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MINUTES - 04071987 - 1.14
w' ! CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA.000NTY, CALIFORNIA ,Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT April 7 , 1987 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Parag�aph IV below), given pursuant to Government Code Amount: $50, 000 . 00 Section 913 Please note all "Warnings". S � CLAIMANT: DONALD HUGHES " ` 3 198; c/o Peter C. Pappas- COUNTY Comm ATTORNEY: 2400 Sycamore Drive #40 MARTINEZ, CALIF Antioch, CA 94509 Date received ADDRESS: BY DELIVERY TO CLERK ON March 10, 1987 hand del . BY MAIL POSTMARKED: no envelope 1. FROM: Clerk of the Bta'id of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. March 12 , 1987 PpHHIL BATCHELOR, Clerk DATED: BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors V) 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). ( ) Other: /�� v ��} /�� BY: eputy County Counsel Dated: 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. BOARD ORDER: By unanimous vote of the Supervisors present (J� ) 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: APR 0 7 1987 _---.'Deputy Clerk PHIL BATCHELOR, Clerk, By 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. AFFIDAVIT OF MAILING 1 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. 'APR 07 1987 Dated: BY: PHIL BATCHELOR by uty Clerk CC: County Counsel County Administrator I _ An/ 16 RECEIVED 1 PETER C. PAPPAS � �® �,� , ATTORNEY AT LAW 2 2400 SYCAMORE DRIVE,SUITE 40 ANTCALIFORNIA 94509 3 µ TELEPHONE:(415)754-0772 4 5 ATTORNEY FOR 6 CLAIM AGAINST GOVERNMENTAL AGENCY 7 8 TO: COUNTY OF CONTRA COSTA BOARD OF SUPERVISORS 9 651 PINE STREET MARTINEZ , CA 94553 10 1) . Claimant RONALD HUGHES, D44262, P. O. Box 617, 11 Jamestown, California, by and through his attorney, PETER C. 12 PAPPAS, hereby makes claim against the County of Contra Costa for 13 Fifty Thousand Dollars ($50,000 .00) , and makes the following 14 statements in support thereof. 15 2) . On or about December 5, 1986, while the claimant was 16 17 driving in a vehicle driven by an employee of the Contra Costa 18 County' s Sheriff' s Office, he suffered injuries to his nervous 19 system, face, neck, back and body, as a result of the negligence 20 of the above-mentioned employee' s failure to stop for a red 21 light. 22 3) . Claimant' s post office address is: Gary L. Capers, c/o 23 Peter C. Pappas, 2400 Sycamore Drive, Suite 40, Antioch, 24 California 94509 . 25 4) . Notices concerning this claim should be sent to the 26 address set forth in Paragraph 3 herein. 27 5) . The names of the public employee, or employee 28 responsible for or causing the injuries to the plaintiff are I unknown at this time. 2 Dated: 3 ^ �� PETER C. PAPPAS 3 Attorney for Claimant 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 2 �'• CLAIM BOARD OF SUPE2VISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT Ap r i 1 7 , 1987 aad Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $50, 000 . 00 Section 913 and 915•4R. ECAleas note all "Warnings". VED CLAIMANT: SCOTTIE R. HARTS MAR 1 c/o Peter C. Pappas 3 198' ATTORNEY: 2400 Sycamore Drive #40 COUNTY COUNSEL Antioch, CA 94509 Date received MARTINEZ, CALIF ADDRESS: BY DELIVERY TO CLERK ON March 10 , 1987 hand del . BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Board of Supervisors TO: .County Counsel Attached is a copy of the above-noted claim. March 12 , 1987 PpHHIL BATCHELOR, Clerk DATED: BY: Deputy L. Hall I1. FROM: County Counsel TO: Clerk of the Board of Supervisors �) 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). ( ) Other: Dated: BYeputy 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. 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: APR 0 7 1987 PHIL BATCHELOR, 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. 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 a Notice to Claimant, addressed to the claimant as shown above. Dated: APR 0.7 1987 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator I PETER C. PAPPAS RECEI ATTORNEY AT LAW VED 2 2400 SYCAMORE DRIVE,SUITE 40 ANTIOCH,CALIFORNIA 94509 MA � 1 R � G' 1„J7 3 TELEPHONE:(415)754-0772 t F 4R 4 5 ATTORNEY FOR CLAIMANT 6 CLAIM AGAINST GOVERNMENTAL AGENCY 7 8 TO: COUNTY OF CONTRA COSTA BOARD OF SUPERVISORS 9 651 PINE STREET MARTINEZ , CA 94553 10 1) . Claimant SCOTTIE R. HARTS , C69544 A210L, P. O. Box ll 2000, Vacaville, California, by and through his attorney, PETER 12 C. PAPPAS, hereby makes claim against the County of Contra Costa 13 for Fifty Thousand Dollars ($50,000 .00) , and makes the following 14 statements in support thereof. 15 2) . On or about December 5, 1986, while the claimant was 16 driving in a vehicle driven by an employee of the Contra Costa 17 County' s Sheriff' s Office, he suffered injuries to his nervous 18 system, face, neck, back and body, as a result of the negligence 19 of the above-mentioned employee' s failure to stop for a red 20 . light. 21 3) . Claimant' s post office address is Scottie R. Harts, c/o 22 Peter C. Pappas, 2400 Sycamore Drive, Suite 40, Antioch, 23 California 94509. 24 4) . Notices concerning this claim should be sent to the 25 address set forth in Paragraph 3 herein. 26 5) . The names of the public employee, or employee 27 responsible for or causing the injuries to the plaintiff are 28 1 unknown at this time. !' 2 Dated: PETER C. PAPPAS ` 3 Attorney for C1 ant 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 2 * AMENDED CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT Ap r i 1 7 , 1987 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $829 . 00 Section 913 and 915.4. Please note all (44ntvsCounsel CLAIMANT: 11ARY AVELLO LAIMORN MAR,2 G 1987 1216 hiller Street ATTORNEY: Antioch, CA 94509 Martinez, CA 9453 Date received ADDRESS: BY DELIVERY TO CLERK ON March 10, 1987 transmittal BY MAIL POSTMARKED: no envelope 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: March 26 , 1987 gpILELOR, Clerk L.gATCH: Deputy Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors 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). ( ) Other: Dated: //C.(cA�,�, BY:1161 4,L�7C,GGC'�t_4_4LJDeputy County Counsel II1. 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. BOARD ORDER: By unanimous vote of the Supervisors present A6f,+I ,6AIA7 (X) 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: APR 0 7 1987 PHIL BATCHELOR, 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. 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. APR 07 1987 Dated: BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator Ii!iZo BC O OF SUPERVISORS OF CONTR C rXapplication to: Instructions to ClaimantC!erk of the Board -�`-=�': • :��: - . .. .O.Box 911 Martinez.Calitomia 94553 A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action: 'Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911.2, Govt. Code) = Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, California 94553. .. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled 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 end o his form. RE: Claim by )Reserv�d i stamps i� RECEIVED Against the COUNTY OF CON C STA) rc� ! or DISTRICT) (Fill in name ) .ao The undersigned claimant hereby makes claim a un Contra ...- Costa or the above-named District in the sum of and in support of this claim represents as follows: �. When did the damage or �n�ury occur? (Give exact date and hour] v �.- W�iere did tie damage or in3ury occur? (Include city and-county) --- - .. 3._10:i-did the damage or in3ury occur? Giveul� details, use extra sheets if required) t lei ..------------T---------------T--T----------------- -- -----T�- - 4. What particular act or omission on the part of cou officers, servants or employees caused "CEIVED MA N' 1987 `a' (over) z .. .-1 _.......r, _r...nw ,. �.. pA.p.a �.. ✓. �_kv'•.' What' are the names of .f S. county `or' district o ficers, servants ors employees crusin9 .the `damage -:or.-injury? _ .z '}.c. .:i, .eft: • ..�;:•i: . ,.,,..'.r.,,..a.•.>`.:._..,_..,� :. :..'t ?"•{.✓ +v:•F''-': �Y,�'+:-'�. ..#!i, .J7+. �"`:�`:-e• .6.. y°l ':-.:=.,:- ,,,y.,.�.;,,; r!'-'. .; .•..._..-. ...,_�...... ..::. .:. .... r,;.,`�.'. :t -. ,,.„ iii`,:, ..t. ...+y-;-..��+:1 ='�::ti .k :�e.��'. 6:"What�`smag`a or`lnjuries`clo you claim re`sul`teed?'"ZG v'eR ull 'extent"`"; of in juries .or damages. claimed.. :Attach' two time es ' g. , for --estimates y >- -_ �a+...,+'_ ',:'k-' a 3..•`LL` ,l.ti..r�.x',.Y. ^:lo- ! �•�ii�iiiii�•i.Yr�•i �i iii Yrr+♦,iiiii.fiiNiigYii rii iiiiii�Mi ii •iii 7. How was the amount claimed above computed? Include the estimates ; amount of ,any prospective in jujq or damage. .0. ..•r:, a 1 I OZ - 4. iliiiAliiiiirr ii�,•Mr i f—iiice.---i9<DiI�ilFii���lUi����ilri����ilM�r ..' Names- and addresses of witnesses,,.doctors _ r iwr�. —�.r.r�..rr�.fy.--rr-- ----i�••rrr�.+r.rra••ri rw.rr�•rarrrri rir�.�iarriiaprl•rrri .' • �. Ust " u made on account of this accident or in3ury: A � ITEM •AMOUNT 'S,'fb�{ •v1n1t��: ti�:? Govt. _ r , "91 .2 prov "Code Sec. idea. «The claim signed .by the claimant SEND NOTICES TO:++` (Attorne � o= b some rson on his behalf." Name and 'Address of Attorney C�aimant s Signature Address " - f• .' f-♦ x' .•i .':_•r. ':'' a ...• -. ... .. .. ..4 .. --...-.. r T-.•~;..: Telephone No. Telephone No. *rt######�t,�#:s��##�t#:##rr##t4#####+r#'�*tt##*##�r+r##:*�r�#,►#*##�t*�,r�#qtr:ir#�:*#�:� NOTICE , 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, ' town -city district, d or officer; authorized to allow or pay the same ior fraudulent claim, bill, account, voucher, or writing 1,9=19= any.* _ • q��yy py�. •yam ,Mai�x4,rt•� _ .:. f •. , --, .,..-._..,.:r..ti...;Ss,.,'a-'J..:..i.;�.:f�dw':t" . ':7�.&.r:•' - o•^�..�' ,'...:.__- ry, `.s,.y;:..i,•,...,r:..r"" ~ate-• .. �+E'+ii�i��:�il�s%. RECEIVED CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA{AAR 13 19�; Claim Against the County, or District governed by) COUMAROLO lON the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT MAR r E 7 , 19 8 7 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $50 , 000- 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: GARY L. CAPERS c/o Peter C. Pappas ATTORNEY: 2400 Sycamore Drive #40 Antioch, CA 94509. Date received ADDRESS: BY DELIVERY TO CLERK ON March 10, 1987 hand del . BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. March 12 , 1987 ppNNIL ATCHELOR, Clerk DATED: BY: Deputy L. Hall 1I. FROM: County Counsel TO: Clerk of the Board of Supervisors (,/K1 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). ( ) Other: Dated:/LA,44BY [r De ty County Counsel I11. 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. 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. APR 0 7 1987 Dated: PHIL BATCHELOR, Clerk, By Wll��—_C�puty Clerk WARNING (Gov. code section 913) bject to certain exceptions, you have only six (6) months from the date this notice was personally served or posited in the mail to file a court action on this claim. See Government Code Section 945.6. i may seek the advice of an attorney of your choice in connection with this matter. If you want to consult attorney, you should do so immediately, AFFIDAVIT OF MAILING eclare under penalty of perjury that 1 am now, and at all times herein mentioned, have been a citizen of the ted States, over age 18; and that today I deposited in the United States Postal Service in Martinez, ifornia, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to claimant as shown above. / ,d: APR 0 7 1987 BY: PHIL BATCHELOR by G puty Clerk County Counsel County Administrator 1 PETER Co PAPPAS ATTORNEY AT LAW RECEIVED 2 2400 SYCAMORE DRIVE,SUITE 40 ANTIOCH,CALIFORNIA 94509 �Q��A O � U t ,3 TELEPHONE:(415)754-0772 MA 1 4 5 ATTORNEY FOR 6 CLAIM AGAINST. GOVERNMENTAL AGENCY 7 8 TO: COUNTY OF CONTRA COSTA BOARD OF SUPERVISORS 9 651 PINE STREET MARTINEZ , CA 94553 10 1) . Claimant GARY L. CAPERS, COCU 208044334, P. 0. Box 11 2000, Vacaville, California, by and through his attorney, PETER 12 C. PAPPAS , hereby makes claim against the County of Contra Costa 13 for Fifty Thousand Dollars ($50,000 .00) , and makes the following 14 statements in support thereof. 15 2) . On or about December 5, 1986, while the claimant was 16 driving in a vehicle driven by an employee of the Contra Costa 17 County' s Sheriff's Office, he suffered injuries to his nervous 18 system, face, neck, back and body, as a result of the negligence 19 of the above-mentioned employee' s failure to stop for a red 20 light. 21 3) . Claimant' s post office address is: Gary L. Capers , c/o 22 Peter C. Pappas, 2400 Sycamore Drive, Suite 40, Antioch, 23 California 94509. 24 4) . Notices concerning this claim should be sent to the 25 26 address set forth in Paragraph 3 herein. 27 5) . The names of the public employee, or employee 28 responsible for or causing the injuries to the plaintiff are i 1 unknown at this time. 2 Dated: PETER C. PAPPAS 3 Attorney for Cla ant 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 2 CLAIM BOARD OF. SUPERVISORS OF.CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT Ap r i 1 7 , 198 7 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action .taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $2, 500, 000 . 00 Section 913 and 915.4. Please notRECffI%Wnings". CLAIMANT: EMERSON JONES MAR 13 1987 913 24th Street ATTORNEY: Richmond, CA 94304 COU N�ODUN`SEL Date received ADDRESS: BY DELIVERY TO CLERK ON March 10, 1987 applic. to „rantE BY MAIL POSTMARKED: no postmark 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. March 12 1987 PpHHIL BATCHELOR, Cler ✓ qv— DATED: BY: Deputy C[ L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors 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). ( ) Other: Dated: /( ,ILZ -794- I S7 BY�� i Deputy County Counsel I11. 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. BOARD ORDER: By unanimous vote of the Supervisors present XThis 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. APR 0 7 1981 � Dated: PHIL BATCHELOR, 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. 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. APR 0 7 1987 Dated: BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator CLAIM TO: BOARD OF SUPERVISORS OF CONTRA CO§ WYapplicationto: Instructions to ClaimantC!erk of the Board &4Fi 14„ e J,;,/ M rtine2,Calitomia94553 A. Claims relating to causes of action . for death or or injury to person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911.2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez , California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled 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 end of this form. e*e*,�e*•***e,e*,e,�**ee**,e**e*******e*e****e•��r***e***:***ee***�r�**�e***,gee RE: Claim by )Reseng stamps RECEIVED , Against the COUNTY OF CONTRA COSTA) ) or DISTRICT) (Fill in name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as .follows: ------------------------ --------------- ----------------- ---- --- �. When did the damage or injury occur? (Give exact date ani hour] =�C trip damage or injury occur? (Include city and countyS 3. How did the damage or injury occur? (Give �u�� �etai�s, use extra . sheets if required) 4. What particular act or omission on the :part of county or district officers servants or employees caused the injury or damage? (over) . 5. 'What are the names of county or district officers, servants or' employees causing the damage or injury? 6. What damage or injuries do you claim resulted? ZGive full extent of injuries or damages claimed. Attach two estimates for auto damage) ------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) 6. Names and addresses of witnesses, doctors and hospitals. _ .------------ --------------------------------T-----T---- ------------- 37-LIN t ou made on account of this accident or injury: D ITEM AMOUNT Govt. Code Sec. 910.2 provides: "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " Name and Address of Attorney Claimant's Signature Address Telephone No. Telephone No. NOTICE 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, town, city district, ward or village 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 a felony. " rhe Board of Supervisors COn" Got of ft ftwd ;ounty Administration Building Costa Do1 M4371 �.0. Box 911 ,Asninez, Glifornia 94553 COjV 'am PWwn.IV DrttK' y,,,h C rehem Sao owflel W6W 1 itNgMr.we DKinCl Wim.•fit Mctit.wn r.�TMMa.M.I"CWFICt 10: Emerson Jones et al 913 24th Street Richmond, CA 94804 1MCE TO CMDO KT Late�il�ra) (Wnrtlmer,t Code section 931.2) ( The claim you presented to the ward of Buperviaors of Contra Costa Cuclty, California, as governing body of the X.. County of Contra Costa and/or District, on January 5 , 1987 is being returned to you herewith because` It was not presen thin 100 days after the event at cocurrenoe as required by law. (See Sections 901 and 911.2 of the Government Code.) Because the claim was rot presented within the time allowed by law, two action was taken on the Claim. Your only renourse at this time is to apply without delay to the Board of Supervisors (in its capacity noted above) for leave to present a late claim. (see sections 911.4 to 932.2, Inclusive, and section 946.6 of the Gmmrnaa t Code.) Under acne ciromtwmas, leave to present a late claim will be granted. (See Section 911.6 of the Omrrnmt Code.) You any seek the advice of an attorney of your choice in 01019 ec,-tion with this natter. If you desire to consult an attor- ney, you should do so i>saediately. To W FMWM IN By SM C M Or 70 B01W QALY IF APPLTOME: ( ) dime a portion of your claim is not untimely, we are rosining a copy of your claim for Board action an that portion of your c3 at which is not untioe_ly. f hil Batchww.Clerk of the Board of supervisor:and Cwrft W ifaisi all by: . Deputy Clark Date: January. 28, 1987 CL:ATM TO: BOARD OF .SUPERVISORS OF CONTRA COS�I� COLlrnUNTY !application to' Instructions .to Claimant Clerk-of the Board P.O. Box 911 A. Claims relating to causes of action for death or r �rrnicljur°yr�to�5'3 person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911 . 2 , Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled 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 end of this form. ********************************************************** ****** Xtrmps RE: Claim by ) Reser e ' n = RECEIVED Against the CO NTY OF CONTRA COSTA) XJAN 5 W. or DISTRICT) �P�.. _. ... (Fill in name) ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $,Z t-29an6o and in support of this claim represents as followa�-:- If � ------------- ----------------------------------------------------------- 1 . When did the damage or injury occur? (Give exact date and hour) _ ------- =---------- - -------- - -�---- -�---l�/�----/!�- 2. Where did a damage or njury ccur? (Include `l� and county) q/,3 - C�_ .01/ 3. How did the damage or 'njur occur? (Give full details, use extra CoSf sheets if required) gC1 51,76 /�-t- Jo 3S PM � ceks V�C1 -2 J051 �-o2I A ga 2 le 3ko kick- t,,4 doo2 --o 4 3 -2 V41, S4 iP� A S f�Q2�S+ *LSL 14npi I► f N� << •rc.�s PoLc c ,-�'1+t5 l r i �rrr�A� �/�flVc��l� �1 S a•cC S£t �� lljb f /..&fu s 6 �he cmc r s (�L 4 . What particular act or omission tFie �rt 04= Cunt or dis r &Ct Z. P Y t officers , servants or employees caused the injury or damage? S�fv�-''CF bap.q2f r;x n+ be al�,d moo. S6 oa I S .f of ,u o �,c-r�d c,4 w4b e Ic£cct k M � Se' v csa�t nti ccc "_-E V_ h K&v� k - vi A-!5 to `p 14vre.s4-, e � {lA-�Sa✓ I��ES�' �S� cm�ves�n/�G'�G�a�ver) �. What are the names of county or district •o,fxicers , servants or employees causing the damage or injury? %-,f.7u v� �� - fv� arc �- .� ri ---- a n ------- ----- -------------------'� - -------------------- or ------------ ---------- 6 . What damage or inj ries do you clam resultd? (Give fullextent of injuries or damages claimed. Attach two estimates for auto 9p g4IC4 age D al'i L4.t,- -u� I T-E)-6rAk V4,L-L LAt, _(�Aq Fw y� S�12 � fl" 5� ( f 1k 7 . Now w amount claimed above computed? (Inclue the esti ated amount of any prospective injury or damage. ) 4U, ��� qr(�o v ---------------------------------------------------------------- Names and addresses of witnesses , doctors and hospitals. 'k, 5k, 01 Ai,4 27126-'a20 /K2. &eLo t2vv1. A . Eliz f uucy #J0 q i - a 359 ZZZ�a��yz R (,,h cls- ��, , , C- ------- ------ 9. List ou made on account oftthls accident or injury: DA G ITEM - AMOUNT oCT/Ct� Fru -4, t_. Govt. Code Sec. 910. 2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) orb' some person on his behalf . " Name and Address of Attorney T,&W Claiman S ' nature PZF 9/3 - P-15r- ddress n Telephone No. Telephone NoYI5 ,0136 —Ooa NOTICE 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, town, city district, ward or village 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 a felony. " fhe board of Supervisors COtra ;oumy Administration Building Coga m ).0. Boz 011 COLM tIsntnez, Colifomis 94553 r80%Pw.n. IV Do"'C' C hhdm PO D riot 1� I kowsow,30 Dstr,ct �yrtir»tit rcPs►.4"D+ir,ct �Mr TM1sLMw.�D�r'e1 TO: Emerson Jones 913 24th Street Richmond, CA 94804 ti MCE TO CLkIM Kr i,ate-�l�in) (Goverment Code Section 911.3) Thee claim you presented to the Board of Supervisors of Contra Costa Oounty, California, as 90werning body of the County of contra costa W d/or District, on January 5 , 19a2 is being returned to you herrAth because it was mn presenzea .► tt io IOD &-ya after tl - eve!±t c r Cocurrence as required by law. (See Sections 901 and 911.2 of the Gmmrrnent Code.) Because the claim was not presented within the time allawd by law, no action was taken cm the Claim. ?our a my re=use at this time is to apply without delay to the Board of 6upe:rvisors (in its capacity noted above) for leave to Present a late claim. (See Sections 911.6 to 912.2, Inclusive, and Section 946.6 of the Goti+emus t Code.) Qeder some cirwostances, leave to present a late claim will be granted. (See Section 911.6 of the Gmarme7nt Code.) You way seek the advice of an attorney of y= choice in cm :ec.•tion with this scatter. If you desire to ccinsult an attoc— ney, you should do so immediately. f f tt f t tt � To a !Elim IN BY 2M CLW Cr "M so= aWX IP APPLICAKB: ( ) NLWe a portion of your claim is not untimly, we are retaining a espy of Your claim for Board action an that portion of Your claim which is not untimely. 'tat gstchow,CWk of the Beard of supecvisw%end Cou ft AdminWstu By: Deputy er k art:e: January-28 - 7 4R 7 CLAIK TO: BOARD OF SUPERVISORS OF CONTRA COSWc� I.urnCOUDor�ginaTYl a?plica:fon to: Instructions to Claimant CIerR of the Board P.O.Box 911 CornA. Claims relating to causes of action for death or IfUrn1n3ury tao45�3 person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause- of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911. 2 , Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez , California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled 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 end of this form. RE: Claim by ) Reserved for Clerk' s ors RECEIVED Against the COUNTY OF CONTRA COSTA; ?SAN or DISTRICT) ow (Fill in name) ) .t.. The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ a and in support of this claim represents as follows: --------------------------------------------------- -------------------- 1. When did the damage or injury occur? (Give exact date and hour) Soo� a f I A 6 `8s6 __.z------- 2. Where did the damage or nj -y occur? (Incl de city an county) 3 ?Yge tv 3. How did the damage or nju y occur? (Give full detains, use extra .sheet,s if required) C /�� 10:357 /�•/j1 q�� r,� 1/edecuNf5 64-QD5_f loif g��f.�c�cc� o.waw�__ 1-c--r-te . �- CALL . _f�_� 41y1 fi_�� Ao_ -- -N�Jk __Q1 elf,; 4 . What particular act or omission on the p�t o county or district . officers , servants or employees caused the injury or damagp 7 r' so tom►-csl�ir►�.c, �C 444 d��llt�d_ A(1rc�h�- wh = yrs hL� r }; eo u.,A 4.1 J 4-c L E)teca to F�t Lej E- 492c_S4 c nal �rrr�s�h 'F IP81� l9-GC G, vCL <<TaE kf-c�s AWd d e-Fcg-m j-:&� pr- cltobt.�,. 5. What are the names of county or district officers , servants or einployees causing the damage or injury? ----------------------------------"Attach ---------------------------- 6 . •:hat damage- or injuries do yolted? (Give full extent 1,, of injuries or damages ,claime . wa estimates for auto �� f4 r Gut� i - �t d�- I�" // �' ,� �/ �� �2fj Conte - � - �1 ---- ------------- ------- ---1-��- --- - s 7. How was Tth amount c�a'"i ed above computed? (Include the estimated amount of any prospective injury or damage. ) ------------------------------------------------------------------------- S, Names and addresses of witnesses ,, doctors and hospitals. J1 ��� y'� 3 -Lyf� 5�: �� Glu�an �, c�, `1��01( yf51a3(=,-oa15 ��� _�1��_h/t��_ fZ------ ------------ -------------------------- Li s thug„ you made on accountofthis accident or injury: DATZ 13339 ��� ITEM AMOUNT %a %PV Ofi P5 ,�•i.K.,.i A0 A, Govt. Code Sec. 910.2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " Name and Address of. Attorney Claim a S ' ature _ "ddres.§ Telephone No. Telephone No. ��,s a d NOTICE Section 72 of the Penal Code provides: "Every person v,-ho, with intent to defraud,. presents for allowance- or for payment to any state board or officer, or to any county,. town, city district, ward or village 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 a felony. " CLAIM -TO: BOARJ,) OF SUPERVISORS OF CONTRA COg�� COUNTY �3) He.urn original application to: Instructions to Claimant Clerk of the Board P.O. Box 911 A. Claims relating to causes of action for death or ti�rrnlz���lrt,9rn�ao45s3 person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911. 2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, .County Administration Building, 651 Pine Street, Martinez , California 94553. C. If claim is against a district governed by the Board of Supervisors , rather than the County, the name of the District should be filled 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 end of this form. RE: Clam, by ) Reserved for Clerk's filing .stamps Cys RECEIVED Against the COUNTY OF CONTRA COSTA) l'SAN 1367 or DISTRICT) �► (Fill in name) ) The undersigned claimant hereby makes claim against t e County of Contra Costa or the above-named District in the sum of $ QQ� r)on - QQ and in support of this claim represents as follows: ------------------------------------------------------------------------ d 1. When did the amage or injury occur? (Give exact date an hour &)AC74q Z, WW 2. Where did the damage r injury occur? (Include city and county) 3 CA. 14�_10 L/ CIAJS dct 061n.e) 0-6 3. How did the damage or i jury occur (Give full details, up-e extra - - sheets if required) (n ��L„�66 3� A,m QFFtceCS V►`( q4- T/3_ 4 a� �-• t���►�-�, r-�Gsr � �-ls�T(�,��,e,'��� fG�G/� _4 ci���AVr kc- S( G U l� � �7fXc�CF 4 . What par icular act dr omissiofi on the part of county or dk ict officers, servants or employees caused the injury or damage? boo” *Ig6o�.-1 BS�J , lZ�c�cs,�d CLUt/ I �7�113Ya.�t/d.t� £�"�( (over) 5: What arethe names .-of county or district off ' ers , servants or employees causing the damage or injury? - 13 6. What damage or injuries do you claim resulted? (Give full extent of injuries ,or damages claimed. Attach two estimates for auto damage) dfn1e4 Acd-, Akl 1304 --��' _c_4i - ---------- - ------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) 4kE � �v ------------------------------------------------------------------------- 8. Names and addresses of witnesses, ,doctors and hospitals. 46 hd�- J; F014 Z fLl•[ SAL C,4K*4eefe VI-2-�ffk 5� N �, ,. N � Oe- 73X7 .135�wpwdeCCAut k t;clf A,/ .134 -o617 1'ooK5 id& t4y,4L, Zcoo U4t&mad/ 54-V f+", Gid; Igw6 va, MJcA4&e_ //,fL -----------rAIE •------- --------------------------------------------- 9. List x enditures you made on account of this accident or injury ! ITEM AMOUNT f Lc c C_ rat A few Govt. Code Sec. 910.2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " Name and Address of Attorney Claiman s Signature Addre s Telephone No. Telephone No.q/s NOTICE 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,. town,: city district, ward or village 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 .a felony. " •%?.AII`' TO: BOARD 01=' SUPERVISORS OF CONTRA COT COUNTY Re.urn origmal appllca:ion to: Instructions to Claimant Clerk-of the Board P.0. Box 911 A.. Claims relating to causes of action for death or r brrninjuryrn- o45�3 person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911. 2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106 , County Administration Building, 651 Pine Street, Martinez , California 94553 . C. If claim is against a district governed by the Board of Supervisors , rather than the County, the name of the District should be filled 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 end of this form: RE: . Clai by ) Reser 'ng stamps [ECEIV7ED 44,6-e- ANS 1 Against the COUNTY OF CONTRA COSTA) u or DISTRICT) (Fill in name) ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ a 0 6150 , 000, 00 and in support of this claim represents as follows: ------------------------------------------------------------------------ en 1. Whdid the damage or injury occur? (Give exact date and hour) ©Qla lag Ad/& (1" d6d d 15 k'Mly/ /7/3 2. P7her_e did the damag or inj y oc ur? (Include city an county) , 4 V a A� y� � (14� ------------ ----------e-- --------------- 3. How did the damage or in y occur? (Give full tails,use extra sheets/if required) 09/a S/9iC4-1- 10: 31"P,M dFFIC&L5 04oc 'Jw..o P9o5 p J6d �arG(. �.a Ery lam+{-a /4`y �.tlL a f 4!3-LY�'�l f�SLtiwtt�, 15L� /)/LL�s(-� GgCS�. w�pr�s tr�Ftt ►1 1��/�nc�L /�b��IGCZ �lra��l�` / ukxwc1�t�5e�►�1� No 1414-rr-4,0, � �,f/=�c s�� R�( �cel! Y,,b f r/Jis .4 c 4c t- a l-kx-n E of rn�r a� k _C_ 41 oIEEEc/{-05 clt go(�reCBYS `>Ifs.riFIc Le pat+ -* "u ou y'14c �u.d_ ci_ _ Y -4---t--- ----1--------- --- ----- ------- - 4 . What particular act or omission on the part of county or dis riot officers , servants or employees caused the injury or damage?. '"yCiUi d iF111-1 pvtf_ Vv+ V L k S (over) 5. What are the names of �coumty or district officers , servants or employees causing the damage or injury? - ed-n,broq_ ct* b9_ e, 6 . L4h�ti. dzmage or injuries - you claim resulted (Give full extent of injur�}es pr . damages c Aimed. Attach two estimates for auto damage)U¢iytl f J /►vE-d U� 101'I At a i,U�C� �Tsc t'6 d� /3o at c Z�f -SdYta.( �i-af' itic t lnf_M 4,C l u.� 69t 67 r �ri S/n �l Asst eLr C c s. 7: How was the amount claimedb aove computed? (I clude the estimated amount of any prospective injury or damage. ) /SGC c C_ ktf-�2 k6d�q lq_ka�fE ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. J, Qi 3 S/-- AE4.-t�d I C,6. IQ*0 638 -7337 6"fg, 13" L, Pigtj? �T�• 935`1lveorde,CC )be-4..( 15 ►i /r f! ' 36-6r-17l3Vvo!c5r c-� _ 1455?, 4*-L 2�oo U4LC- � P�9ko i c q 8� : 9. ListFDA nros ou made on account of this accident or injury: ITEM AMOUNT ?OttGC� w. Govt. Code Sec. 910.2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) _ or by some_person on his behalf. " Name and Address of Attorney _ Cwkjwm Claima ' s Si q nature c2,VJ, '5 - - ddres Telephone No. Telephone No. --6ZI5 4 NOTICE 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, town, city district, ward or village 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 a felony. " CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT April 7, 198 7 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursua rnment Code Amount: $135 . 00 Section 913 and 915.4. Please not�etall Varnings". CLAIMANT: DEWAYNE :MICHAEL JONES MAR 13 198 1461 Aster Drive #3 COUNTY COUNSEL ATTORNEY: Antioch, CA 94509 MARTINEZ, CALIF. Date received ADDRESS: BY DELIVERY TO CLERK ON March 9 , 1987 BY MAIL POSTMARKED: March 6, 1987 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. March 12 , 1987 PPHHIL.gATCHELOR, Clerk DATED: BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (�) 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 isnot 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). ( ) Other: Dated: /1�Ct� � a�� ��� BY.-(J�- �_,_ D uty 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. BOARD ORDER: By unanimous vote of the Supervisors present (X) 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. APR 0 7 1987 Dated: PHIL BATCHELOR, Clerk, By Z—� 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. 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. APR 07 1987 '7 Dated: BY: PHIL BATCHELOR by ` Deputy Clerk CC: County Counsel County Administrator t CL$IM TO: BOARD OF SUPERVISORS OF CONTRA C0A;_,br 4Wappiication to: Instructions to ClaimantVerk of the Board .0.8ox911 - Martinez.California 94553 A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented ..not later -than the 100th day after the accrual of the cause of . ,action. 'Claims relating to any other cause of action must be • ,- presented not later than one year after the accrual of the cause . ` . of action. (Sec. 911.2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building# .651 Pine.-....,,... Street, Martinez, California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the Distript should be filled in. D. If th&.. 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 end of this form. RE: C aim by )Reserved fo Cs mps Zk EmsMAP . 1y;,.r Against the COUNTY OF CONTRA COSTA) or DISTRICT) (Fill in name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ /3S•00 and in support of this claim represents as follows: �. When did the damage or in3ury occur? (Give exact date and hour] �. W�iere did t�i`e damage or 1n3liry occur? (Include city and county) 3. How did the damage or injury occur? Give �u11 details, use extra . sheets if required) 4-T ✓i�E p� �/ .��t�.as� �,eoih �, ,_��j , 41.g s 4. What particular^act or omission on the part of county or district - officers, servants or employees caused the injury or damage? -;r 6kme_ 7U 7,y �',viG /,d Ci�,v.• oT • (over) .. . .. .. _ .,. ...,•,,: .::-...:..,_..:.:+::.��...._.. ..... .. .. ..... ..... ..... 5. What are the males of county or district officers, servants or employees causing the damage or injury? 6. �ihat damage or �n�uries do you claim resu-1 ted? ZG�ve full extent Of injuries- o= damages claimed. Attach two estimates for �Auto damage) klaek � Sf.�� - iCE�(.. 4,✓s 3�,vq —:,. s.�Ge1�!/3.c�lJ 7. How was the amount claimed above computed? Include the estimated amount of any prospective injury or damage.) �,1'Er� ;�2f fi/vEil Ti5`� /r.�'otis ?H.Q7' -z lla,a ��2" '>rf/�j, ?a ,�OLAc� Ti�'/,f Via.c . ��y- �� .. • ----------- -------------------------------------------------------------- 6. Names and addresses of witnesses, doctors and hospitals. �. L * bdtId-1res you made on account of this accident or injury: DATE ITEM AMOUNT Govt. Code Sec. 910.2 provides: "The claim signed by the claimant SEND NOTICES TO: (Attorney)- or by some person on hisbehalf. " Name and -Address of Attorney C siman Signature i 7 Ar7ne Q,e 41-:51 Address . . .. . . . ., _ ,, f�.ri-ridgy �r; ���i�' • -�9�r�� .. Telephone No. Telephone No. Y�r 7SY��y VOTICE s 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, town, city district, ward or village board or officer, authorized to allow or pay the sane if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is guilty of a felony. " --fi CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the. County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT Ap r i 1 7 , 1987 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of ._ California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Gove>frtife Amount: *600 . 0 0 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: RAUL A. HOLGUIN MAR 13 1981 4569 Melody Drive COUNTY COUNSEL ATTORNEY: Concord, CA 94521 MARTINEZ, CALIF. Date received ADDRESS: BY DELIVERY TO CLERK ON March 9 , 1987 BY MAIL POSTMARKED: March 6 , 1987 Certified P 124 048 618 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: March 12 , 19.87 ��IL �ep�tyLOR, Clerk L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors (O 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). ( ) Other: Dated: / `-t� �l'� /�� BYE uty 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. 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. APR 0 7 1987 Dated: PHIL BATCHELOR, Clerk, ByDeputy 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. 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: 0 7 1987 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator CI;A:IM TQ: BOARD OF SUPERVISORS OF CONTRA C cXapplication to: Instructions to ClaimantClerk of the Board .O.Box 911 Martinez.California 94553 A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented .not later -than the 100th day after the accrual of the cause of Lction. 'Claims relating to any other cause of action must be , ;-presented not later than one year after the accrual of the cause of action. (Sec. 911.2, Govt.. Code) :....:. _ B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine.. ;, . Street, Martinez, California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the Distript should be filled 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 end o this form. ���*�*::***�:,«,«*,tr����*�>krt**�*:w*t��*rr,f,R#�•**rt*rr*,R*��**�**,fttf**,R*,Rf***�>R* ` RE: Claim by )Reserve stamps J_ 'RECEIVED (�5 Cl ffle ) I Against the COUNTY OF CONTRA COSTA) 1937 t ) Gr DISTRICT) (Fill in name)) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ („d�`" and in support of this claim represents as follows: ------------------------T----------------T------- -------------- ----' �. When did the dam g_ or injury occur? (Give exact ate and hour _�� . Co�L�1� --. ---- --- T- -- -------- ----- ------------------ . W�iere did-tFie dame or injury occur? (Include city and county)- J.��L.:...:.,.J �J►�� --------------------------------- - 3. How did the damage or oc-cu injuryr? ZGiveuII details, use ext=a sheets if required) LI WocoaZ C vLl- 1 341L b. KCAL - C:v t..Q Q.�J c VA. _1S' $00�,w 41 0a gO KC51C W VC -1-b SvU)b a - A t` Yv TO I All 4. What particular act or omission on the part of county or district officer , ervants or employees caused the injury or damage? v� ��a$�b _ �s� R,fISf� o>J 15 r��v fio mYg� - J"o`"�E C�,�►,,jiv� '`1�. ��vwE M ��v►C.l a��� ,u s��Pe� �.� p1.osTic. 1a , u,bs 1Z�:►vZv� �Ci • ,M�. � N!��..)'v� o i.1£ �V� 1J�b�,no..�J -EAz R..�� 1 -Lop - (over) 5. What are the names of county or district officers, servants or em yees ca ps_ing the dams a or jury 1 i _ K7 JThat damage or ln,uries do you claim resulted? ZGlve dull extent 46f injuries o= damages clfimed. Attach two estimates for auto damage) .:.MDQ. 4-AJ- Y.—How was the amount claimed above computed? (Include the estimated _ amount of any prospective injury or damage.) �--------------------------- ------------------------------------------- 6. Nares and addresses of witnesses, doctors and hospitals. lJOL Ode arde = C�F�ce� cancozd'..Couf�- ark it ei �ri�.e�: Corieo ol: Ca ' 3�nn �cinc� he_r a«bi;c N��cnClZJ". Curu�r l2o�C rs . ci-LJF 4,c'e K ai',•n - CO,iCcrcZ CL - .= �A i� ---- = "= - ------------------------ -.. st re you made on account of this accident or injury: ITEM AMOUNT rM��;,v: �t:;' a,,;:;.,.:,9:•tel...' Govt. Code Sec. 910.2 provides: The claim signed by the claimant SEND NOTICES TO: (Attorney) - orb so a rson on his behalf. " Name and "Address of Attorney Cla ant Slgpature • _... ,.._.._. . ...._ _ Address Telephone No. Tele hone No. p y�3 NOTICE _ = 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, town, city district, ward or village 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. a felony.' CONTRA COSTA.000NTY. SHERIFF =CORONER INMATE PROPERTY RECEIPT 6 Q hj0/ 6. Name: BKNG. # D:;1te: VALUABLES. CLOTHING J Cash ?, Keys Shirt Parits .Jewelry (descl 0 N k T c5pt Shoes Shorts. .: T Shirt:. Socks Hct .. Gloves t Lighter Sweater - Glasses Knife Belt Tie Other. ;• Other Bookin !� �/ Inmate . i. - i / f Officer X V Verificotion ,� , �. .�'�p -.: •.::. :.. Remarks .... .. : '. . p w "t.. .... ... , A tC ripe� T.... . . ,... :, ... � 1 - 1 � t; 1 Rel. BReceived all personal property: • ,. Date:_.:._::-... :. Inmate::::': . . e Form M-13 Rev:5.74 1 OM. r ..r..• .. .-.:=;� �-Tom•:.. .i�• ''��•,'„''� `'�1” - r _ _ - •t: .t CONTRA COSTA COUNTY DETENTION FACILITY PROPERTY RECEIPT MJ: ❑ REc; tl'.1: 1C)iCt ', BJ: ❑ DATE: r( : D WF: Cl TIME: 1 �^ NAME (L,F,M): IICi1_r:1,13N BOOKING NBR: g. i(j q 15,2 i DOB: VALUABLES CASH: $ �EWELRY: tpESC WALLET: t.l KEYS: GLASSES: Y elf, S!!f J LIGHTER: Y 1 REQ PL{`S I 1 i. KNIFE: OTHER: L:I..F•' BV::i. I Of=Et•J CI{:S INTAKE �3 BKG OFC INMATE' I'NATURE � J ADMINISTRATI N VERIFICATION: YJ n YES O ❑ PROPERTY BOX ASSIGNED: jf�! RELEASE v , REL OFC: DATE: RECEIVED ALL PROPERTY INMATE (SIGNATURE) RGb91V1Wr /•/ MAR 13 1987 APPLICATION TO FILE LATE CLAIM MARTINUNTYCOUNSEL 4RTINQ. CALIF. BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION Application to File Late Claim ) NOTICE TO APPLICANT April 7 , 1987 Against the County, Routing ) The copy of this document mailed to you is your Endorsements, and Board Action.) notice of the action taken on your application by (All Section References are to ) the Board of Supervisors (Paragraph III, below), California Government Code.) ) given pursuant to Government Code Sections 911.8 and 915.4. Please note the "WARNING" below. Claimant: JAMES KING c/o Strom, Buller & Livingston Attorney: Professional Corporation One Kaiser Plaza, #2085 Address: Oakland, CA 94612 Amount: $3 , 000, 000. 00 By delivery to Clerk on March 11 , 1987 Date Received: March 11, 1987 By mail, postmarked on March 10, 19.37 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above noted Application to File Late Claim. DATED: March 12 , 1987 PHIL BATCHELOR, Clerk, By , �';r���. Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) The Board should grant this Application to File Late Claim (Section 911.6). �X) The Board should deny this Application to File Late Claim (Section 11.6). DATED: //I vel, / , J�ICTOR WESTMAN, County Counsel, �`'�G y -r III. BOARD ORDER By unanimous vote of Supervisors pre nt (Check one only) ( ) This Application is granted (Section 911.6). NThis Application to File Late Claim is denied (Section 911.6). I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. DATE: APR 0 7 1987 PHIL BATCHELOR, Clerk, Byvwzr� Deputy WARNING (Gov. Code 5911.8) If you wish to file a court action on this matter, you must first petition the appropriate court for an order relieving you from the provisions of Government Code Section 945.4 (claims presentation requirement). See Government Code Section 946.6. Such petition must be filed with the court within six (6) months from the date your application for leave to present a late claim was denied. You may seek the advise of any attorney of your choice in connection with this matter. IP you want to consult an attorney, u should do so immediatel . IV. FROM: Clerk of the Board T0: 1 County Counsel 2 County Administrator Attached are copies .of the above Application. We notifed the applicant of the Board's action on this Application by mailing a copy of this document, and a memo thereof has ben filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. DATED: APR O 7 1987 PHIL BATCHELOR, Clerk, By Deputy V. FROM: 1 County Counsel 2 County Administrator TO: Clerk of the Board of Supervisors Received copies of this Application and Board Order. DATED: County Counsel, By County Administrator, By APPLICATION TO FILE LATE CLAIM APPLICATION FOR LEAVE TO PRESENT A LATE CLAIM BY CLAIMANT, JAMES KING RECEIVED (rlHtt �. , 1J�7 TO: THE COUNTY OF CONTRA COSTA /� f .i. Application is hereby made for leave to present a late claim founded on a cause of action for personal injuries which occurred on July 21 , 1986 , and for which a claim was not presented within the one hundred ( 100 ) day period provided by Section 911. 2 of the Government Code.' For additional circumstances relating to the cause of action, reference is made to the proposed claim attached to this Application . II. The reason that no claim was presented during the period of time provided by Section 911 .2 of the Government Code is set forth in the declaration of Terry D. Buller which declaration is made a part hereof and incorporated herein by reference. III. WHEREFORE, it is respectfully requested that the Application be granted and that the attached proposed claim be received and acted upon in accordance with Section 912 .4 and 912 . 8 of the Government Code. DATED: STROM, BULLER & LIVINGSTON Professional Corporation By: TERRY D. BULLER Attorneys for Plaintiffs CLAIM AGAINST THE COUNTY OF CONTRA COSTA JAMES KING, presents a claim for damages against the COUNTY OF CONTRA COSTA in the sum of THREE MILLION ( $3 ,000 ,000 .00 ) DOLLARS . CLAIMANT 'S ADDRESS: 1616 Faria Street Antioch, CA. ATTORNEY 'S FOR CLAIMANT: STROM, BULLER & LIVINGSTON Professional Corporation One Kaiser Plaza, Suite 2085 Oakland, CA. 94612 DATE OF OCCURRENCE: July 21 , 1986 PLACE OF OCCURRENCE: Vasco Road, 3 . 8 miles South of Camino Vaqueros SAID CLAIM ARISED FROM THE FOLLOWING CIRCUMSTANCES: The automobile being driven by James King, went out of control and collided with another vehicle. The collision occurred because of the carelessness and negligence of the State of California and County of Contra Costa knowingly allowed property to be and remain in an unsafe and defective condition without adequate road edges and shoulders to prevent or minimize the chances of collisions. ITEMS , NATURE AND EXTENT OF DAMAGES OR INJURIES: Claimants suffered injuries to his body, health, strength and activities and extreme general shock. He suffered severe head and spinal injuries , the exact nature and extent of which is unknown to claimant at this time. DATED: ;� STROM, BULLER & LIVINGSTON Professional Corporation TERRY D. BULLER Attorneys for Plaintiffs 1 STROM , BULLER & LIVINGSTON Professional Corporation 2 One Kaiser Plaza, Suite 1785 Oakland, CA. 94612 3 (415 ) 832-4295 4 Attorneys for Plaintiffs 5 6 7I 8 SUPERIOR COURT OF THE STATE OF CALIFORNIA 9 IN AND FOR THE COUNTY OF CONTRA COSTA 10 11 JAMES KING, 12I Petitioner , NO. 13I Vs. DECLARATION OF TERRY D. BULLER FOR LEAVE TO PRESENT A LATE 14 STATE OF CALIFORNIA, COUNTY OF CLAIM CONTRA COSTA and . DOES 1 through 100 , 15 inclusive 16 Respondents 17 TERRY D. BULLER, declares as follows : 1$ He is one of the attorneys for claimant , JAMES KING. 19 Declarant was consulted in October by claimant to investigate 20 claimant' s claim for personal injury which occurred on July 21 , 21 1986 . 22 Claimant is. an adult resident of Antioch , California . 23 Claimant was injured on July 21 , 1986 , when the pick up truck 24 he was driving went off the paved surface of the road, went out of 25 control and collided with a large truck. 26 , i i I Mr . King received serious head injuries and spinal cord 2 injuries and remained in the hospital until November 27 , 1986 . He 3 drifted in and out of a state of mental stability for several 41 weeks , thereafter. His ability to converse in a lucid manner has i improved, but he still has physical 5 i P ► permanent h sical disabilities . His . I 6 ' prognosis is uncertain at 'this time as .is the amount of future 7I medical care which he will require . He was treated at John Muir 8I Hospital at Walnut Creek, and at Santa Clara Valley Medical 9 � Center , the regional center for spinal cord injuries . He now i 10remains home under the care of attendants and friends . He is a 11 quadraplegie with only partial use of this arms . 12i Petitioners attorneys have acted promptly upon Mr . 13 King ' s behalf . The only delays have involved a brief time for an 14 investigation and evaluation of the public property by an outside 15 consultant. Declarant received the Highway Patrol report in 16 October of 1986 and immediately hired an investigator to determine 17 the cause of the accident . The investigator was impaired by the 18 difficultyof locating witnesses and the inability to locate the 19 remains of the vehicle being operated by Mr . King. ' The 20 investigator ' s report was finally completed in January, 1987 . 21 During the investigation , it was discovered that 22 photographs existed of the accident scene , taken by the Highway 23 Patrol . . These were immediately' ordered. In addition , the 24 investigation indicated that the roadway and in particular the 25 shoulder, may have contributed to the loss of control of the King 26 I� vehicle. The photos and report were then sent to a traffic-roadway Ii 2 I II I accident expert for analysis . On March 3 , 1987 this expert 2 ! reported that he had been able to inspect the accident site, i I 3i review the reports and photos and confirmed that the roadway 4 �i condition did contribute to the accident . The process of filing a i 51 late claim was immediately instituted. 61 This was a serious accident , investigated by the California 71 Highway Patrol . It has been my experience that the public I 8 ! employees investigates all damage to determine who is responsible it I 91 for payment. Public employees must have investigated this 10 � accident at or shortly after it occurred. If a prior 11 i investigation has not been made, the roadway has not changed and I 12 '' can now be investigated by any relevant public employees. I 13 In view of the physical and mental incapacity of Mr . 14 ! King and the claimant respectfully requests that the Application 15 For Leave To Present A Late Claim be granted, and that the 16 attached claim be presented as such claim. 17 I declare under penalty of perjury that the foregoing is true 18 and correct . 19 Executed on at Oakland, California, 20 County of Alameda . 21 I 22 23 ( Terry D. Buller 24 I . I 25 ' 26 I� f - 3 i 1 STROM, BULLER & LIVINGSTON Professional Corporation 2 One Kaiser Plaza , Suite 1785 Oakland, CA 94612 3 415/832-4295 4 , Attorneys for Plaintiffs 5i i 6 it 7 8 SUPERIOR COURT OF THE STATE OF CALIFORNIA 9 IN AND FOR THE COUNTY OF CONTRA COSTA 10 11 JAMES KING, 12 ' 13 Petitioner , NO. vs . DECLARATION OF JAMES KING 14 STATE OF CALIFORNIA, COUNTY OF 15 CONTRA COSTA and DOES 1 through 100 , inclusive, 16 Respondants . 17 / 18 I , JAMES KING, declare: 19 I am the petitioner herein and was involved in an accident on 20 July .21 , 1986 on Vasco Road in Contra Costa County. I have no 21 recollection of the accident and have not been able to advise my 22 attorneys as to any potential causes for .the crash. 23 As a consequence of the accident I suffer permanent spinal 24 and damage and am paralyzed at the C 6-7 level , from the neck 25 down . I have eventually recovered from the original !read injury , 26 /// 1 but my memory of the first few weeks following the accident is 2 still very poor. I know I was at the John Muir Hospital for four 3 days , but I cannot remember any details of the stay. After the 4 initial hospitalization I was transfered to Santa Clara Valley 5 Medical Center until November 27 , 1986 for treatment of my spinal 6 cord injury. 7I For several weeks after the accident I was mentally 8 disoriented and confused and/or was unable to recognize the extent 9 of my injuries . It was months before I faced the fact that I 10 � would not be able to walk or use my hands again . My entire 11 attention was focused on my precarious physical condition until 12 October when friends encouraged me to talk to an attorney. 13 � Unfortunately , I could not tell the attorney any details of the 14 accident and I remain ignorant of how it occurred. 15 During the first 100 days following the accident , until 16 October , when I saw the attorney, I was completely immobilized and 17 confined to bed or other special equipment . I could not sign my 18 name .or perform any personal functions. 19 It is only in the last one or two months that I have been 20 able to sign my name with the use of a special brace. 21 22 23 24 25 26 -2- i �) 1 i 1 � I 2 i 3 `I 4 ii 5 i I, f 71 I I a 9 #� I 10 !� I 11 �� 12 I I. 13 �I i I; 14 I 15 I f 16 ! ` ERI=K,TION (Standard) CCP 446, 2015.5 Ii 17 ! 1 declare that: i 1$ I am the ....... I Pet 1 t s Dile r.................................................. ...... in the above entitled action; I have read the foregoing I� . ......... .. ......... . 19 Declaration ..................................................... ................. ..... .................................................................................................................................................... 20 and know the contents thezreof; the same is true of my own 'knowledge, except as to those matters which are therein stated 21 i! upon my information or belief, and as to those matters I believe it to be true. 22 �I I 23 : I declare under penalty of perjury tlhet the. faregeing is true and correct and that this verification was executed on 24 ii P�iarch 9 1087 _ Antioch, CaSfornia. ............................................ ut .......................................................... ................ 25 r 2b !± JMF (JIM) ................................................................. _ .I ......................... III ATTORNEYS PRINTING SUPPLY FORM NO. IC-S lI APPLICATION TO FILE LATE CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION Application to File Late Claim ) NOTICE TO APPLICANT April 7 , 1987 Against the County, Routing ) The copy of this document mailed to you is your Endorsements, and Board Action.) notice of the action taken on your application by (All Section References are to ) the Board of Supervisors (Paragraph III, below), California Government Code.) ) given pursuant to Government Code Sections 911.8 and 915.4. Please note the "WARNING" below. RECEIVED Claimant: HELEN D. BOLLING c/o R. E. Steinhauer, Prof. Corp. MAR 1 3 19$i Attorney: 1915 Addison Street courvry Berkeley, CA 94701 MARTIN���F. Address: Amount: $500, 0 00. 00 By delivery to Clerk on March 9 , 1987 Date Received: March 9, 1987 By mail, postmarked on March 4, 1987 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above noted Application FiLLe L to Claim. DATED: March 12 , 1987 PHIL BATCHELOR, Clerk, By Deputy L. Hall II . FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) The Board should grant this Application to File Late Claim (Section 911.6). The Board should deny this Application to File Late Claim (Section 911.6). DATED: j*TOR WESTMAN, County Counsel, By III. BOARD.ORDER By unanimous vote of Supervisors present Cz (Check one only) ( ) This Application is granted (Section 911.6). °( This Application to File Late Claim is denied (Section 911.6). I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. APR 0 7 1987 C DATE: PHIL BATCHELOR, Clerk, By 12Z Deputy WARNING (Gov. Code $911.8) If you wish to file a court action on this matter, you must first petition the appropriate court for an order relieving you from the provisions of Government Code Section 945.4 (claims presentation requirement). See Government Code Section 946.6. Such petition must be filed with the court within six (6) months from the date your application for leave to present a late claim was denied. You may seek the advise of any attorney of your choice in connection with this matter. If you want to consult an attorney, u should do so immediately. IV. FROM: Clerk of the Board T0: 1 County Counsel 2 County Administrator Attached are copies of the above Application. We notifed the applicant of the Board's action on this Application by mailing a copy of this document, and a memo thereof has ben filed and endorsed on the Board's copy of this Claim in accordance with Section 29703. DATED: A�R 07 198% PHIL BATCHELOR Clerk B Deputy Y P Y V. FROM; 1 County Counsel 2 County Administrator TO: Clerk of the Board of Supervisors Received copies of this Application and Board Order. DATED: County Counsel, By County Administrator, By APPLICATION TO FILE LATE CLAIM : I 1 R. E. STEINHAUER, PROF. CORP. RECEIVED 1915 Addison Street 2 P. 0. Box 311 Berkeley, CA. 94701 1987 r 3 Tel. (415) 843-9944 on 4 T Attorney for Claimant .- 5 6 CLAIM OF HELEN D. BOLLING, 7 APPLICATION TO PRESENT LATE CLAIM 8 VS. 9 THE BOARD OF SUPERVISORS OF 10 CONTRA COSTA COUNTY, 11 . / 12 TO THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY: 13 Application is hereby made for leave to present any portion of the attached 14 claim alleged to be untimely filed late. 15 The reason for the delay in presenting the claim as to any such portion 16 is that claimant operated under the mistaken belief that she had made a claim 17 when she contacted the County, was directed to the Office of Assessor, engaged J 18 in oral and written communications with said office regarding her claim and her 19 damages, and was given various instructions by said office, which she followed. 20 True copies of a portion of said exchange of information are attached to this 21 application and incorporated herein by this reference. 22 Claimant alleges that she should be granted relief from the 100-day time 23 limit as to any portion of her claim subject to said 100-day time limit on acco nt 24 of mistake, inadvertence, surprise and/or excusable neglect. Claimant further 25 alleges that the County was not prejudiced by any act or omission of claimant 26 in that said County had notice of the facts giving rise to a claim within said 27 100-day limit. 28 -1- 1 , 2 3 4 Dated: March 4, 1987 7 5 R. E. STEINHAUER, PROF. CORP, Attorney for Claimant 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 -2- PROOF OF SERVICE I, the undersigned, declare under penalty of perjury: I am a citizen of the United States, over the age of 18 and not a party to this action. I am an active member of the State Bar of California. My business address is 1915 Addison Street, Berkeley, California 94701. On the date stated below I served a true copy of the attached: application to present late claim by placing the copy in an envelope, postage prepaid, and mailing to: L. HALL, DEPUTY CLERK PHIL BATCHELOR, CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR THE BOARD OF SUPERVISORS County Administration Building P. 0. Box 911 Martinez, CA. 94553 This declaration is executed at Berkeley, California on 3/4/87 �- �l _ : R. E. STEINHAUER M-1 The Board of Supervisors Contra aM""'°' "'°` a d,.ao.ra ��aCounty Administration Building rµisi 372-071W P.O. Box 911 k4aminez, California 94553 COLM Too PWMW»t twfkct OWh C F8hd ►.VW Dwrict AOA 1 fco~.Ira DUtr,ct wn.0 Wrqnl ticft".M Dntnct TOM Toelra"M.yM pt,tnOt T0: Helen D. Bolling 52 Barbara Road Orinda, CA 94563 fI MCE TO C[UMC (Goverment Code Section 911.3) (X) It* claim you presented to the Hoard of Supervisors of Contra Costa county, California, as governing body of the County of Contra Costa and/or District, on Januar 30 1987 is being returned to you herewith b��ruseit was not presen _ thin 100 days after .the event or cocurrenoe as reVired by law. (See Sections 901 and 911.2 of the Goverment Code.) Because the claim was not presented within the time allowed by law, no action was taken an the claim. Your only recourse at this time is to apply without delay to the Board of Supervisors (in its capacity noted above) for leave to present a late claim. (See Sections 911.4 to 912.2, Inclusive, mrd Section 946.6 of the Goverment Code.) Order sane ciremstances, leave to present a late claim will be granted. (See Section 911.6 of the Government Code.) You may seek the advice of an attorney of you choice in connection with this matter. If you desire to consult an attor- ney, you should do so imediately. vo w ymm IN BY = am fir Bom aw it APpZ awz: (X) sine a portion of your claim is not untimely, we are retaining a copy of your claim for Hoard action an that portion of you claim which is not untima_ly. phi Batchew, Ciat of tha Board of Supervisors and County Adminoa!w BY: _ ✓ � ���� Deputy Clerk Date: February .10, 1987 Claim is not timely filed as to any cause of action regarding real property accruing more than one year prior to filing, claim. CLAIM TO: - A Instructions to ClaimantVerk of the Board Vv Mirtinez California 04553 A. Claims relating to causes of action for death or or Injury to person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the -cause of action. (Sec. 911.2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 -Pine Street, Martinez, California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled 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 end osis form. w*tftft�t•Rt***�*tA**t**A**!�*tit*��tRUr*!R*�*+R* l�.l�**�*�!****�**RA•tA*** RE: Claim by )Reserved for Clerk's ili g_stamps HELEN D. BOLLING R ECEIVED Against the COUNTY OF CONTRA COSTA) " 44 v. 10 ' 981 or DISTRICT) (Filln name ) The undersigned claimant hereby makes claim against a Contra Costa or the above-named District in the sum of $ 500 OW.00 and in support of this claim represents as follows: T. When did the damage or �n3ury occur? Give exact date ani hour] On or about 2/16/86 through 2/22/86 �: -w�iere ���-tFie-3amage or �nlury occurity and county] 52 Barbara Road, Orinda, County of Contra Costa, California 3. How did the damage or �n3ury occur? ZGive �uII detaii8, use extra . sheets if required) Cracks appeared in the walls and foundation of my. home; various portions of my home began pulling away from each other, leaving gaps. �. i�hat part�cu�ar act or omss�on on the part o county or district officers, servants or employees caused the injury or damage? Negligence in the design, construction, supervision, approval, and maintenance of upslope subdivisions, lot developments, construction permits, variances, dedicated streets, roads and other public projects. Claimant also claims liability without fault on nuisance, trespass, inverse condemnation, products liability, and tortious diversion of surface water grounds. (over) 5. hfiat are the names of' county or district officers, servants or' emFloyees causing the damage or injury? Unknown 6. What 3amage or injuries �o you clam resu�te�? ZGive �ul� extent of injuries or damages claimed. Attach two estimates for auto damage) I do not have an estimate as to the diminution in the .value of my property. I bel4eve the .cost of stabilizing my property alone will be in excess of $50,000.00. - - --------------------------------------- -------------------------- --- 7. How was the amount claimed above computed-- ?. (Include the estimate amount of any prospective injury or damage. ) The .above amounts are based on my own estimates and my conversations with various persons who might be able to do the work. ------------------------------------------------------ ------------------ B. Names and addresses of witnesses, doctors and hospitals. Helen D. Bolling, 52 Barbara Road, Orinda,, California Tel. 254-9210 -- --- --------T ------------------------ ------- ---T ----- �. List the expenditures you made on account of this acciaent � or injury: DATE ITEM AMOUNT See above estimates Govt. Code Sec. 910.2 .provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " Name and Address of Attorney dAza R. E. STEINHAUER, PROF. CORP. Claimant's S nature 1915 Addison Street 52 Barbara Road P. 0. Box 311 Address Berkeley, CA. 94701 Orinda, California Te nk0botfd 5lyca43-9944 Telephone No. 254-9210 NOTICE 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, town, city district, ward or village 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 a felony. " CARL S. HUSH .a� Office of Assessor Assef6of JOSEPH SUTA unty •834 COUfiT STREET• MARTINEZ, CALIFORNIA 94553 . 1415)372-2252• Assistant Ass"soy May 9, 1986 Helen D. Bolling 52 Barbara Rd. Orinda, CA 94563 •ti%l1la' -.. P . w Dear Property Owner We have received your,'application for reassessment of damaged or destroyed assessable property: On..your..iapplication you stated that you would submit your documentation .,later; We have not.-'.yet received it.--. We need the documen- tation by May 27, ;;986.:'- If you .cannot provide it by May 27th, please notify us in writing when we.'wil receive it. Please send all correspondenlce. to.: - Assessors Office Attention.:.` -Jim Lynch 834 Court' Street . _ Martinez,'; ' 94553. If we do not receive your reply by May 27th, Disaster..Relief, .under Revenue and Taxation Code, Section 170, ).can.not be granted. If you have any questions cal.l,JimLynch;at (415) 372-2851 between 9:00-12:00 a.m. and 1:00-4:00 p .m. " +' j Very truly yours, JOSEPH SUTA County Assessor Daniel M. Hallis y Chief Standards/Drafting DMH:cs HELEN D. BOLLING 52 Barbara Road, Orinda, CA 94563 r�CUPY 22 May 1986 . office of the Assessor ' ATTN: JIM LYNCH 834 Court Street Martinez, CA 94563 Dear Mr. Lynch: . This is with reference to your letter dated 9 May 1986. ' Application for Reassespment of Damaged Fr Destroyed Pr�terty. ' I have seen the SEA Representative 15 May 1986, He stated funds would be set aside . . .nr made available, and that I would need to get in touch with a 'geogoligist/ soil engineer t- make a report. ' I had hoped the County or the SBA could recommend persons qualified to assess and do the work? Th8 SBA was 'not able to do that. . . .can the County? I have contacted Rogers and Pacific of Lafayette. I expect to have some figures in June 1986. I am sorry for the delay in getting you cost information. Please accept this letter as a request for extension in getting you cost information. I thank you in advance for your consideration and courtesy. Sincerely, HELEN D. BOLLING Tel: 254-9210