4l,14C<M1
Y 4 *'r � �
,?" W' r-' . 460 sem' (PrA41I Zai;erg 4a le
-v,&47 ANA ookA PA
56
4. t particular act or omission on the pare of cotLnty or district officer's F
servants c ?oyee caused the injury or °�
4
(over)
d Wlat are the rte, of county or district officers, sor employees causing
the damage or i nury?
int damage or injuries do you claim resulted? (give full extent of a ,Juri or
d es cs a. ed. A tt-.a&, V eati tps fear auto d1a;cage
7. How was the amount ciao above ed? (Include the estimat' d amount 0 y
pros i ire ra y or e.) � �t � Ftji- #C� _Ak
8;, s and addresses of witnesses, doctor ani? hospitals.
.N� .."4 ��_ W,
�03o 37 ,
R t<
-----
9. List he expenditures res you made on account of this accident or in jtury;
DAIM
t
Gov. Code Secs 1-0.2 provides;
"The claim must be signed by the eiaim&nt
SE14D NOTICESsome ea so car, hi : cif."
tame d ddr ss of t:,go y ?
tCiai Zit's S i ggn..a.t ;
S
A dre >
Telephone No. Telephone "NOIN 6io)
N 0 T IZ
tion 72 f .tie Perms:. Code, provides:
R
, 'Ev ry. ptron.. uhlo, with, int&-it tdtv a.•b:44.d i.�. presents' ,4 Vi all 'wnancr ! or for
PaIftent to any state cow <or cf';fio6 ,taz�; wny coup ty;. qty cars pis raic�';�Sardor '>
;.'v Ss3 G`i t + 9 i"may• en ..�; ,L
wx ic� author- e tip a a d, o the e if enu rye rzy f e : .f M.
claim, Dili, account, voucher, or iv+"ri ting� is punishable of It,I er. by.. �§orrnr't in
the curry jail for a per=iod of not -more tam one year, by a fine cif not exceed ir.g
one tr€usar ($1,CCC},; or by both., 4uch i r°iso ert and fine or by ,i.Mri smonMe t in
the state pr" aon, by.A. fire. of not exceeding ten, thq sad .dollar . i i .,CC ,..ar, by
both such i_mprisoramentd ;ifi ne
CLM11
Bi OF SUPE VISQRS •F 0NTRA COSTA COL-NTY 17
BO
ACTION: BIrAYr 04, 2003
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 coley of this document mailed to you is your
California Government Codes. ) notice of the action taken on your claire by the
Board of Supervisors. (Paragraph T V'below), given
Pursuant to Government Code Section 913 and
915,4. Please note all "Warnings".
AMOUNT: 4,387.31
x i
CLAIMANT: RUSS D. BOGff<
ATTORNEY: UNKNOWNu;AR'� ���' ,`�'.r sYDATE IZEC:EIVED:
JA.�yliY 03003
ADDRESS: 1250 ESCOBAR STp EE� #4 BY DELIVERY TO CLERK ON: JANUARY 03 2003
MARTINEZ, CA. 94353
BY MALL,POSTMARKED: LU.AND MMIVERED BY
FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.,
JOHN SWEETEN, Cele*
Dated: iANU Y 03, 2003 By: Deputy
11. FRO.1\4: CountyCounsel TO: Clerk of the Board of Supervisors
{, This claire 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 Maim on ground that it was fled late and send warning of
claimant's right to apply for leave to present a late claire (Section 91.1,3),
{ ) Other:
Dated: `
By: t Ieuty county counsel
III. FROM: Clerk of the Board TCI: County Counsel (1) County Administrator(2)
{ ) Claim was returned as untimely with notice to claimant(Section 911.3).
IV. BOARD ER: By unanimous vote of the Supervisors present:
{# This Claim is rejected in full.
Cater:
I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date.
FEBRUARY 4 200 3 '_: F
Dated: JOHN SWEETEN, CLERK, Ey k , Deputy
Clerk
WARNING(Gov. code sectionI913)
Subject to certain exceptions, you have only sig (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 ander 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 Carder and notice to Claimant, addressed to the clapant as shown above,
Dated: F'EBR17ARY 5, 2003 JOHN SWEETEN,CLERK By 4
Deputy Merle
r
Clair. to: BOARD OF SUPERVISORS CP CONTRA COSTA COUNTY
INSTRUCTIONS TO DiANT
A. Clairng relating to causes of action for death or for injury to person or to per-
sonal property,or growIng crops and which accrue on or before December '1I, I987,
must .be presented no,, lateen than: the 100th day after the accrual of the cause of
action. ',Claims relat to causes of action for.depth or for injury to person
or to personal property or growing amps and ich .ace:° on or after January 1
1988, must be presented not later than: sic months after the accrual of the cause
of action. Claims relating to any other cause of action must be presented not
+t sten V n one year after the acct of the cause of action. (Govt. Code 911a2d)
Ba Clam must be filed with the l.er°k 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 rane of the District should .be filled in.
D. .:f the Claim, is against more than one public entity, separate claiT mast be
filed, against each public entity,
EQ - Fraud. See penalty for fraudulent claims, Penal, Code Sec, 72 at the end of tris
fore °`
RE.- Claim By Reserved for Cleric's filing st rip
l
Against 'the Cor ty of Contra Costa 31 }
or
f
t
District)
e unders4gned c3a nthereby es claim in the County of Contra Costa or
the aboverad District in the sum 6f � � and in stpport of
this clam represents as follows:
a
1. When did thedamage or gunny-, occur? (Give exact date and hour)
2. Where did the damage or injury occur? ('Include city and c nt )
h
mwm+muraa�.e.+nxaw.sma�ao.or+ww+se...s+e«....mmm.r.em.wam+w.m�+a .• ...�+r
3. How dial the damage or injury occur? (Give full details; use extra paper if .�
a IN"nat "particular act or omission on the part of county or district officers,
servants or ,employees caused. the injury or e? n
:k
V.
V �Q r U L y,CL Es c
4 ;over)
wnat are tne nates of county or district officers, servants or employees causing
the damage or injury? — A i
IL&avk --�
v-
lY �s ° LAJ
f�w:kil2ia f
6. What damage or injuries do you claim resulted? (Give full extent of injuries or
,�00-� � �ko
damages clam® Attach two estimates for auto damage. t
7. ljow was the amount claimed above computed? (Include the estimated amount of any
prospective injury or damage.) es+. ,f, kt I., os� es
-—-------—---
A nd hospitals. &irk4r�*mct 4AS
1. Names and addresses of witnesses, doctors x
1 �k tk I I
ciden
a,. '"Jst the expenditures you made on account of this act or injuryzAMJNT
DA's ITEM gp
�ko_,Ut nA aut-j peiE ck;
V
Gov. Code Sec. '910;2 provides-.
"Th e claim mmt be signed by the claimant
.qF,%TD NOTICES TO: (Attorne or 'b some ersor. on his-behalf."
Name and Address M. Attorney.
Clain=t s Signa*..
Telephone No, Telephone No.
N 0 T I C E
Section 72 of the Penal Code,provides:
a rd r
.very person who, with. intent to defraud, presents for a'Iowance or for
payment to any state board or officers or to any county, city or district bo 0
officer, authorized to allow or pay the same if .genuine, any false or fraudulent
r, or writing, is punishable either by imprison'Men4- in
claim, bill, account,, voucher, .6 0
the county 'ail for a period of not more than one yeart by a fine of not exceeding
Ii d fine.1 nme
one thousand ($1,000)t or by both such impr ,11,isonmen . 0 r by i 7 pr1 so nt in
the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or, by
both such imprisonment and fine.
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01/03{2303 at 10:20 AM Job Number,
21975
MARTINEZ AUTO BODY SHOP
Federal ID #:942574429
615 A HAMBRA AVE
MARTINEZ, CA 94553
(925')228. 3689 Fax: (925) 37.2-6546
PRELIMINARY ESTIMATE
Written by: KELLY SHAVER #
Adjuster:
Insured: RUSS BCCFR Claim
Owner. RUSS BCCFR Policy
Address: 1250 ESCOBAR STREET Deductible:
MARTINEZ, CA 945,153 Date of Lass:
Day: Type of Lass:
Evening* Point of Impact,
Inspect
Location:
Insurance
Company: Days to Repair
1956 PONT FIREBIRB TBANS AMI 8-5a0L-4 2D WHITE Tnt:
VIN: 102 W87H8GT 235252 Lic: 1RI;F090 CA Prod Date: Odometer:
inted Class Body Side Moldings Fog Lamps
Rear Spoiler -'ear Coat Paint Power Steering
Power 3-rakes AM Radio FM Radio'
Stereo Cassette Search/See
Bucket, Seats Reclllne/Lounge Seats Aluminum/Alloy Wheels
-------------------------------------------------------------------------------
NOo OP. DESCRIPTION QTY EXT. PRTCF LABOR PAINT
I COT & YET DSHI ,D
2* Sgfol Windshield CM shaded Z 305.63 X
1
01/03/2003 at 10:20 AM job Number:
21975
PREIENUARY ESTZHUE
1986 PONTFIREBIRD TRANS Aid 8-5.0L-4 2D WHITE ant:
-------------------------------------------------------------------------------
ISO. 0P, DESCRIPTION QTY EXT. PRICE LABOR PAINT
-------------------------------------------------------------------------------
3# Rep! WINDSHIELD KIT 1 23.00
4 ROOF
5* Rpr Roof panel 4.0 4.0
6 R&I RT Drip molding black 0.3
7 R&I L. ;rap molding black 0.3
8 INTERIOR TRIM
0* R&I Headliners DROP 1.0
10 HOOD
11 Rep. Hood Trans Arcs 1 772.88 s.6 3.4
12 Overlap Major Adj. Panel -0.4
13 Add for Underside(Complete) 1.7
14 R&I Insulator w/o formula incl,
15 Refn RT Air inlet grille front 0.6
16 Overlap Minor Panel -0.2
17 Refs LT 'Cala inlet grille front 0.6
18 Overlap Minor Panel -0.2
19 Refn RT Extractor rear corner 0.5
20 Overlap Minor Panel -0.2
21 Refn LT Extractor rear corner 0,5
22 Overlap Minor Panel -0.2
23# Rept COVER CAR 1 5.00 T 0.2
24# SKI HAZ WASTE DISP. FPA#984908202 1 5.00 X
20 Rpr TINT FOR BLENDABLE MATCH 0,5
26 Clear Coat, 2.5
-------------------------------------------------------------------------------
Subtotals - > 1108.51 7.9 12.6
2
01/03/2003 at 10=20 AM job Number:
21975
PRELn4MARY ESTnaTE
1986 PONT FIRERIRD TRAMS AM 8m5.0L-4 2D WHITE Int":
Parts 1098.51
Body Labor 7.9 hrs @ $ 66.00/hr 521.40
Paint Labor 12.6 hrs @ $ 66.00/ r 831.60
Paint Supplies 12.7 hrs a $ 28.00/hr 355. 60
Sublet/Mise. 10.00
-----------------------------------------------------
SUBTOTAL $ 2817.11
Sales Tax $ 1153.48 @ 8.2500% 95.16
----------------------------------------------------
GRAND TOTAL $ 2912.27
ADJ JS'a=SEN T S.
Deductible 0.00
----------------------------------------------------
CUSTOMER FAY $ 0.00
INSURANCE PAY $ 291-2.27
UNDER ER CALIFOR IA CODE OF REGULATIONS, 'TITLE 10, CHAPTER 5, SUBC- APTER 7.5,
SECTLON 2690.8E.1. , WE ARE ADVISING YOU THAT YOU HAVE THE RIGHT TO HAVE ANY
REPAIRAC1_1{ Y OF YOUR CHOICE DO THE REPAIRS TO YOU VEHICLE, HOWEVER, THE
COMPANY CAN REASONABLY ADj ST ANY WRITTEN ESTIMATES PREPARED BY THE SHOP OF YOU
CHOICE,
APPLIES TO POLICYHOLDERS ONLY:
IF YOU CHOOSE TO USE THE REPAIR VTLITY A SUGGESTED BY YOU INSURANCE COMPANY,
YOU INSURANCE COMPANY WILL GUARANTEE THE DAMAGED V HTCLE BE RESTORED TO ITS
PRE-LOSS 'CONDITION A.T NO COSI TO YOU OTHER THAN AS STATED IN THE POLICY (I.E.
POLICY LINTS OR DEDUCTIBLE) OR ALLOWED DEPRECIATION.
YOU MUST AUTHORIZE THE REPAIRS TO YOU CAR. -
01/03/2003 at 10:20 AFS Job Nwa erg
21975
PRELIKKARY ESTZMTS
1966 PONT FTREBIRU TRANS ANI 8m5.0L-4 2B WHITE Int:
ea FOLLOWING ITS A DIST OF ABESREVI.ATIONS OR SYMBOLS THAT MAY BE USED TO
DESCRIBE WORK TO ,BE. DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR
ABBREVLAAIONS/SYMBOLS: D= TSLCN"INUPRA=APPROXIMA E PRICE LABOR TYPES:
B=BODY LABOR D=DT-AGNOSTIC E=ELECTRICAL F=FRA E G CLASS M=NEC.ANT11AL P=PATNi
LABOR S=STRUCITURAL 'a-TAXE' MISCELLANEOUS X=MON .AXED MT C �INB0 S PATHW- YS:
ADJ=ABjACENT ALCM=.A L:GN A/M=AFTERM RKE'T B JND=BLEND CAPA=CERT F7-E:4D AUTOMOTIVE
PARTS ASSOCIATION U&R=DISCONNECT AND RECONNECT ES =ESTI%1ATE EXT. PRICE=UNIT
PRICE ULTIPLIED, BY THE QUANTITY INCL=INC-LUDED MTSC=MISCELLAI EO"S NABS=NA`ICtiAL
AUTO CLASS SPECIFICATIONS NON-ADJ=NON ADJACENT O/H=OVERHAUL OP=CPERATICN
NO;=LTNE N ;�
BFR ' '=QUANTITY QUAL RFCY=QUALITY REIYC= D L _ti�,P;-L=Que LIEPARS QUAL - �. y
REPLACEMENT PART RECORD=RECONDITTON REFN=REFINISH REPL=REPLAC-E R&I=REMOVE AND
INSTALL R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGH. SECT=SECTION SUBL=SUBLET
LT=LEFT /0=WiTHOU W/ =WITH/—
S BO -IjTS; = ANLAL TINE ENTRY *=OTHER r`E. . OT0RS
DATABASE INFORMATION WAS CHA GEI;1 **=DATABASE LICE WITH AFTERMARKET N=NOTIS
ATTACHED TO LINE.
Estimate based on TOR (BASF: ESTI?%711NG7 GUIDE. Unless otherwise rioted all i efts are derived from
'Lhe Guide DEI--,r'82 Database Date 4/200' and the parts selected are OEM-parts Manufactured by the
vehicles Original Equipment Manufacturer. Asterisk (i) or Double Asterisk ;") indicates that the
Parts and/or Tabor information provided by i4110TOR may have been modified or mai{ have come from an
alternate data source. Nor-original Equipment Manufacturer afterr:arket parts are described as Ari
or 'Qual Pepi Parts. Used parts are described as YQ, Qual Recy Parts, IRCY, or USED. Reconditioned
parts are described as Recon. Recored parts are described as Recore. NAGS Part Numbers and Prices
are provided fror.. National Auto Glass Specifications, Inc. Pound sign ( ) items indicate manuai
entries.
Palft:4ays e A product of CCC inforratior Services inc.
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