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Home My WebLink AboutMINUTES - 12162008 - C.30 (3) ' CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION:DECEMBER 16, 2008 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. you is your notice of the action taken • on your claim by the Board of Dupetvisors. (Paragraph IV below), a 8 2008 given Pursuant to.Government Code NOV AMOUNT: $200 000.00 + Section 913 and 915.4. Please note all ' MWNEZCAUR "Warnings CLAIMANT: ERASMO GONZALEZ ATTORNEY: UNKNOWN DATE RECEIVED:. NOVEMBER 18, 2008 ADDRESS: 744 ROCK ROSE WAY BY DELIVERY TO CLERK ON: NOVEMBER 18, 2008 RICHMOND, CA 94806 BY MAIL POSTMARKED: NOVEMi?F[€ .17, 2008 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DAVID TWA, Cl k Dated: NOVEMBER 18, 2008 By: Deputy II. FROM: County Counsel TO: Clerk of the Board of Su ervisors (vY `I'his 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). O Clain! 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). O Other: Dated: By: 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. POARD ORDER: By unanimous vote of the Supervisors present: V 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. Dated:&g DAVID TWA, CLERK, By Deputy Clerk WARNING(06f code section 913) Subject to certain exceptions,you have only six(6)months from the date this notice was personally served or deposited in the mail to file a court action on this claim.See Government Code Section 945.6.You may seek the advice of an attorney of your choice in connection with this matter.If you want to consult an attorney,you should do so immediately. *For Additional 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: � . .,'x / DAVID TWA, CLERK, By eputy Clerk e This warning does not apply to claims which are not subject to tkyy'Elif nia Tort Claims Act such as actions in lwvgrse;condemnation, actions for specific relief suc asmandamus or injunction, or Federal Civil Rights claims. The above list is not exhaustive and legal consultation is essei ntial=to understand all the separate 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 rights under the statutes of limitations applicable to actions not subject to the California Tort Claims Act 10/312008 14:57 CONTRA COSTA.000NTY CLERK OF THE = 915108491936 NO.?65 Dell BOARD OF siITERVISORS of CONTRA COSTA COUNTY INSTRUCTIONS TO C1,AVAANT A. A claim reladng to a cause of action for death or for injury to person or to personal property or growing crops shall be prweated not later than six months after the accrual of the cause of action- A claim relating to any other cause of aetiM shall be presemed not later than ane year after the accrual of the cause of action. (Gov. Code§9l 1.2.) B. Cltruns must be filed with the Clerk of the Board of Supeemsors at its office in Room 106, Cotaity Administration Building,651 Pine Street,Martinez,CA 94553, C• If claim is against a district governed by the Board of Supervisors, rather than the Coauty, the carne of the District should be filled in. D, If the claim is against mare than one public entity, separate claims must be filed against earl: public entity. E. ELmui See penalty fat iiaadulent claims,Portal Coda See. 72 at the end of this forma. ee!lel e .,to eeeoaeeepweeeeee6568622$85 YNeu••.6086008•See F" en� RE: Claim Ely: Reserved fo s Sling stamp ras wt•0 6 cc) za 6, RECE'V ® MOV 1 � 8 2008 Ageing tae County of Contra Costa or ) CLERK g0,A,' ;, �s4IvP f' l— �pywY vr�F _T DLSkriCt� OOA' 'OSTACp��S08S (Fill in the name), ) Tba undorsigned claimant hereby mokes claim against the County of Contra Costa or the above-named district in the stunt of$10�.00_-k and in support of this claim m4wesents as follows: 1. Wbert did the damage car injury occur (Give exact date and hots) J"V111 1 a-: 3a M . VV) - 2. VJbere did the damage or injury occm? (Include city and county) �1 C'k ono l�) COhtV•A- C rJ 5lA GOCJ•t��v , 3. How did the damage or injury occur? (Give full details;use extra paper if requirod) St.,)o�-5 locked uo7�Ocl� � gtrocJttd - G- fl .A PI-7 h aC .Po i c� v S 1, err i�F da„�aye�my r-'1� 4. What particular acor omission on the part of eouary or district officers, servants, or employees � N yedthe�)e)ry'� Ee�, � k; Gk VNen,d S�ow�r 5 What are the names of county or district officers, servants, or employees_causing the damage:of injury? ��1�r t�`�5 ) r -vd c e ,C 1N/31!cLC�B 14:57 CONTRR COSTP COUNTY CLERK OF TNF 4 9151e,949153S NO.755 002 b. What damage or injuries do you claim resulted? (Give full intent of iajttties or damages claimed. Attach two estimates foT auto damaga.) -`�� e V-1Ta Y wt vn e- 1 !S C-0 c�cct � CIL ill oVA'-'.y..y V- Lq �V t`— e— m 7. How wqs t e aount claimed above computed? `-Gnc�ud1� e the estimated amowa't of any prospective injtay o.damage.) 5 vj O o D. DS tat A9 S� L# STJ O o e7 a J'V FF�s!/lVlq' � Sje70r�� y �� vAIK dK ( f7jD)v'O[i ` CXW �� JJ .}, g Y B. N�essaand add sse of v tnems,doctars,and hmpiu"; i I J 1�C r ��a�� • t T � q �� I c� vt� os �� Gt 9. List the expenditures you made on acoouat of this accident or injury: S Ganvtfi� (�%Q �� tit— 4jO � k _ _57I V 0966amNes9 Naeemeeem99ea go ago 66094909a06966ae69a•66 aaa Y666 H99 P•U9.6f 9.9+669 as 009069.1 Gov.Cade Sri. 910.2 provides"The claim shall btr )signed by the claimant or by some person on his behalf:" �ENVD NOT;iCES 70; (A.tttvaey) 1 N=c and address of Attorney ) } (Clainiattt's Si :iture) i.� c-- _tea (Address) L c l-ua ►i d� C-A _ 6 Telephone No. )Telephone Noe 10) R —O 7 Ss /o, 3 7. / a$aaa Roo 0ameaNa06R•ss60.Dole masssaeeofoil oil aasteam a6•seOat0N9.9I••6900ase#ama• as MANOR, PUBLIC RECORDS NOTICEt Please be advised that this claim form,or any claim filed with the County under the Tort Chums Act, is wbjeot to public disclosure wader the California Public Records Acct. (Gov. Code, 56 6540 et seq.) Pwther-xpore, ny sttaehtncnte,eddestdurns,or supplements attached to the claim form, including medical mcords, are also subject to public diSolosure. ease&gee me#a 69141ee04 a 6 exacts a 9a9/baa too a4a covet 166666666619ROss 966**a 09+N9as r 99969.01 Section 72 of chs Penal Code provides: Every person who,with intent t❑ defraud, presents for allowimee or fot payment to any state board or officer,or to a ry county, city, or district board or officer, autharind to allow or pay the same if genuine, any fal3e or fraudulent clean,hili, aecount vouchcr,or writing, is punishable either by imprisoumem in the Counvy ail for a period of not more than one year, by a fiat of not exceeding one thousmnd dollars ($1,000.00): or by both such imprisonment and rase, or by imprisorimaK in the state prison, by d fine of not exceeding ten thousand dollars ($10,t10tJ),or by both such imprisoameet sad fine. T fS Y 1 x. C� >a GD w �s t•'{ C�