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HomeMy WebLinkAboutMINUTES - 10142003 - C19 CLAIM BOARDSUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION:OC OBER 14, 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 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 x Pursuant to Government Code Section 913 and 915.4. Please note all"Warnings". AMOUNT: $177,183.00 CLAIMANT: STATE FARM GENERAL INS. ASO WILLIAM CR.AIN ATTN: PATRICIA D. YOUNG ATTORNEY: uwwwN DATE.RECEIVED: SEPT. 9, 2003 ADDRESS: 6400 STATE FARM DRIVE, BY DELIVERY TO CLERK ON: SEPT. 9, 2003 FIRE SUBROGATION ROHNERT PARK, CA 94926-0001 BY MAIL POSTMARKED: SEPT. 8. 2003 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: SEPTEMBER 09, 2003 JOHN S", Jerk By: Deputy / II. FROM: County Counsel TO: Clerk of the Board of Sup .sors 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: .Dat By.± f s -° Deputy County Counse. 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. Bated: 41r�/: a-4JOHN SWEETEN, CLERIC., By , Deputy Clerk WARNING(Gov. code section 913) Subject o certain exceptions, you have only six (6)months from the date this notice was personally served or deposited in the '1 to .file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorne 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 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: .3'JOHN SWEETEN, CLERK By Deputy Clerk Clain to: BOARD OF SUPERVISORS OFF CONTRA COSTA COU M INSTRUCTIONS TO CLAD-VM A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for-death or for injury to person or to personal property or grouting 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 Clerk of the Soars! of Supervisors at its office in Room 106, County Administration Building, 651 Pirie 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 =ust be filed against each public entity. E. ' Fraud. See penalty for fraudulent claims, Penal. Code Ser. 72 at the end of this Form. RE: Claim By Reserved for Clerk's filing stamp mat(, Form General Ins. ASO William Against the County of Contra Costa ) EV� or ) Fsr-po 9 2003 District) F113 7h FFm—e5 . , The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 177,183.00 and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) September 9, 2003 at. 2:30pm 2. Where did the doge or injury occur? (Include city and county) riinclrsw .P� 3. How did the damage or injury occur? (Give full details; use extra paper if��__ required) The County hired California Pamement Maintenance (CPM) who subcontracted to Sacramento Sweeping Company. The operator of the commercial street sweeping machine lost control of the vehicle and crashed into the Crane property located at 756 'Winslow Street, Crockett., CA. 4. What particular act or omission on the part of county or district officers, servant or .empl o ees caused, the injury or damage As the hiring party and the party to om the to was assigned, ..Cantra Costa- Cp,unty is vicariously liable for the actions of its indirect subcontractor/employee. Had the wwork not been outsourced and/or if the actions of your subcontractor had been more closely monitored by a County representative, then this loss may not have occurred. (over) 5. Wnat are the names of county or district officers, servants or employees causing the damage or injury? unknown at this time 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. Building damages and Loss of Rents during the period of repair 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) See enclosed documentation. Loss of Rents covers period of 9/10/02 through 6/10/03. 8. rNames iand`addresses of witnesses, doctors and hospitals. N/a. We are trying to locate the sherriff's, fire/ highway patrol and/or Cal OSHA report taken on the loss. No success to date. Does your office have this information? 9. List rthe�expenditures you made on account of this accident or injury: DATE IEM AMOUNT 7/18 Policylimits $169,218.00 " Loss of Use $7,965.00 Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NCYTICES TO: (Attcsrne ) or by some person on his behalf." Name and Address of Attorney State farm Insurance Attn: Patricia D. Young Claimantts Signature 400 State fam Drive, fire Subrogation Address ohnert Park CA- - 94926-0001,--.- Telephone A94926-000 „Telephone No. Telephone No. (707) 588-4652 fax _(707) 58 -4019 * * * 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 ($1,0300), 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. STAT! FARM State Farm Insurance Companies t#fItRA#Cf Fire Subrogation North Coast Office August 18, 2003 6400 State Farm Drive Rohnert Park, CA 94526-0001 Clerk of the Board of Supervisors Roam 106, 651 Pine Street Martinez, CA 94553 RE: Claim Number: 05-M290-655 Bate of Loss : September 9, 2002 _ Our Insured: William Crain and David Nakamura Amount of Loss : $177, 183 . 00 Dear Sirs : Enclosed is the claim form on which we are subrogating for the above loss amount . The County hired California. Pavement Maintenance (CPM) to complete street sweeping. They subcontracted to Sacramento Commercial Sweeping and their driver crashed the machine into our insured home . The lass location is 756 Winslow Street, Crockett, CA. Documentation to substantiate our claim is enclosed for your consideration. Thank you for your cooperation and attention to this matter. if you have questions, please call . Sincerely, Patricia D. Young Claim Representative State Farm General Insurance Company (707) 588--4652 FAX (707) 588-4019 HOME OFFICES: BLOOMINGTON, ILLINOIS 61710-0001 Date: July 18, 2003 Insured: Crain, William Claim No.: 05-M290-655 Previous Additional New Authority Request Total COVERAGE A {limits $ } Dwelling $ - $ 161,160.00 $ 161,160.00 Mold Remediation $ - $ - $ - ©ebris Removal $ - $ 8,058.00 $ 8,058.00 Ordinance and Law $ - $ - $ - Emergency Repairs $ - $ - $ - Trees, Plants, & Shrubs $ - $ - $ - Coverage A Sub-Totals $ - $ 169,218.00 $ 169,218.00 COVERAGE B (limits $ ) Contents $ - $ - $ - Cleaning/Restoration $ - $ - $ - Other: Dry Cleaning $ - $ - $ - Debris Removal $ - $ - $ - Coverage B Sub-Totals $ - $ - $ - COVERAGE C (limits ) Loss of Rents 9/10/02-6/10/03 $ - $ 7,965.00 $ 7,965.00 Furniture $ - $ - $ - Miscellaneous $ - $ - $ - Coverage C Sub-Totals $ - $ 7,965.00 $ 7,965.00 SUB-TOTALS (A+B+C) $ - $ 177,183.00 $ 177,183.00 LESS DEDUCTIBLE $ 177,183.00 Revised 3/16/00 r 1 `7 - -7 LAW:>FFICKS OF GREENAN, PEPFER, SALT kNDER & LALLY LLP BISHOP RANCH BUSINESS PARK TELEPHONE TWO ANNABEL LAN£, SUITE 200 (925) 866-1000 POST OFFICE BOX 10 FACSIMILE SAN RAMON, CALIFORNIA 9+4583-0010 (925) 830-8787 WRITERS E-MAIL ADDRESS: May 7, 2003 RSALLANDERi GPSL.COM William H. Crain Attorney at Law P.O. Box 5427 Napa, CA 94581 Re: 756 Winslow Street, Crockett, California 94525 Claim No.: 462-0093515-001 Policy No.: CON 39454288 Insured: Sacramento Commercial Sweeping, Inc. Dear Mr. Crain: As you know, we represent Zurich in this matter. In our letter of April 15, 2003,we alerted you to the fact that the Zurich policy may have been cancelled prior to the date of loss. That letter must have crossed in the mail with your letter of the same date to Steve Dickason. We request that all further contact you wish to have with Zurich be done through our office. Following up on the cancellation issue, we have confirmed that the policy was in fact cancelled for non-payment of premium, effective approximately one month prior to the date of loss. According to our records,the date of loss was September 9, 2002. The effective date of cancellation was August 2, 2002. Obviously, since the policy was cancelled prior to the date of loss, the policy will not afford coverage for this claim. Based on the foregoing, Zurich will not be making any further settlement offers, all prior offers having been rescinded. Please fccl free to call if you have any questions. Very truly yours, Robert L. Sallander Jr. RLS:cph cc: Stephen L..Dickason Paul A. Herp Dean Burnick COAST CONSTRUCTION CO. GENERAL CONTRACTORS UC.0511804 718 KENNEDY STREET, OAKLAND,CA 94606 (510) 533-7168 FAX(510)536-4784 February 19, 2003 Sams & Associates 1800 Sutter.Street, Suite 210 Concord, CA 945203 Attention: Neil Hartman Re: Bill Crane Location: 756 Winslow Street Crockett, CA Claim #: Unknown Dear Mr, Hartman: We are pleased to submit the following estimate for property damage repairs per our job description below. Estimate total: $233,044.48 This estimate is valid for 45 days. This estimate Includes only those items specifically listed and does not include any work necessary to comply with present codes or to repair unseen damage. Ali such work Is subject to an additional charge. Respectfully submitted, w m ca Stephen Mink SIM/kh QUALITY w INTEGRITY COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA,94606 510-533-7168 FAX. 510-536-4784 CRANE Room: Frut Ele Porch LxWxH 36'011 a 718" a 9"6t' 639.67 SF Walls 199.33 SF Ceiling 839,00 SF Walls&Ceiling 199.33 SF Floor 22.15 SY Flooring 67.33 LF Floor Perimeter 247.00 SF Long Wall 72.83 SF Short Wall 67.33 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Joist-floor or ceiling-2x6 - 199.33 SF 0.49 4.25 944.82 w/blocking- 16"oc Reframe post and beaus structure for 32.00 HR 0.00 69.00 2,208.00 2/3 deck area,on existing piers- iincludes materials Mud sill 20.00 LF 0.00 7.82 156.40 R&R Deck planking cedar(per BF) 199.33 EF 0.72 9.32 2,001.28 Stain/fmish deck 199.33 SF 0.00 0.89 177.40 R&R Balustrade 42.00 LF 3.60 105.00 4,561.20 Paint balustrade 42.00 LF 0.00 9.00 378.00 R&R Joist-floor or ceiling-2x4 - 199.33 SF 0.32 3.50 761.45 w/blocking- 16"oc R&R Siding-tongue&groove- 199.33 SF 0.34 8.20 1,702.28 pine or equal R&R 3 tab-25 yr. -composition 1.99 SQ 28.81 198.00 451.35 shingle roofing-incl.felt 2"x 10"lumber-redwood(1 BF per 46.00 LF 0.00 8.00 368.00 LF) Prime&paint exterior fascia-woad, 46.00 LF 0.00 0.89 40.94 4"-6"wide R&R Gutter/downspout-aluminum 46.00 LF 0.49 5.80 289.34 Prime&paint gutter/downspout 46.00 LF 0.00 0.80 36.80 Install 2 late turned columns,detail 1.00 EA 0.00 1,026.00 1,026.00 to match existing as cloesly as possible .Install house numbers 1.00 EA 0.00 56.00 56.00 Prime&paint exterior soffit-wood 199.33 SF 0.00 2.10 418.59 Labor to remove vegetation 2.00 HR 0.00 54.00 108.00 R&R Siding-tongue&groove- 65.00 SF 0.34 8.20 555.10 pine or equal Seal&paint/fmish wood siding 65.00 SF 0.00 0.89 57.85 R&R Trim board- 1"x 8"-installed 26.00 LF 0.32 6.00 164.32 (pine) R&R Trim board- 1 x 4"-installed 26.00 LF 0.28 3.50 98.28 (Pine) Paint trim-oversized 26.00 LF 0.00 0.00 0.00 R&R Trim board- 1"x 4"-installed 26.00 LF 0.28 3.50 98.28 (pine) Note: Trim at edge of deck adjacent to house. Seal&paint trim 26.00 LF 0.00 0.82 21.32 R&R Light fixture 1.00 EA 6.01 55.00 61.01 CRANE 02/19/2003 Page. 2 COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 944506 510-533-7169 FAX: 510-536-4784 C0N`nNUED-Frnt Ele Porch DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R 110 volt copper wiring run, 1.00 EA 3,63 75.00 78.63 box and plug or switch Room Totals: Frnt Ele Porch 16,820.64 Room:Roof Elevation Formula Elevation 49101, x...x 30t0t, 1,470.00 SF Walls 1,470.00 SF Walls&Ceiling 49k0 LF Floor Perimeter 1,470,00 SF Long Wall 1,470.00 SF Short Wall 49.00 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Joist-floor or ceiling-2x4 - 1,470.00 SF 0.32 4.25 6,717.90 w/blocking- 16"oc R&R.Rafters-2x4-24"OC{3-5112 1,470.00 SF 0.52 5.40 8,702.40 Gable,per SF of floor) R&R Sheathing-plywood-5/8 1,470.00 SF 0.40 2.65 4,483.50 CDX R&R.3 tab-25 yr.-composition 17.20 SQ 28,81 185.00 3,677.53 shingle roofing-incl. felt Carpenter-General Framer-per 48.00 HR 0.00 69.00 3,312.00 hour-labor to cut sister,brace and short tails and joist ends to allow saving of exterior trim Room Totals- Roof Elevation 26,893.33 CR.kNE 02/19/2003 Page, 3 _ COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,AND,CA.94606 510-533-7168 FAX: 510-536-4784 Room: Front Elevation Formula Elevation 26'011 x...z 13'0" 338.00 SF Walls 338.00 SF Walls&Ceiling 26.00 LF Floor Perimeter 338.00 SF Long Wall 338.00 SF Short Wall 26.00 LF Carl.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Trim board- 1"x 4"-installed 18.00 LF 0.28 3.50 68.04 (Pine) Note: Boor trim R&R Door threshold,wood 4.00 LF 2.01 18.00 80.04 Paint threshold 4.00 LF 0.00 3.00 12.00 R&R Exterior door-metal- 1.00 EA 15.46 478.00 493.46 insulated f wood-High grade R&R Door lockset&deadbolt- 1.00 EA 10.82 144.00 154.82 exterior R&R Siding-tongue&groove- 338.00 SF 0.34 8.20 2,886.52 pine or equal Labor to fabricate vented dog ear 8.00 TSR 0.00 48.00 384.00 detail on upper siding R&R Sheathing- 1"x 6" 56.00 SF 0.43 2.65 172.48 R&R Crown molding-•oversized-4 9.00 LF 0.47 4.50 44.73 1/4" Milling of large crown molding 1.00 EA 0.00 236.00 236.00 R&R Trim board- 1"x 4"-installed 16.00 LF 0.28 3.25 56.48 (redwood) Milling of 1x4 to match existing 1.00 EA 0.00 189.00 189.00 R&R Crown molding-oversized-4 16.00 LF 0.47 4.50 79.52 1/411 Mill crown molding 1.00 EA 0.00 228.00 228.00 Materials for above 1.00 EA 0.00 210.00 210.00 Milling on corbel material 1.00 EA 0.00 262.00 262.00 Labor to shore and salvage soffit 16.00 HR 0.00 54.00 864.00 material R&R Fascia- 1"x 4"#1 redwood. 34.00 LF 0.24 4.75 169.66 R&R Trim board- 1"x 6" -installed 34.00 LF 0.31 5.25 189.04 (redwood) Note: Second course of fascia. Reglaze window, 10 16 sf 1.00 EA 0.00 94.93 94.93 Trimboard-2"x 8"-installed(pixie) 8.00.LF 0.00 7.00 56.00 Mill 1 piece window casing 1.00 EA 0.00 178.00 178.00 Labor for caulking and repair on 4.00 HR 0.00 59.00 236.00 remaining trim and casings at windows and door Seal&paint window sill 4.00 LF 0.00 1.59 6.36 Seal&paint wood window(per 2.00 EA 0.00 40.02 80.04 side)-Large Seal&paint wood window(per 1.00 EA 0.00 20.00 20.00 side) CRANE 02/19/2003 Page: 4 a COAST CONST'RUCT'ION 718 KENNEDY STREET OAKLAND,CA 94606 510.533-7168 FAX: 510-536-4784 CONTD41M-Front Elevation DESCRIPTION QNTY REMOVE REPLACE TOTAL Part doer or window opening- 2.00 EA 0.00 25.20 50.40 Large-2 coat(per side) Paint door or window opening- 2.00 EA 0.00 25.20 50.40 Large-(per side) Seal&paintlfuiish wood siding 338.00 SF 0.00 0.89 300.82 Prime&paint exterior soffit-wood 96.00 SF 0.00 2.10 201.60 Prime&paint exterior fascia-woad, 34.00 LF 0.00 0.89 30.26 4"-6"wide Corbels,trim,etc. 6.00 HR 0.00 59.00 354.00 Paint crown molding-one coat 52.00 LF 0.00 0.62 32.24 Paint/finish-fence post-wood 4.00 EA 0.00 12.85 51.40 Note: Paint turn.columns. R&R Trim board- i"x 6"-installed 14.00 LF 0.31 4.50 67.34 (pine) Seal&paint trim 28.00 LF 0.00 0.82 22.96 Room Totals: Front'Elevation 8,612.54 Room:Right Elevation Formula.Elevation 451011 x...x 13'0" 585.00 SF Walls 585.00 SF Walls&Ceiling 45.00 LF Floor Perimeter 585.00 SF Long Wall 585.00 SF Short Wall 45.00 LF Coil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Siding-tongue&groove- 585.00 SF 0.34 8.20 4,995.90 pine or equal R&R Sheathing- 1"x 6" 90.00 SF 0.43 2.65 277.20 R&R Aluminum window,horiz. 1.00 EA 27.98 329.00 356.98 slider 24-32 sf Install new frame and sill at custom 12.00 lilt. 0.00 48.00 576.00 windows-milling for same included above Materials for window casing 1.00 EA 0.00 328.00 328.00 Fabricate and install 3 matching 6.00 HR 0.00 48.00 288.00 corbels-milling for same included above CRANE 02119/2003 Page: 5 i COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94606 510-533-7168 FARC; 510-536-4784 CONTINUED-Right Elevation DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Crown molding-oversized•-4 45.00 LF 0.47 4.50 223.65 1/4" Labor for dog ear detail and venting 4.00 HR 0.00 48.00 192.00 at siding R&R Trim board- I"x 8"-installed 45.00 LF 0.32 6.00 284.40 (pine) Seal&paint trim 45.00 LF 0.00 0.82 36.90 Labor to retrofit corbels at soffit;and 16.00 HR 0.00 48.00 768.00 sharing for soffit area Seal&paiat/finish wood siding 585.00 SF 0.00 0.89 520.65 Prime&paint exterior soffit-wood 347.00 SF 0.00 2.10 308.70 Paint corbels 2.00 HR 0.00 59.00 118.00 Paint crown molding-one coat 90.00 LF 0.00 0.62 55.80 Paint extra large opening 3.00 EA 0.00 67.00 20I.00 Prime&paint exterior fascia-woof., 49.00 LF 0.00 0.89 43.61 4%6"wide .Replace screens stapled up over 1.00 EA 0.00 122.00 122.00 windows Scaffolding per square foot 585.00 SF 0.00 1.80 1,053.00 Room Totals: Right Elevation 10,749.79 Room. Left Elevation Formula Elevation 4510" z...Z 1910" 855.00 SF Walls,, 855.00 SF Walls&Ceiling 45.00 LF Floor Perimeter 855.00 SF Long Null 855.00 SF Short Wall 45.00 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Siding-tongue&groove- 855.00 SF 0.34 8.20 7,301.70 pine or equal R&R Sheathing- I"x 6" 90.00 SF 0.43 2.65 277.20 Install new frame and sill at custom: 12.00 HR O.00 48.00 576.00 windows-milling for same included above Materials for window casing 1.00 EA 0.00 328.00 328.00 CRANE 02/19/2003 Page: 6 i COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94606 510-533-7168 FAX: 510-536-1784 CQNTINCTEI7-Left Elevation DESCRIPTION QNTY REMOVE REPLACE TOTAL Fabricate and install 3 matching 6.00 HIR 0.00 48.00 288.00 corbels-milling for same included above R&R Crown molding-oversized-4 45.00 LF 0.47 4.50 223.65 1/4" Labor for dog ear devil and venting 4.00 HR 0.00 48.00 192.00 at siding R&R Trim board- 1"x 8'"-installed 45.00 LF 0.32 6.00 284.40 (pine) Seal&paint trim 45.00 LF 0.00 0.82 36.90 Labor to retrofit corbels at soffit,and 16.00 HR 0.00 48.00 768.00 shoring for soffit area Seal&paint/finish woad siding 855.00 SF 0.00 0,89 760.95 Prime&paint exterior soffit-woad 147.00 SF 0.00 2.10 308.70 Paint corbels 2.00 HIR 0.00 59.00 118.00 Paint crown molding-one coat 90.00 LF 0.00 0.62 5.5.80 Faint extra large opening 2.00 EA 0.00 67.00 134.00 Prime&paint exterior fascia-woad, 49.00 LF 0.00 0.89 43.61 4 6"wide Replace screens stapled up over 1.00 EA 0.00 122.00 122.00 windows Scaffolding per square font 855.00 SF 0.00 1.80 1,539.00 Room Totals: Left Elevation 13,357.91 Roam:Rear.Elevation Formula Elevation 2610"x...x 22101" 57.2.00 SF Walls 572.00 SF Walls&Ceiling 26.00 LF Floor Perimeter 572.00 SF Lang W=all 572.00 SF Short Wall 26.00 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL Painter/Wallpaperer-per hour- 20.00 HR 0.00 59.00 1,180.00 repair siding Seal&paint/finish woad siding 572.00 SF 0.00 0.89 509.08 CRANE 02/19/2003 Page: 7 COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94606 510-533-7168 FAX: 510-536-4784 CONTINUED-Rear Elevation DESCRIPTION QNTY REMOVE REPLACE TOTAL Scaffolding per square foot 572.00 SF 0.00 1.80 1,029.50 Rooth Totals: Rear Elevation 2,718.58 Room:Right Front Bedroom LxWxH 10'0"x 716"x 10'2" Subroom 1. Offset LxWxH 7'7"x 6'5" x 10'2" Missing Walls 1 - 7`7" X 10121" Opens into 0 Goes to Floor Subrootm 2s Closet LxWxH 6'5"x 216"x 1042" 667.63 SF Walls 139.70 SF Ceiling 807.34 SF Walls&Ceiling 139.70 SF Floor 15.52 SY Flooring 65.67 LF Floor Perimeter 244.00 SF Long W all 166.90 SF Short Wall 80.83 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Oak flooring-#1 common- no 139.70 SF 1.49 10.50 1,675.00 finish Sand,stain,and finish wood floor 139.70 SF 0.00 4.00 558.80 R&R Two coat plaster over metal 80734 SF 1.01 5.50 5,255.78 lath Rewire-average residence-copper 139.70 SF 0.00 3.00 419.10 wiring R&R Aluminum window,horix.� 1.00 EA 27.98 329.00 356.98 slider 24-32 sf R&R Window blind-horizontal or 2.00 EA 7.26 77.00 168.52 vertical R&R Casing-oversized-3 1/4" 40.00 LF 0.36 2.14 100.00 stain grade R&R Window stool&apron 8.00 LF 0.54 4.98 44.16 Seal&paint window sill 8.00 LF 0.00 1.59 12.72 R&-R Trim board- 1"x 12" - 18.00 LF 0.35 9.54 178.02 installed(redwood) Dote: Base. R&R Baseboard-6"hardwood 65.67 LF 0.36 5.53 386.80 Note: Cap. CRANE 02/19/2003 Page: 8 COST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94,606 510-533-7168 FAX: $10-536-4784 CONT MMD-Right Front Bedroom DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Crown molding-3 1/4" 80.83 LF 0.47 2.25 219.86 Paint baseboard,oversized-two 65.57 IF 0.00 0.96 63.04 coats Paint door or window opening (per 4.00 EA 0.00 21.00 84.00 side) Paint door slab only-2 coat("per 2.00 EA 0.00 22.00 44.00 side) Interior door-Detach&reset-slab 2.00 EA 0.00 12.00 24.00 only Seat then paint the walls and ceiling 807.34 SF 0.00 0.64 516.70 (2 coats) Paint crown molding,oversized- 80.83 IF 0.00 1.07 86.49 two coats Light fixture-Detach&reset 1.00 EA 0.00 39.97 39.97 Room Totals: Right Front 14,233,94 Bedroom Rooth: Pass Hail LaWzH 14'4"x 3141'i 10'2" 359.22 SF Walls 47.78 SF Ceiling 407.00 SF Walls&Ceiling 47.78 SF Floor 5.31 SY Flooring 35.33 LF Floor Perimeter 145.72 SF Long Wall 33.89 SF Short Wall 35.33 LF Coil.Perimeter DESCRIPTION I QNTY REMOVE REPLACE TOTAL R&R Oak flooring-##1 common- no 47.78 SF 1.49 10.50 572.88 finish Sand,stain,and finish wood floor 47.78 SF 0,00 4.00 191.12 R&R Two coat plaster over metal 407:00 SF 1.01 5.50 2,649.57 lath Rewire-average residence-copper 47.78 SF 0.00 3.00 143.34 wiring R&R Casing-oversized-3 114" 51.00 LF 0.36 2.14 127.50 stain grade R&R Window stool&apron 4.00 LF 0.54 4.98 22.08 Seal&paint window sill 4.00 LF 0.00 1.59 6.36 CRANE 02119/2003 Page: 9 COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94606 510-533-7168 FAX: 510-536-4784 CONTINUED-Pass Hall DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Trim board- I"x 12"- 35.33 LF 0.35 9,54 349.42 installed(redwood) Note: Base. R&R Baseboard-6"hardwood 35.33 LF 0.36 5.53 208.09 Note: Cap. R&R Crown molding-3 1/4" 35,33 LF 0.47 2.25 96.10 Paint baseboard,oversized-two 35.33 LF 0.00 0.96 33.92 coats Paint door or window opening (per 4.00 EA 0.00 21.00 84.00 side) Paint door slab only-2 coat(per 2.00 EA 0.00 22.00 44.00 side) Interior door-Detach&reset-stab 2.00 EA 0.00 12.00 24.00 only Seal then paint the walls and ceiling 407.00 SF 0.00 0.64 260.48 (2 casts) Paint crown molding,oversized- 35.33 LF 0.00 1.07 37.80 two coats Light fixture-Detach&reset 1.00 EA 0.00 39.97 39.97 Room Totals: Pass Hall 4,890.63 Room:Living Room LxWxH 14'4"x 12'0"x 10,2 535.44 SF Walls, 172.00 SF Ceiling 707,44 SF Walls&Ceiling 172.00 SF Floor 19.11 SY Flooring 52.67 LF Floor Perimeter 145.72 SF Long Wall 122.00 SF Short Wall 52.67 LF Ceii.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Oak flooring-#1 common- no 172.00 SF 1.49 10.50 2,062.28 finish Sand,stain,and finish wood floor 172.00 SF 0.00 4.00 688.00 R&R Two coat plaster over metal 707.44 SF 1.01 5.50 4,605.43 lath Rewire-average residence-copper 172.00 SF 0.00 3.00 516.00 wiring CRANE 02/19/2003 Page: 10 COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA.94606 510-533-7168 FAX: 510-536-4784 CONTINUED-Living Room DESCRIPTION QNTY REMOVE REPLACE . TOTAL Window blind-horizontal or 2.00 EA 0.00 28,00 56.00 vertical-Detach&reset R&R Casing-oversized-3 1/4" 54.00 LF 0.36 2.14 135.00 stain grade R&R Window stool&apron 8.00 LF 0.54 4.98 44.16 Seal&paint window sill 8.00 LF 0.00 1.59 12,72 R&R Trim board- I"x 12"- 5167 LF 0.35 9.54 520.90 installed(redwood) Note: Base. R&R Baseboard-6"hardwood 52.67 LF 0.36 5.53 310.23 Note: Cap. R&R Crown molding-3 1/4" 52.67 LF 0.47 2.25 143.26 Paint baseboard,oversized-two 52.67 LF 0.00 0.96 50.56 coats Paint door or window opening (per 3.00 EA 0.00 21.00 63.00 side) Seal then paint the walls and ceiling 707.44 SF 0.00 0.64 452.76 (2 coats) Paint crown molding,oversized- 52.67 LF 0.00 1.07 56.36 two coats Light fixture-Detach&reset 1.00 EA 0.00 39.97 39.97 Room Totals: Living Room 9,756.63 Room:Dining Room LxWrH 1514" x 111211 x 10121, 538.83 SF Walls 171.22 SF Ceiling 710.06 SF Walls&Ceiling 171.22 SF Floor 19.02 SY Flooring 53.00 LF Floor Perimeter 155-89 SF Long Wall 113.53 SFShort Wall 53.00 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Oak flooring-#1 common- no 171622 SF 1.49 10.50 2,052,93 finish Sand,stain, and finish wood floor 171.22 SF 0.00 4.00 684.88 R&R Two coat plaster over metal 710.06 SF 1.01 5.50 4,62149 lath CRANE 02/19/2003 Page, I1 COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94606 510-533-7168 FAX: 510-536-4784 CONI24TMD-Dining Room DESCRIPTION QrNT' REMOVE REPLACE TOTAL Rewire-average residence-copper 171.22 SF 0.00 3.00 513.66 wiring Winslow blind-horizontal or 1.00 EA 0.00 28.00 28.00 vertical-Detach&reset R&R Casing-oversized-3 1/4" 89.00 LF 0.36 2..14 222.50 stain grade R&R Window stool&apron 4.00 LF 0.54 4.98 22.08 Seal&paint window sill 4.00 LF 0.00 1.59 6.36 R&R Trite board- 1"x 12"- 53.00 IF 0.35 9.54 524.17 installed(redwood) Note: Base. R&R Baseboard-6"hardwood 53.00 LF 0.36 5.53 312.17 Note: Cap. R&R Crown molding-3 1/411 53.00 IF 0.47 2.25 144.16 Paint baseboard,oversized-two 53.00 IF 0.00 0.96 50.88 coats Paint door or window opening (per 6.00 EA 0.00 21.00 126.00 side) Paint doer slab only-2 coat(per 3.00 EA 0.00 22.00 66.00 side) Seal then paint the walls and ceiling 710.06 SF 0.00 0.64 454.44 (2 coats) Paint crown molding,oversized- 53.00 IF 0.00 1.07 56.71 two coats Light fixture-Detach&reset 1.00 EA 0.00 39.97 39.97 Room Totals: ?dining Room 9,927.40 w Room:Bedroom LXWxH 11'0"a 10'0"x 10'2" 427.00 SF Walls 110.00 SF Ceiling 537.00 SF Walls&Ceiling 110.00 SF Floor 12.22 SY Flooring 42.00 LF Floor Perimeter 111.83 SF Long Wail 101.67 SF ShortWall 42.00 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Oak flooring-#I common-no 110.00 SF 1.49 10.50 1,318.90 finish CRANE 02/19/2003 Page: 12 { COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94606 510-533-7168 FAX: 510-5364784 CONTR,UED-Bedroom DESCRrPTION QNTY REMOVE REPLACE TOTAL Sand,stain,and finish wood floor 110.00 SF 0.00 400 440.00 R&R Two coat plaster over metal 537.00 SF 1.01 5.50 3,495.87 lath Rewire-average residence•copper 110.00 SF 0.00 3.00 330.00 wiring Window blind-horizontal or 2.00 EA 0.00 28.00 56.00 vertical-Detach&reset R&R Casing-oversized-3 1/4" 67.00 LF 0.36 2.14 167.50 stain grade R&R Window stool&apron 4.00 LF 0.54 4.98 22.08 Seal&paint window sill 4.00 LF 0.00 1.59 6.36 R&R Trim board- 1"x 12"- 42.00 LF 0.35 9.54 415.38 installed(redwood) Note: Base. R&R.Baseboard-6"hardwood 42.00 LF 0.36 5.53 247.38 Note. Cap. R&R crown molding-3 1/4" 42.00 LF 0.47 2.25 114.24 Faint baseboard,oversized-two 42.00 LF 0.00 0.96 40.32 coats Paint door or window opening (per 4.00 EA 0.00 21.00 84.00 side) Paint door slab only-2 coat(per 2.00 EA 0.00 22.00 44.00 side) Interior door-Detach&reset a slab 2.00 EA 0.00 12.00 24.00 only Seal then paint the walls and ceiling 537.00 SF 0.00 0.64 343.68 (2 coats) Paint crown molding,oversized- 42.00 LF 0.00 1.07 44.94 two coats Light fixture-Detach&reset - 1.00 EA 0.00 39.97 39.97 Rennin Totals: Bedroom 7,234.62 CRANE 02119/2003 Page. 13 COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94606 510-533-7168 FAX: 510-536.4784 Room: Kitchen LzWXH.*19`6"x 1110" x 10'2" 620.17 SF Walls 214.50 SF Ceiling 834.67 SF Walls&Ceiling 214.50 SF Floor 23.83 SY Flooring 61.00 LF Floor Perimeter 198.25 SF Long Wall 111.83 SF Short Wall 61.00 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL R&R Sheathing-plywood-5/8" 214.50 SF 0.40 2.55 632.78 CDX R&R Underlayment-3/81"particle 214.50 SF 0.86 1.75 559.85 board R&R.Cove base molding-rubber or 61.00 LF 0.22 2.50 165.92 vinyl,4"high R&R Trim board- 1"x 12"- 61.00 LF 0.35 8.00 509.35 installed(pine) R&R Baseboard-6"hardwood 61.00 LF 0.36 5.53 359.29 Paint baseboard,oversized-two 61.00 LF 0.00 0.96 58.56 coats R&R Two coat plaster over metal 524.58 SF 1.01 6.00 3,677.31 lath Light fixture-Detach&reset 1.00 EA 0.00 23.00 23.00 R&R Casing-2 1/4" 92.00 LF 0.36 1.85 203.32 R&R Window stool&apron 3.00 LF 0.54 5.35 17.67 Seal&paint window sill . 3.00 LF 0.00 1.76 5.28 Carpenter-Finish,Trim/Cabinet - 24.00 EA 0.00 55.63 1,335.12 per hour Note: Removal and resetting of cabinetry as needed. Painter/Wallpaperer-per hour 16.00 HR 0.00 59.00 944.00 Note: Painting of cabinetry as needed. Seal then paint the walls and ceiling 834.67 SF 0.00 0.64 534.19 (2 coats) Paint door or window opening- 5.00 EA 0.00 25.20 126.00 Large-(per side) Room Totals: Kitchen 9,151.64 CRANE 02/19/2003 Page: 14 COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94606 510-533-7168 FAX: 510-536-4784 Room: Kitchen Annex LxW*-H 8'7" x TO"x 810f, 249.33 SF Walls 60.08 SF Ceiling 309.42 SF Walls&Ceiling 60.08 SF Floor 6.68 SY Flooring 31.17 LF Floor Perimeter 68.67 SF Long Wall 56.00 SF Short Wall 31.17 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL Seal then paint the walls and ceiling 309.42 SF 0.00 0.64 198.03 (2 coats) R&R Underlayment-3/8"particle 60.08 SF 0.86 1.75 156.81 board R&R Vinyl floor covering(sheet 60.08 SF 1.71 3.56 316.62 goods) R&R Cove base molding-rubber or 31.17 LF 012 2.50 84.79 vinyl,4"high Painter/Wallpaperer-per hour 8.00 HR 0.00 59.00 472.00 Note: Cabinetry painting. Paint door or window opening- 2.00 EA 0.00 25.20 50.40 Large-(per side) Plasterer-per hour 4.00 HR 0.00 65.00 260.00 Room Totals: Kitchen Annex 1,538.65 Room:Bathroom LxWxH IIT" x 6'1 x 10,211 347.36 SF Walls 66.92 SF Ceiling 414.28 SF Walls&Ceiling 66.92 SF Floor 7.44 SY Flooring 34.17 LF Floor Perimeter 111.83 SF Long Wall 61.85 SF Short Wall 34.17 LF Coil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL Plasterer-per hour 2.50 HR 0.00 65.00 162.50 Mask and prep for paint 34.17 LF 0,00 0.85 29.04 Paint the walls and ceiling-one coat 414.28 SF 0.00 0.47 194,71 Paint door or window opening (per 2.00 EA 0.00 21.00 42.00 side) Paint door stab only-(per side) 2.00 EA 0.00 22.00 44.00 Room Totals. Bathroom 472.25 CRANE 02/19/2003 Page: 15 • l 4 COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94606 510-533-7168 FAX 510-536-4784 Rooth:Laundry Room LxWXU 17'6" z 8'7"z$'d" 417.33 SF Walls 150.21 SF Ceiling 567.54 SF Walls&Ceiling 150.21 SF Floor 16.69 SY Flooring 52.17 LF Floor Perimeter 140.00 SF Long Wall 68.67 SF Short Wall 52.17 LF Ceil.Perimeter DESCRIPTION QNTY REMOVE REPLACE TOTAL Painter/Wallpaperer-per hour 2.50 HR 0.00 65.00 162.50 Paint the walls and ceiling-one coat 567.54 SF 0.00 0.47 266.74 Paint baseboard-one coat 52.17 LF 0.00 0.62 32.35 Paint door or window opening (per 2.00 EA 0.00 21.00 42.00 side) Paint door slab only (per side) 1.00 EA 0.00 22.00 22.00 Room Totals: Laundry Room 525.59 Room: General Items DESCR€PTION QNTY REMOVE REPLACE TOTAL Crib building for structural work. 1.00 EA 0.00 11,828.00 11,828.00 Framing repairs following racking 1.00 EA 0.00 20,454.00 20,454.00 and leveling of structure Engineering allowance/plans 1.00 EA 0.00 4,000-00 4,000.00 Taxes, insurance,permits &fees 1.00 EA 0.00 3,476.00 3,476.00 (Bid item) Dumpster load-Large 10.00 EA 700.00 0.00 7,000.00 General Demolition-per hour- 48.00 EA 38.00 0.00 1,824.00 debris handling and cartage Finish Carpenter-per hour- 40.00 HR 0.00 47.00 1,880.00 rriaterial handling and drayage General clean-up 24.00 HR 0.00 35.00 840.00 Finish Carpenter-per hour- 24.00 HR 0.00 47.00 1,128.00 supervision labor for inspections, engineering R&R Temporary power-hookup 1.00 EA 40.97 628.00 668.97 Hookup and splice electrical for 16.00 HR 0.00 75.00 1,200.00 moving Plumber-per hour-disassemble and 16.00 HR 0.00 85.00 1,360.00 rehook-up plumbing as needed CRANE 02/1912003 Page: 16 1 a COAST CONSTRUCTION 718 KENNEDY STREET 0AXLkND,CA 94606 510-533-7168 FAX: 510»5364784 CONTD JEl7-General Items DESCRIPTION QNTY REMOVE REPLACE TOTAL Temporary toilet(per month) 7.00 EA 0.04 85.00 .595.40 Finish Carpenter-per hour-planing 36.00 HR 0.00 47.00 1,692.00 and fitting and adjusting of all doors following work Note: No allowances are included for repair of dry rot or any other associated damge. Additionally,no code upgrade work is included although there will be extensive code upgrades needed. We would estimate that all necessary code upgrades would cost at least $25,000.40. Room Totals: General Items 57,945.97 Line Item Totals: CRANE 190,834.21 Grand Total Areas: 8,622.00 SF Walls 1,331.74 SF Ceiling 9,953.74 SF Walls&Ceiling 1,331.74 SF Floor 147.97 SY Flooring 685.50 LF Floor Perimeter 5,388.92 SF:hong Wall 4,729.17 SF Short Wall 700.67 LF Ceil.Perimeter w CRANE 42/1912003 Page: 17 i COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94606 510-533-7168 FAX: 510-536-4784 Summary for Vehicle Line Item Total 190,830.21 Material Sales Tax (cry 8.250'% x 40,891.32 3,373.53 Subtotal 194,203.74 Overhead (rr7� 10.0% x 194,203.74 19,420.37 Profit Q 10.0% x 194,203.74 19,420.37 Grand Total 233,044.48. STEVE MINK. CRANE 02/19/2003 Page. 18 COAST CONSTRUCTION 718 KENNEDY STREET OAKLAND,CA 94606 510-533-7168 FAX: 510-536-4784 Recap By Category O&P Items 'Total Dollars % CABINETRY 1,335.12 0.57% CLEANING 840.00 0.36% GENERALDEMOLITION 18,383.30 7.89% DOORS 550.00 0.24% ELECTRICAL 3,197.10 1.37% FLOOR COVERING-VINYL 924.83 0.40% FLOOR COVERING WOOD 9,290.15 3.99% PERMITS ANIS FEES 7,476.00 3.21% FINISH CARPENTRY I TRIMWORK 22,646.47 9.72% FINISH HARDWARE 216.00 0.09% FRAMING&ROUGH CARPENTRY 62,980.35 27.03% LIGHT FIXTURES 277.85 0.12% INTERIOR LATH&PLASTER 20,999.60 9.01% PLUMBING 1,360.00 0.58% PAINTING 13,467.48 5.78% ROOFING 3,576.02 1.53% SCAFFOLDING 3,621.60 1.55% SIDING 16,747.11 7.19% SOFFIT,FASCIA,&GUTTER 428:30 0.18% TEMPORARY REPAIRS 1,223.00 0.52% WINDOWS-ALUMINUM 658.00 0.28% WL14DO W REGLA.ZING&REPAIR 338.93 0.15% WINDOW TREATMENT 294.00 0.13% Subtotal 190,830.21 81.89% Material Sales Tax @ 8.2500/6 3,373.53 1.45% Overhead (7a 10.00% 19,420.37 8.33% Profit Q 10.00% 19,420.37 8.33% O&P Items Subtotal 233,044.48 100.00% Total 233,044.48 CRANE 02/1912003 Page: 19 MAIN STREET MANAGEMENT 1443 Main Street, Suite 120_S Napa, CA 94559 Phone (707) 252-2022 a Fax (707) 252-2860 NOTICE OF CHANGE OF :ENTAL TERMS (CC § 827) DATE: July 1, 2402 TO RESIDENT: Re: that rentalagreement by which you hold possession of the premises described above, the terms of your tenancy are hereby changed as follows: Effective on August 1, 2002 The rental amount shall be $ $ S 5�. db per month, due and payable in advance on the first day of each and every month. All other terms of the rental agreement shall remain unchanged. Very truly yours, $TAT! $ARM State Farm Insurance Companies iNSURAN CE 6 Fire Subrogation North Coast Office August 6, 2003 6400 State Farm Drive Rohnert Park, CA 94926-0001 Sacramento Commercial Sweeping, Inc. 9477 Greenback Lane Folsom, CA 95630-2047 RB: Claim Number: 05-M290-6.55 _ Date of Loss : September 9, 2002 Our Insured: William Crain and David Nakamura Amount of Loss : $177, 183 . 00 Dear Sirs : We are writing your company as the party driving the commercial street sweeping machine that crashed into Our insured property at 756 Winslow Street, Crockett, CA. Zurich North America Insurance has informed us that your insurance policy cancelled, August 2, 2002 . Because there is no insurance, we now look directly to your company for reimbursement of our claim expenses in the above-amount . This is also notice that a separate claim will be filed, by the property owners to recover their out-of-pocket costs in excess of our insurance policy benefits . These are two separate actions. Documentation to substantiate our claim amount is enclosed. Review the information and contact us to discuss reimbursement arrangements . Your immediate attention to this matter is appreciated. Thank you for cooperation. Sincerely, Patricia D. Young -� ClaimRepresentative State Farm General Insurance Company (707) 588-4652 FAX (707) 588-4019 cc : William Crane and David Nakamura HOME OFFICES: BLOOMINGTON, ILLINOIS 61710-0001 S 66-852A NATE FARM INSURANCE COMPANIES FIRE SUBROGATION 6400 State Farm Dr. now Rohnert Park, CA 94926-0001 FIRS CLASS MAIL A RETURN SERVICE REQUESTED S M S O CLAIM BOARD Off`SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION; OCTMER 14, 2003 Claim Against the County, or District Governed by ) the.Board of Supervisors,Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references a to ) The copy of this document mailed to you is your California Government Codes. <% -) _ < notice of the action taken on your claim by the x Board of Supervisors. (Paragraph IV below), given Pursuant to Government Code Section 913 and 915.4. Please note all"Warnings". AMOUNT: IN EXCESS OF $25,000.00 CLAIMANT: DOLORES RIGS ATTORNEY: RICHARD FLANDERS DATE RECEIVED: SEPT. 10, 2003 ADDRESS: KING, KING & KING BY DELIVERY TO CLERK ON:SEPT. 10, 2003 5820 STONERIDGE MALL ROAD, #205 PLEASANION, CA 94588 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 SEPT. 10 2003 Tl, r Dated: ' By: Deputy SWEE CE II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant, The Board cannot act for 15 days (Section 910.8). { ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim(Section 911.3). ( ) Other: 44 4 Date {W`` By. 7 j Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel(1) County Administrator(2) ( } Claim was returned as untimely with notice to claimant(Section 911.3). IV. OARD 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: j/le, 4--7 3J'OHN SWEETEN, CLERK, By , Deputy Clerk WARNING(Gov, code section 913) Subject to certain exceptions, you have only six(6)months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *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: s'. ,°21-�&OHN SWEETEN, CLERK By De ut Clerk p Y y�< loo, Claim to: BOARD CF SUPERVISORS of wym {)TA CQUVr R �K IMMUCPIQNS TO CLArgk%7 A. Claims relating to causes of action for death or for injury to person or to per- sonal property or gmwing crops and which acerae 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,dean: or for injury to person or to personal property or grvwing amps and which accrue on'tar 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 mu-mt be filed with the Clerk of the Board of Supervisors at its office in Recur 106, County Administration Building, 651 Bine Street, Martinez, CA 94553. C. If claim is Against a district governed by the Board of Supervisors, rat-her than the County, the name of the District should be filled in. D. If the claim is against more tl�nn one public entity, separate claims must be filed against each public fmt%ty. E. Fraud. See penalty for fraudulent claims, Penal, Code Sec. 72 at the end of this f orm. RE: Claim By Reserved for Clerk's filing stamp DOLORES RIOS } } Against the County of Contra Costa ) or ) District) F' in name ) b The undersigned claimant hereby wakes claim against the County of Contra Costa or the abover-rued District in the such of $ IN EXCESS OF and in support of this claim represents-as follows: 25,000.00 1. When did the damage or injury occur? (Give exact date and hour) .... March 12, 2003 at approximately 9:30A.M. 2. Where did the damage or injury occur? (Include city and county) Crosswalk at the intersection of Court and Escobar Streets, Nartinez, Contra Costa County, California. 3. How did the damage or injury occur? (Give full details, use extra paper if required): Dolores Rios tripped on an uneven area of the crosswalk at the intersection and fell on the premises negligently owned, maintained, managed and operated by the County of Contra Costa. 4. What particular act or omission on the part of county or distrjet officers, servants Or.employees caused.the.injury or damage? The crosswalk was negligently owned, maintaiued,.managed and..operated by -County-of -Contra Costa. 20,d _ibloi wnat are the r.-mes of county or district officers, servants or employees causing the damage or injury? The names of County officers, servants or employees causing the damage or injury are unknown at the present time. 5 What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. Dolores Rios sustained injuries to' her right hip, right knee (fracture of the leg bone), right hand, right wrist, right palm and left hand. 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) SEE ATTACHMENT 8. Names and addresses of witnesses, doctors and hospitals. SEE ATTACHMENT 9. List the expenditures you made an account of this accident or injury: DATE ITEM AMOUNT 3/12/2003 Ambulance Service $957.63 3/12/2003-Present Raiser Permanente Unknown at the present time I ,* � Gov. Code Sec. '910.2 provides: "The claim must be signed by the claimant SEN9 NOTICES T0. (Attornor sty Rsnn an his.behalf." ame and Address of Attorney King, Ring & Ding ad-aa By: Richard Flanders 11523331 'la is Si t 5820 Stoneridge Mall Road, #205 P. 0. Bog. 28803 Pleasanton., CA 94588 Address 0"ley_ rA 244f,t Telephone No. (925) 469-9155 Telephone No. (925) 625-2151 e e NOTICE .Section 72 of the Penal Cade provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state beard or officer, or to any county, city or district beard 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 imprisoriment in the county jail-for a period of not mwe than one-year, by a rine of not exceeding one thousand ($1,000), or by both such i4r'isonment and fine;-or by Imprisonment in the state prison, by a firms of not exceeding ten thousand .dolla.rs ($10,000, or by bath such Imprisonment and fine. ATTACHMENT TO CLAIM TO BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY DOLORES RIGS`y. COUNTY OF CONTRA COSTA 7. We have medical billing of$957.63 from American Medical Response West and medical billing with Kaiser Permanente(Walnut Creek and Antioch) in an unknown amount at the present time. We also have general damages for pain and suffering. 8. Name and address of witnesses, doctors, and hospitals: Dolores Rios P. O. Box 28803 Oakley,CA 94561 Mr. Jamie Plotnick 535 Azores Circle Bay Point, CA 94565 Mr. James K. Perry,Esq. 156 Diablo Boulevard, Suite 310 Danville, CA 94526 Mr. and Mrs. David &Linda Liebig 12 Jo Lin Court Fl Sobrante, CA 94803 Mr. Jack Baumstark ADVANTAGE YOUTH HOMES 140 Chestnut Street Vacaville, CA 95687 Nicholas Zafiroglu, M.D. Kaiser Hospital 1425 S. Main Street Walnut Creek, CA 94596. Von Sargent&Robert Graham American Medical Response P. O. Box 60000 San Francisco, CA 94160-3329 f f f fYf }f / }/f f u} f f/} 1. fly ' } r f f f } «� f �fr fi.r f }• :. J XXXX: k .....r r. r 4:4 �y ?y ff. f aD - if dDc i s .. .: : f /r .. :. t' .: . CLAIM O OF SUPERVISORS OFCONTRA COST CO NTY r 6 -0 BC}, TION: OCTOBER >.14, 2003 Claim Against the County, or District Governed by ) the Board of Supervisors, touting 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 Govenunent Cade Section 913 and .. 915.4.Please note all"Warnings". AMOUNT: $73.49 y CLAIMANT: ALINA ROSHAL ATTORNEY: UNKNOWN � DATE RECEIVED: SEPT. 11, 2003 ADDRESS. 627 CRYSTAL SPRINGS COURT BY DELIVERY TO CLERK.ON:SEPT. 11, 2003 DANVIILE, CA 94506 BY MAIL POSTMARKED: THRU INTEROFFICE MAIL FROM RISK MGMI' FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim JOHN SWEETEN, Cle Dated: SEPTEMBER 11, 2003 By: Deputy IL FROM. County Counsel TO: Clerk of the Beard of Supervisors (% This claim complies substantially with Sections 910 and 910.2. ( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days(Section 910,8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim(Section 911.3). ( ) Other: J Dated.-,.,,,L. f ,, c By: ; 1` d r': s % �' Deputy Count Counse. 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 IBOARD 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: o' - + JOHN SWEETEN,CLERK,By , Deputy Clerk WARNING(Gov. code section 913 Subject o certain exceptions,you have only sig (6)months from the date this notice was personally served or deposited in the 'd to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorne 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. Darted: OHN SWEETEN, CLERK By Deputy Clerk SENTgY: CITY OF SAN RAtON; 9252429312; SEP-10-03 9:10AM• PAC 41 Clash`to BOARD O ;VF"V1bAJ#t> ur tAaasut w,sast ,, INSMUCi"I{NS T4 CLAZJAn A. Claims relating to causes of action for death or for injury to person O�t6 sonal property or growing craps and which accrue on or before December 31, 19871 must be presented not Mer than the 100th day after the accrual of the cause of action. Claims relating to causes of actio forr-heath or for f� to perstnn or to personal property or growring crops and uhich accr* on or after January 1, 1988, must be presented not later than six vmths after the l.' or 'rye cause of action. Claims relating to any Cather cause of action oust"be presented not later than true year after the accrual of the cause of actio. (Govt. Cade 5911-2-) B. Claims must be filets with the Clerk of the Burd of Supervisors at its office in Room 106, County Administration Building, 651 Pine: Street. Ku tinez, 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. Cade Sec. 72 at the end of this �crr�a. ' RE» Claim By } Reserved for"Curio°s filing stamp � . RECEIVED Agairn3t the, Ctaunty of Cantrwa rdsta or ) 'SEP I 1 2003 District} ;r Y E illn t� ) „x G 1r'rR9�tRS F [ t•(+ The undersigned claimant hereby makes claimi.nst the County of Contra Costa or the above-named District in the sum of $ �� 4!L2 and in support of this claim represents as follows �...J '��"�',C. ,,r��b.7� 1 . When did the damage_or injury occur? ('Give exact gate and hour) e //0-3 2. Where did the damage or injury occur? 6ncUide citX and county) �r 3. Hou did the dAAge ar injury occur? (Give ffAl details; use extra paper if required) 474eh �i4r5' Roe rr wC. d r;, r- r rl ✓' tlr 4. What particular act or omission on the partof" county -ter district officers, servants o.emPl.oyees caused, the.injury car. e? Post-it"Fax Note 7671 Dow F co, (over) co.roe�t. Plmowme O At+ane r SENT..a.Y: CITY OF SAN AAMON; 9252429312, _ a SEA-10-03 9:10AM; PAGE 213 Wnar, are the names of counry or district officers, servants or employees causirIg the damage or injw-y2 6. What damage or injuries do you claim resulted? (Give full, extent of injuries or dam-ages claimed. Attach two estimates for auto damage. 7.How as the amount claimed ,above computed? (Include the estimated mount of any prospective injury or damage.) 3. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: BATE ITEM AMOUNT` Gov. Code Sec. 910;2 provides. "The claimant be signed by the clamant SM NOTICES TO: (Attorne ) or by soa e pemn, on h s. !, Name and Address of Attorney aima�rit f� Sigr�.t� 5 Telephone No. Telephone N0TIC: E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for Allowance, or for pant to any state board or officer, or to any county, city or district board or off'ieer, authorized to allow or pay the same ifgenuine, any false or fraudulent claim, bi,1.3., account, voucher, or writing, in punishable, either by impri.sontmext in the county jail'for a period of that more than Cne.year, 'by a-fine of not exceeding one thousand ($1,000), or by both such' imaar3sorxmt and ,firw,'�'or by itrprisomuent In the state prison, by a fine of not exceeding F- en thousand dollars ($10;000, or by bath such iwrisorx)ent and fine. "'s .' * ' 7�1 � . ;r-/ SENT'6Y: CITY OF SAN RAWI; 9252A39312; SEP-10-03 8:11AM; PAGE 313 CHAMOIS CAR DASH 7711 CROW CANYON RD CHAh1Dis CAR WAS" DANUILLES CA 94505 7711 CROW CANYON RD DAtlUILLE, CA 94506 141tNt 856 g.p.L E-S H-4-f-I BATGi� 156 X5865 � A-L•E-S b-R-Af-T R281352f�163 ]55351165 323185261163 R£f: V% cc TVfE, QUA af: en68 IR IM! PIR€ E ED TYPE: 4PISA 691E; toy 21, A8 150.118 1R lIfEt PI1WE DATE, 11111 21, 93 15 46 43 TOTAL 1q.49 �5�,t3lt T U..I AL AN 313426 At i 1 s 4,j l t16D't213i4u kHY: WA, ALIM RDSitiAE r�c:91116i kAlE, ALI14 RDSMAI CAPS ISU, FICtIPT 7T tali° Ao149 SEMCES i.{ ' { 90001T Of TK A&��!iu�E& �P "'�uES REG€1P1 Of fiQGGS TOTAL SO*HREA R€BEES TD PERTOM M, Of 181 TIS OR HOT 101% -► ftpiq ey THE ;6TA 5rlukl~fiFE': AiiEfS TD PtRfDRN CAR{k'EIEWS AsIffikel;f UITH W ISSAR (HE Q1LIGu1IlP ?RJR BY NE CAR�I��ER'S A`i.<f{i>~ r."B lk€ ISSdLR IWKS EDM 4SIN6 VISA rhflul(S (t1M t�S1�G ti'SA ! k tfRt1lA'It GDPY cupttT COPi . CLAIM BOARD C)F SUPERVISORS OF-CONTRA COSTA COUNTY BOA" ACTIONNEER 14, 2003 Claim Against the County, or District Governed by } the Board of Supervisors, Routing Endorsements, } NOTICE TO CLAIMANT and Beard 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 f Pursuant to Government Code Section 913 and 915.4. Please note all""Warnings' AMOUNT: $998.36 CLAIMANT: PLACER COUNTY SHERIFF CORONER-MARSHAL ATTORNEY: UNKNOWN DATE RECEIVED: SEPT. 11, 200:3.7 ADDRESS: P.O. BOX 6990 BY DELIVERY TO CLERK ON: SEPT. 11, 2003 11500 „Ar' AVENUE AU,BURN, CA 95604 BY MAIL POSTMARKED: SEPT. 10, 2003 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. SEPTEMBER 11 200.3 JOHN SWEET , .Dated: � By: Deputy. II. FROM: County Counsel TO: Clerk of the Board of Supervisors {\.3. 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: H Dated: ' ,.t y t Deputy County Counse: 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: y� 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. JOHN SWEETEN, CLEF,, By , Deputy Clerk WARNING(Gov. code section 913) Subject o certain exceptions, you have only six(6)months from the date this notice was personally served or deposited in the 'l to fle a court action on this claim. See Government Code Section 945.6, You may seek the advice of an attome 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 IS; 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: _A5`M -2sJOHN SWEETEN, CLERK By Deputy Clerk PLACER COUNTY V -0 T NIAEX-C-at C�_ CORONER-MARSHAL A C' WIVN�O�TF�CE TAKOE 83�jSSTAMOIN .0.BOX 6990 3�1p.-%.CA 95604 TAHOE 117y,CA W!�* EST i PH:!"K!,.09-780" FAX:(--_30)�89-7899 PH*:�5 ' 58,-63W FAX: 0,581-6377 1: F EDWARD N.BONNER STEPHEN L UARCY CLAIM AGAINST THE COUNTY OF CONTRA COSTA "EIVED Board of Supervisors County of Contra Costa SEP 11 M 651 Pine St. Martinez,CA 94553 C L E R 0,�R D 0 F SU P R Vi S 09 S Re: Case Number SO-03-5409 (;0 N 7�'R,A C 0 A The Placer County Sheriffs Department files this claim of$998.36 for reimbursement under Government Code 26614.5 for Search and Rescue expenses. Victims: Faitel,Sean Joseph Pane,Sylvia Sunga Reno,David Edward 1927 Gaspar Dr. 1927 Gaspar Dr. 23 Boyd Ct. Oalkand,CA 94611 Oakland,CA 94611 Pleasant Hill,CA 94523 How search occurred:Became lost while snowshoeing. Expenses: $1,597.55 100.00 Deduction pursuant to G.C.26614.5 $1,497.55 Contra Costa portion is$998.36 Report and expense sheets are attached. Please make the check payable to County of Placer County Sheriff's Department, Attn:Accounting Department,P.O.Box 6990,Auburn,CA 95604. Sincerely, elf C, Edward N.Bonner Sheriff—Coroner-Marshal Placer County Sheriff's Search&Rescue Expense Summary Search for Reno,David F aitel,Sean Pane, Sylvia S003-5409 4/12/43 Food&Beverage: Wagon Train Coffee Shop 12 served $ 96.30 Safeway--Truckee, CA 12 served $ 97.75 Officers Wages: Dep. J. Houser 11 hrs. a@$57.00 $627.04 Dep. P. Carey 12.5 hrs. a@$57.00 $712.50 Mileage: 2 -Sheriff's Vehicle 130 miles .40 $ 52.04 PCSO/Tahoe Com. Van 34 miles .40 $ 12.00 Total Cost $1,597.55 g ..J (1 (< PLACER COUNTY SHERIFFfCORONER'S DEPARTMENT VALUEILLOSS: 3100 RREPORTNUMBER 00I S03`5409 deozoDE CRIME/INCIDENT REPORT 269 E SECTION F M CRIME TITLE O ADDITIONAL CRIMES(SEE ADDITIONAL CRIME VICTIM REPORT ATTACHED) A. SAR INCIDENT B. C. D. E. LOCATION OF OCCURRENCE MO DAY YEAR TIME MO DAY YEAR TOME Near Anderson Peak/ S Coon;#nat@s REPORTED 4 12 3 1731 occumm 4 12 3 1731 l CONNECTED REPORTS $'2.7 LJ NAME(LAST,FIRST,MIDDLE)_FINAME IFBUSBdESS Raw Sex Ape HL WL Hdr Bk#&b A B C D E 1/ €keno,Dav#d Edward W t� 36 71" 215 BLN € /27166 X ADDRESS CITY,81ZtP RES.PHONE BUS.PHONE '. RES. 23 Boyd Ct.,Pleasant Hill Ca.,94523 C'C31� rr1 �t7s>i co, 925-699-4375 925 446612 OCCUPATION VICTIM'S VEHICLE(YEAR MANLIF.,MODEL,LICNO.) T4 BUS. Banker +° NAME(LAST,FIRST,MIDDLE)-FIRM NAME IF BUSINESS Race Sex Age HIL WL Hak mid* A B C D E � t V Fa€tel,Sean Jo W M 30 72" I195 BRO 09/16/72 X Via' ADDRESS CITY ST ZIP ttES.PHt7dE 8US.PHONE RE& 1927 Cas ar Dr.,Oakland,Ca.,94611 :� - 1 510-338-1066 A15,477-8907 OCCUPAT3 _, VI S HICLE(YEAR,MANUE.,MODEL,UC.N .) BUS. Self-Employed Tax Consultant J 13 ADDITI MTTM$1REPORTWG PERSON SEE ADDITIONAL CRIME VICTIM REPORT ATTACHED ADLT. NAME fLAST,FIRSt',MIDDLE) ARRESTED MIRANDA WARNING A B C D E 1► ❑'�. Pane,Sylvia Sun a O YES ONO 0 YES ONO X ADDRESS CITY.ST ZIP PHONES{DAY NUMBER-X I BLOCK) RE& 1927 Gas ar Dr.,Oakland,Ca.94611 �;r�� :`� —£,. 510-338-1066 „y (NAME OF SCHOOt.iF JLTVEFJILE) ,.$ua Self-Em ed1 Tax Consultant 510-446-3352 TACE SEX BIR ATE HE WEIGHT MR EYES CLOTHING W F 34 12114168 62" 105 BLK BRO ADDIT 0 TIAL DESCRIPTIONS((L)TATTOO{ K,SCARS(3)HAIR TYPE()FACIAL HAIR(5)TEETH(e)SPEECH(7)COMPLEXION AIODITIONALSUSPEGTS(SEE ADDITIONAL SUSPECT VEHICLE REPORT ATTACHED) tT, LICENSEER-STATE MANUFACTURE MAKE MODEL YEAR TOP-COLORS-BOTTOM CHARACTERISTICS(1)DAMAGE(BODY,WIND(M INTERIOR REPAIRS),(2)WHEELS(MAG,CHROME,OVERSIZE).(3)INTERIOR DESCRIPTION ADDITION 11 VEHICLE'SEE ADDITIONAL SUSPECT VEHICLE REPDRT ATTACHED C ESCf2lEiE GFiARA3RtSTFCSOFPREMISESANDAREAWHERECFFENSE OCCURRED Rural Area Along Pacific Crest Trail Near Anderson beak DE RIFLE WEAPON,INSTRUMENT.EQUIPMENT, ICK,DEVICE OR FORCE USED N/A 01-1W- V PE OFPROPI RTY TAKEN DR O HER REASON FOR OFFENSE N/A WHAT DID SLI9P CT/SSAY-NOTEPENLIARITIES NIA GIVE BRIEF SYNOPSIS ONALL FELONIES AND SEX CRIMES ON MISDEMEANOR CRIMES,EITHER COMPLETE REPORT IN THIS SPACE,OR GIVE BRIEF SYNOPSIS STATEMENT AND BEGIN immwnoisi ON CONTINUATION REPORT. THREE SNOWSHOE ENTHUSIAST SET OUT FROM THE ALPINE SKILL INSTITUTE SNOWSHOEING ALONG THE PACIFIC CREST AND BECAME DISORIENTED DUE TO SEVERE BLIZZARD CONDITIONS. THE SNOWSHOERS WERE EQUIPT WITH A CELL PHONE AND A GPS, AND NOTIFIED PCSO FOR ASSISTANCE. THEY GAVE OUT THEIR GPS COORDINATES AND STEADFAS LOCATION WHILE AWAITING SAR PERSONNEL. E RESPONONGOFFICER(S) REPORTING F APPROVI TITLE BERT HOUSER#081 FRED CARET Geo Cade PLACER COUNTY SHERIFF/CORONER'S DEPARTMENT 265 CONTINUATION REPORT CONNECTER REPORTS ORIGINAL REPORT ®SUPPLEMENTARY 0 FOLLOW-UP SO 3-5409 F4-12-03 ORITY-UST FIRST OFFENSE ONLY IF MORE THAN ONEFEL MISD COMPIAINTENTMCTIM(UST FIRST VICTIM ONLY IF MORE THAN ONE) SAR INC€DENT RENO,DAVID DEVELOPYOUR INVESfSt>ATSON W THE SEOUE F TIME AND BATE OCCURRED;I.E.SIGNIFICANT EVENTS AT OR IN THE IMMEDIATE AREA OF TH ME;PERTINENT TIME/DATE OSS'ERVATIONS;FINDING OF EVIDENCE;AIri+ISEMENTS AND/OR REQUESTS FOR ASSISTANCE;TRANSPORTATIONS;WTNESS CONTACTS;REPORT INFORMATION IN THE CHRONOLOGCAi ORDER 2T(3=REO. I ARRIVED AT THE MT.JUDAH SKI PATROL BUILDING,MT.JUDAH AT SUGAR BOWL SKI RESORT WHERE 2€100 hrs; ; THE SAR COMMAND POST WAS SET UP. TAHOE NORDIC SAR TEAMS WERE BRIEFED AND GIVEN THERE SEARCH ASSIGNMENTS.DUE TO COMMUNICATIONS PROBLEMS,A SECOND COMMAND POST WAS SET UP AT COLDSTREAM WITH DEPUTY FRED CAREY. NORTIC TEAMS#2&3,ALONG WITH SNOWCATS AND SNOWMOBILES SET OUT FROM COLDSTREAM VALLEY TOWARD ANDERSON PEAK,WHILE NORDIC TEAM#9 WAS TRANSPORTED TO MT.JUDAH RIDGE BY A SUGAR BOWL GROOMER TO SEARCH FOR THE VICTIMS. THE COMM VAN CONTINUED PHONE CONTACT WITH THE SNOWSHOERS EVERY HALF-HOUR THROUGHOUT THE SEARCH ALLOWING AN UPDATE ON THEIR CONDITION. 0420 hrs; NORDIC TEAM#2 INFORMED CP THAT THE SNOWSHOERS WERE LOCATED NEAR ANDERSON PEAK APPROX.30'FROM THE GPS COORDINATES GIVEN TO THE NORDIC TEAM.NORDIC TEAM#2 REPORTED WHAT THE SNOWSHOERS WERE COLD,BUT OTHERWISE IN GOOD SHAPE. IT WAS DECIDED DUE TO THE EXTREME BLIZZARD AND AVALANCH CONDITIONS,THAT NORDIC TEAMS#2&3 WOULD BRING OUT THE SNOWSHOERS VIA COLDSTREAM. ALL OTHER SAR MEMBERS WERE INSTRUCTED TO RETURN TO CP. 0300 hrs; NORDIC TEAM#9 RETURNED TO THE SUGAR BOWL CP WITHOUT FURTHER INCIDENT. 0544 hrs; NORDIC TEAM#2&3 ARRIVED AT THE COLDSTREAM CP WITH THE SNOWSHOERS AND ALL SAR PERSONNEL ARE ACCOUNTED FOR. THE SNOWSHOERS WERE INTERVIEWED AND RELATED THE FOLLOWING IN SUMMARY; THEY LEFT THE ALPINE SKILL INSTITUTE AT 9030 HRS ALONG THE PACIFIC CREST TRAIL ENROUTE TO THE BENSON WARMING HUT. HOWEVER,WEATHER CONDITIONS WORSENED AND BECAME A SEVERE BLIZZARD. IT BECAME A WHITEOUT DUE TO HEAVY SNOW AND WIND CONDITIONS AND THEY BECAME DISORIENTED. THEY WERE EQU1PT WITH A CELL PHONE AND A GPS AND WERE SUSSESSFUL NOTIFYING PCSO FOR HELP AND GIVING OUT THEIR GPS COORDINATES. 0656 hrs; THE SAR WAS ENDED WITHOUT FURTHER INCIDENT. i I P i I NVESTIGATING OFFIGER(S) BADGE(S) DIVISION APPROVING SUPERVI AGE Bert Houser 08 PATROL ' s 9 4 t Macer riuntY Y .ker , 's artri�ei►t �arcti d� esci e Sign-in Raster Incident Name: , � 's�`j Tint Name Team EMT/Medic? Date Time In Time put #Hrs.Worked 45 VIS Placer CIDUOY sheriff's pgpartment Search&Rescue Expense Summary VictinvC Case# Address: 'c°c` Date: Cl : +e State: Zip: T of Search: � DOB: Age- DL#: Location: lv $ l7 pett Vehcile Miles Hours Costs C#7 a / 0 $ $ Mean foo the aj7oh4os Location Number Served $Amount $ $ $ $ >'�et-ft�r „ol�ttt�et -` ``' � ;• . , ,',MeafTota�: .,. Location Volunteer Amount 14 $ $ $ $ $ $ $ Equipmerrt? lileag+a Fuel Total: $ Lost or Damaged Equipment D+ scri tion: Cast: $ Emergency Equi . Purchased Description: Cast: $ Other Expenses Description: Cost: $ Sheriff Vehicle Miley e 2 Total Miles: Cost .4U per mile: $ Helicopter Hours Total Hours: Cost @$2*4 per hours: $ Officer Wages Equip./Mileage Ex 'nses., $ Officer& bank Hours $ Per Hour O.T. $ Per Hour Amount r. $ $ $ r Total Officer Wages: $ Prepared By: el': J y: -.X"(Date: 4 U Total SAR Expenses: $ A) SAFEWAY b]Frl_COME 10 41FE_W14'1f 111266 €litlt.:KFE, CHl..7F0(?N 11f! i:'Li9.`i`.3 Fli�;.fIUIIL(#f] tt. tf-i F Nt.'; i1.E Cffdcii M11.1t J. ?5 F' Mtrd M0 PREM 1:IJ 5.tfri F_ SC i'bV t:#.i,l] MI.NIITE MP10 0 1 Go—i St ta`.f PHf{lY ':(IFS 1 .99 i ("Was t1fMCERY NT 5fivfsE`#'l.f_ f.EM#1NfCt7F: .1.L19 1 }i f INHlifiDS S011H rf.� J H �(� '.it3ii t:;� i;11 }]l:NfdY €rf:.}'NfiF31t .:10-•13 CIN 15 €] t,:k,tPf1#{ G MFNf, 3.99 # 5 C 3 0'3 1 Cl i#tf t-iAM{ PY MUFF IN 1}{ tiPPY MrN ie :1.99 # Si: 3001 Ci Mt €lIKE'RY MUFFIN A9 f Ci,� f�H€lCluff`t' N1' 1i; + i 20, 91) Lm'`i CHIPS' I;,'LGUf.t3}7 1 .9f, # 3w.91] h"! I t>E, Its G]]f f1H ['.'fir J ENINtl :ifT Dtdfls UHfd ;1.39 1 SC kf0.35 CLiIli I NfEENMI#NN`i Dl] 30—f Cltl. -I€3S CRUNCHY 99 I HE#lili f E SNUlf SS i'..99 # H0:1;1i f E SNOGN SS F'I�I'Mtf fft]NGIf ,NOWIi cl. 19 f' Cri+ 11, TRKY SANDWIH J.19 r IflikUlf SNDC## Ski c'.-99 F f'#tIM0 li[]Hfilr SNDWH 3.19 F Htlttff f k LfNflt:## 55 ;�! F C1.E16;IC RBEEI SANDW a.19 F r C1 HS IC fif3M ':;f1Nt3Wt:}t I.X11 F f'i+fM13 HtIAGI#. 4NDWH :1.19 f: G�i fif,IC: IRKY SF]NDt,111 J 119 F t' xxr Tt3t 6 l]fE#.. 9? . ? 1 ruff' US }(kXxxXXk`r{}{r{X1ii}?i 9s", i'S 111:#10.1 01 .#.:3 1 P Cil' 0016 6091 Df)f oTHY GAUS13Y 7576 Gluts Gard Sevin4s S 9. 18 YOU HAVE PURCHASE11 & Of A TOWARD SOUR 1st FREE BASEL 5,-: `iiore f',,r €]Pfails. YOUR 1%i FREE BE1.1 SANDWICH INCIDENT HISTORY DETAIL: P030404654 'ITIATE: 17 : 31 : 24 04/12/03 CALL NUMBER: P4654 e._4TRY: 17 :31 : 25 CURRENT STATUS : CLOSED DISPATCH: 17 :44 :26 PRIMARY UNIT: 869 ONSCENE : 19 :26 :38 CASE NUMBER: 500300005409 CLOSE: 07 : 12 : 38 04/13/03 DISPOSITION: RPT LOCATION: SUGAR BOWL & JUDAH LODGE ,NO (800 MULE EARS DR) LOCATION COMMENTS : DAREA: SA1 BEAT. 32 TYPE: SAR SEARCH & RESCUE GZONE: 269 PRIORITY: 2 ST CODE: 080 HAZARD 17 :31 :25 AC05 ENTRY COMP:DAVID RENO \PH: 925 699 4375 \TEXT:RP LOST SOMEWHERE BTWN MT JUDAH AND ANDERSON PEAK -- RP CAN SEE WHAT HE THINKS IS LINCOLN PEAK BUT CANT REALLY TELL BECAUSE IT IS WHITE OUT CONDITIONS - RP IS HIKING WITH 2 OTHER SUBJS - ONE MALE AND ONE FEM THEY ARE DRESSED 17 : 31. :25 ACOS MAP PAGE ------ ------ ------ BLK C 17 :31 :25 AC05 HAZARD PRI 1 LOCATION: SUGAR BOWL & JUDAH LODGE ,NO;SUGAR BOWL, PH: 426 9000 . EMERG CONTACT #1/SHANNON MAY 426 0123 #2/STEVE BEATTI 426 6768 #3/BILL WILLIAMSON 550 0401 *ENTERED MFW 061402* 17 :31. :25 AC05 HAZARD PRI 1 LOCATION: SUGAR BOWL & JUDAH LODGE ,NO; ** BEFORE SENDING AN OFFICER, ESPECIALLY DURING THE SUMMERTIME HOURS ATL EITHER A DICK SPENCER, ROCCO RAMPING, OR TRAVIS HOAG AT 426- 0369 ** THEY ARE THERE ALL THE TIME AND WILL BE ABLE TO CONFIRM IF THERE IS A PROBLEM ** ENTERED SMP/06/01 1.7 :31 :25 AC05 PRIOR PP 417R 04/04/03 Q 10 : 12 :25 (43 MORE) 17 :31 :52 AC01 HOLD 17 :32 : 16 AC05 SUPP TEXT:FOR CONDITIONS RIGHT NOW BUT IT IS GETTING COLDER AND IT IS WHITE OUT -- RP IS ABLE TO PROVIDE GPS CORDINATES TO THEIR LOCATION -- THEY ARE GOING TO STOP RIGHT WHERE THEY ARE BUT BELIEVE THEY ARE NEAR THE TOP OF A RIDGE 17 :34 -.25 AC01 HOLD 17 :37 :06 AC05 SUPP TEXT:SUBJS WERE BACK COUNTRY HIKING AND ARE NOT FAMILIAR WITH THE AREA -- AND THEY ARE IN A VERY EXPOSED AREA AS FAR AS THE WEATHER IS CONCERNED - - INVOLVED SUBJS ARE DAVID RENO, SEAN FAITEL AND SYLVIA KANG 17 :37 :13 AC01 HOLD 17 :44 :26 AC01 DISPATCH 3H 17 :44 :26 AC01 ID 3H <S72000>BUMPUS,BOB 17 :45 :39 AC05 MISC 3H, REQ MCNAMA CALLED OUT TO MEET HIM AT THE SUB TO ASSIST 17 :45 :56 AC01 MISC 3H, CALL OUT DEPUTY MEEH, AND MCNAMA, MAY NEED MT RESCUE. 17 :46 -.00 AC01 ENROUTE 3H ,,47 :30 AC07 MISC .4654 , NO ANSWER AT MEEH' S RESIDENCE. PAGED HIM .1. , --47 :52 AC05 MISC .4654 , NO ANSWER AT MCNAMA' S A OR CELS... PHONE -- MCNAMA PAGED INCIDENT HISTORY DETAIL: P030404654 :50 : 53 AC05 MISC . 4654 , 3S AND L9 COPY THE CALL j. l : 51 :37 AC07 MISC .4654, 10-39 TO SGT THOMAS . HE WANTS TO KNOW WHEN WE GET THE COMMAND POST ESTABLISHED 17 :51 : 38 AC01 MISC 3H, 3H WILL NEED TO 10-19� MY A FOR EQUIP 17 :55 :26 AC05 MISC . 4654, 10-39 TO TAHOE FOR THE NORDIC TEAM 6 17 : 55 :45 AC07 MISC . 4654, 10-39 TO DENNIS MESH, HE IS UNAVAILABLE BUT ADVISES THE TAHOE NORDIC TEAM WOULD BE FAR MORE EXPEDIENT THEN MT RESCUE. IT SOUNDS LIKE THE MP ' S ARE ON THE PACIFIC CREST TRAIL AND THE TAHOE NORDIC SHOULD BE ABLE TO FIND THEM VERY QUICKLY 17 :57 :28 AC05 MISC . 4654 , MCNAMA IS NOT AVAIL 17 :58 : 27 TC03 MISC . 4654 , PAGED OUT NBOR.DIC TEAR 17 :59 :25 TC03 MISC . 4654, MAKE THAT PAGED OUT NORDIC TEAM 18 : 00 :43 TC03 MISC .4654 , AT 1755 HRS AUBURN REQ NORDIC TEAM TO SUGAR BOWL, DEPUTY FROM AUBURN IS FROM FOREST HILL, 3 BACKCOUNTRY HIKERS LOST BTWN MT JUDAH AND ANDERSON PEAK,GPS 39 : 15 . 577 NORTH. 120 : 17 . 827 WEST, NO INJ WHITEOUT CONDS, HAVE SUPPLIES,DEPUTY BUMPUAS IS 18 :00 :58 TC03 MISC . 4654 , BILL HEALY ETA TO COM VAN IS 45 MIN 18 :03 :44 TCO2 MISC + PPP 18 : 05 : 18 TCO2 MISC .4654 , CAREY' S WIFE WILL MAKE CONTACT WITH HIM AND CALLBACK 18 : 06 :39 AC05 MISC . 4654 , RP JUST CALLED BACK ANIS THEY HAD TO MOVE DUE TO THE WEATHER CONDITIONS --- NEW COORDINATES ARE 39 16 . 115N 120 17. 827 W -- 10-39 TO TAHOE RE THE NEW INFO 18 :1.0 :15 TC03 MISC .4654 , RUSS VIEHMANN TO CORD, CELL 308 1911, ADVISED CP AT SUGARBOWL PARKING LOT, WILL CALL HIM IF IT CHANGES 18 : 11 :49 AC05 MISC .4554, 10--39 TO ARMSTRONG 18 :25 :21 AC01 MISC 3H, BACK ENRET 18 :34: :07 AC05 MISC .4654 , 3H REQ HOUSER RESPOND -- HOUSER ADV CP AT SKI PATROL OFFICE AT SUGAR BOWL MT JUDAH 18 :34 :37 AC05 ADDUNIT 3H 708 18 :34 :37 AC05 ID 708 <S05740>HOUSER,BERT 18 .-37 :38 AC01 ENROUTE 708 18 :41 :52 TCO2 ADDUNIT 3H 869 18 :41 :52 TCO2 ID 859 <S53650>CAREY, FRED 18 :42 :29 TCO2 ADDUNIT 3H TCMVAN 18 :43 :33 TCO2 ENROUTE 869 18 :46 :41 TCO2 ENROUTE TCMVAN 18 :53 :57 M014 INSRVICE 3H 19 :26 :38 TCO2 ARRIVED 869 19 :43 :35 TCO2 MISC 869, FROM RUSS: HAVE TO GO THRU COLD SPRING CANYON AND HAVE TO TAKE A SNOW CAT UP 20 :00 :33 TC03 MISC 869, SPOKE TO IMPATEINT RP, ADVISED HIME TO SB 20 :05 :37 AC07 MISC . . 4554 , SHT THOMAS AWARE OF WHAT IS HAPPENING 20 :06 :30 AC01 ARRIVED 708, AVAIL CELL 308-0761 20 :56 :45 TCO2 MISC 869, 708 COORDINATING FROM MT JUDAH AND 869 FROM COLD STREAM 21 :11. :1.9 TCO2 MISC 86.9, GVCDF ADVISED TO NOTIFY USFS ABOUT THE SA.R ON USFS LANDS 21. :25 :1.9 AC05 MISC 708 , WHITE OUT CONDITIONS NORDIC TEAM ENROUTE TO THE SUBJS --- SUBJS ARE HUNKERED DOWN WITH SOME DRY CLOTHING 21 :26 :29 AC07 CASE 708 500300005409 Assigned INCIDENT HISTORY DETAIL: P030404654 :40 : 07 TCO2 CHGLOCOS 869 COLDSTREAM 22 :22 :59 TCO2 ARRIVED TCMVAN 23 : 03 :02 TC01 MISC 869, NEED TO KNOW WHO CONTROLS THE GATES ON HWY 40 . NEED TO GET UP THE RD TO MAKE CONTACT WITH A SEARCH TEAM . 23 : 03 :35 TC01 MISC 869, THE GATE IS CONTROLED BY SUGAR BOWL SKI RESORT - 426--9000 23 : 11 : 57 TC01 MISC 869, BILL WILLIAMSON - CONTROL OF THE GATES - 906-7017 23 :48 : 13 TC01 MISC 869, NEED ANOTHER TEAM TO JUDA - SUGAR BOWL CAT ON TOP OF LINCOLN WITH A HANDHELD - NO LUCK IN MAKING CONTACT WITH NORDIC TEAM ONE - GET AHOLD OF TOM POOLE -- SEE IF PORTABLE REPEATER IS AVAIL AND WOULD WORK 23 :50 : 18 TC01 NOTIFIED 869, TERRI VIEHMANN - TNSAR DISP - SHE WILL MAKE CALLS TO GET ANOTHER A-TEAM TO JUDAH ASAP 23 : 59 :07 TC01 NOTIFIED 869, TOM POOLE - HAVING A PORTABLE RADIO AT THE TOP OF LINCOLN IS DOING AS MUCH GOOD AS A PORTABLE REPEATER. A PORTABLE REPEATER WOULD NOT IMPROVE THE SITUATION 04/13/03 00 :24 :40 TCO2 MISC 869, THREE A-TEAM SKIER ENROUTE AS THE BACK-UP TEAM - 00 :31 :23 TCO2 MISC 869, MARK JOHNSON TNSAR - ENROUTE 40 MIN ETA TO COLDSTREAM 01 :35:50 TCO2 MISC 85.9, VICTIMS LOCATED AT 01 :20 HRS + PPP 02 : 09:50 AC04 MISC 708, HAVE MADE PHYSICAL CONTACT W/THE VICE THEY ARE COLD BUT OK, DUE TO SEVERE AVALANCH DANGER WILL REMOVE THEM TONIGHT AC05 MISC 708, NORDIC TEAM ONE HAS ARRIVED NORDIC TEAM 2 AND 3 ARE BRING OUT THE VICTIMS AND I AM 8 04 :02 :57 AC05 INSRVICE 708 04 :40 :39 TCO2 MISC 869, ALL SKIERS HAVE MADE IT TO THE SNOWCATS - SNOWCATS, VICTIMS, SKIERS ENROUTE TO ENTRANCE OF COLDSTREAM 05 :44 :11 TCO2 MISC 869, VICTIMS HAVE MARE IT TO THE ENTRANCE OF COLDSTREAM 05 :45 :10 TCO2 QUERY 869 @NAM/RENO/DAVID/E @DOB/19660427 @SEX/M @LIS/NV, VIC #1 05 :45 :59 TCO2 QUERY 869 @NAM/PANE/SILVIA/S @DOB/19581214 @SEX/F @LIS/NV, VIC #2 05 :46 :37 TCO2 QUERY 869 @NAM/FAITEL/SEAN/J @DOB/19720916 @SEX/M @LIS/NV, VIC #3 05 :56 :44 TCO2 QUERY 869 @NAM/PANE/SILVIA/S @DOB/19681214 @SEX/F @LYS/NV, VIC #2 - DIFF DOB 06 :56 :29 TCO2 DISPOSTN 859 RPT, REPORT TAKEN FOR SAR. VICTIMS LOCATED AND BROUGHT OUT. DEP HOUSER TO WRITE . 06 :58 :46 TCO2 CHGLOCOS 869 A 06 :58 :57 TCO2 INSRVICE 869 07 :12 :38 TCO2 INSRVICE TCMVAN 07 : 12 :38 TCO2 CLOSE TCMVAN OPERATOR ASSIGNMENTS : AC05 587730 DAVIS,MENDI AC01 583870 RENSHAW, ERIN AC07 571300 WOLLESEN,ERIK TC03 580741 ZUCCARO, CHERYL TCO2 576950 GARCIA,ROLANDO M014 572000 BUMPUS,BOB INCIDENT HISTORY DETAIL: P030404654 AS OF 22 :22 : 59 : TCO2 598230 NORWOOD, LINDA TC01 592530 YORK,BRIAN AS OF 00 :24 :40 : TCO2 592530 YORK,BRIAN AC04 568240 WENDT,MEREDITH AS OF 04 : 02 : 50 : AC05 585810 BUMPUS,LAURA 003 01;,16 5346865391 #5390 P-001/001 AIPR,13 `2 PACER COUNTY '> WIT ILA HERTrK ,r,i CORONER MARSHAL '� .�r• w MA90ORM T AM;SVIWAn" K'MWOM F41C:t&VW&MVit:�!°Fa90pG PAX"�.S�jSi1• �k�A1F'�RGIU�RAySRS�t;L tniO�R�st�$ PRESS RELEASE DATF.tTIME OF RELEASE: 4/13/03 1*25 Aril HOURS DATSITIME OF OCCURRENCE: 411=3 5:31 PIN HOURS NATURE OF CALL: LOST HIKERS LOCATION OF CALL: SUGAR BOWL 1 MT,JUDAH CASE DUMBER: SCS-43-5409 SHERIFF EDWARD N. BONNER RELEASES THE FOLLOWING.* Y Placer County Sherif r''s Search and P.exue and Tahoe Nordic Team are currently. attempting to rescue three lost hikers at Sugar $owl. The three last hikers telephoned the Placer County Sheriffs Department at 5:31 PM hours to report they were lost between Mount Judah and Anderson Pear. 'Ibe hikers were providing this Informbon from their cellular telephone. The hikers were able to provide a GPS reading of their location. The hikers were in white out conditions. All three hikers were located at 1:20 AM hours. RELEASED SY. Sergeant Brian Whigarn COPIES OF THIS PRESS RELEASE ARE AVAILABLE ON THE PLACER COUNTY SHERIFF'S DEPARTMENT WESSITE Q placonce.gorrla rte. NCJIS Reply Placer County Sheriff VTSO OO . IN DATE: 04-13-03*TIME: 05 :45* MATCHED ON:*L/N*F/N* MI* BD DMV RECORD FOR LAW ENFORCEMENT USE ONLY DL/NO:C2320389*B/D: 04-27-1966*NAME:RENO DAVID EDWARD* RES/ADDR: AS OF 03--15-03 :23 BOYD CT PLEASANT HILL 94523* OTH/ADDR AS OF 04-13-97 :321.7 SUN VALLEY AVE WALNUT CREEK IDENTIFYING INFORMATION: SEX:MALE*HAIR:BLOND*EYES :BLU*HT: 5-11*WT:210* LIC/ISS : 05-22-01.*EXPIRES : 04-27-06*RBM2*CLASS :C NON-COMMERCIAL* ENDORSEMENTS :NONE* LATEST APP: DL TY'PE:RENEWAL*ISS/DATE: 03-15-03*OFFICE: WCR*BATES : POL* PEND/APP:PENDING AUTOMATED APP LICENSE STATUS: VALID* DEPARTMENTAL ACTIONS: NONE CONVICTIONS NONE FAILURES TO APPEAR: NONE ACCIDENTS : DATE LOCATION VEH LIC REPORT NO FR CASE NO 05-21-01 CONTRA COSTA 021302 3HPT471. 9320251.5028 01 03 74313 NOT AT FAULT, OTHER PARTY AT FAULT NCJIS Reply Placer County Sheriff NTSO 00 . IN DA`Z"E: 04-13-03*TIME: 05 :46* MATCHED ON: *LIN*FIN* MI* BD DMV RECORD FOR. LAW ENFORCEMENT USE ONLY DL/NO:A3773410*B/D: 09-16-1972*NAME:FAITEL SEAN JOSEPH* RES/ADDR: AS OF 07-18-02 : 501 WESLEY AVE APT 1 OAKLAND 94606* OTH/ADDR. AS OF 02-17-99:P O BOX 92222 SANTA BARBARA IDENTIFYING INFORMATION: SEX:MALE*HAIR:BROWN*EYES :BLU*HT:6-00*WT: 190* LIC/ISS : 01-07-92*EXPIRES: 09-16-04*RBM2*CLASS :C NON-COMMERCIAL* ENDORSEMENTS :NONE* LA'T'EST APP: DL TYPE:DUP WITH PRIOR PHOTO*ISS/DATE: 07--18-02*OFFICE: OAK*BATES:MAG* LICENSE STATUS : VALID* DEPARTMENTAL ACTIONS: NONE CONVICTIONS: NONE FAILURES TO APPEAR: NONE ACCIDENTS : NONE END INCIDENT HISTORY DETAIL: P030404654 INITIATE: 17:31 :24 04/12/03 CALL NUMBER: P4654 ENTRY: 17:31 :25 CURRENT STATUS: ARRIVED L171SPATCH: 17:44 :26 PRIMARY UNIT: 3H ON'SCENE: 19:26:38 CASE NUMBER: S00300005409 CLOSE; DISPOSITION: LOCATION SUGAR BOWL & JUDAH LODGE ,NO (800 MULE EARS DR) LOCATION COMMENTS: DAREA: SAI BEAT. 32 TYPE: SAR SEARCH & RESCUE GZONE: 269 PRIORITY: 2 ST CODE: 080 HAZARD 17 :31: 25 AC05 ENTRY COMP DAVID RENO \PH:925 699 4375 \TFXT:RP LOST SOMEWHERE BTWN MT JUDAH AND ANDERSON PEAK -- RP CAN .SEE WHAT HE THINKS IS LINCOLN PEAK BUT CANT REALLY TELL, BECAUSE IT IS WHITE OUT CONDITIONS —_ RP IS HIKING WITH 2 OTHER SUSJS - ONE MALE AND ONE FEM -- THEY ARE DRESSED 17 :31 :25 AC05 MAP PAGE ---- ------ ------ BLK C 17 :31:25 AC05 HAZARD PRI 1 LOCATION: SUGAR BOWL & JUDAH LODGE ,NO;SUGAR BOWL, PH: 425 9000. EMERG CONTACT #1/$ ANNON MAY 426 012.3 #2/STEVE BEATTI 426 61768 ##3/BILL WILLIAMSON 550 0401 *ENTERED MFW 061402* 17 :31 :25 ACOS HAZARD PRI 1 LOCATION: SUGAR BOWL & JUDAH LODGE ,NO;** BEFORE SENDING AN OFFICER., ESPECIALLY DURING THE SUMMERTIME HOURS ATL EITHER A DICK SPENCER, ROCCO RAMPINcO, OR. TRAVIS HOAG AT 426- 0369 *'* THEY ARE THERE ALL THE 1z TIME AND WILL BE ABLE TO CONFIRM IF THERE IS A PROBLEM ** ENTERED SMP/06/01 17:31:25 AC05 PRIOR PP 4178 04/04/03 0 10:12 :25 (43 MORE) 17:31 :52 AC01 HOLT? 17:32 :16 AC05 SUPP TEXT:FOR CONDITIONS RIGHT NOW BUT IT IS GETTING COLDER AND IT IS WHI'T'E OUT -- RP IS ABLE TO PROVIDE GPS COR.DINATES TO THEIR LOCATION —_ THEY ARE GOING TO STOP RICHT WHERE THEY ARE BUT BELIEVE THEY ARE NEAR THE TOP OF A RIDGE 11 :34 :25 AC01 HOLD 17:37 :06 ACOS SUPP TEXT:SUBJS WERE BACK COUNTRY HIKING AND ARE NOT FAMILIAR WITH THE AREA -- AND THEY ARE IN A VERY EXPOSED AREA AS FAR. AS THE WEATHER IS CONCERNED -- INVOLVED SUBJS ARE DAVID RENO, SEAN F'AITEL AND SYLVI.A KANG 17:37:13 AC01 HOLD 17:44 :26 AC01 DISPATCH 3H 17:44 :26 AC01 ID 3H <S72000>BUMPUS,BOB 17:45 :39 AC05 MISC 3H, REQ MCNAMA CALLED OUT TO MEET HIM AT T14E SUB TO ASSIST 17: 45 :56 AC01 MISC 3H, CALL OUT DEPUTY MEEM, AND MCNAMA, MAY NEED MT RESCUE. 17:46 :00 AC01 ENROUTE 3H 17:47 :34 AC07 MISC . 4654, NO ANSWER AT MEETS RESIDEXCE. PAGED HIM 17:47 :52 ACOS MISC . 4654, NO ANSWER AT MCNAMA'S A O.R. CELT. PHONE -- MCNAMA PAGED INCIDENT HISTORY DETAIL: P030404654 INITIATE: 17:.31 :24 04/12/03 CALL NUMBER: P4654 .7: NTRYs 17:31 :25 CURRENT STATUS: ARRIVED ISPATCH. 17 :44 .26 PRIMARY UNIT. 3H ONSCENE: 19;26:38 CASE NUMBER: S00300005409 CLOSE: DISPOSITION: LOCATI ON: SUGAR BOWL & JUDAH LODGE ,NO (8 0 0 MULE EARS DR) LOCATION COMMENTS: DAR EA SAI BEAT: 32 "HYPE: SAR SEARCH & RESCUE GZONE: 269 PRIORITY: 2 ST CODE: 080 HAZARD 17 :31; 25 AC05 ENTRY COMP.BAVID RENO \PH:925 599 4375 \TEXT:R.P LOST SOMEWHERE BTWN MT JUDAH AND ANDERSON PEAK -- RP CAN SEE WHAT HE THINKS IS LINCOLN PEAK BUT CANT REALLY TELL BECAUSE IT IS WHITE OUT CONDITIONS -- RP IS HIKING WITH 2 OTHER SUBJS -- ONE MALE AND ONE FEM -- THEY ARE STRESSED .17 :31 :25 AC05 MAP PAGE ------ ------ ------ BLOC C 17 : 31:25 AC05 HAZARD PRI 1 LOCATION: SUGAR BOWL & JUDAH LODGE ,NO; SUGAR. SOWL, PH: 426 9000. EMERG CONTACT #1/SHANNON MAY 426 0123 2/STEVE BEATTI 426 6768 #3/BXLL WILLIAMSON 550 0401 *ENTERED MFW 061402* 17 :31 :25 AC05 HAZARD PRI I LOCATION: SUGAR BOWL & JUDAH LODGE .NO; ** BEFORE SENDING AN OFFICER, ESPECIALLY DURING THE SUMMERTIME HOURS ATL EITHER A DICK SPENCER, ROCCO RAMPINO, OR TRAVIS HOAG AT 426- 0369 ** THEY ARE THERE ALL THE 8:2 TIME A= WILL BE ABLE TO CONFIRM IF THERE IS A PROBLEM ** ENTERED SMP/06/01 17:31 :25 ACOS PRIOR PP 417R 04/04/03 0 10:12 :25 (43 MORE) 17:31 :52 AC01 HOLD 17:32 : 16 ACOS SUPP TEXT-FOR CONDITIONS RIGHT NOW BUT IT IS GETTING COLDER AND TZ' IS WHITE OUT -- R.P IS ABLE TO PROVIDE GPS CORDINATES TO THEIR LOCATION -- THEY ARE GOING TO STOP RIGHT WHERE THEY ARE BUT BELIEVE THEY ARE NEAR. THE TOP OF A RIDGE 17:34 :25 AC01 HOLD 17:37 :06 AC05 SUPP TEXT:SUBJS WERE BACK COUNTRY HIKING AND ARE NOT FAMILIAR WITH THE AREA -- AND THEY ARE IN A VERY EXPOSED AREA AS FAR AS THE WEATHER IS CONCERNED -- INVOLVED SUBJS ARE DAVID RENO, $BAN F'.ASTEL AND SYLVIA YANG 17:37;13 AC01 HOLD 17:44 :26 AC01 DISPATCH 3H 17 :44 :26 AC01 ID 3H <S7200Q>BUMPUS,BOB 17:45:39 AC05 MISC 3H, REQ MCNAMA CALLED OUT TO MEET HIM AT THE SUB TO ASSIST 17:45 ;56 AC01 MISC 3H, CALL OUT DEPUTY MESH, AND MCNAMA, MAY NEED MT RESCUE. 17:46 :00 AC01 ENROUTE 3H 17:47 :30 AC07 MISC .4654, NO ANSWER AT MEEH'S RESIDENCE. PAGED HIM 17:47:52 .ACOSMISC .4 6 5 4, NO ANSWER AT MCNAMA'S .A OR CELL PHONE -- MCNAMA PAGED i INCIDENT HISTORY DETAIL: P030404654 17.50:53 ACOS MISC .4654, 3S AND L9 COPY THE CALL :581.7:53.:37 AC07 MISC w4654, 1.0-39 TO SGT THOMAS . HE WANTS TO KNOW WHEN WE GET T14E COMMAND POST ESTABLISHED 17:51:38 AC01. MISC 3H, 3H WILL NEED TO 10-19 MY A FOR EQUIP 17:55:26 AC05 MTSC .4654, 1.0-39 TO TAHOE FOR THE NORDIC TEAM 6 17:55:45 AC07 MISC .4554, 10-39 TO DENNIS MESH. 14B IS UNAVAILABLE BUT ADVISES THE TAHOE NORDIC TEAM WOULD BE FAR MORE EXPEDIENT THEN MT RBSC`UE. IT SOUNDS LIKE THE MP'S ARE ON THE PACIFIC CREST TRAIL AND THE TAHOE NORDIC SHOULD BE ABLE TO FIND THEM VERY QUICKLY 17 :57:28 AC05 MISC .4654, MCNAMA IS NOT AVAIL 17:58:27 TC03 MISC . 4554, PAGED CUT NBORDTC TEAR 17 :59:25 Tc 0 3 MISC .4 6 54, MANE THAT PACED OUT NORDIC 'T'EAM 18:00 :43 TC03 MISC .4654, AT 1755 HRS AUBURN REQ NORDIC TEAM TQ SUGAR BOWL, DEPUTY FROM AUBURN IS FROM FOREST HILL, 3 BACKCOUNTRS' HIKERS +LOST+=*BT120 :17 , 827 TN MT JUDAH A�l�tirytD ANDERSON .LEAK,GPS 39:15.971 »Ct3RTHi T,ES , NO IN WHITEOUT CONDS, HAVE SUPPLIES,DEPUTY BUMPUAS IS 3.$ :00:58 TC03 MISC .4654, BILI HEA.LY ETA TO COM VAN IS 45 MIN 18:03 :44 TCO2 MISC 9 + #V9 9 PPP 18-.05:18 TCO2 MISC .4654, CAR.EY'S WIFE WILL MAKE CONTACT WITH HIM AND CALLBACK 18 :06 :39 ACOS MISC .4654, RP JUST CALLED BACK AND THEY HAD TO MOVE DUE TO THE WEATHER CONDI TI ONS -- NEW COORDINATES ARE 39 16.115N 120 17 .827 W -- 10-39 TO TAHOE RE THE NEW INFO 18 : 10:15 TC03 MISC .4654, RUSS VIERKANN TO CORD, CELL 308 1911, ADVISED CP .XT SUGAR.BOWL PARKING LOT, WILL CALL HIM IF IT CHANGES 18: 11:49 ACOS MISC .4654, 10-3.9 TO ARMSTRONG AS8:25 :21 AC01 MISC 3H, BACK ENR.ET 18:.34:07 AC05 MISC .4654, 3H REQ HOUSER RESPOND -- 14OUSER ADV CP AT SKI PATROL OFFICE AT SUGAR BOWL MT JUDAH 18:34:37 ACOS ADDUNI'T' 3H 708 18:34 :37 ACOS ID 708 <S05740>HOVSER,HERT 18:37 :38 AC01 ENROUTE 708 18:41:52 TCO2 ADDUNIT 3H 869 18:41:52 TCO2 ID 869 <$53650>CAREY,FRED 16:42 :29 TCO2 ADD'UNIT 3H TCMVAN 18:43 :33 TCO2 ENROUTE 869 18:46 :41 TCO2 ENROUTE TCM AN 18 : 53 :57 M014 INSRVICE 3.H 19:26 :38 TCO2 ARRIVED 869 19:43 :3S TCO2 MISC 869, FROM RUSS: HAVE TO GO THRU COLD SPRING CANYON AND HAVE TO TAKE A SNOW CAT UP 20:00 :33 TC03 MISC 859, SPOKE TO IMPATEIN'T' RP, ADVISED 142ME T4 SB 20:OS :37 AC07 MSC .4654, SHT THOMAS AWARE OF WHAT I$ HAPPENING 20:06:30 AC01 ,ARRIVED 708, AVA.TL CELL 308-0761 20:56:4S TCO2 MISC 869, 706 COORDINATING FROM MT JUDAH AND 869 FROM COLD STREAM 21:11:19 TCO2 MISC 569, GVCDF ADVISED TO NOTIFY USPS ABOUT THE SAR ON USFS LANDS 21 :26 :19 ACOS MISC 708, WHITE CUT CONDITIONS NORDIC TEAM ENROUTE TO THE SUBJS --- SJBJS ARE HUNKERED DOWN WITH SOME DRY CLOTHING 21:26:29 AC07 CASE 708 SODS00005409 Assigned -1-- .............................. ... . . :::.:..:.. , .. ........ - .. ........ - - - . ... . ...... . llillillillillillilliillilliilliillillillillillillilliillillill�������ll.. ........ ... ..... - - .. . . :: . - - -...... . .... . ... 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'........ �- .. � .. � : : : : . : : : . CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY �j • BOARD ACTION:OCIOBER 14# 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 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: UNKNOWN CLAIMANT: SARA CONNELLY ATTORNEY: UNKNOWN DATE RECEIVED: SEPT. 12, 2003 ADDRESS: 4890 BURGUNDY DRIVE BY DELIVERY TO CLERK ON: SES. 12, 2003 OAKLEY, CA 94561 BY MAIL.POSTMARKED: RECEIVED THRU INTER OFFICE MAIL FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. SEPTEMBER 12, 2003 JOHN SWEET .Dated: By: Deputy f II. FROM: County Counsel TO: Clerk of the Board of Supervi cars i &A This claim complies substantially with Sections 910 and 910.2. YX ( ) 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: firf Dated: ''� L ) By; l 's t °" ' 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: / JOHN SWEETEN, CLERK., By , Deputy Clerk WARNING(Gov. code section 913) Subject to certain exceptions, you have only six(6)months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *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 1'8; 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: +3 JOHN SWEETEN, CLERK By Deputy Clerk Cla. to: BOARD QF SUPERVISORS OF CONTRA COSTA COUNTYIJ INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1937, 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. Carie §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. ' Fraud. See penalty for fraudulent claims, Penal. Code Sec. 72 at the end of this form,. RE: Claim By ) Reserved for Clerk's filing stamp Against the County of Contra Costa ) or SEP 1 2 2 District) � d 301.RS Fi1.1 in name) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-nod District in the sum of $ and in support of this claim re resents as folloojF 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) ow d1t u iL g ive deta�1 , exra fir` "F t .w cz required) r '�',✓ icl L °' 4. Wiat particular act or CLS31on on the part of county or district officers, servants or -employees caused. the injury or damage? (over) j. Wnat are the names of county or district officers, servants or employees causing the damage or injury? -" d 5, Wh�t damage or injuries do you claim resulted? (Give full extent of injiuAes 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.) ` . Names azul addresses`)of witnesses, doctors and hospitals. 9. List athe iexpenditures you made on account of this accident or injury; DATE ITEM AMOUNT _-- ------ ...., . Gov. Code Sec. 910.2 provides: "The claim must be signed by the claims. SEND NOTICES T0: (Attorney) or py some perwn on his. behalf." Name and Address of Attorney Claimant's Signature �Addre r` eA Telephone No. Telephone No. # i 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 imprisonmeent 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. CLASSIC AUTO BODY 1401 AUTO CENTER DRIVE WALNUT CREEK, CA 94596 PHONE: (925) 938-3131 FAX: (925) 938-0718 CD LOG NO 3322-1 DATE 08/27/03 SHOP: CLASSIC AUTO BODY INSP DATE: 08/27/0`x,:' ADDRESS: :401 AUTOCENTER DRIVE CONTACT: TIM KAMM CITY STATE: WALNUT CREEK, CA PHONE 1 : (925).938-3131 ZIP: 94596- OWNER: CONNELLY, SARAH HOME PHONE: (925) 679-8374 LIC#: 5COB225 STATE: CA VIN: BODY COLOR: MILEAGE: CONDITION: ACCTNG CTL#: *=USER-ENTERED VALUE E=REPLACE OEM NG=REPLACE NAGS EC=REPLACE ECONOMY UC=RECONDITIONED PRT UM=REMAN/REBUILT PRT EU=REPLACE SALVAGE EP=REPLACE PXN PC=PXN RECONDITIONED PM=PXN REYIAIN/REBUILT TE=PARTL REPL PRICE ET=PARTL REPL LABOR IT=PARTIAL REPAIR I=REPAIR L=REFINISH BR=BLEND REFINISH TT=TWO-TONE CG=CHIPGUARD SB=SUBLET N=ADDITIONAL LABOR RI=R&I ASSEMBLY P=CHECK AA=APPEAR ALLOWANCE RP=RELATED PRIOR UP=UNRELATED PRIOR 2003 CHEVROLET TRAILBLAZER LS 4DOOR WAGON 6CYL GASOLINE 4 .2 CODE: U8433A/B OPTNS S/24KJ OPTIONS: TWO-STAGE - EXTERIOR SURFACES TWO-STAGE - INTERIOR SURFACES 4-WHEEL DRIVE PRIVACY GLASS OP GDE MC DESCRIPTION MFG. PART NO. PRICE AJ% Bo HOURS R - - E 0143 WINDSHIELD, SHADED 15157127 GM PART 432 . 73 3. 1 1 1 ITEMS FINAL CALCULATIONS & ENTRIES GROSS PARTS 432 . 73 PARTS TOTAL 432 . 73 TAX ON PARTS & MATERIAL @ 8 . 250% 35. 70 LABOR RATE REPLACE HRS REPAIR HRS 1-SHEET METAL 67 . 00 3 . 1 207 . 70 2-MECH/ELEC 92 . 00 3-FRAME 67 . 00 4-REFINISH 67 . 00 5-PAINT MATERIAL 28 . 00 LABOR TOTAL 207 . 70 PAGE I 2003 ,C ::VR.OLET TRAILBLAZER LS 4DOOR WAGON 'CD ,LOG ISO 3322-1 TAX ON LABOR 0. 000% SUBLET REPAIRS TOWING STORAGE GROSS TOTAL 676. 13 NET TOTAL 676. 13 ADP SHOPLINK UB275 ES CD LOG 3322-1 DATE 00/27/03 12 : 39: 42AM R6. 3 CD 08/03 HOST LOG (C) 2998 - 2003 ADP CLAIMS SOLUTIONS GROUP, INC. ----------------------------------------------------- TEST PAGE 2 O8/27/2003 11:46 9411400 ALLSTARGLASSWALNUTCR PAGE 01 Q W C`+'?":'t06 All S'tev .lass 1415 Pine St. M5194 1-1480 BARM206112 CRIM SALES WALNUT CREEV 980941-1480..,941-1.48 Fax x 925- _41-1488 2003 CHEVROLET TRAILBLAZER 41 15157127 V„t LEIA Windshield �{{ d {{q d t t Mr. .5 Labor 66-00 7 WFTrs 448 Mrf:,ld3nr MR«UM) 4lappar) 6128 3. 111 Alt new perts providet'l License -- This is an estimate onlV, not an inuoice for wnrk performed .{ (,�4 ,,.i1,}'?�� �.�E� •i`iia1e AY.i'S.;hot'1<ir'd by Phpne 4, d 66.t�iits r 4 3. 1 631.52 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY JAI BOARD ACTION: OBER 14, 20033 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. Please note all"Warnings". > T,AIIANT CHANGE OF ADDRESS IN THE AMOUNT: $2,600,000.00 CLAIMANT'S APPLICATION FORM. FOLSOM STATE PRISON 71 CLAIMANT: LAZARIS ITALO FULLER P.O. SA � 9 95b56 71-5071 CDC #H-16003 IEPRESA, CA ATTORNEY: ROBERT GONZALES DATE RECEIVED: SEPT. 12, 2003 ADDRESS: 345 FRANKLIN STREET, BY DELIVERY TO CLERK ON: SEPT. 12, 2003 SAN FRANCISCO, CA 94102 BY MAIL POSTMARKED: SEPT. 11, 2003 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. SEPTEMBER 12 2003 JOHN SWEET Dated: ' ,By: Deputy IL FROM: County Counsel 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.910,0. ( ) 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 j D By. r ' 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. OARD ORDER: By unanimous vote of the Supervisors present: 44 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: JOHN SWEETEN, CLERK, By Deputy Clerk WARNING(Gov. code section 913) Subject to certainexceptions, 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. Bated: QZW101 /S"-&W9 JOHN SWEETEN, CLERK.By Deputy Clerk Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUN sc� INSMCDONS TQ CLAZIAN A. Claims relating to causes of action for death or for injury to person or to ppersona, pro 4 h Y crops and which accrue on or before December 31, 1987, must be presented not later than the 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'tCade 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. ru . 'See penalty for fraudulent claims,Penal Code Sec. 72 at the end of this form. RE: Claim/By \l Reserved for Clerk's filing stamp ! YAM Against the County of Contra Costa or ) .? Upqk�nyvw District) (Fill in in 1.1 1 r ) The undersigned clairet hereby makes claim against the County of Contra Costa or the above-named district in the sure of$14 # &LQ&L and in support of this claim represents as follows: 1. When did the damage or injury occur?(Give exact date and hour) . � ,j LOOS 1 2,11,Where did the damage or injury occur"?(Include city and,county)�t e 3. How did the'i"ge or injury ocpur?(Give details;use extra paper if required) . l br'yyl �`' �r It✓ t £`.,dtl-k i 4-ri�* }'�,�^y� ¢``,yp fi �.^ 'f!- �i � L✓ `_"`„-Ler!.. :../ a✓ g S "tt /,J 4- 1 q S .!se... ` 1./#�3 � t.✓r4.: `-� '� sr°��i�4.,+�1 } J"' < `"is- ', 4. SSS„<(+Y T,` Pei, rfill r �. � � 4. What particularact omission on the part of county or district officers, sery is�.or em loyees sed t}e injury or damage? € #� fr. O f.�' l C' ` n eIC C . Ane e 5. What are the name of county or district officers, sery ns,CK or employees causing the damage or injury? t-14 0 f "T ftkt-Y)q 0 sem- � m A C,d,Y 6. What damage or injuries do you clagin resulted?(Give full extent of injuries or d ages claimed. A ch two estimates for auto damage.) � 6 (h I K # ��-- Q ('Q �f 7. How was the amount claimed above computed?(Include the estimated amount of any prospective injury or damage.) ` ( '� . . eAc 63,;'i . $. me and addresses of witnesses, doctors, and hospitals. Va , 1, a� X1) f f le kv Cz 9. List the expenditures y u ma eon acc &c his accident or injury. DACE 4 } Gov. Code Sec. 910.2 provides"The claim must be signed, by the claimant or by some person on his behalf." END N lE ; , Name and Address f rrneyI 1W t f /3�/ ) (Claimant's Signayture) i F R r } $ 7P Y}(y/'i� c3 SJ S�ti D �C tX f #' s s d ) 3� j ddress) +0'. �X 7 l✓PR CA 956I-507 Telephone N��` �,� } �➢ � � ``��� {} ��7'�� ,,, Telephone N ~ ��«*s##***�*`�,��s*�.**#��**���*s's��s*����*s##��**#s��*ss*���*�s���*�*�►**�e���s�****#�*��.�+*s�� NCrnCE Section 72 of the Penal Cade provides: Every person who,with intent to defraud,presents for allowance or the payment to any state ward 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 imprisontnent in the county jail for a period of not more than one year,by a fine of not exceeding one thousand(S IOMor by both such imprisonment and fine,or by imprisonment in the state prison,by a fine of not exceeding ten thousand dollars(S14,ODD),or by both such imprisonment and fine. `:. 4 IP ,.c k. 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