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Home My WebLink AboutMINUTES - 11182008 - C.12 (17) CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: NOVEMBER 18, 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 f j L5C5 v _ on your claim by the Board of OCT 16 2008 Supervisors. (Paragraph IV below), Mkivjn Pursuant to Government Code COUNTY OOUNSE IjWction 913 and 915.4. Please note all AMOUNT: $2,507.47 MARTINEZ CALIF. ' "Warnings". CLAIMANT: CALIFORNIA STATE AUTOMOBILE ASS. FOR: LYNN ARNONE BY: RICK ENGSTRUM OCTOBER 16, 2008 ATTORNEY: SOW DATE RECEIVED: ADDRESS: P.O. BOX 920 BY DELIVERY TO CLERK ON:OCTOBER 16, 2008. SUISUN CITY, CA 94585-0920 OCTOBER 14, 2008 BY MAIL POSTMARKED: FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. OCTOBER 16, 2008 DAVID TWA, Clerk Dated: By: Deputy. II. FROM: County Counsel TO: Clerk of the Board of Sup isors ( 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). ( ) 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: ��Cj�O By: tl l 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: M 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. Date d:/dc.ixlIY/0046AVIDT WA, 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 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:/jdeM6o DAVID TWA,CLERK, By Deputy Clerk j This warning does not apply to claims which are not subject to the California Tort Claims Act such as actions in:inverse condemnation, actions for specific relief such as mandamus or injunction, or Federal Civil Rights claims. The above list is not 'han tive and,legat", consultation is essential_,td unders"ta"nd'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 r California State Automobile Association Later-Insurance Bureau P.O.Box 920 Suisun City.CA 94585-0920 October 15, 2008 RECEIVED OCT 1 6 2006 CLERK BOARD OF SUPERVISO,iS CONTRA COSTA CO. Clerk of the Board of Supervisors Room 106 County Admin.Building 651 Pine Street Martinez,CA 94553 Re: Insured: Lynn Arnone Claim No.: 12-P 12751-0 Date of Loss: 09/15/2008 Dear Clerk of the Board of Supervisors: On September 15,2008 a Contra Costa County Sheriff's bus was making a right turn,and scraped along the driver's side of our insured's vehicle causing damage in the amount of$2,507.47. A copy of the damage estimate is enclosed,and we have paid for this damage. A copy of the check can be provided upon request. Now that we have concluded our insured's claim for vehicle damage, we intend to recover the loss from you. A return envelope is enclosed for your convenience to send a Claim form that I could not locate on your wed site. Sincerely, VVIl &9 Claims Specialist 888-582-3008 extension 6247 Fax 707-863-9052 1 � , �i t i .�.. \�� a - - .v �........_ L*ztts=:J 3:' ...Ft:':5;�.: :: •roti• u:i ..nii. -\, 1 ,., .. � � .. .. � - ' - 1 ,,. . .' 3 'j ,. � .'1 ' .-. - .� . '..� , _ _ - .. � - a . fid... � � :� Date: 10/03/0804:05 PM Estimate ID: 4377 E slim ate Version: 1 Supplement 1 (F) 09/24/08 10:11:90 AM FINAL Profile ID: CSAA DRN Mike Rose Auto Body, Inc. 2260 Via De Mwcados,Concord,CA S4520-4923 (925)689.1739 Fax: (925)689-0991 Tax ID: 94.2621349 BAR#: 0969527 EPA#: CAR 000004317 Damage Assessed By: JASONTONER Supplemented By: DAMON SMITH 00 o 0 Condition Code: Good N Date of Loss: 09/15,08 Arrival Date: 09/16/08 0 Final to Owner. 09124)08 o' Payer.. Insurance Deductible: WAIVED r File Number. F Polity No: P127510 Claim Number. Al2P127511001 W V Insured: LYNN ARNONE } Owner: LYNN ARNONE m Address: 4776 INNWOOD CT,CONCORD,CA 94521.0000 Telephone'. Work Phone (510)6371654 HomePhone: (925)6878619 7 V Mitchell Service: 910017 W Description: 2006 Honda Accord E%Nay! Body Style: 4D Sod Drive Train: 2.4L Inj 4 Cyl 5A FWD VIN: 1HGCN0678SA123715 License 5UJZ122 CA s Mileage: 19,857 OEM'ALT: A Search Code: C764827 Color RED Options: ALUIWALLOY WHEELS,LEATHER SEATS,AUTOMATIC TRANSMISSION,NAVIGATION SYS. POWER DRIVER SEAT "ALL CRASH PARTS ON THIS ESTIMATE ARE "NEW" ORIGINAL EQUIPMENT MANUFACTURER PARTS, UNLESS OTHERWISE SPECIFIED. PARTS DESCRIBED AS RECHROMED,RECORED,REMAHUFACTORED OR, RECONDITIONED ARE CONSIDERED "REBUILT" PARTS. CRASH PARTS DESCRIBED AS "QUALITY REPLACEMENT PART" ARE NON—ORIGINAL EQUIPMENT MANUFACTURER AFTERMARKET NEW PARTS" Line Entry Labor Line Item PartType/ Dollar Labor CEG Item Number Type Operation Description Part Number Amount Units Unit FRONT BUMPER 1 BOY OVERHAUL FRT BUMPER COVER ASSY 22 # 2.3 S1 2 004193 BOY REMOVE/REPLACE FRT BUMPER COVER Remanufactured 192.00 ' INC # 2.3r 3 REF REFINISH FRT BUMPER COVER C 2.7 2.7 4 000393 BOY REMOVE/REPLACE LFRTBUMPER COVER BEAM 71190-SDA-A10 16.75 INC T 5 004196 BDY REMOVE/REPLACE L FRT BUMPER SPACER 71198-SDA-A10 6.68 INC T S1 6 004197 BOY REMOVE/REPLACE FRT BUMPER IMPACT ABSORBER 71170-SDA-A10 41.05 INC 22T GRILLE ESTIMATE RECALL NUMBER: 09/19/200809:51:19 4377 Mitchell Data Version: OEM AUG_08_V UltraMate is a Trademark of Mitchell International Copyright(C)1994-2008 Mitchell International Page 1 of 4 UltraMate Version: 6.5.020 All Rights Reserved i f: E A. ~,3: ,r �:l• �7Y. . . � �1.�... 'JAY:::}1.��•..•r� ...I:f�.y�'i�:�r-�..n�a_��{ n�� i??:.'�:YJ .,� ' r.:�' �.l�I �~.1:'.rl.t.i'\1-:'li.yr•[..^:1� eI.J:\I YbI�:��"ul�ll.':Y {r��. ..��.I.IU� YL Date: I0=108 04:05 P M Estimate ID: 4377 Estimate Version: 1 Supplement 1 (F) 09/24/08 10:11:50 AM FINAL Profile ID: CSAA DRN 7 004201 BOY REMOVE/REPLACE GRILLE 71121-SDA-A10ZA 68.65 0.1 # OAT 8 004202 BOY REMOVE/REPLACE GRILLE MOULDING 71122-SDA-A10 51.07 INC # 0.2r 9 004203 BDY REMOVE/REPLACE GRILLE ADHESIVE EMBLEM 75700-SSA-GOO 6.33 INC # 01T FRONT LAMPS S7 10 000964 BDY CHECK/ADJUST HEADLAMPS OA 0.4 Si 11 000960 BDY REMOVE/REPLACE LFRONT COMBINATION LANPASSEMBLY 33151-SDA-A01 236.10 INC # 1.6r HOOD 12 001383 REF BLEND HOOD OUTSIDE C 1A 2.4 FRONTFENDER 13 000866 BDY REMOVE/REPLACE L FENDER MUDGUARD INC 0.2 14 000837 BDY REMOVE/REPLACE L FENDER PANEL 04630-SDA-A90ZZ 244.07 2.1 # 3.4r 15 REF REFINISH L FENDER OUTSIDE C 2A 2.0 16 REF REFINISH L FENDER EDGE C 05 0.5 17 000841 BDY REMOVE/REPLACE L FENDER LINER 74151-SDA-AOO 44.13 INC # OAT IS 003514 BDY REMOVE/REPLACE L FENDER WHEEL OPENING MLDG 08P21-SDA-1M011 32.00 0.3 0.31' MANUAL ENTRIES 19 900500 BDY* REMOVE/REPLACE DOOR EDGE MLDG "NEW NON OEM 7.00 ` 02' T FRONT INNER STRUCTURE 20 003049 BDY REPAIR L FRONT BODY SIDEMEMBER ASSEMBLY S Existing Od`# 7.5 21 REF REFINISH/REPAIR LFRONT BODY.SIDEMEMBERASSEMBLY S 05' 1.0 ENGINE UNDERCOVER 22 004048 BDY REMOVE/REPLACE ENGINE SPLASH SHIELD 74111-SDA-A00 27.78 OA OAT AIR CLEANER S1 23 002529 BDY REMOVE/REPLACE AIR CLEANER RESONATOR CHAMBER 17230-RAA-ADO 66.57 ' 0.3 # 0.3r ROCKE R/PILLARS/FLOG R 24 002764 BDY REMOVEANSTALL L ROCKER MOULDING INC # 0.4 FRONT DOOR /j• 25 000743 REF BLEND L FRT DOOR OUTSIDE C 08 2.0 26 000661 BDY REMOVEANSTALL L FRT OTR BELT MOULDING o5 # 0.9,. 27 _'000663 BDY REMOVEANSTALL LFRTDOOR MOULDING - 03 # • 0.7•,., 28 . . CLEAN AND RETAPE MLDG " _. 29 '„ BDY ADD'L LABOR OP L FRT DOOR MOULDING 02' 30 ,;000665' BDY REMOVEANSTALL LFRT DOOR MIRROR INC 0.3 . 31';,^:000733 BDY REMOVEANSTALL LFRTDOORTRIMPANEL INC.� 0.4. 32'` 000531 BOY REMOVEANSTALL L FRT OTR DOOR HANDLE - 0.7 # 0.7 ADDITIONAL OPERATIONS 33 REF ADD'LOPR CLEAR COAT 2A' 34 LKQ SEARCH CAD-NO BRYAN-LK"O COREY-APU SOLUTIO ADDITIONAL COSTS$MATERIALS 35 ADD'L COST PAINT/MATERIALS 285.00 ' T 36 ADD'L COST HAZARDOUS WASTE DISPOSAL 2.38 ' -Judgment Item #-Labor Note Applies C -Included in Clear Coat Calc Remarks FINAL BILL ESTIMATE RECALL NUMBER: 09/19/200809:51:19 4377 Mitchell Data Version: OEM AUG-08_V UltraMate is a Trademark of Mitchell International Copyright(C)1994-20D8 Mitchell International Page 2 of 4 UltraMate Version: 6.5.020 All Rights Reserved Date: 10/03/0804:05 PM Estimate ID: 4377 E slim ate Version: 1 Supplement 1 (F) 09/24/08 10:11:50 AM FINAL Profile ID: CSAA ORN Estimate Totals Add'I Labor Sublet I. LaborSubtotals Units Rate Amount Amount Totals II. Part Replacement Summary Amount Body 8.1 64.00 0.00 0.00 518.40 Taxable Parts 1,030.18 Refinish 9.5 64.00 0.00 0.00 608.00 Parts Adjustments 41.56- Sales Tax 8.250% 81.56 Non Taxable Labor 1,126.40 Total Replacement Parts Amount 1,070.18 LaborSummary 17.6 1,126.40 III. Additional Costs Amount IV. Adjustments Amount Taxable Costs 285.00 Insurance Deductible WAIVED Sales Tax @ 8.250% 23.51 Customer Responsibility 0.00 Non Taxable Costs 2.38 Total Additional Costs 310.89 I. Total Labor: 1,126.40 II. Total Replacement Parts: 1,070.18 III. Total Additional Costs: 310.89 Gross Total: 2,507.47 IV. Total Adjustments: 0.00 Net Total: 2,507.47 Less Original Net Total: 2,455.92 Net SupplementAm cunt 51.55 S7: DAMON SMITH 51.55 THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER, OF YOUR MOTOR VEHICLE. ANY WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE MANUFACTURER OR DISTRIBUTOR OF THE PARTS, BATHER THAN BY THE ORIGINAL MANUFACTURER OF YOUR VEHICLE. Point(s)of Impact 12 Front Center(P) Insurance Co: CSAA Address: 2055 MERIDIAN PARK BLVD. CONCORD,CA 94520-5767 Telephone: (510)671,2708 Fax Phone (510)6897939 ESTIMATE RECALL NUMBER: 09/19/200809:51:19 4377 Mitchell Data Version: OEM AUG_08_V UltraMate Is aTrademark of Mitchell International Copyright(C)1994-2008 Mitchell International Page 3 of 4 UltraMate Version: 6.5.020 All Rights Reserved _ D ate: 10/03/08 04:05 P M Estimate ID: 4377 Estimate Version: 1 Supplement 1 (F) 09/24/08 10:11:50 AM FINAL Profile ID: CSAA DRN Body Shop: MIKE ROSE'S AUTO BODY,INC Address: 2260 VIA DE MERCADOS CONCORD,CA 94520 Telephone: (510)689.1739 Fax Phone (610)689-0991 THIS ESTIMATE HAS BEEN BASED ON THE USE OF CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. ANY WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE MANUFACTURER OR DISTRIBUTOR OF THE PARTS, RATHER THAN BY THE ORIGINAL MANUFACTURER OF YOUR VEHICLE. Company Code:_ Drop Off Date and Time: 09/17/08 Repair Dates: Promise Date: 09129/08 Start Date 09/23/08 Vehicle Pick Up Date and Time: 09/24/08 Completion Date: 09/24/08 Is Vehicle Driveable(YM)?: N ESTIMATE RECALL NUMBER: 09/19/200809:51:19 4377 Mitchell Data Version: OEM AUG_08_V UltraMate is aTrademark of Mitchell international Copyright(C)1994-2008 Mitchell International Page 4 of 4 UltraMate Version: 6.5.020 All Rights Reserved a.f '. :7 i'1i e:d.."fir... ,... c .i fo::�:i • f'J�J .: r.i i'tu`Yi!i•.�.�W: fP.r'n'i.. :i`,1�.: nia:(�' ..A f 'K.'.. t'' -.ice .. '4 ..._3:'.:i:«.• ..•.i`G:..'ai=. J. -1 17=1 9:1 f;.i";3i'.,='i'JI3 'J:` 3 'z Date: 10/03/08 04:05 P M Estimate ID: 4377 E slim ate Version: 1 Supplement 1 (F) 09/24/08 10:11:5D AM Profile ID: CSAA DRN Mike Rose Auto Body, Inc. 2260 Via De Mercados,Concord,CA 94520-492D (925)6894739 Fax. (925)689-0991 Tax ID: 94.2621349 BAR#: 0969527 EPA#: CAR 000004317 Supplement Delta Report Comparison of Estimate 4377 Supplement 0 and Supplement 1 Damage Assessed By: JASONTONER Supplemented By: DAMON SMITH Insured: LYNN ARNONE Owner. LYNN ARNONE Vehicle Description: 2006 Honda A ccord EX Nam Date of Loss: 09/15,08 Line Labor Line Item Dollar Labor CEG Item Type Operation Description Amount Units Unit Changed Entries 2 BOY REMOVEiREPLACE FRT BUMPER COVER Remanufactured 204.00 INC 2.3T S12 BDY REMOVEIREPLACE FRT BUMPER COVER Remanufactured 192.00 '< INC 2.3T 22 BOY REMOVE/REPLACE AIR CLEANER RESONATOR CHAMBER New. ..'7622 0.3 0X ,,)Sl 23< BDY . REMOVE/REPLACE AIR CLEANER RESONATOR CHAMBER New . 56.57 '< 0.3. '0.3T "Deleted Entries .# 9 BDY.; REMOVEIREPLACE L FRONT COMBINATION LAMP ASSEMBLY Remanufactured AS5.00 ' INC. —Added Entries .yS1 6 BDY, REMOVE/REPLACE FRT BUMPER IMPACT ABSORBER - - New 41.05 INC:. : "22T ' -1•S1 11 BDY REMOVE/REPLACE L FRONT COMBINATION LAMP ASSEMBLY New 236.10 INC 1.6T Global Changes No Deductible,Customer Responsibility,Labor Rate,or Part Adjustment changes were made. Amount Original Estimate: 2,455.92 Supplement 1 51.55 Ong Total Tax 101.14 Supp 1 Total Tax 105.07 Net Supplement Amount 51.55 Net Total 2,507.47 Program Cale Versions Data Versions Supp 0 6.5.020 AUG 08–V Supp 1 6.5.020 AUG 08_V ESTIMATE RECALL NUMBER: 09/19/0809:51:19 4377 UltraMate Is a Trademark of Mitchell International UltraMate Version: 6.5A20 Copyright(C)1994-2008 Mitchell International Page 1 of 1 All Rights Reserved � Q r r r (] �% r t1 I RRR N r �brsoatnrn 00 s G co W �G1 W 0Q Om uj mo O It LU 00 N I'� i to O ' co yylO C tj .-Os OC ttJ! �� • y