HomeMy WebLinkAboutMINUTES - 01252005 - C10 CLAIM w'
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY G�
BOARD ACTION: JANUARY, 25, 2005
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. t y-�, ,� notice of the-action taken on your claim by the
Board of Supervisors. (Paragraph IV below), given
Pursuant to Government Code Section 913 and
D 915.4. Please note all"Warnings".
AMOUNT: $4,866.49C.l +-'�TYCOL�n';;iL
0RT1P�+�L C
CLAIMANT: KEITH AND TERESA DORAN
ATTORNEY: UNKNOWN DATE RECEIVED: DEC. 21, 2004
ADDRESS: 137 CLEOPATRA DRIVE BY DELIVERY TO CLERK ON:DEC 21, 2004
PLEASANT HILL, CA 94523
BY MAIL POSTMARKED: HAM DIVEItY
FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
JOHN SWEE E erk
Dated: DECEMBER 21, 2004 -- By: Deputy
II. FkOM: County Counsel.. TO: Clerk of the' Board of Supervisors'+-�
(4*,00 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:
Jon
Dated: f.2` ��' � y By: Deputy County Counse
III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2)
( ) Claim was returned as untimely with notice to claimant(Section 911.3),,
IV. 20ARD ORDER: By unanimous vote of the Supervisors present:
(vThis 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: Z6.r'Z",X5'HN SWEETEN, CLERK, By . Deputy Clerk
WARNING(Gov. code sectio 913) -i
Subject to certain exceptions,you have only six(6)months from the date this notice was personally served or deposite(
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: Jdm ftowrr 44 oZo��I SWEETEN, CLERK By Deputy Clerk
This warning does not apply to claims which are not
subject to the California Tort Claims Act-such as actions
in inverse condemnation, actions for specific relief such
as mandamus or injunction, or Federal Civil Rights
claims. The above list is not exhaustive and legal
consultation is. essential to understand all the separate
limitations peods that may apply. The limitations period
w;fthin which suit must be filed may be shorter or longer
depending on the nature of the claim. Consult the specific
statutes and cases applicable to your partl*culff'Clal"M,
The C6iih—ty of Contra Costa does not waive.any of its
rights under Califodrnta'Tort Claims Act no` r' d 6es it waive
rights under the. statutes of limitations applicable. to
actions not subject to the Califo fa' Tort Claim's
Act.
BOARD OF SUPERVISORS OF CONTR k COSTA COUNTY
INSTRUCTIONS TO CLAIMANT
A A claim relating to a cause of action for death or for injury to person or to personal
property or growing crops shall be presented not later than six months after the
accrual of the cause of action. A claim rebating to any other cause of action shall be
presented not later than one year after the accrual of the cause of action.
(Gov. Code § 911.24.)
Be Claims must be filed with the Clerk of the Board of Supervisors at its office in Room
106, County Administration Building, 651 Pine Street, Martinez, CA 94553.
C. If claim is against a district governed by the Board of Supervisors, rather than the
County, the name of the District should be filled in.
D. If the claim is against more than one public entity, separate claims must be filed
against each public entity.
E. Fraud. See penalty for fraudulent claims,Penal Code Sec. 72 at the end of this form.
RE: Claim By: Reserved for Clerk's filing stamp
Kul T( ka,"M
C1
13-7 CT)R. . PLE72)SA rqT ILL s oEC
Against the County of Contra Costa or ) 2 l 2004
FLOO� COI�T� �-
� -. District) - suPERV1SpRr
(Fill in the name) }
The undersigned claimant hereby makes claim a ainst the County of Contra Costa or the
above-named district in the sum of$ ' and in supuort of this claim represents
as follows: /.71^ ` 4�
�t
le, When did the damage or injury occur? (Give exact date and hour)
the clory-) a e, occL,4rreC( cy? u s* 2(v , 2UU4, 124W
g
2. Where did the damage or injury occur? (Include ,Jty and county)
o c C U V�-�-c� ire oc.�r
bcqc� ya.rz�' i'� Plec(ia�r�
0/_
In,
'ail
3. How did the damage or-injury dCcur? (Give fall details; use extrapaper if required
A
branch o a �Ucade�e l a��t-o ou �
c n.a s 11),g a Sherd , bushes ctod 1?-ees azrrot dat-oa�1�3 Q kviocw
4. What"particular act or omission on thepart of count or district officers servan r
y servants, o
employees caused the injury or damage?
"77'ie c---Nucn
I I eC � /a a re PrDl '
/ � 4r�
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be-ey) 1 n-)Ir _�e r�f� (a 0 d S-h lI t?end -f0 be -ib her Veot-0'r?Yeal
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5 What are the names of county or district officers, servants, or employees causing the
damage or injury?
Caooer� 4�7o ig
6. What damage or injuries do your claim resulted? (Givefull extent of injuries or
damages claimed. Attach'two estimates for auto damage.)
D�>sfi-DYed sJ,)ed ve e 0-Y1 czl?d VV/1C111 C/ 6r-leo( 4�-
7-b How was the amount claimed above computed? (Include the estimated amount of any
prospective injury or damage.)
s��c��-t-c:
P-ecci Vied
r�'�lcfcc s�?�� ��d
Ylji*1).cl 6-eaPec eiv,eVS's cluo*" vc��
S.
1-{�lr�o.
'Names and addresses of'witnesses, doctors, and has itas.
\ ..
l�eiflrt a.r1c� ��s� L�'j✓Zc.✓) C4 ll&r
�3-7 CI-F.�-fY�
90 List the expenditures you made on account of this accident or injury.
DATE TIME AMOUNT
IN ago 0 am a a 0 man wassommonaman masommoomm 0 an nommommuman woman
Gov. Code Sec. 910.2 provides "The claim shall be
) signed by the claimant or by some person on his
)behalf."
SEND NOTICES TO. (Attorney) 1 /'�.,_,_,
Name and address of Attorney ) "r���a �„f
(Claimant's Signature)
0.0
10 (2-
(Address)
WT
qZ5 3 4 4--t
Telephone No. ) Telephone No.
la on mum a Basso mane a a am on gonna a a on a a woman man a wassmannounnouggs a
NOTICE
Section 72 of the Penal Code provides:
.4
Every person-whop with intent to defraud, presents for allowance or for payment to any state
board or officer, or to any county, cit)7, 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, bv a fine of not exceeding
one thousand dollars ($1,000-00), or by both such imprisonment and fine, or by imprisonment in the
state prison, bv a fine of not exceeding ten thousand dollars ($10,000), or b,%r both such imprisonment
and fine.
' Job Address Date Job number Number of pages
137'Cleopatra Drive,CA.Pleasant Hill,CA.94523 10/09/04 BC539A 1
BOGDAN CONSTRUCTION
GENERAL CONTRACTOR
3060 Naranja Drive,Walnut Creek,CA.94598
Phone(925)938-5024 Fax(925)287-1557
Contractor State License#595661
BID PROPOSAL
DATE: 10/09/04 JOB NUMBER: BC539A NO.OF PAGES: 1
SUBMITTED TO: Keith&Teresa.Doran
137 Cleopatra Drive
Pleasant Hill,CA.94523
JOB ADDRESS: same as above
ESCROW INFO: N/A
We offer to perform the following work on the above described project:
I-Remove and dispose the entire steel shed with a wooden flooring.Install 3/4 inch thick pressure treated plywood sub-
flooring over a new galvanized steel framing foundation kit.Install a new Arrow Milford series 10 ft.X 12 ft. steel shed
over described above flooring.
LABOR&MATERIALS-$3,200.00
2.Remove and dispose approximately 26 linear feet of redwood fencing.Install a new redwood fencing with lattices
(same style as the existing one).Note:Prior the commencement of work the owner will trimmed off plant/shrubs as
needed.
LABOR&MATERIALS-$1,450.00
Thank you for allowing Bogdan Construction to bid on your project.
Page-1-
HANDYMAN
lot GENERAL CONTRACTOR Page No. of Pages
Lic. #690333
155 Camino Pablo PROPOSAL
ORINDA, CALIFORNIA 94563 PROPERTY LINES: Owner shall locate and point out property lines
(510) 254-0511 to contractor. Contractor may, at his option, require owner to provide
a licensed land surveyor's map of property.
Submitted VSW11.Z^
JOB NAME/NUMBERBER JOBPHONE
To:............ /��� ��iowo, C,
.................................. ...
..........................................................................................
JOB LOCATION
lip
til� ARCHITECT DATE OF PLANS
............�L2�sG�f.......-----fir... ...f................�...�..�Z�......................................
/ .....
STARTING DATE COMPLETION DATE(Approximate)
SUBSTANTIAL COMMENCEMENT OF WORK SHALL CONSIST OF
CONTRACTOR'S LICENSE NUMBER HOME IMPROVEMENT SALESPERSON SALESPERSON'S REGISTRATION NUMBER DATE OF PROPOSAL
We hereby submit specifications and estimates for:
W......... A40 0� C.
.............. ---------C...........%-' .................. .........................a...ILO------- ......
40
.7.....00--------------- "A......a....4...............e............pll..........i....e...c'.1)"Ie.1,111"......"......,.""..""'.'I...
...61..
............�......... ......... .............. ...c.�.......................�:�......_�......�.._..........1.:.e: 44-0--w.4-0,Vh..........�,��...,�.....�`�... . ........... ��..............LL :.r��c�.........L� ........................................
f
...............................Q..� ..............�.� ... ...,�..�...... ......... . ............................................. .................tee..,,.��Z P#*y
11:006 0000
............................................................................................................................................................................................................
...........
................................... ................................................................................................ ..................................................... .................................................
................................................................................ .......
..................
.................
Contractors are required by law to be licensed and regulated by the Contractors' State License Board which has
jurisdiction to investigate complaints against contractors if a complaint is filed within three years of the date of
the alleged violation. Any questions concerning a contractor may be referred to the Registrar of the Board,
Contractors' State License Board, P.O. Box 26000, Sacramento, CA 95826.
We Propose to perform the above work in accordance with the drawings and specifications submitted, and to complete it in a workmanlike manner
according to standard practices for the sum of: Down Payment of:
Payment to be made as follows: on U satisfactory
oho p payment being made for any portion of the
($ _) upon Signing Contract; work performed,the Contractor shall,prior to any further payment
being made, furnish to the Owner or Tenant contracting for the
o G P - home improvement or swimming pool a full and unconditional
/o ($ ._) upon completion of �G� �i�Li'�'Ll_ release from any claim or mechanics' lien pursuant to Section
3114 of the Civil Code for that portion of the work for which
($ ._) upon Completion Of payment has been made.
the
oho �� 2 tJ�� shall be made forthwith upon the Contractor oave r have the right to require
-� completion of work under this contract. payment bond or funding control. and
Acceptance of Proposal = The above prices, specifications and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as specified. Payment will be made as outlined above. It is understood and agreed that this work is not provided for in any
other agreement and no contractual rights arise until this proposal is accepted in writing.
Failure by the Contractor without lawful excuse to substantially commence work within twenty (20) days from the
approximate to specified in this contract when the work will begin is a violation of the Contractors' License Law.
Authorized
Signature Date��^ 7 Acceptance Date
(OWNER'S SIGNATURE)
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the
date of this transaction. See the Notice of Cancellation form (reverse side) for an explanation of this right.
PRODUCT 5550 Inc.,ToOrder PHONE TOLL FREE I-800-225f380 IMPORTANT INFORMATION ON BACK 111111w-
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MEAD AND ACKNOWLEDGED
C)vvner or Ten.-'rill Siglriature
detach here, date and sign below it you wis►l-1. to � rlcel ����� ;3 r����`3�lct��.�� 1
NO"TIC'.� OF CANCELLATIN
I C)
Date of Transaction
You may cancel this transaction, without any penalty or obligation, within three (3) business days from the above date.
.el n�� ro.,r,,, j �::=d 3 . s=r�� r� i�rnents made b. you undel- the cc�sr frac ors le, and any negotiable nstrument exe-
YOU cancel,, a y p i`�o � � l� � �' �
�.a L � ,—, '`a t � i L_" S,.. � �c - t r, :',,� �-, .;�• 7,a �;r , **"c,,i+i��f�.' inter-
Or
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} aril Ing out of the transaction will be cancelled..
IE c� cancel. ou must make ava� ble o I Z�lIe;, a� 10. re Bence, in subStanti-i"y x ��_ �a condo itron as when rece've , any
y , y .
Dods delivered to you under this contract or sale; or yt�ju lad, �� you wi�l , � r� py wILh tl�'�e ystructio ��s , s ,l ,regarding the
g
return shipment of the goods at the seller's expense and risk.
fi r,,ju do g�ake. the hoods available to the seller and the s�.lie �,ce- not ic„ f" . ��Ith►i f tvv >�, .., days _ .�; date, of your no
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rice of c ,n��ellation. o ria , retain :f� dig r �; � ; t t:� g00C'_tS_ witi�� _�t an;� l`urther obligation. If you fail to make the goods available to
y
the seller, or if you agree to return thegoods to the seller and fail to do so, tg len you remain liable for perfor mance ofiall obligationsy g
under the contract.
To cancel this transactiorl, mail or deliver a signed and dated copy of this cancellation notice, or any other written notice, or send G
telegram to
------------.___-__-__-- -__---- (Name of seller)
(Address of seller's place of business)
not later than midnight of
(Date)
I hereby cancel this transaction
(Date)
(Buyer's Signature)
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137 Cleopatra Drive
Pleasant Hill, CA 94523
(925) 363-4493
December 21 , 2004
Ms. Penny Bailey
County Administration building
651 Pine St.
Martinez, CA 94553
Dear Ms. Bailey,
Enclosed is our claim form for the incident that occurred on our
property on August 26, 2004. I have also included two bids from
contractors to replace the shed and windbreak and a quote from Home
Depot for the damaged vegetation. It is important to us that we be
compensated for the total amount requested and that no depreciation value
be deducted. Had the trees been trimmed, this incident would never have
had occurred and we would not have to replace the shed and wind break.
Since it did, however, it makes no sense for us to be burdened with any
costs of replacing the damaged materials.
also wanted to inform you that while my mother, Mrs. Halina butler
owned and lived on this property about 3 years ago, she had called flood
control regarding falling branches. She stated to them how important it was
that the trees be trimmed and what potential danger these trees could
cause. Flood Control told her that they would come to trim the branches
once big ones would fall. This method of "waiting until the big ones will
fall" is unacceptable. We have small children who frequently play in the
back yard with their friends and if the branches are not trimmed we could
face further property damage not to mention injury or loss of life. I urge you
to forward this letter to the right sources so that they may finally trim the
trees accordingly and prevent any further costs to the County.
Sincerely,
Teresa Butler—Doran
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CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
BOARD ACTION: JANUARY 25, 2005
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': C1�t, 2 . C 0
$250,000.00 2
C C;;."NTYC`C.`tii',:':So:L
CLAIMANT: JENNIFER I:E[-MANN
tl,a. �Ti�4S1C;n.t1t=.
ATTORNEY: JONATHAN SAUL DATE RECEIVED: DECEMBER 22, 2004
ADDRESS: NOLEN SAUL BRELSFORD BY DELIVERY TO CLERK ON: DECEMBER 22, 2004
350 UNIVIItSITY AVENUE, STE. 280
SACRAMENTO, CA 95825 BY MAIL POSTMARKED: DECEMBER 21, 2004
FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
DECEMBER 22, 2004JOHN SWE TS I pCrk
jeDated: By: Deputy ✓�,a..,���
IF. FP.OM: County Counsel.. TO: Clerk of the B oazd of Sup servi orsG�
4oeKhis claim complies substantially with Sections 9 10 and 910.2.
( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The
Board cannot act for 15 days (Section 910.8).
( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of
claimant's right to apply for leave to present a late claim(Section 911.3).
( ) Other:
Dated:
I ZM0 Z Z�Oma/ Bye Deputy County Counse
III. FROM: Clerk of the Board TO: County Counsel(1) County Administrator(2)
( ) Claim was returned as untimely with notice to claimant(Section 911.3).
IV. 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.
Date �' ' JOHN SWEETEN, CLERK, By , Deputy Clerk
09
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 deposite(
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. STOHN SWEETEN, CLERK By
Deputy Clerk
This warning does not apply to claims which are not
subject to the California Tort Claims Act-such as actions
in011 inverse condemnation, actions for. specific relief such
as mandamus or injunction, or Federal Civil Rights
claims. The above list is not exhaustive and legal
consultation 'i's essential to understand all theseparate
limitations periods that may apply. The limitations period '"
within which suit must be filed may be shorter or longer
depending on the nature of the claim, Consult the specific
statutes and cases applicable to your particular claim,
The County of Contra Costa does not waive.any of its
rights under California Tort Claims Act nor does it waive
applicable, to
rights under the. statutes.. of limitations * . .
actions not subject to the California Tort Claims
12i21i2004 11:23 CONTRA COSTA COUNTY CLERK OF THE 4 919165649991 N0.222 D�i1
BOARD OF SUPERVISORS DF CONTRA COSTA COUNTY
INSTRUCTIONS TD CLAIAIANT
A. A clan relating to a cause of action for death or for injutry to person or to personal propeity or
growing crops shall be presented not later t�= six months after the accrual of the cause of
action. A. clean relating to any other cause of action shall be presented not later than one year
ager the accrual of the cause of action.
(Gov. Code § 911.2.)
B. Claims must be filed With the Clerk of the Board of Supervisors at its office inRoom 106,
Courity Administration Building, 65 l Pine Street,Martinez,CA 94 5 5 3.
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 t1= one public entity, separate cls must be filed against each
public entity.
E. Fraud. See penalty for fraudulent claims,penal Code Sec. 72 at the end of this form.
same NOOSE on assess oftseep No gong a as ago as*sweemass names ED a as Sawn@ memo on a wwwwwo song
RE: Clain By-, Reserved for Clerk's filing stamp
Jennifer Lehmann �
1
Against the County of Contra Costa or a DEC 2 2 2004
Co"'ntra Costa Regiona M ica'District
� ��►�gp.A�U�F SUPERVISORS
�enF�r )
(Fill in the name) )
The undersigned claimant herebmakes claim against the County of Contra Costa or the above-named
distrrtinthesl,unof$250 ,OOY,- 00iand in support of this claim represents as follows:
1. When.did the damage or injury occur? (Give exact date and bora)
06/24/04
2. 1.) Where did the damage or injury occur? (Include city and county)
Contra Costa Regional Medical Center, 2500 Alhambra Ave. MartineziCA
3.. how did the damage or injury occur? (dive full details;use extra paper if required)
See Attached Pages
4. What particular act or omission on the part of county or district officers, servants, or employees
caused the inury or damage?
See At-t age8
� 'What are the names of county of district officers, servants, or employees causing the
damage orinjury?
0
Contra Costa Regional Medical Center
12i21i2004 11:23 CONTRA COSTA COUNTY CLERK OF THE 919165649991 N0.288 D�2
6. What damage or injoafies do your claim resulted? (Give full extent of injuries or damages
claimed. Attach two estimates for auto age,)
Emotional distress and pain and suffering, totaling $250 ,000. 00
7, I-low was the amount claimed above computed? (Include the estimated amount of any
prospective injury or damage.)
Micra only allows for $250,000 . 00 for wrongful death.
S. Names and addresses of witnesses,doctors,and hospitals:
Jennifer Lehmann, 9576 Castleshore Ct . , Elk Grove, CA 95758
94 List the expenditures you made on account of this accident or injuxy:
DATE TRvM AMOUNT
N/A
Douses museum@*@*owes opmeas poewwomal
Gov.Code Sec. 910.2 provides"The claim shall be
Signed by the claimant or by some person on his
behalf."
SE. ND NQTICES TO: orney�
Name,and address of Atwmey
Jonathan Saul , SBN 189271 )
NOLEN SAUL BRELSFORD ) ( s Signature)
350 University Ave. , Suite)
280 �
Sacramento , ' CA 95825 � (Address)
Telephone No 9 1-fi-) 9 A ZL_a9 9 p )Telephone No.
OF
us Not go*owes 9 amp d Goa and a a am was a WIN a a 91 moll Now woo ass@ mmu sup*usage mess go mean ME VIN No manes 011
PUBLIC RECORDS NOTICE4
Please be advised that this claim form, or any claim filed with the County under the Tort Claims Act, is subject to
public disclosure under the California Public Records Act. (Gov. Code, §§ 6500 et seq) furthermore, any
attachments,addendums,or supplements attached to the claim form, includingmedical records, are also subject to
public disclosure.
V none sup N awesome @son a as seems speffings poweepowasp mass p swaseendaugge 0966983610 up a Us 6 ease w I
NOTICEIS10
Section 72 of the Penal Code provides:
every person who, with 't-itent 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 she County jail For a
period of not mire than one year, by a fine of not exceeding one thousand dollars (S1,000,-00), or by both such
imprisonment and fins, 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.
}
,r
46
3. Negligent medical care was provided to decedent Joy Lehmann, the
mother of claimant Jennifer Lehmann. The negligent medical care, provided
at CCRMC resulted in decedent' s death.
4. The failure of the entire medical staff responsible for the care
of decedent Joy Lehmann, caused the damages . The health care providers
and staff failed to pay the requisite attention to the decedent and
failed to provide proper care to prevent her death.
1 CASE NAME: Lehmann v. CCRMC
COURT: Superior Court of California, County of Contra Costa
2 CASE NO.:
3 PROOF OF SERVICE
4 I am a citizen of the United States, employed in the County of Sacramento, State of
California. My business address is 350 University Avenue, Suite 280, Sacramento,
5 California 95825. I am over the age of 18 years and not a party to the above-entitled
action.
6
On December 21, I caused the within BOARD OF SUPERVISORS OF CONTRA
7 COSTA INSTRUCTIONS TO CLAIMANT, the original of which was produced on recycled
paper, to be served as follows:
8
XX MAIL -- I am readily familiar with Nolen Saul Brelsford's practice for collection and
9 processing of correspondence for mailing with the United States Postal Services.
Pursuant to said practice, each document is placed in an envelope, the envelope is
10 sealed,the appropriate postage is placed thereon and the sealed envelope is placed
in the office mail receptacle. Each day's mail is collected and deposited in a U.S.
I I mailbox at Sacramento, California at or before the close of each day's business.
(CCP Section 1013a(3).)ss
12
FACSIMILE—On at a.m./p.m., by use of facsimile mact"�ne
13 telephone number (916) 564-9991, I served a true copy of the aforementioned
document(s)on the parties in said action by transmitting by facsimile machine to the
141, numbers as set forth above. The facsimile machine I used complied with California
Rules of Court, Rule 2003(3) and no error was reported by the machine. Pursuant
15 to California Rules of Court, Rule 2008(e), I caused the machine to print a
transmission record of the transmission, a copy of which is attached to this
16 Declaration.
17 PERSONAL SERVICE—Delivered by hand to the addressee addressed as set forth
18 below.
OVERNIGHT COURIER — By causing a true copy and/or original thereof to be
19 personally delivered via the following overnight courier service:
20 Emy Sharp
21 Clerk of the Board
Board Of Supervisors Of Contra Costa
22 651 Pine Street Room 106
Martinez, CA 94553
23
24 I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct, and that this declaration was ecuted on December 21,
25 2004, at Sacramento, California.
26
Jon Man au
27
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