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HomeMy WebLinkAboutMINUTES - 01162007 - C.5 (18) CLAIM Wr BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY 6 BOARD ACTION: JANUARY 16 , 2007 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 California Government Codes. D k you is your notice of the action taken v on your claim by the Board of DEC 12 2006 Supervisors. (Paragraph IV below), given Pursuant to Government Code AMOUNT: $500,000.00 COUNTI(COUNSEL Section 913 and 915.4. Please note all MARTINEZ CALIF. "Warnings". CLAIMANT: MICHAEL K. HARRISON ATTORNEY: UNKNOWN DATE RECEIVED: DECEMBER 12/06 ADDRESS: 1061 CLEARLAND DRIVE BY DELIVERY TO CLERK ON: DECEMBER 12/06 BAY POINT, CA 94565 BY MAIL POSTMARKED: HAND DELIVERED FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claire. DECEMBER 12 , 2006 JOHN CULLEN, C k Dated: By: Deputy 11. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. ( 0X11is 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: 12 By: ����o Deputy County Counsel iII. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) O Claim was returned as untimely with notice to claimant (Section 911.3). IV./BOARD ORDER: By unanimous vote of the Supervisors present: (� This Claim is rejected in full. O Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. DatHN CULLEN, CLERK, By Deputy Clerk WARNING (Go ./coM./codsection 913) Subject to certain exceptions,you have only six(6) months&onj the date this notice was personally seined or deposited in the snail to file a covet action on this claim.See Government Code Section 945.6.You may seek the advice of an attorney of your choice in connection widr this matter. If you want to consult an attorney,you should clo so inunecliateiv. *For Additional Warnirwg,See Reverse Side of'This Notice. AFFIDAVIT OF MAILING declare under penalty of perjury that I am now, and at all times herein nnentioned, have been a citizen of the United States, over age 18; and that today 1 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"✓Q�ww�'� �1' d JOHN CULLEN, CLERK By &�Deputy Clerk OFFICE OF THE COUNTY COUNSEL , SILVANO B.MARCHESI COUNTY OF CONTRA COSTA $ �''_0+�+ COUNTY COUNSEL Administration Building 651 Pine Street, 9'" Floor •�* SHARON L. ANDERSON Martinez, California 94553-1229 _ _= ;. CHIEF ASSISTANT (925) 335-1800 O; jr GREGORY C. HARVEY (925) 646-1078 (fax) aH'� VALERIE J. RANCHE 1� AssisTANTs NOTICE O FICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: Michael K. Harrison 1061 Clearland Drive Bay Point, CA 94565 RE: CLAIM OF MICHAEL K. HARRISON 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: [ ] L 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. [ ] 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. [ ] 6. The claim is not signed by the claimant or by some person on his or her behalf. [ ] 7. You are required to submit your claim on the proper form, which is enclosed. Please resubmit your claim on the enclosed form, including 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. Michael K. Harrison Re: Claim of Michael K. Harrison Page Two [X] 8. Other: Please provide the date the car was towed. SILVANO B. MARCHESI COUNTY COUNSEL By: Monika L. Cooper Deputy County Counsel CERTIFICATE OF SERVICE BY MAIL (Code Civ. Proc., §§ 1012, 1013a, 2015.5; Evid. Code, §§ 641, 664) I am 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 December 14, 2006, 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 Michael K. Harrison, 1061 Clearland Drive, Bay Point, CA 94565, 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 perjury under the laws of the State of California and the United States of America that the above is true and correct. Executed on December 14, 2006, at Martinez, California. Kathleen O'Connell cc: Clerk of the Board of Supervisors(original) Risk Management Page 2 f BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT , . o 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 relating to any other cause of action shall be presented not later than one year after the accrual of the cause of action. /� 2 (Gov. Code § 911.2.) K5 33S9 B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106,80 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. N a s 0 a N..a 0 E 0 a 0 0 0 0 M x 0 0 M a N N a 0 a N a 0 0 0 9 a 0 a 0 E E 0 E 0 0 E 0 E 0 E E E E 0 E E 0 0 0 E E 0 0 E E E 0 0 0 0......E a RE: Claim By: Reserved for Clerk's filing stamp RECEIVED DEC 1 2 2006 Against the County of Contra Costa or ) CLERK BOARD OF SUPERVISORS -' District CONTRA COSTA CO. (Fill in name) ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the s of$ d and in support of this claim represents as follows: Cel rs �Ce.P� 'i D�tr� to/e l �dPed /l 1. S( When did the damage or injury occur? (Give exact date and hour) -)T 2. Where/ did the damage or injury occur? (Include city and county) / /CIO � r I -c n-4 0 ,-, 01 �O ✓i 1- , Y How did the dama a or injury occur? (Give full details;Yuse extra pap if required) G 3. g �l � � �,✓ � S Dwe A- C nio S e `1,k1 « 4. Wh�Ct particular act or omission on the part of county or district oifiders, servants, or employees caused the injury or damage? //o S, ,�� - J: q n 1v/;? e'e ti{� i� �/ s d, � �r a f / (ob�-e o- 5 / / 0 5 What are the names of county or district officers, servants, or employees causing the damage or injury? / a -14 .q r P7 _ 6- s / �100sobT0001Pel, f S/sSa0A 6. What damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) joss o f -{'�le e G� OS 5 J— P)�a-S /P � / y? S Yrq ti de d I In ® qan to J � O O co I"e o o amount of H e amount claimed above co eF! (Include the estunated Y prospective inj or damage.) C' a r U T 4 C �� /a, D,( a PN q,n d S In f l P (� t. J0 H q Pie �✓ r- /Names and address of witnesses,doctors,and hospitals: UC Pe I 8. N <� G_O w Vl S LTJ in d �e d --- ,� X10 e-� /ayc/� ��:S ,&*9. ist the expenditures you ma on account of thicident or in DATE A M T AE� e/w,1` AMOUNTS ti r <i n n— Ia � � q kAJ O Gov. Code Sec. 910.2 provides"The claim shall be o S S signed by the claimant or by some person on his behalf." SEND NOTICES TO: (Attorney) ) Name and address of Attorney laiman 's Signature) / � G SS X--1'q1-/ (Address) Telephone No. _5'17 /"1 Telephone No. ............................................................................ .mons...[ PUBLIC RECORDS NOTICE: 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, including medical records, are also subject to public disclosure. ONES son NOTICE: r- Section 72 of the Penal Code provides: C l a I Mof r 0 r 4 S 4c VI e ( ,e4sti� 4 Every Person who, with intent to defraud, presents for allowance or for paymentto any state board or officer, or to any county, city, or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account voucher, or writing, is punishable either by imprisonment in the County jail for a period of not more than one year, by a fine of not exceeding one thousand dollars ($1,000.00), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000), or by both such imprisonment and fine. ©� n oe- J � � � s de f ) h � C Z ti , bi /oseaj 0vr nth < NOTICE NOTICE NOTICE Date — License v Time�r � c Make /,JET Location ar al-1 Q16� Year �0 A)1 �_*, The Ho sing Authority of the County of Contra Costa will have this vehicle towed away at owner's expense if not removed from the project within seventy-two ours. ewer ovol YA a �Slngan ger fiO Tenant shall not allow trailers and non-operating vehicles or parts thereof to remain on project grounds.Veh cles shall be parked in parking areas oniv.Parking areas and Project grounds shall not be used for repair ofvehicles.Tenant shall he responsible for the removal of any vehicle or vehicle parts which appear to be abandoned,or which the Authority detennines not to he in reasonable use.The Authority shall notify Tenant ofthis determination and shall request removal of the vehicle and/or parts within a specified period of time,and failing such removal the Tenant shall he responsible for the cost%of removal which shall then he charged to the Tenant's account. \ Fornt/51 11/93 VC NOTICE NOTICE NOTICE -3- 4 l�l � Date " License Time / f .� �T \ Maker�l� / /c7(�'L1 le, <z �7� z Location=3 C/�'z c"rL<Cd �J i Year lI > The Housing Authority of the County of Contra Costa will have this vehicle towed away at owner's expense if not removed from the project within seventy-two Tours. 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' 14 w ti O=- PD y to vY, t" ¢ '9 a- 9 O �_ o In It -`9s 1 °< a 5 5 - a c o- c w T v ~r Q. 0 O P: W� m o C M' r. w .j o G. ^o G. p ° MICHAEL K HARRISON Statement Period: September 5 through September 15, 2006 Account Number: 01418-46128 ❑ Checks Paid Continued ' Date Paid Number AmountDate Paid Number Amount [Total of 2 Checks Paid $2,400.00 ❑ Account Activity Date Posted Description Reference Numter Amount i Withdrawals, Transfers and Account Fees 09/12 CA Tlr cash withdrawal from Chk 6128 Banking Ctr Manteca #0000143 CA Confirmation# 8077436082 $600.00 09/14 CA Tlr cash withdrawal from Chk 6128 Banking Ctr Pittsburg Branch #0000140 CA Confirmation# 8263690328 t 200.00 Total Withdrawais, Transfers and Account Fees ❑ FACTS - FDIC Insured Account Disclosure Information Your 2006 Privacy Policy for Consumers is now available at www.baiikofamerica.com/privacy. Please read the policy caret ally for important updates. If you have other accounts with Bank of America you may receive more than one 2006 Privacy Poli;y notification. dank of America �-.0. ' Your Bank of America 4r n MyAccess checking 0141 P P / Statement — EO-7 Statement Period: September 16 through October 17, 2006 Ct �✓�� IG,SS Account Number: 01418-46128 MICHAEL K HARRISON At Your Service 1061 CLEARLAND DR � �) Call: 925.682.4644 BAY POINT CA 94565-3268 — /} Written Inquiries Bank of America Concord Main Office PO Box 37176 San Francisco, CA 94137-0001 Customer since 2006 Bank of America appreciates your business and we enjoy serving you. Our free Online Banking service allows you to check balances, track account activity, pay bills and more. With Online Banking you can also view up to 18 months of this statement online and even turn off delivery of your paper statement. Enroll at www.bankofamerica.com. ❑ Summary of Your MyAccess checking Account Beginning Balance on 09/16/06 $11,195.00 Number of ATM withdrawals and transfers 53 Total Deposits + 798.50 Number of purchase transactions 25 Total Checks, Withdrawals, Number of 24 Hour Customer Service Calls Transfers, Account Fees - 6,839.58 Self-Service 0 BankofAmerica %j �2 i A e57 Your Bank of America MyAccess checking 0141 P P Statement _ EO-3 _ Statement Period: September 5 through September 15, 2006 Account Number: 01418-46128 MICHAEL K HARRISON At Service 1061 CLEARLAND DR Call: 9 •5.682.4644 BAY POINT CA 9,x56.5-3268 \ — Written Inquiries Bank of America / f Concord Main Office ✓ PO Box 37176 San Francisco, CA 94137-0001 Customer since 2006 --- Bank of America appreciates your L.� ;ojsii,e6s &irG wzv e,;-,joy servii19 yoj. Our free Online Banking service allows you to check balances, track account activity, pay bills and more. With Online Banking you can also view up to 18 months of this statement online and even turn off delivery of your paper statement. Enroll at www.bankofamerica.com. / ❑ Summary of Your MyAccess checking Account J Beginning Balance on 09/05/06 $0.00 Number of ATM withdrawals and transfers 0 Total Deposits + 14,395.00 Number of purchase transactions 0 Total Checks, Withdrawals, Number of 24 Hour Customer Service Calls Transfers, Account Fees - 3,200.00 1 Self-Service 0 Assisted 0 Ending Ba!ance $11,195.00 ❑ Bank of America News Not everyone's life travels the same path. That's why we're bringing you more choices. Fy rfferinq both High `'ieid and Risk Free CDs, we're help;ng you invest your money wisely - no matter what your life may look like. Visit us at you. nearest banking center today or call 1.800.242.2632 and see why opening a CD with us is such a smart move. Ready to Buy a Home? You can save up to $2000 at closing with Bank of America's Mortgage Rewards. Call 1-800-900-9000 today or visit your neighborhood banking center. Credit subject to approval, normal standards apply. Certain restrictions apply. Offer subject to change without notice. Bank of America is an Equal Houser:rj Lender. C Branch,'ATNI Deposits Number Date Posted Amount 09/05 $14,395.00 ❑ Checks Paid Date Paid Number Amount FDate Paid Number Amount 09/08 98 $ 400.00 09/11 99 2,000.00 Continued on next page 0062333.001.713.1 California Page i of 3 Re v,�lad Paper Scudder Funeral Care, Inc. DBA Colonial Chapel 2626 High Street Oakland, CA 94619 (510) 536-5454 Fax (510) 536-1912 Tax EN 68-0575754 ASSIGNMENT OF BENEFITS The undersigned, in consideration for the services rendered by Colonial Chapel. In connection with the funeral services provided for Mary Harrison I hereby assigns and transfers to Colonial Chapel any interest the undersigned has as a beneficiary or owner of policy number issued by CUNA Mutual Insurance Co. Amount not to exceed 4,631 .85 Said amount being the balance owed to Colonial Chapel Director for the funeral services set forth above. Michael Harrison S�Q / / 6 / L/2-Z0 Beneficiary Name (Please print) Beneficiary social security number C2l I l eneficiarY sig natur� Beneficiary date of birth 12 / 06 , 06 9 a6 Date signed Address �epho� eine Number ity, State Zip code 7 J � STATEWIDE SELF STORAGE 1901 Verne Roberts Cir u Antioch CA 94509 ` 5 (925)754-5452 Rental Contract Receipt Customer: \ h Michael K Harrison Date: 8/3/200612:50 n � 1061 Clearland Dr. Contract#: 7968 Bay Point, CA 94565 Effective: 8/3/2006 Salesperson: PA Address Service Requested Unit(s): 632 $170.00 Monthly Rent Charges: Payment: Pro-rata Rent: $170.00 Check payment $0.00 Advance Rent: $0.00 #Advance Periods: 0 Gross Rent: $170.00 Credit card payment $0.00 Less: Discount: $0.00 Net Rent: $170.00 Insurance: $0.00 Cash payment $170.00 Other charges- $0.00 Total Amount Paid: r $170.00 Deposit: $0,00 Total Charges: $170.00 Next payment: $170.00 Due on: 9/3/2006 Thank you for storing your belongings with us. We take pride in keeping our facility clean and safe. If you ever have a question, please drop in and see us or call us at 925-754-5452. (Than you, The management at Statewide Self Storage CSF Receipt Page I 111U-HAUL EQUIPMENT CONTRACT In-Town Reservation Contract Number: 00020121 U-HAUL CENTER PITTSBURG 75 BLISS AVE (925)439-3545 Thursday 8/3/2006 2:55 PM (710082) PITTSBURG,CA. 94565 Customer Name: Customer Ph No(s): MICHAEL HARISON 925-458-4614 Rental Date/Time: 8/6/2006 3:30 PM Estimated Return Date/Time: 8/7/2006 3:30 PM Equipment FMI, MI Rate MISafeMove/SafeTow/CDW Rental Rental Estimated Estimated Actual Charge Rate Charge Tax: Charges Charges 1_ TRUCK 1570 X $39.50 $0.00 $19.95 $19.95 $4.90 $59.45 (R) Estimated Subtotal: $59.45 Estimated Tax: $4.90 Estimated Total Charges: $64.35 Reservation Deposit Paid: $0.00 Previous Payment: $0.00 Net Paid Today: $0.00 •This reservation confirms that equipment will be made available for your move,subject to scheduling,the exact pickup locations and time. •Your rate is subject to change if you change your pickup date. To cancel this reservation,call 9254393545 prior to your pickup day.There will be a$50 cancellation fee if notice of cancellation is not received prior to the pickup day.You authorize this fee to be charged to your credit card. X X Customer Signature-(MICHAEL HARISON) U-Haul Signature- (Roy Miller) CUSTOMER TO BRING PHONE BILL AND PG&E BILLS WITH DEPOSITE. t bi Storage, You store it.You lock it.You keep the key. CiSpace No. Rent:_ - Insurance: �f�G f TOTAL Due Monthly: 62-� � Keep these documents in a handy place. _ Rental Truck Reservation Receipt Ps +� 66363 -PITTSBURG/LOVERIDGE ,� g - 2100 LOVE RIDGE RD. PITTSBURG CA 94565 RESERVATION DATE: 7/5/2006 09:30 AM PICKUP DATE:7/5/2006 09:30 AM RETURN DATE:7/5/2006 03:00 PM MICHAEL HARRISON VEHICLE HEIGHT: 12 Feet EMPLOYEE NAME: Gerald Bushman Local Rental Truck Reservation #716295 Account #8853802 Reservation Details Reservation Total 0 days @$39.95/day $0.00 FWeekDay $24.95 ate 1slots @$24.95/slot 0 days @$39.95/day $0.00 ate $0.00 Week End Day Slot Rate 0 slots @$29.95/slot 30 miles @$0.89/mile $ Miles Charge ($0 0.00.00) Free Miles 0 miles @ $0.89/mile 0 units @$15.00/trip $0.00 Handtrucks $0.00 Furniture Pads 0 units @$1.25/trip 1 LDW days @$18.00/day $ 18.00 LDW $4.26 Tax 8.25% $73.91 Total i Q(rl S � ,�C1 h ( �h�f f�:�l� d f- f f p G� ,,tel ��, i/✓ �' J4-1 CPU, r y i --RENTAL AGREEMENT-- THIS RENTAL AGREEMENT is executed in duplicate this 06/30/2and between, Public Storage,Inc., as Owner or agent for Owner,2350 MONUMENT BLVD.,CONCORD,CA 94520, ("Owner"), Tax ID#95-3551121, and MICHAEL HARRISON ("Occupant")whose address and alternate contact address are as follows: Occupant Address Alternate Name and Address 1061 CLEARLAND DR MARY HARRISON BAY POINT, CA 94565 849 19TH ST (925)458-4614 OAKLAND, CA 94607 1D Number:N5738216 Phone: (510)834-8620 Enclosed/Parking Space No. B231 (approximately 10.0 x 15.0 ) Account No. 8853727 NO. 125550868 - 20404CA Occupant advises Owner that Occupant intends to allow the following individuals to have access to the Premises: FEES AND CHARGES: $207.00 Monthly Rent(Due on or before 1st of Month) $25.00 Lien Sale Fee $22.00 New Account Administration Fee(Non-Refundable) $25.00 Lien Handling Charge after Thirty(30)Days(Whether or not Sale Occurs) $31.05 Late Charge iter 10th of the Month $0.00 Lien Sale Fee INITIALS HERW// By placing his INITIALS HERE&�,Occupant acknowledges that the above information is correct,that all payments are due before the close of business on the day indicated to be applied to the oldest delinquency first,including late charges and other fees which have become due,that he understands and agrees to pay the FEES AND CHARGES as noted above and that Owner reserves the right to require that rent,fees and charges be paid in cash,certified check or money order. It is agreed by and between Owner and Occupant: 1.PURPOSE AND DESCRIPTION OF PREMISES.The parties have entered into this Rental Agreement for the purpose of leasing or renting certain space as herein described and with the express understanding and agreement that no bailment or deposit of goods for safekeeping is intended or created hereunder.Owner leases to Occupant and Occupant leases from Owner the above-noted space(hereinafter the"Premises")located at the above-referenced address of Owner and included in a larger facility at such address containing similar leased real property and common areas for the use of Occupant and other occupants(the entire facility is hereinafter referred to as the"Property").Occ nt examined the Premises and the Property,including the dimensions and condition of the Premises and Property,and,by placing his INITIALS HERE hcknt,wled ges antagrees thrt the Premises and the common areas of the Proper ty are satisfactory for all purposes for which Occupant shall use th Premises or the common areas of the Property.Occupant shall have access to the Premises and the common areas of the Property only during such hours and days as are posted at the Property. 2.TERM AND RENT.The term of this Rental Agreement shall commence as of the date written above(the"Commencement Date")and shall continue from the first day of the month immediately following on a month-to-month occupancy until terminated.Occupant shall pay Owner as a monthly rent,without deduction,prior notice,demand or billing statement,the sum noted above(plus any applicable tax imposed by any taxing authority)in advance on the first day of each month.Rent shall be subject to the late charge noted above if not received by the close of business on the 10th day of the month.If the term of this Rental Agreement shall commence other than on the first day of the month,Occupant shall pay a full month's rent for the first month and shall owe a pro rata portion of the second month's rent.Occupant understands and agrees that under no circumstances will Occupant be entitled to a refund of the fust month's rent paid upon execution of the Rental Agreement,and,thereafter,if this Rental Agreement terminates other than on the last day of the month,Occupant shall not be entitled to a refund of a pro rata portion of the rent for the month in which the termination occurred, but,if termination occurs before the fifteenth(15th)day of the month,Occupant may pay only the rent(and any applicable tax)that accrues from the first(I st)day of the month until the date of termination.Rent,fees and/or charges as stated in the Rental Agreement,the monthly due date for rent,and/or timing of fees or charges,and any other term of the Rental Agreement,may be adjusted by Owner by written notice to Occupant given not less than thirty(30)days prior to the effective date of the adjustment.Any such adjustment shall not otherwise affect the terms of this Rental Agreement. 3.USE OF PREMISES AND PROPERTY AND COMPLIANCE WITH LAW.Occupant shall store only personal property that belongs to Occupant.Because the value of the personal property may be difficult or impossible to ascertain,Occupant agrees that under no circumstances will the aggregate value of all personal property stored in the Premises exceed,or be deemed to exceed,$5,000 and may be worth substantially less than$5,000.,Occupant shall not permit any Hazardous Materials(as defined below)to be stored in the Premises or the Property or store any improperly packaged food or perishable goods,flammable materials,explosives or other inherently dangerous material,in the Premises or the Property.Occupant shall not store any personal property on the Premises which would result in the violation of any law or regulation of any governmental authority,including without limitation,all laws and regulations relating to Hazardous Materials,waste disposal and other environmental matters,and Occupant shall comply with all laws,rules,regulations and ordinances of any and all governmental authorities concerning the Premises and its use.For purposes of this Rental Agreement,"Hazardous Materials"shall include but not be limited to any hazardous or toxic chemical,gas,liquid,substance,material or waste that is or becomes regulated under any applicable local,state or federal law or regulation.Occupant shall not use the Premises in any manner that will constitute waste,nuisance or unreasonable annoyance to other occupants in the Property nor perform any welding in the Property.Occupant acknowledges and agrees that the Premises and the Property are not suitable for the storage of heirlooms or precious,invaluable or irreplaceable property such as(but not limited to)books,records,writings,works of art,objects for which no immediate resale market exists,objects which are claimed to have special or emotional value to Occupant and records or receipts relating to the stored goods.Occupant agrees that the value of any such items shall not exceed for any purpose the salvage value of the raw materials of which the item is constituted.Occupant acknowledges that the Premises may be used for storage only,and that use of the Premises for the conduct of a business or for human or animal habitation is specifically prohibited.Upon termination of this Rental Agreement,Occupant shall remove all Occupant's personal property from the Premises unless such property is subject to Owner's lien rights as referenced in paragraph 6 and shall immediately deliver possession of the Premises to Owner in the a condition as delivered to Occupant on the Comtnencement Date of this Rental Agreement,reasonable wear and tear excepted.By placing his INITIALS HERE M ,Occupant acknowledges that he has read and understands the provisions of this paragraph and agrees to comply with its requirements. y, CA-04/03 Rental Agreement Page 1 of 3 INITIALS HERE`& P.P.Mgr. OCC PANT 0 M c� � � a O z ° WEoq ,`r U �s O p C � •G Q CG � O .-� ci N m z N d * 69 69 64 yj Q M O xr k l kr) .O 40* + o b U a cao < � cos W O „O 'C O C C N M 7t 7t .0 a d = CIO �. > TJ x i - (Dcn cv p N Q o = 0 Cl L 0 z z zt F 00 w p ° r, cavo � o Wo _CL y N U � oM� HWWz a v cTJv XO QUO - � CD Nw C ° m o a Baa � a c o 0 0 ca E�n m NN ''' N �o 0 o H Q m • ry fees to register this lavek•• •. . • - • • Department of Motor Vehd This mit 14 A !'•a +rnpent re-ceiPt.The recelpt nurn'�ft • •f• • • • •' agree. O. LA 592 JUN 0 2 2.006 a FEE1 FO1 I FU9 P GFEE1 PCVS 59209407 9 VFEEP 0 040406 1553 VDA R *** G E N E R A T E D F E E S *** O1 CURR RF 31 . 00 16 1PY AIR QLT 4 . 00 31 2PY RF PEN 45 . 00 02 CURR CHP 9 . 00 17 2PY RF 31 . 00 32 2PY VLF PEN 5 . 00 03 CURR VLF 4 . 00 18 2PY CHP 9 . 00 33 TRANSFER PEN 04 CURR SAFE 1 . 00 19 2PY VLF 6 . 00 34 05 CURR FID 1 . 00 20 2PY SAFE 1 . 00 35 06 CUR AUTO/DUI 1 . 00 21 2PY FID 1 . 00 36 07 CURR ABN VEH 1 . 00 22 2PY AUTO/DUI 1 . 00 37 08 CURR AIR QLT 6 . 00 23 2PY ABN VEH 1 . 00 38 09 1PY RF 31 . 00 24 2PY AIR QLT 4 . 00 39 10 1PY CHP 9 . 00 25 TRANSFER 15 . 00 40 11 1PY VLF 5 . 00 26 DUP O/C 16 . 00 41 12 1PY SAFE 1 . 00 27 CURR REG PEN 15 . 00 42 13 1PY FID 1 . 00 28 CURR VLF PEN 1 . 00 43 14 1PY AUTO/DUI 1 . 00 29 1PY RF PEN 44 15 1PY ABN VEH 1 . 00 30 1PY VLF PEN TOTAL FEES DUE : 258 . 00 FEE #- $AMT- REASON- PASSWORD- CURR EXP DATE : 03/18/04 FR- R30- VESSEL TAX BYPASS- NEW EXP DATE : 03/18/07 VIN- 1MEBM50U4HA637930 ENTER WAIVER-PF1 NO RENEWAL-PF2 KEY FEES-PF3 FALLBACK RESTART CANCEL FEEL F01 B LF4 S GFEE1 PCVS 50435035 31 VFEEP 0 121605 1616 VDAP R *** G E N E R A T E D F E E S *** 01 CURR RF 31 . 00 16 1PY AIR QLT 4 . 00 31 02 CURR CHP 9 . 00 17 TRANSFER 15 . 00 32 03 CURR VLF 5 . 00 18 DUP O/C 16 . 00 33 04 CURR SAFE 1 . 00 19 CURR REG PEN 34 05 CURR FID 1 . 00 20 CURR VLF PEN 35 06 CUR AUTO/DUI 1. 00 21 1PY RF PEN 45 . 00 36 07 CURR ABN VEH 1 . 00 22 1PY VLF PEN 5 . 00 37 08 CURR AIR QLT 4 . 00 23 TRANSFER PEN 38 09 1PY RF 31. 00 24 39 10 1PY CHP 9 . 00 25 40 11 1PY VLF 6 . 00 26 41 12 1PY SAFE 1 . 00 27 42 13 1PY FID 1 . 00 28 43 14 1PY AUTO/DUI 1 . 00 29 44 15 1PY ABN VEH 1. 00 30 TOTAL FEES DUE: 188 . 00 FEE #- $AMT- REASON- PASSWORD- CURR EXP DATE: 03/18/04 FR- R30- VESSEL TAX BYPASS- NEW EXP DATE: 03/18/06 VIN- 1MEBM50U4HA637930 ENTER WAIVER-PF1 NO RENEWAL-PF2 KEY FEES-PF3 FALLBACK RESTART CANCEL i RETURN THE ATTACHED DOCUMENTS AND REQUESTED ITEMS TO ANY DMV TO OBTAIN A TITLE/OR REGISTRATION CARD. PENALTIES ARE COLLECTED ON RENEWAL FEES PAID AFTER THE EXPIRATION DATE. PLANNED NON OPERATION (PNO) STATUS MUST BE REQUESTED WITHIN 90 DAYS AFTER THE EXPIRATION DATE OR ALL FEES AND PENALTIES ARE DUE, CALL 1-800-777-0133 FOR AN APPOINTMENT OR MAIL DOCUMENTS TO: PO BOX 932345 SACRAMENTO, CA 94232. SMOG INSPECTION/CERTIFICATION REQUIRED AT A TEST ONLY CENTER. BILL OF SALE FROM JANICE BROWN TO MICHAEL HARRISON 504 121605 35 c 0032 F01 11 2EEU950 930 �' `•r • /� REPORT OF DEPOSIT WARM"0:APO TOR - PORT OF DEPOSIT OF FEES **THIS IS NOT AN OPERATING PERMIT** REG EX: 00/00/00 MAKE YR MODEL YR 1ST SOLD VLF CLASS *YR TYPE VEH TYPE LIC LICENSE NUMBER MERG 1987 1987 AT 1997 120 11 2EEU950 BODY TYPE MODEL MP MO VEHICLE/VESSEL ID NUMBER 4D G . LZ 1MEBM50U4HA637930 TYPE VEHICLE/VESSEL USE DATE ISSUED CC/ALCO DT FEE RECVD PIC AUTOMOBILE 12/16/05 07 12/16/05 0 RDF REASONS : 1 A HARRISON MICHAEL KENT AMOUNT PAID R 1061 CLEARLAND DR $ 188 . 00 / AMOUNT DUE AMOUNT RECVD O '� $ 188 . 00 CASH BAY POINT CHCK : CA 94565 CRDT : 188 . 00 r L PR EXP DATE: 03/18/2004 O r r-04 35 0018800 0032 CS 121605 2EEU950 930 F,