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OFFICE OF THE COUNTY COUNSELSILVANO B. MARCHESI
COUNTY OF CONTRA COSTA .j►►�-S -L''Off, COUNTY COUNSEL
Administration Building a;' SHARON L. ANDERSON
651 Pine Street, 9'h Floor _ '.^
Martinez, California 94553-1229 #;' CHIEF ASSISTANT
GREGORY C. HARVEY
(925) 335-1800
0: VALERIE J. RANCHE
(925) 646-1078 (fax) '�'.� n ASSISTANTS
NOTICE OF INSUFFICIENCY
AND/OR
NON-ACCEPTANCE OF CLAIM
TO: Allstate hidemnity Company
P.O. Box 168288
Irvine, TX 75016
RE: CLAIM OF ALLSTATE INDEMNITY COMPANY
Please Take Notice as Follows:
The claim you presented against the County of Contra Costa or District governed by the Board of
Supervisors fails to comply substantially with the requirements of California Government Code Section
910 and 910.2, or is otherwise insufficient for the reasons checked below:
[X] 1. The claim fails to state the name and post office address of the claimant.
[ ] 2. The claim fails to state the post office address to which the person presenting the claim desires
notices to be sent.
[X] 3. The claim fails to state the date, place or other circumstances of the occurrence or transaction
which gave rise to the claim asserted.
[X] 4. The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or
loss, if known.
[ ] 5. The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000).
If the claim totals less than ten thousand dollars ($10,000), the claim fails to state the amount
claimed as of the date of presentation, the estimated amount of any prospective injury, damage
or loss so far as known, or the basis of computation of the amount claimed.
[X] 6. The claim is not signed by the claimant or by some person on his or her behalf.
[X] 7. You are required to submit your claim on the proper form, which is enclosed. Please resubmit
your claim on the enclosed formjin6u' ding all the required information. Gov. Code, § 910.4.
Please be aware that you have only a limited period of time in which to file an amended claim.
See Gov. Code, § 910.6.
Allstate Indemnity Company
Re Claim of Allstate Indemnity Company
Page Two
[
18. Other:
SILVANO B. MARCHESI
COUNTY COUNSEL
By: i— C/
��.
Monika L. Cooper
Deputy County Counsel
CERTIFICATE OF SERVICE BY MAIL
(Code Civ. Proc., §§ 1012, 1013a, 2015.5; Evid. Code, §§ 641, 664)
I ani a resident of the State of California, over the age of eighteen years, and not a party to the within action. My
business address is Office of the County Counsel, 651 Pine Street, 9th Floor, Martinez, CA 94553-1229. On
2 1-lO I served a true copy of this Notice of Insufficiency and/or Non-Acceptance of Claim by
placing the document in a sealed envelope with postage thereon fully prepaid, in the United States mail at
Martinez, California addressed to Allstate Indemnity Company, P.O. Box 168288, Irvine, TX 75016, as set forth
above. I am readily familiar with Office of County Counsel's practice of collection and processing of
correspondence for mailing. Under that practice, it would be deposited with the U.S. Postal Service on that same
day with postage thereon fully prepaid in the ordinary course of business.
I declare under penalty of per jury under the laws of the State of California and the United States of America that
the above is true and correct. Executed on Z 'O at MaiLtinez, California.
Kathleen O'Connell
cc: Clerk of the Board of Supervisors (original)
Risk Management
Page 2
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nstate°
You're mgood hands.
ALL%TATE Ij%jDEMNITY COMPANY i 8/86
P. O. BOX 168288
IRVINCC TX 750i6
(880) 374-4246
CLERK OF THE BOARD OF SUPERVISORS, CO ADMIN BLD�
65i PINE %T . RM 186
MARTINEZ CA 941]"53
UUR INVE%TI�ATION INDICATE:-"' THAT YOUR INSURE-`]) WAS REV,PON%IBLE
FOR THIS LOSS.
�INCE WE H�VE ALREADY MADE A %ETTLEMENT WITH OUR POLICYHOLDER ,
THE CLAIM HAS BEEN ASSIGNED TO U%. COPIES OF THE FINAL PAPER�
RELATING TO THE LOSS, ARE ENCLO%ED.
PLEA%E ACCI`.PT THIS LETTER AS NOTICE OF OUR SUBROGATION CLAIM.
PLEA%E FOR�ARD Y0UR PAYMENT WITH OUR CLAIM NUMBER TO :
ALLSTATE PAYMENT PROCE%%IN� CENTER
P.O. BOX 227257
DALLAS' TX, 75222-7257
DIRECT ANY OTHER CORREIS,PONDENCE TO THE ADDRESS AT THE TOP
OF THIS LETTER.
%INCERELY,
�UBRO�ATION CLAIM REP
ALLSTATE INDEMNITY COMPANY CBF, G
YUUR FILE NO, DOB 883006
YOUR INSURED CONTRA COSTA COUNTY SHERIFF DEPT
ADDRE%% �
OUR CLAIM NO. 3954777267 .N{
OUR IN%URED N
LOSS DATE � 08/30/86
LOCATION �
CONTRA COSTA BLVD PLEAsANT HILL CA
AMOUNT OF LOSS : $i , 59O.24
`
G997-1
DESK: JDC INVOLVED PERSON STATEMENT PAGE : 1 OF 1
395 -477726 7 DOL: 08 - 30 - 2006 INSD: JULIE STEFFEN
ID: 01 JULIE STEFFEN
OWNER/DRIVER
HOME PHONE : (925)676-7913 BUS PHONE : (925)890-4201 HRS: -
STMT EMPL NAME : SYSTEM
DATE: 09 - 02 - 2006 STATEMENT TYPE : PAY
EFFECT ON INSD LIAB AND/OR CLMT DAMAGES: (O=NONE 1=FAV 2= UNFAV)
NOTIFY:
ANALYSIS:
FCP CHECK REQ ISSUED. ISSUE DT:09/01 /06. PROCESS DT:09/02/06. TIME :06:35: 29
USER: L5D4 COV: DD AMOUNT : $ 1015.24
PAYEE NAME(S) : JULIE STEFFEN
PAYEE ADDRESS: 250 MACGREGOR ST PLEASANT HILL CA 94523
COMPANY NAME : ALLSTATE INDEMNITY COMPANY
CHECK NUMBER: 540021811
PAYMENT FOR COLLISION COVERAGE FOR LOSS OF 08/30/2006
CHECK POSTED TO SAP. DATE: 09/05/06 TIME: 18: 29:00
PF5-SCHED F/U PF7-BACKWD PF8-FRWD PF9-PRINT PF11 -PREV STMT PF12-NEXT STMT
*** THIS IS A SYSTEM GENERATED STATEMENT THAT CANNOT BE UPDATED ***
DESK: JDC INVOLVED PERSON STATEMENT PAGE: 1 OF 1
395 477726 7 DOL : 08 - 30 - 2006 INSD: JULIE STEFFEN
ID: 01 JULIE STEFFEN
OWNER/DRIVER
HOME PHONE: {925}676-'7913 BUS PHONE : {925}890-4201 HRS-
STMT EMPL NAME : SYSTEM
DATE: 08 - 31 - 2006 STATEMENT TYPE : PAY
EFFECT ON INSD LIAB AND/OR CLMT DAMAGES: {O=NONE 1=FAV 2= UNFAV}
NOTIFY:
ANALYSIS:
CHECK REQUEST ISSUED. ISSUE DT: 08/31 /06 TIME: 14 : 12:37
USER: KRMO COV: DD AMOUNT: $ 75.00
MAIL-.TO NAME: JULIE STEFFEN
MAIL-TO ADDRESS: 250 MACGREGOR RD
PLEASANT HILL CA 945231109
PAYEE : JULIE STEFFEN
CAR SEAT REPLACEMENT
CLAIM UNDER COLLISION COVERAGE ARISING
FROM ACCIDENT ON 08/30/06
CHECK ISSUED. ISSUE DT: 08/31 /06 TIME : 17:49:24 CHECK NUMBER: 144075159
CHECK PRINTED. PRINT DT: 09/01 /06 TIME : 04 :55:34 CHECK NUMBER: 144075159
PF5-SCHED F/U PF7-BACKWD PF8-FRWD PF9-PRINT PF11 -PREV STMT PF12-NEXT STMT
*** THIS IS A SYSTEM GENERATED STATEMENT THAT CANNOT BE UPDATED ***
ALLSTATE INSURANCE
CAPITOL MCO
1025 CREEKSIDE RIDGE DRIVE, SUITE 230
ROSEVILLE, CA. 95678
800-755-0193
CD LOG NO 1714 -0 09-01-06 10 :42 AM
ESTIMATE
CLAIM INFORMATION
CLAIM ## 3954777267D01 POLICY 4 627125827
COMPANY ALLSTATE INDEMNITY COMPANY CLAIM REP
INSURED STEFFEN, JULIE LOSS DATE 08-30-06
CLAIMANT LOSS TYPE COLLISION
INSPECTION
TYPE DRIVE IN
PRIMARY POI REAR END CENTER SECOND POI FRONT END CENTER
APPRAISER NAME MICHAEL PIERALDI
WORK PHONE (925) 216-6830 FAX
ADDRESS P.O. BOX619054 INSP DATE 09-01-06
CITY STATE ROSEVILLE CA LOCATION DRIVE IN
ZIP 95678- CITY STATE CONCORD CA
OWNER -
STEFFEN, JULIE WORK# (925) 890-4201
250 MACGREGOR ST HOME# (925) 676-7913
PLEASANT HILL CA 94523-1109
REPAIR
UNKNOWN CAR IN
REPAIR 2 DAYS
VEHICLE
1998 BMW 740IL STD 4 DR SEDAN
8CYL GASOLINE 4 .4
OPTIONS
. TWO-STAGE - EXTERIOR SURFACES TWO-STAGE - EXTERIOR USER DEFINED
TWO-STAGE - INTERIOR SURFACES XENON HEADLAMPS
LAMINATED GLASS SUNROOF
TRACTION CONTROL SYSTEM MOONROOF
BODY COLOR SILVER MILEAGE 117, 667
CONDITION GOOD VIN WBAGJ8327WDM24927
LICENSE # 4WWU678 CODE 4412
LICENSE STATE CA VEH INSP #
REMARKS :
FOR SUPPLEMENTS, PREPARE A DETAILED ESTIMATE & CALL 800-755-0193 X8921 .
BUREAU OF AUTOMOTIVE REPAIRS (BAR) 800-952-5210 REQUIRE A SIGNED REPAIR ORDER.
NOTIFICATION TO VEHICLE OWNER FOR ALL ADDITIONAL COSTS TO REPAIR THEIR VEHICLE .
WITHOUT SIGNATURE & ESTIMATE FOR ADDITIONAL REPAIR , ALLSTATE WILL NOT PAY.
ESTIMATE IS FOR VISIBLE DAMAGES . ESTIMATE OPEN TO HIDDEN DAMAGE.
-1--
1998 BMW 740IL STD 4 DR SEDAN
CLAIM # 3954777267D01 LOG 1714 -0 09-01-06 10 :42 AM
ANY SUPPLEMENTS WILL REQUIRE A TEARDOWN.
OP CODES :
* = USER-ENTERED VALUE E = REPLACE OEM NG = REPLACE NAGS
EC = REPLACE ECONOMY UE = OE SURPLUS UC = RECONDITIONED PRT
UM = REMAN/REBUILT PRT EU = REPLACE SALVAGE EP = REPLACE PXN
OE = PXN OE SRPLS PC = PXN RECONDITIONED PM = PXN REMAN/REBUILT
TE = PARTL REPL PRICE ET = PARTL REPL LABOR IT = PARTIAL REPAIR
I = REPAIR L = REFINISH BR = BLEND REFINISH
TT = TWO-TONE SB = SUBLET N = ADDITIONAL LABOR
RI = R&I ASSEMBLY P CHECK AA = APPEAR ALLOWANCE
RP = RELATED PRIOR UP = UNRELATED PRIOR
OP GDE MC DESCRIPTION MFR.PART NO. PRICE AJ% Bo HOURS R
-- --- -- ----------- ------------ ----- --- -- ----- -
E 0011 STRIP, FRONT IMPACT 51118150492 32 . 50 0 .2 1
E 0036 01 MLDG, FRT BUMPER COV RT 51118125438 37 . 75 0 .4 1
E 0057 LAMP, SIDE MARKER LT 63138361005 28 .50 0 . 2 1
I 0649 PANEL, REAR BODY REPAIR 1 . 0*1
L 0649 10 PANEL,REAR BODY REFINISH 1 . 5*4
1 . 5* Surface
E 0289 4-6 REAR-'BUMPER-- - 51128173090_. -- 485 . 00 2 . 3 1 --
L 0289 COVER, REAR BUMPER REFINISH 3 . 2 4
. 2 . 6 Surface
0 . 6 Two-stage setup
E . 1444 MODULE, COMPUTER 66216902182 90 .00 0 . 3 2
E. 0555 MLDG,REAR BUMPER COVE 51128125435 69 .50 INC 1
9 ITEMS
MC MESSAGE
.01 CALL DEALER FOR EXACT PART # / PRICE
10 INCLUDES ADP TIME TO CLEAR ENTIRE PANEL.
46 PRINTABLE PXN COMPARE
FINAL CALCULATIONS & ENTRIES
PARTS
GROSS PARTS $ 743 . 25
OE SURPLUS PARTS
OTHER PARTS
PAINT MATERIAL $ 126 . 90
ADJUSTMENTS DISCOUNT MARKUP
PARTS & MATERIAL TOTAL $ 870 . 15
TAX ON PARTS & MATERIAL @ 8 .2500 $ 71 . 79
LABOR RATE REPLACE HRS REPAIR HRS
1-SHEET METAL $, 63 . 00 3 . 1 1 . 0 $ 258 .3.0
2-MECH/ELEC $ .63 . 00 0 . 3 $ 18 . 90
3-FRAME $ 63 . 00
4-REFINISH $ 63 . 00 4 . 7 $ 296 . 10
-2-
1998 BMW 740IL STD 4 DR SEDAN
CLAIM # 3954777267D01 LOG 1714 -0 09-01-06 10 :42 AM
5-PAINT $ 27 . 00
LABOR TOTAL $ 573 .30
SUBLET REPAIRS
TOWING
STORAGE
GROSS TOTAL $ 1, 515 .24
LESS : DEDUCTIBLE $ 500 .00-
NET TOTAL $ 1, 015 .24
CUSTOMER OWES $ 500 . 00
PXN Y/01/00/00/01/01 CUM 01/00/00/01/01 Geocode : 94536 CA CAPITOL 2ND 2/06
ADP PENPRO W0412 ES LOG1714 -0 09-01-06 10 :49 : 14
REL 4 . 12 . 8 DT05/06
(C) 1993 - 2005 ADP CLAIMS SOLUTIONS GROUP, INC.
- _ __ 0-. 6--HRS- WERE-ADDED TO THIS--EST.- ' BASED- ON- ADP-1-S--TWO-STAGE- REFINISH FORMULA.
-------------------------------------------------------------------------------
-3-
1998 BMW 740IL STD 4 DR SEDAN
CLAIM # 3954777267D01 LOG 1714 -0 09-01-06 10 :42 AM
Estimate Summary Page
MICHAEL PIERALDI
GROSS TOTAL $ 1, 515 .24
LESS : DEDUCTIBLE $ 500 . 00-
NET TOTAL $ 1, 015 .24
CUSTOMER OWES $ 500 . 00
ADP PENPRO W0412 ES LOG1714 -0 09-01-06 10 :49 : 14
REL 4 . 12 . 8 DT05/06
(C) 1993 - 2005 ADP CLAIMS SOLUTIONS GROUP, INC.
IF WE HAVE RECOMMENDED A REPAIR SHOP PLEASE READ THE INFORMATION BELOW:
WE ARE PROHIBITED BY LAW FROM REQUIRING THAT REPAIRS BE DONE AT A SPECIFIC
AUTOMOTIVE REPAIR DEALER. YOU ARE ENTITLED TO SELECT THE AUTO BODY REPAIR SHOP
TO REPAIR DAMAGE COVERED BY US. WE HAVE RECOMMENDED AN AUTOMOTIVE REPAIR
DEALER THAT WILL REPAIR YOUR DAMAGED VEHICLE. IF YOU AGREE TO USE OUR
RECOMMENDED AUTOMOTIVE REPAIR DEALER, WE WILL CAUSE THE DAMAGED VEHICLE TO BE
RESTORED TO ITS CONDITION PRIOR TO THE LOSS AT NO ADDITIONAL COST TO YOU OTHER
THAN AS STATED IN THE INSURANCE POLICY OR AS OTHERWISE ALLOWED BY LAW. IF YOU
EXPERIENCE A PROBLEM WITH THE REPAIR OF YOUR VEHICLE, PLEASE CONTACT US
IMMEDIATELY FOR ASSISTANCE.
-4-
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