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MINUTES - 01062004 - C24-C28
TO: BOARD OF SUPERVISORS FROM: Marr DeSaulnier • Contra CostaDATE: January 6, 2004 County SUBJECT:. Appointment to the Alcohol and Other Drugs4AL Advisory Board PT SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION Supervisor Mark DeSaulnier recommends the appointment of Barbara Dallas as the District TV-B Representative position to the Alcohol and Other Drugs Advisory Board to fill the term ending June 34, 2006. Barbara Dallas 868 Brittany Lane Concord, CA 94518 CONTINUED ON ATTACHMENT: YES SIGNATURE f` � .. . RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER ACTION OF BOARD ON Jamiary 6, 2004 „ APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS(ABSENT None } ANIS CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED JaiLia y 6, 20(Y4 _ JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact: f' cc: Clerk of the Board(Maddy Book) DEPUTY V: Contra TO: BOARD OF SUPERVISORS FROM: INTERNAL OPERATIONS COMMITTEE Costa DATE: DECEMBER 15, 2003 County SUBJECT: RECOMMENDATIONS FOR APPOINTMENT TO THE 001150" MOBILE HOME ADVISORY COMMITTEE SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: APPOINT the following individuals to the Mobile Home Advisory Committee: Name Seat Term Expiration Action Greg Enholm At Large#1 December 31, 2005 Appoint 371 Rapallo Lane Bay Point, CA 94505 Cheryl Hune At Large#2 December 31, 2005 Re-appoint 300 Manor Park Circle Pacheco, CA 94553 Sanford Wichner At Large #3 December 31, 2007 Re-appoint 1010 Barbara Lane San Pablo, CA 94345 BACKGROUND: The Board of Supervisors established the Mobile Home Advisory Committee in 1978 to discuss issues and problems raised with regard to mobile home parks in Contra Costa County. The Committee comprises 13 members: 5 representing mobile park owners and managers (one from each Supervisorial District), 5 representing mobile home tenants (one from each Supervisorial District), and 3 members representing the public. Terms are for four years. The Internal Operations Committee reviews nominations for the three At Large seats. CONTINUED ON ATTACHMENT: YES SIGNATURE: ✓ RECOMMENDATION OF COUNTY ADMINISTRATOR -COMMENDxTI OF BOARD COMMITTEE —,.4--APPROVE —OTHER \ a SIGNATURE¢}``_ �_l"frMy s' ,,. ; 1 ✓ aw .••. `s r ,t 4 �. A L B UILKEMA, Chair FED RAL D. GLOVER ACTION OF BOARD ON____. 3anttY � APPROVE AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE XUNANIMOUS ABSENT � AND CORRECT COPY OF AN ACTION TAKEN - } AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN, ABSENT: ABSTAIN: ATTESTED: JANUARY 6,2004 CONTACT: JULIE ENEA (925)335-#077 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: INTERNAL OPERATIONS COMMITTEE STAFF `� DEBBIE GORMAN,MHAC STAFF CLERK OF THE BOARD MADDY BOOK f ' Appointments to the Mobile Home Advisory Committee December 15, 2003 Internal Operations Committee Page 2 The MHAC advertised during the month of September in several local publications. (Copies of the announcement and publication list are attached.) Three applications were received (copies attached). After conducting interviews, the MHAC nominated the following individuals for appointment: ➢ Sanford Wichner (current member) — Recommend reappointment. Greg Enholm— Recommend appointment. ➢ Ken Brans — Recommend appointment with reservations about his ability, as an At- Large member, to maintain the balance on the MHAC between park owner/manager and park resident, in light of the fact that he is an attorney who represents park owners in Contra Costa County, including some on the MHAC. Just prior to the Internal Operations Committee meeting on December 15, the IOC received a letter, attached, from Ken Brans, indicating that a District seat appointment may be more appropriate for him since he is an attorney who represents park managers and owners. As Mr. Brans is a resident of District 111, the IOC suggested to him that he contact Supervisor Greenberg, and directed staff to forward his application to her for consideration. Concurrently, At Large incumbent Cheryl Hune requested to be reappointed. She stated that she did not submit an application prior to the deadline because she was undecided at the time. However, she is now interested in continuing her service as an At Large member and our Committee recommends her for re-appointment. Upon approval of these recommendations, the MHAC roster will be as follows: DISTRICT/AFFILIATION NAME EXPIRES I — Park Owner/Manager Reva Clark 12/31/06 1 — Homeowner Ancil Gunter 12/31/06 11 --Park Owner/Manager VACANT 12/31/06 I1 — Homeowner Marilyn Smith 12/31/03 i 111'-- Park Owner/Manager VACANT 12131/07 III —Homeowner VACANT 12131107 IV— Park Owner/Manager Stan Hansen 12/31/03 IV— Homeowner June Dellapa 12/31/03 V— Park Owner/Manager Joseph Duarte 12/31/07 V- Homeowner Bertha Stobb 12/31/07 At-Large Greg Enholm 12/31/06 At-Large Cheryl Hune 12/31/06 At-Large Sanford Wichner 12/31/07 i CONTRA COSTA COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 051 Pine Street, north Wing - 4th Moor Martinez, CA 94553 Telephone: (925) 335-1310 Fax: (925) 335-1300 TO: Internal Operations Committee FROM: Debbie Gorman, Staff-- Mobile Home Advisory Committee (MHAC) DATE: December 15, 20103 SUBJECT: Recruitment and Recommendation for MHAC At-barge Positions The Mobile Home Advisory Committee has three At-large positions which are appointed by the Internal Operations Committee. One position has been vacant for some time and the terms of the other two expire December 31, 2003. The Committee advertised during the month of September in several local publications. (Copies of the announcement and publication list are attached.) Three applications were received (copies attached). The Committee established a sub-committee to interview applicants (questions attached) and make a recommendation to the Internal Operations Committee. The recommendation follows: ➢ Sanford Wichner(current member)—Recommend reappointment. ➢ Greg Enholm -- Recommend appointment. ➢ Ken Brans-- Recommend appointment with reservationsabout his ability, as an At-large member, to maintain the balance on the MHAC between park owner/manager and park resident, in light of the fact that he is an attorney who represents park owners in Contra Costa County, including some on the MHAC. Ag HAMO HO ACV COMMOC Recruitment Memo.doc —,County Administrator Contra Costa Beard of Supervisors County Administration Building County J2HNGJOIA 651 Pine Street, 11 n, Floor 1 District Martinez, California 94553-40768 tit; s � _°� GAYLE B.UiLKEMA V-925-335-1080 2n4 District F-925-335-1098 MLLrEGREENBERG 10�1r1 Sweeten dWA '+ 3` District y� � .L County Administrator -� � M�RKDESAULNIER $ District FWaERAL D.GLOVER 5' District FOR PUBLICATION ON: FOR FURTHER INFORMATION, August 25, 2003 CONTACT. Debbie Dorman, Community Development Dept. Phone: (925) 335-1310 WOULD YOU LIKE TO SERVE ON THE COUNTY MOBILE HOME ADVISORY COMMITTEE? The Contra Costa County Board of Supervisors is seeking individuals who are interested in serving on the County's Mobile Home Advisory Committee, The Committee's role and responsibilities are as follows: a. To advise the Board of Supervisors on policies and issues relating to mobile home parks in the unincorporated area of the County. b. To work with mobile home park owners and residents to improve resident/owner communications and resolve problems and conflicts in mobile home parks. c. To provide a forum for resident/owner discussion of perceived problems in mobile home parks when other means of communication have broken down. d. To investigate problems of park maintenance and work with residents, park owners, and County staff to resolve identified problems. Regular meetings of the Mobile Home Advisory Committee are held on the third Thursdays of each month at 2 p.m. in a location to be announced prior to the meeting. Members shall serve without compensation. During the term of office, each member shall reside or work in Contra Costa County. Members shall serve at the pleasure of the Board of Supervisors. There are thirteen members on the Mobile Home Advisory Committee. This particular opening is an At-Large position which is a member representing the public and is to be neither a mobile home park resident nor owner. The term is for four years, beginning January 1, 2004 and ending December 31, 2007. An application form may be obtained from the Clerk of the Board of Supervisors by calling (925) 335-1900 or by visiting the County webpage at www.co.cbntra-costa.ca.us. Completed applications should be returned to the Clerk of the Board of Supervisors, Ream 106, 651 Pine Street, Martinez, CA 94553 no later than Tuesday, September 30. For further information, please call Debbie Gorman, CCC Community Development Department, at (925) 335-1310. ca 0 ° N a)i w E E c E E w co C14 a) a� co a) E o E J co E Ei xaa) C4aa) W tti cu N cia. n CL W Z U w (o N z '� co �` W 0 � rpt x !� tL 00 co nca cv `D z UD w c Er. U n 0 �. cc M c Q a M W co 43 CL c - cru H - > � a �°� a DC7 0 ca c C2 d IL CJ co u� CONTRA COSTA COUNTY ADVISORY BOARDS,COMMISSIONS, OR COMMITTEES APPLICATION FORM. Name of Advisory Body applying for Mobile Hone Advisory Committee Application Form must be typed or hand printed Name of Applicant: Kenneth R. Brans Marne Address: 2530 Arnold Drive, Suite 125 City: Martinez Mate: CA ZIP: 94553 Home Phone• Work Phone: ( 9 2 5) 228-3595 Signatt2 Date: September 11, 2003 CPersonal Experiences,Skills,and Interests Education/Background: B.A. University of California Berkeley Juris Doctor University of California Davis Occupation/Employer: Lawyer, Self, Law Offices of Kenneth R. Brans Community Activities: Danville Lions Club Contra Costa County Bar Assock t an Law Day Seminars Western Manufactured Housing Communities Association Special Interests. Mobilehome park management and mobilehome park owners in connection with my representation of same as an attorney for numerous mobilehome parks in Contra Costa (and other) counties . Information: I. File completed application with Clerk of the Board. 651 Pine Street,Room 106, Martinez, CA 94553. 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Address and ether contact information provided on this application will be accessible to the general public. 4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 5. Meetings may be held either in the evenings or during the day,usually once or twice a month. 6. Some boards assign members to subcommittees or work groups requiring additional time. 7. If you wish you may attach your resum6. cc: Supervisor II Debbie Gorman RECE RECEIVED CC?" TILk COSTA COUNTY A�DVISpU+�tY BAU��+��,� S,, CO OPTS,OR 003 CLERK SOARD OF 8a3i'ERYi$OR$ CONTRA TA CO. Name of Advisory Body, for v. �Ar ' " v 1 sem ' Applfest[on Form must be typed or hand printed. N e of Applicant: ,+4. ial2 L rC of city= ,,.+,,,ii /4,S.a MIiY�Y 1 Y.Yw ..iState- �Z! . � J� Rome Plume, / 3�, Work Phone` SiuB Date; 19 pejsonal Experiences,SWU and Interests opM. ok t�GaupaticmJEmplc~,yer. Comm unk Actsvitles: Pecisi Irittrrests: ,C.� t� -x e " C r 7- � . Ini'nrmattanc 1. File completed application with Clerk of the Board.651 Pints Street,Roam 106,Martinez,CA. 945 53. 2. Mmmhlra of some advisory bodies may be,required to file annual Conflict of Interest statements, 3. .Address oud other contact information provided on.this application will be accessible to the general pubUc. 4. Meetinp of edvisory bodies msy be held in Martinez or in areas not accessible by public transportation. S. Meetings may be hold either in the evenings;or during the day,usually once or twice a month. 6. Some boards usip members to subcommittees or work ecups requiring addittonal time. 7. 1f you wish you tna.y attach your resumd. Seep 30 03 10:05a p. 1 CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS OR COMMITTEES APPLICATION FORM Name of advisory board applying for. av tr '40(visov 6,441P C� Application Form must be typed or hand printed. Name of Applicant: Cre e q rj�01 rvr Date: `?. ..30- 03 Home Address: 37/ 4,0o'14 n Nome Phon 125.5. �/5 e City,State,Zip: gety Poln-i Work Phone: 7 Business Address: elr'rdrk Ac otole ny,�1 FAX: -- f City,state,zip: 3516 9A-eeM X/vvtl ,r'r0eW j-q C,,4 ' ''r"✓«-6 r�aii: rra + cat 2 LOA�r!'COAN Signature: Personal Experience,Skills and Interests Education/Backgrounck tjntvtrs r, � r i is r tar x-�cxrh A P5J{�t r' 'r m ►it r+3n xct 1 a�'8"f VntverrrA7 W Alanok, $S--fkmefr '•41nlv6-A�&-, /?-7:�- Occupation(for pay work,not for pay work,retiree,student or similar): 4*1-K +Aol pn7'd t �� � 5��l�ct�; �rr7s�� .�Erol Seeu"iXes 1frta1y4e (.S•e r',4 AVf "t 5,,A' tyll ,L14,W1r A4^,Y" Cp ► 1j'- 19'f2-Community Activities: Aro4ve-,,,- Ar AV t NW7- 41e *Ze ,,ba a 5 '7 !° 't AM f j,ec, [ NAJQ2 j Tl+*10#�5{ tI' r 4y? I+ ✓'t� � 1 Y�' (V �v d , /i'�E�+1�,r�, .��y f cat n�' l'e'i t r�✓��'� +G'I+a� '' �CPc~rkt� Pr�l vc�.; 13�'' �e,+�c►, ,rn t� � +��'�r 'c-c �',��t¢�COs t��.��.�ca3-� Special Interests: AC5'v IAIC-4 UP E> Information: 1 File completed application with Clerk of the Board,651 Pine Street,Roam 106,Martinez,CA 94553 or FAX to(925)335-1993. Z fibers of some advisory bodies may be required to file annual Conflict of Interest Statements. 3 Meetings of advisory bodies may be held In Martinez or in areas not accessible by public transportation. 4 Meetings may be herd eitifer•In the evenings or daring the day,usually once or twice a month. 5 Some boards assign members to subcommittees or work groups requiring additional time. Apontee AppficaWn 08M 7101 �J y l KENNETH R. BRANS � xh..,._... ATTORNEY AT LAW y�lM1W COTRA COSTA,COUNTY 25317 ARNOLD DRIVE, SHITE 125 RECEIVED MARTINEZ, CA 94553 " TEL (925) 228-3595 FAX (925) M-13 :.CE Q December 12, 2003 6,%N1STRATOR By Facsimile (925-335-1098) and First Class Mail Contra Costa County Internal Operations Committee c/o Julie Enea 651 Pine Street Martinez, CA 94553 Re: December 15 Meeting of the '{rwt..ernal Operations Cc almi t-t.ee Dear Ms. Hnea: I have received a copy of the Agenda for the December 15 meeting of the Internal Operations Committee which includes at 9:15 a.m. a hearing for the Mobile Home Advisory Committee. I have also just received a copy of the materials which are identified as the "IOC Packet 12/15/03 9:15 a.m. Item(b) " . It appears that the Mobile Home Advisory Committee has nominated me to fill a position as a "Member At Large" for District'. II presently occupied by Cheryl Hune. I also note that the Mobile Home Advisory Committee has stated in its recommendations to the IO Committee prepared by Debbie Gorman that while my appointment is "recommended" it is "with reservations about his ability as an At Large member, to maintain the balance on the MHAC between park owner/manager and park resident, in light of the fact that he is an attorney who represents park owners in Contra Costa County, including some on the MHAC." In reviewing the current composition of the Mobile Home Advisory Committee I note there is a vacancy in District II for an owner representative which has been vacant since January 2001. The previous representative was (now) Judge Theresa J. Canepa. In fact Judge Canepa's family owns a park which I presently represent. Additionally I represent at least one other park owner in that district, Scott Carter. while my office is located in Martinez, my home is located in Alamo, which is District III which District also has no owner representative. Contra Costa County Internal Operations Committee c/o Julie Enea December 12, 2003 Page 2 I am concerned that the reservations about me expressed by the drafters of the recommendation to the IO Committee with regard to what is otherwise (I assume) considered a neutral position as an "At Large" member may cause some difficulties on the committee amongst its members . I believe it would be more appropriate that I be appointed to the presently vacated position in District II or District III for an owner since my services as an attorney are, as indicated in my application form, provided to mobilehome park managers and owners . Appointing me to the District II owner slot will also allow Cheryl Hune to remain as the At Large member in District II which she has advised me today she wishes to continue to occupy. Thank you for your consideration of this request. V yours, KRB:ddr CC: Supervisor Gayle B. Uilkema (Via fax 925-335-1076) Supervisor Millie Greenberg (via fax 925-240-7261192.5-820-6627) Debbie Gorman (via Fax 925-331-1300) Staff Representative Mobilehome Advisory Committee Joe Duarte (Via Fax 925-625-2261) Stan Hansen (via Fax 925-682-0487) Cheryl Hine (Vi« Fax 925-798-075-71' TO: BOARD OF SUPERVISORS Contra FROM: INTERNAL OPERATIONS COMMITTEE Costa DATE: DECEMBER 15, 2003 County SUBJECT: APPOINTMENT TO THE MANAGED CARE COMMISSION C41* SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: APPOINT the following individual to the Managed Care Commission: Nominee Seat Term Expiration Robert Carver At Large #S August 31, 2005 334 Meadow Creek Court Walnut Creek, CA 94590 BACKGROUND: The Managed Care Commission was established in May 1995 and replaced the Contra Costa Health Plan Advisory Board and the Medi-Cal Advisory Planning Commission. The purpose of the Commission is to: ♦ study health care concerns for the Medi-Cal, Medicare, Commercial, and Medically Indigent persons served by the County ♦ assure provider, consumer, and community, as well as gender, ethnic, cultural, and geographically diverse population input to deliberations and decision making. ♦ do long-range planning and policy formulation and make recommendations to the Board of Supervisors, County Health Services Director and Chief Executive Officer of CCH P/Local Initiative. ♦ study and make recommendations to the Chief Executive Officer of CCHP on operational objectives, policies and procedures and recommend changes as well as revised service, product development, marketing, and data-gathering priorities ♦ assure effectiveness, quality (including good outcomes), efficiency, access, acceptability of CCHP services by ongoing as well as periodic formal reviews of information produced by an up-to-date Management Information System and other sources CONTINUED ON ATTACHMENT: YES SIGNATURE: " COMMENDATION OF COUNTY ADMINISTRATOR � ECOMME T ON OF BOARD COMMITTEE w"APPROVE OTHER SIGNATURt=(S). -' GAYLE- . UILKEMA, Chair FEDERAL D. GLOVER ----------__-M----_-----------_----------__w._______.�__.__s_ ______.___ ___..___.-----_-_----.-_-_..___..- ACTION OF BOARD ON Jarmary 6, 2004 APPROVE AS RECOMMENDED X OTHER VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE X AND CORRECT COPY OF AN ACTION TAKEN UNANIMOUS(ABSENT J -- } AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: ATTESTED: JANUARY 8,2004 CONTACT: JULIE ENEA (925)335-3077 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: INTERNAL OPERATIONS COMMITTEE STAFF TERESA SNOOK O"RIVA,STAFF,MANAGED CARE COMMISSION CLERK OF THE BOARD(MADDY BOOK) o BYs. 0..i Managed Care Commission Appointment December 16, 2003 Internal Operations Committee Page 2 ♦ regularly review the CCHP operational budget and amendments thereto. ♦ review, analyze, and advise the Board of Supervisors, Health Services Director, and Chief Executive Officer of CCHP of the overall progress, constraining, or threatening needs and special problems of CCHP ♦ encourage public understanding of CCHP and provide support throughout the County for its development. Prioritize and assign to appropriate committees The Commission consists of 15 members. Persons who are involved as contractors with Contra Costa Health Plan (CCHP) cannot be members of the Managed Care Commission (MCC), nor can Health Services Department employees. No less than one Medi-Cal Subscriber, one Medicare Subscriber, one Commercial Subscriber, one person sensitive to medically indigent health care needs, one physician,/non-contracting, one other provider/ non-contracting, and no less than nine at-large members/non-contracting may serve. The Director of Health Services and the Chief Executive Officer of CCHP are ex-officio, non- voting members. County Supervisors also function as ex-officio, non-voting members. Terms of office are for three years. The IOC reviews nominations for all seats on the Commission. The IOC considered and approved the preceding nomination for appointment on December 15, 2003. ;0j- . CONTRA COSTA HEALTH FLAN A Division of Contra Cotta Health 5ervpces Memo To: Internal Operations Committee, Contra Costa County Board of Supervisors From: 'Teresa Snook O'Riva, Principal Staff Contact for the Managed Care Commission Date: 12/8/03 Re: Managed Care Commission—Recommendation for Vacant Seat The Governance Committee of the Managed Care Commission(MCC)has reviewed all timely applications submitted for the Member-At-Large vacant Commission seat, held personal interviews and made a recommendation to the Executive Committee of the MCC. The Executive Committee has review their recommendations, and authorized the submittal of the following: It is the recommendation of the Executive Committee of the Managed Care Commission that the Robert Carver be appointed to the currently vacant Member-At-Large seat. Mr. Carver is a retired actuary, formerly with Blue Shield of California. The Executive Committee believes that his unique perspective on the financing of comprehensive health care would be a tremendous asset to the Commission. Please be advised that there continues to be one vacant seat on the Commission, that of CCHP Medi-Cal subscriber. We continue our efforts to fill this challenging position. 0 12/10j93 ,j:g1 KAX 925 313 60 CCHP - ADMIN. OFFICE 0002 . ars reiN tFt Ytlt'all I 9$S 93 7:50+3 P. 02 CONTRA COSTA COUNTY ADVISORY BOARDS,COMMl5S101%COMMITTEES APPLICATION FORM Name or advisory board applying for: anag i C ffegmrnissyi l'MCCI (Apprteation form hearse 6e lyped or hand prhWd,) ote• 'Teritt+m who are invoiva ria io-if +etort+w#th CCRP 7%;n"ot"be members of the M#yC no .Nisi klraY#a y Services D+eparente"i mo) leasew: Are you curremly employed by CCHP or HSI)? tJ Yes ,� No If yes,please explain: Are you or your employer now a contractor to CCHP? Cl yes N No If yes.please explain: Are you associated with an organization that is currently or has plans to contract with CCHP? Yes No If yes,please explain: '1Ittck lit boxes tha� t atstsIy: D Current CCHP Medi-Ca1 Subscriber 17 Current CCHP Medicare Subscriber 0 Physician 'D Other Provider 0 Current CCHP Commercial Subscriber © Represent Medical Indigent Needs Name of Applicant: Robert Carver Home Address: 834 Meadow Creek Corm,Walnut Creek,CA 94596 Horne Phone:9'25-932-4213 Email:rpearver@astound.net Business Add ss: Work Phone: 5ipature: Date:July 15,2003 Personal Experience, Skills,Interests.- Education/Background: nterests:Education/Background: BA Statistics,Cal Berkeley FV11rrw orthe Society of Actuaries Member of the American Academy of Actuaries Occupation: YP&Chief Actuary,Slue Shield of California(retired.lune,2003) Community Activities: Co-President,Walnut Creek Multi-Le"(baseball league for children grades 1 through 6) special Interests: Health Care Reform--Universal licalth Care Coverage INFORMATION' t. ttctum comrlmd applicntior%to Tot"(YRivo or Jill Lor"Jtovi¢h.Contra Carta ilcahh Pian.$113 C+ms w Also aaue.wire tots.Martine?. CK94$53,CA`'Ci L925)313-010. I Member3 orsome advisory bodies mzy bo reVIrtd to rile ennual Conflict oftetcrest Stalmonts. 3. Moettr+p,�rtr""Ory t Ode's 1"4Y be held in Maninez or In areas not accessible by public uunspmailun. d Meetiap my be►+ctd ttthtr iA rite ovemngs or durtnS the clays.WUally once a atisttrit, 5. St"*WWII Aftgn members to comMItttrs or work groups requiting additional time. WCaa;t see 4. �,wacna 12/10/03 X8;2,2 A 925 313 6002 CCHP ADMIN. OPTIC 2 �Z003 +w5 a r w L .i o -%1'# I- v MXtK .01 FAX COVER SHEET TO: Jill L orrekovich Phone: 925-313-6004 Fax: 925-313-6580 From: Robert Carver Phone: 925-932-4283 Fax: 925-932-7509 Number of Pages (including this sheet): 2 Note: Jill, perhaps the advisory board could use an actuarial perspective. Having worked with bath health care consulting, firms and managed care plans, I have an extensive background in many areas of health etre. Robert Carver 4. 12/10/03 18:22 FAX 925 313 6002 CCHP - ADMIN. OFFICE Z004 CONTRA COSTA COUNTY ADVISORY BOARDS, COMMISSIONS, COMMITTEES APPLICATION FORM Name of advisory board applying;For: Managed Care Comu7ussion (MCC) (Appticarion form must be typed or hand printed) Note. "Persons who are involved as contractors with CCHP cannot be members of the MCC nor can Health Services Department(HSD)employees.- Please-=- M mployees.- Please answer: Are you currently employed by CCHP or HSD? A Yes 0 No If yes, please explain: Are you or your employer now a contractor to CCBP2 0 Yes ® No y . If yes, please explain: Are you associated with an organization that is currently or has plans to contract with CCI-iP7 A Yes x No If yes, please explain: Please check all boxes that aonly: 0 Current CCI4P Medi-Cal Subscriber 0 Current CCHP Medicare Subscriber Q Physician 0 Other Provider 0 Current CCHP Commercial Subscriber 0 Represent Medical Indigent Needs Name of Applicant: StanMareisz Ilome Address: 357 Ist Ave. South _ Plea 5txr► 1j l c Horne Phone: 925- 682®5664 Business Address: .. Ketired 'Work Plione: Signature: �`�r —� Date: �J 4!P ,Personal Experience,fence, LSWIs, Interests: Lducatioa/Background:I have a degree in Public Administration. I worked 30 years as a manager in the Medicare Program(Centers ror Medicara(Medicaid)I worked in the standards compliance division CMS San Francisco Regional Office. I am very familar with the various types of health care delivery systems i.e.:manage care:,Medicaid and fee for service. I have good ccnrmunicatioWlisteening skills. 12/.1U 03 18:22 FAX 825 313 6042 CCHP - ADMIO. OPl~ICE Occupation:Retired Federal Manager in January 2003. Community Activitles:None at the moment. Special Interests: I lealth care issues and,politics_ I have beea interested in the County health care system and I am a supporter of the County.Hospital and its manage care system. NFORMA'T ON. I. Return completed application to Teresa O'iva or dill Lorrekovich,Contra Costa Health PIan,545 Center Avenue,Suite 100,Martinez,CA 94553;IFAX##(925)313.6590. I Members of some advisce°y bodies may be required to Ole annual Conflict of Interesse Statements. 3. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation, 4. Meetings may be held either in the evenings or during the days,usually once a month. 5. Some boards assign members to committees or work groups requiring additional time. tE ♦ ;_t �,� a {�, � i�• { zf .r 1 ,t IEIt fr # i � . ., Ti �7S :k ' �u+�.`SFiy,E `h�4+�'wf.�y^` k^�t _�✓''� ��{t�� �= 4`s 4 , nr,+.�jn ,, t^,- Ci._'EL '+- A:+q,� 'F s, r� —z �" r,oa*! • t a r f� a,`r�, e a }� < ye s za e(+_Y 7 S^ a£C�} s� jy t. e.,a ��f�y gz�r,�Wy,'� �^'/max,.,* tt a�;"''y� '» r a ��•^ � �;(,a � ;+,� s r t �, �..� � ,�, :.� t � e �����p��•. "+1.++'`^�? a..r. �.?4�i4-�q � ,y.,,fi��� R�'r�s��.1ihR i'f M, t�va "��,9 '=. � 't,,,a a } v� +y" `^y7++4'aF .n '. MV�1t �";*. � 2X A �+;�S," t i t•s -- flit! is a t <t E - ' +: � � � } • -t'f `ti-t h `i[,'.�1 f a i 'F".1 /�; 1 i'ta }t w: } T,>1. t! }:! 6 R;1?+.- } b!j)t a -�• _�'__R / • � int ' } i.�,, s 1 1 MIMI �•E .} 7, t Rte. _ •t« .li•, - 4.w_• tY e,p,� A,R :y^i a ::i.:i 12/10/03 18:23 FAX 925 313 6002 CCHP _ ADMIN. OFFICE IZ O07 C+C?N'I'ItA.COSTA COMM ADVISORY BOARDS,COMMISSIONS,COMMITTEES APPLICATION FORM :4pC Mame of advisory board applying for; Man�,�,ed Cate ComMiWion aACQ '(Applicaddoa form sumf be typed or fta ndpr4 ) _P1e ans . Are you cttrrewly emploYed by CCHP or HSD? Yes lf yes,please explant: Are you or Your employer now a cwtmctar to CCHF? Yes t If yes,please wwm. Arc you associated with an orprd ation that is currmtly or has plans to contract with Com? Yes } If yes,please explam. Pleagc cheok all tsoxes that aenly: G`urre 4 CCHP Medi-Cal Subscriber Curmt CCHP Ue&care Subscriber Physician Other Provider Current CCHP Commercial Subscriber Represent Medical la&gevt Netds Naze of Applicant: 7sb�%+- me C.4 Monte Address: jlleo et o at, Home Phonv. o,am r &rd A Lf .�� ..... — $tiSii3eSS Addtta: i y FSr 1/ IOrIC Pl�on{`: X13"_ /'" ,�'` ► ` - Signststre: Date; WZY/A g Perscmal Exp er,enm Skill's,3rrtasts: EducationlBacl �td, }3 w.co�e��r � �G %t,,�ae� .'t, I7�5 n�+55' m�.i`��'�'�.rrw� s�"a•^� � '!�"�� �a�Y`/$�, i occtTation: etc St hA NJ¢t RS • ✓ ++f \ii' ; �.v�r.- irs s.K �"j1*r" CO munitY Actmties:"`- 2. r� - a o�.�+', r+► sf +w•► •,F- ►. lav }O 1.,4 Lowtw '(+omrrttin i Ll. Special h4crests:. S f.L'& 'j Ver' rr r i J }O c r nr.�g J INFORMATION. I. Rte=ftm*ted apM1k4ao to Tam Chive ar IVI Lotrekayi*Carut°a Cada Hearth Plan,595 Center Avenue,Stun 100,Mu , CA 94553,'AX#(925)313.65$0' 7. lis af carate adviwy bats may be mgwrod eo dile eAnuo canwat of tttttatM 60ceomts. 3 Mks od"att ary b04196 MY be 261d W M314M or in anon not scassWe hypubUc tr nWrptioo. 4. 140WTW maybe hold e9ther in ttye evenings ar ctgjos the dw,tiejtAi#Y once a mgnIL S. Some bow aasigt mtar*m to oarsus;T t i Or wo*groups nquiriag 044r` OVO iitzso. "CcarrriaJ erne 12/10/03 16:23 FAX 925 313 6002 CCHP ADMIN. OFFICE ZOOS P. 91 CONTRA COSTA COUNTY ADVISORY BOARDS,Cori MISSIONS,C(}MNUTTEES APPLICATION FORM Name of advisory board applying fox: Managed Cvmmi$ ( YL (Appli ariarrform mast be typtd or Mand printed) pleast:at]SWez: Are you currently employed by CCHP or HSD? Yes No If yes,please explain: Are you or your ernployer noir a contractor to CCHP? Yes No If yes,please expk4n: Are you associated with an organization that is currently or has plans to contract With COW? Yes No If yes,please explain: Please check all boxes that a�nly: . Current CCHP Medi-Cal Subscriber Current CCHP Medicare Subscriber Physician Other Provider Current CCS Commercial Subscxiber Represent Medical Indigent Needs Name of Applicant enor AAarlirt 5 ta�ottr(ets Houle Address. &So Appian Kray SW-206Nome Phone: El 5obrante.CA 94WV187S (flay 5iQ798 tf2dtl Business Addres . Work Phone: SignsturX/�WyW AAW99f Personal Experience,Skills,Interests: EducatiowBackground: Occupation: Community Astivties: �. .� Special Interests: 1, r" �♦ L V 1'�IY oTl� � i 7 IA►l+t V34ATIOM. I. Return cornet applicazion to Teresa altiva o+r Jilt Lorrekovich,Contra Costa Health Plait.595 tinter Avenuc,Suitc 100.Martinez, CA 94WS k(925)31343M 2. Membcmof sotao Mviswy bodies way be required to file annual Conflict of Interest StattmantS. I Mcctirkp vt advisory bodies moy be JWd in Martina or in arras not accessible by public transportation. d. Mettiogs niay be hdd rifer in the evrninv or during the days,usually tinct a pwwA. 5. Some boards assign members to comuutrtes or work groups requiring addirional time. raorAa TO: BOARD OF SUPERVISORS Contra FROM: INTERNAL OPERATIONS COMMITTEE Costa DATE: DECEMBER 15, 2003 County SUBJECT: APPOINTMENTS TO THE HAZARDOUS MATERIALS COMMISSION SPECIFIC REOUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: APPOINT the following individuals to the Hazardous Materials: Name Seat Term Exp iration Action Sharon Fuller General Public December 31, 2007 Re-appoint 1252 Greenway Drive Richmond, CA 94803 Christine Huff General Public Alternate December 31, 2007 Re-appoint 3511 Sunrise Court Martinez, CA 94553 Henry Clark Environmental #2 December 31, 2007 Re-appoint 1019 Macdonald Avenue Richmond, CA 94801 Howard Adams Environmental Alternate December 31, 2007 Re-appoint 7203 Kendall Avenue Crockett, CA 94525 Tang-Chung Wu Environmental Eng Alt December 31, 2005 Appoint 1004 Rudgear Road Walnut Creek, CA 94596 BACKGROUND: The Hazardous Materials Commission was established in 1986 to advise the Board, County staff and the mayor's council members, and staffs of the cities within the County, on issues related to the development, approval and administration of the County Hazardous Waste Management Plan. Specifically, the Board charged the Commission with drafting a hazardous materials storage and transportation plan and ordinance, coordinating the implementation of the hazardous materials release response plan and inventory program, and to analyze and develop recommendations regarding hazardous materials issues with consideration to broad public input, and report back to the Board on Board referrals. The Internal Operations Committee approved appointment of the above individuals at its December 15, 2003 meeting and now proffers its recommendation to the Board. CONTINUED ON ATTACHMENT: YES SIGNATURE• . -RECOMMENDATION OF COUNTY ADWNISTRATOR - EECOMMENI T N AROCOM APPROVE 4 OTHER r d" SIGNATURE(S): (KYLE 6.UILKEMA, Chair FED RAL D. GLOVER ---------_---__..____._____._.__. . ._.----__--______________________------__ _.. --_- ___ __----------_--------_-___.._-__.____.__-_.___-____._--_._-- ACTION OF BOARD ON _ r 5._} 2IX)4 APPROVE AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE X UNANIMOUS{ABSENT Arte AND CORRECT COPY OF AN ACTION TAKEN ) AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN: CONTACT: JULIE ENEA (325)335-1077 ATTESTED: JANUARY 6,2004 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: INTERNAL OPERATIONS COMMITTEE < MICHAEL KENT,STAFF,HAZMAT COMMISSION CLERK OF THE BOARD(MADDY BOOK) t> BYrPUTY CONTRA COSTA COUNT' HAZARDOUS MATERIALS COMMISSION December 5, 2003 MEMO To: Internal Operations Committee Attn: Julie Enea From: Michael Kent, Executive Assistant, Hazardous Materials Commission Ile: Nominations to Vacant Hazardous Materials Commission Seats Please accept the Commission's recommendations for consideration by the Internal Operations Committee for the following seats on the Commission, all expiring on December 31, 2003. General Public: Sharon Puller 1.262 Greenway Drive Richmond, CA 94803 General Public Alternate: Christine Huff 3511 Sunrise Court Martinez, CA 94553 Environmental Seat: Henry Clark 1019 Macdonald Ave. Richmond, CA 94801 Members: Leslie Stewart-Chair .Pam Aguilar Marfa Alegria Scott Anderson Henry Clark Sharon Fuller Frank Gordon Earling Horn Marj Leeds Stephen Linsley Jim Payne Michael Polkabla Jimmy Rodgers 20 Alien Street,Martinez CA 94553 Rhone(925)370-5053 Fax(925)370-5098 Environmental Seat Alternate: Howard Adams 720 Kendall Ave Crockett, CA 94525 Please accept the Commission's recommendation for consideration by the Internal Operations Committee for the following vacant seat on the Commission for the remainder of the term expiring on December 31, 2005. Environmental Engineering Alternate: 'fang-Chung Wu 1004 Rudgear Road Walnut Creek, CA 94596 Enclosed you will find all the applications for the nominees, and the announcement flyer that was sent to the media and an extensive interested party list. Encl. Members: Leslie Stewart-Chair Pam Aguilar Maria Alegria Scott Anderson Henry Clark Sharon Fuller Frank Gordon Earling Horn Marj Leeds Stephen Linsley Jim Payne Michael Polkabla Jimmy Rodgers 20 Allen Street,Martinez CA 94553 Phone(925)370-5053 Fax(925)370-5098 ** PLEASE POST or DISTRIBUTE CONTRA COSTA COUNTY HAZARDOUS MATERIALS COMMISSION SEEKS APPLICANTS DO HAZARDOUS MATERIALS POLICY ISSUES INTEREST YOU? The Contra Costa County Hazardous Materials Commission is seeking applicants to fill two (one member and one alternate) positions for one of their Environmental Organization Seats. You may apply if you ... ➢ are nominated by an environmental organization; ➢ live or work in Contra Costa County; ➢ have demonstrated knowledge of hazardous materials issues; ➢ can commit to regular attendance at bi-monthly Commission meetings and a monthly Committee meeting. The Commission is a voluntary body appointed by the Board of Supervisors, makes policy recommendations to the Board and County staff on issues concerning hazardous materials and hazardous waste. The Commission's 13 members serve four-year terms and include representatives of industry, labor, civic groups, environmental organizations, environmental engineers, the general public, and the Mayors Conference. Interested applicants may obtain an application form by writing to the Clerk of the Board, 651 Pine Street 1 st Floor, Martinez CA 94553. You may also download an application from the Board of Supervisors' Advisory Body web page at: www.co.contra-costa.ca.us/maddybook/ Applications should be postmarked by 5:00 p.m., October 17, 2003, and mailed to the Clerk of the Board. 20 Allen Street,Martinez CA 94553 Phone (925)370-5022 Fax (925)370-5098 ** PLEASE POST or DISTRIBUTE CONTRA COSTA COUNTY HAZARDOUS MATERIALS COMMISSION SEEKS APPLICANTS DO HAZARDOUS MATERIALS POLICY ISSUES INTEREST YOU? The Centra Costa County Hazardous Materials Commission is seeking applicants to fill two (one member and one alternate) positions for their General Public Seat. You may apply if you ... > live or work in Contra Costa County; > have demonstrated knowledge of hazardous materials issues; ➢ can commit to regular attendance at bi-monthly Commission meetings and a monthly Committee meeting. The Commission is a voluntary body appointed by the Beard of Supervisors and makes policy recommendations to the Board and County staff on issues concerning hazardous materials and hazardous waste. The Commission's 13 members serve four-year terms and include representatives of industry, labor, civic groups, environmental organizations, environmental engineers, the general public, and the Mayors Conference. Interested applicants may obtain an application form by writing to the Clerk of the Board, 651 Pine Street 1 St Floor, Martinez CA 94553. You may also download an application from the Board of Supervisors' Advisory Body web page at- www.co.contra-costa.ca.us/maddybook/ Applications should be postmarked by 5:00 p.m,, October 17, 2003, and mailed to the Clerk of the Board, 20 Allen Street, Martinez CA 94553 Phone(925)323-6587 Fax (925)370-5098 tR EIVED CONTRA COSTA COUNTY ADVISORY BOARDS,CCIMMISS ' > COMMITTEES APPLICATION FORM DCT 2 0 2003 CLERK BOARD OF SUPERVISORS Name of Advisory Body applying for Hazardous Materials C=nission - Publ `LRA Ct STA CO. 4 Application Form must be typed or hand printed Name of Applicant: Sharon Faller Home Address: 1262 Greenway Drive City: rnd State: CA ZIP: 94803 Home Phone: (51 2 233Q_...---. Work Phone: (510) 222-6594 Signature: ,--� Date: 10/17/03 Personal Experiences,S s,and Interests Education/Background: M , Environmental Education, California State University Hayward 2040 BS Environmental Science, University of California Berkeley 1994 Occupation/Employer: Ma'at Youth Academy, Executive Director and Founder MYA is a non-profit envirormental organization. We conduct environmental education programs (K-12) and provide technical assistance to low-income cammunities and reties of color on environmental and public health issues Community Activities: Life-long Richmond resident Hazardous Materials Commissioner (2000-2003) Restoration Advisory Board Dint Molate Member Advisor, Crissy Field Environmental Center Special Interests: Public involvement, education, community health Information: 1. File completed application.with Clerk of the Board. 651 Pine Street,Room 106,Martinez,CA 94553. 2. Members of some advisory bodies may be required to file annual Conflict of interest Statements. 3. Address and other contact information provided on this application will be accessible;to the general public. 4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 5. Meetings may be held either in the evenings or during the day,usually once or twice a month. 6. Some boards assign members to subcommittees or work groups requiring additional time. 7. If you wish you may attach your resume. cc: Supervisor I Michael. hent . _ .. P.02 CON`T'RA.COSTA COUNTY ADVISORY BOARDS,COMMISSIONS OR COMMITTEES API"I.ICATION FORM Name of advisory board applying for: Hatcardotts Matertttta CommUslon {Please designate rho seat you an applying AtmlicatioA Form Must be Typed or Hand Printed Name ofApplkant: Christine K. Huff Hnme Plt02,925-229-4839 Horne Address: 3511 Sunrise Court City,shite,Zip: Martinez, CA 94553 Business Address: t15 above Business PhoneAs-ab _ City,State,Zip: Signature: Personal Experience,Skills,and Interests (If necessary,please use a second sheet) E -�M*fy-s College:�� 13A,t zinal err nt EducatioM3ac Aliso attendcd.- Golden Gatc liniversily,3ait Francisco Humaut'Relations lrgrotand. Lots Iviccbnos College.Pittsburg Vocational Nursing Diablo Valley College,Pleasant Hill Liberal Arts.'. Licenses; Licensed Vocational Nurse,California funeral Dirccior,California Back uurat: 1,ifelong lsrttutissex krsictcrat A+tsrried,chllcinaag�st 7&20 spouse And p a karat 1'ortater refulay ianploveej Occgpation(student refiretjWgy worts,ngft a o$c Nos baler MaaixWz tslership,23 vr% Previous; Staffing&Budget Mawgctr Aroolside Hospital,San Panto tl!yee trs Staffing tyianagcr Nk. Diablo Hospital,Concord 5 years Co"nu �y A��ur tics I:fnr�c�t �irrt MTitc:rUdi: E kVWd C`yoitliw-&iy Ite-'.pAHS Site Council 200-2002 (see attached for past activities) Chair,Alhambra High School Grad Nigtd A61-2002 Sposial Iattcrests. _ Trcasurcr,AftmbO high SchoorC ad Night t999-2001 Treawrer„Alhambra High School Boosters 1"9-2002 I have numerous.and diverse cultural.recreational,and community interests,M my gmitest effort ajtcl commitment bus been to participating in volunteer acti dtics that protect or improve the health and well-being of the community. As a volunteer,I have acxa:pfecl the additional rules and respondbiljgm rnr or nixrativn arta[ leadership in:activities that enhance the quality of life and ensure:social;justice for all members of the community. Information. 1. Send completed application to Michael Dent,VMC,20 Allen St7reek Martinez,CA 94553. 2- Member of some advisory bodies may be required to rite annual Conflict of Interest Statements. 3. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 4. Meetings may be held either in the evening or during the day,usually once or twice a month. S. Some hoards assign nwmbcrs to subcommittees or work groups requiring additional time. Home: 3512 Sunrise Court, Martinez, CA 94553 # (925)229-4839 Participation in service organizations, committees, and other volunteer activities over the past 25 years in support of the health and well-being of the community: i Site-based volunteer activities(as a parent and community member)at Martinez Elementary,John Muir, Morello, Las Juntas, Martinez Junior High, Alhambra High, DVC Child Development Center and Gate program include chaperone duties and transportation assistance for numerous field trips and special events, assisting with various fundraising activities, participation in assembly and classroom performances, reading and working with small groups in the classrooms, home tutoring for children at risk, helping with facilities upgrade and cleanup days, and provision of construction materials and labor for special events * Current Member, Alhambra Boosters- fundraising and other volunteer activities * Current Member, PISA - fundraising and other volunteer activities • Member, Superintendent Selection Committee • Organizing sponsor of"The Benefit Show"youth rock concert and fund-raiser for the Boys and Girls Club # Cardiopulmonary Resuscitation instruction to the community.and service 1 organizations * School district representative in several drug education and youth suicide prevention'workshops providing input into relevant prevention and education policies * Community health screening for children, adults, and seniors at health fairs and shopping centers throughout the Bay Area • Numerous fundraising activities for health and human service organizations including American Cancer Society, American Diabetes Association, Shelter, Inc., Aids Coalition, Habitat for Humanity, American Heart Association, United Way, and Brookside Hospital Foundation • Assisted with youth group activities and fundraising for the Martinez teen Center, YMCA, Girt Scouts ofAmerica, MJHS Drama class, and Pee Wee Baseball • Participated in numerous non-partisan voter registration campaigns, Alhambra and Junior High bond campaigns, and local, state, and national elections * Mayoral appointee to the Committee to Direct Chug Education and Prevention for the City of Martinez * Past participant, Alhambra WASC team * Provided music, dance, and stage performances and workshops for area Senior Centers, convalescent homes, schools, and youth groups * Participant in community improvement activities including Alhambra Creek cleanup, Martinez Shoreline cleanup, Committee to Preserve the State Theater, Plant A Tree program, and Citizens for a Safe Martinez * Summer host family for Japanese student exchange program JAN-12-2002 1e:59 �`' CONTRA COSTA COUNTY ADVISORY BOARDS, COM t�R COMMITTEES APPLICATION FORM E jV 0Name of advisory board applying for. , Application Form most be typed or h d printed'. iName of Applicant: (- r�+(' CII, -IC.. _ . , t3 i HomeAddress: 1 -3-a-3 & t-e_r j �;j re t?j- Nome Phone: City,StI,e,.hep: R+e-jVrn0 4"A i C f'\ . citty o j Worn Pbone.S IC+- . g y a7 Business Address: 10(Cl (T)c%e �#�tv Q.� at �t1� FAX: 510 - City,state,Zip: R i(JA my 1 c� ' $ Email: 14e,4 2 l � Signature: � Ne,�}' PersondExpetionce,bkIlls and Interests Educationt8a*kground: �cL Ci-S t��t�c� �rt?,,� 1Vr��tfhct.:+����•ltN �"�pr,;e�,k-iorvC�G �,,tn��� U�,�,:;��"� meie'Fhyvl64 Occupation(for pay work, not for pay work, retiree, student or similar): };rC i C: L+t i""t O N Community L Activities: tAt�t( t Mv,jj St~'tt Co"&6 L €� { 4CrilfhC'd�C7# Ce f4ep- et.i( 1 Special Interests: Information: 1 Pile completed application with Clerk of the Board, 651 Pirie Street, Room 106, Martinez,CA 94553 or FAX to(925)335-19'13. 2 Members of some advisory bodies may be required to file annual Conflict of Interest Statements. r 3 Meetings of advisory bodies may be field in Martinez or in areas not accessib „y p s lis i37 transportation. A ti 4 Meetings may be held either in the evening's or during the day, usually once or twice a month. 5 Some boards assign members to subcommittees or worts groups requiring additional time. Appointee Application W17101 cr-: 93tXa:ST.ls:t1 a UH. HENRY CLARK Office(510) 232.3427 ORGANIZATIONAL TRAThI"lIr'G: KdweftfAcademy=Organizing for Social Change - 1989 Citizens Clearinghouse for Hazardous Waste- 1989 EXPERIENCE: Executive Director West Couruy Toxics Coalitio r, 1989-Present Serve as director/administrator and IFalson to the Board of Directors and to potentialfunders.' Organize residits to monitor and control petro-chemical pollutant comparues which severely impact the.health and'very of area residents, and engage in a variety of activities in support of WCTCs agency goals. PrcV4m Director Nelghborh"d House of Korth R'chmotg Youth arra Cominwiiry Prograrus, 1980- 1185 Provided*merit managetnent direction and outreach and organizing services for youth and community programs to econonvcally depressed Richmond neighborhoods. EDUCATION:. F �. Bachelor,s Degree. Social Seiences. San Francisco :Mate University. Mastei s.s Degree, Social Sciences. Northwestern International University. Doctor of Philosophy, Counseling, American College Metaphysical Theologv AWARDS&SPECIAL. SKILLS: Under"Henry Clark, the West County 'Toxics Coalition has received numerous awards including the Chappell-Hayes Environmental Justice Award, Catholic Charities of the East Bay's with and Justice Award, and the Vanguard Public Foundation Award for Environmental Justice and Social Change Recipiqnt of the Koshland Award from.the San Francisco Foundation Gerbo&Fellowship awardee • Community cif anizing;;mobilizing residents,and analyzing issues s Conflict resolution„negotiating and problem-solving skills " . IvMulti-cthnic'reladons; human relations, and a sensitivity towards building coalitions'among diverse neighborhood groups OCT-24-2003 09:55 HEALTH 9ER'V I C€5 ADMIN. 925 370 509e P.02/03 CONTRA COSTA COUNTY ADVISORY BOARDS, COMMIS IC E COMMITTEES APPLICATION FORM =72W3 Name of Advisory Body applying for 14 i-A.r-600 s MAff_,cIALS1.1 1 Application Form must be typed or hand printed Name of Applicant: yp"W4,16 4b^MS Name Address: 2 K 'rldrtt l_ A✓£s City: f, K 7'i _ State: CA ZIP,` 99' S _ Home Phone: s��.� -�9s Work Phone: XV ` $7 29rs ? Signature: bate: /p/2 x/0 3 Personal.experiences,Skills, and Interests Education/Background: p, Occupation/Employer: ✓'�'4f� E.^+}�-fj"•`r�d ,SC.fft.►t`.�' �N.a"iA�i,Attl 1 Community Activities: C'u� t&J7" Act' aNi NVJXb?J sE.�7 ay!joe -- 3`y&46L1N6 C-JUI/ZVN. /+LiJ�r+.�s/ J3tt�+�c COM-44) t`tDA4.?'7' fK6tia xLrt/�c gd.Ail> /t6,.MBE. �- C�ocn&�"i�y';.,f'�•�rst+l.� Lro cLtaLf MusEc�M c,orsj, `^CAS's r_LttL Special Interests: Information: 1. File completed application with Clerk of the Boaard. 651 fine Street,Room 106, Martinez,CA 94553. 2. Members of some advisory bodies may be required to file annual Co flirt of Interest Statements. 3. Address and tither contact information provided on this application will be accessible to tile: general public. 4, Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 5. Meetings may be held either in the evenings or during the day,usually once or tv6ce a month, G. Some boards assign members to subcommittees or work groups requiring additional time. 7. if you wish yoct may attach your resttsn6. cc: Supervisor II Michel Kent RECEIVED CONTRA COSTA COUNTY"VISORY DOARI)S,COM? � � M b 2003 COMMITTEES APPLICATION FORM v• t ,/ �. jqr c � >r o�suers COW cOsrs co. Name of.Advisory Body applying for '14 ralaaz Application Form mast be typed or hand printed Name of Applicant: -- Home Address: / 0-041 City: �cl tri not Cleek Matte:—C&—ZIP:ZIP: q 4 5 9t4 Home PhoAe: ( . .3 3�S '� 'Work Phone: C9�_.__5 2 3 Signature: Date: 12Cz1, 2 003 Personal Experiences, Skills,and Interests tzr ,x rreclsSr'��+�$ �+ ,rr�sr r'n n,° Education/Background: / C(?AC—kleSkr,) 41n,VOYSI-ly,Pyl -0, wtyrk nr,c', CO^1tn��nx , 1y�6 /�lrtY3►Jr G/r„vt', rC�dSLJ C ./1`�11.�S-J,'CC rs,�Y'1 r,-(dnG,snIt1��tC7G•t. tn !Q r'W G7 i19 !(YSr` + C1.V,,/ r/� f ir=. If�SB t> �vri ,t3 J•tY cad 1✓ rm= „�c3,'vrxtE' C?cAup ttionfLniploy l ur es X"66 ex.d s� � iGljhe,a iA'je �r , �C7'3r ,�,d. 1t�u/,� td�JDVreV [ � 3� �� i �yYy »Y,'YdrfmLr9 0406�z -6 r�# iLllC� tt9 7l1Nt so'ey e -st 11� n. 17,sfr, ao Gil= rt Crm Oi t"t i amt,7 F��r 17 tl Jar v, !`d,},r,Ffy epe m�t G� h�r/�L111t�'d Community Active es: /-14r-Ayoue a ss � rc �, �40n �1 !� l c , c �ba► ,`�, r n1/ ,`n Cf) jC��[� rpt C(� lily e�,{l» ""Jo �5 CtsA Pr6 a�t _1._ wWr -33+.r ����� ',�rrc;cf�a-L�` v� C,l,� stt �E'r,`rr.�,e �vt'�R"17'�►7Yi3�`G'.�' t'i91i,�,$ ,�' �+ ��r9Vy�`�/rAf�i�'f l 7& SArN, tc,I < wc,Y, x n 19j1. Special Interests: if e,,j�aL r:n cC 'nv=�+c ,rr '1zs�t i�s:s 4'rri. Information: � rt I. File completed application with Clerk of the Board. 651 Fine Street,Roam 106, Martinez,CA 94553. 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Address and other contact information provided on this application will be accessible to the general public. 4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 5. Meetings may be held either in the evenings or during the day, usually once or twice a month. 6. Some boards assign members to subcommittees or work groups requiring additional time. 7. If you wish you may attach your resumb. cc: Supervisors 11, TII, IV Mi�h I- ,Kent 7 cice_ 1 Vt./"+' j, COSTA COUNTY "VISORY BOMMS,COMMISSIONS, OR`� COMMITTEES APPLICATION FORM G4 Eli BOARD ftF St3FERViSEIftS Name of Advisory Body applying for -AAZAAAOV' ; AfWrE'9 1142-•5 66~7115S/Q,I Application Form test be typed or hand printed Name of Applicant: � -» Home Address: to,5715 / 4Za V15r4- PAI A6 City: i Tt3 State: --� ZIP: �qb HomePhone: , 1! Work Phone: Signature: Date: / 0 3 Personal Experiences,Skills,and Interests Education/Background: 191,77 Occupation/Employer: !-3 J a0wZ 6_x 61 1-ITIS tfi t.^ 'Ll - GcI. ;� S�id��S t� IAV�; �' t/'�1�r�r//,,�t•�`���:'�-,,�' �-� �..��" �j' eco y Community Activities: 9T)fe QST W&0?� HZ.- ''°� " ' Special Interests: fj tLI ),V/n-t' a ,Bt/1 t7d+7' 4VA*PU it Atli . � t ceAme5 z- tWAc f.0"0t s. A ik,15 rj 4tw *v e 1'1 /NI/tr " rtWt N J; ,*f _17W14 J, CWP-,:-0 `4' S f_ I. File completed application with Clerk of the Board. 651 Pine Street,Room 106,Martinez, CA 94553. 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Address and other contact information provided on this application will be accessible to the general public. 4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 5. Meetings may be held either in the evenings or during the day,usually once or twice a month. 6. Some boards assignn members to subcommittees or work groups requiring additional time. 7. If you wish you may attach your resutn6. cc: Supervisor Z, Michael Kent y i J ' 6 ;+A t i RECEIM CONTRA COSTA COUNTY ADVISORY BOARDS, CDMMISSI N , ORT 15 2003 COMMITTEES APPLICATION FORM �` Cl.Et��8G',sFf�(}F Sr'�'ERVISURS GONTS A CQ Name of Advisory Body applying for v c1. "A d'o-1 Application Form must be typed or hand printed Name of Applicant: E)".1 4/ PAC Home Address: ,J bes A,c r,. C�.1 City: �C h MO-401 01 _State: ZIP: Home Pho6e: tc7• l.1. Work Phone: Signature: -- _ Hate: C f .2S Personal Experiences,Skills,and Interests Education/Background: y� ��, M, ,f /-mss GCr�i(J�'✓"s,� � J`� � 1�J �rtsr li 'tYli.j ✓ ` _/ lG'yr17'itC. � COkl4poc.4✓!Cl Occupation/Employer: �A/C-1r Community Activities: f70,7e llq coiwfag fG 7� /0y`-01 J ✓Sa sc4co Special Interests: Information: 1. File Completed application with Cleric of the Board.651 Pine Street, Room 106,Martinez,CA 94553. 2. Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3. Address and other Contact information provided on this application will be accessible to the general public. 4. Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 5. Meetings may be held either in the evenings or during the day,usually once or twice a month. 6. Some boards assign members to subcommittees.or work groups requiring additional time. 7. If you wish you may attach your resuim. cc: Supervisor I Mic'nael Kent TO: BEARD OF SUPERVISORS FROM: Mark DeSaulnier f Contra Costa DATE: January 6, 20(}4 CC)UI1ty SUBJECT: Appointment to the Advisory Council Against i +1610 Domestic Violence f.✓" V SPECIFIC REQUEST(S)OR RECOMNIENDATION(S)&BACKGROUND AND JUSTIFICATION APPOINT: Supervisor Mark DeSaulnier recommends the appointment of Michael Tye as the District IV Representative to the Advisory Council Against Domestic Violence serving a two-year term ending January 31, 2006. Michael Tye 2230 Hidden Lakes Court Martinez, CA 94553 c" CONTINUED ON ATTACHMENT: YES SIGNATURE RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGN TSG . _ ACTION OF BOARD ON amunY 6, M APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE `UNANIMOUS(ABSENT _IS Mp ) AND CORRECT COPY OF AN ACTION'TAKEN AYES, NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. ATTESTED _4&mary 6, 2004 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact: cc: Clerk of the Board(Maddy Book) ' Devorab Levine(CAO) BY ,DEPUTY