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Home My WebLink AboutMINUTES - 02122008 - C.11 (9) 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 referp�,� � The copy of this document mailed to California Government Codes. llIhlll"`�� you is your notice of the action taken �ItiIV 7 2008 on your claim by the Board of COUNTY COUNSEL Supervisors. (Paragraph IV below), MAFFINEZCALIF. given Pursuant to Government Code AMOUNT: UNLIMITED JURISDICTION, IN Section 913 and 915.4. Please note all EXCESS OF $250,000.00 "Warnings". CLAIMANT: PATRICIA RINCON ATTORNEY: CHRISTOPHER J. KEANE DATE RECEIVED: JANUARY 07, 2008 ADDRESS: 530 JACKSON STREET, BY DELIVERY TO CLERK ON: JANUARY 07, 2008 SAN FRANCISCO, CA 94133 BY MAIL POSTMARKED: HAND DELIVERED FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JANUARY 07, 2008 JOHN CULLEN, Cl 'k Dated: By: Deputy II. FROM: County Counsel TO: Clerk of the Board of Su rvisors (L),"rhis 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 91 1.3). O Other: Dated: � — � �' � By: Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). 1V. BOARD ORDER: By unanimous vote of the Supervisors present. . (y� 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:A ma- 1. iAWJyP1HN CULLEN, CLERK, By Deputy Clerk WARNING (Gov. 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 covet 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 attorricy,you should do so i nu nediately. *For Additional Warring See Reverse Side of*This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I ain 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�/Q ,c4 /.? .ZwVJOHN CULLEN, CLERK By Deputy Clerk BOARD[)F sumvisoR5 OF CONTRA COSTA COUNTY -` �t,T�1, t37d�„TQCLAA�iANT A. A claim rotating to a cause of action for daat}t ox for t4wY to person or to petsowl property or growiug crops shall be presented not later than six months after the accrual of the cause cf action. A dales relating to any other mm of acdon shall be preseuted ngt lata than ont year Mar the.8=ual of tae cerise of amort. (Cm-v, Code§911.2.) B. Claims must be filed Mth the Clerk of the Bowd of Supervisors at its Vice in Room 10,6, Cotmty A& fi ctsa on Building,651 pine St eat,Marfa=CA 94553. C. if c3sim is against a district gov=esd by the.Bond of Suprsvisvrs, rather d= th<e C=ty, the suite of tbt Distr tt should be filled in. 1). If the edema is agast marc than ow public entity. aeparste claims gust be filed againe, each public entity, E. FrWd. Sea peualtiy for Bern eburs,Penal Code Sec.72 at the end of this form. •t$;too I$110008 ltfsaxoten*nag* I Iia$wage♦.*as rft•i I I a IV 0-me-re==t s♦ R1~: CWM By: Reserved for Clark's filing stump Patricia Rincon } RECE`"wfE® Agailt W ca=ty of Contra CostA 07 ) JAN 0 7 cuuo } 11> t} CLERK BOARD OF,,°UPERVISCRS (Pill in the mac) CONTRA Cos-,A CO. The undamped cl33i =t hereby melts claim against the CoMtp of Ceuta Costa Of the above.n'ned &strict w the V=of$ atld in RWwt of this clsim mpresauts as f6kws= jurisdiction, in excess of $250,000.00 i. 'When did the damage or i4wy owr? (Give eater daft and bow) July 7, 2007, between. 11:00a.m. - 2:00p.m. 2. Wbar'e did the darasge or it►.M OOCui? Gmtude city end cotmty) San Francisco,CA s, ljcrW did th$daJnaga aQ ir3 y 00CIIr? (fte flill dtils;Wr CICtrB papif nqt ) Feeontay Ortiz, son of Patricia Rincon, died 4� aw What pt oWar act or omismoa on the paps of county or di=ict a�r1, aavantc, OT e= la'yees owuadthe Wury dr d=age? Contra Costa County Health Services employees at Martinez Regional Medical Center and/or Pittsburg Health Center, including but not limited to Dr. Charlotte B. Standefer, were negligent,professionally egligent and 5 Vtat are 1he sMeg of eounty or district offia em,savant or employees mg e comit�etl dan2aor iwm-y? malpractice which $� proximately caused Not known, other than Dr. Charlotte B. Standefer death of Feeontay Ortiz 'S. What d=4p, or injuries do your olein rwiltcd? (Givo fid] odmi of injuries 07 d=ges claimecL Wrongful Death of Patricia Rincon's son, less of society, loss of companionship, loss of consortium, funeral expenses. 7. How was thea amouat claire ebtsve crrmputcd? (Iaduda du cs6naLtad amour of any prospt4--dve injury ar damage,) Unlimited jurisdiction, wrongful death $, blames aidaddMSe.SOf'wftessts,&cOModhospiW rl.Patricia Rincon 1621 Cavallo, Apt. B Antioch, CA 2. Charlotte Standefer, 2311 Loveridge Rd. Pittsburg, CA 94265 3. Pittsburg Health Center, 2311 Loveridge Rd. Pittsburg, CA 4. ar inez Regional Medical 9. U%t the expwditures you made on aec wl of this secddent o2 k j uty; le h amUa 94533 ALTE T%M AMOLTIa Mar in , July 12, 2007 n/a $3,500,.00 (Funeral) ••:rase•a•asrnsssaaaa■sarrarrrraaarrrr�lrs�ssafrs•raa••ra••r••rs•aarararrr•rasrasarr Gov. Cam Sec.910,2 wovida"Tke claim ahail be signed by t1z clxistaant dor by soma pa his 1 Na=and address ofAttomey Christopher J. Keane ) 530 Jackson Street )___1621 Cavallo Rd. Apt. B San Francisco, CA 94133) O Antioch, CA 94509 \�arrr• rr� r r r rf J Telaphots No. ��5 �Q_��,7 )TrlepbctieNn. 415-756-3389 r•d rraralNafisa ell s as 50014 Poo oIa•yyrsYyoffiffm•as.•/rrl'pr�sys�+l r�Tryl�rll�r}/�ipr ai!•rrs•ra0 of W WOOS 11 agov i� rf•s please bo advised tbst this claim f nm, or any claim filed vqt the Cuuuty uudar ft Tort Cldlms Act, is subject to public disctawe unda'r the Cnlifasnsa Public R.etords ,+lit. (Gov. Code, 56 6500 at seq.) Furtbermore, any a bala wag,addendum,or YtkROOMents AfteW to dw Glint!fcM 1DC UdtA&vnedicC mzor&,Am 0390 subject to public disc-10=6- am age If In N'Imoo iselo=e.amar•i•olrsa•r•rr•r•aa•rare/•ralrr•r••r•ira •riaaro none Nara Pon a Dow a■$ AlO'I'iCES sectio."n of 1iv Petsal Cade provi4s- Beery P°rs°n who,witls hyWa to slefirwd,its fuer allowatu o or for psytt om to any stm board or ofrrccr,or to sny county, city, or district Wvd (r of& r, r4vd M allow ar pay Jho sezaa if ge�tuix3�, any fklot or f=dulent claire,bill. 8t~c=t vows, ar wriEtin& W gOWMble CWW by'vWria0v=At in xha C fty j o-u f;x a psdod Of not more thw one year, by a Ano of not==Zang taus tthousimd dollars (5),000.00), or by bath such imprisem adt and Sine, ar by ilnosoWWt iz the stib Pd�by a fiaa Of not excsedin8 tan thousdnd dollars (510,400),or by both such imprironment and fwa.