HomeMy WebLinkAboutMINUTES - 10212003 - C4 CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
BOARD ACTION: OCTOBER 21, 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: $200.00
CLAIMANT: KATHLEEN A. TILL
ATTORNEY: UNKNOWN DATE RECEIVED: SEPT. 15, 2003
ADDRESS: 50 SADDLEBACK PLACE BY DELIVERY TO CLERK ON: SEPT. 15, 2003
DANVILLE, CA 94506
BY MAIL POSTMARKED: SEPT. 12, 2003
FROM: Clerk of the Board of Supervisors TO. County Counsel
Attached is a copy of the above-noted claim.
JOHN SWEETE1kC
SEPT. 15, 2003
Dated. Deputy
II. FROM: CountyCounsel 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 9113).
Other:
Dated: 1 By: Deputy County Counsel
III. FROM: Clerk of the Board TO: County Counsel(1) County Administrator(2)
Claim was returned as untimely with notice to claimant (Section 911.3).
IV ROARD 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 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: A&&;?�&,J94.3JOHN SWEETEN, CLERK By Deputy Clerk
Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
INMUC TIONS TO CLAIMANT
A. Claims relating to causes of action for dearth 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 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 ether cause of action must be presented not
.later than one year after the accrual of the cause of action. (Govt. Code §911.2.)
B. Claimsmust be filed with the Clerk of the Board of Supervisors at its .office in
Room 106, County Administration Building, 651 Fine Street, Marrtinez, 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 ) deserved for Clerk's filing stamp
17
Kai -
RECEIVED
Against the County of Contra Costa )
ERE
or 2003
)District) ar AVISORe
Fill In name1
The undersigned claimant hereby makes claim against the County of Contra Costa or
the above-named District in the sum of $ CX-D _ and in support of
this claim represents as follows:
1. When did the damage or iittiry occur? (Give exact date and hour)
2. Where did the doge or Utzlftwy occur? (Include city and county)
3. How did the damage or injury occur? (Give full details; use extra paper if
required)
t t acs
4. What particular act or omission on the part of county or district officers,
servants or.employees caused. the injury or damage?
(over)
7. what are the names of county or district officers, servants or employees causing
the damage or injury?
5. What damage or injuries do you claim resulted? (Give full extent of injuries or
damages claimed. Attach two estimates for auto damage.
oo"jam.. 2 ;
7. How was the amount claimed above computed? (Include the estimated amount of any
prospective injury or damage.)
..._._..-____.--___.�. .._...._�___-
$. :names and addresses of witnesses, doctors and hospitals.
9. List ithe�expenditures you made on account of this accident or injury:
DATE ITEM AMOUNT
Gov. Code Sec. 914:2 provides:
"The claim must be signed by the claimant
SEND NOTICES TO: (Attorney) or 1) 16 person on his. behalf."
Name and Address of Attorney
Cl.aiasant t s SYgnatljre
(Address)
r.
Telephone No. Telephone No. r
* V V T �t
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 ($1,040), 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.
_.. _...........
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CLAIM .
L304M OF SIJPERVISQ.RS OP C N'TRA COSTA COUNTY
BOARD ACTIQN-- 0WM 21
Crim Against the County,or District Governed by )
the Board of Supervisors, Routing.Endorsements, } NOTICE TO CLAIMANT
and Board Action. All Section references are to } The copy of this document mailed to you is your
California Government Codes. } notice of the action taken on your claim by the
Board of Supervisors. (Paragraph IV below), given
Pursuant to Government Cade Section 913 and.
915.4. Please note all"Warnings"
AMOUNT: $15,319.49
CLAIMANT: JOSE AND KAREN RODRIGUEZ
ATTORNEY: UNKNOWN DATE RECEIVED SEPT. 15, 2003
ADDRESS: 838 DELAWARE GRAY BY DELIVERY TO CLERK.ON: SEPT. 15, 2003
LIVERMORE, CA 94551
BY MAIL POSTMARKED: SEPT. 12, 2003
FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
JOHN SWEETC r
Dated: SEPT. 15, 2003 _ By: Deputy fi
II. FROM: County Counsel TO: Clerk of the Beard of Supervisors
This claire complies substantially with Sections 910 and 910.2.
{ ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The
Board cannot act for 15 days(Section 910.8).
( } Claim is not timely filed.. The Clerk should return 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: BYLALb r County Counse:
ISI. FROM: Clerk ofthe Board TO: County Counsel (1) County Administrator (2)
( } Claim was returned as untimely with notice to claimant(Section 911.3).
IV. 11iOARD ORDER: By unanimous vote of the Supervisors present:
(t
This Clain 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:M07cv✓ l6246, JOHN SWEETEN, CLERK., By , Deputy Clerk
WARNING(Gov. cede=i*93))Z
Subject o certain exceptions, you have only six(6)months from the elate this notice was personally served or deposited
in the 'l 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
imrnediately. *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 S 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: '�''" / JOHN SWEETEN, CS�ERK By Deputy Clerk
Clain to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
INSTRUCTIONS TO CL.ADMAM
A. Clams 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 actio for..death or for injury to person
or to personal property or growing crops and c4hich 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. Claim must be filed with the Clerk of the Board of Supervisors at its office in
Room 106, County Administration Building, 651 Pine Strut, Martinez, CA 94553.
C. If claim is against a district governed by the Burd 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 clam 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
db )
RECEIVED
Against the County of Contra Costa SEP 15 200
or ) 0
CLERK SOARI
District} "'a,cus-r4 C .
Fill U nam }
The undersigned claimant hereby makes claim against the County of Contra Costa or
the above-named District in the sum of $ and in support of
this claim represents as follows:
1. When did the damage or injury occur? (Give exact date and hour)
2. Where did the damage or injury occur? (Include city and county)
3. How did the damage or injury occur? (Give full details; use extra paper if
required)
4. ghat particular act or omission on the part of county or district officers,
servants or .employees mused. the injury or damage's
(over)
what are the names of county or district officers, servants or employees causing
the damage or injury?
5. What damage or injuries do you claim resulted? (Give full extent of injuries or
damages claimed. Attach two estimates for auto dame.
7. How was the amount claimed above computed? (Include the estimated amount of any
prospective injury or damage.)
-
3. �Namesand addresses of witnesses, doctors and hospitals.
9. List the expenditures you made on account of this accident or injury:
?ATE ITEM AMOUNT
Gov. Cade Sec. 910«2 provides:
"The claim must be signed by the claimant
SES NOTICES TO: (Attorney) or by same son on his. behalf."
Name and Address of Attorney UkQq- ,/�,
Claiaantl Si Lure
"L-�J
Address _
t
G-�
Telephone No. Telephone No��
NOTICE
Section 72 of the Penal. Code provides.
"Every person who, with intent to defraud, presents for allowance or for
payment to any state board or officer, or to any county, city or district board or
officer, authorized to allow or pay the same if genuine, any false or fraudulent
claim, bill, account, voucher, or writing, is punishable either by imprisonment in
the county jail for a period of not more than one Year, by a fine of not exceeding
one thousand ($1,000), or by both such imprisonment and fine,- or by imprisonment in
the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by
both such imprisonment and fine.
l. The damage was discovered on 4/11!2003. There is not an exact date for the
occurrence because it occurred over time.
2. The damage occurred at 141 Victory Circle in the city of San Ramon.
3. The damage occurred related to the following reasons:
a) The pee trap and drain for the downstairs shower was missing and never installed
from original construction.
b) Lack of ventilation to the substructure area
4. The omission on the part of the county or district officers, servants or employees was the
fact that it was not discovered or disclosed upon inspection,that the pee trap and drain for
the downstairs shower was missing and never installed. Also, it was not discovered or
disclosed upon inspection that there was inadequate ventilation to the substructure area.
5. The names of the inspectors involved include but are not limited to: date Wilkinson, Devin
Dumford and Tom Smithey.
6. Damages resulting from an inadequate inspection include but are not limited to:
a) fungus debris in earth contact in the substructure area
b) fungus located rim joist
c) fungus damage to the floor joist, ring joist and subfloor at the rear exterior wall of the
kitchen
The total costs for above damages are provided from two estimates:
1) 17,164.00
2) 15,319.49
7) The above amounts are estimates from two mutable licensed construction contractors.
8) Witnesses include but are limited to:
1) HomeGuard Exterminators
925-417-8120
3942 Valley Ave
Pleasanton Ca 94566
Inspector Curtis R Reese
State license 4 FR 19341
2) Bogdan Construction
925-938-5024
3060 Naranja Drive
Walnut Creek Ca 94598
Contractors state license 4 595661
3) Greg Doyle Alain Realty
.Real Estate Services
925-855-4045
9) Expenditures:
5/15/03 Bogdan Construction Repairs as included 15,319.49
+SIT OF ;SAN RAMON
2222 Camino Ramon
P.0. BGX a14ti'
SAN F;AM0,N CA 9458
fi« 925-973µ288t3 i Ei T.925-2 1 FAX Permit Number.
Sa 925,813-25821WPECTION REQUESTS
03-1024
y�
BUILDING PERMiTAECEiPT
-IC1:l�FS ll dl :. t - E0 6BAMN issue Date: 5/06/01
1[(Ipro
hereby al Inn under peva]ts�of perjury dhat€am lrctnsttl under provisions of
ter9(cornmancingwilt.section7€lt3fl)of Division 3 of theBusiness and
fessions Code;and my license is in full farce and et>ect.
LICENSE- LASSB LICENSE#595661 DATE 6i30/04 Job Address: x41 VICTORY CIR
L7WNEtt BLTILL t+:L►ECLARATICEN, Subdivision:
l hereby affirm under.mnalcify thatt am exempt from the Contractor's
License Law for the allowing reasons (Section 703115,Business and Professions
Code; Any city orcounty which requires a.permit to construct, after, improve, Valuat€rill. �soc
demolish:or repair any structure,prior to its issuance,also requires the applicant
for such permit to file a sided statement that be or she is licensed pursuant to the #reliant h€ame,Nbr
provisions of the Contractor's License Law(Chapter'9(commencing with Section
7000) of Division 3 of the Business and Professions Code)or that he or she is
exerted exemption. Any etiolation of Work Description* RESIDENTIAL ALTERATION
pt therefrom:and the leis for the allur
Section 7031.5 by any applicant for a perrmt subjects the applicant to a civil
penalty of not more than five hundred dol€ars(55(0).). Owner
1,as owner of the ptoperty,or my tRiployees with wagges as their sole
compensation,will do the work,and ilic structure is not intended or offered for sale, rRODRIGUEZ JOSE C & XAM J
(section 7044.Business 4nd,prof tssitins Coder The Contractor's License Law does 141 VICTORY CIR
not apply to an owner of property who builds or improves thereon,and who does SAN RAMON CA 94583
such work hirnsclfor herself or through his or her own employees,provided that (925) v35'021i2
lsuch inx}>rovttrerits are not intended or offered for sale:If,however,the building of
improveincrii is 5616 within:one year of completion,the swner-builder will have the Contrador'
buidep of proving that he or she did not build or itmprove far the purpose of salt.) ;SOMAN CONSTRUCTION
1,as owntr of the property,am exclusively contracting with licensed contractors 34511 NARANJA Isal�ttsss
icit�onstrtict die project.( tiCtn 7(144, Business and Professions Code: Tht WAIN= CR � 94598
Contractor's Licenw LAW does not apply to:ah owner'ef'proony who builds or (925) 735-0262
improves thereon;and who constructs for such projects with it contractors)licensed
pursuant to theContt�tctor's Litcnse Law.)
2 alms exempt under Sec. ,B.&P.C.for this mason Permits Permit F8e
Bate Owner tai' RISSIt7 TIAL ALTERATION 99.04
' 'b1tU1tS!Cd*. 'E1 SA'TCflN DECLARATION �asa�v � 24.75
PLUMBING PERMIT 25.40
t iicrcuy affinn under penalty ofp ury ane of the following deciaratiorrs: t�Latat xrt R vlt4ta 24,.75
3 1 have and will tnaintaitt a certificate of consent to self-insure for county which
requires a permit to construct,alter,it wove,worker's comptnsationY as provided
for by is.
3700 ofthe I abor Code,for the perfartttaitce ofthe work for which
this permit is issaleil.
i have and will maintain a+avorktrs"compensatitrii tnsrtrance,as rttiuirtd by
Seetion Lamar Gts(lt,for the perforrnanee of the work for w#tich this
perntit is issued, Pees Peid
ibly workers'cattipertsation insurance carrier and policy numba'r are:
Carrier �taT Plan Check pees
Policy Sd�tmrbtr �1c�atRT
"s section ttee�l nsst tae s:urtsptcr+e3 tf rise permit is£ur uric�tttsdred duldars£�§tk9)�sr less.
€certify that in idle perfrirntanc a of the work for which this permit t`s issued,]
ENERGY
h not employ any person ret any snntr so as tit bccrrtrse subjtct to tht workers' !6.09
compensatton laws of Crtlifornia arida a Haat' l should bt orut subject tet ilii
workers'cortiptslsation provision 6 n 37 of the Labor Code,2 shall forth- ptfw pew
h comply with thost pmv-Woes{ ,
����_�,�_ M
AERIAL MAPPING SEE 3.75
WAAXW IFt1:iLLJItE'Tt�sEC�i rf�M€��l�l�tt'�`ONCOVERA!'�r� �I�Y d�RLxSFICAIZUbi FEt 7.50
3$I7l�lL
AW,i C L,,A.D SSHALuL SL1 ANI EMPL.U``t'ER TU-C UMINrA.i. zssttAtac2 Ps>s 25.00
t`IAL TIES A1wlU cML FTA1i 5 UfP i Ct WPM HC7NDREt!'2`HOUSANi'D DOLLARS SMIP RESIT 3.50
{Sit131,W10it),.1Nl AIIDMONf Tf3'1 COT O.F C0M1.1F14iSAn11)lV,DAMAGFS A5 Sett* RESIDENTIAL zSAL $0
PItC3VItIED liiUtt IN#SECT Ill t1 dF,3706dlr T11f LA116R OOM IN TEk ST,
4t# 1 idttgY'5 FEES.
C i�251 ttllCTldN LXNMQ AGENCY
2 hereby raffirni un der penalty of rjury that them is a construction lending agency
for tfte,perforinanee of the work i which this permit is issued(Stc.3097,Cov,C.)
Lender's]Norrie
Lender's Address
.Foe Summary GWiargest PaWd Credited #etre
C€at'e lander penalty of perj&31 t I la i!i,!ad this application and te--thattfii Permit Pee Total: 173.54 173,50 .00 .44
informption is.truee and corrwL l agree to comply with all,local ordinances and the Plass Cbeek Total $0.44 .tics •44
State laws relating to Building Construction and I snake this statement under penalty cruet Fee 'Total 44.55 40.55 .00: .40
oflsw.]:bemby authoaixe representatives of this City/County to renter on the above Grand Tot as 294.49 294,49 .40 _0a
mettratrttrd property,ft inspection purposes.Nt>si I . flus permit will expire by
limitation if work is not commenced on 1180 calendar clays frorn date of issuance,of Special Notes
if work is sbspetidea at any tin-fora~m than 60 calendar days. (A project is
considered abandoned or work suspended if no legitimate inspections Have been REPAIR MATER DAMAGED SUSFLOOR, PLOOR
requester]i y sixt (60) day period). Do'not conceal ore any construction it)xSTu, K=M 6O.JOISTS IN KITCHEN AREA.. 2'1t
unto the or s i elated and the inspection is recorded oil:the Jobcard.All SAME i2' T6" O EERS,vREPLACE S
in spt do a require�YC�I`c�irrs in advance of the ins io SAME CABINETS C(1tmrTRRs, REPLACE SIrYx,
hta�j 033 03 09: 41a Bogdan Jecztnien (925) 93e-50124 qo. 3
GENERAL CONTRACTOR
301603 NorciNa CDtive.Walnut Creek.CA.94548
Business phone&tax(425)938-5024
Contractor Sta!e license if 59.5651
May ;,2003
CONTRACT CT PROPOSAL
Job numbor: BC'437A
Submitted To: Mr_&Mrs.Jose Rodriguez
141 `Victory Cir.San Ramon,CA.94553 ph.(925)735-0262
Job address: ;sass as above
# l=s-c Old Repubitc"Title Company,3000 Clayton Rd.,Concord,CA.94519,ph.(925)687-7890
jj l 3r3forrxtnfscar3 ) wrow Officer-eer Mrs. Kristi Bourg is.escrow#0111001002.
t_i... _ _.
We offer to perform the following work on the above described project:
KI'I"CHU�E T REPAIR
1. Remove:entire tiled flooring including a pantry closet,L-shape tiled counter tuft with backsplash,
a.sink, a dishwasher, f.-shape base cabinets, a bottom portion (up to 12 inches high X about 14 feet
long) stucco at the rear wail of the kitchen, baseboards and bottom portions of sheetrock as
necessary. mote: Other base cabinets and counter top adjacent to the pantry closet will be left intact.
2. Repair and/or replace with new materials water damaged substructure wood members such as:
subflooring,rim joist and up to ten floor joists in the kitchen area as necessary.
.>. install up to four nese crawl space vents. Install paper, wire and three: coats of stucco at disturbed
area to match as close as passible. Paint to match new stucco as close as possible.
4_ Re-install existing base cabinets.
5. Install and hook-up. the existing kitchen sink with the existing faucet, the existing garbage
disposal and the existing dishwasher. Note: Repairs andor replacement of these appliances t€1
defective)care not included in our cost quotation.
b.patch repair sheetrock disturbed areas as necessary. faint these areas as close:as possible.
3. Install rim, standard grade 6X6 ceramic tiles counter top over an approved backer to match
existing tiles as close as possible. Exact match of tiles is not guaranteed...
S. Install new, standard grade 8X8 ceramic floor tiles over an approved backer to matchexisting
tiles as close as possible. Exact match.of Wes is not guaranteed.
9, Re-install existing.baseboards.
10. Provide a building permit for this project.
Notes.
3. The area of these repairs is limited to the kitchen only. Stucco will be opened at the rear wall only
(approximately 14 linear feet).
. Should other their mentioned above damages to be.16und in previously inaccessiblelconcealed
circus a supplemental contract will be issue outlining extra costs of needed repairs.
3. If additional wear other theca specified in our contract, is required by the city or county building
department, ii will not to performed under this agreement. A separate price quotation will be issue
and must be approved
Page I of 2
Mea j tt L 03 08: 41a Bogdan .deczm i @rt
(925)938-5024
P. 2
We propose hereby to fttrnish rnaterials and labor-complete according;,to above specification for the
sum of:—THIRTEEN THOUSAND FIVE HUNlr RFD US DOLLARS,AND NO CENTS----
-—-----—-----—-------to,
ENTS--___...._..----------____---„----,.,tv be paid through closing of escrow
IMPORTANT NOTE: Any work Rerformed a ainst an existiM title escrow will
be financial responsibility of the owners signing this contract, in the evert of a
canceled the existing title escrow #011001002 . Balance due in this event must be
paid no later then 30 days after completion of work.
All work undertaken by Bogdan Construction is guaranteed for one year from the day of completion,except if separately
mentioned in the contract.Caulking,seating of any type and plumbing repairs,are guaranteed for the period of 30 days.
During the course of outlined repairs, if wood members.electrical, plumbing, pipes,cracked commodes or flanges are
found to be damaged and/or defective we reserve the right to make additional charges for needed repairs.
Bogdan Construction assumes no responsibility or liability for damage to plant live,trees,vines,pets, plumbing leaks,
the roofs or changes beyond the control of the company which may occur during the performance of this work.
By signing of this proposal you authorise our company to do the work as specified. Any alteration or changes from
above specification involving extra costs will be executed only upon written order and will become an extra charge over
and above the estimate.
If additional work,other then specified in our contract, is required by the city or county building;department, it will not
be performed under this agreement A separate price quotation will be issue and must be approved.
The total amount of this contract is due and payable upon completion of work listed above unless otherwise specified.In
case of non-payment, reasonable attorney's tees and costs of collection shall be paid by undersigned, whether suit be
filed or not.A service charge of l and 1 f2 percent per month will be charged on all balances over 30 days.
It is hereby understood and agreed that in any action or proceeding involving a dispute between any party to this
contract, arising out of the execution of this agreement, or any work to be performed under the contract, that the
prevailing party shall be entitled to receive from the other party,all attorney's fees and the costs incurred in the defense
of the dispute.
NOTICE T4 PROPERTY OWNER:(Section 7018 of the California Contractors License Law,Business&Profmsionat
Code Div. 3 Chap. 9)Provides under the Mechanic's Lien Law any contractor,Subcontractor, laborer,supplier or other
person who help to improve your property but is not paid for his or her work or supplies has the right to enforce a claim
against your property. This means that after a court hearing, your property could be sold by the court officer and the
proceeds of the sale used to satisfied indebtedness(...).
ACCEPTANCE Of PROPOSAL: The above prices,specifications and conditions are satisfactory and are hereby
accepted.You arse apthorized to do the rk asApecified. Payments will be made as outlined above.
�w
�_.. ... ... ... ....... . .. ..
O"ER'S SIGNATURE IJATE
Since --
Bogdari
Page 2 oft
Mai 12 03 08: 41p Bogdan Jeozm i en (925) 938-5024 p. 1
GENERAL CONTRACTOR
3060 Naranjo(give, Walnut Creek, CA.94598
Business phone&fax(925)938-5024
Ctsn#rnctorStcre I.icerwse 4 545663
SUPPLEMENTAL CONTRACT
3,4TE: May
_L2, _2{X33 - —
JOB NUMBER: BC4370 � NO.OF PAGES_ � l
_
SUBMITTEDTO- solo. &t�rTrs..Ic�se Rcacirigcaez
141 Victory Cir., San Ramon,Scats Ramon, CA.945£33
�16B ADDRESS: Some as above
1 ESCROW INFO:: Old Republic Title, 3000 ClaytonRd., Concord, CA.94519
j Escrow #0111001002
On the request of the owner our Company will correct the following Section t items according to a Holme Guard Exterminators
termite report dated 4111/2003 on the above described property_
I. Remove and dispose cellulose debris m earth contact in the substructure(refer to the item I B of the termite report).
2. Scrape and/or wire brush a surface water damaged rim joist at the fireplace(refer to the item I C of the termite report).
3. Install up to six surface mounted vents at the substructure area(refer to the item I E of the termite report).
4. Remove the joist blocking on the stem walls every 4 feet(refer to the item IF of the termite report).
5. brill out minor seater damaged at the window trim.Patch repair this area as necessary.Prime coat disturbed area(refer to
then item I 1 B of the termite report).latcaate;Should additional wood damage to be found in previously inaccessible areas u
supplemental contract will be issue outlining extra cost ca,f needed repairs.
6. Patch repair cracked and shifted sheetrock above it muster bathroom stall shower.Texture and touch-up paint disturbed area
as,close to existing as possible.Exact match of the texture and the paint is not guaranteed.This condition had been caused
by structurally unpaired wood members during building of the property.l►Nate:Our Company wilt try to reinforce weakened
wood members by installing metal strap, however no guarantee is tieing given for reoccurring of this problem in the facture.
Should the seller desires a complete twaluation in this matter,an iuWoratory type ofrepexir will he needed its order to
determine a solid structural correction of this problem.
COSTS BREAKDOV�N:
1310€1.00, 2-$50-00, 34600.00, 4.$125.00, 5.$150,()0, 6.5225.00
We propose hereby to fun-Ash materials and labor–complete according to above specification for the sum of-
-—---
f:—_,.___..—-------TWELVE HUNDRED FIFTY US DOLLARS AND NO CENTS-_....—.._____. -
To be paid together with two previous contract amounts at the rlkrs ng of the escrow.
ACCE A C€Of PROPOS A - The above prices,specifications and conditions etre satisfactory and hereby
accepted You are authorized to do the work as specified.Payments will be mode as outlined above,
......... ... lel-1 .................... '
Ow- s s't,ncature ....... 17c #
SincerelywN
Bogdan Sec �:n
5 7 DA P (in��,� 4 I)� �3�'��.�,� `'
GENERAL CONTRACTOR
30160 Naranja Drive, Walnut Creek,CA.94598
Business phone&fax 1925}938-5024
Contractor State License#595661
SUPPLEMENTAL CONTRACT
MATE: _ May 7,2003
.148 NUMBER: BC437C NO.OF PAGE1
SUBMITTED TO: Mr. & Mrs.Jose Rodriguez
141 Victo Cir., San Ramon,San Ramon, CA.94583
JOB ADDRESS: Same as above
ESCROW INFO. Oid Republic Title,3000 Clayton Rd., Concord, CA.94519
Escrow# 0111001002
We offer to perform the fallowing work on the above described project:
1. During the course of repairs we found additional damage extended into concealed area. Remove water
damaged portion of run,foist and replace it with new materials. Patch repair disturbed sheetrock.
2. Replace defective undermount,fluorescent kitchen cabinet light fixture with a new one.
3. Install 2 inch p-trap and connect downstairs' shower drain with existing 2 inch ABS drain pipe.Note:
Should re-routing of nearby water supply copper popes became necessary; the owners agree to pay
additionally$701.00 per 1 hr.plus cost of materials for needed plumbing alteration.
COSTS BREAKDOWN:
1. $450.00, 2. $50.00, 3. $200.00
We propose hereby to furnish materials and labor–complete according to above specification for the sum of-
------------SEVEN
f:---__—.....----. SEVEN HUNDRED US DOLLARS AND NO CENTS,--------------
To
ENTS,-- ----..»w..--.--q.______..,,..To be paid together with the original contract amount at the closing of the escrow.
ACCEPTANCE OF PRQPQSAL: The above prices, specifications and conditions are
satisfactory and hereby accepted, You are authorized to do the work as specified.
Payments will be made as outlined above.
Ile
liq s� gl ,lglq!!>� • t•; 4 Obl,rtlfflllerl kOaaagsiwglkila gililsw ai Oq qY •glial iOtl �t l •��i.K'O.M!!i`!!ii
C9 rkar S signature Date
}
Sinrereiy
Bogdan JeC:mfY e_ 3 ..,
WOOD DESTROYING PESTS AND ORGANISM INSPECTION REPORT
Tfits is an inspection report only-Not's Notice of Completion,
ADDRESS OF PROPERTY INSPECTED
BUILDING NO. STREET CITY a ZIP COUNTY DATE OF NUMBER
CODE INSPECTION OF PAGES
149 VictoEy Circle San Ramon 94583 7 4/11/2003 5
Affix Stamp here on Board Copy only
3942 Valley Ave.#P A LICENSED PEST CONTROL
r Pleasanton,CA 94566 OPERATOR IS AN EXPERT IN
com ce m a rd HIS FIELD,ANY QUESTIONS
(926)417-8120 RELATIVE TO THIS REPORT
Extermin�CjtorS Fax(925)417 8122 SHOULD BE REFERRED To HINT.
Registration# PR 1452 Report# 035084 T Stamp# No Stamp Escrow# 0111001002
Ordered By: AGENT: Greg Doyle Alain Pinel 588 San Ramon Valley Blvd.,Danville CA 94526_--..
Report Sent to: Marian Horden Old Republic Title 3000 Clayton Road Concord, CA 94519
Property Owner: Mr R Mrs Rodrifluez 141 Victory Circle San Ramon, CA 94583
Party in interest:
Original Report jd! Limited Report Supplemental Report Reinspection Report`
Original Stamp#: Date
11 NF . 5 DI F1 0l D eI P it -'-If 9
I( O U U R U' T Aj A { A� L' X� N
' N T R U y N It M j R, U l L C D
General Description: �) A -r i T w` G, E V 1 T l L { L B W
I story single family wood frame stucco exterior limited to c Y t N E o U; R w; N; T U s Y
life wainstrug cture axcludin..y the deck E R o , 5 o; v I L s R
E N R I K D w o INj d t
s s A o o D o a4( s V L
P Y N i T R O D R E E E
Y E N E E D T D A A
ti C 5 A R D M K
Inspection Tags Posted garage E E E N M v E M c E : U ' 0, s
D C T 5 I N L R
A T E T R T T T E Y 5
Other Inspection lags: None noted R 1 R E D 5 E A V 5 T i
E O M S T S . C a U
A N I T L R
� r
1. Substructure Area: dry to damp accessible see below
2. Stall Showers: Tested
3. Foundations: concrete
4. Porches, Steps: Concrete
5. Ventilation: inadequate
6. Abutments: stucr c� j.
7, Attic Spaces: Insulated _1 _ ..
8. Garages: 2 Car attached
9. Decks, Patios: not inspected
10. Other, Interior: see below
11. Other Exterior: see below
DIAGRAM AND EXPLANATION OF FINDINGS(This Report Is limited to structure or structures shown on diagram)
IE
1E 11B 1E
10A JE
ID 1c
1F 1E
IIA I 1F 1F
28
2A
1A 1B
IIA IB
10A
11A
u
Inspected by: Curtis R Reese Licensee: FR 19341 Signature:
1.
You are entitled to obtain copies of all reports and completion notices on this property filed with the board during the preceeding two years upon
payment of a $2 00 search fee to The Structural Pest Control Board, 1418 Howe Avenue,Suite 18,Sacramento,California 95825-3204.
NOTE: Questions or probienis concerning the above report should be directed to the manager of this company. Unresolved questions or problems
with services performed Wray be directed to the Structural Fest Control Board at(916)263-2540 or(800)737-8188.
ADDRESS OF
PROPERTY
INSPECTED � tI � Victory C'ilrcl.e San Ramon
SU LDING NO. STREET CITY
t
No Stamp 4/11/2003 035084 _.-T_.-- �..._. .__-."
STAMP NO, DATE OF INSPECTION CO. REPORT NO.
INSPECTION.
NOTE: THIS IS A SEPARATED REPORT WHICH IS DEFINED AS SECTION I AND
SECTION II CONDITIONS EVIDENT ON THE DATE OF INSPECTION.
SECTION I CONTAINS ITEMS WHERE THERE IS EVIDENCE OF ACTIVE
INFESTATION, INFECTION, OR CONDITIONS THAT HAVE RESULTED IN OR
FROM INFESTATION OR INFECTION. SECTION II I'T'EMS ARE
CONDITIONS TEEMED LIKELY TO LEAD TO INFESTATION OR INFECTION
BUT WHERE NO VISIBLE, EVIDENCE OF SUCH WAS POUND. FURTHER
INSPECTION ITEMS ARE DEFINED AS RECOMMENDATIONS TO INSPECT
AREA(S) WHICH DURING THE ORIGINAL INSPECTION DID NOT ALLOW THE
INSPECTOR ACCESS TO COMPLETE HIS INSPECTION AND CANNOT BE
DEFINED AS SECTION I OR SECTION II .
NOTE : WE GUARANTEE CHEMICAL TREATMENTS DONE BY THIS COMPANY FOR ONE
YEAR AND FUMIGATION' S TONE BY THIS COMPANY FOR ONE YEAR FROM
THE TATE OF COMPLETION. WE GUARANTEE WATER DAMAGE REPAIRS FOR
THIRTY (30) DAYS FROM THE DATE OF COMPLETION. WE CANNOT
GUARANTEE WORK DONE BY THE OWNER OR OWNER' S AGENT. TIE MAKE NO
GUARANTEE .AGAINST FUTURE INFECTIONS, ,ADVERSE CONDITIONS, OR
CONDITIONS PRESENT BUT NOT EVIDENT AT THE TIME OF OUR
INSPECTION.
( 1) SUBSTPLJCT[IRE AREA
1A. F' f NI�11�1c�: 'I`11 �" pi&cE trap and drain for the downstairs shower is
mi ssi.n<.I and was never installed from original.
const.1,11ct--J ran .
RFCOMMENDEIT] '>N : `--)apply and install- a new pee trap to correct this
coib(l-i.i.ion .
A -A1 A A A- A *A * (SNC'TTON
`i hol t� i "'; fungus infected cellulose debris in earth
c oll l cltl. i-n the sithstructl. re area .
RECOMM I,:N!)AT] ON : I<E I ; , , the: c.' l .l u lose debris of a size that can be raked
!roll, i tie subs tructtire area .
A A :< A A A A A J A (SECT10N 7. ITEM) **********
`1 h,i e is a 8ni. f ace fungus condition located rim joist at
F.ECOMMENDAT i011 : wi.i_e brush this area and treat with a
fungicide Timbo.r (Disodium Octoborate
Tct.rah yclrat.e) .
AAAA..A..A. A .AAA (SE'C.TlON 1 ITEM) *�-�**�•�**�•
I.D. FTNF)I!;(;: dalftage was noted to the floor joist, rim joist
at3rl' Suhfloor at the rear exterior wall of the kitchen.
Ri�COMMT�;NDA7`iC�iv : I:r.i{u�vt� the t:i .le counter top, remove the lower kitchen
c til i tic t "11 t:lhe exterior wall and at the wall k7etween the
cl_hi i-rlg room and kitchen. Remove the tile floor and
removE� and replace the damaged wood members with new
i. i.1.S - reinstall the existing cabinets , and
hew ceramic ti-le on the counter top and floor
c lPpt- c,ved surface. Ale intend to reuse allow
< i 1 i_tiq p1m,11 incl and f i.xt.ures .
F I NC I f;(; r {� s � _ � ,�..�0f .0 f� ���.. �.�.� �:ic��re-
Z : �r�a h
F i;COMMEIVE"J71`I`I()ld : -Lr� 1 1 addi t .i.onaI ventilators to substruct"u'e area
Page 3 of 5
ADDRESS OE
PROPERTY
INSPcrirt7 Vi-ct_c,ry Circle San mo
-Ra _. - ...
BUILDING NO. STREET CITY_ —n _
I
No Stamp 4/11/2003... . _ _.__. 03508.4_._T_�
STAMP NO. DATE Off'INSPECTION CO.REPORT N0,
where indicated on the diagram.
" •A- A" ^ " �, x A * (.�.�F�C"TION 1 1'I'�M) �*�**�**•��
- -
1 FINtl1.NC; rr it g :e t .1: ti r h ca' `s e fre da-M- 9:6 c d
RECOMMENDATION : Remove the joist blocking on the stem walls every 4" to
..orrect: this condition.
* (cEC;TION 1 ITEM) **********
(2) STALL SfIC�WL,I:;_t
2A. FINDING: 'Soinre c>f the grout is loose or missing around the ceramic
tale ora the downstairs stall. shower.
RECOMMENDATION : R.egrout this area in the most practical way.
1k " " AA *-^ * (SFCTION 2 ITEM) **********
213. FINF)INC;: Smite of the grout is loose or missing around the ceramic
ti-le on the master bathroom stall shower.
RECOMMENDATION : Regrout this area in the most practical way.
" * '' ****** * (SECTION 2 ITEM) **********
(10) OTHER. . . INTE'RIOR
.1.OA. FlNDING : Water stains were noted at the windows . This condition
appears to have been caused by condensation.
RECOMMENDATTON : The owner is to keep these areas well sealed and as dry
as possible to prevent moisture intrusion .
" A " A -" A " ** (Sr,CTTON 2 ITEM)
11A. l'INDINC; : MS nor stress cracks were noted in the exterior stucco as
indicated on the diagram.
RECOMMENDATION : The owner is to seal these areas and maintain the
exterior paint .
"**"" " **** (SECTION 2 ITEM) **********
11B. FINDING: The trim has been damaged by fungus at the windows .
RECOMMENDATION : Remove and replace all the damaged wood members . If any
damage is found to extend into any enclosed areas a
supplemental report and bid will be issued. We intend
to reuse the 2x8 and 2x10 trim.
** **"**** (SECTION 1 ITEM) **********
NOTE: "State .law requires that you be given the following
information :
C.A�tT�IC>I}�l'€ S'P1C"It7I�,S ARE TOXIC CIHEMTCALS . Structural Pest
(.,ofirpatri es are registered and regulated by the
Pest Control Board, and apply pesticides which are
regi-sterec] aiid approved for use by the California Department
of Food r:rr:.i Agriculture and the United States Environmental
Pr.otec:ti.cn Agency. Registration is granted when the state
fi'-nds t:hat based on existing scientific evidence there are no
-risks that are outweighed by the benefits The
degree o1_ r i.s1< depends upon the degree of exposure, so
e-xp()strr-e shOUld be minimized. "
"It- Withi ;-' 24 hours .following application, you experience
syrups-()Ills sirrii..l ar to common seasonal illness comparable to the
t 1u,
contact your physician or poison control center and your
��es1: corit.rc�l company immediately. ,'
Parse 4 of 5
ADDRESS Of
PROPCIRTY
INSPECTED
Vi(--:tory Circle San_,.Ramon __
BUILDING NO, STREET CITY
I
No St-..amp 4/11/2Q03 035084._ `x__._
STAMP NO DATE OF INSPECTION CO. REP,0Iif .
NOTE : For tLlrt:.hef information contact any of the following:
HOMEGUARD INCORPORATED (408) 993-1900
Poison Control Center: (800) 876-4766
Santa Clara County Agricultural Commission (408) 918-4600
Sal)ta Clara County Health Department (408) 918-3400
San Benito County Health Department (831) 637-5367
San Renito ( (.')unLy Agricultural Commission (831) 637-5344
Alameda C'ounty Agricultural Commission (510) 670-5232
Alameda County Health Department (510) 267-8000
Contra Costa County Agricultural Commission (925) 646-5250
Contra Costa County Health Department (925) 646-5137
San Mateo County Agricultural Commission ( 650) 363-4700
San Mateo County Health Department (650) 573-2757
Structural Desi; Control Board (800) 737-8188
1.418 Howe Ave . #18, Sacramento, CA 95825
NOTE: HomeGuard Exterminators does no texturing, painting, or wall
papering . However, we will cover exterior wood work with one
(1 ) coat of white primer weather permitting.
NOTE: Unless prior arrangements have been made, white -tile will be
installed. Tt should also be noted that all tile work,
rega.i.--dIess if color selection, will be done with a tight white
grout Joint .
NOTE,: If daiiiage is found to extend into any inaccessible areas, a
S LIPP I eI11E:,f Ita 1 report will be issued listing additional
findin(_'Is, recommendations, and bids .
NOTE: Should Llie further inspection items noted in this report not
be performed, HomeGuard Exterminators will assume no liability
for. any infestations or infection which may be concealed in
these areas .
NOTE : Hc)riio(-;tiai-c-1 Fixterminators assumes no liability for, nor do we
gualant-et", work done by others . All guarantees, warranties,
and permits should he obtained from the parties performing the
r e,p a i r 3 .
NOTF : Tf any o,[ the wood
repairs outlined in the above report are
dono try others, an open inspection must be performed by this
('0111p,illy if the appropriate certification is desired.
NOTE : Thank ynii f.ui- using HomeGuard Exterminators, Inc. If you have
any qtioso_ ions regarddng this report, please call and ask for
I- i -; F"loo:;i' . N_easa hear in mind that the inspectors have
_jj-jIj,'_j Lhe day and can only be reached by phone
i-tioi.'nLng and late in the afternoon . The inspect-or
e ov,ery effo_rt to make contact with you when he, is
civ1) 1.t_ .
I t Y-11 I j i:t� further assistance or wish to schedule work as
I-eC:01i"mended i-n this report, please feel free to contact our
of i i, e . We are here to assist you !
Page 5 of 5
ADDRESS OF
PROPERTY �
INSPECTED � � � Vlcl,ory Ci r(,le San Maroon
SUM)ING NO STREET CITY
I
No St arup 4/12/2003 035084 T
STAMP NO GATE OF INSPECTION CO, REPORT NO.
AREAS NOT INSPECTED PLEASE READ
This report is an inspection for wood destroying pests and
organisms to a furnished, occupied structure. Some areas of
the :structure were inaccessible for inspection due to
furnishings, appliances, floor covering, and/or stored
personal property. We did not inspect areas immediately under
furnishings or appliances, nor did we inspect inside finished
walls or ceilings . Our inspection does not include any
electric, heating, or mecha.ni.cal systems of the structure. Our
inspection will. not detect building code violations . If any
information is desired about any areas mentioned, a company
which snakes home inspections should be engaged. The plumbing
was inspected and only the leaks outlined in our report were
found at this time; however, we assume no responsibility for
leaks that occur after the date of this inspection. There may
be health related issues associated with the findings
reflected in this report. We are not qualified to and do not
render an opinion concerning any such health issues . The
inspection reflected by this report was limited to the visible
and accessible areas only. Questions concerning 'health related
issues, which may be associated with the findings or
recommendations reflected in this report, the presence of
mold, the release of gold spores or concerning indoor air
quality should be directed to a Certified Industrial
Hygienist. It has been requested that this report be limited
to the main structure excluding the deck. It is recommended
that the entire structure be inspected. HomeGuard
Exterminators will, upon request, inspect the entire structure
at an additional expense. This structure has carpet installed.
Although no adverse conditions were evident, we assume no
responsibility for the floor covering under the carpet unless
we remove the carpet. We: dial not water test nor inspect
upstairs plumbing concealed by finished ceilings . A portion of
the eaves, wood siding and/or windows on the property were not
inspected due to their height from the ground, The
inaccessible areas Listed above which were not inspected will
be inspected upon the owners request and may be conditional to
additional inspection fees .
NOTE: WORK PERFORMED BY OTHERS WILL BE REINSPECTED BY THIS
COMPANY FOR A REINSPECTION FEE OF $125.00 . OPEN WALL AND OPEN
FLOOR INSPECTIONS ARE REQUIRED IF A CERTIFICATION 15 DESIRED
FROM THIS COMPANY. REINSPECTION MOST BE PERFORMED WITHIN FOUR
MONTHS OF THE ORIGINAL INSPECTION DATE; SCHEDULING FOR
REINSPECTION MAY REQUIRE AS LONG AS TEN DAYS TO BE MADE.
NOTICE: Reports on this structure prepared by various
registered companies should list the same findings (i.e.
teruti.te infestations, termite damage, fungus damage, etc. ) .
However, recommendations to correct these findings may differ
from company to company. You have the right to seek a second
opinion from another company,
NOTE : WE GUARANTEE CHEMICAL TREATMENTS DONE BY THIS COMPANY FOR ONE
YEAR AND FUMIGATION' S DONE BY THIS COMPANY FOR ONE YEAR FROM
THE DATE OF COMPLETION. WE GUARANTEE WATER DAMAGE REPAIRS FOR
THIRTY (30) DAYS FROM THE DATE OF COMPLETION. WE CANNOT
GUARANTEE WORK DONE BY THE OWNER OR OWNER' S AGENT. WE MAKE NO
GUARANTEE AGAINST FUTURE INFECTIONS, ADVERSE CONDI'T'IONS, OR
CONDITTON'S PRESENT BUT NOT EVIDENT AT THE TIME OF OUR
Pace 2 of 5
3542 Valley Ave.#P
floineGuardP1s,sant0 94566
{525}4174-$12►7
14'xtermmi nators Fax{525}417$122
AGREEMENT
HomeGuard Exterminators, Inc. is authorized to proceed with the work outlined in items
of their termite report no. 035084 for the property located at 141 Victory Circle, San
Damon for a total Burn of$ . This amount will be due and payable upon completion of work. it is
understood that the contract price does not include the charge of the Structural pest control inspection report or re-
inspection fees.
HOMEGUARD EXTERMINATORS, INC.AGREES:
1. To guarantee all repair completed by this company for one year from the date of completion except for
plumbing, grouting, caulking, and resetting of toilets, which will be guaranteed for 30 days.
2. To he bound to perform this work for the price quoted in our cost breakdown for a period not to exceed 30 days.
3. To use reasonable care in the performance of our work but to assume no responsibility for damage to any
hidden pipes, wiring, or other facilities or to any, plant life, rain gutters, roofs; nor for damage or dirtying of
stucco, plaster, paint, wall paper or other"finish-work" adjacent to areas where work is performed.
OWNER OR OWNER'S AGENT AGREES.
1. To pay for services rendered including any additional services requested, upon completion of work. This
contract may canceled at any time by the customer. In the event of such action, customer agrees to pay
HomeGuard Inc. in full for any work already performed and the cost of materials and permits, plus 15% of the
total contract price to cover job set up and administration expenses.
2. To pay for service charge of 1.5 percent per month or portion of any month beyond 30 days after completion.
3. Owner grants I-IOMEGUARD, INC., a security interest in the above described real property to secure payment
of the sum for work and inspeciton fee completed.
BOTH PARTIES AGREE:
1 If Additional damage is discovered by HOMEGUARD, INC., during the performance of work, company agrees
to notify owner ter agent of the amount of the damage and the amount of additional work necessary to be
done. This work will not be performed until owner agrees.
2. If any additional work is deemed necessary by the local building inspector, said work will not be performed
without additional authorization from owner or owner's agent.
Circle the items yotf wished performed by HOMEGUARD, INC. below and enter the total amount above.The
minimum service charge for any work Is $150.00. The cast of each Item In this report Is:
Section 1
1B $100 1C $125 117 $14,945 1E $1,740 1F $100 1113 $375 Total$117,385
Section 2
1A $150 2A $65 2€1 $66 10A Owner 11A Owner
NOTICE TO OWNER
The charge for service that this company subcontracts to another person or entity may include the cornpany's charges for
arranging and administering such services that are in addition to the direct costs associated with paying the subcontractor. You
may accept HomeGuard Exterminator's bid or you may contract directly with another registered company licensed to perform
the work.
If you choose to contract directly with another registered company, HomeGuard Incorporated will not in any way be
responsible for any act or ornlssion in tate performance of work that you directly contract with another to perform.
Under the California Mechanics Lien law, any structural pest control operator who contracts to do work for you, any contractor,
subcontractor, laborer, supplier or other person who helps to improve your property,but is not paid for work or supplies, has the
right to enforce a claim against your property. This means that after a court hearing,your property could be sold by a court
officer and the proceeds of the sale used to satisfy the indebtedness. This can happen even if you have paid your contractor in
full if the subcontractor, laborers of suppliers remain unpaid.To preserve their right to file a claim of lien against your property,
certain claimants Such as subcontractors and material suppliers are required to provide you with a document intitled
"Preliminary Notice". General contractors and laborers for wages do not have to provide this notice. A Preliminary Notice is not
a lien against your property. Its{purpose is to notify you of persons who may have e right to file a lein against your property if
they are not paid. You can protect yourself from such claim by requiring your contractor to supply you with a payment and
performance bond prior to commencing any work of improvement and/or requiring your contractor to provide you with an
unconditional lien release signed by each material supplier,subcontractor, and laborer involved in that project phase before
making payment on the completed phase of the project.
OWNER OR OWNERS AGENT DATE BY: , HomeGuard, Inc
X ESCROW OFFICER:
X ESCROW CO/NO:
Name of person providing access Phone Number
IS UPGRADING OR CHOICE OF LINOLEUM OR TILE DESIRED? YesNo
***If there is no choice, neutrat colors will be installed,there may be additiona_l charges for special materials chosen***
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CLAIM .
BO R.D OF SUPERVISORS OF CONTRA COSTA COUNTY
BOARD ACTIQN:OCTOBER 21. 2003
Claim Against the County, or District Governed by )
the Beard of Supervisors,Routing Endorsements, ) NOTICE TO CLAIMANT
and Board Action. All Section references are to ) The copy of this document mailed to you is your
California;Government Codes. ) notice of the action taken on your claim by the
Board of Supervisors. (Paragraph IV below), given
Pursuant to Government Code Section 913 and
915.4. Please note all"Warnings".
AMOUNT: UNKNOWN
CLAIMANT: BRANDON NECKRITZ f
ATTORNEY: UNKNOWN DATE RECEIVED: SEPT. 16, 2003
ADDRESS: 7_.2- PALM AVENUE, BY DELIVERY TO CLERK ON: SEPT. 16, 2003
SOUTH SAN FRANCISCO, CA 94080
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 SWEETE l k
Dated: SEPTENBER 17, 2003 By: Deputy `
II. 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 910.8).
( ) 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 claire.(Section 911.3).
( ) Other:
Dated: . �'� }� '_ Deputy County Counsel
y
III. FROM: Clerk ofthe 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:
(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, 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: ' -33OHN SWEETEN, CLERK By Deputy Clerk
CO. CO. SHERfFF'S DEPT. Fax99256461389 Sep 16 2003 16.09 P. 02
Claim to: BOAM CP SUPWISORS Ct i1t]EtM C WTA COMM
. _ AME-2 TO 9AMltlti4'T
sonal property or growing crops and whlah atom a on or before Dooember 31, 1987t
must be presented not later than the 100th day after the aomn al of the cause of
action. Claims rating to causes of sotion for death or for injury to person
or to persorael property or growing omps and which aacrLa on or after January 1,
1988, mast be presented not later than six months after, the accrual of the cause
of action. Claims relating to any other cause sof action must be presented not
later than one year after the acrcrual of the oause of action. (Govt. Md.e 5911..2.)
B. Claim ==t be filed with the Clark k of the Board of Supervisors at its office in
Room 106, County AftluistrOtiOn BUIldirrg, 651 rine Wit, Martinez, CA 94553•
C. If claim is against a. district governed by the Board of Supervisors, rather th;tn
the County, the ram of the District should be filled in.
D. If the claim Is against more than one public entity, separate claims mut be
filed against each publics entity.
E. Fraud. See penalty for fraudulent claims, Penal Code Sec, 72 at the end of this
RE, Claim By } Reserved for Clerkrs filing stamp
RECEIVED
Against ER C gty yr tetra Costa � SEP p 1 6 2003
SFr; '. ,,
District) CLER.., gc,aP .)"S.=PFRVtSORS
Cis A�A ,OMA CEJ.
�n )
The undersigned claimant hereby makes claim against the County of CMtra Costa or
the abc -rramead District in the smart of $ and in support of
this claim represents as follows:
1. When did the damage or injury occur? (Give exact date and 'hour)
2. W*r+e did the doge or injury occurs' (Includes city and ty)
Oak -UAlc�
3_ How did the damage or injury occur? (Give full details; use extra paper if
required) Ntico�.t �
4.. 'fit particular act or emission on the part, of{minty or district officers,
servants tsar eMloyees caused the injury or ?
QAC,-N i N) WPBS T-PtLC�j WA4�, t N pc Zr—EC"F—
'W'CCE k a C� C -L�e?- ptt iia r 4r 'aAbT(:,u AJ 0
(aver)
CC. CO, SHERIFF"S DEPT. Fax:9256461389 � Sep 16 2003 16:10 P. 03
�,.»....._... ,.. ..._._._.... .• ,si4+�i-,,-.".i�J�wx�« ..=nG/r .:e:3akE�.i'aY;ir'1"'. iK.t.AFd..+,n'.+,"�ds!"u+q•YZ*"P"�'••i w.r,S:.z^.r..y>,:i; ..
5. 4Waa-t am the names of oomty or district officers, servants or employees causing
the denagE: or In'ury?
rr o^«s 1,l�tW
6. tkat damage or injuries do you claim resulted? Give full extent of injuries or
dues claimed, Attach two estimates for auto damage.
"MOT Gz,. Wzj� Zi �� C i_ N
7. How was the amount claimed above computed? (T.nolude the estimated amount of any
prospective injury or d t .)
B. Names and addresses of witnessesa doctors and hospitals.
t
.rrrrrw ,...rs.r++++..�.v_rYrs+rwww�+rl•�wA�'•rr�slrwyµ�(,w�IIMi•it�P+wMie�+MY�+w...s®�slfww'1#iw,wrwrOlirw+•.+...rra1W�+*_�ww•iw•P
9. List the expenditures you made on account of this accident or Injury.-
DATE
njury:DATE ITS AMr7Nl`
Nod' `�7T
Gov. Cade See. 910.2 provides:
'The claim mast be signed by the eUimant
SEND NOTICES TOt (Attorney) or on his behalf."
Ham and Address of Attorney � >�
aua
Telephone No. Telephone No.("%(-' C04D• ILtL JI
iF a! f �F ilk ♦i # � # � i! f iE iE '�°'•�'� ����'�""'�"�"�"•�""'�' f �!! 1t
N 0 T I C 2
Section 72 of the Penal Cade providest
02v ry person who, with intent to defraud, presents"for allowance car fbr
past to any state board or officer, or to any oounty, city or district board or
officer*, authorized to allow or pay the same if genuine, any false or fraudulent
claim, bill., account, vocher, or vritiqg, is punishable either by iWri.soraent in
the =2nty ,jail for a period or not more that one yekar, by a fine of not exaseding
one thousand (U P 0 0), or by both suosh impri.soment and fine, or by Imprisonment in
the state prism, by a .fine of riot exceeding ten thousand dollars ($109000, or by
both such Imprisonment and fine.
CLAIM &7
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
BOARD ACTION: OCTOBER 211 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: $600.00
CLAIMANT: MELISSA M. SUTTER
ATTORNEY: UNKNOWN DATE RECEIVED: SEPT. 17, 2003
ADDRESS. 147 CANFIELD COURT BY DELIVERY TO CLERK ON: SEPT. 17, 2003
BR=MD, CA 9451.3 RECEIVED 'DOUGH
BY MAIL POSTMARKED: INTEROFFICE MAIL
FROM RISK MANAGM,I
FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim,
JOHN SWE T lark
Dated: S>�PTEMBER 17, 2403 By: Deputy
II. FROM: County Counsel TO: Clerk of the Board of Sup isors
This claim complies substantially with Sections 910 and 910.2..
F
( ) 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:
` z !
Dated: By. Deputy County Counsel
III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2)
( ) Claim was returned as untimely with notice to claimant(Section 911.3).
IV.BOARD ORDER: By unanimous vote of the Supervisors present:
(� 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:C 4, JOHN SWEETEN, CLERK, By , Deputy Clerk
WARNING(Gov. code sec on 9I3)
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: X"OHN SWEETEN, CLERK By Deputy Clerk
Claire to: BOARD OF SUPERVISORS OF CDNTRA COSTA COUNTY
INSTRUCTIONS TO CLAIMANT
A. Claims relating to causes of action for death or for injury to person or to per-
sonal property or growing crops and which accrue on or before December 31, 1987, {�
must be presented not later than the 100th day after the accrual of the cause of
action. Claims relating to causes of action for,death or for injury to person
or to personal property or growing crops and which accrue on or after January 1,
1988, mint 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 actio. (Govt. Code §911.2.)
B. Claims must be filed with the Clerk of the Board of Supervisors at its office in
Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553.
C. Zf claim is against a district governed by the Beard 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
farm.
RE: Claim By ) Res for Clerk's filing stamp
Against the County of Contra Costa ) �, �
or t'
District)
t'ill
The undersigned claimant hereby makes claim inst the County of Contra Costa or
LTthe above-named District in the sum of and in support of
this claim represents as follows:
1. When did the damage or injury occur? (Give enact date and hour)
2. Where diad the damage or injury occur? (Include city and county)
CCril `{C ti�,. LiCAC3�te1 � L - �tt �ti`� 1 { }�! (� "r, fl�'
3. How dial the damage or injury occur? (Give full details; use extra paper if
required)
fit. khat particular act or omission on the part of county or district officers,
servmts or .employees caused. 'the injury or damage?
T h e Gc V c; i 5 Q e,8 _gec"5c,(1,5 .. pre ut4ti v nc�r q eq.v t P;nom-" 0 n Get' cm-v i d.M
e- ,;
(over)
7. wnat are the names of county or district officers, servants or employees causing
the damage or injury?
�j
E
5. What damage or injuries do you claim resulted? (Give full extent of injuries or
damages claimed. Attach two estimates for auto damage. g
f 11`lf.k i`_.f.! -i +.% S"'.l 3l". ;yE'3C(10L_
i`:}1 $ Y9,�.!�'vf( y+�, vy.,{�5li ? r��``Z'�f .. W"�l'N`F'1.�`rG'^1��"-� 1�f� sC..l'i^s�k: `-i1.,%
J 3 c3 }M iii -1-C
Y lt1 t f P �- ✓Z.SJ �✓ •WC3 kks <3Y}'fes' r ff j
7. How was the amount? claimed above computed? (Include the estimated amount of any
prospective injury or damage.)
All
8. Names and addresses of witnesses, doctors and hospitals.
t;eaF3 ;�n A . ebec
Rooter 1& WV
9.
List r9t�hy.e.�Eexpenditures
.�you rmade on account of this accidentc �iTyd�e{�nt or injury:
r,�t nine J7vc5 a„'b �`s =ccy `� h c �tk to tars
�2
�J'f 'A-'1 S A 0 i Yrt-1 kit�i''? �✓f� Gni e£Gk e .�
Gi -$- �Cic,E �3'U,��
Gov. Code Sec. 916:2 rov. cies. :
"The claim must be signed by the claimAnt
SEND NOTICES TO: (Attorne ) or by some person on his. behalf.” Jam,
Name and Address of Attorney
Claimantfs Signature
(Address)
Telephone No. Telephone No. aZ 514- ;o-G4 of 6Z8- /2`f 1
" *
N O T I C E
Section 72 of the Penal Code provides:
"Every person who, with intent to defraud, presents for allowance or for
payment to any state board or officer, or to any county, city or district board or
officer, authorized to allow or pay the same if .genuine, any false or fraudulent
claim, bill, account, voucher, or writing, is punishable either by imprisonment in
the county jail for a period of not more than one year, by a fine of not exceeding
one thousand. ($1,000), or by both such imprisonment and fine,-,or by imprisonment in
the state prison, by a fine of not exceeding ten thousand dollars ($10,0001 or by
both such imprisonment and fine.
........................................................................................................................................................................................................................
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