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MINUTES - 04121988 - 1.13
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 I 12 , 1 9 8� and Board Action. All Section references are to ) The copy of this document mailed to you is your notice a Ca ifornia Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Am;,;,r,t: $365• 00 Section 913 and 915.4. Please note all "WarningJMEJVW CLAIMAn': JAMES WILLIA11S JR. MAR i r. 1988 c/o Madelyn Bufford ATTORNEY; 819 Broadway St . COUP" COUNSa liNfz Richmond, CA 94801 Date received ADD;ESS: BY DELIVERY TO CLERK ON March 15, 1988 Court BY MAIL POSTMARKED: March 14, 1988 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: March 16 1988 JbIL BATCHELOR, Clerk eputy L. Hall 11. 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 910.6). ( ) 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: 17 Dated: llcba:-t f r IJ _ BY /,%�.j1!t.'"l'!�; �1�./(.!�!` Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. 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. �f Dated: APR 12 1989 PHIL BATCHELOR, Clerk, By �C✓C� 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. Dated: APP 13 1988 BY: PHIL BATCHELOR by Clerk CC: County Counsel County Administrator I CL7,fIM: T7; BQARD OF SUPERVISORS OF CONTRA COAX ��'app{icatiottto: Instructions to ClaimantVerk 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 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 SuperY,i_sors 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 Co3e 'ec:72 at end of this form. 1kfAr�!*rlftkfttArkak,tsr�tk*tR*+k1t•Rlrrtl•ktr�+k*lrltlr*,tlIrltk�rk#,�ttrltRttR�t4�,t#I!!r�*tRlttk,ktlrrlrfyR*,ctk ::�'_r: RE: Claim by )Reserved for Clerk's; stamps ': : RECEIVED Y Against the COUNTY OF CONTRA COSTA) MAR 1 5 '1988 PH'L BATCHELOR or DISTRICT) tERK V);'AC7 of;Upf Rv,s.^.Rs (Fill n name ) NT R, ccs, co. . o� u - B . The undersigned claimant hereby makes claim against ,the Coun� of Contra Costa or the above-named District in the sum of $ jS O and in support of this claim represents as follows: i�aaaaaaaaaa�r..�..+�r.a,�a..�..s.rs..T�.a..aaara...a+rar. aa,i�.a�.a..��.ar�...ae�.a - •.,.r`:," When did the damage or injury occur2 (Give exact date andahourS $ rg$ It 60 hes i.,A5~- Ta as a.raZ.aaa aaa a.ra.r.a..aa�.a�a.uaa��.�..a�a.saa�.�..r�.n.�•,• damage or injury occur? (Include city and county) _ . .. _ ��{Z' �t fJ'S+-•rC,�,'::, 'y{�`�A• `f"�»D� ....,... :�j�J"r'YZ M4 `�'T14. �o W.1�,,;T`/// "w.M . �aa�aaa as aa.Oaaaaa as aaaaa Taaiaaaaaaa siaai.Fa� • ' •l 3. How did the o damsg e injuryoccur? T ..'..aaaaa_aa__ (Giveuiiaaetaaiias, use extra sheets if required) - LD -.�., . a aar.w.arara•rara....raa—w.�.r...T a.•a�riraaa.=.a 4.aaWhat particular act or omission onatheapart of Founty or disrictr officers, servants or employees caused the injury or damage? (over) v i 5. What are the names of county or district officers, servants or employees causing the damage or injury? toa� � yt4SHMOU _6;iRateamage rr��elnjuFriclaimrresulted?w Give-fullwexteht _ww of injuries o= damages claimed. . Attach two estimates for auto -- damage) rrwr.rwwrwrii.wwww rr wwwwwwrrwrrwwrwwwwwwrrrwrw rwwr.rw,rrr.-rrwer r�rw�.rrr�rwrww��.. ?. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) �,"'�`c.?�+ L. �'�'' ;7":. . Q 1f ,�. j��t_-� �./S�ffff�C'f�s, ---•�� �i. •�'G'•� � - wrrwrwriiT.MiC'�'"" r.�=`�rr��ow�ir�rwwrwwwww•4i' a 8. Nameswandraddresses ofrw%nemeses, doctors And hospitals. /'t q'f�.1 �<��!.1�% ! �alt•,' �� ��� Y :.qg..« �. rList the expehdituresryourmade�on account of this aecidehtwor injury: »; DATE ITEM AMOUNT Govt. Code Sec. 910.2 provides: ;?i "The claim signed by the claimant ' SEND NOTICES TO: (Attorney) or by some person on his behalf,".: Name and 'Address of Attorney M)Foci Claimant's si nature Vt f:t�lq"C:�;3i,) _.... :. :.. ... Address 01A ICL p Udo LAA 9A/(06r Telephone No. all 7 3 :S4 Telephone No. �S�5w.Q 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." z • - i .eu. .vr..::-...r.ws 7�17�Y�'!"�i'i.:+.+ii+h::,.:.�a.r:�. .:;e. ..e....+.�...a.w.-•�'.�+•:.:.r_,..':✓_'::-J+tlr ty�er.y,_. R..:".l �..�r^av+*�nCi.' 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 12 , 1988 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 Anint: $1526. 99 Section 913 and 915.4. Please note all "Warniassibu CL AIMGN': STONEY J. MOUTON MAR I G 1988 345 Tuolumne Avenue ATTORNEY: Martinez, CA 94553 COLMY Date received MARTINEZ ADDRESS: BY DELIVERY TO CLERK ON March 15 , 1988 Court BY MAIL POSTMARKED: February 20 1988 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. 8g DATED: March 16, 1988 JarL DeputyLOR, Clerk L. Hall 11. FROM: County Counsel -r TO: Clerk of the Board of Supervisors ( } This claire 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: %49") BY41 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 (�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 12 1988 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. Dated: APR 13 1988 BY: PHIL BATCHELOR by ty Clerk CC: County Counsel County Administrator r y ,MAIM T0; BOARD OF SUPERVISORS OF CONTRA C �rF4?K W8Vp1icati6n to: Instructions to ClaimantVerk of the Board .O.Bax 8i 1 Martinez,Caiitomia 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. Maims relating to any other cause of action must be presented not later than one year after the accrual of the eause __- of ,action. (Sec. 911.2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Super lsors at its ,office in Room 106, County Administration Building, 651 Pine Street, Martinez, California 94553. C. If claim is against a distric-�. governed by the Board of Supervisors, rather than the County, the name of the Distract--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 Co3 ea:`72 at end oT this form. fr+r 4-1 ork-1 R t l stamps RE: Claim by _ )Reser �; - I RECrEIVED MAF 1 5 '�� Against the COUNTY OF CONTRA COSTA) '�`� PH';SATCKLOfi .. .. :h•+ .,.. -„"<ern�..� {tt1lKBCIA.R7�F�11?1'l:sQRS in name . 4 lEli..l j _ �Ta l� `"Zri3T ) e oe The undersigned claimant hereby mikes 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-aia-t a damage or injury occur? (Give --------------- and hourY- --------------- - '�. i11}�ie►:s' C1 the dcunage 9W Jn3= occur? Tinciude city and county) .. - 3. How did the damage or ails, use extra -_,f sheets if required) -47 0, ; — — ---l's- _ _ _ --..—rr—...— .'—..--..—..—.._~— — — ..—:.—ts---.'---Tom.--.—.. .. -What parta.eula act or omsior� on the paVt of-county or district officers, servants or employee= caused the injury or damage? • (over)' Ltf.+Tr'.f+ti'.as+).+t%/r•J\K•Y:•r.. --.w-Y .d+M...i"+d4..ilh ..+• 5'. What are the names of county or district officers, servants or employees causing the damage or injury? _V1. 6YIL., ry .. .www !wwlwrw T lM��.. �will Sea' w.M.! �wPw 4iww . `What climage or n =is doY- Caaim resulted? dive-full extent of injuries of damages claimed. . Attach two estimates for auto damage) 179/ wwwwwww wwwwwwwr wlw wlw wF\w\\`www r•a,lwww wi ilwww.i.r.�ww..+r. ww.ilwwwwla..w.. 7wHow waswwthe amount claimed above computed? {Include the estimated amount of anyprospective injury or damage. ) - wwwwww wwwwww wwlww..wwwwwwwws��wwww wwwww!!!ww!lwww`www wwwwlwwlww-ww . 8. Names and addresses o witnessesy doctors and hospitals. _; y Q_ FV.v-2 , J � `ti�G.vim C- Ot i �,wwListwthe expenditures you made onpaccount of this accident or injury: r{` DATE ITEM AMOUNT �W AR, F Govt. Code Sec. 910.2 provides: "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some persqn on his behalf."-"" Name and 'Address of Attorney - ) �11 .l Vs S`ignalture Telephone No. Telephone No.(44 lRtlrfIt�#tt�l,k,t�Rrk+R�rsr�#!�ltl��+R+R�k�Rt�R�R#�tts+.f*ir#��r+twltltrt+RSR*�ttlr�ttriFt4tR�r+R,R+k+tffql�frt �' NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents f'or allowance or for payment to any state board or off ^er, * 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." R e..�...w......�.y.,e�..�i,;:rK,�+, �'�!L..,+�-�wr,r:.-.�. .. t. ..:^r.. - ' -.N.. ...aYr.4y:+eh►+.7�.1w%r�.;,+e'.♦' �.i.�::n..�w,....a,....:.',..,. ..-.. '..:.�. . -A February 20, 1988 List of ite::1s lost by Contra Costa County Sheriffs belonging to Stoney J. Mouton during an intra-facility transfer, on December 18, 1988. ITEI•IS LOST COST OF IMIS 3 pairs Levi's 501 jeans- $72.00 1 pair each: Grey, White & Tan 1 Pair Blac:_ Cal-;in Kline pants $50.00 3 Short Sleeve Pull-over Shirts- 660.00 1 each: White, Orange & Pim:- 2 Longi; Sleeve Pull-over Shirts- $45.00 1 each: Blac_; 1 Brown Suede Leather Vest- $150.00 with Wool linin, 5 pairs miens Boxer Shorts- x:12.00 assorted. colors & prints 6 pairs Mens Tube Socks 115.00 2 pairs Mens Sweat Pants- each: >4G.00 � � 1 each: ac�_/i�e�: & u_Gr e;;' I Sel.:C I4ens Wrist !latch N250.00 11 Pre-reccrdec. Cassette Tapes tt100.00 1 Goose Feather Pillow ;;30.00 1 Wool Blaricet_ a�150.00 Lions head pattern on both sides, in shades of brown & bei-e 1 pair liens Leather San,"als- ;b25.00 Size 11 1 pair Stacy Adams liens Dress shoes- 11"r80.00 size 11 1 hardbac'_ i`_e ical Dictionary >55.00 1 Cibac Box containing Personal Papers/Items $50.00 (to replace) 3 bottles Diens Colones- u37.00 (3 bottles total) Grey Flannel *** 515.00 Ara;:iis ********* ; 12.00 British Sterlinc, $10.00 continued on ne::t page.. ... TOTAL ** $1211.00 ** (this page only), 2 items lost belonging to Stoney J. i-;outon: ITEMS LOST COST OF' =I(S) 2 Model Car Kits- $15.00 Revel plastic _pit, unassembled 1 set Model Car Paints- *10.00 with Brushes & Thinner/Clearer 1 Tube Model Car Glue $ .Gov 1 Black Leather Shaving Kit- $35.00 (Bag & Contents) Travel Type Bag w/zipper, included: tooth brush & tooth paste, comb & brush, personal pictures, razor & shaving cream, Hair shampoo & conditioner, & jar of hair eressinJ. 1 pair Ray-Ban Sunt.lasses- $55.00 dens, light bronze color francs 1 AIN/1111 Radic-Cassette player/recorder $200.00 SUB--TOTAL **(page 1) ***** $1211.00 SUB--TOTAL **(page 2)***** $3 15 .ocj TOTAL COSTS ****** $1526,010 (pales 1 & 2)***** CLAIM r BOARD OF SUPERaISORS OF CONTRA COSTA COUNTY, CALIFORNIA l Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT Ap r i 1 12 , 1988 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 1V below), given pursuant to Government Code Am;;jnt: $70. 00 Section 913 and 915.4. Please note all "WarniffXEIVED CL A I MAN'. : STANFORD ALLEN SIMS MAR 1 G 1988 8397 Dauphin Drive cOUWY couNM ATTORtJE": Stockton, CA 95210 MMT04U. cnuF. Date received ADDRESS: BY DELIVERY TO CLERK ON March 15 , 1988 Court BY MAIL POSTMARKED: March 1 , 1988 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ��IL BATCHELOR, Clerk DATED: March 16 , 1983 : Deputy L. Hall 11. 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 910.6). ( ) 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: (z�� ��� BY: eputy 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. BOARDS ORDER: By unanimous vote of the Supervisors present ( V ) 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. e Dated: APR 12 1988 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 16; 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 13 1988 Dated: BY: PHIL BATCHELOR byV. ,2L/�uty Clerk CC: County Counsel County Administrator ZLAZM TO BOARD OF SUPERVISORS OF CONTRA COQ �Yappiication to: Clerk of the Board Instructions to Claimant P.0.Box 911 Martinez,California 94653 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. 911.21 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 Distract=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: C a by }Reserved for Clerk's filing stamps RECEIVED Against the COUNTY OF CONTRA COSTA) MAR 1 5 1938 or DISTRICT} t AH" BATCHELOR Fill in name / LE K COA D OF SUPFRVISORS NTPA STA CO The undersigned claimant hereby makes cla s � D`put y of Contra Costa or the above-named District in the sum of $�e1 c), and in support of this claim represents as follows: .._ _.._ _.._��_.._------- -z;---------------- ---------------- ---- I. When did the damage or injury occur? {Gi.ve exact date and hour] �. tnt�iese did the damage ar xn1ytry accuri Include-city and county} 3. -How-aid the-damage-or injury occur? {Give �uIS cetails, use extra . shepts if required} �•-�r �t"�,-i -T�• -------------- --�.a-��.-�.T�.-r.-- 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? 5. What damage or ln3uries do you claim resu�te�? �Gsve mull-extent of injuries of damages claimed. , Attach two estimates for auto damage) ?---. --H--ow---was---the---!--!--amount---!---!claimed--1--abovel---!-----ed?---!(Include-!-!!--e--!the--M!!--!estimated-!--- comput ount of any prospective injury or damage. ) 00 L 1 !!----w----1-!M!!-l---!!!-l--1----!--!------w--l-l-------------- 8. -IJames and addresses of witnesses, doctors and hospitals. '---r--•---.�1--!l.�lTw----l--"----...---1-------1-�-- --scall--�-------wT--rw-..- �.- L�.st the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT -b Govt. Code Sec. 910.2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." rJ 6L Name and Address of Attorney 5 C i.mant 1S;qnaMZ 3 �1CL A dress 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." CLAIM. . BC1RD OF SUr-ERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA and as Governing Board 6f the Contra Costa County Flood Control and Water Conservation District Claim Against the County, or District governed by) BOARD ACTION the Boa-d of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT Ap r i 1 12, 1988 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 Am Unspecified Section 913 and 915.4. Please note all "Warnings"RECEIVED CLAIM41,': SHELTON ROOTENBERG ETAL MAR 16 1988 c/o Paul B. Lahaderne, Esq. A77o;NE-v: Sedgwick, Detert , Moran & Arnold COUNN coo* . One Embarcadero Center Date received MARTINEZ. CA1UF. ADD;:ss: 16th Floor BY DELIVERY TO CLERK ON March 14, 1988 San Francisco, CA 94111-3765 March 12 , 1988 BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk DATED: March 16 , 1983 BY: Deputy L. Hall 11. FROM: County Counsel TO: Clerk of the Board of Supervisors (N) This claire 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: jl',rt�� /� BY: eputy County Counsel -4- 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). 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 12 1999 PHIL BATCHELOR, Clerk, By puty 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. 0 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: APR 13 1988 BY: PHIL BATCHELOR by uty Clerk CC: County Counsel County Administrator 1 SEDGWICK, DETERT, MORAN & ARNOLD PAUL B. LAHADERNE 2 One Embarcadero Center, 16th Floor San Francisco, California 94111-.3765 3 Telephone : ( 415 ) 781-7900 4 Attorneys for SHELTON and GERALDINE ROOTENBERG 'ECE IVED 5 1 6 MAR 1 ,� 1988 7 rH", BATCHELOR LERK c ARC,OF SUPERVISORS O—�:A COS7 CO. 8 1N RE THE CLAIM OF SHELT'ON } B DLCDeputy ROOTENBERG AND GERALDINE ) 9 ROOTENBERG ) I ) 10 i ) 11 12 TO: CONTRA COSTA COUNTY CONTRA COSTA WATER AND FLOOD CONTROL 13 CONTRA COSTA STORM DRAINAGE DISTRICT 14 Pursuant to Government Code § 910 , Sheldon Rootenberg 15 and Geraldine Rootenberg submit the following claim for 16 indemnification: 17 1. Name and address of claimant : 18 Sheldon & Geraldine Rootenberg 3706 Highland Road 19 Lafayette, California 94549 20 2 . Person to whom notices should be sent: 21 Paul B. Lahaderne, Esq. Sedgwick, Detert, Moran & Arnold 22 One Embarcadero Center, 16th Floor San Francisco, California 94111-3765 23 Tel : ( 415 ) 781-7900 24 3 . Date, place and circumstances giving rise 25 to claim: 26 1 On December 14 , 1987 , claimants were served with 2 the Summons and Complaint in the matter entitled Mark 3 Stefan, et al . v. City of Orinda, et al. , Contra Costa 4 Superior Court No. 304282 . Plaintiffs are the owners 5 of real property located at 8 La Playa in Orinda, CaliforDia. 6 Plaintiffs allege that they have sustained damages to 7 their driveway in excess of $13 , 000 due to the deteriorated 8 condition of an underground corruga-Led metal drainpipe 9 which runs under their property and connects to the storm 10 drain system on Camino Sobrante. 11 La Playa is a cul-de-sac terminating at the base 12 of a relatively steep hillside. Mira Loma and Linda 13 Vista Drives are public roads located on the hillside 14 above La Playa. Investigation indicates that surface 15 water on these streets is collected and diverted down 16 the hillside by a system of corrugated metal pipes which 17 connect to the drain line running under La Playa, including 18 plaintiffs ' driveway. 19 4 . General description of indebtedness : 20 Claimants seek indemnification from this 21 public entity, on the grounds that its ownership, maintenance 22 and control of said drainage system caused and/or contributed 23 to plaintiffs ' injury. 24 5 . Names of public employees involved: 25 Unknown. 26 / 2 . J J 1 6 . Amount .claimed: 2 Unliquidated. Claimants seek indemnification 3 from this public entity for any adverse judgment rendered 4 against them in the above-entitled litigation. 5 Dated: March 11, 1988 . 6 SEDGWICK, DETERT, MORAN & ARNOLD 7 8 `CCG "Paul B. Lahaderne 9 Attorneys for SHELTON and GERALDINE ROOTENBERG 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 3 . v 1 CERTIFICATE OF SERVICE BY MAIL 2 3 TITLE: IN RE CLAIM OF SHELTON ROOTENBERG AND GERALDINE ROOTENBERG Legislative claim 4 NO. COURT COUNTY Contra Costa 5 I am over 18 years of age and am not a party to the within entitled action. I am employed at and my business address 6 is One Embarcadero Center, 16th Floor, San Francisco, California. On this date, I served the following documents(s ) : 7 LEGISLATIVE CLAIM 8 9 10 • 11 by placing a true copy thereof enclosed in a sealed envelope with postage fully prepaid in the United States mail at 12 San Francisco, California, addressed as shown below. 13 I declare under penalty of perjury that the foregoing is true and correct. 14. Executed this 11th day of March , 15 1988 at San Francisco, California. 16 17 - DIANA DESPARD KNOTT 18 County of Contra Costa 19 Board of Supervisors 651 Pine Street 20 County Administration Building Martinez , California 94553 21 22 23 24 25 26 v.err.c[s :OGrvIGR O[T[R7 i���M l ARNOlO .r.�ww.►u.e:w�•N ,+WC�O[AO CiMRO . 1►w I�00� 16,11 76"V660 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 12, 1 9 8P and Board Action. All Section references are to ) The copy of this document mailed to you is your notice o California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amc,nt: 100, 000. 00 Section 913 and 915.4. Please note all "Warnif=EIVED CLAIMAN'. : BERL DONALD BALES MAR I P. O. Box 188 ATTORNEY: Concord, CA 94521 COUWY CoLsft Date received MMTI1VEZ, CALIF. ADDRESS: BY DELIVERY TO CLERK ON March 14, 1988 hand del . 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. Bg DATED: March 16 , 1988YrL DeputyLOR, clerk L. Hail 11. FROM: County Counsel TO: Clerk of the Board of Supervisors (X 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: ' ^ BY: c;, Deputy County Counsel 11I. 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 �, 2 19$8 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. Dated: APR 13 1988 BY: PHIL BATCHELOR byk_2�_ty Clerk CC: County Counsel County Administrator i 1 BERL DONALD BALES RE ! P . O. Box 166 P- 2 1 Concord , California 94521 no, Telephone: (415 ) 672-6561 Claimant in Pro Per 1 X88. 4 i� CQER P R AT By . tq LO 5 OeW,ty 6 - ii i' 7I 8i CLAIM AGAINST THE COUNTY OF CONTRA COSTA, CALIFORNIA I 9IITO: Board of Supervisors 'i County of Contra Costa , California 10 651 Pine Street Martinez , California 94553 11 '� CLAIMANT 'S NAME : Berl Donald Bales 12 ! CLAIMANT 'S ADDRESS: P. O. Box 188 13 Concord , California 94521 14 ! CLAIMANT 'S TELEPHONE : (415 ) 672-6581 I I 15 AMOUNT OF CLAIM : $1007000 .00 I i 16 ADDRESS TO WHICH Berl Donald Bales NOTICES ARE TO BE SENT : P. O. Box 188 17 Concord, California 94521 18IIDATE OF OCCURRENCE : December 12 , 1987 19i! PLACE OF OCCURRENCE : Contra Costa County Jail i Main Detention Facility 20 Martinez , California 21 ' HOW DID CLAIM ARISE : Claimant , Berl Donald Bales , was .i 22 1 a inmate in the Contra Costa County Jail , Main Detention 23 ! Facility, in Martinez , California, on December 12 , 1987. 24 Claimant was being housed on "B" Module on the above-mentioned 25 date at or about 6 :00 a. m. Claimant was seriously injured when j 26 he slipped and fell while entering the restroom facility within _ I - i - i u I i o , 1 ' "B" Module. At the time of the incident , said restroom was j I 2 ;, completely dark , there being no lights, artifical or natural , �I 3 i the room. Claimant was unable to see the floor of the I 4 irestroom ana was injured when he slipped on a wet area of the i 5 ; restroom floor. 61 The County of Contra Costa was negligent in failing to I 7iikeep, maintain ana operate said restroom facility in a 8i reasonable and safe manner. 9 As a proximate result of the negligence of the County of 10 Contra Costa in failing to maintain the above-mentioned 111Ipremises in a reasonable and safe condition, claimant suffered ,I 12l' personal injuires to his left knee requiring hospitalization 13 and treatment at the Contra Costa County Hospital . Claimant I 14 '1 to suffer from said injury to his left knee and has i 15 �ibeen apprised that he must undergo surgery to repair the damage I 16 ii thereto. 17i� Further , claimant will suffer economic loss due to lost ii 18ilwages and loss of earning capacity as a result of the 19 negligence of the County of Contra Costa. For all of saia i� 20 �paamages, claimant is entitled to full compensation in the sum 21 of $ 1001000 . 00 . I 22 I DATED March ( 19Bb. 73 l 24 Berl Donald- Bales II Claimant in Pro Per / 25 I 26 i II - 2 - i i i e —• CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION April 12MANT AAI the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLp, , 1988 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 Am.;jnt: $750, 000 . 00 Section 913 and 915.4. Please note all °Warn CLAIMuN7: ROBIN LYNN MERRILL MAR 16 1988 c/o Coker Tays & Ramirez ATTORNEY: 509 Railroad Avenue MARTMZ CALIF. Pittsburg, CA 94565 Date received March 14, 1988 hand del . ADDRESS: BY DELIVERY TO CLERK ON 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. 1L gATCHELOR, Clerk DATED: March 16 , 1988 fib: Deputy L. Hall 11. FROM: County Counsel TO: Clerk of the Board of Supervisors XThis 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: ��,�/I / BY: 46 eputy 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 (V 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 12 1988 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. Dated: APR 13 1988 BY: PHIL BATCHELOR by , puty Clerk CC: County Counsel County Administrator CLAIM AGAINST THE COUNTY OF CONTRA COSTA ROBIN LYNN MERRILL presents a claim for damages against the County of Contra Costa. ADDRESS OF CLAIMANT: 690 Military East #20 FRECEIVED Benicia, CA 94510ADDRESS TO WHICH NOTICES ARE TO BE SENT: 4 1��8 COKER TAYS & RAMIREZ PHIL BATCHELOR 509 Railroad Avenue CLCRKa ARD FP'NeVISORS Pittsburg, CA 94565 6y CO TRA COSTA Co. Deputy i DATE, PLACE AND CIRCUMSTANCES OF OCCURRENCE: On December 6, 1987, at approximately 10: 00 p.m. Claimant's was crossing the 2500 block of Oakley Road, a street located in the City of Antioch, County of Contra Costa, State of California. Said road is a two-way and runs in an east north-westerly direction. At the point where she was crossing the street, the road has a slight curve. As she was crossing from the north side of the road to the south side, she was struck by a vehicle which was heading, from an easterly direction, into the curved portion of the road. Said vehicle then slid off the road and in the process hit another parked vehicle. This section of Oakley Road contains a blind curve with inadequate street lighting. Because of its faulty design and/or construction and/or obstructions, on-coming traffic was prevented from seeing claimant entering the street and being struck. AMOUNT OF CLAIM• $ 750, 000. GENERAL DESCRIPTION OF INJURIES AND BASIS OF COMPUTATION OF DAMAGES: Head injuries, leg fractures, pelvic damage, bruised liver, shoulder injuries, abrasions, contusions, and lacerations. Damages are based on treatment expenses and wage loss. Dated: March , 1988. le 000<_ RANK PEREZTAYS Attorney for Claimant IN MERRILL � - �• CLAIM %/,3 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 12 , 1938 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: Unspecified Section 913 and 915.4. Please note all "Warnigo INSM CLAIMANT: FARRIERS INSURANCE GROUP FOR HENRIETTA RUDLER P. 0. Box 4035 MAR 16 1988 ATTORNEY: Concord, CA 94521 oourvTY aotWA Date received MARTR+ffZ, Mp. ADDRESS: BY DELIVERY TO CLERK ON March 10, 1988 BY MAIL POSTMARKED: March 3 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: March 16, 1988 JYIL BATCHELOR, Clerk eputy 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: Ll�� /� / /4 BY; W5 �eputy County Counsel bar- i 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 12 1989 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. Dated: APR 13 1988 BY: PHIL BATCHELOR by uty Clerk CC: County Counsel County Administrator CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COP*Q Yapplicationto: Instructions to ClaimantVerk of the Board S"." pyo 6 M rtinez,Califomia94553 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-tFiis form. RE: Claim by ) Reserved for Clerk's filing stamps RECEIVED Against the COUNTY OF CONTRA COSTA; or DISTRICT) CLER A (Fillin name ) RST By .S. The undersigned claimant hereby makes claim again t the county or Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: 1. When did the damage oz injury occur? (Give exact date ani hour] ------------- and ------------ and county Cost, , CA:5v til 3. How did the damage or injury occur? (Give �uIS �etaiIs, use extra . sheets if required) f :.til 4 C(I li PCS . 6-L��R (J t4C (:�Co Sc-r �.LLl n (1.l l C ( .e o l L11C? Gam( 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? k ' no b eeo iT P& 4 C a`I't (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 clam-resu�ted7 - Give-ful3 extent of injuries or damages claimed. Attach two estimates for auto damage) 7, -How was the amount claimed above computed? {Include the esttmate3- amount of any prospective injury or damage. ) _____________ 8. Names and addresses of witnesses, doctors and hospitals. .- List thxpend�tures you made on account of thss accident orn�ury: DATE 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 Sign ature 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. " • i I I I I _ I i �� R :z. w Im LV IMP Nor • �`. k $!��py�.M. ,Y iC. ,.,}a{ `w 1 K A Fr ''�tF�' cr •yam._�'.,M`-.,ar...a� ��.ierw ++ r�.� ... � . �`'� `I.�...'- ii .�, k `_ _ �'s �'' __,mss-• .� s-"r' �_ I i I I - _ February 23> 988 5'7 LLJ Farmers Insurance Group of Companies Branch Claims Office 1660 Challenge Drive P. 0. Box 4035 p r Concord, CA 9452+ Attention: Ms. Linda Armes Re: Your claim no. : B2 27550 Your insured: Henrietta Rudler Loss date: 12/12/87 Your policy no. : 96-9749-07-11 Accident location: Treat Blvd. at Arkell Rd. , Concord Total amount of claim: $3,033.60 Dear Ms. Armes: This is in response to your letter dated January 25, 1988. The pole in question is not one of ours but, I understand, the property of the city of Pleasant Hill. Very tV61, your , COLIN JONES Claims Investigator CJ:lbl M OU"NG SMW �,d�e, UM TAMMN; 7 r - .- - - . s t 2 Plcnm HUNS": r� IV • - - v i.. •!n 0 L_L. f =.- ;.. DUCMPnOIM- <� 1 Z 14 ci 6- • -- ti�-"ems PHOTO MOUNTING SIFT MSURED: ------ POUCY NUMBER: DATE TAKEN: DATE OF LOSS: ADJUSTER: 1 PICTURE NUMBER: i DESCRIPTION: i I s DESCRNTION: 23-0750 5-87 14151 SH 1000 P _} f. • -T;VAMW W Pro-77rc'• •� rM tin rr FL 2i•.mss A '�� t.`1�� Vrnro i It V,0) tLR�rAM 1 FMW STM Ar E' un Piro �: .. �� Co (JUMMEMM MMOMspecified repairs. FOR REPAIRS 11 Pd You are hereby authorized to make the above . :. 4 , 4SOLU i _: s• • . F SThis estimate,based on our inspection,does not include orTy odcRional •+ portsor labor • may berequired after • has been f i ## •1 pricesoccassionally,after work has been started,damaged or broken parts are found which were not evident on the first inspection. Becouse ofthis, subiet S the are • • • • • .' PARTS PRICES • f BAR -• • • i TOTALL vMOL �s >> RNMaOMW - - _wt_ >!� � _ .tea a.wr� �1 Y` •r IWO jW t �-- �.`.�"- '�'�u � �.. l t t .. � . , 4 kms• 4:mcam pA►E 410110111111111111 PNOW j v r r , DE YEAMINC R E +� � �K- AP asp DATE JT"AE FWM ADD•L P-0-'S►QB�i DATE l WTMOAIZED eY 17 Ij AP C TOTAL PJtf4TS MILEAGE STATE SALES TAX :#HARKS TOTAL f LABOR s INVOICE r- TOW DEPOSITI DEDUCTtllfl.E -------------- PAY FROM THIS INVOICE METHOD OF PAYMENT cHEcl<. -a'Y PLF oar [J r- !_�Mc�:SA _ DIs--O:c^ -- THIS AMOUNT TO THE TERMS AND CONDITIONS ON REVERSE. w` T RELEASE AND AUTHORIZATIOr,' To PAY OTHER THAN INSURED OR CLAIMANT c<ar:er +e has been accc•mplishec+to my Gom;..c-e� sa!afa^t,�^ I understand that I will be responsible for payme%.: of this Di'! _ :c to pay direct.0 BAY GITIES GLASS the full WTIOu1N due me under the terms of my policy. �. - _ oAT a Fill COPY Rt:FiYED�` :�OODORDEi- - 6 � a_. . IR{D II1TC jNLWgA ... Sim jo� ✓rss MA Y ARE/ ---._.— iMR •it foi i�eaer w. _1...+t t i } Sim •9?'i�•09ft TOLL FREE JOB - ___ _ r, "1 PLEASE REMIT TO: rLASS FARMERS IMSURi1NCE BAY .s x 405 . v.osax: os SOLD TO P. 0. BOX ISM Gsaro V8119y, PL.EASANTON, CA 94566 Wifomis 94546 Please pay from this 'invoice. L -� CONTRACTOR'S LIC, NO. 436156 I.R.S. NO.95.3545446 COST NO YOUR NUMBER REFERENCE PROD NO DATE INVOICE NVldBER 97490714 MARYLIN 18-14-87 ,lu.Er+r+• aE�s>A.►tmN .r..wourT 2 N887 SHADE W i NDSH I ELD 354. 40 50% 177. 20 URETHANE KIT 8.95 TAX 12. 10 INSTALL 3.6 0 13. 50 Aafio I INSURED HENRIETTA RUDLER 2941 FOUNTAIN HEAD SAN RAMON, CA 94583 1980 BUICK REGAL i i I I f I AGENT EARL WELBOURN 560 S.- HARTY AVE r DANVILLE, CA 9452226 AMOUNT DUE ► $246. 851 I THE AIL Farmers Insurance Group .F COMPANIES I= CUM Date: January 25, 1948 .M" to Peeifie Cat I Fleetrie Company tom• trAL900 % 9 1000 Oak Grovo Read "WNW 6414 "7-11tt Csatord, 'CA 94818 °r A rr9: A ur0 CLAIMS--COLZA JORre IN REPLY PLEASE REFER TO: OUR CLAIaf D0: Of !ft6 C . �=•;Irrwww: Near{etta Rudler Las Date: t kyNO: !e_D908-09-11 llnti0eia 000tion: creat Boutevara at Arkett Road, Coueord, CA .We have not received a reply to our recent letter regarding the claim against you for damages to our insured. . M is our desire to effect settlement of this claim without causing you the odditiorwi :eernse ifs ....: blowever, unless we hear from you within the next :bn days, it will be necessary to refer the CQ--" to.ow attorneys for further action. Again, we request that you provide the following information. �,...r - Insurance Company Name: poky Address Name and address of Agent or Adjuster r _� If you did not carry insurance, please send us your check for the amount due. If for some reason you ora ulobla'.10 fulfill this obligation,please complete the agreement below and sign it. ❑ Monthly I would like to make ❑ Semi-Monthly payments of: $ to fall due on the (and_) day(s) of each month beginning MONTH YW Very truly yours, Signed LINDA AAWS SUBROGATION CLAIMS LIGFTPOLE OVNFD BY PCAP PELT, CRUSINC ABOVE DAMAGE TO Wit group DB V NrCLN. nnsr CORBIRBR rRIS AS FORMAL IPOrrm k tleDatoot a"IN m WE ARE MEMBERS OF THE INTEP=MPANY lOW eafftWW CLAIM • BOARD OF' SUPEP,VISORS 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 12 , 1988 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: Unspecified Section 913 and 915.4. Please note all Umfo. CLAIMANT: RAYMOND AND EVELYN TODD MAR 141968 2032 Ascot Drive ATTORNEY: Moraga, CA 94556 ANN COUNSEi. MARTINEZ. CALIF. Date received ADDRESS: BY DELIVERY TO CLERK ON March 9 , 1988 BY MAIL POSTMARKED: March 8 , 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. March 14, 1988 eeHHIL BATCHELOR, 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 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: ��( %,/� f�, /t/�S?' BY:/ J:� ;'� / ' f' Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. 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 datVR 12 1988 Dated: PHIL BATCHELOR, Clerk, By A6J_ 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. Dated: APR 13 1988 BY: PHIL BATCHELOR byeputy Clerk CC: County Counsel County Administrator JON H.YORK LAW OFFICES SCOTT BURESH York, Buresh & Kaplan ANN S.KAPLAN A PROFESSIONAL CORPORATION ALAN J.JANG STEVEN K.AUSTIN 2298 DURANT AVENUE FRED M.FELLER BERKELEY,CALIFORNIA 94704 (415) 548.7474 JOSEPH C.COSTELLA March 8, 1988 RECEIVPD Clerk Board of Supervisors MAR C-' 1988 County of Contra Costa 651 Pine Street 'H' c C1ERK 'H' o SUPERVI;ORc Room 106 CONTRA STgCO. Martinez, California 94553 Re: Early v. Tri-City Cement, et al. Contra Costa County Superior Court Case No. 299251 Our File No. : 88029 Dear Clerk: Accompaying this letter are the original and one copy of a Government Code Claim Form with regard to the claim of Raymond and Evelyn Todd against the County of Contra Costa. We will appreciate your filing the original claim with the Board of Supervisors and returning the copy of the form to our office in the enclosed envelope after the form has been marked showing your receipt of same. Thank you for your assistance. Very truly yours, �)Xv-t� Linda Maciejczak Secretary to llm Steven K. Austin Enclosures RECEIVED MAR -91988 GOVERNMENT CODE CLAIM FORM CLERK QARpOfSU0w ^R 8 .. .�/� NTRAC^ S TO THE GOVERNING BODY OF: COUNTY OF CONTRA CO Claimant: Raymond and Evelyn Todd Address: 2032 Ascot Drive Moraga, California 94556 Defendants were served with a complaint in the case of Early v. Tri-City Cement, et al. , No. 299251, Contra Costa County Superior Court on February 5, 1988. DATE OF INCIDENT: July 26, 1986 LOCATION OF INCIDENT: Intersection of Ascot Drive and Ascot Court, Moraga, California. DESCRIPTION OF INCIDENT: This incident arises out of a motorcycle accident which occurred on July 26, 1986 on Ascot Drive, Moraga, California. NATURE OF DAMAGES: Claim for Equitable Contribution and Indemnity. AMOUNT OF CLAIM: Claim for Equitable Contribution and Indemnity. ATTORNEYS TO WHOM NOTICES Name: Steven K. Austin, Esq. SHOULD BE SENT: York, Buresh & Kaplan 2298 Durant Avenue Berkeley, CA 94704 (415) 548-7474 Dated: March , 1988 By: . StevtTl K. us in Attorneys for Claimants GOVERNMENT CODE CLAIM FORM TO THE GOVERNING BODY OF: COUNTY OF CONTRA COSTA Claimant: Raymond and Evelyn Todd Address: 2032 Ascot Drive Moraga, California 94556 Defendants were served with a complaint in the case of Early v. Tri-City Cement, et al. , No. 299251, Contra Costa County Superior Court on February 51 1988. DATE OF INCIDENT: July 26, 1986 LOCATION OF INCIDENT: Intersection of Ascot Drive and Ascot Court, Moraga, California. DESCRIPTION OF INCIDENT: This incident arises out of a motorcycle accident which occurred on July 26, 1986 on Ascot Drive, Moraga, California. NATURE OF DAMAGES: Claim for Equitable Contribution and Indemnity.,. AMOUNT OF CLAIM: Claim for Equitable Contribution and Indemnity. ATTORNEYS TO WHOM- NOTICES Name: Steven K. Austin, Esq. SHOULD BE SENT: York, Buresh & Kaplan 2298 Durant Avenue Berkeley, CA 94704 (415) 548-7474 Dated: March , 1988 By: Stev%M K. us in Attorneys for Claimants * 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 12 , 1 9 3 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice o California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $21, 232. 72 Section 9"149.4. Please note all "Warnings". CLAIMANT: FIBERCEL CORPOMTION MAR 141983 ,c/o Mr. i:ent Calfee CDLNM COMM ATTORNEY: Calfee & Young +wort WEL cup. P.O. Box 2143 Date received ADDRESS: Woodland, CA 95695 BY DELIVERY TO CLERK ON March 9 , 1988 BY MAIL POSTMARKED: March 8, 1988 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-Hated claim, DATED: March 14, 198$ gyIL BATCHELOR, Clerk eputy 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 910.6). { } 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: j�i�'ci`%?.r>t_ 1 ;� BY: 1' '' ter'' � (iI_ _T_ Deputy County Counsel l y��C.,J� , C Ill. 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 12 1988 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 16; 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. 01 Dated: APR 13 1999' BY: PHIL BATCHELOR b14 y be4�� Deputy Clerk CC: County Counsel County Administrator CALFEE & YOUNG A PROFESSIONAL CORPORATION KENT N.CALFEE ATTORNEYS TELEPHONE DAVID MICHAEL YOUNG 611 NORTH STREET (916)666-2185 DAVID W. CALFEE III P.O.BOX 2143 FAX CP 3,2,1 CHRISTOPHER J. KONWINSKI WOODLAND, CALIFORNIA 95695 (916)666-3123 March 7, 1988 RECEIVED Contra Costa Board of Supervisors MAR 651 Pine Street, Room 106 Martinez, CA 94553 ...,.. - cl. -gar:Oa Re: Fibercel Corp. a Our File No. F2684 Dear Board of Supervisors : Enclosed please find a claim brought on behalf of Fibercel Corp. against Contra Costa County, Community Services Department, pursuant to Section 910 of the California Government Code . If you have any questions or comments concerning this matter , please do not hesitate to contact Kent Calfee at this office. Very truly yours, CALFEE & YOUNG A Professional Corporation Sharon A. Frame sfp enc . 4982c RECEIVED In the Matter of the Claim of: M.4P, 198.9 FIBERCEL CORPORATION, Claimant V• DO: CONTRA COSTA COUNTY, COMMUNITY SERVICES DEPARTMEN D ._ ..... Deur Fibercel Corporation (herein "Fibercel" ) hereby presents this claim to Contra Costa County pursuant to Section 910 of the California Goverment Code. 1 . The name and post office address of Fibercel is as follows: Mr . S. Falk, Fibercel Corporation, P.O. Box 825 , Woodland, California 95695 . 2 . The post office address to which Fibercel desires notice of this claim to be sent is as follows: Mr . Kent Calfee, Calfee & Young, A Professional Corporation, P.O. Box 2143, Woodland, California 95695 . 3 . On or about April 11, 1986 , a written agreement was entered into between Fibercel and Contra Costa County, Community Services Department (herein the "County" ) . A copy of the agreement is attached hereto as Exhibit "A. " The essential terms of the agreement were that the County agreed to purchase 40, 000 bags of insulation at a price of $4.58 per bag. The agreement estimated that a minimum of 500 bags per week would be requested. Between April 11 , 1986 , and August 13, 1987, the County did in fact purchase 28, 706 bags of insulation from Fibercel pursuant to said contract. 4. On or about August 13, 1987, Fibercel made its last shipment of insulation to the County. Since that time the County has breached the agreement by failing to purchase the remaining insulation and on or about November 30, 1987 , the County informed Fibercel that effective December 1, 1987, no further shipments would be requested. 5 . Fibercel has dealt with Jim Fuerst, Ida Burke, and, Al Prince of the County with regard to the above-mentioned agreement and the insuing problems . Whether these individuals are directly responsible for the County' s breach of the agreement is not within the knowledge of Fibercel at this time . 6 . So far as is known to Fibercel at the date of filing this claim, Fibercel has incurred damages in the amount of $21, 232.72. This figure was calculated by multiplying the number of bags of insulation remaining to be purchased (11, 294) by Fibercel ' s profit per bag (sale price: $4.58 - cost: $2. 70 = Page 1 $1 .88 profit ) ( 11 , 294 x $1 .88 = $21 , 232.72) . Fibercel has also lost interest on said amount and has incurred costs and attorneys ' fees in bringing this claim. Dated: March 7 1988 CALFEE & YOUNG A Professional Corporation By: Wefh t N. " C e Attorney f/r Claimant 32s Page 2 ��•�• o •I Iola ; 1lJviNI :VIV -County CONTRA COSTA COUNTY ` � .0571-JJF oi PURCHASING DIVISION P.O. BOX 3 i THIS OuourioN NumER MUST APPEAR ON OUTSIDE Or- MARTINEZ CALIFORNIA 94553 YOUR ENVELOPE /I GATE `aECl1t91TIONNO. DEPARTMENT FOR FURTHER PHONE N MBER 3/18/86 85-620 Community gprvirpc Jim Fuerst 372--.274 r � FIBERCEL CORPORATION THIS REQUEST MUST BE DELIVERED TO COWP. BOX PURCHASING BEFORE 11 A.M. �;gr86 Woodland, and, CCA A 95695 AT WHICH TIME IT WILL BE PUBLICLY OPENED READ. L J j INSTRUCTIONS TO BIDDER.All provisions on the face hereof.as well as all conditions on the back hereof are part of this quotation.Read them before quoting F;, to examine any drawings,specifications.and instructions will be at bidder's risk Unless the bidder specifies otherwise in his bid or the Request for Ouotations give notice of an au-or-none award,the County may accept any item or group of dens of any rivis are subject to acceptance at any time within 30 days after openintl unless otherwise stipulated u%bid or Request fix Ouotalk n The County reserves the right to reject any,and all bids and to waive informalities and minor irregularities in bids receive(i i i-EFA OUANTITY UNIT DESCAtPTION UNIT PRICE TOTAL PRICE tk � CONTRA COSTA COUNTY IS REQUESTING QUOTATIONS FOR THE i . FOLLOWING: 40,000 gs Insulation, Cellulose, 40 lbs ./bag _ _ 4.58 $1.83 :20(). 0 TO BE DELIVERED AS REQUESTED: ESTIMATE IS TO BE MINIMUM OF 500 BAGS PER WEEK. i — rices quoted must--5e- DELIVERED "F.O.B . DELIVERED TO WAREHOUSES"-..PITTSBURG, CA." -- Fibercel Corporation certifies that the — insulation quoted herin complies with all I� applicable Federal and State regulations . M CASH DISCOUNTS I EXCEPT AS NOTED ON INDIVIDUAL ITEMS. THE We(1)hereby agree to furnish the articles and/or services fisted herein,at the p,is i FOLLOWING WILL APPLY TO ALL THE ITEMS ON and Perms stated subject to the instructions and conditions on the reveme sir (Cast+ Discourns of less than 30 THIS RF.G. I herein.UNSIGNED BIDS WILL BE REJECTED. days or 25th prox will be cjnswered ,.4%net in evaluating tfrs quotation. Net 3 0 CASH TERMS firm Name Fibercel Corporation _ FAILURE TO BID F.O.B. Destination Address P.0. ox nd, CA 9E It you do not care to bid on 2M Complete deliveryr,iu be made in 3 working Signed by '-iams herein,please check here.and days atter rec Npt of an order. Title President i rune rn may be removed from ourour bid Phone No. 9-16-60'6-3666 Date 4/4/8 6 tests(� Authorized Ptrcnasing Representative • 31DDER EXHIBIT A PREPARAT'ON'OF BIDS:(a)All prices ane ^c:aeons must ca T CCIX-1- onnteu in inK or typewritten. No entsures Pernrtted. E;;cr:; Fec,trE: may be crossed out and correcticn-i prin:ed ,,. r Or type- written ype written adjacent and must be initialec in ink by per;„on Signing int bid...Quote unit.prices and extend tctais. in case of exten,:ur: error. the unit price governs. _ _ . _ ' _-`., ; ,,• -� 3. CO`..- . .,., ,•,�,,.....;-, ��!r.,; 1TicS:'The bidder (b)Use of a brand name as a spec!!tc_i:icn not ritendea to n : _it: : . t.. .:r, cii antertat~merit: arts, Of ar:er restrict competitiCn. Quote in accorCance :with spvc1fication r;•., - �,t r":.: '.;r y;ici.'1 by 1 :;iC ^_f, or gin'; agent Or -r1 r•,t�Le ;.ii int; bidder. or any ,ff,r)P.r or �;mti;ovF•P of in,? or, On your alternate. Alternate offe. to meet functional t,:• qutrements, ade—,uateiy Supported 0,"!lf�'dre a-0 yOUr stale- men, tale 1;::r: a �le�"! :0'..ar0 securing tt.r, p>rS:OrmarCc .01 men, v.,Merein Speciftcat:Ons ciffef. - ,!ii ne considered for ccra'.C', 'or omach or vloialicn Oi thiS warranty. the C oij-1,! `uttlf6 7UiCrlase. Or:"!ne^ fF?ds!blt. :'or !:`Is ).,"n:�a. It quoting cfi i ale the mmt ;O ;erminale the contract. &then -n vt^^�! ��„� ” r „ I in pari, aro any less Or damace sustained ty'wt,e Cour" in NrO. bn "an . gtai, tie manufacturer's ,':...,e <-and ?tog slumber must oe given. and descriptive cui ani, information must curl;':] on the open market any items 'Nhlcrl ,he accompany your quotation. to si-:cp:y shall be borne and paid for by the btdrer Ti e and renled:es of the Ccunty provided in this clave s. no,n? (c)Ouc;e pn each item separately. Prices shcutd b2 stated in exci us:ve and are in addition to any other rights and re:nedieS units soecified ner,.:n. provided by saw or udder contract. (d)Time of delivery is a part of the consideraton and must be g. SAMPLES: Samples of items.when required, must be furnished statec in definite terms and must to adhered to.If time varies free of expense to the County and if net destroyed by tests may on different items, the bidder-shail so state in the column pro. ;. upon request, made at the time the sample is-furnished. he video opposite each item. Time. if stared in a number of days, returned at the bidder's exoense. shall mean "calendar days. 2. SUBMISSION OF:BIDS.:(a)ONLY. BIDS RECEIVED-OV BID ..10. RIGHTS AND REMEDIES OF COUNTY FOR-DEFAULT:(a)In FOFLMS FURNISHED...BY THE COUNTY WILL_ BE..CON-. the event any items furnished by the vendor in the perfdr SIDERED: provided, that the County reserves the right to cors• mance of the contract or pure^ase order should fail to conform Sider "telegrapnic•• bids received prior to the closing time to the specifications therefor, or the sample submitted by the specified, if promptly confirmed on bid forms furnished by the vendor with his bid, the County may resect the same. and it County. shall thereupon become the duty.of the vendor to reclaim and remove the same forthwith,without expense to the County, and (b)Bids and modifications or corrections thereof received after immediately to replace all such rejected items with others con- the closing time specified will not be considered.. ; fprming to such spectflcations,or samples: provided that should • the vendor fail,- neglect or-refuse so to do the County shall 3. t TAXES, CHARGES AND EXTRAS:(a)Unless.otherwise definite- .thereupon have the right to purchase in the open market, in i ly specified, the prices quoted herein do not include sales,use lieu thereof, a_corresponding quantity of any such iterlis and to or other ;axes. deduct from any monies due or that may thereafter become due t6-the vendor the difference between the prices named in (b)No charge for delivery,.drayage, express, parcel post,pack= 'the contract or purciase order and the actual cost thereof to Ing;Garage. insurance, license fees,permits cost of bonds:or'. the County. In the event the vendor shall fail to make prompt any ether purpose, except taxes legally payable by the County, :_ delivery as specified of any item. the same conditions as to the yrifl be paid by the County unless expresslyincluded and rights of the County to. purchase in the open market and :o lien-zed in the bid. reimbursement set.. forth aboveshall apply, excect wh;gin delivery is delayed,by fire, strike, freight embargo, or Act of (c)The County DOES NOT PAY Federal Excise.Taxes. Do not God or the government. include ,neje taxes in your.,bid price: but do indicate on the face of t.d ,he amount of any such tax.The County will furnish (b)Cost of inspection of deliveries or offers for deiivery: :wrr.,r all exemption certificates in lieu of such tax. do not meet:specifications, will be for the account of the vendor: _ . AWARD. A written purciase order maiied or otherwise .fur nished,_to :tne lowest responsible bidder who Submits a re (c)The rights and remedies of the County provided above shall sponstve bid which is most advantageous to the County within not be'exclusive and are in addition to any other rights and the time for acceptance specified results in a binding contract remedies provided by law or under contract. without further action by either party. The contract shalt be interpreted. construed and given effect in all respects accgrd-. 11. `BOND: The County reserves the right to require a suooly con- ing lopie laws of the State of California. - tract bond or faithful performance bond from the successfui bidder in an amount not to exceed the amount of tie contract. 5: ALTERATIOMOR VASIAnCtd OF'TERUiS: Iris mutually under. ..This requirement will be stated ori ttie face of.(he R-.F.O.In the stood and agreed that no altiratjon or variation of the terms.oi: event a surety bond is.required by the County which has not I this bid shall be.vaud unless mp.5e or conhrmti in writing andbeen excressly required by the specification, the County will re- signed by the parti!� :hereto, ane trial no otai understandings imburse the successful bidder, as an addition to the purchase on agreements not incorporated reran;and no alterations or price,. in an amount ;^ot exceeding the standard premium or variations of the term. herect .lin*%_rrraue cr contirmed in. such bond. wnting be!ween it-.e parties hereto Batt ce bif ding en any of the parties hereto. t2. CALIOSHA COMPLIANCE: All items to fully cos ply with 6. ASSIGNAEILITY: A contract is 662.35sigriabf by birder eche► aspects of the Jeoartment of Labor Occupational Safety and in whole or in part.nor sttatl:tt biddw%jbcentract any cviga- Health Administration Act, and CAUOSHA Requ!atiens and lions hereunder without C'asrty'&p0Dremtren app;roval. Standards: ' - •.•yy'� ...r ..jam .. .._. Mp.n and Court Streets Ar rVlc�,nnan.v •ww • '��' SHOW THIS ON ALL INVOICES. AC - S N � • MOninl2, G1 94553 KNOWLEDGMENTS.ANC SHIPPING CARTONS CONTRA COSTA COUNTY ALTERATION N O, QUOTATION NO. g r , � H I Housing & Energy Division PACE P Community Services I 2201 K Harbor Street DATE — T Pittsburg, CA 94565 J 4/11 /86 DOR:N.04 , ;AlC' SHIP VIA::.PREPAID- E.O.S. pa .:; .',::.TERAAS, `. 44 D DESTINATION net 30 c c r � V Fibercel Corp . C� E — P . 0 . Box 825 N p Woodland, CA 95695 DEPT. Services 0 R REQUISITION NO. & DATE: L' -J 85-620 1/21/86 .: ElVld!`0Ri1RaZA1IQK:;SU60BJECT.. .T/WC_i.r w ..y_.... -..•- OPT10M" ACT./WORK'AUTH:. ..,+{. SPEC FLAGS:: _ �GtIiEM AMOUNT O1 ' 1454 2479 ._.._._ _.. •--—--- —' -' 1 t i- ITEIk MATERIX OltSEIYtCE,.:1 4� .�., -gN •.QTY-IUNTi•: UNIT.1'luE:. EXTENSION. 1 01 Insulation= Cellulose ,-40 lb bags , _ 4_ ,000 b4 gs 4 .58 r quotation #057.1 . Partial billings to 18 200 .00 .__.,...._pe — .—.., . . . . be made monthly . y: SALES TAX 11 , 908 .0 TOTAL AMOUNT 1915 , 10 8.0 This Purchase Order when signed by a County Purchasing Representative authorizes the delivery of the above articles or Servicesubject to the,conditions on the reverse side. gY: AUTHORIZED PURCHASING REPRESENTATIVE 1S6 FIV.5431 VENDOR COPY TERMS:-AND:-CONDITIONS 1 liivolce-each 'Purchose Order separately. title to some, and Controctor agrees to Items on this Purchase Order must not be hold County free and-harmless against any billed with those on other Purchase and all claimants to said article, material Orders. or work. Title to the materials and supplies 2. Unless otherwise specified. all shipments purchased hereunder .shot{ pass to the are F.O.B. Delivered. When freight is County at the F.O.B. point designated on authorized to be prepaid and added to in- the face hereof, subject to the right of the voice, a copy of the receipted freight bill County to reject upon.inspection. MUST accompany your invoice. 9. TAXES: Unless otherwise provided herein 3. Substitutions, changes, and prices other or by low, Contractor shall pay ail sales, than specified above must be authorized use excise (except those articles exempt in writing by the Purchasing Agent. from Federal Excisg-Toxes stated on the A. ACCEPTANCE OF THIS PURCHASE ORDER face hereof), and other Loxes, charges and implies the acceptance of ail terms and contributions now or hereafter imposed conditions contained herein, and all on, or with respect toor measured by the specifications, drawings and additional articles, materials or work furnishec terms and conditions referred to herein hereunder or compensation paid to per- and/or attached hereto. Read them sons employed in connection with perfor- ar� efully_. No substitutions or changes will mance hereunder; and Contractor shall in- be effective without County written op- demnify County against any liability anc provol. expense by reason of Contractor's failure 5. This order or any payment due thereunder to pay some. is not assignable by contractor without 10. COMPLIANCE: Contractor shall comply, written approval of County. and has complied with all State, Federal, 6. CONTRACT: This purchase order, and any and Local Laws, regulations or orders ap- referenced attachments, when accepted plicable to the purchase, manufacture, by Contractor either in writing or shipment processing and delivery of materials, in. of all or any-.portion of the material, or the eluding but not limited to the Fair Labor commencement of performance of any Standards Act of 1938, as. amended. -The portion of the services covered hereunder, provisions of executive order 11246. constitutes the entire contract between 11598, os-amended, and any subsequent Contractor and County concerning its sub- executive orders relating to equal oppor- ject matter; and neither any contrary or tunity for employment on government additional conditions specified by Contrac- contracts and all rules and regulations or for nor any subsequent amendment or the President's Committee on Equal supplement shall have any effect without Employment Opportunity are incorporatec County's written approval. by reference. When requested, Contractor • shall furnish evidence satisfactory tc 7. WARRANTY AND QUALITY INSPECTION County of such compliance. All items fur- Contractor warrants that all articles nished pursuant to this purchase order materials and work furnished shall be shall conform to all applicable re a good quality and free from defects, shall quirements of the California Occupations conform to drawings and/or specifications Safety and Health Act of 1973(CAL-OSHA`. {i and shall be merchantable quality and fit for the purpose for which purdmlied, and 11. INFRINGEMENT: Contractor shall indem shall be at all times subject to County's in- nify and defend County against all claims spection; but neither County's inspection suits, liability and expense on account o nor failure to inspect shall relieve Contrac- alleged infringement of any patent for of any obligation hereunder. If, in copyright or trademark, resulting from o arising in connection with the monufac County's opinion, any article, material or work foils to conform to specifications or is lure, sale, normal use or other normc otherwise defective, Contractor shall pro- disposition of any article or material fur mptly replace some at Contractor's ex- nished hereunder. pense. No acceptance or payment by 12. INVOICE DISCOUNT:Contractor shall state County shall constitute a waiver of the its payment and discount terms on in foregoing, and nothing herein shall ex- voices. Discount period shall begin fron elude or limit any warranties implied by date County received invoices or mer law chandise, whichever arrives last. Dela, caused by correction of errors and omis S. Tim:Contractor warrants that any article, cions shall extend the discount period anc material or work is free and clear of oil shall be just cause for withholding settle liens and encumbrances whatsoever, and ment without loss of cash discount b, that Contractor has a good and marketable Countv. y CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA and as Governing Board of the Contra Costa County Flood Control and Water Conservat� 1� ADi rict Claim Against the County, or District governed by) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT ADr i 1 1 2 , 1933 and Boaro 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 MENM Am�.,rt: Unspecified Section 913 and 915.4. Please note all "Warnings". MAR 16 1988 C_A I MAN': ANNA El.. SANCHEZ COUNTY COUNSEL c/o Capps , Staples , I-lard, Hastings & Dodson MARTIN , CALIF. ATTO�tr;`': 1230 Boulevard Way #204 Walnut Creek, CA 94596 Date received ADD;ESS: BY DELIVERY TO CLERK ON March 15, 1988 Risk Manage. 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. IL BATCHELOR, Clerk DATED: March 16 , 1988 ��: Deputy , L. Hall 11. FROM: County Counsel TO: Clerk of the Board of Supervisors (X) This claim complies substantially with Sections 910 and 910.2. (� �) This claire 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: ?l� Zk Jae BY: /� lDeputy County Counsel 111. FROM: Clerk of the- Board T0: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARDD ORDER: By unanimous vote of the Supervisors present ( V) 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 12 1988 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. Dated: APR 13 1988 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator Reorder trom *, IbW0rClvpWCorP0rQfiw WRITE IT! - DON'T SAY IT! M 103 CONTRA COSTA COUNTY b DATE �/ Q FROM SUBJECT f - SIGNED PLEASE REPLY HERE TO DATE f ivEDE D MAR 1� 1988 CLC 'UAf.0 O�..Ac,C c Rs )5c H CONi3: COST Qr�uh t e t:. SIGNED INSTRUCTIONS -FILL IN TOP PORTION,REMOVE DUPLICATE (YELLOW) AND FORWARD REMAINING PARTS WITH CARBONS.TO REPLY,FILL IN LOWER PORTION AND SNAP OUT CARBONS.RETAIN TRIPLICATE(PINK)AND RETURN ORIGINAL. FORM M 103 REC NOTICE OF CLAIM AGAINST THE CONTRA COS A COUNV�Y;,zl') FLOOD AND WATER CONSERVATION DIST ICT '"'A� B NE P ORS Date: March 1, 1988 CL RKP rA? ' Gentlemen: 'BY The undersigned hereby presents the following claim against the Contra Costa County Flood and Water Conservation District: 1. DATE OF OCCURRENCE: Service of First Amended Complaint for Damages on or about February 9 , 1988 relating to the underlying occurrence of February 15, 1986. 2. NAME AND ADDRESS OF CLAIMANT: Anna E. Sanchez, c/o Capps, Staples, Ward, Hastings & Dodson, 1280 Boulevard Way, Suite 204, P. O. Box 5607, Walnut Creek, CA 94596. Tel: (415) 939-4411. 3. SAID CLAIM ARISES FROM THE FOLLOWING CIRCUMSTANCES: On or about February 15, 1986 , water from a La Plaza drainage pipe burst through the surface of the La Plaza roadway on the property of the plaintiffs Mark Stefan, R.N. Stefan, and Lisa Stefan at 8 La Plaza, Orinda, California, and began to undermine the plaintiffs' driveway. As a result of this damage, plaintiffs filed suit against Anna E. Sanchez for various causes of action including nuisance and trespass as well as negligent failure to maintain an easement. That lawsuit is filed in the Superior Court of the State of California for the County of Contra Costa, No. 304282 bearing the name of Mark Stefan, et al. v. City of Orinda, et al. 4. ITEMS, NATURE AND EXTENT OF DAMAGES OR INJURIES: Plaintiffs seek damages for the undermining of their property. Anna E. Sanchez seeks indemnity in the amount of any settlement or judgment entered against her as a result of this lawsuit as well as the costs and attorney's fees incurred. CAPPS, STAPLES, WARD, HASTINGS & DODSON CeR wo I 6V By: A 'MqRRKS DEp MARSHA L. STEPHEN ON 7M 21988 9 ��,11����i2 P,N i4�sis 1 PROOF OF SERVICE BY MAIL C.C.P. 9 1013, 2015.5 2 RE: SANCHEZ v. CONTRA COSTA. COUNTY FLOOD & WATER CONSERVATION 3 DISTRICT, et al. 4 I am a citizen of the United States and I am employed in the 5 County of Contra Costa, State of California. I am over eighteen (18) years of age and not a party to the within-entitled action. 6 My business address is: 1280 Boulevard Way, Suite 204, Post Office Box 5607, Walnut Creek, California, 94596. On the date 7 below, I served the following documents: 8 NOTICE OF CLAIM AGAINST THE CONTRA COSTA COUNTY FLOOD AND WATER CONSERVATION DISTRICT 9 10 by placing true copies thereof, enclosed in sealed envelopes with postage thereon fully prepaid, in the United States Post Office 11 at WALNUT CREEK, CALIFORNIA, addressed as follows: 12 Contra Costa County Flood and Water Conservation District 13 255 Glacier Drive Martinez, CA 94553 14 15 16 17 18 19 20 21 22 23 24 25 I declare under penalty of perjury thtthe oregoing is true and correct and that this declaration wated at WALNUT CREEK, 26 CALIFORNIA. DATED: March 1, 1988 27 28 K. HAMLIN LAW OFFICES OF IPS,STAPLES.WARD, 1STINGS 6DOD50N A PROFESSIONAL CORPORATION P. O. BOX 5607 LNLIT CREEK.CA 94596 (415) 939.4411 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA and as Governing Board of the Contra Costa County Flood Control and Water Conservat ' rict Claim Against the County, or District governed by) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT April 12 , 1988 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of Cal;fornia Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Am;, irt: Unspecified Section 913 and 915.4. Please note all "Warni"effi /o CLAIMAn'. : ANNA E. SANCHEZ MAR 181988 c/o Capps , Staples , Ward, Hastings & Dodson OOMY COUMEL ATTORNEY: 1280 Boulevard Way #204 4AAU@*L GUIs, Walnut Creek CA 94596 Date received March 16 1988 ADD; SS: BY DELIVERY TO CLERK ON Pub. tilorks 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. �YIL gATCHELOR, Clerk DATED: March 18 , 19-88 : Deputy L. Hall H. FROM: County Counsel TO: Clerk of the Board of Supervisors (X 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 nct 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: / Alf BY: L w�Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARDD ORDER: By unanimous vote of the Supervisors present (✓) This Claim is rejected in full . ( ) Other: 1 certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: APR 12 1988 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 N Lice to Claimant, addressed to the claimant as shown above. Dated: APR 13 1988 BY: PHIL BATCHELOR by i puty Clerk CC: County Counsel County Administrator • . RECEIVED NOTICE OF CLAIM AGAINST THE CONTRA COSTA C -AR 151988. STORM DRAINAGE DISTRICT CLERK BH D r LOR, Date: March 1, 1988 TR a By . f.. .. Oeputy Gentlemen: The undersigned hereby presents the following claim against the Contra Costa County Storm Drainage District: 1. DATE OF OCCURRENCE: Service of First Amended Complaint for Damages on or about February 9, 1988 relating to the underlying occurrence of February 15, 1986. 2. NAME AND ADDRESS OF CLAIMANT: Anna E. Sanchez, c/o Capps, Staples, Ward, Hastings & Dodson, 1280 Boulevard Way, Suite 204, P. O. Box 5607, Walnut Creek, CA 94596. Tel: (415) 939-4411. 3. SAID CLAIM ARISES FROM THE FOLLOWING CIRCUMSTANCES: On or about February 15, 1986, water from a La Plaza drainage pipe burst through the surface of the La Plaza roadway on the property of the plaintiffs Mark Stefan, R.N. Stefan, and Lisa Stefan at 8 La Plaza, Orinda, California, and began to undermine the plaintiffs' driveway. As a result of this damage, plaintiffs filed suit against Anna E. Sanchez for various causes of action including nuisance and trespass as well as negligent failure to maintain an easement. That lawsuit is filed in the Superior Court of the State of California for the County of Contra Costa, No. 304282 bearing the name of Mark Stefan, et al. v. City of Orinda, et al. 4. ITEMS, NATURE AND EXTENT OF DAMAGES OR INJURIES: Plaintiffs seek damages for the undermining of their property. Anna E. Sanchez seeks indemnity in the amount of any settlement or judgment entered against her as a result of this lawsuit as well as the costs and attorney's fees incurred. CAPPS, STAPLES, WARD, HASTINGS & DODSON MARSHA L. STEPHE SON 1 1 PROOF OF SERVICE BY MAIL C.C.P. § 1013, 2015.5 2 RE: SANCHEZ v. CONTRA COSTA COUNTY STORM DRAINAGE DISTRICT, et al 3 4 I am a citizen of the United States and I am employed in the County of Contra Costa, State of California. I am over eighteen 5 (18 ) years of age and not a party to the within-entitled action. My business address is: 1280 Boulevard Way, Suite 204, Post 6 Office Box 5607, Walnut Creek, California, 94596. On the date below, I served the following documents: 7 NOTICE OF CLAIM AGAINST THE CONTRA COSTA COUNTY 8 STORM DRAINAGE DISTRICT 9 by placing true copies thereof, enclosed in sealed envelopes with 10 postage thereon fully prepaid, in the United States Post Office at WALNUT CREEK, CALIFORNIA, addressed as follows: 11 Contra Costa County Storm 12 Drainage District 255 Glacier Drive 13 Martinez, CA 94553 14 15 16 17 18 19 20 21 22 23 24 I declare under penalty of perjury that aforegoing is true and 25 correct and that this declaration was a ec�ted at WALNUT CREEK, CALIFORNIA. 26 DATED: March 1, 1988 27 K. HAMLIN 28 LAW OFFICES OF 'PS.STAPLES.WARD. .STINGS GDODSON - A PROFESSIONAL CORPORATION P. O. BOX 5607 .NUT CREEK,CA 94596 (415) 939-4411 P t CLAIM BOARD Or. 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 Av r i 1 12 , 1988 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 GoverVLQt raAa Amount: $1, 000, 000. 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: RONALD R0iMO ON BEHALF OF HIS SON, ERIC ROMO, A MINOR MAR 141988 c/o David N. LaDue COUNT, COUNSEL ATTORNEY: LaDue & Goldston MARTWM CALIF. 3000 Citrus Circle #203 Date received ADDRESS: Walnut Creek, CA 94598 BY DELIVERY TO CLERK ON March 11 , 1988 hand del . 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. March 14, 1988 PpHHIL BATCHELOR, 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 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: /�� �.�1, /�� /��%� BY: Deputy County Counsel i 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 ( 1/) 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 12 1988 Dated: PHIL BATCHELOR, Clerk, By %4eputy 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: APR 13 1988 BY: PHIL BATCHELOR by L Deputy Clerk CC: County Counsel County Administrator CLA7*M TO,:. BOARD OF SUPERV1bumo yr 44.•a.... _ Instructions to Claimant Return Original application LG _ Clerk of the Board 651 Pine St., Roam 106 Martinez, CA 94553 a, Claims relating to causes of action for death of'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 actioa.' 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) 9. Claims must be filed with the Clerk of the board of supervisors at its office in Room 106, County Administration building, 651 Pine Street, Kartinez, 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 oTt�Fiis form. !!!!!!!!!!!!!!!!!!!!!!!Arlt!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! RE: Claim by }Reserved for Clerk's filing stamps RONALD ROMO } RECI">z 7"E L y Against the COUNTY OF CONTRA COSTA) MAR It or DISTRICT) CLERKBHiL -f fi iVti';:QF; i n name ) g .. "� ' . The'undersigned .claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ ,749,873.12 , and in support of this claim represents as follows: I: "*Q ien"ala"tfie"a'amage`oz'Mu=y'occur va"exact'aa'te'in`a"f�ourT�"" December 4, 1987 at approximately 9:15 a.m. "`i3Fie re'aIa't�i`e'aa:n'aage'oi"In�ury`occur�TZlncluae"clty'ana"countyf"_"_ Contra Costa County Superior Court Martinez, Contra Costa County, California I:"How"a1a"tbe-Gama'ge`o='In3u`ry`occur! ZG�ve`IuII"ae"tallsa;`uae'ixt'r's"" sheets if required) Claimant' s spouse was shot and killed in the hallway of the Contra Costa County Superior Court. go4O at paHIZZla'r""act"o'r ail ISnn'6n"t `e`pirt"oI'county'o'r,a "strict" officers, servants or employees caused the injury or Oama��C? County officials, employees, and agents failed to provide equate security and protection for Claimant's wife resulting in her death and subsequent loss to Claimant, (over) 5.` What are the names of county or district officers, servants or' employees causing the damage or injury? Contra Costa County Board of Supervisors, Contra Costa County Sheriff and his deputies, County Administrator, and all other officials, agents and employees responsible for planning, creating, implementing and administrating security measures at the Contra Costa County Superior Courthouse. �.-"Wiat"damage"o="in�u=les"do you claim"ice`suited-"Give"dull"eaten-t"-"- of inj ies or damages claimed. Attach two estimates for auto damage Medical treatment, ambulance costs, funeral expenses, lost future income and employment benefits, loss of personal services, loss of consortium, and emotional pain and suffering. 7. How was th=e amount claimed above computed? 7Include the estimated amount of any prospective injury or damage. ) SEE ATTACHIHENT "A" -..-.r�".r"-"r".."r-"""�.i ---i--T.." ---------a -------- --------------- ------------------ 8. Names and addreses owitnesses, doctors and hospitals. Deputy District Attorney Gayle Graham has the names and addresses of the 20 plus witnesses. The deceased was taken to the county hospital where efforts to revive.her were unsuccessful. �. "Lst the expenditures you"made"on"account of-this"accident or-injury= DATE ITEM AMOUNT unpaid to date ambulance service $430.12 unpaid to date emergency medical care $255.00 12/5/87 funeral expenses approx. $5,300.00 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 1 4- �5 �' for Ronald Romo David N. LaDue Pignature LaDue & Goldston 2240 Charlotte Ave. 3000 Citrus Circle, Suite 203 Address Walnut Creek, CA 94598 Concord, CA 94118 Telephone No. (415) 930-6380 Telephone No. (415) 825-6868 f•tts:�r�s�r:rr��rr*�*,t:*:��+��rr�+turf**:�,�:*���*tr*+r*w*tt��t:**�*��*�trr��rt*�*��** 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. " Y � i ATTACHMENT A Ambulance Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 430 . 12 Emergency Medical Care. . . . . . . . . . . . . . . . . . . . . $ 255 . 00 Funeral Expenses (est. ) . . . . . . . . . . . . . . . . . . . . $ 5, 300 . 00 Loss of Personal Services (est. 30 years x $30, 000 per year) . . . . . . . . . $ 900, 000 . 00 Loss of Future Wages (to age 65 at 2% increase per year) . . . . . . . . $ 1,243, 888 . 00 Loss of Retirement Income and Employment Benefits (est. 1/3 of income) . . . $ 600, 000 . 00 Loss of Consortium and Emotional Pain and Suffering. . . . . . . . . . . . . . . . . . . . . . . . . $ 5, 000, 000 . 00 TOTAL CLAIM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7, 749, 873 . 12 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 12 , 1988 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 Govvee�fdLCode Amount: $205 . 00 Section 913 and 915.4. Please note all `1lEi CLAIMANT: DANIEL KOVISTO MAR 141968 917 W 9th Street COUNTY COUNSEL ATTORNEY: Antioch, CA 94509 MARTINEZ, CALIF. Date received ADDRESS: BY DELIVERY TO CLERK ON March 11 , 1988 hand del . 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. ��IL BATCHELOR, Clerk DATED: March 14, 1988 : Deputy L. Hall 11. 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: , BY: r`I' ° l z�-,z �. eputy County Counsel 111, FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( } Claim was returned as untimely with notice to claimant (Section 911.3). 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 12 1988 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. Dated: APR 13 1988 BY: PHIL BATCHELOR byeputy Clerk CC: County Counsel County Administrator ` v CL;MM TO: BOARD OF SUPERVISORS OF CONTRA CORT-ii6FoRWapplication to: Instructions to Claimant0erk of the Board .©.8ox91i Martinez.Califomla 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. Maims 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 SuperYssors 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 C6-d c-.`72 at end , his form. 4 RE: Claim by )ReservedfRr Cluk's -fili stamps ft&f'ME D Against the COUNTY OF CONTRA COSTA) or DISTRICT) cine pARD�T ~SUP (Fill in name ) $ axe NIRA T _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: -------- ---- e—e--e—....ee-- ---- .yai _�. When dd damage or zr}3ury occur? (Gi.ve exact date and hour] �,.. - ..,�. T-w----••-----�.-a------ ...�....• ., - �:-W�iere ��d tie damage-or sn-3aary occur? (Include aityeand-county] • ---ee—eeee�.�.e---------- Te—eee• ---,...�.�--�.ee— 4` — — "� .Y: 3. How did the damage orinjury (:ccur? (Give �u1�-deLai�sa vse�extra- sheets it required) � Ac .t --e—..—.�—ee�.^..�..+.--..------ee— —�.�. Ter..----e.---e--r—eee----�eee—e Te eeT e—e-- •::l 4'. What particular act or omission on the part of county or district' officers, servants or employees caused the/ injury or damage? .: .. :: '. * '# t (over) t' rrw'h. :.i,.+-'i. +. :.s.:: .. .. .•.•ti3ik7St�tst.1'�� rr-a-.i•�-».r=w.>.->, ;Y.--.<e ...x.r•..,IL-..., I " � 5. What are the names of county or district officers, servants or employees causing the damage or injury? '- 1 What-damage�o'r+Injuries do-you c2aim�resulted?�w7Give�full-extent!_ _ of injuries o= damages claimed. - Attach two estimates for auto damage) - - 7. Bow was Z— ;--a m__ount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 6. Names and addresses of witne'sses, "doctors and hospitals. rr •§.lLishe.=ac�eridituf+@`s-you made on account of this-accident�or�injur y` 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. "._,y Name and "Address of Attorney r) Claimant s Signature A9 n/ . .. a._ ,........ Address Telephone No. Telephone No. 77` INOTZCE 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." - :�"..�niw�.-�:..�r���r��!ri's.^"f!%-i%.±ii.`!piMw-'.'^""^'t•.�.-f•::..,...�.+.a.:.....:�.,:.R_..�:..L' * INCIDENT REPORT CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT INCIDENT Cko INCIDENT: Lesl- PAOPA27- FACILITYREPORT #: 00 {� DATE/TIME 2'�7' of DATE/TIME .2 `12-diw LOCATION: b%.'D. F. A&,*6 FW2 S/ k0azzOCCURRED. /S3d REPORTED: /.7yqr HOUSING INMATE: KOVISTG DANIc'G 7b4A,a BOOKING #:, ,?g ?&Ve SASSIGNMENT: AVe0,- Last First Middlt: WITNESS(ES) -- LIST -- Name - Address If an inmate, give booking #: SYNOPSIS: eer/fro.? C leTm A.;& _SAG rnv LA "6T- RF LoeA7yZ W rtgw 96 wAS -?rar,s FaP.l a Tv 7N� A1A99# 4WEX bC7Z-W 77oA; NARRATIVE: Lw N►LC PaF.Pow)r.)& 774 _ern Rv►O o,),v 7;V,.0 Kovis—os 61Q74)AJ _Bl4G ga"&h .vor aF LocA nM ,ru j4.�C&Pi6S -�F A:ePISrt? CL0701ov& eA41) StibwEe) S&rr►E NV M)31 2. _ No .,&4G tod 4,A zA- w eAnt Dya),-j A 5%take_k g9 F bio n4 00-4, .s• hekr.. SGT FU d v A ug^t Won-cad - A �" c�ounr ry GG.a.,M T►,ra rnt �rs v�,�1 :a Xo�.tsb 1GOy►s ro E s Ti mATI A 114-E IZ09 LL*L. OF ,itl CZ02&pN dy AX g t,.v cs AA2"1rr trcGy S. _ee • ACTION TAKEN/RECOMMENDED:_ dF 00ia+1roer &AAh 4175 �T �. 14r,^af& REPORTING EMPLOYEE # SUPERVISOR # OPF-RATIONSD ECT R O.D. ROUTING INSTRUCTIONS: White to Facility Manager - Yellow to Booking File - Goldenrod to Inmate By: Pink to Lineup Board Paye one of D_' Q /OC _a, ee l l f CONTRA COSTA DETENTION FACILITY LJIS11 CLOTHING RECEIPT. : . -DATE:--. 02/I3/88 REC `;127954 TIME: _ 0412 ' "FACILITY MDF -NAME (L, F, M): KOVISTO. DANIEL BOOKING NBR: 88(103"84'8J do ® SHIRT LOUSE PANTS/SKIRT \� Y C /JACKET t0"SHOES/BOOTS \ •.� 1 SHORTS/PANTIES S. ®T-SHIRT/BRA SOCKS/NYLONS HAT/PURSE SWEATEP/SWT. SHIRT DRESS FRI OTHER /j/lT,"<C ✓kS g. „t, eR 44 INMAM SIG TURE DATE: I HAVE RECEIVi::D ALL OF W Mm CLOI PIING. < : E REL OFU: X INMATE SIGNATURE I \ Q ` 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 12 , 1988 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 nmrnings". CLAIMANT: STEVEN DEWAYNE HOKETT MAR 141988 1920 Elderwood ATTORNEY: Martinez , CA 94553 COUNM 001NM MARTINEZ. CALIF. Date received ADDRESS: BY DELIVERY TO CLERK ON March 11 , 1988 hand del . 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. IL gATCHELOR, Clerk DATED: March 14, 1988 �a: Deputy W. L. Hall 11: 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: /I %.0"/' /S /y; BY: 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 ( IClaim 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 12 1988 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. Dated: APR 13 1988 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator CLAIM TO: BOARD OF SurZKviwnJ Instructions to Claimant Return original application tc u Clerk of the Board v b51 pine St.. Room 146 Martinez, CA 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), S. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 1060 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 Countye 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 -Clerks filing stamps s7Ev�T } ..._...��... - r- DEWAYNE xax�TT FRy .:} Against the COUNTY OF CONTRA COSTA) MAR it orPHIL W, ELOR DISTRICT) C.ERKBOAR- rSupEpyvr.J,� Fl In name ) CONTRA C $7. O Dr t The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $_50,o0o. and in support of this claim represents as follows: I. i�Fen aha the`�amage or ry occur? ZGive exact date ana fiourj December 3, 1987 �iTFiere aI the damage or �n�uiy occur? ZIncivae city and countyf County Jail of ContraCosta County, Martinez, CA 94553 3 g____- -�-_fir--_C__ .Give` 2`ae .a�I`s`"us`e`extira�`.. Now old the lama a or �n ur occur( uI , sheets if required) My finger and hand _ were injured during a jail altercation. Thereafter, the county personnel did not provide me with adequate medical care which has resulted in a disfiguring and..permanent injury. pn=`t�culni-ic-t`o=`om�s �on-on-tFie``pait-o `county`olc'� strct-�` officers, servants or employees caused the injury or damage? They failed to provide me with prompt medical care. They thereafter failed to provide me with adequate medical care; consequently, I have suffered a disfiguring and permanent injury. (over) 5. What are the names of county ,or district officers, servants or' ' emtloyees causing the damage or injury? Sheriff Richard Rainey, all jail personnel, all jail medical employees and physicians 6. w�iat damage or injuries do you claim resulted? ZGlve cull extent of inj ries or damages claimed. Attach two estimates for auto damage Permanent disfiguring injury to hand and finger --------------------------------------------------------------------- -- 7. How was the amount claimed above computed? (Include the estimate amount of any prospective injury or damage. ) I consider it- to be a fair amount for the permanent injury, my pain and suffering, and detrimental effect it will have on my ability to work. ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. Deputy Paul, Contra Costa County Jail Phyllis Loya, Attorney, 817 Main Street, Martinez Inmates on module attime of injury and subsequent inattention to medical injury Other John Does whose identities and addresses are presently un'.tnoj,rn �. List the expenditures 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 his behalf. " Name and Address of Attorney Claimant s Signature 1920 Elderwood, Martinez, CA 94553 Address (permanent address above) Telephone No. Telephone No. 228_4086 fir:«�«*:*:*��+e«:�««:�«««««««*«««*::t*�r::«:�««««*�*«:�««:�►««««:««***�«*«««* 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 6F SUPERVISORS OF CONTRA COSTA COUNTY,^ — ' CALIFORNIA ARD ACTION Claim Against the County, or Distri't governed by) BO��_���� the Bo&ni of Supervisors, Routing -:ndnmements, ) NOTICE TO CLAIMANT ADri} 12 1988 �h -� of this document mailed to ywuls Your no. p pr and Board Action. All Section references are to ) e copy - ) the action taken on Your claim by the Board of Supervisors � (Paragraph IV below), given pursuant to Government Code Amount: $1 , 250 . 56 Section 913 and 915'4' Please note all "Warnings". CLAIMANT: ZBE%JE P. MOJ1ECTBDIl 62 Cloverleaf Circle ATTORNEY: Brentwood, CA 94513 Date received ���N���N�� BY DELIVERY TO CLERK OMMarcb 11 1988 ADDRESS: . KA8R 141988 BY MAIL POSTMARKED- March 10 1988 AMAIM7 CA-!I& 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. BATCHELOR, Clerk DATED: March 14, 1988 eputy— L. Hall 11. 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 810 and 910.2, and we are so notifying claimant. The Board cannot act for 16 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,]), ( ) Other' Dated: 8v ty County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 811.3), IV. BOARD ORDER: By unani.mous vote of the Supervisors present ( ) 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 12 /988 PHIL BATCHELOR, Clerk, BY eputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (8) 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 l mm now, and at all times herein mentioned, have been a citizen of the United States, over age lB; and that today l deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order a 2ti to Claimant, addressed to the claimant an shown above. Dated: APR 1 w 1988 BY: PHIL BATCHELOR b puty Clerk CC: County Counsel County Administrator ` CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Instructions to Claimant 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 , CA 94553 (or mail to P.O. Box 911, Martinez, CA) , 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 filing stamps al K u YL RECEIVE c�n� C°(���cCLa- — hw 0 ) # D Against the COUNTY OF CONTRA COSTA) MAR 11 1Qc��i or DISTRICT) �- (Fill in name) ) L,z� °k5 ' De ut The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 12SU>S(o and in support of this claim represents as follows: ------------------------------------------------------------------------ 1. When did the damage or injury occur? (Give exact date and hour) ------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) -•f --------------------------- am`_''_` _ 3. How did the damage or injury occur? (Give full details, use extra sheets if required) 'M�• --42o�A�+ct,;s�� �yt--feMLAEDD l'MM -t>e twt-{ t�c��� y o corn t tach --f a AFT� c- . �'C✓�A c�s� o r -P S S m y 301.E t3 FLS tD o A.E3t.L -f6 4l CD o 10 i-k t"C-C t 1u►C Y 1 fie; g K�P�1�F S U 71 t . C; N. P ate. P_�, �- ,Q2 e 9 ------------------------------------------------------------------------ 4 . What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? (h .1A.lJ Goo D D2tu► KJc {Z�SI-Ef IU`CC) 4e_,A_��t(� u�t`CK oc�-( U� tp' 1 U� `t flr�"( (over) 1`e tw lis e_LaP2. 5. What are the names of county or district officers, servants or employees causing the damage or injury? PC):Ej t..A,,S --Q a 0 A A 0 d Lx-C,k-1 6.- What-damage or injur---- ----------------------------------------------------- e - s do you claim resulted?-- (Give full e ---- extent of injuries or damages claimed. Attach two estimates for auto damage) I (� s(D •-f0Ll c-rn 6,C?-C a 0- - ��^�'1�1a�� `fc�`�►a, l �. 7. -How was the amount-claimed above-computed?- (Include the estimated - amount of any prospective injury or damage. ) 3P� 7ca.-7 i C S A A. ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. A, C;i c..Sr,n.3 - 3U j 1 11 Aa,Ce)t, CX=,t`L-2K---U JAMA►. c.N G2 i�-1.Sc5 s.�,:� I'_�P =r"�' jp� _ NUS �t�ALA�_-ti_c -- _ ---- -F _ -- 9. List the expenditures you made ori account of this accident or injury: DATE ITEM AMOUNT --to �c fL �is!\S� n�'� c--A"2 Fe�i'_;�L> Ci , t� gas i R,g40, � q9 vA►J ************************************************************************** Govt. Code Sec. 910. 2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by so e . erson ,}on LV- Claimant' s his behalf. " Name and Address of Attorney 1 3 ( �J�.�S'gna ure ddres Telephone No. Telephone No. ( 4 - ¢ � 1, ************************************************************************** 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 Ag&inst tRe County, or District governed by} BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT April 12 , 1988 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 pur�ssuan t iovernmentCode Amount: $1 , 000, 000 . 00 Section 913 and 915.4. Please Mfan Warnings'. CLAIMANT: SHAWNA WILCOX MAR 141968 c J o David N. LaDue QTY Cout4m ATTORNEY: LaDue & Goldston MOTINEL CALIF. 3000 Citrus Circle #203 Date received March 11 , 19$$ hand del . ADDRESS: Walnut Creek, CA 94598 BY DELIVERY TO CLERK ON 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. March 12 , 1988 PpHHIL BATCHELOR, clerk DATED: BY; Deputy . 4411/�_11 L. Hall 11. 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: 1 � Dated: 1i1u c',f L f fl�� BY: ��r »!r / Deputy 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 (� 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 12 1988 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 13 1980 Dated: BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator CLA.I M TO: BOARD OF SUPERV I Soxb yr %-vn a a.n _ " . Instructions to Claimant Return original application tc Clerk of the Board 651 Pine St., Room 106 Martinez, CA 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 vause 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, Kartinez, 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. . S. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end oftFiis form. RE: Claim by )Resevad g !II fi, ing stamps SHAWNA wzLcox i RECEIVE } MAR it Against the COUNTY OF CONTRA COSTA) 3;sa, P.»- } PH;L EA'CHELOT' or DISTRICT} ERKEOAR?�_ SUP Rtit:aE; ONTRA C 5 co , F� n name } E ae The'undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 1,000,000.oo and in support of this claim represents as follows: ww w www � w www w w w w w w ww r w w w w ww w w w w ww w.r w ww ww ww ww www www w Iwww!wwiw. mien aza the aamage or �nury occur? �G�ve exact Date Ona fi0urt December 4, 1987 at approximately 9:15 a.m. " lerealwtt�le"lamage`oi"`;n ury`occurr?"�wlnclut�e`citty`an coun.y T Contra Costa County superior Court Martinez, Contra Costa County, California 37-low-aid ♦wwww w�rw wwww wwwwww ww w wwwwww ww ww ww ww w w w wwwiwwww�w www 3. Bow aid the damage orn3ury occur? ZGxveuSS aeta�Is, us; extia sheets if required) Claimant's step-mother was shot and killed in the hallway of the Contra Costa County Superior Court. Z:"ilFiat pazt�cu�az`act oi`om�'s`s�oii on"tFi`a`pait`o `eoun`ty"ou`ai`strlct"` officers, servants or employees caused the injury or damse2 County officials, employees, and agents failed to provide adequate security and protection for Claimant's step-mother resulting in her death and subsequent loss to Claimant. (over) 5. What *re the names of county or district officers, servants or, employees causing the damage or injury? Contra Costa County Board of Supervisors, Contra Costa County Sheriff and his deputies, County Administrator, and all other officials, agents and employees responsible for planning, creating, implementing and administrating security measures at the Contra Costa County Superior Courthouse. 6. WFiat damage or injuries do you clai1-extent of inj ries or damages claimed. Attach two estimates for auto damage Loss of personal services, companionship, advice and training, financial assistance, and emotional pain and suffering. --------------------------------------------------------------------- -- 7. How was the amount claimed above computed? (Include the estimate3 amount of any prospective injury or damage. ) SEE ATI'ACID'IENT "A" ------------------------------------------------------------------------- 6. Names and addresses of witnesses, doctors and hospitals. Deputy District Attorney Gayle Graham has the names and addresses of the 20 plus witnesses. The deceased was taken to the county hospital where efforts to revive her were unsuccessful. �3. Llst the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT N/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 Attorneyi for Shawna Wilcox David N. LaDue 4Ca:inant"s Signature LaDue & Goldston 4873 Knoll Crest Drive 3000 Citrus Circle, Suite 203 Address Walnut Creek, CA 94598 Antioch, CA 94509 Telephone No. (415) 93Q-6380 Telephone No. (415) 778-0815 t��w:w**f***�**���*��:f*����***�:•�***�:tri****:*�r�t:�*��•**��*t*�*�:•*���* 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. " ATTACHMENT A Loss of Financial Assistance (est. ) . . . . . . . . . . . . . . . . $ 100, 000. 00 Loss of Personal Services (est. 30 years x $1,500) . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 45, 000 . 00 Loss of Advice, Training and Companionship. . . . . . . . . $ 100, 000 . 00 Emotional Pain and Suffering. . . . . . . . . . . . . . . . . . . . . . . $ 755, 000. 00 TOTAL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1, 000, 000 . 00 1 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION Claim Against the County, or District governed by) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT April 12 , 1 9.8 8 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: $400 - 0 0 Section 913 and 915.4. Please noWIMOrnings". CLAIMANT: DALLAS LEE GILLASPEY MAR 141988 P. C) , Bax 327 COMTY Comm ATTORNEY: Pinole, CA 94564 MARTINEZ. Caw. Date received March 10, 1988 hand del . ADDRESS: BY DELIVERY TO CLERK ON 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. PpHHIL BATCHELOR, Clerk DATED: March 14, 1988 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 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: �frf.-�`�'' C /6 /�1'3c BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD O DER: 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 12 1988 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. Dated: APR 13 1988 BY: PHIL BATCHELOR by qty Clerk CC: County Counsel County Administrator CLAIM T0: BOARD OF SUPERVISORS OF CUNTNA 'Instructions to Claimant Return original application tc Clerk of the Board 651 Pine St., Room 106 Plartinez, CA 94553 A. Claims relating to causes of action for death oi'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 vause of action. (Sec. 911.2, Govt. Code) 8. 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 oftTis form. rtes•*erta*R*e**+sa�e�►e*e*�:�r,�,�+e+a+e*+a�eeeees****r�Rre*ffatear�ittR***t�tt�*titer RE: Claim by )Reserved for Clerk's filing stamps rEb R El I E i Against the COUNTY OF CONTRA COSTA) F7, 7�raR 1 U 1986. t or DISTRICT) (Filln name ) CLE K � C The undersigned claimant hereby makes claim again tra Costa or the above-named District in the sum of and in support of this claim represents as follows: ----7-"-" -- �. -v-------- en �I the aamage or In�ury occur? Give exact te anourT TFie"ie"di�`tFie`d"amage"oz"Ia�u=y"occur?"Zlnclu3e`cI"ty`an `countyT"'-` hf 3:"`How"did the"dainge`oi"to3ui�y`occuirt" Give`�uII`ae"tallc;`uae`ext=a". sheets if required) /n LGA / ?t AL)c�or d ccw!v 11 Ll ^^ !1 %�t{ ,q n✓ Ste./ "rrv, -.t�Nvt7`f►' f�!'�c�GrfC...45<'�- .S {� t�iJ'�D.S�� �}. /-'f' 0^�' 1 �:"irfiati paiticu'�si`ac"t`oi`oinlscton`on L�ie`pa"z"t"ot counLy`o=`�istz�et"` officers, servants or employees caused the injury or damage? 74 *V 7` l'r� ,s f �i ��-, (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 resuIte�? ZGtveu�l extent of inj ries or damages claimed. Attach two estimates for auto damage - -- - - ------------------------ ---- --- 7. How was the amount claimed above computed ? (Include the estimate3 amount of any prospective injury or damage. ) ------------------------------------------------------- ------------- ------------------------ ------------ Names and addresses of witnesses, doctors and hospi als. --T-- �--------T-------------------------------T-----T-------- 3. ------- - �S. dlturea_.you made on account of this accident or snjury: i DAVE""; • _ E ITEM AMOUNT ,Tri ' Mrs Govt. Code Sec. 910.2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorne ) or by some person on his behalf. " Name and Address of Attorney C aim t. Signature Address Telephone No. 2 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. " silo _ -- s c,cc, s� �cPsi- 8s -ssaS /-"w ..fifZ 2-/ t zr- i S-r-j Air- LL Fo P- Sty .. arr �` �' a c_,ast C1� Si. 7#44 L's Bs- t 1 , i SAN PABLO POLICE o Fl Tyre CLASS: m�C fk&i go ,f"F, tkLtATKM 52.00-3 .v L11t - -LLP 'I , ac,1LEE s• PHONE O ,P. O�/L'o HI 3M, RI HA B 3 HSRY 7 WHI 1 HAZEL V IN H3 H W 1A VER C THI CODE (LMUST.—V13505- � RE SADD E� J 6 RACE ip ODE NAM (LAST,FIRST,MIDD RES ADD DOB 1M St WH I 3 BIN.LK 5 I T VEH.YR. MAKE MODEL L n y LICO STATE OTHTYLEER(DENT. i CIRC'S (� z PAcv,y6d A dp S fu/ /ocro s�.AcLss2 � ��68G � W So so es''pSo S iOFF.NAME I.D.1 OA-L 4 m►OS86 /00 YI 41 �a:rid ��TE,`:1 V + REOE . `,T`RAL'LOAN # l Is PXNN SHOP THANK YC' '4, . ._,� , _ 7'f---'% --74X7 MAKlSW SMITH AND :LESSON C L/357 !1OD16186 T /F' PISTOL CAT/R REVOLVER DOT/03 @3 NAM/GILLASPEY,OALLA S L l)0e,;".127-;0 U (;/2'23'4 ROAD 20 APT 1•i 0LN/H03f."643 OFA I/CA0071100 OCA/3 7NONE MIS/4 INCH E Pil-:. :ELL STAINLESS FCt4/15387243005&2 ENC) AFS EESPONS_. 31: -66 X. : •.' L � ham. ` 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 Apr i 1 12 , 1988 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: $500 , 000. 00 Section 913 and jWJP4Wlease note all "Warnings". ' CLAIMANT: JOSEPH AUGUSTINE MAR 141988 c/o Stanley J. Bell, Esq, m cwmm ATTORNEY: Law Offices of Stanley J. Bell T"Z, 505 Sansome St . 18th Floor Date receive ADDRESS: San Francisco, CA 94111 BY DELIVERY TO CLERK ON March 8 , 1988 CC BY MAIL POSTMARKED: March 3 , 1988 Certified P 769 504 057 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ��IL gATCHELOR, Clerk DATED: March 14, 1988 : 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: // ' ,�j_h / �' BY: , e p u t y 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. BOARDD ORDER: By unanimous vote of the Supervisors present (1! ) 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 12 1988 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 13 1988 Dated: BY: PHIL BATCHELOR byuty Clerk CC: County Counsel County Administrator Y -i}v/�Ali"'✓� / � � n .,,, �/•"`-'=Gig,:G. /`„'y'� �'c�- I CLAIM FOR DAMAGES FOR PERSONAL INJURIES 2 TO: BOARD OF SUPERVISORS COUNTY OF CONTRA COSTA 3 651 Pine RECEIVED Martinez, California 94553 4 COUNTY OF CONTRA COSTA 5 MERRITHEW MEMORIAL HOSPITAL 2500 Alhambra Avenue a �soA 6 Martinez, California 94553 a 7 PLEASE TAKE NOTICE that the undersigned hereby serves 8 and makes demand upon you for the cause and amounts set forth 9 in the following claim: 10 Claimant ' s name and address : �-1 a c a 11 JOSEPH AUGUSTINE W < g 345 Tuolumne Avenue r a = 12 Martinez, California 94553 < 0 W a 13 Claimant ' s mailing address to which notices are to be sent W < coa 14 Stanley J. Bell, Esquire 15 LAW OFFICES OF STANLEY J. BELL A Professional Corporation 16 Two Transamerica Center 505 Sansome Street, 18th Floor 17 San Francisco, California 94111 18 Amount of Claim: 19 Special damages and expenses g p proximately caused by the 20 occurrence described below and general damages in the sum of 21 FIVE HUNDRED THOUSAND DOLLARS AND No/100 ' s ($500, 000 . 00) . 22 Date and Place of Occurrence giving rise to the Claim 23 asserted: 24 On or about the 2nd day of January, 1988 at the Contra 25 Costa County Hospital, known as Merrithew Memorial Hospital 26 I located at 2500 Alhambra Street in the City of Martinez, County 2 of Contra Costa, State of California . 3 Description of Occurrence: 4 That at said time and place, the aforesaid public 5 entities, and each of them, negligently and carelessly owned, 6 operated, maintained, leased, constructed, repaired and 7 controlled the aforementioned premises in that they allowed an 8 entranceway to exist and remain in a dangerous condition in 9 that the floor of said entranceway was in a waxy and slippery 10 condition, thereby creating a risk of injury to persons using said entranceway; and further in that said public entities, and O a 0 pwq 12 each of them, failed to warn persons using said entranceway of 13 the condition of the f loor area; that said public entities, and = 14 each of them, knew, or in the exercise of ordinary care should U 15 have known of the dangerous and hazardous condition of said CZ 16 entranceway and failed to remedy said condition, having a 17 reasonable opportunity to do so; that as a direct and proximate 18 result of the negligence and carelessness of said public 19 entities, a.-.d each of them, as aforesaid, while claimant was 20 walking through the entranceway, he was caused to slip and 21 fall, thereby causing claimant to sustain severe personal 22 injuries . 23 DATED: February � 1988 . LAW OFFI ES OF S.TAkLiY J. BELL 24 25 By: , 26 STANLEY J. BELL Attorneys for Claimant -2- RE: 2l .,• u'vSt,rri ACTION NO. : PROOF OF SERVICE BY MAIL - C.C. P. §1013a , 2015 . 5 I , the undersigned, hereby declare that I am a citizen of the United States , over the age of eighteen years , and not a party to the within action. I am employed by the LAW OFFICES OF STANLEY J. BELL. My business address is 505 Sansome Street, 18th Floor, San Francisco, California, 94111 . I served a true copy of by mail, by placing the same in an envelope , sealing, fully prepaid postage thereon and depositing said envelope in the U. S. Mail at San Francisco, California on Marr,b 3r 1922 BOARD OF SUPERVISORS COUNTY OF CONTRA COSTA 651 Pine Martinez, California 94553 COUNTY OF CONTRA COSTA MERRITHEW MEMORIAL HOSPITAL 2500 Alhambra Avenue Martinez, California 94553 I declare under penalty of perjury that the foregoing is true and correct Executed in San Francisco, California on March 3, 1988 Donna L. Kotake CLAIM t 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 Apr i 1 1 2 1 9 8 and Board Action. All Section references are to ) The copy of this document mailed to yob is your nbtice o California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $121. 03 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: FEDERAL EXPRESS (STEVEN JOHNSTON) 2602 Corporate Ave. #125 Senior Claims Agent, ATTORNEY: Memphis , TN RI IIM6 Pam Beckham Date received ADDRESS: MAR 141983 BY •DELIVERY TO CLERK ON March 14, 1988 Risk Manage COUHM COUNSEL BY MAIL POSTMARKED: March 3 , 1988 MARTINEZ, CAUF. I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. March 14, 1988 eeHHIL BATCHELOR, Clerk DATED: BY: Deputy Y'. X//,z_& 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: BY: ' Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). 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 12. 1988 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 13 x986 Dated: BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator FA V March 2, 1988 Nyars��, MAR 1019�a PP ,CEO Contra Costa Co Library 1750 Oak Park Blvd. Pleasant Hill CA 94523 c l.7 ca E_ __- ELpFI ISpRS p ` QeP�tY GSE SR 6Y ' RE: Date of Vehicle Accident: 2/09/88 Our Driver: STEVEN JOHNSTON Adverse Driver: Contra Costa Co Library Our File #: RISK020988JOH Gentlemen: Please accept this letter as our formal claim against you for damages to our vehicle sustained in the referenced accident. Enclosed is an estimate for the repair of our vehicle in the amount of $121 .03. We respectfully request immediate payment in the amount of $121 .03. When remitting, please reference our file number for proper credit. If you have liability insurance, please forward this letter to your insurance carrier for their handling. Your anticipated cooperation is appreciated. Sincerely, Pam Beckham Senior Claims Agent Risk Management 800/238-5355, Ext. 225-3898 Enclosure 0413L `A Ex VEHICLE REPAIR ORDER Odometer STATION Reading Dat Veh. No. 1 I t I I I I I 1Loc . I Nech. I Description of Work Required I Hours I Cost I LL I I I I I I I I I ! I I I I I i I I I I I I I I I I i I I I I I i I I I I I I I I I I I I ! I MATERIAL USED I I I I II I I I I Loc . I Ouan. escri t4on IT201 gostil 0 er.No. lOuan. 1 Description lTotal Cost 1 I I �►u i �o� I I i I I I i U WORK STARTED 02 O-?9A DATE WORK FINISHED REPAIR ORDER PREPARED BY WORK ORDER APPROVED BY n��ev 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 12 , 1988 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 , Am�,,rt: $l, 000 000 . 00 Section 913 and 915.4. Please note all "WarningsltECEIVED CLAIMLN': TIMOTHY HUSSEY MAR 1 c l9$8 c/o Wison & Rose COUNTY ATTORNEY: Urban West 1 MARTINEZ 1350 Treat Boulevard #400 Date received ADDnESS: Walnut Creek, CA 94596 BY DELdVERY TO CLERK ON March 15 1988 Court BY MAIL POSTMARKED: February 29 , 1988 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. IL BATCHELOR, Clerk DATED: March 16, 1988 ��: Deputy _ Z, L. Hall 11. 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: BY: Deputy 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 ( /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. Q Dated: 4 ppD R 12 1988 88 PHIL BATCHELOR, Clerk, By =L uty 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 OrderkanNoti.ceto Claimant, addressed to the claimant as shown aAbove. Dated: APR 13 1988 BY: PHIL BATCHELOR byeputy Clerk CC: County Counsel County Administrator CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COSR&uQIQN it application to: Clerk of the Board Instructions to Claimant F r Box e 11 Martinez,California 94533 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 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 filing stamps TIMOTHY HUSSEYE.) RECEIVE Against the COUNTY OF CONTRA COSTA) or DISTRICT) M4R 1 Fill in name) ) i. r; . ,;,irliiLG q CLERV.GCii.RD Of��A 9'Jt: S CO?: CJ pe ut The undersigned claimant hereby makes claim ag i Contra Costa or the above-named District in the sum o 1 , 000,000.00 and in support of this claim represents as follows : ------------------------------------------------------------------------ i. When did the damage or injury occur? (Give exact date and hour) January 17, 1986 and continuing; malpractice first discovered or in the exercise of reasonable pruuance should have discovered: February 17, 1988. ———————————T———————————--——————————————————————————————————————————————— 2. Where did the damage or injury occur? (Include city and county) Contra Costa County Hospital ------------------------------------------------------------------------ 3. How did the damage or injury occur? (Give full details, use extra sheets if required) Care and treatment of an ankle fracture below standard of care practiced in the community ------------------------------------------------------------------------ 4 . What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? Attempted a closed reduction of fracture where deltoid ligament was torn, thereafter improperly performed closed reduction which left gap in ankle mortise. (over) 5. -, Wh,4- are the names of county or district officers , servants or employees causing the damage or injury? J. Hutchison M.D. , and possibly others currently unknown to the claimant -------------------------------------------------------------------------- 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) Arthritic changes and need for further surgery, approximately $35,000 in further medical plus lost earnings ------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) $25,000 further medical (etc) and $10,000 lost earnings ------------------------------------------------------------ 8. Names and addresses of witnesses, doctors and hospitals.------------- None known to claimant at this time other than those stated above -- --- ------------------------------------------------------------- K.—List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT None known to date, however there may be some lost earnings in an amount currently unknown Dated: February 28, 198 / ' Govt. Code Sec. 910. 2 provides : !'' The claim signed by the claimant SEND NOTICES TO: (Attorney)K -C. 'WILSON or by some person on his behalf. " Name and Address of Attorney c/o KENT C. WILSON WILSON & ROSE Claimant' s Signature URBAN WEST 1 1350 TREAT BOULEVARD 1350 TREAT BOULEVARD Address SUITE 400 SUITE 400 WALNUT CREEK, CA 94596 WALNUT CREEK, CA 94596 Telephone No. (415 ) 933-4500 Telephone No. (415 ) 933-4500 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 KA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT April 12 , 1988 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 lY below), given pursuant to Government Code Amount: $7 , 749 ,373 . 12 Section 913 and 915.4' Plpas "Warnings". CLAIMANT: RONALD R0140 K8�� � � ���� "."," � � .�ww c/o David N. LaDue ATTORNEY: LaDoe & Goldston CO»UNTY #OUIN� 3000 Citrus Circle #203 Date received MAR7INELKAUF. ADDRESS: Walnut Creek, CA 94598 BY DELIVERY TO CLERK ON March Il 193 . BY MAIL POSTMARKED: envelope 1. FROM: Clerk of the Board of Supervisors TO: County Counsel . Attached is u copy of the above-noted claim. DATED: March 14` 1988 2UlL BATCH Clerk epu y, L. BaIT 11. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 91D and 910.2. ' ( ) This claim FAILS to comply substantially with Sections 010 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: BY Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911,3). 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' ��� 1 V 1��� ' Dated: APR � o ^�"� p*lL BATCHELOR, Clerk, , 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 themail 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 I declare under penalty of perjury that l am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today l 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. ���� � � 1��� rvrn � � /ow� _ Dated: BY: p*lL BATCHELOR by, eputy Clerk ATTACHMENT A Loss of Financial Assistance (est. ) . . . . . . . . . . . . . . . . $ 100,000.00 Loss of Personal Services (est'. 30 years x $1,500) . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 45, 000. 00 Loss of Advice, Training and Companionship. . . . . . . . . $ 100, 000.00 Emotional Pain and Suffering. . . . . . . . . . . . . . . . . . . . . . . $ 755, 000. 00 TOTAL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1, 000, 000. 00 • 5. WO-6t4-kre the names of county or district officers, servants or ,employees causing the damage or injury?Contra Costa County Board of Supervisors, Contra Costa County Sheriff and his deputies, County Administrator, and all other officials, agents and employees responsible for planning, creating, implementing and administrating security measures at the Contra Costa County Superior Courthouse. s amage or 3uH;--(J; of injpries or damages claimed. Attach two estimates for auto damage) Loss of personal services, companionship, advice and training, financial assistance, and emotional pain and suffering. 7. How was the amount clamed above computed? ?Include the estimate amount of any prospective injury or damage. ) SEE AMACHN "All -o----------- adoctors dhospitals. - a---s- -------------- 8. Names and addresses fwitnesses, Deputy District Attorney Gayle Graham has the names and addresses of the 20 plus witnesses. The deceased was taken to the county hospital where efforts to revive her were unsuccessful. made on -Bi-lnjury: t e I DATE ITEM AMOUNT N/A Govt. Code Sec. 910.2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) ay someperqpp onhisbehalf. " for Ronald Romo Name and Address of Attorney for Eric Romo David N. LaDue C aimant's Signature LaDue & Goldston 2240 Charlotte Ave. 3000 Citrus Circle, Suite 203 Address Walnut Creek, CA 94598 Concord, CA 94118 Telephone No. (415) 930-6380 Telephone No. (415) 825-6868 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 officert ' 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. " CLA M . Tr,,-,;, ., BOARD OF SUPERVISORS OF CUN1'1tM t_Vz)1 n 4V vw+- "; Instructions to Claimant Return original application tc i Clerk of the Board • 651 Pine St.. Room 106 Martinez, CA 94553 A. Claims relating tn causes of action for death or—far 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) S. 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 91553. 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. I.0. etre 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. f::+a**�t�r�**ar��Rt�r+t�wrattlt+►* R**+RetR*!*�t�*R��t�trR�tltfrtt�r��ttr����lts!*�♦ RE: Claim by )Reserved for Clerk's filing stamps RONALD ROMO on beha 1 f of h 7-, -,nn. % ERIC ROMO, a minor } p ^` Against the COUNTY OF CONTRA COSTA} MAR or DISTRICT) t,�LRPNiCA7rV Lra' F1 n name ) K oARA�. J/� � e r an co' r, B eG C The undersigned claimant hereby makes claim against the County of Contra Cost& oz t_-he above-named District in the sum of $ 1,000,000.00 ind in support of this claim represents as follows: I:""�Fien'dI3"t"he"""�lameg"e`o="In3ury"occuir� ZGIve"a"xa"c"t"c�a"te"a"n`�`fou=T�""" December 4, 1987 at approximately 9:15 a.m. In3ury"occur? "`ZlncSuae"olty`ina"county T"`" Contra Costa County Superior Court Martinez, Contra Costa County, California the-`lama"q`e"oz" njury`occv=' Z�Iv`e"�uII`aetalI"s;"uae`ox�ia" sheets if required) Claimant's step-mother was shot and killed in the hallway of the Contra Costa County Superior Court. 1:""ilfistp'ai�"t�cu ai`ict`oi`om�"ss`�on"on"t�ie`pas`t`o couney`o=`a�"m"M� `" officers, servants or employees caused the injury or damage? County officials, employees, and agents failed to provide adequate security and Protection for Claimant's step-mother resulting in her death and subsequent loss to Claimant. (over) 1-6 APPLICATION TO FILE LATE CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION April 12, 1988 Application to File Late Claim ) NOTICE TO APPLICANT Against the County, Routing ) The copy of this document mailed to you is your jjndorsemencs, 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: TER.ESA GAIL VAUGHN, AN ADULT,. AND AN INCOMPETENT ADULTRICEWED c/o Mark E. Scranton Attorney: A Professional Corporation MAR 141988 1200 Concord Ave. #260 COUNSEL Address: Concord, CA 94520 oouwnr mwttwEz, Mr. Amount: Unspecifiied By delivery to Clerk on March 9, 1988 hand del . Date Received: March 9 , 1988 By mail, postmarked onno envelope I. FROM: Clerk of the Board of Supervisors 10: County Counsel Attached is a copy of the above noted Application o Me to Claim. DATED: March 14, 1988 PHIL BATCHELOR, Clerk, By Deputy Hall II. FROM: County Counsel 70: 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: VICTOR WESTMAN, County Counsel, By Deputy III. BOARD ORDER By unanimous vote of Supervisors present (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. DATE: APR 12 1988 PHIL BATCHELOR, Clerk, By Deputy WARNING (Gov. Code 1911.8) 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 Goverrment Code Section 945.4 (claims presentation n*dremeent). 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 went 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 1 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 13 1988 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 2 E I tb Co n c o r d C 9 i "9' 1 E) !% Prmml I&IR, 9 1988 4 At-torne-,.-c. ::t r t I t, I p F 1i A f,7- i i j! 8 T ELOR [CLER SUR ISOR:; By / NT WTl 5 By . .....PV2M. , �eputy 6 7 8 9 10 in. 12 % ! 13 14 15 16 1-1 t.,j-" t7- M T-1 18 I C I A( I I- C I I it 1 7- 19 t11 0 f,-H.9 20 21 to t h 22 c m t h F' !-11-circ,5;�Pri n 1 R. t'(-:,, lmm.-icfnc; 1:11 i (-h 23 24 2 ) Th n t h,,,t n, ri � im .q, riri�—A=nt —i t'�urinc thf- pprind 25 of t i m P T;r r)v i d f-(4 b-,- ',-)P(-t i (in of tht- is the 26 1 .9 i ma p t •1'1%Nl.5A G A I L VAI G!1\ . an A H I I t I --I m r-1)t .9 1 1 v :9 T-1 ci 27 11 rn pq r i t..-,t r d ci i,r i n z t h Pn i i t 41 m P n f t h t- 10 ri 28 1 W, s .9 n n n i n t p(i hv 2 H")N P I. S I 'I'll t- St PFP I OR COURT 3 ()1- uw"ri,, an -id 1,1 t Pm of t ht:- (' ! ai mant for 4 the I i ni ni;i,li, rc :irr ri2l,.ts. qnr. rpmprlies as 5 <irrr-ric:7- 6 0 F'11:'r 1 2 11,9 1' 7 8 I-, i n t.hP 9 r n m P n 10 r)F-2 1 p r t 1;A 12 13 j-,I-)P ci 14 A f rr; d c- i v ir-ni inn . 15 16 T 1 1 1 .-:7 v C:h:, 'I ac*,-C:111:-,n!* -1 T-, c,f 19 oc t t,I I v r c--i If:If: c t h.9 t I-, i 20 t k 1 t h at 'r h ci I TF, 21 in a n r H a n i t 1) t 22 23 24 25 Ph V . ti(CPA� "'t t'r)r Claimant 26 27 28 i nrpprn T i n,-, 2 Avp . . Cnnrnrd , v H j 52! 3 ! 4 1 51 Ck2. 7 17 4 Attnrnry r-Y ( Wimant 5 6 7 9 10 ll 12: 13 14 G-71 f - A 0 too t I on 910 "On 15 16 17 18 19 r Kim KY Anmayr , n�t Inc �n h-hn ! 07 7hp � mlmnn- nniinp rpiwivp vr lhl - mn , lor to 4- vvnT in my 20 ra. i no,c nctrp"q 21 22 23 n nnmr and nh� r-nq nf plaiwnp ! grc : 24 25 160 Marai r Dri p PlPagant Hill . t A 9 1 n 2 A 26 1 . Mrnh 10 , 19P is t 1 dritr of thin rrnnr that eivp" 27 28 2 Uqgln hnuinvard nrid QpNisr Drivo . 0tv nf 3 1easanT p ; : K i0iPori: s . ip thp ninno of thr nrrurronne that. 4 2ivps riR- lI nimim . 5 - 11iman? yav 1 "Vmvpc inn 7U" vpWv1paUtnmnhijp 6 v, V , � ! r vnk n K PASANT HIU nnllrc 7 8 ino fnnik ny thr n-purron, viTh rpearn 3 -ClAcni . Th--p C , Imnh m thp timp of thr 10 dnn2" nnw- c pnd i - i nn, nt i ho grpnp nt' 11 in -P7 chick "arn Q7h-i onn"nrrpw andzn- 12 4vinvink . 1hp tIM40 13 14 AC - 1 , M'.11 '01 zTrn - ! . hHMnZPrnUC. 15 Wayn tQ- 16 17 1 r t ni 1 c 7 ho nut ir-t n�- i K"w Thr CIA 4T1, 18 rnnmracliva nMirp nf th1- 19 n .rz , rnao rrnrr: nr in thp amp ! r, v"hipp! appapm . 20 :jil ; �ny ncip ; rontpH K, ih" PmWovonn . now TP . 21 rnm ors of Thp ( W �T) 00 CtATHA ( 04 VA . 22 23 pi -•nhhnz npi -nnni innurmn as a rpRuK nf thp vuhippi arpidpw 24 in well n:=. f ihn aptanH !nr rami nRinn, of thr ( 01M OF CONTRA 25 COSTA anH /mr its empInvoeR . aeprils . cnn1r;irtnrv . and /nr 26 27 28 I - nm=w rNimod av nt tp dal of ri-PRpmatinn of 2 this rj2im . nnvixtq of cpnpral damawpR and spenial damages 3 relativiwmnrtV injurip, in amnunip unknryn at this time 4 PwWin2 hp j"rMirTinn nf ihn Mt, pitea Cnurl of thp State nt' 5 . Inimn& rwswrvp, lh- al i ri &tv to insprt said 6 15d ,-v nnn n" Aw �hov wnw ir" nnnortnin-i-A . r 7 8 T7-- ----- --------------- NAM F . SUPA% WN ATtornov 9 i Mn r T P.P I At 10 11 12 13 14 15 16 17 is 19 20 21 22 23 24 25 26 27 28 2 Cnnrnrd . ( A 1411 ) CSZ. 1717 Aitnrnav F � ! oimnnT At 5 6 7 8 9 10 ll 12 13 14 15 16 17 t 18 xvnrn nriroior notarn th(7. 19 20 n 21 jnv - jvpd In An n"7nMCKjjP nPrIAPM at - hr 1n1OrcPO710n nt UnnTra 22 UnpIn HjpVnyo nnA QP%Tpr DrIVP , PIpagant WK . snKfornin . Ac 23 , ypnun of tho sunjeat soridpnl . thp ( Wmnnt vu,! VnpH Rprinuc 24 and spvpro perRqual injuripv ant Hignhillti -- . Frnm thp moment 25 of the aril ent for n pprind nf an.pro% imniriv ni % and n half 26 weeks tbprpaf! pr , thr Ulnimnnt YaR in s rima . Thp rinimant was 27 28 I W thP firRt 100 Hays 2 foilnuins the Ruhmrt arriHPnt and thprPafter . 3 Xpi-I I is , I As 7 , THF 1h)wPink I 54P I STH An h MAN appoint 4 th, k"kFHT kvcn , ax Gus-dian sM Li tem for 5 t , lr-ji .n ruryoRn no pui-�Ainr inn clawan' ' v 1pgal rights an 6 ITS W PkhASA\T HIP . 7 4n . 2py A WK epnpral 9 n h- 4 A OnTA unp nnt Gln 7 jq! n AIR-nvPrv : 12 judirod Kv th, 13 14 � 1 . 1 dim rnrcT � Inc = �Yvrm hn hnn � 15 inn ! �n nofona,7 16Thn- 17 is which 19 md sprvol hv hinH 20 21 H I kk I S 22 23 on dFfonqn n"Wnyr ! fnr tvp CIT4 Q! 24 PLFASAW Hinn ThiA Rpt n intprnaw : rwv noiuyst tar 25 ProdupT 1 nn of DnaumQ& R . rpnuogtph fn - i R w Ann"mPot R ronrprni 26 numerouq Hangvrnw, rnnditinw at the scon- nf 1 h vullprt 27 28 2 QjnPP Thp sprvjP of MV 3 f c)rpwp.E i "rpn cnt _ jntprrnantnripR and HpquP"t fnr 4 Prndurttnp . ; hi hinnugs"A t t ! mP! N enmKinnop with this 5 Hpf&nRp rnuns& - jOHN J . 6 r&rrpRrnndpnrp with him rpqueltinc hic 7 ho vilh mn . 1 , aj nji timpp , h9vp hPpr 8 �I H I A H 0 On y p pn"ny r JoH\ P"M I DOR . 9 r. ,d .:jth mv nfnrpmpntinnpH 10 11 w4s no-Fyvory for Mp io tPipplinnt- 12 7kc prAkurllnn Of Th� nfnrpmpnTinnph 13 14 in "n n- n isnh 4 . 14PP . 15 Anyunrq in [:PrP16 a n q 1W Arn Hrofiv of i- hp InFwprg t ; • 1721 ' vj pr5d"nj 1 nn Flt DnPumpnt , vprr -Ri ti ine nn hi P. is p_.4 rpvipn - . 19 lsxs , 2t nnrrn%iMnTljV 4 : 50 n .M . , I had the 20 Innu nr; ml -OH h7 MR . lVVIKUP . ninkod un at 21 nfflpp . 22 f Thp nrinrip0 /amminiRtratqtr fnr MR . PaYWOVP plipnt. 23 i ;rPIPASANT HILK . iR MiUCIPAP WS; M!vAKFyF%T INSUP-l''n 24 AFTHOR11N . 25 11 Thp prinripal /adminiRtrntor for Thp :'.!i \.T Ob CONTRA 26 COSTA is hPlieyed to hp the W\ lFJPAL RlSIS MANA6FIEW INSURANCE 27 28 2 -at ? nn i n g T)re s F-r,t--r-ri w Thin a re a. s nna 3 t i mr- f n r m;-, r)i i i. a r,ci Yr.r� 2 r r- i r.us I-)p r na I i n.j u r v 4 that h a -i infl -tn t h r; ii m.-i n1? an n n,-)f-P n t victim, a s a r 'i t m 1 n c .9 r.H. ' or o h r i s of 5 6 h n i! I h r,rpf-ri h.9 r r r-fi . 8 'T vi Z 1 Tr,ni>-P.T-j ir. , m an,-,l1ratinn fir r 9 107 V 1 l!" r- 1"!:j 1 1 i t h.-I T t h P 12 13 14 15 16 1 18 19 20 21 22 23 24 25 26 27 28