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Home My WebLink AboutMINUTES - 02242004 - C25 CLAIM BOAS UPER'�'�ISORS OF CONTRA COSTA COUNTY BOARD ACTION:'FEBRUARY 24, 2004 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 T...<. < 915.4. Please note all"Warnings". AMOUNT: $.579.4 CLAIMANT: JOSEPH HUNTER AND KRISTINA HUNTER ATTORNEY: UNKNOWN DATE RECEIVED: JANUARY 12, 2004 ADDRESS: 319 KINGSTON AVENUE BY DELIVERY TO CLERK ON:JANUARY 121 2004 MARTINEZ, CA 945.53 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 S WEE' la rk JANUARY 12 2004 Deputy_ Dated: By: 11. FROM: County Counsel TO: Clerk of the Board of Su rvisors (v'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: Hated: I` r 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: + (4, 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• lgOHN SWEETEN, CLERK, By Deputy Clerk WARNING(Gov. code section n 3) 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. *Far 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:, e - SWEETEN,CLERK By Deputy Clerk Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA CMIM INSTRUCTIONS TO CLADAANT 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, 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 Board! of Supervisors at its office in Room 106, County Administration Building, 653 fine 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 Se:. 72 at the end of this form. RE: Claim By Reserved for Clerk's filing stamp Against the County of Centra Costa � JAN 3 � 2a04 or ) CLERK SOAR[}OF SUPERVISORS District) CONT A COSTA Co. 121 The undersigned claim nt hereby.makes claim against the County of Contra Costa or the above District in the surf of $ � "�'� r �, and in support of this claim represents -as follows: 1. When did the damage or injury occur` (Give exact date and hour) . LAC= ' BOO ` 2. There 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) .r e,t-vjr r e d A;0 r>n co'y :,� ,- W de L4� i+r to . 1 t�-�.., 6�', +r vob br rue O\Y\d uoa3 �Oy eA+Okf,s,..N-Yypye a6 nb Ll- ..=..r...�...........r-�...�.,. -- 4. What particular act or omission on the part of county or district officers, servants or-employees caused. the.injury or damage' Qvx Y \ 5. wriat. are the names of county or district officers, servants or employees causing the damage or injury? V*Avlo + 5. What damage or injuries do you claim resulted?(Give full extent of injuries or damages claimed. Attach two estimates for auto damage. M CaY votn6 ke, 11 un6r1vo3o` .'T_ r..no►d nc�- s(-e VeV.4v\.d me. cn-' - teC� �a�c� Y:aC tt�c7+^u F+rieh+ Qo,- Pbou+ Wce-v vJ'razs cr�y,�uc ern "j. 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. UJ f 1 c of-WV,V__ezy�� W'v,,c> Saw. } dolw1lae 3 t (412 5)q 9 5-70 S vt wti "CNC--, to--eyr 9. List the expenditures you made on account of this accident or injury: DATE ITEM ANDUNT Gov. Code Sec. 910:2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some 2erson on his.behalf." Name and Address of Attorney .4/ACA.� Claimant'a Si tore Ad ess� Telephone No. Telephone No. 1 �'2 1 IF 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 ($10,000, or by both such imprisonment and fine. ,��''��' 1.,.�#- w��-3og 1� �.��C>�`��,��>'�� `�� - ��1�.� .•��''' ,r Y1 V Z f�% odG a4--ire i "�vta+� ir1 Yv11ct� S.i 1 cn{tit } ,K?ti'►c�+° vv-L cat40"10,6le i" pcctr L, co-51-a- -Au o-5` a- Gk rV\e- A �'�h t 1G i,ted 1+ t�1 `t✓i X01 t VIA Tb l ovo �RS C.cold. TY,.,._ IBJ 'e lam`' ciV vinn ClAv-ec1 A-0 Gt-Aa incic;ev� 4 vas Y1 c�� -tir j` ,pe6�tn ` �n � t vie real Y''°�L•l.laGsv"1 `� (��",,Got Y1 e'l, ��'.�-�� LLs�✓t r''t '�S C�r`1'}+�..'� �l t�,G2.. �.. �cl5r �Y+I u O y\-C -t Ckk. v\� �" t3th Ss b.i 4 tt Y t- ott C i�+� -tip. ter dir tics rt�C VYJ L� fir 1'ta�ve been toe✓> jy\ej ct)o r7 � �d Vibvi<S � w�cv'S-tom i �ir�.v �,r' c2.C1.,'�r��i'��-, cabrac�.d t►'i b►�.... w�1.c.. �� "��,e- �pairs -�' ��.... b rx \P14- oo-\ u f- 1 Y,\ o\- -C \ h b r r�� 1 a✓t Cr`G v'~ v�, Yt�1c�`l)c� uae'y<-. o-vv, Ver IrOv e fol � b ' r ' vx6o,-<,e r' ' tn;s Yid iwL�J I�ae.-n- In '�V 2 Pufv� 1Pt1� `� r n Date: 111 212004 1 2:27 PM Estimate ID: 406 Estimate Version: 0 Preliminary Profile ID: CUSTOMIZED CONTRA COSTA AUTO BODY & PAINT INC. 1905 D-ARNOLD INDUSTRIAL WAY CONCORD,CA 94520 (925)825-2100 Fax: (925)825-1278 Tax ID: 94-3378098 BAR#: AA214693 013103 EPA#: CAL000241693 Damage Assessed By: TOM ROBERTSON Deductible: UNKNOWN Owner KdMhw* r:: Address: 319 Kingston Ave.Martinez,CA 94563 Telephone: Work Phone: (925)228-5011 Nome Phone: (925)381-3650 Mitchell Service: 911482 Description: 1985 Chevrolet Corsica Body Style: 4D Sed Drive Train: 2.21-tnj 4 Cyl A VIN: 1G1LD664XSY233343 license: 4CAL185 CA Color: Blue Options: ALUMIALLOY WHEELS,AIR CONDITIONING,POWER STEERING,POWER WINDOWS POWER DOOR LOOKS,TILT STEERING WHEEL,CRUISE CONTROL,ELECTRIC DEFOGGER AUTOMATIC TRANSMISSION,AM-FM ST'EREOICDP'LAYER(SINGLE) Line Entry Labor Line Item PartTypet Dollar Labor Item Number Type Operation Description Part Number Amount Units 1 900500 ii)-VT REi tOVEIREPLACE LEFT SIRE MIRROR m Qusl Recycled Part 95.00* 0.5* 2 900500 BOY* REPAIR LEFT DOOR Existing 4.0* 3 900500 REF* REFINISHIROEPAIR LEFT DOOR Existing 2.5* 4 900500 FIEF* REFINISHIREPAIR PAINT MATERIALS New 50.00* 0.0* 5 AUTO ADVL COST HAZARDOUS WASTE DISPOSAL 2.50 * -Judgement Item b Add'i Labor Sublet 1. Labor Subtotals Units _Rate Amount Amount Totals Il. Part Replacement Summary Amount Body 4.5 60.00 ---i.00 0.00 270.00 Taxable Parts 145.00 Refinish 2.5 60.00 0.00 0.00 150.00 Sales Tax @ 8.250% 11.96 Non Taxable Labor 420.00 Total Replacement Parts Amount 156.86 Labor Summary 74 420.00 ESTIMATE RECALL NUMBER: 111261200318:29:22 406 UkraMate is a Trademark of Mitchell international Mitchell Data Vemlon: DEC_OS A Copyright(C)1994-2003 Mitchell International Page 1 of 2 UltraMate Version: 5.0.019 All Rights Reserved Date. 11121200412:27 PM Estimate ID: 406 Estimate Version: 0 Preliminary Profile ID: CUSTOMIZED Ill. Additional Costs Amount IV. Adjustments Amount Non-Taxable Costs 2.50 Customer Responsibility 0.00 Total Additional Costs 2.50 1. Total Labor: 420.00 II. Total Replacement Parts: 166.96 Ill. Total Additional Costs: 2.60 Gross Total: 679.46 IV. Total Adjustments: 0.00 Net Total: 579.46 This is a preliminary estimate. Additional chanaes to the estimate may be required for the actual repair. I HEREBY AUTHORIZE CONTRA COSTA AUTO BODY & FAINT TO COMMENCE REPAIRS ON MY VEHICLE PER THIS ESTIMATE. WORK AUTHORIZATION DATE ESTIMATE RECALL NUMBER: 11126126 •-00316:29:22 406 UltraMatels a Trademark of Mitchell international Mitchell Data Version: Disc 03_A Copyright(C)1894-2003 Mitchell International Page 2 of 2 UltraMate Version: 5.0.016 All Flights Reserved ''I''..,..................................................................I.......... ........................................ CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION'..FEBRUARY 24, 2004 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: $1,885.29 CLAIMANT: PAULA C. LACE ATTORNEY: UNKNOWN DATE RECEIVED: JANUARY 14, 2004 ADDRESS: 990 HASTINGS DRIVE BY DELIVERY TO CLERK ON: JANUARY 14, 2004 CONCORD, CA 94518-3858 BY MAIL POSTMARKED, JANUARY 13, 2004 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWClerk Dated: JANUARY 14, 2004 By. Deputylm�� II. MOM: County Counsel TO: Clerk of the Board of Sup&visors Ir This claim complies substantially with Sections 910 and 910.2. 4 ) 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.: cy By, Deputy County Counsel v 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). {This ARD ORDER: By unanimous vote of the Supervisors present: 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. .40 Dated:?474 M!!�q JOHN SWEETEN, CLERK,By 165446,40� Deputy Clerk WARNING(Gov. code sectidn 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-A440L,' qA :kO�OHN SWEETEN, CLERK By Deputy Clerk UEC--09-2003 09:57 GCC RISK MANAGMENT 925 335 1421 P.02 Clain to: BOARD OF SUPERVISORS OF CONTRA [COSTA COUNTY INSTt UC'1 ONS TO CLAD A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and Mich accrue on or before December 31, 1957, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of.action for.Meath or for injury to person or to personal property or growing or+ops and Which accrue on or after January 1, 198'$: must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action trust be presented not later than one.year after the accrual. of the cage of action. (Govt. Code §911.2.) B. Claims mast 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 came of the District should be filled in. D. If the claim is against more than one public entity, separate claims mus` be filed against each public entity. E. ' Fraud. See penalty for fraudulent claims, Penal. Cade Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp f�/1 O L4 s Y1 } RECEIVED' Against the County of Contra Costa. JAN 1 4 2004 or ) CLERK BOARD OE SUPERVISORS District) CONTRA COSTA CO. B`2].l. in name ` ) The undersigned claimant hereby. makes claim ainst the County of Contra Costa or the aboveWnamed District in the sum of and in support of this claim represents -as follcrvs: 1. When did the damage.or irijury occur? (Give exact date and hour) 2. Where did the damage or injury odour? (Include city and county) 3. How did the damage or injury occur? (Give fel details; use extra paper if required) 4. What partim4ar act or emission on..the part of aunty or district officers, servants or.employees caused. the.injury or damage? .... .... ..... ..... ..... ..... 1613:t>'r (;CC K19K MHNRUVIENT 925 335 1421 P.03 �. Wriat are the names of county or district officers, servants or employees causing the Hage or injury? 5. What dange or in juries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. 7. Hoer was the amount claimed above .computed? (Inclgde the estimated amount of any prospective injury or die. 3_ Names and addresses of witnesses,, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMC3UNT GoVf. Code See. '9M2 provides: Me claim must be signed by the claimant SEW NOTICES TO: (Attorney) or b son an. .behalf. Name and Address of Attorney A/ kAddress Telephone No. Telephone No. 5 7 7 NOTICE ` Section 72 of the Venal. 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, amount, voucher, or writing, is punishable either by imprisonment in the county jail-for a period of not more than orate.year., by a fine of not exceeding one thousand ($1,000), or by*both such' imprisobment and fine i-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. TOTAL P.03 ..........I................................................................................................................................................................................................................... . . . .... .......................................................----........- ........................................................... Attachment "A' On Saturday, December 12. 2003, at approximately 07.00 PM, I was proceeding in the westerly direction on Treat Blvd. It was raining, and I was driving between 30 and 35 NTH . At the intersection of Treat Blvd. and Jones Road my car suddenly swayed to the right and the right front wheel hit the curb of the right island narrowly missing the light pole, and the bottom of the car scraped the curb. ( See Attachment "B"). I continued west and turned into the BART parking lot on the right. There I saw a lady (name and address shown below*) whose husband was changing the right front tire on her car. The lady informed me that she blew the tire hitting a curb at the same spot as I did. I also noticed that a Cadillac was being towed away from the parking lot with similar wheel damage. I was unable to inquire about the cause of the damage. I was not aware of the extent of the damage and drove to the Walnut Creek police station. There I was advised to go back to the scene of the accident and check for any evidence of recent road repair, since any oily deposit combined with rain water could have cased the car to sway, and then contact the County Transportation Department. Next day I went back to the scene of the accident and found that there were small patches of fresh asphalt across the five lanes near the intersection.( See Attachment "B"). I then took my car to Lerner's at 1851 Galindo Str., in Concord where I was advised that my car should not be driven, since its steering /suspension required extensive repair and the right wheel rim had to be replaced at a cost of approximately $2,000.00. Not having an option, I requested that they should proceed with the repairs, since being a single mother, I need the car for taking the children to and from school. I also requested that the damaged parts should be retained for evidence, if required. Paula C. Lemke Name and address of witness: Sandy Wertanen 1139 Morellow Ct., Martinez, CA Tel. No.: (925) 228-3829; (925) 408-6525 i ! C { "s s f n�. ';«y.v..-..n.n..v..un.:wuw....vr...�.......w.v.«.u..u.-iw,..-r.wu.vn.�...�.+..»..wmnvr....nn i'. { t o- ' 3 S ----..,..,...................................................................................................................................................................................................... 1. I 11 11 11- -,''''I'll,...I..,........................................................................................................................................................................................................................... , I - I. - I - if f , . ' ' . I �" A 7-7AC4"CA);-(� I • 1--lz-leW1ow1x I v GMC Pootiar.-Oldsmblf"eap Jeep, I I �. ,&SI Ga�inaul,.^kt I CONWDIqO.C.A.Ur, m 0 ,N Addras---PO €1J?:Y-:,.z%-Ctxy�!3,i.I,��;30.S24524 0 p 2z4o. 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I - , 1 ,,S •C co C = � M YI8 lam' 00 0 00 � x ................................................................................................................................................................................................. ............................................................................................................................................................................................................. CLAIM BOARD OF SjTfELVISORS OF CONTRA COSTA COUNTY BOARD ACTION. FEBRUARY 24, 2004 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 1 Pursuant to Government Code Section 913 and 915.4. Please note all"Warnings". AMOUNT: $10,000-00 CLAIMANT: SANFORD,AND'LINDA TULLIS ATTORNEY: TIM= CIAIK DATE RECEIVED: JANUARY 15, 2004 2400 OLD CROW CANYON ROAD ADDRESS: SAN RAMON, CA 94583 BY DELIVERY TO CLERK ON:JANUARY 15,_2004 BY MAIL POSTMARKED: HAND DELIVERED FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: JANUARY 15, 2004 JOHN S= erk By: Deputy IT FROM: CountyCounsel,. : TO: Clerk of the Board of Super0lisors s claim complies substantially with Sections 914 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 l5days (Section 910.8). Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant"s right to apply for leave to present a late claim(Section 911.3). Other: Dated: By: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) Claim was returned as untimely with notice to claimant(Section 911.3). IV 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: �OHN SWEETEN,CLERK, By Deputy Clerk WARNING(Gov. code sectio 13} Subject to certain exceptions, you have only six (6)months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States,over age 18; and that today I deposit4in 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: . r -e*eHN SWEETEN, CLERK By Deputy Clerk Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CL tMANT E A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 10&day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Gov't Code 911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its 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: Claini By Reserved for Clerk's filing stamp Z�" 9 Yf612d .qui /ttJi�l �v c r s LZ[ ED Against the County of Contra.Costa or ) 5 2004 District) (Fill in name) ) SUPERVISORSOSTA CO. The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$ 16,006 and in support of this claim represents as follows: I. When did the damage or injury occur?(Give exact date and hour) <TUL_y 2 Y., Zvc� 2. Where did the damage or injury occur?(Include city and county) 1206 131.\j6 -7 �D evs�=✓I lf-'fi57`e ter u t>7-1 3. How did the damage or injury occur?(Give full details; use extra paper if required) "�'/y A cf-,6_A JC Y d F SE G U v,V T y Ui e�C1G v N .GT T/ZC Q d U i2 :ter civ t�e a mgr <4 AS 4) ulew--- t3UT G V!� 1?l✓�"T �,t �/� GiJJ.�fiV r�r1L� -�R.2 f�fEb ey!} 7-6 4e c T�JE' `rxv,5a,� �t.�r e LrT A �hR. ,�cs� �-�i7,, o.�r� - � C'C+tJrrs,yI .... ..... HE �' A. E/� .�I r �J/ T�� dues /�v r�.t�� (A) /774 OASS vLl3 .. T7-l� 7—,cZE-� u.tr�s ��LL, �D ��- T tJ/_' ]7 /�✓U /L A.,U i/, RC1 T c U LZ-7� j Cl TC5%4LL�j! ,�73a VE OU�-�/� .q.t) /N�`�G. A� %�/�✓zT C�� z 1/d9,rzD 5 ,�/2 e_ c /� Jfvrdv�, ,y�r3 ay+ir 4,v,�e j "C-Aj) r �1 ('4 _-1 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? S. What are the names of county or district officers, servants, or employees causing the damage or injury? 0 7-19470,el 6V6 - -'15v 6. What damage or injuries do you claim resulted?(Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) 0A 725 A AJ r-)s(f A/D 4-,V ./l')(}V4& c3.i=' ,lt d/1�G tg.Rz �/i'�d2/Z72., i"�" 00/Z 1-16 7. How was the amount claimed above computed?(Include the estimated amount of any prospective injury or damage.) S7- 4,c S7 00 &,J e fit! 'Dj�v� /Z a,6 vvgI _ 8. Names and addresses of witnesses, doctors, and hospitals. 9. List the expenditures you made on account of this accident or injury. ATE TIME AM(3� Gov. Cade Sec. 910.2 provides"The claim must be } signed by the claimant or by some person on his behalf.,' SEND NOT-ICES T (At[Qmgy Name and Address of Attorney } im n ouj CAntvoc.. p-j> (Claimant's Signature) } {Address} y } } } Telephone ` } ' No. l Telephone No. . 92_5 - Sq r - �*:�*#�►*�s#>�>«s#�.��s#�#�*#s��►s�s�*�*��.,r*s*s�***s#*#*#:s*��##��s:��s�*s*s*#*:*�**s�r��s*� N07ICE Section 72 of the Penal CO&provides: Every person who,with intent to defraud,presents for allowance or the payment to any state board or officer,or to any county,city,or district board or officer,authorized to allow or pay the same if genuine,any false or fraudulent claim,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 fuse of not exceeding one thousand(S 1,000).or by both;such imprisonment and fine,or by imprisonment in the state prison,by a fine of not exceeding tern thousand dollars($10,00D),or by both such imprisonment and fine. AMICATION TO LE LATE CLAW BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY. CALIFORNIA • J5, BOARD ACTION FEBRUARY 24 2004 Application to File Late Claim } _NOTICE TO APPLICANT Against the County,Routing ) The copy of this document mailed to you is your Endorsements, and Board Action.) notice of the action taken on your application by (All Section References are to ) the Board of Supervisors(Paragraph III,below), Qalifornia Government Code.) given pursuant to Government Code Sections 911.8 :.and 915.4. Please note the"'WARNING"below. z Claimant: GEORGE RICHARD HOOPER Attorney: HARRIET ROSS Address: ONE EMBARCADERO CENTER, SUITE 500' SAN FRANCISCO, CA 94111 Amount: $1,000,000.00 By delivery to Clerk on: JANUARY 2Q,, 2004 Date Received: jANLI= 2Q a 2Qa4 By mail,postmarked on:€JANUARY 19 2005 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a',copy of the above noted Application to File Late Claim. ' BATED: JANUARY 21, 2004 JOHN SWEETEN,Clerk,By: DEPUTY II. FROM: County Counsel TO: C16rk of the#Boar of Supervisors { ) The Board should grant this Application to File Late Claim (Section 911.6) ( 'I` ✓ The Board should deny this Application to File Late Claim (Section 911.6); DATED: SILVANO B.MARCHESI, County Counsel,Bys f DEPUTY III. BOARD ORDER By unanimous vote of Supervisors present (Check one only) { ) This Application is granted(Section 911.6). v This Application to File Late Claim is denied(Section 911.6). I certify that this a true and correct copy of the Board's Order entered in its minutes for this date. DATE: .tY «2 **406N SWEETEN,Clerk,By. DEPUTY WARNING(Gov. Code§911.8) If you wish to file a court action on this matter,you must first petition the appropriate court for an order relieving you from the provisions of Government Code Section 945.4(claims presentation requirement).See Government Code Section 946.6.Such petition must be Bled with the court within six(6) months from the date your appOcation for leave to present a late claim was denied. 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. IV. FROM: Clerk of the Board TO: (1)County Counsel (2)County Administrator Attached are copies of the above Application. We notified the applicant of the Board's action on this Application by mailing a copy of this document,and a memo thereof has been filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. DA'T'ED• &=!f -IACaZA10,41,JOHN SWEETEN,Clerk,By: DEPUTY V. FROM: ounty Counsel (2)County Administrator TO: Clerk of the Board of Supervisors Received copies of this Application and Board Order. DATED: County Counsel,By: County Administrator,By: APPLICAI'LQN TO FILE LATE CLAIM TRIAL LAWYERI n JAN 2 0 2004 �14,e CLERK BOARD OF SUPERV SORS CONTRA CJv-Cri CO. January 20, 2004 Mr. John Sweeten Clerk of the Board of Supervisors Contra Costa County 651 Pine Street(Room 106) Martinez, CA 94553-1293 Re: Claim of George Richard Hooper Dear Mr. Sweeten: Enclosed please find a claim of George Richard Cooper for damages against the Contra Costa County. Also enclosed is a copy of the letter you sent in response to the claim. The Contra Costa County Counsel suggested that I send the enclosed Application for late filing,a copy of your letter and the claim. It would be appreciated, if you would request the Board of Supervisors to permit the late filing of the claim at this time. Thank you very much for your kind cooperation in this matter. Yours truly, enclosures ONE EMBARCADERO CENTER, SUITE 500 • SAN FRANCISCO, CA 94111 • TELEPHONE (415) 775-3523 • FAX (415) 775-7491 APPLICATION TO FILE LATE CLAIM 1. Claimant; George Richard Hooper 2. Date of Incident: March 20,2003 3. Claim filed: Original Claim and tetter from The Board of Supervisors is attached. 4. On March 20,2003, claimant was beaten by Deputy Sheriffs,Ralph Brown and Joshua Patzer in the City of Oakley, County of Contra Costa. The claimant was also shot at by Deputy Patzer. Claimant was supposed to have been attempting suicide just before the contact with the deputies. Claimant was treated at Delta Memorial Hospital and then retained in the mental ward in the jail facility for seven months until his release on October 21, 2003. Claimant was assigned a public defender to represent him in the action involving charges filed against hire. All charges were dropped with the exception of a plea to one charge of violation of Penal Code §69 reducible to a misdemeanor after one year of successful probation. During the incarceration in the Mental Ward, Claimant did not have an opportunity to file a claim for his injuries. He did not have any information about his rights to file a claim and no one informed him of such procedures from March 20 2003 to October 21 2003. Claimant received information about Bay Area Police Watch Lawyer Panel and was referred to Harriet Ross,Attorney,on November 18, 2003, regarding his claim. Ms Ross filed a claim with the Clerk of the Board of Supervisors on December 24, 2003. Said claim was rejected. (See attached copy of letter). The filing of the claim was within a reasonable time of learning that claimant had a right to do so. Harriet Ross,Attorney at Law,contacted the County Counsel and was advised to file this Application on behalf of Mr. Hooper and to send the letter of rejection of the claim mailed to her. Claimant respectfully requests that the Board of Supervisors approve the late filing of this claim and permit George Hooper,claimant,to receive a fair consideration of that claim for the wrong that was inflicted on him.. Submitted on this 20'day of January,2004. -�4 ARRIET ROSS,Attorney at Law 17.,e�Bt)ard of Stluppervisors �V�Lt Gt John Sweeten Clerk of the Board and County Administration Building Costa County Administrator 651 Pine Street,Room 106 "'' (925)335-1900 Martinez,California 94553-1293 County John Glola,t st District �( Gayle B.tfilkema,2nd District : Donna Gerber,3rd District Mark DeSaufnler,4th District Federal Glover,5th District "• r rs,�CtiiiN' ` TO: Harriet Ross, Esq. One Embarcadero Center(600) San Francisco, CA 94111 RE: Claim of George Richard Hooper NOTICE TO CLAIMANT (Of Late-Filed Claim) (Government Code Section 911.3) The claim you presented to the Board of Supervisors of Contra Costa County, California, as governing body of the County of Contra Costa on december 24, 2003, has been reviewed by County Counsel and is being returned to you herewith because: X Your claim for an injury to person or personal property was not presented within six months of the event or occurrence as required by law. (See Government Code sections 901 and 911.2) Your claim relating to a cause of action other than injury to person, personal property or growing crops was not presented within one year after the event or occurrence as required by law. (See Government Code sections 901 and 911.2) Because the claim was not presented within the time allowed by law, no action was taken on the claim. Your only recourse at this time is to apply without delay for leave to present a late claim. (See Government Code sections 911.4 to 912.2 and 946.6) Under some circumstances leave to present a late claim will be granted. (See Government Code section 911.6) You may seek the advice of an attorney of your choice in connection with this matter. If you desire to consult an attorney, you should do so immediately. Date: JANIMY 02, 2004 JOHN SWEETEN, Clerk of the Board of Supervisors and County Administrator By: Deputy Clerk Enclosure 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 copy of the above NOTICE TO CLAIMANT (OF LATE-FILED CLAIM), addressed to the claimant as shown above. Date: JANUARY 42, 2004 15e-pdfy Clerk Claire to: BOARD OF SUPERVISORS OF CONTRA 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, 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 xban one.year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its .office in Room 10360 County Administration Building, 651 Pine Street, Vs rtinez, 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 See. 72 at the end of this form. RE: Claim By } Reserved for Clerk's filing stamp } GEORGE RICHARD HOOFER HE Against the County of Contra Costa DEC 2 4 2003 or CLE t{8 Ali CO TRA C0�q ca. ORS �.1iStr'iGt} (fill in h The undersigned claimant.hereby.makes, claim against the County of Contra Costa or the above-rid District in the sup of $ 1.()Do-000_Gn and in support of this claim represents .as follows: 1. When did the damage or injury occur? *(Give exact date and hour) March 20, 2003 at 6642 hrs 2. Where 'did the damage or injury occur? (Include city and county) Rutherford Lane and Vintage Parkway, Oakley 3. How did the damage or injury occur? (Give full details; use extra paper if required) Deputies Joshua Patzer and Ralph Brown brutally attacked and shot at claimant without cause: 4. What particular act or omission on the part of aunty or district officers, servants or.employees caused.the.injury or damage': The deputies beat, kick&d and physically-abused Claimant j. wnat are the names of county or district officers, servants or employees causing the damage or injury? _ Joshua Patzer and' Ral�h Brown 5. That damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. Neck, back and head injuries leaving scars on his face and other parts of his body. 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.). By appraising the value of a citizen2:s civil rights violations,! $. Names and addresses of witnesses, doctors and hospitals. Sutter Delta Medical Center Dr. Alex Staleup Medical records of the Contra Costa County Jail 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT The treatment-,for the.'injul'ies'jwekeivaid for by the County wile Claimant was incarcerated. He Lost his employment and home Gov. Code Sec. 910:2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or b some person on h s.behalf.n Name and ;Address of Attorney HARRIET 'ROSS, ESQ. Claimant s Signature One Fmbarcadero Cet ter ;(00) r San Francisco, CA 94111 - J0&4CS T. Address r Telephone No. (415) 775-3523p [' -f') -7 7 � Telephone No. N O T I C E Section 72 of the Penal Code provides.- "Every rovides:"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 imprisoriment 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 imop isoniment 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. .,... ....vx �;.: CITIZEN'S COMPLAINT RE: JOSHUA PATZER,DR 3-7753 Barney Berkowitz,Alternate Defender Office, 610 Court Street,Martinez, 646-1833 Date filed: October 23, 2003 Day,Date,Time of incident: March 20,2003, 0042 firs Incident Location: Rutherford Ln&'Mintage Pkwy, Oakley (DR 03-7753) Witnesses: All witnesses listed in DR.3-7753 David Stockwell, CoCoCo Criminalist,335-1600 Thomas McCulloch, CoCoCo CSI, 335.1600 Peter H. Rast,PO Box 783,Blairsden,CA 96103, 530-836-0608 Dr. Alex Stalcup, 251 Lafayette Circle,Lafayette,CA 94549, 925-284-5200 Person Arrested: George Richard Hooper Deputies Involved: Joshua Panzer, Ralph Brown NATLTP.I OF COMPLAINT: (1) In light of physical evidence establishing that Mr. Hooper never drove directly at Officer Patzer, Officer Joshua Patzer shot at Mr. Hooper without justification. (2) It was not reasonable or necessary for Officer Patzer to move"his vehicle into the apposing lane of traffic"and drive directly at Mr. Hooper to get him to stop his veh cle,ih light of all the surrounding circumstances, including(a)that Officer Patzer was originally called out on a report that Mr. Hooper was trying to commit suicide by inhaling exhaust fumes, (b)Mr.Hooper's reported actions (staggering around,driving a vehicle with a hose leading from the exhaust pipe to its smoke--filled interior)suggested that Mr. Hooper was emotionally distraught and suicidal,and that his mental abilities may have been compromised by carbon monoxide inhalation. (See Sgt. Warne Report, 3-7753,pp. 5/19, 8/19.) (3) It was not reasonable or necessary for Officer Patzer to shoot at Mr. Hooper in light of all surrounding circumstances, including(a)that Patzer was originally called out on a report that Mr. Hooper was trying to commit suicide by inhaling exhaust fumes,(b)Mr. Hooper's reported actions and observed actions at the scene(staggering around, repeatedly crashing his vehicle, staring blankly at the officers) suggested that Mr. Hooper was emotionally distraught and suicidal,and that his mental abilities had been compromised by carbon monoxide inhalation,and(c)Mr. Hooper never drove at Officer Patzer. (4) Officer Patzer inflicted an unjustified beating upon Mr. Hooper, in light of all surrounding circumstances, including(a)that Patzer was originally called out on a report that Mr. Hooper was trying to commit suicide by inhaling exhaust fumes, (b)Mr. Hooper's reported actions and observed actions at the scene(staggering around, repeatedly crashing his vehicle, staring blankly at the officers) suggested.that Mr. Hooper was emotionally distraught and suicidal,and that his mental abilities had been compromised by carbon monoxide inhalation,(c)Mr. Hooper never drove at Officer Patzer, (d)Officer Patzer inflicted severe physical injury upon Mr. Hooper, (e) Officer 1 U3 Its- UJUJO wcn o o cit p LL- c.3 Ir cr ui U En S. .e• Ln O a � N O L3 � .G U O N O O A N r 0 0 us us r Ofw I.- Z �- w v � �U r p cc �z ; -1 W U- < Lu Z azd rOcn CLAIM A F PERVISORS OF'CONT COST# CO NTY J1000, BOARD ACTION: 24, 2004 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". }z AMOUNT- $169,125.29 CLAIMANT: SEBASTUPQL CONSTRUMON SERVICES, INC. ATTORNEY: MIKEL D. BRYAN DATE RECEIVED: JANUARY 20, 2004 ADDRESS: MIKEL D. BRYAN BY DELIVERY TO CLERK ON: JANUARY 20, 2004 550 DOYLE PARK DRIVE SANTA ROSAA, CA 95405 BY MAIL POSTMARKED: JANUARY 15, 2004 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim JOHN SVSTEETEN, Dated: JANUARY 21, 20(x+ By: Deputy 11. C? County Counsel TO:Clerk of the Board of Supervisca (,.)"This claim complies substantially with Sections 914 and 910.2. ( ) This Claim FAILS to comply substantially with Sections 910 and 914.2,and we are so notifying claimant. The Board cannot act for 15 days(Section 914.8). ( } Claim is not timely filed. The Clerk should return claim on ground that it was died late and send warning of claimant's right to apply for leave to present a late claim(Section 911.3). ( ) Other: Dated: By; - Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) { ) Claim was returned as untimely with notice to claimant(Section 911.3). IV. ARD 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 IN SWEETEN, CLERK,By ,Deputy Clerk WARNING(Gov. code sectio 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 WarninSee 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,;[* 40"4#0t N SWEETEN,CLERK By Deputy Clerk. JAN 2 0 �uui CLERK BOARD OF SU;ri ;,. SORS gig 31 550 DOYLY.PARK DRIVE LAWYER , MEDIATOR TELEPHONE 707-528. SANTA ROSA,GA 95405 FACSIMILE 707-528-3143 mikel@mdbryanlawxom January 15,2004 VIA CERTIFIED MAIL, RETURN RECEIPT REQUESTED Jahn Sweeten Clerk of the Board of Supervisors County of Centra Costa 651 Pine Street Martinez, California 94553-1229 Re, Asbury Graphite L,eachfield-Phase I Project Number 4660-6X4152 Dear Mr. Sweeten. Sebastopol ConstructionServices, Inc., a California corporation, hereby makes claim against the Contra Costa County Public Works Department and makes the following statements in support of such claim.: 1. Claimanfs post office address is 9460 Graton Road, Sebastopol, CA 95472. 2> Notices concerning the claim should be sent to Mikel D.Bryan, P.C.,550 Doyle'Park Drive, Santa Rosa, California 95405. 3. The Contract giving rise to this claim was dated on or about September 10, 2003,for the Asbury Graphite Leachfield-Phase I Project Number 4660 6X4152, located in the Rodeo area.,consisting of construction of an at-grade leach field as the first phase of a new waste water disposal system. The work was performed by the Claimant from September 19,2003,through October 20, 2003: 4. The circumstances giving rise to the claim are as follows: during the course of construction,there was a delay encountered due to differing site conditions than those specified in the design drawings requiring a restaking of the site; differing field conditions from those shown on the design John Sweeten Clerk of the Board of Supervisors Countyof Contra Costa January 15, 2004 Page 2 drawing required increased project work and material quantities due to inaccurate design,plans or engineering errors. Specifically these deficiencies caused the following unpaid damages$169,125.29 as more particularly set forth in the attached Exhibit 1. The items comprising the entries on Exhibit 1 are further substantiated by the enclosed attachments thereto. 5. Claimant's damages total $169,125.29 for the above referenced'items. 6, The names of the public employees causing the claimant's injuries are presently unknown. 7 This claim, as of this date,is in an amount that would place it within the jurisdiction of the Superior Court, This claim is based upon a breach:of contract claim under written agreement, including but not limited to, undisclosed engineering and design errors, and failure to pay for extras. Dated: January 15, 2003 MIKEL D. BRYAN, P.C. MIKEL D.BRYAN ATTORNEY FOR CLA ANT SEBASTOPOL CONSTRUCTION SERVICES, INC. cc: Sebastopol Construction Services, Inc.-Leeroy J:Ress,,President Jay Treadwell: Parsons Brinckerhoff(via certified mail) Maurice M.Shiu-Public Works Director(via certified mail) Mike Carlson: Assistant Public Works Director-Construction Division(via certified mail) EE �§3 00c� -S .= 0 6NH 69 64 ""'fid Ul N M00 Q. 64664 -10 1: c 64 .Y, 6N 6944 W 1z. to N iv rn N ro N r. aj r C4GN r$S 88,58888888888 CIO rs ar cs QC CNI; Mc'awCs y wµyo�p>mnNsvcwpoxwt�i 666111 _ >- 20 44 } A CL y tV CipCtNL�4?�U]C76�y©tt'�Ck tCttY O.�+��p� � �.i3 W Ci C4 taw M C't V' jtil. tM� 3 K iH 69 N. Ki 6h W 6N9 fA yy ()J"tdC1 a L:t, WI.8' F {Nl_ co rn N6g ;h Cd c a Cr a > to + ({�yypplid Wi�u Wt(��yiiQi pv� >- zc"r. ul 0 > dc � c � � co ON {j r u7 us r� i m'r ^jN C7.7' V7 Cp{�.GS Chd .-nrr�^ tAlti �jN vw NrN- bC�'S -,1 cx1F x} 0 ply s "^ Cal G IN In t� W ld N Kt. iV N CNS V" CD 71 � w C�� m i O W ix 8 z z d z N CY s a z w t z z 0 C m r T .. O ° " r w r.. x a LU z z t r a Y #r fs 0 Z z z < w� t1 .$ tea r - uj LL Lu U- ag 0 aCLJ tu k f k 6CT- 1-3003 08:33PM FROM- T-818 P.001/003 F-110 -ESTES TOPSOIL 2070 JOYCE LANE SUISUN, CA. 94534 707-425-1596 L.T. CONSTRUCTION 9460 GRATONROAD SEBASTOPOL,CA. 95472 FAX# 707-823-5579 Y .ATT:LEROY Date TAP QuenH,y TotM Cuartltyt to 10gft 1Or 003 278008 20 CY 20 CY 278t3C14 20 CY 40 CY 218012 20 CY £0 CY I OIW2003 278094 20 CY 8Q CY 378017 20 CY 100 GY 278018 20 Gy 120 CY 378099 20 CY 140 CY 278020 20 CY 180 CY 278021 20 CY 180 CY 27M22 20 CY 200 CY 278M3 20 CY 220 CY 27M24 24 CY 240 CY 278026 20 CY 200 GY 278026 20 CY 280 CY 278027 20 CY 300 CY 27sm 20 CY 32D CY 270M 20 CY 340 CY 278t33t1 20 CY 360 CY 278031 20 CY 380 CY . � ©CT-31-2003 Q3,13AkR FROM- P.002/003 F-110 n /0/1012003 278032 20 CY 400 CY 278033 20 CY 420 CY 278034 20 CY 440 CY 278035 20 CY 460 CY 278038 20 CY 4330 CY 2780137 20 CY 'SM CY 278038 20 CY 520 CY 2780139 20 CY 540 CY 278040 20 CY 580E CY 27WAI 20 CY sm CY 278042 20 CY 6113 C:Y 27843 20 CY 620 CY 27391144 20 CY 640 CY 2780+55 20CY NOW - 27 2i1 CY 880 GY 278047 20 CY 700 CY 27WB 20 CY 720 CY 2781149 201 CY 740 CY 278050 20 CY 760 CY 9800 20 CY 780 CY 9891 20 CY .800 CY OCT-SI-2003 03s24PM FROM- T-919 P.003/003 F-111t0 1QJ'I3t2f3t►3 49~x$51 20 CY 82D CY 4'148852 20 CY 8 40 CY 4M3 20 CY No CY 498854 20 CY 8811 CY 458855 20 CY 9w GY 498856 20 CY a2Q CY 498857'' 20 GY 940 CY 498858 20 CY 9613 CY 498853 20 CY on CY 4989801 20 CY 1000 CY 498851 20 CY 1020 CY 49M 20 CY 1040 CY 498W3 201 CY low CY . 498884 20 CY 1080 CY 498885 20 CY I i0o CY 498 6 20 CY 1120 CY 4087 20 G7C 11+40 CY 498M 201 CY 11W CY 496M 20 CY 1180 CY � - 4988?1 20 CY 1200 CY 498871 20 CY 1220 CY 49MM 20 CY 1240 CY 498$73 20 C:Y 1260 CY 49074 20 CY 1260 CY 101'1412003 498675 20 CY 1300 CY 496876 20 CY 13M CY 4€4861 ' 20 Cly" 13411 CY 4878 20 CY 1380 CY 4USTO 20 CY 13W CY +408850 201 CY 1400 CY $81 20 CY 1420 CY 498802 20 CY 1441 CY 4988143 20 CY 14fi0 CY 49444 20 CY 1480 CY 4"805 20 CY 1 sm CY 498886 20 CY 15211 CY Ccand Taal 1520 CY a 821.79 Per CY $33,120.80 sales Tax 7,275% $2,442.66 Grand TbtW $35,583.46 OCT-29-2003(WED) 14:28 V. DOLA,N TRUCKING INC, (FAX)707 769 9120 r P- 001/021 V. DOLAN TRUCKING, P.C . SCX 10130 invoice 1YO, 20030037 PENNG OVE, CA 94951 (707)'64-140S fax(707) 769-9120 CuatOrner INVOICE FAddress, ame LJ CC3NS7RLIGTICYN COMPANY � �> L'O MTON ROAD bate 10/2912003 ity SEB P L State CA QIP 9 472 }�one -----w 60�')"At�#2a4434�� es�il�itio3�4 Unit Price .�, ----�-- — TCJTAL 80 TAG#252219 $17.77 $106620 , 80 TAG#260867 $17.77 $1,429.60 80 TAO#254435 $17.77 $1,421.60 60 TAG#2S00eq $17,77 $1,421.80 80 TA(3#251090 $17.77 $1,421.150 80 TAG#254436 $17.77 $1,421.60 80 TAG#250857 $17.77 $1,421,80 20 TAG#252342 $17.77 $1,421,60 80 TAG#250070 _ $17.77 $355.403 80 TAG##25.2220 $17.77 $1,421.60 so TAG#2$2221 j17.77 $1,421.60 80 TAG 02512858 $17.77. $1,421.60 80 TAG#9293 $17.77 $1,421.60 60 TAG#89273 $17.77 $1,421.60 80 TAG#254437 $17.717 $1,421.60 80 TAG#250072 $17.77 $1,421.60 80 81) TAG#2522-22 _.—-� .a__ 17.77 $1,421.60 80 3 Afi#. 54438 $17,77 $1,421.60 $17.77 $9,421.60 SubTdt81 $2 ,ow.40 Taxes State TOTAL. $27,090.40 L�ffice Use Ottiy -- `..,`. NC 1 R 7160 ORCHARD STATION ROAD PETALUN A, CA 94952 (707) 481-8052 (707) 792-9778 INVOICE#4469 DINE: SEPTEMBER 30,2003 BILL TO. L.J. CONSTRUCnON 9460 GRA.TON RD, SEBASTOPOL,CA:95472 TEL.(707) 823-0247 FAX(707)823-5579 JOBS ASBURY GRAPHITE PLANT DELIVER.ESTES TOP SOIL TO FRANKLIN CANYON RD,RODEO CA DATE QTY TAG# UNIT PRICE TOTAL 09/23/03 80CY 4671 4L75.75 $3340.00 40CY 5483 4.1.75 1670.00 09124/03 70 CY 5693 41.75 2922.50 110CY 4672 41.75 4592.50 80CY 5484 41.75 3340.00 20CY 5694 41.75 835.00 09/25/03 60CY 4673 41.75 2505.00 80CY 5485 41.75 3340.00 $OCY 5695 41.75 3340.00 09/26103 60CY 4674 41.75 2505.00 80C"Y 5486 41.75 3340.00 80CY 5696 41.75 3344.00 09/29/03 40CY 4675 41.75 1670.00 40CY 5487 41.75 1670.00 80CY 5+697 41.75 3340.00 TOTAL 1000CY a7 $41.75 $41,7500.00 TOTAL DUE $41,750.00 PONCIA TRUCKING 7160 ORCHARD STATION ROAD PETALUMA, CA 94952 (707) 481-8052 (707) 792-9778 INVOICE#4467 DATE. OCTOBER 31,2003 BILL TO: L.J. CONSTRUCTION 940 ORATON RD. SEBASTOPOL,CA 95472 TEL. (707)823-0247 SAX(707) 823-5599 JOB. ASB1URY GRAPFUTE PLANT DELIVER EST ES TOP SOIL To FRANKLIN CAN"Y'oN RD,RODEO,CA. DATE QTY TA04 UNIT PRICE TOTAL PER CY 10/08/.03 80CY 4680 41.75 3340.00 80CY 5491 41.75 3340.40 $4CY 5700 41.75 3340.40 TIt,I,3CTG 240CY �,7a $41.75 $10,020.00 TOTAL DUE $14,0211«00 . . . . . 1° RIC T ESMUD H YOUR ACCOUNT NO. IS: 50528911 USE OUR AUTOMATED ACCOUNT INFORMATION SYSTEM 24'*ff J`RS' A DAY TO OBTAIN ACCOUNT INFORMATION, EXTEND A PAYMENT, MAKE A CREDIT CARD/ATM PAYMENT, AND MANY ;OTHER SERVICES. CALL ------ (510) 287+1380 OR THE NUMBER LISTED ON BACK OF THIS BILL. frrxxEr�rrrx� xxtxt�r� rrrrr� xxx�rr{xx�xxrxr►xrjr Billing Bates SEBAST€IPOL CONSTRUCTION 9460 GRATON RD From To ______ SEBASTOPOL CA 95472-°9384 09/30/03 10/22/03 For: 66120 HYDRANT PERMIT RCH CONSTRUCTION AMOUNT TOTAL PREVIOUS CHARGES AND CREDITS FULL PAYMENT - 10,/1)1/03 900 , 00- CREDIT - DEPOSIT APPLIED 900 .00 11800 -oa- WATER CHARGES - EBMUD SEATER SERVICE CHARGE 34. 5 WATER FLOW CHARGE 112 UNITS 2.04 228.48 SEISMIC IMPROVEMENT PROGRAM SURCHARGE 17. 76 . 'AOCOUN'T E TABLV HMENT FEE 30.00 DEPOSIT Re-QUIR'Et7 900 ,00 1: PLEASE SEE REVERSE SIDE FOR BILLING EXPLANATION No Payment Due ; , v METER ELEV. METER READINGS CONSUMPTION INFORMATION' SIZE Band Current Previous UNITS Gallons Days Gal f bay 3" 1 309 197 112 '83,776 22 3,808 LAST YEAR NOT AVAILABLE rQNCL .7160 ORCHARD4 .7.S�/`2{ IO ROAD Y PETALUMA. A 94952 (707) 481-8052 (707) 792-9778 INVOICE 4463 DATE: SEPTEMBER 30,2003 BILL TO: L.J. CONSTRUCTION 9460 GRATON RD. SEBASTOPOL, CA 95472 TEL.(707)823»0247 FAX(707)823-5579 09/19/03 FROM. LT CONST., SEBASTOPOL YARD TO: FRANKLIN CANYON RD @HTVX 4 RODEO D66S TRACK.LOADER $510.00 ` D4 H DOZER $510.00 U U75 EXCAV'A'rOR WIEUCKETS 24">36"49- $510.00 09/20/03 FROM:LJCONST. SEBASTOPOL YARD TO: FRANKLIN CANYON RD @HWY 4 RODEO 5440 LOADER'W/FORK PACKAGE $510.00 09120/03 FROM: SPELATA EQITIPNMNT TO: PRANKU N CANYON RD @JiWY 4 RODEO WATER TI{tTCR. $510.00 09/25/03 FROM. SPELATA EQUIPNIENT TO: FRANKLIN CAN ON R.D. @HWY 4 RODEO WATER TRUCK $510.00 09/30/03 FROM 3190 RAMSEY RD.FAIR LD TO:-SPELATA EQUIPMENT WATER TRUCK, A40BILIZE 7 ITEMS @$510.00 EA 00 BRIDGE FAIR.5 ITEM'S @$9.25 EA $357$46.25 25 GRAND TOTAL $3615.25 "z 7160 ORCHARD STATION ROAD PETAL,UMA, CA 94952 (7017) 481-8052 (707) 792-9778 XNVOICE 4468 BATE: OCTOBER 31, 2003 BILL TO: L.3. CONSTRUCTIONS 9460 GRATON RI). SEBASTOPOL,CA;95472 TEL(707)923-0247 FAX(707)823-5579 10107103 FROM: SPELATA EQUIPMENT WATER TRUCKR 7O: 3190.RAmS y RD.,FAIRP?ELI3 $510.#30 10/15103 FROM. 3190 RAMSEY RD.,FAn2F`,IELD TO: SFELATA EQU PMFNT WATER TRUCK $510.00 14116103 FROM MANKLIN CANYON RD. @HWY 4 U665 TRAM LOADER To : LJ CONST SERASTOPOL YARD 5440 LOADER $510.00 $510.00 10/17/03 FROM-. FRAz LZN CANYON TO: IJ CONST SEBASTOPOL y 4 UU75 EXCAVATOR .D414 DOZER $510.00 939 C; TRACK LOADER $510.00 .$510.00 DEMO191L M 6 TI'MS @,$,510:000 BR�3CarE TOLL4� x$9.25 $3570.00 GRAND TOTAL $37.00 $3607,00 D Spaletta Equipment Repair,Inr invoice HPCtakna, 94953 Dee Invoice# (707} 577-0611 9/30/2003 3197 Bill To L.T.Caustructioni $460 for Road. Sebastopol,CA 95472 P.O. No. Terms Project Due on receipt Quantity Description Rate Amount 8 2800 GAL.WA'TM TRUCK#WT 2-2800 350.0{3 2,$00.00 4 2800+G-AL.WATER TRUCK#CXf-4 2800 350M 1,400.00 Sales Tax 7.50% 0.00 Total $4;200.00 D Spaletta.Equipment Repair, Inc Invoice P.O. Box 848 Petaluma, 94953 Date _ Invtice# (707) 577-0611 10131/2003 4123 Bill TO L.I.Cstructou 9460 0%ton Road Sa butopol,CA 95472 P.O, No. Terms PraJect Dire on meipt Quantity Desoription Rate Amount 7 28,14 GAL,WATER TX2,C3CK#WT 2 2800 35Q.40 22,4517.00 13 2800 GAL.WATER TRUCK#W7'-4Soles Tax :2840 350.00 ,550.00 7.50% 0.00 Total .............................. ................................................ ................................................. _..... ......... ......... ......... ......... ......... ......... ......... ......... ....__. .. ...... ............ ._....... ......... ......... ......... ........ ......... ......... ........ ......... ......... ......... ......... _. ....... ......... ......... ......... r �O N N N N co o z �' �...� �✓ H ztu o zap O OLZEo o o LU LU iE z v F z j Y O o 0 CLo o a 0 a o ' d r a zLU zz z O w LO o 0 z a O � 0 w m (Y 2 z O uiC O ups r- CL y O b aR u z O o o w s z a s r p w , g > u a m to i } N w O CV /Y W H ne e h¢ b mi a v � W ♦X o sn W z J uj U0 o ' (Lt O GS w m 0oa m w � Z r= d d m s Y z Q a o f D� wo f- Z20i w cn CL w < o a m 4 x a LL ff O w Hy 0- 0 � ¢ a O Z M O z 4 ff W � a U Ci U 0 6 0 wz TFTI 20 df x► M t 0 6 a _ ca < ca Ci a' � W ir Ul �c o � o a z S O F- co z r uj x w 0 a. L W h f3! ffi 2 cc 9. a" a z uui 4o uj IL °ae z m x y r cl� r f8 U L) srr � cC Nd ui p rte- Z Q coz x _t ? 0) � LL LL Ix O 0 cc ui � III w H C3 U r"'. ur ci U. O oci Q WOz W U U KC �Sy V JG � h J 6 Col @1 L' L11 0 0 > < �= � 02O �1 K ? d HaL O g U d uj�r Q F- g 2 z Ci t? UUl � U, U } y 0 0 y �y tY K rte► 2 C_t � � O tu cc W g t y ui 0 2S 2 nom, U1 a U w y W G1 zOf , h uj LU 2 ¢ n. s ca x uw s u ci 0 .2iLL CL a. J i QY k Lit! }-- 2 tl) Ct a. g LU " w c� c� d L� r NM w tu z co Is z a. - 13 uj p z a zm v n. � �- v c� 3 d z m o cj z a W CIO o uj w O a s- a arsCL z w L y + e vs o ttf 9z o 0 p. i= ar m w ca 0 z ¢ U) Y ¢ F- F- z W ui LU LUQ m a w w ej - LU o z fl i o o LL a a w ul 0 cy m rn c ui tI� Cn r n K- k- © 7 Mq.5� O CC ua as W XW Q� 9 a r O 41 U yy {n (J} Z o c f i— ci M r z o d LU 2 LU b Q o w ScCLz uj w O Q w coq W X w 0 � C7 O � -ts o 0 0 u i Q W S i m LU co im of d Cf LU w w w i-- 0 LL Z3 Ix as p 0 � � d � LL Z C.7 Ly w a w Q w U d CONTRA COSTA COUNTY Page I of 1 PUBLIC WORKS DEPARTMENT CONTRACT CHANGE ORDER NO. l REV. NO. SUPPL. NO. PROJECT NAME W.O.NO, PROJECT NO, DATE Asbury Graphite L.eachfieid — 4152 4560-6X4152 December 5, 2003 Phase I To:Sebasto of Construction, Contractor Change re nested by: Resident Engrineer You are.hereby directed to make the herein described changes from the pians and specification or do the following described work not included in the plans and specifications on this contract. NOTE. This change order is not effective until approved by the Deputy Public Works Director. E CTRA WORK AT AGREED PRICE: Reimbursement for Caltrans Encroachment Permit Fee. The State required the contractor to obtain an encroachment permit. Compensation for this fee was not a part of the contract documents. $339.25 Total Increase $339.25 By signature below, Contractor offers and indicates acceptance of$339.25 as full compensation for all direct and Indirect costs for the Caltrans encroachment permit fee described above,and as full compensation for any effects this change may have on the project In Its entirety andlor on the time required to complete the project. No adjustment in contract time will be granted for time needed to obtain permit described above. We.the undersigned contractor,have given careful consideration to the change proposed and hereby agree,if this proposal is approved,that we will provide all equipment,furnish all materials,except as may otherwise be noted above,and perform all services necessary for the work above specified,and will accept as full pa ment therefor the prices shown above. SUBMITTE#-��' RECOMMENDED: d d Y TREDWELL,RESIDENT�.NGINEER ASSISTANT P/8LIC1N----KS/=DIR�ECTO ,OR CONSTRUCTION DIVISION {3} ( ) /(�A ' � OCE i E Y CONT CTC R DATE KPPR07ED BY DEPUTY PUBLIC WORKS DIRECTOR C3AT If the Contractor does not sign acceptance of-this order,his attention is directed to the requirements of the specifications as to proceeding with the ordered work and filing a written protest within the time therein specified. G:kGrpBatalConsttChange Ordersl199MASBURY-CCD-i,doc Audito�k1,AQ9 ftrac1or1Resident Engineer/AccountinglConsfruction Engineer CONTRA COSTA COUNTY Page 1 of � PUBLIC WORKS DEPARTMENT CONTRACT CHANGE ORDER NCS. 3 REV. NO. SUPPL. NO. BALANCING [[PROJECT NAMEW.O.NO. PROJECT NO. DATE Asbury Graph to L,eachfield — 4152 4660--6X4152 December 2, 2003 Phase 1 TO: Sebastopol Construction, Contractor Change requested by: Resident Engineer You are hereby directed to make the herein described changes from the plans and specification or do the following described work not included in the plans and specifications on this contract. NOTE: This change order is not effective ul approved by the Deputy public Works Director, BALANCE CONTRACT NEMS AT CONTRACT PRICES: INCREASES: - - ITEM NO. 6 110 C.Y. {+I 1.0%) Soil Over @ $93.60IC.Y. $10,296.00 TOTAL INCREASE $10,296.00 BY REASON OF THE ABOVE CHANGES 0 WC3RKtNG C►AY5 EXTENStC71V OI TOME VIIILL BE ALLOWED. SUBMITTED: RECOMMENDED: # C3WELL RE #DI=NT NG INEER ASS€STANT PUBLIZ WORKSVIRECTOR, CONSTRUCTION DIVISION SIGNATURE NOT REQUIRED (3) ACCEPTED BY ONTRAGTOR .�--""� �L !L d APPR VED-DEPUTY P BL€C Wi7RKS DIRECTOR A E GlGRPDATALCONSTCh�NGE�t�ERSi1998PROJFCTSWSSURY-CCO-38AL.DOC b AuditorlContractar/Resident Engineer/AecountinglConstruction Engineer ,812004 Thu 09:00 PACE SUPPLY CORP. ID:#127846 Page 1 of T DACE SUPPLY CORP. I��HDIA�T�E�� INVOICE rYU�g�� PAGE 7 (.j j" L 31 DATE — r033 Dutton Avenue Santa Rosa,CA 95407.7888 (707)545-7101 Fax (707) 577-0964 INVOICE CUST# (12015-00) L J CONSTRUCTION + g L J CONSTRUCTION 1 9460 GRATON RD H 2855 FRANKLIN CANYON RD L SEBASTOPOL, CA 95472-9701 7 RODEO, CA o cXTOMeR PURCHASE DRDER �OASBURY GRAPHITE ON—SITE SHIPPED YITRUCK T2%10TH NET 25TI TE MSE PARTIOESCRIPTION ORDS SHIP LIST IAULt EXTENSION OSISMKKI'"CUSTOM 12 12 0.00 0 6300.00 Y SAND FILTER MANIFOLD KIT ORENCO OSIOS150 ORIFICE SHIELD 1-1/2" ORENCO 428 428 1.51 18476 597.84 Y OSISFMKITCUSTOM Cl 1 0.00 0 202.30 Y_ _ SAND FILTER MANIFOLD KIT ORENCO I STRUCTIONS: PLEASE PULL AND ADVISE ON SHORTS. . THANK YOU FOR YOUR BUSINESS! I I i TN15 INVOICE 15 SUBJECT TO GROSS TAX% SALES TAX FREIGHT OTHER CHARGES ON THE ACE AND REVERSE 7050.14 7.50 528.76 0.00 0. 00 7578. 90 FAX YE&iT5�n Parsons 3260 Lone Tree Way Suile 104 Brinckerhoff Antioch, CA 94509 {925)756-2381 Fax-(925)756-2385 7'o Leeroy Ress Jr. from Bart Littel! Sebastopol Construction Services, Inc, date January 6, 2004 tel no, (925)756^2382 fax no.(925)756-2385 fax no, 707-823-5579 no. of pages(including this page) 1.. subject Daily Construction Activity Logs-Response comments I noticed your letter dated 1-6-04 to Jay Treadwell In which you requested "Daily Construction Activity Logs"for the project. Jay's Gaily Diaries will not be sent to you, They are for internal use. However,we will extract any information that is needed to resolve remaning project Issues and share it with you. In fact,you have already been sent Jay's force account analysis of all hours worked for personnel and equipment for Soil Cover. I assume this Is why you are requesting.lay's diaries, Please review that information and let us know what you do not agree with so we can resolve payment for Soil Cover. Please be advised that you need to provide all cost records, Invoices, anti rt3fled,# yr it's related to Sail Cover to support your Item Adjustment calculations. In addition, Jay will be forwarding a draft change order of how PB proposes to resolve paymeni for the Sail Cover Item due to design changes. This will be sent to you for Information purposes and the final decision on how to adminsitrate this issue will be up to Mike Carlson. Please cilli me if you have any questions. Sincerely, Sart Littell Cc: Mike Carlson,Jay Treadwell lfyou have any problems with transmission andlor did not rscsive ell of the pages,please catl(925)957.0059. Over a century of Engineering Excellence 01/09/2004 33.51 707-823-5579 L.J. CONSTRUCTION PAGE 01 ` r s laons 3260 Lone Tree Way �,�..� Br'irrak�rfiotf S0118 104 Antfoch,CA 94609 7-1 925756.2382 :. Fax. 026.75644 Ja,�ivary 7,2004 I.earoy Rena 3r. Sebastopol Co ostruction Services,Inc. 9460 Craton Rd. Sebastopol,CA.95472 RE. Meeting of Dec.22,2003,Asbury Graphite Leachfacld Phase 1.CCCPW Project#4660.6X4152 Dear Leeroy, At your request,a meeting was held at tlse CCC'PWD Construction divisioa office on December. 22,2003,to resolve outstanding issues reptding pay quantities, with the follow persons in attendance, Mike Carlson-CCCPW,Bob Faorone-CCCPW,Jim.Stein-CCCPW,Bart Litell-PBCS,Jay Treadwell -PBCS Learoy Ross SR.-LJ Construction,and I.ceroy R.ess JR.. SebastopoI Construction. The following items were resolved.. Item#4 Subgraide Preparation {ftpirng){F), Since this is a "final pay item The County agreed to pay the balance of 129 SY @$1.88/SY for a total of$242.52, Item # 7 Erosion Control ( Typc C ), The County ag ecd th pay tht additional cost submitted by your sub-contractor Cagwiu&Forward for additional%acro:straw of 5579.00+ 5%for a tonal of$607.95. At Taut still is Item#6 Soft Cover,The county agreed to look at the total mound volume based on original g mad infonwtioa that would be provided to the County by you ager tht Orst of the Year. Following recaipt and analysis of this data we agreed to west again for;final resolution. NOTE, Since the meeting,I have forwarded to you Try revised P.A,Analysis for your review.As previously requested,I ate, still awaiting zecdpt of your invo lm brom Dolan Trucking,Estes To peoil,and for the water truck rents). If you have any questions phase contact Bart Littell @ 925 756-2382, Sincerely, Treadwell, R.E. cc NOw Carlson,CCCPW Bob Fo orone,CCCPW Jinn Stein,CCCPW :Bart LittelL PBCS Over ar Confory o lErsgrldecrFfn�t iaxe�38or>so:� ''Ill.,.......I................................................................................................................................ ...............I...... ................................................. ADDENDUM NO. I to the Special Provisions AUG 18J20043 . for construction of ASBURY GRAPHITE LEACHFIELD — PHASE I ----------- Project No: 4660-6X4152 The purpose of this addendum is to specify off-hauling of the cleared vegetation, specify a Cleanness Value for the aggregate bedding, and update the payment clause for the soil cover. The Special Provisions are amended as follows: Section 10-1.07 "SITE CLEARNING" on page 28 is supplemented with the following paragraph: All vegetation removed during site clearing shall be disposed of off-site. The last paragraph in Section 10-1.07 "SITE CLEARNING" on page 28 is amended to the following: The contract lump sum paid for site clearing shall include full compensation for furnishing all labor, materials, tools, equipment, and incidentals and for doing all work involved in site clearing, including off- hauling and disposal of cleared material, as shown on the plans, as specified in the Health Officer Regulations and in these special provisions, and as directed by the Engineer. The first paragraph in Section 10-1.09 "AGGREGATE BEDDING" on Page 29 is amended to the following: Aggregate bedding material shall consist of double washed river-run gravel, with a minimum Cleanness Value (CV) of 75, measuring 318-inch to 2- inches in diameter, and shall conform to the requirements of the Health Officer Regulations and these special provisions. The last paragraph in Section 10-1.10 "SOIL COVER" on Page 30 is amended to the following: The contract price paid-per cubic yard for soil cover shall include full compensation for furnishing all labor, materials, tools, equipment, and incidentals, and for doing all work involved in placing soil cover complete in place, as shown on the plans, specified in the Health Officer Regulations, in the Standard Specifications, in these special provisions, and as directed by the Engineer, and no additional compensation will be allowed therefor. I of I ......................................... ......I.......... X' rte Leachfieli-Phase 1, roj 1Y' 46' 17-67s:41S2 GZ tefl r• Page 2< f 2 5. Your progress schedule prepared using a working day format 6. A statement giving the name and address of each subcontractor, together with the item number, description, unit cost, and total cost of each item to be subcontracted. (Reference: Section 8-1.01 of the Standard Specifications). Your attention is directed to the following requirements: Special Provisions, Section 4-1.01— The Contractorshall begin work within fourteen (14) calendar day of contract award by the Public Works Director. The Contractor shall not start work pricer to the date stated in the "Notice to Proceed,"unless a change to are earlier date is authorized in writing by the Engineer. Standard Soecifrcationsi Section 5-1 10 - The make, model number and empty gross weight of each unit of compacting equipment shall be plainly stamped or stenciled in a conspicuous place on the unit. The gross weight shall be either the manufacturer's rated weight or the scale weight. Standard Specify"cations. Section 7-1 01A f3l - The Contractor shad furnish a copy of his certifies'weekly payroll, and a mon thly minority utilization report(Form 257)in order to fulfill his requirements in the above section. the cutoff date for the monthlypay estimate shall he the"15th - ort�h. f eacfr m "a` 6 est rria'te shall include the total amount of work done and as specified in the above section. If you have any questions concerning these instructions and requirements, please contact erre at (925) 313-2320. Very truly yours, 4)Maurice M. Shiu Public Works Director G:ifirrppetmiConst kGLRRE512003L4slrvry�rephReta�chfieldUrrfomra!-C2,doc N cr •..0 Rt Q' p J 1 � i� N PD d o v CIDCD Cin 'T a tri S-1 m m d .3�: CLAIM BC?ARD OF&PERVISOR§ OF CONTRA COSTA COUNTY BOARD ACTION FEBRUARY 24; 2004 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: MARIELLA CATILLC) ATTORNEY: BRIAN McCARTHY :DATE RECEIVED: JANUARY 21, 2004 ADDRESS: McCARTk!Y & LEONARD BY DELIVERY TO CLERK.ON: JANUARY 21, 2004 7027 DUBLIN BLVD., HAND DELIVERED BY DUBLIN, CA 94568 BY MAIL POSTMARKED: RISK MANAGEMENT FROM: Clerk of the Board of Supervisors TO County Counsel Attached is a copy of the above-noted claim. JOHN SWE exk Dated: JANUARY 21 2004 Byi De uty II. FROM: County Counsel.. TO:Clerk of the Board of Super0isors (v)"`This claim complies substantially with Sections 910 and 91:0.2. { ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant.The Boardcannot 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: 1c t iq-) � Yi 1 <— ' l 2 l A II C t 1 -2 f--� 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. BOARS 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' JOIN SWEETEN, CLERK, By , Deputy Clerk WARNING(Gov. code sec ' n 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 arta 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 Beard Order and Notice to Claimant,addressed to the claimant as shown above, Dated, v 40,'� HN SWEETEN, CLERK By Deputy Clerk OFFICE OF THE COUNTY COUNSEL ,�;-^-- "`� SILVANO S.MARCHESI COUNTY COUNSEL COUNTY OF CONTRA COSTA �,;t► r� r ►-.< �# SHARON L. ANDERSON Administration Buildin � � ��,, 651 Fine Street, 91'Floor „ f `.' CmiEF AssisTANT Martinez, California 94553-1229 ps,'� GREGORY C.HARVEY (925) 335-1800 �; VALERIE J. RANCHE (925) 646-1078 (fax) L4,` - ;�a AssisTANTs NOTICE OF UNTIMELINESS AS TO A PORTION OF THE CLAIM TO: Brian McCarthy, Esq. McCarthy & Leonard 7027 Dublin Boulevard Dublin, CA 94568 RE: CLAIM OF: Mariella Castillo Please Take Notice as Follows: In regards to the claim you submitted on January 21,2004, on behalf of Mariella Castillo,portions of the claim are timely and portions are untimely. The portions of the claim prior to July 21, 2003 that you presented against the County of Contra Costa governed by the Board of Supervisors fail to comply substantially with the requirements of California Government Code Sections 901 and 911.2,because they were not presented within six months after the event or occurrence as provided by law. Because the portions of the claim prior to July 21, 2003 were not presented within the time allowed by law, no action was taken on those portions of your claim. The claim was forwarded to the Board for action only on the timely portions of the claims. The only recourse at this time is to apply without delay to the County of Contra Costa governed by the Board of Supervisors for leave to present a late claim as to the claims which are untimely. See Sections 911.4 to 912.2,inclusive,and Section 946.6 of the Government Code. Under some circumstances, leave to present a late claim will be granted. See Section 911.6 of the Government Cotte. SILVANO B. MARCHESI COUNTY COUNSEL Monika L. Cooper Deputy County Counsel Page I CERTIFICATE OF SERVICE BY MAIL (C.C.P. §§ 1012, 1013a,2015.5;Evidence Code§§641,664) 1 declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California 94553;I am a citizen of the United States,over 18 years of age,employed in Contra Costa County,and not a party to this action. I served a true copy of this NOTICE OF UNTIMELINESS AS TO A PORTION OF THE CLAIM by placing it in an envelope addressed as shown above,sealed and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S.Mail at Martinez,California. I certify under penalty of perjury that the foregoing is true and correct. Executed in Martinez,California. Dated: January 23,2004 cc: Clerk of the Board of Supervisors(original) Risk Management Page 2 x �4 WCARTHY c& LEONARD '0'0 '- ATTORNEYS LAW 7027 DUBLIN BBLVD. lap 1P• 55" DUBLIN,CALIFORNIA 94568 BRIAN WCAI THY TEW925)829-6500 JOHN LEONARD FAX(925)829-7812 January 13, 2004 Contra Costa Regional Medical Center 2500 Alhambra Avenue Martinez, CA 94553 "` RE: Mariella Castilla Dear Sir or Madam: cp �� tt�s This is to notify you under C.C.P. §364 of the intent of Mariella Castillo to commen e litigation against you for professional negligence in negligently treating an ankle fracture on or about April 15, 2003 to September 18, 2003. As a result of this treatment, Mariella Castillo suffered pain, loss of mobility and required a surgical procedure to resolve her injuries. Mariella Castillo will continue to require medical treatment in the future and has suffered damages in the nature of pain and suffering, emotional distress, permanent disfigurement, loss of daily activities and medical expenses. Please forward this correspondence to your Disk Management Department. Thank you for your attention to this matter. Sincerely, Brian McCarthy FiAvl:ke CONTRA COSTA>COUNTY RISK MAMA EM NT '[SIGN To- 'C44 o- _ t3ate; C locatic-n. From: ------------- s 1 -f o For approvat REMARKS: o For information L] For Review o As Requested l4S C— / l06 -5 U Per Conversation L 11 Signature < \, i } 4 ! | % u . � - �< 2 � � � } U w � � \ \t � m . .� CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY � « BOARD ACTIQN,-FEBRUARY 241, 2004 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: $936.70 CLAIMANT: LINDA BAKER ATTORNEY: UNKNOWN DATE RECEIVER: JAEARY 22.22. 2052.E ADDRESS: 2208 GREENFIELD DRIVEBY DELIVERY TO CLERK ON: JANUARY 22 2004 PITTSBURG, CA 94565 BY MAIL POSTMARKED: JANUARY 2l, 20fl4 FROM: Clerk of the Board of Supervisors TO: County Counsel' Attached is a copy of the above-noted claim. JOHN SWEET , Dated: JANUARY 22, 2004 By: Deputy II. TWOM County Counsel, TO: Clark of the Board of'Supe ors (r-This claim complies substantially with Sections 910 and 910.2. y ( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). { ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim(Section 911.3). ( ) Other: Dated: By: S: , , 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: {y ' This Claim is rejected in W. { ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. - Dated: r'> FTN 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 Wgging See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of penury thaat 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 !' w ". 'JO IN SWEETEN,CLERK By Deputy Clerk _...... ........................................................................................................................................................................... ....................................... _ ...... ............_.. .......... ..... ................ ......... ......... ......... ..................... __ ........ ...................................... A. Claim relating n$ to...cauae3 ,r 2,Ct:ii�t dor dea, or rOf 1fltef to Wscr or to per- property - .ling M.Op9 atd �ittich acor-O 'On or t�efcx'e December the 311g of sonal must be meted no . 3.at 4r th the f� t3ay �'� �I to 'person Action. '3 of act fca' ► 't � � QtIIi� irtli� i .I3l11L' 'Y t^el ar rigor � e � of the cause or to Personal Pru Dented ;mot gftr;�- ti'fe 1988, its be pr Gsented not )Atw than $ actim must be Pre c of 30tim. Claims relatirs to anof t of Aotitsn- tom• Cods §.11.2. later t� We �r �` accrual M at its office in CIa► must be fUed. sidth tete merit Of the � +�� 94553• . 106� Gxarty Adt�tmtian i�vg, 651 pine street, 1�x't� Against a district govern by the 3cer'd oP Supervisor's+ ter t'^.ar C. It 01airn i3 amid be filled in- t, Conr�t�*t the r� of she District, Inst more than am Public entity`, separ-S tS 41&1wmus� be D- L the claim 33 ttga blfe ertitp. f i'!ed gam,kiinst Brach ! 1 of this E. Frac d. Sae penalty f€r fre: Ulent dai=, perms.'.•Code Sec: 72 at tha en * iFl � # 1E _ Reserved for Clerk's Mir stamp AR; claim By =- 3 RECEIVED ' 7 t ua�tp o nota JAN 2 2 2004 CIE RK BOARD Op SUAER�SORS District} CONTRA CC TA CO. xis nem -�—�- elm t the �Y of tontm CO3ta ar The wdersigmd t latimant ham'' and in siMPOrt of Disft4ct in the sum of this cWm rspres .a3 fctlltWs» I.. did the damW.ar fns tGive exact date and bour3 6 -3 2. mere dial the damW Or inlus'y' o (MrIude pity and WMtY) Q car i.njtwy occur? �Givne full detailsi vas ext: ► 1�P'�'" ff 3_ How did #fie � rsquii^eti) a w 4. Vlat pear act or Osisoi*a CO the pari of owWtY or d lst:rict officers, ate W-9mploYew caused,the Ukjuz7 or dewo y - _ _. ......... ......... ......... ......... ......... ......... ......... ......... ..............._.. ...... .......... ............ ......... ......... ......... ......... ......... ......... ........ ........ ........ ......... ......... - _ - _ ......... .......... VEHICLE ACCIDENT REPORT DATE } 2 TIME. , i# L/ / ACCIOEN'T LOCATION J-1- Vehicle Equipment No ��. "I Lic. Plate No. County Driver: Other Driver: Name _ - Lea, Pr)es' Flame ev Home Address y} ^^Home Address V,0.- meq Home Phone `) ,( t3.3 t Home Phone �P -- Mork. Phone Mork Phone Driver's License Driver's License � --- Car: Year, _112 Make Model_ `CIS If Personal or Rental Vehicle, Registered Oweer 461a ehl-- Name & Address--of -Agent Address A)'-O ' Phone # �- License Plate 11.9 f Insurance Company &&A Police Report Taken: Yes No Address Q .A2 Y Pol icY -I '- D'- ,4. Police Dept. C' � ^ lr�� Cr� _ s Agents Mame — List Iniured Parties: List Witnesses: 1. Name 1. Name _ Phone # Phone V2 Address Address Street Street C ay Stat_ Zip Code City State Zip Cod_a 2. Name 2. Name Phone p Phone I Address Address Street Street City Sta e Zip Code City MEM ip CoIC 3. Name 3. flame Phone VI Phone lx Address Address Street Street City State Zip Code City State `tip Code Seat Belt WO rn By County Driver : Yes - X - No Damage to County Vehicle _ f , Damage to Other Vehicle ��_ �� r�.�►.�e�►�=.-�,r�.+�',t ,p,�-��,,, M:V ,REP3 1 d/ ditiV 0'1/06/2004 at 12 :20 PM Job Number: 40462 MIKE ROSE'S AUTO BODY INC. License #:BAR# 0969527 Federal ID #:942621349 WHERE QUALITY COUNTS 2260 VIA DE MERCADOS CONCORD, CA 94520-4920 (925) 689-1739 Fax: (925)689-0991 PRELIMINARY ESTIMATE Written By: Bruce Hubert #EPACAR000004317 Adjuster: Insured: BAKER claim# Owner: BAKER Policy # Address: 2208 GREENFIELD DRIVE Deductible: PITTSBURG, CA 94565 Date of Loss: Day: Type of Loss: Evening: Point of Impact: Inspect MIKE ROSE'S AUTO BODY INC. Business: (925) 689-1739 Locations 2260 VIA DE MERCADOS CONCORD, CA 94520-4920 Insurance Company: 3 Days to Repair 1996 SATU SL1 4-1.9L-FI 4D SED GOLD VIN: IGBZH5280TZ342574 Lic: 3SOM511 CA Prod Date: Odometer: Rear Defogger Tilt Wheel Intermittent Wipers Tinted Glass Body Side Moldings Dual Mirrors Clear Coat Paint .Power Steering Power Brakes Driver Air Bag Passenger Air Bag Cloth Seats Bucket Seats Recline/Lounge Seats Deluxe Wheel Covers ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 1 FRONT BUMPER 2 O/H bumper asst' 0 0.00 1.8 0.0 3* Repl Bumper cover SL, SLI, SW1 1 291.54 Incl. 0_0 4 FENDER 5* Rpr LT Fender 0 0.00 1.0 2.1 6 Add for Clear Coat 0 0 .00 0.0 0.8 7 Repl LT Emblem 1 7.97 0.2 0.0 8 R&I LT R&I fender assy 0 0.00 1.0 0.0 9 Deduct for Overlap 0 0.00 -0.3 0.0 10 Rept LT Fender reinforcement 1 8.91 0.0 0.0 11# Repl FLEX ADDITIVE 1 8.00 T 0.0 0.0 12# TINT COLOR 1 0.00 X 0.5 0.0 13# Subl HAZARDOUS WASTE REMOVAL 1 3.00 X 0.0 0.0 ----------------------------------------------_-------------------------------- Subtotals ==y 319.42 4.2 2.9 1 . _... 01/06/2004 at 12:20 PM Job Number: 40462 PRELIMINARY ESTIMATE 1996 SATU SL1 4-1.9L-FI 4D SED GOLD ------------------------------------------------------------------------------- Estimate Notes: ** POSSIBLE HIDDEN DAMAGE BEHIND FENDER, UNABLE TO DETERMINE AT TIME OF INSPECTION. ** Parts 308.42 Body Labor 4.2 hrs @ $ 70.00/hr 294.00 Paint Labor 2.9 hrs @ $ 70.00/hr 203.00 Paint Supplies 2.9 hrs @ $ 30.00/hr 87.00 Sublet/Misc. 11.00 ---------------------------------------------------- SUBTOTAL $ 903.42 Sales Tax $ 403.42 @ 8.2500% 33.28 ---------------------------------------------------- GRAND TOTAL $ 936.70 ADJUSTMENTS: Deductible 0.00 ---------------------------------------------------- CUSTOMER PAY $ 0.00 INSURANCE PAY $ 936.70 THIS IS A PRELIMINARY ESTIMATE AND ADDITIONAL CHARGES MAY BE REQUIRED FOR THE ACTUAL REPAIR. THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR ABBREVIATIONS/SYMBOLS: D=DISCONTINUED PART A=APPROXIMATE PRICE LABOR TYPES: B=BODY LABOR D=DIAGNOSTIC E=ELECTRICAL F=FRAME G=GLASS M=MECHANICAL P=PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXED MISCELLANEOUS PATHWAYS: ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT. PRICE=UNIT PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NAGS=NATIONAL AUTO GLASS SPECIFICATIONS NON-ADJ=NON ADJACENT O/H=OVERHAUL OP=OPERATION NO=LINE NUMBER QTY=QUANTITY QUAL RELY=QUALITY RECYCLED PART QUAL REPL=QUALITY REPLACEMENT PART COMP REPL PARTS=COMPETITIVE REPLACEMENT PARTS RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT=LEFT W/O=WITHOUT W/—=WITH/— SYMBOLS: #=MANUAL LINE ENTRY *=OTHER [IE. .MOTORS DATABASE INFORMATION WAS CHANGED] **=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED TO LINE. MQVP=MANUFACTURER'S QUALIFICATION AND VALIDATION PROGRAM. 2 01/06/2004 at 12:20 PM Job Number: 40462 PRELIMINARY ESTIMATE 1996 SATU SL1 4-1.9L-FI 4D SED COLD Estimate based on MOTOR CRASH ESTIMATING GUIDE. finless otherwise noted all items are derived from the Guide DR8IB96 Database Date 11/2003 and the parts selected are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. Asterisk (+) or Double Asterisk (**) indicates that the parts and/or labor information provided by MOTOR may have been modified or may have come from an alternate data source. Non-Original Equipment Manufacturer aftermarket parts are described as AM, Qual Rep! Parts or Comp Repl Parts which stands for Competitive Replacement Parts. Used parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned parts are described as Recon. Recored parts are described as Recore. NAGS Part Numbers and Prices are provided from National Auto Glass Specifications, Inc. 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