The URL can be used to link to this page

Home My WebLink AboutMINUTES - 10282008 - C.15 (17) CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: OCTOBER 28, 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 Supervisors. (Paragraph IV below), given Pursuant to Government Code AMOUNT: $25,000.00 plus Section 913 and 915 ga%q � "Warnings".CLAIMANT: LAMOS WAYNE STURGIS NIS:. 2 2 2008 ATTORNEY: RAND STEPHEVS DATE RECEIVED: JkRT Z�F.L ADDRESS: 1155 - C ARNOLD DRIVE #278BY DELIVERY TO CLERK ON: SEPT. 19, 2008 MARTINEZ',- CA. 94553 BY MAIL POSTMARKED: SEPT. _18, 2008 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. SEPTEMBER 22, 2008 DAVID TWA; Cie Dated: By: Deputy 11. FROM: County Counsel TO: Clerk of the Board of Su ervisors (i,41-This 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 911.3). O Other: Dated: By: Y}7 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. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated:&12� ,/•Z8 �,ad�ID TWA, CLERK, By Deputy Clerk WARNING(Gov. code section 913) Subject to certain exceptions,you have only sue(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 1 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: a6,,/e?9 aeWAVID TWA, CLERK; By Deputy Clerk This warning does not apply to claims which are not subject to the California Tort Claims Act such as actions 1*inverse condemnation, actions for specific relief such as mandamus or injunction, or Fed era L.CiviC Rights claims. The above list is not exhaustive,and legal consultation is essential to 'understand all the '4'' 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 u k cRECENED SEP 1 y 2008 GOVERNMENT TORT CLAIM FORM CLERIC BOARD OF SUPEM VISORS CONTRA COSTA CO. (PLEASE TYPE OR PRINT ALL INFORMATION REQUESTED) CLAIM AGAINST P0072A (0072. a/, TJP/JT_(NAME OF PUBLIC ENTITY). 1. CLAIMANT'S NAME: Laos L "c- rl—,,R kig 2. CLAIMANT'S MAILING ADDRESS: 20/ Pnu)Qi 97-- (ADDRESS) )'(ADDRESS) MBAR i'rlEZ /Ah&Pnra 9ySS53 (CITY) (STATE) (ZIP CODE) 3. AMOUNT OF CLAIM: $ d=s IF THE AMOUNT CLAIMED EXCEEDS TEN THOUSAND DOLLARS($10,000),THE AMOUNT OF THE CLAIM SHOULD BE UNSPECIFIED AND CLAIMANT SHOULD INDICATE THE TYPE OF CIVIL CASE: ❑ LIMITED CIVIL CASE($25,000 OR LESS) NON-LIMITED CIVIL CASE(OVER$25,000) 4. ITEMIZATION OF CLAIM: (How was the amount claimed above computed;list items totaling amount.set forth above,including damages for pain and suffering,if applicable). IF YOU HAVE SUPPORTING DOCUMENTATION FOR THE AMOUNT CLAIMED(BILLS,RECEIPTS,ETC.), PLEASE ATTACH THREE(3)COPIES TO THIS CLAIM. ITEM DOLLAR AMOUNT �UP ;n AT) j 1,77 ; r o00 (CONTINUE-ITEMIZATION ON SEPARATE SHEET, IF NECESSARY) 5. ADDRESS TO WHICH NOTICES ARE TO BE SENT IF DIFFERENT FROM LINES i AND 2: AIIA(V X 73-/)//r',✓9 A7_7_01 /-V- (NAME) //35- G AkVOU V2 4,0471 (STREET OR P.O.BOX NUMBER) O. (CITY) (STATE) (ZIP CODE) 6. DATE&TIME OF ACCIDENT OR LOSS: 7. LOCATION OF ACCIDENT OR LOSS(INCLUDE CITY,COUNTY,AND STREET ADDRESS,INTERSECTION,ROAD NUMBERS OR MILE MARKER): 7YE OI' Tf/G VfAiA/ 77h EAJ77O A/ i e;A l tly 47- 90/ �arllT S: r17a,Pi,'yc Cfl 8. HOW DID THE ALLEGED ACCIDENT OR LOSS OCCUR? STATE ALL FACTS WHICH SUPPORT YOUR CLAIM AGAINST THE PUBLIC ENTITY: L ow &Z i-8 4o9n A' / /.C/J1) OX;vYA11 AiH 1= /4x JAGTu/Al - •. - -- -P '/T �� , v_,'nri P,S'L'�/;?�i•'�- .baP� Ird 7� __ /,,{N� 0AM-=a 1177lie i�e- Y�+ o/' el-13. -Z P�'/�.1le r 1Ael- #e ��/��II -T 112,-19/pd -T a" >eol",4 ? IV/a// 1 n6LK P r/P Y./.,,a S/0/0 (CONTINUE ON SEPARATE SHEET,-IF NECESSARY) /fNec 9. DESCRIBE INJURY DAMAGE/pLOSS: /Jn! // /"Zf 1 i ) 7A //yv Yl fl" w A 7 . (CONTINUE ON SEPARATE SHEET,IF NECESSARY) 10. NAME OF PUBLIC EMPLOYEE(S)CAUSING INJURY/DAMAGE/LOSS,IF KNOWN: Z2Lc19U%V MAR %`i�/cZ / / 11. SIGNATURE OF CLAIMANT OR ATTORNEY/REPRESENTATIVE: X DATED: D 12. DAYTIME TELEPHONE NUMBERS(PLEASE INCLUDE AREA CODE) CLAIMANT ATTORNEY/REPRESENTATIVE ( X ) LAW4& 14- UA& (X ) Baan �pHEb3 90/ eOdkT Sr IISS-e ,4At10/n.rtAt7,? rJ�4QiiAfE2 M fj'-TNOTICE MAQ%/iveZ, 44 9yS33 SECTION 72 OF.THE PENAL CODE PROVIDES: "EVERY PERSON WHO,WITH INTENT TO.DEFRAUD,PRESENTS FOR ALLOWANCE OR FOR PAYMENT TO ANY STATE BOARD OR OFFICER,OR TO ANY COUNTY,CITY,OR DISTRICT BOARD.OR OFFICER,AUTHORIZED TO.ALLOW OR PAY THE SAME 1F GENUINE,ANY FALSE OR FRAUDULENT.CLAIM,BILL,ACCOUNT,VOUCHER,OR WRITING,"IS GUILTY.OF.EITHER A MISDEMEANOR OR FELONY AND MAY BE SUBJECT TO IMPRISONMENT AND/OR A FINE. F { // O7I� JylLl • f � —_1�4'r4 Ll1 crL 1 t�� e_ le-Is-- e. , /A7---a — ZJ d`1e 2 ' !rtete -` yy � Idin __e .SO /TTS C7" -- J_�__ ..L!lj � lle-- ------I-1 LLA --- - - LA))CIL 'Oor - -- � -- �La- - . C 102 -- RECEIVED SEP 1 2008 CLERK BOARD OF SI)PEtIVISORS GOVERNMENT TORT CLAIM FORM CONTRA COSTA CO. (PLEASE TYPE OR PRINT ALL INFORMATION REQUESTED) CLAIMAGAINST P00-RA POST.k ,Y/p/; 7JP (NAME OF PUBLIC ENTITY). L CLAIMANT'S NAME: LAMoS AVf4E A-771Rtrlb' / 2. CLAIMANT'S MAILING ADDRESS: 901 PO//RT (ADDRESS) R i:p(t Z (A1;&P/7in 9yS53 (CYM (STATE) (ZIP CODE) 3. AMOUNT OF CLAIM: $ IF THE AMOUNT CLAIMED EXCEEDS TEN THOUSAND DOLLARS($10,000),THE AMOUNT OF THE CLAIM SHOULD BE UNSPECIFIED AND CLAIMANT SHOULD INDICATE THE TYPE OF CIVIL CASE: Q LIMITED CIVIL CASE($25,000 OR LESS) NON-LIMITED CIVIL CASE(OVER$25,000) 4..ITEMIZATION OF CLAIM: (How was the amount claimed above computed;list items totaling amount.set forth above,including damages for pain and suffering,if applicable). IF YOU HAVE SUPPORTING DOCUMENTATION FOR THE'AMOUNT CLAIMED(BILLS,RECEIPTS,ETC.), PLEASE ATTACH THREE(3)COPIES TO THIS CLAIM. ITEM DOLLAR AMOUNT • S ZtP// ^ 'ODO _1M,Ti�,A/U.P /2 Ain Lt I.1 L,'.G 42S . (CONTINUE ITEMIZATION ON SEPARATE SHEET,IF NECESSARY 5. ADDRESS TO WHICH NOTICES ARE TO BE SENT IF DIFFERENT FROM LINES l AND 2: ) / ya) Q G A,5/r:�/S d i TD�i/P i �� (NAME) ' 'AIL (STREET OR P.O.BOX NUMBER) . . - (CITU) (STATE) '(ZIP CODE) . 6. DATE&TIME OF ACCIDENT OR LOSS:, �.�nir/1 �2aOR /O,'•70AM 7. LOCATION OF ACCIDENT OR LOSS(INCLUDE CITY,COUNTY,AND STREET ADDRESS,INTERSECTION,ROAD NUMBERS OR MILE MARKER): ME EkE 2Y4E76x 'oi, A-tAA177�ESO Al C; 8. HOW DID THE ALLEGED ACCIDENT OR LOSS OCCUR? STATE ALL FACTS_ WHICH SUPPORT YOUR CLAIM AGAINST THE PUBLIC ENTITY: p -,/ 1 o Le%va1 e�d/ /!1 iP /�/��e d� Z a dl �To(L'./�o �i- zfe (CONTINUE ON SEP TE SHEE'Ijr N 4 CESS Y) I-JW C 9. DESCRIBE INJURY/DAMAGE/LOSS:JQ rias wQ i V /�!i�J e /I IS(CONTINUE ON SEPARATE SHEET,IF NECESSARY) 10. NAME OF PUBLIC EMPLOYEE(S)CAUSING INJURY!DAMAGE!LOSS,IF KNOWN: Z) /du NAi`✓CZ 11. SIGNATURE OF CLAIMANT OR ATTORNEY/REPRESENTATIVE: - X DATED: Yll 12. DAYTIME TELEPHONE NU ERS(PLEASE INCLUDE AREA CODE) . CLAIMA � STaRG/S ATTORNEY/REPRESENTATIVE LAA490/ ('oc/a'- ST X, .IlS3-c ,4RNolD.�.�a�A' lJAATinlEL C/f�y;I3NOTICE M,49;7Nfz.; CA yYU3 SECTION 72 OF THE PENAL CODE PROVIDES:. "EVERY.PERSON WHO,WITH INTENT TO.DEFRAUD,PRESENTS FOR ALLOWANCE OR FOR PAYMENT TO 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 GUILTY.OF EIT�4ER " A MISDEMEANOR OR FELONY AND MAY.BE SUBJECT TO IMPRISONMENT AND/OR A FINE. c F' \ gN 4 O Alto, NN a pcot 0,c 5 •\ crautO v i „a to n. 1 Z131), a c✓J j_l 0 , 'tom