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Home My WebLink AboutMINUTES - 02122008 - C.11 (3) CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY • BOARD ACTION: FEBRUARY 12, 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. Axgm � you is your notice of the action taken v on your claim by the Board of JAN 0 9 2008 Supervisors. (Paragraph IV below), given Pursuant to Government Code AMOUNT: UNKNOWN COUNTY COUNSEL Section 913 and 915.4. Please note all MARTINEZ CALIF, "Warnings". -'-'CLAIMANT: ANTHONY SIGNORELLI ATTORNEY: UNKNOWN DATE RECEIVED: JANUARY 09, 2008 ADDRESS: 2268 MANARET DRIVE BY DELIVERY TO CLERK ON: JANUARY 00, 2008 MARTINEZ, CA 94553 RECEIVED FROM RISK BY MAIL POSTMARKED: MANAGEMENT FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN CULLEN, C Dated: JANUARY 09, 2008 By: Deputy 11. FROM: County Counsel TO: Clerk of the Board of Su rvisors ( ) This claim complies substantially with Sections 910 and 910.2. ( i.KThis 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 91 1.3). O Other: Dated: f� ��l OCA By: Deputy County Counsel 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. OARD ORDER: By unanimous vote of the Supervisors present: . (wf This Claim is rejected in full. O Other: I certify that this is a true and con-ect copy of the'Board's Order entered in its minutes for this date. DatedQy�= /-e .ZrofOHN CULLEN, CLERK, By �f� Deputy Clerk WARNING (G v. 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 widr this matter. Ifyou 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 clainiant as shown above. Dated JOHN CULLEN, CLERK By Deputy Clerk OFFICE OF THE COUNTY COUNSEL SILVANO B. MARCHESI COUNTY OF CONTRA COSTA � •'"- ��+ COUNTY COUNSEL Administration Building 1•`— _ '��. 651 Pine Street, 9"' Floor *' - -�`• SHARON L. ANDERSON Martinez, California 94553-1229 #�' _ _- _ ;, CHIEF ASSISTANT (925)335-1800 A� _ y,,,1�. .4` �� GREGORY C. HARVEY VALERIE J. RANCHE (925)646-1078(fax) ASSISTANTS ti �Osr'9 COUTZ'�•C•4` NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: Anthony Signorelli 2268 Manaret Drive Martinez, CA 94553 RE: CLAIM OF ANTHONY SIGNORELLI 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. [X] 2. The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. [ ] 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. [X] 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. Anthony Signorelli Re: Claim of Anthony Signorelli Page Two [ ] 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. [ ] 8. Other: SILVANO B. MARCHER COUNTY COUNSEL By �(�&onika . 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 /- /7- 0 e(? , 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 Anthony Sinorelli,2268 Manaret Drive,Martinez,CA 94553,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 — 7 at Martinez,California. K thleen O'Connell cc: Clerk of the Board of Supervisors(original) Risk Management BOARD OF SUMVISORS OF co-WRA. COSTA CoUWy v o�~� •.��51 a 1 fAIS�',R UCTIONS To CZAJn4NT A. A claim relating to a cause of actioa for death or for iujurp to person or to personal property or growing crops shall be presented not latex than six months after the aoc� of the cause of action. A claim relating to any other cause of action shad be presented not later than one year after the acetal of the cause of action- Penny Bailey (Gov. Code § 911.2.) JAN D 8 2008 B. Claims must be filed with. the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pune Street,Martinez, CA 945 53. i C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be flUed 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. REAR YYYMaMffXMXzzM■ft i YY WE zza Emu*EVEN ENRON RKMENE RON i Y IaYitY�aYYiYa��YR�RRSR Y�rrRRl RE: Claim By: Reserved for Clerk's filing stamp RECEIVED Against the County of Contra Costa or ) JAN 0 9 [uuu District) CLERK BOARD of g (Fill in the name)- coNrRA cost p o!'IseRs The undersigned claimant hereby makes claim against the County of Contra. Costa or the above-anaumed district in the sum of$ 1 and in support of this claim represents as follows: I. When did the damage or injury occur? (Give exact date and hour) "%- a3 -ao hog f v�`hc�o��\ - OaNk - c N e- 2. Where did the damage or injury occur? (Include city and county) 1 ) Ioa.6 by Se.��cs 3. Row did the damage or injury occur? (Give fill[datails;use extra paper if required) Co�S\-CN Sherr ue,o \T� V edc-)-d OUV Q. ( 4. What particular act or omission on the past of county or district officers, servants, or employs caused the inju�r or damage? 5 What are the names of county or district officers, servants, or employees causing the d2ma 01 injury? T W,, 'ON INWOMA �SiN 1�0 Wd9F. : 1 /007, '9l 'AON 6. What damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed. .Attach two estimates for auto damage.) 7. How was the amount claimed above computed? (laclude the estimated amount of any prospective injury oz damaage.) S. Names and addresses of witnesses, doctors, and hospitals: 9. List the expenditures you made on account of this accident or injury: DATE TIME AMOUNT' ■ maammssammmasaamumsMaasakanaEMNaaalaaslmaANFREEMR■■M■■ERRREERamWMKu%WaamRaaRmaEaaaal ) .Gov. Code Sec. 910.2 provides"Tl1e claim shall be )signed by the claimant or by some person on his )behalf" SEND NOTICES TO. (AttorpgyA___.__ Name and address of Attorney ) } (Claimant's Signature) } (Address) } } Telephone No, ) Telephone No. USE pro gas sums aa■ala l k MANE a Mm aaka knaanaAXXFXM noERR an MR as RUN fa MEMBER aa■a 1M Mann aaAaamEV PUBLIC RECORDS NOTICE: Please be advised that this claim form, or any claim Fled with the County under the Tort Claims Act, is subject to public disclosure tinder the California Public Records Act. (Gov. Code, §§ 6500 et seq.) Furthermore, any attachments,addendums, or suppleraeuts attached to the claim form, including medical records, are also subject to public disclosure, a Manx AMa Ram mum E a on E a am RB as a assay go a m am a on ask as ak mom a a AN mum REa NaRRR*IIP RMI a a a a a ENEMA"Bi NOTICE: Section 72 of the penal Code provides: Every person who, with intent to defraud, presents for allowance or for payment to any irate 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 writm.g, 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 ($1,000.04), or by both such imprisonment and f a, or by imprisonment in the site prison, by a fine of not exceeding ten thousand dollars ($10,000), or by both suzh imprisonment and lime. F w. 'nN NgNgnVNVN NC I N I11 NA . : I /007,, '9I 'nnN Dec 18 2007 6: 25PM CSAR 925-524-0529 p. 1 Date: 12!18!2007 05:51 PM Estimate ID: 01-KX49512 Estimate Version: 0 Committed }c >eProfile ID: CUSTOMIZED :th••ti5 •• i_.: •:nr� s''L j•::fes: K -41 ..X: �,j a r�>�•)+ii+C,'yI, ii :•4 3" 9 1 `, Cafifa�r�rr�'a SW '�tc�t� `;�l�s"�� n 'g ;• City, A 94585-0920 N • -r>.�:;r:� i;? -z's'ei�".f:•:?y; ,.dr' Rfl >L47�("9it0;j9itTii3tiGi ,G , . •, ,. �.;t:, -0533- 4 Q Tt i>.,.;i:;c �':n.. 1�'-. t .tr.... ` 707).843-9952 n_.;si ii•tt: lxfWL 1DwnepsAsses-- Sr. SCOTT DUNN '''"i;t:`3t:'st;r• ' ca 02 W 1•>O�L,QsS arf7wlsiOn'r, .yu '... - �;r7T_ 7�r .. .'�.. 1�'1< Datsot•l.oss:.,11l812007 ;fin,-r . -�.°*:.;,-1•q:;,,r 't',�'' UffscfucaJble NoNEKXA9512 r:5i t ;.a y j sari!' .':r ,. tl j bar. 01 Policy Not Insured: ANTHONY SIGNORELLI ''a -is< ');.._ ui;,+jt•=I f.:'4 'Ooiror.i.tANTH(WSIGNORELLI �_;'1';•:"c,- '�`'`' . tl:�' ,�; ' eia }�.r.• T :,. 9109.82 ,. �� .. � r C.� (fir"' Detcription: "1979 Volkswagen Rabbit Drive Train: 4 Cyl Body Style: 2D HB License: SAPG624 CA Mileage: 156,987 OEWALT: A Search Code: CONTRACOST � �ii�c,.f�' ;b't�1i�RG1TSE` $� �$:'s'��.n.,s :P�i��'�'bE•BC��$� 19'$� DECD. I Cf iED` 1C R�ACTMMD AgW=Tt#`Ei _ REC Y tTY4d3irC�"� > CPA=, PARTS 'DE5CR1PI=1:'M ;"QUAL NON-OEM A MTOG111tI1MT PARTS- i,::c:: r.,.. A5',• :��: {.•V•. ,i`a?.4. ,._. .:'i'.c•4�i`i� !'X:�;ai�':� :'.7i ltday�, j�; Pii+ft ai"IW Dollar Labor ' ' Lina Item Line Entry "1, • Part Number Amount Units Item Nurhb6V T rri4idt� ttil Rion - 1 015250 $DY REPAIR LQI�AF�T �tQl ,fi PANSL Existing 1.0'tl 2 AUTO REF REFINISH L QUARTER PANEL OUTSIDE C 2.7 3 015990 BOY REMOVFJINSTALL L QUARTER MOULDING Existing 0.3 ;ail ,;>r.. X'3 R&R Time Used in R&'I Opemtl on 5 018160 ' � IO CSI '�''L�IUARTEFt STONE'WARDExi Existin tin 931 A 413.50 0.2 1.0'# 6 016310 "�#C ,'.` pplipl)! l�NS`TALL L QTR GLASS STATIONARY g 0.3 7 016536,,. .. 11NSTALL- L COMBINATION LAMP ASSEMBLY Existing 8 R&R Time Used in R&1 Operation 9 0001d11r: MQVEIINSTALL L MARKER LAMP ASSEMBLY r;r:j+:: ,};��H;r':: ! !118 ;: _ . 10 R&R Tim Used in R&I Operation 11 0181?0 BiyyF": REMOVEtREPLACE L REAR BUMPER END CAP 171 807 142 129.000 0.2 * 12 936008 ADD'L COST PAINT/MATERIALS 3.00 131.1 93601. IaOD'L COST HAZARDOUS WASTE DISPOSAL 14 AYTQ;.;; F, ;.•� / :Q.L OPR . CLEAR COAT 0.3' 15 933003 REF ADD'L OPR TINT COLOR v.k. `z{ kl ESTIMATE RECALL NUMBER: 121181200717:751:10 014(X49512 UltraMate Is a Trademark of Mitchell International :4:.wt:s:o . Mitchell Data Version: NOV_07_V Copyright IC)1994-2005 Mitchell International � c:::;;•:'r•:,•r; t; '� of 3:,: ;:;�ir UltraMate Version: 6.0.028 All Rights Reserved Ca. ,=:i Dec 18 2007 6: 25PM CSAR 925-524-0529 p. 2 Date: 1211812007 05:51 PM Estimate ID: 01-KX49512 Estimate Version: 0 Committed Profile ID: CUSTOMIZED -Judgment Item #-Labor Note Applies d-Discontinued by the Manufacturer C-Included in Clear Coat Calc Add'I Labor Sublet Amount 1. Labor Subtotals Units Rate Amount Amount _ Totals Il, Part Replacement Summary 73.35 Body 2.0 73.00 0.00 0.00 146.00 Taxable Parts 8,250% 6.05 Refinish 4.1 73.00 0.00 0.00 299.30 Sales Tax Glass 1.0 73.00 0.00 0.00 73.00 Total Replacement Parts Amount 79.40 Nan-Taxable Labor 518.30 Labor Summary 7.1 518.30 Amount IV. Adjustments Amount Ill. Additional Costs - - 0.00 Taxable Costs 129.00 Insurance Deductible Sales Tax @ 8.250% 10.64 0.00 Customer Responsibility Non-Taxable Costs 3•DO Total Additional Costs 142.64 Total Labor: 518.30 II. Tota!Replacement Parts: 79.40 lII. Tota I Additional Costs: 142.64 Gross Total: 740.34 IV. Total Adjustments: 0.00 Net Total: 740.34 Insurance Co: California State Automobile Assoc. Address: PO BOX 920 Suisun City,CA 94585 Fax Phone. (707)883-9052 NOTE: YOU HAVE THE RIGHT TO SELECT THE BODY SHOP THAT WILL REPAIR YOUR VEHICLE. THIS IS NOT AN AUTHORIZATION BY CSAA FOR REPAIRS. NOTE: YOU HAVE THE RIGHT TO SELECT WHICH BODY SHOP WILL REPAIR YOUR VEHICLE. THIS IS NOT AN AUTHORIZATION BY CSAA FOR REPAIRS. AS THE OWNER OF THE VEHICLE YOU ARE THE ONLY PERSON WHO CAN AUTHORIZE REPAIRS. YOU MUST GIVE THIS ESTIMATE TO THE REPAIR FACILITY AND THAT FACILITY MUST ACCEPT THIS ESTIMATE BEFORE YOU AUTHORIZE REPAIRS. THIS ESTIMATE CANNOT BE CHANGED WITHOUT CSAA'S CONSENT AND APPROVAL. CSAR IS NOT OBLIGATED TO PAY FOR ANY ADDITIONAL DAMAGE UNLESS CSAA INSPECTS THE ADDITIONAL DAMAGE AND APPROVES ANY CHANGE BEFORE THE REPAIRS ARE STARTED. ANY QUESTIONS CONCERNING THIS ESTIMATE ARE TO BE DIRECTED TO THE CSAA REPRESENTATIVE WHO HAS PREPARED THIS ESTIMATE. ESTIMATE RECALLNUMBER: 12118!200717:51:10 01-KX49612 UltraMate is a Trademark of Mitchell International Mitchell Data Version: NOV 07 V Copyright(C)1994-2005 Mitchell International Page 2 of 3 Ultra Mate Version: 6.0.028 All Rights Reserved Dec 18 2007 6: 25PM CSFlR 925-524-0529 p. 3 Date: 1 211 812007 05:51 PM Estimate ID: 01-KX49512 Estimate Verslon: 0 Committed Profile ID: CUSTOMIZED ESTIMATE RECALL NUMBER: 121131200717:51:10 01-KX49512 UltraMate is a Trademark of Mitchell International Mitchell Data Version: NO% O7-V Copyright(C)1994-2005 Mitchell International Page 3 of 3 UltraMate Verslon: 8.0.028 All Rights Reserved �ypl• � to y � � , 5 1Y i?Sc Y 'Y+ Yr 'NMITT, •�` �� ,5+ g �� ` � �` a �. d ' 1 f,