Loading...
HomeMy WebLinkAboutMINUTES - 05161989 - 1.21 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 Mal 6 1f 8 9 and Board Action. All Section references are to ) The copy of this document mailed to you s your no ice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $100, 000 . 00 Section 913 and 915.4. Please note alo fft�p 6u Rsel CLAIMANT: DAVID W. PILCHER c/o Angelo J. Costanza, Esq. A- PR,211989 ATTORNEY: Bray, Breitwieser, Costanza & Bray ►Martinez, CA 94,553 736 Ferry Street Date received ADDRESS: Martinez, CA 9.4553 BY DELIVERY TO CLERK ON April 17 , 1989 hand del . BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. A ril 21 19.89 EVIL BATCHELOR, Clerk DATED: P , 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: 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 ORDER: By unanimous vote of the Supervisors present KThis 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: MAY 16 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. MAY 19 1989 Dated: BY: PHIL BATCHELOR by Dety 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 per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months 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. (Govt. Code §911.2.) 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• i 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 the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp David W. Pilcher ) RE ,� Against the County of Contra Costa ) or ) AP 171989 District) P g T HE �S�KJ F 'U Fill in name CL_ h gy ............... D30utV The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 100,000.00 and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) March 291_1989 at a�Proximately 5:30 p.m. 2. Where did the damage or injury occur? (Include city and county) Contra Costa Count Work Farm, La ton, California--------------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) I tripped and fell on my face due to stepping into a pothole: at the Contra Costa County Work Farm. ------------------------------------------------------------------------------------ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? The County did not repair the pothole which caused my accident. (over) 5. What are the names of county or district officers, servants or employees causing''" the damage or injury? County em loyees who are in charge of maintaining the facilities at the Contra ' Costa Work Farm. ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed: Attach two estimates for auto damage. $100,000.00 - I fractured m nose. I sustained numerous lacerations and abrasions about my face and I bruised my left knee. I incurred pain about my shoulders. My .breathing has become imppaired_ _My_ nose is crooked_.__The injury_caused much pain and suffering. "2'TIav'e'Fiea 'cries. 7.- ow was e amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) .,The-amount claimed is based upon my physical injuries described above and my general d"amages. . .I •have experienced a long course ofpain and suffering and will continue to have pain in the future. My breathing has become impaired _ ------------------------ 8. Names and addresses of- witnesses, doctors and hospitals. Merrithew Memorial Hospital 2500 Alhambra Avenue Martinez, CA 94553 Staff at Contra Costa County Work Farm, Clayton, CA 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT The CountV of Contra Costa:." has paid my ambulance and medical bills to date. Future medical 'bills are unknown at this time. Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or some person on his behalf." Name and Address of,Attorney ANGELO J. COSTANZA, ESQ. BRAY, BREITWIESER, COSTANZA & BRAY Claimant's Signature 736 Ferry Street Martinez, CA 94553 3833 Pacheco Boulevard Address Martinez, CA 94553 Telephone No. (415) 228-2550 Telephone No. (415) 372-8476 N 0 T I C E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a. period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. CLAIM 1 4,2j 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 May 16 , 1989 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: $10, 000+ Section 913 and 915.4. Please note all "Warnings". CLAIMANT: CYNDI BAY-SMITH County Counsel c/o Conrad M. Corbett ATTORNEY: 450 Sansome St . #1310 ���'� �¢ ��89 San Francisco, CA 94111 Date received ADDRESS: BY DELIVERY TO CLERK ON April 13, ���Zy CA 94553 BY MAIL POSTMARKED: April 12 , 1989 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: April 17 , 1989 JAIL BATTCYELOR, Clerkepu f t.-. all II.. FROM: County Counsel TO: Clerk of the Board of Supervisors N ) 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: 5 3 � �`� 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 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. c Dated: MAY 16 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. MAY 19 1989 " Dated. BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator LAW OFFICES OF CONRAD M. CORBETT THIRTEENTH FLOOR 450 SANSOME STREET CONRAD M. CORBETT SAN FRANCISCO 94111 THOMAS R. )ONES PHONE (415)392-2037 FAX(415)296-0738 E-H 7"o't'� � ?April 10 , 1989 1 5 1989A C HE!1RD OF SUPERVISCTS OS.4CwiA.................. C)a ut Clerk of the Board of Supervisors Contra Costa County Board of Supervisors County Administration Building, Room 106 651 Pine Street Martinez, CA 94553 Re: Cindi Bay-Smith vs. County of Contra Costa Dear Board of Supervisors Clerk: Enclosed is the original and a copy of our Notice of Claim against the county of Contra Costa in the above matter for filing. PLEASE FILE THE ORIGINAL AND RETURN TO US AN ENDORSED FILED COPY OF THE CLAIM in the enclosed self-addressed envelope. Thank you for your courtesy and cooperation in this matter. Yours- very trrul.y, CONRAD M. CORBETT CMC:kl enclosure 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 per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of ` action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months 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. (Govt. Code §911.2.) 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 914553• 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 the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp C,YNT�T RAY-SMITH ) (('� �� X77 Against the County of Contra Costa ) -AP 3 1989 orXx ) District) Fill in name ) C: e Ut The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ AMOUNT IS IN EX- and in support _of this claim represents as follows: CESS OF $10 ,000 ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) DECEMBER 13 , 1988 AT APPROXIMATELY 5 :00 P.M. ------ -------------------------------------------------------------------------- 2. Where did the damage or injury occur? (Include city and county) O' CONNOR DR. & MORAGA RD. , LAFAYETTE ------ ----------------------------------------------------------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) DEFENDANT COUNTY OF CONTRA COSTA' S EMPLOYEE/AGENT, JULIE CARUSO, INATTENTIVELY TRAVELING AT AN UNSAFE SPEED SOUTHBOUND ON MORAGA ROAD, AND NEGLIGENTLY FAILED TO YIELD TO CLAIMANT' S VEHICLE WHICH HAD ALREADY ENTERED THE INTERSECTION AT MORAGA ROAD AND O'CONNOR DRIVE, RESULTING -VECCL*5------------------------------------- I4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? DEFENDANT COUNTY OF CONTRA COSTI EMPLOYEE/AGENT, JULIE CARUSO, INATTENTIVELY TRAVELING AT AN UNSAFE SPEED SOUTI- BOUND ON MORAGA ROAD, AND NEGLIGENTLY FAILED TO YIELD TO CLAIMANT' S VEHICLE WHICH HAD ALREADY ENTERED THE INTERSECTION AT MORAGA RD. AND O'CONNOR DR. , RESULTING IN A COLLISION BETWEEN THE TWO VEHICLES. (over) 5. What are the names of county or district officers, servants or employes causing the damage or injury? JULIE CARUSO, CONTRA COSTA COUNTY POLICE OFFICER [LAFAYETTE POLICE DEPT. ] - ---------------------------------------------------------------------------------- 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. NECK, BACK AND SHOULDER INJURY WITH PAIN, NUMBNESS AND TINGLING INTO HANDS. ------------------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) AS STATED ABOVE, AMOUNT CLAIMED IS IN EXCESS OF $10 ,000 . MEDICAL EXPENSES TO DATE ARE APPROXIMATELY $3 ,000 AND WAGE LOSS IS APPROXIMATELY $1 ,000 . ------------------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. WITNESS: DONALD MORIGUCHI , 631 JUANITA WAY, SAN FRANCISCO, CA 94127 WITNESS: DONNA VONDIERLIEF TREATING PHYSICIAN: DR. JOHN MAHON, VALLEJO OFFICE; PHONE NO. : 707/ 745-1720 ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT TO THE PRESENT - MEDICAL EXPENSES - $3 ,000 (APPROX. ) TO THE PRESENT - WAGE LOSS - 1 ,000 . (APPROX. ) # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney CONRAD M. CORBETT � 450 SANSOME ST. , STE. 1310 CONRAD M. ��TSEF! F OF CYNDI BAY- SAN FRANCISCO, CA 94111 SMITH 490 SANSQME ST. , STE. 1310 Address SAN FRANCISCO, CA 94111 Telephone No. ( 415 ) 392-2037 Telephone No. ( 415 ) 392-2037 N 0 T I C E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000) , or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. N 0 ° coil M 00 W � 77, a�0v�, t.) CLAIM t BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Agairl�st the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 16 , 1989 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: $60. 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: KEITH LYNN MCDANIEL C.,OlJnfy COUt1SEl 901 Court Street Module E #34 APR,Ir1989 ATTORNEY: Martinez, CA 94553 Date received April� 14�z'l�`�°99�553 ADDRESS: BY DELIVERY TO CLERK ON p BY MAIL POSTMARKED: April 13 , 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. April 17, 1989 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: 5 � }?9 BY: i Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Admi 'strator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( N This Claim is rejected in full. (/ )�Other: I certify that this is a true and correct copy of the Board' Order entered in its minutes for this date. Dated: MAY 16 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 talbove. Dated: MAY 1 9 1989 BY: PHIL BATCHELOR by ` Deputy Clerk CC: County Counsel County Administrator 4 IA- le ,P61C 71- r L ,.may 70e- �' .' � are...t e..;names of county or district officers, servants or. . employeescausing the damage or injury? ' t 6. What damage or injuries do-you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) 7 . How w-",/the amoiTht claimed- ove corn uted? (I`nclude the estimated amoun of any prospective injury or damage. ) �e - -- ------ ------ ----- -- -------------- 8 . Names and addresses of witnesses , doctors and hospitals . _ - _-----= -- _� � t------------------------ 9 . List 'theJ exp ditures you made on account of this accident or Injury. DATE. ITEM AMOUNT Govt. Code Sec. 910 . 2 provides: "The claim signed by the claiman- SEND NOTICES TO: (Attorney) or by some person on his behalf. ' Name and Address of Attorney Claimant' s Si nature Address Telephone No. Telephone No. Q/jf� 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 3 5� •�� 4`5 i� 4 co a y v O w wU • 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 May 16 , 1989 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: $100, 000. 00 Section 913 and 915.4. Please note a0c%wFAtytrgPunse1 CLAIMANT: WILLIAM D. ROSSMAN APR,2, 11989 c/o Kenneth D. Robin ATTORNEY: 2204 Union Street Martinez, CA 94553 San Francisco, CA 94123 Date received ADDRESS: BY DELIVERY TO CLERK ON April 20 , 1989 hand del . BY MAIL POSTMARKED: no postmark 1, FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: April 21, 1989 NAIL BATTCYELOR, Clerk epu 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 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 XThis Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Y Dated: MAY 16 1989 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 1 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: MAY 19 1989 BY: PHIL BATCHELOR by 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 per sonal property or growing crops and which accrue on or before December 31, 1987, .must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months 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. (Govt. Code §911.2.) 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• 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 the end of this form. RE: Claim By ) Reser stamp WILLIAM D. ROSSMAN ) Against the Count of Contra Costa 8a Y ) or ) AT oR PHI CLC. B Tuty_ District) Fill in name ) ar The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 100 ,000 and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) -----101?31$$s-I?-L �.n.-3�3.R��ps��-an d.�.Q.:D��_�----------------------------- 2. Where did the damage or injuryoccur? (Include city and county) At the Marsh Creek Detention Center (Clayton, Contra Costa County) ; outside the southwest door of E Dorm ------------------------------------------------------------------------------------ 3. How did the damage or injury occur? (Give full details; use extra paper if required) Claimant an inmate at the detention center, 2 other irnrates without any provocation attacked him, hitting hiur_ with stakes from .the fac.ility's .horsehoe pit, and kicking him with the steel toed boots issued by the facility. Claimant was kicked in the eye and suffered the serious and permanent injury described in 11f6 below ------------------------------------------------------------------------------------ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? Facility employees and supervisors. unreasonably failed to supervise and control .the inmates at the detention facility in an attempt to preclude incidents such as the one that befell claimant, notwithstanding that the ''weapons" used were facility-issued and notwithstanding the fact of and their recogni- tion of the fact of serious potentials for substantial violence and serious bodily injury within the facility (over) 5. What are the names of county or district officers, servants or employees cau the damage or injury? Unknown to claimant at this time ------------------------------------------------------------------------------------ 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. Claimant suffered a macular hole in his left eye. His doctors told me there is no available treatment and that the dam ge is permanent. aim t� has no SPP vision e e . .e. if he holds his I in front of his r 7. -How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) General damages claim was computed on the basis of under- signed counsel's 20+ years of experience in calculating such damages and in negotiating settlements and trying lawsuits based thereon, and in terms of Claimant's past, present and prospective non-economic injuries. Special damages will be sought thouat his time undersimed-counaQ l-Qllp.yQa-tjj,�e e t4A.1T�]1X�_ai�s��: .a nis 8. Names and addresses of'witnesses, doctors and hospitals. Claimant was treated at Merriphew Memorial (County) Hospital in Martinez. The treatment and prognosis referred to above in 116 took place at this medical facility. The names of the treating medical personnel, and the names and addresses of witnessing irm�ates and jail personnel at the scene of .the incident are unknown-to clainenzt,at this time -------------------------------------------------------------------------------------- 9. List the expendit&es °you made, on account of this accident or injury: DATE ITEM AMOUNT None as of this date Gov. Code Sec. 0.2 provi "The claim be s' y aimant SEND NOTICES TO: (Attorney) or by some on is Name and Address of Attorney KENNETH D. ROBIN Ke th D 9 Rob�tAttorne t in Fact for Claimant ATTORNEY AT LAW � Y 2204 Union Street SEE NOTICE ADDRESS San Francisco CA 94123 Address Telephone No. (415) 563-2400 Telephone No. SEE NOTICE 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, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county .jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. N o ap O to N tr IA 00 'fir► O ��Ncd 1� 4 V vo v � N .- d r� 4 r{� l ;dao r r u, Q, Ad 2 u 4• 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 May 16, 1989 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: $150, 000. 00 Section 913 and 915.4. Please note a Od&Wnugr6unsel CLAIMANT: DAMON PULIDO c/o Edward A. Weiss " �° 19$9 ATTORNEY: 1475 N. Broadway #390 Martinez, CA 94553 Walnut Creek, CA 94596 Date received ADDRESS: BY DELIVERY TO CLERK ON April 20 , 1989 hand del. BY MAIL POSTMARKED: no envelope I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PpHHIL BATCHELOR, Clerk DATED: April 21, 1989 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: S 1 -3 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 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: MAY 6 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 gshownn above. Dated: MAY 1 9 1989 BY: PHIL BATCHELOR byeputy Clerk CC: County Counsel County Administrator • �;,� 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 May 16, 1989 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: $1, 000, 000, 00 Section 913 and 915.4. Please note al Warnings". CLAIMANT: MR.& MRS . JOHN WATSONT-GUARDIAN FOR JOHN WATSON III 5031 Plaza Circle APR,2 2 198 ATTORNEY: Richmond, CA 94804 9 ADDRESS: BYDELIVERYCLERK ON April-' 7 ) 19WA 945,53 D BY MAIL POSTMARKED: April 14, 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PH gg DATED: April 21, 1989 BYIL DAputyLOR, Clerk L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors N(v ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: rj 3 � Y: 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. MAY 16 1969 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: MAY 19 1989 BY: PHIL BATCHELOR byuty Clerk CC: County Counsel County Administrator TO: FILINR CLERK FOR BOARD OF SUPERVISORS FROM: MR. & MRS . JOHN WATSON SUBJECT: COPY OF CLAIM WE WOULD LIKE TO HAVE A COPY OF THIS CLAIM MAILED BACK TO US , WITH A COPY SHOWING THE FILING STAMP FOR OUR RECORDS. THANK YOU FOR YOUR ASSISTANCE. ,. -A 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 per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months 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. (Govt. Code §911.2.) 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• 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 m-ast be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp MR. & MRS . JOHN WATSON -GUARDIANS FOR JOHN WATSON II ) RE V-' Against the County of Contra Costa ) SOCIAL SERVI8E DEPT.CHILDRENS ) APR,171989 PROTECTIVE SERVICES DIV. District) PN p_ Fill in name ) QY rFi Pia The undersigned claimant hereby makes claim against the Co e ra Costa or the above-named District in the sum of $ 1 million and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) OCT. 20, 1988 ------------------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) GASKIN DEIDRE & PAUL FAMILY DAY CAREICH ^l, �*.-�ZE�.1A--9.48DIL----------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) WHILE IN THE CARE OF A LICENSED FAMILY DAY CARE HOME OUR CHILD WAS PHYSICALLY ABUSED BY OLDER CHILDREN IN THE HOME WHO HIT HIM WITH A GLASS BOTTLE CAUSING HIM TO GO TO THE EMERGENCY ROOM OF THE HOSPITAL FOR --------------------------------------------------------------------- 4. What particular act or omisssiohhn on the part ddof county or district yy oCCffiicNNeryys,WWlIDD �OD)antSOGI� W( RaG�1 E tS�Eb HH OF fTL� E Q R RO ECTTVETSERVI ES WAS NOTIFIED BY TELEPHONE FROM PARENTS , TREATING M.D. , & RICHMOND POLICE OFFICER JOHN WILLIAM REGUARDING THE PHYSICAL ABUSE OF OUR CHILD JOHN WATS01 II . THIS EMPLOYEE KNOWINGLY FAILED TO REPORT THE PHYSICAL ABUSE OF OUR DEPENDENT CHILD TO OTHER MANDATED AGENCIES NOR DID THIS EMPLOYEE FOLLOW-UP WITH A WRITTEN REPORT WITHIN 36 HOURS. (over) THIS EMPLOYEE IS A MANDATED REPORTER. r 5. What are the names of county or district officers, servants or employees 'causing the damage or injury? DAVID ALEGUIRE SOCIAL WORKER CASE SPECIALIST ------------------------------------------------------------------------------------ 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. GENERAL DAMAGES & PAIN AND SUFFERING ------------------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) UNDETERMINED ------------------------------------------------------------------------------------- R. Names .and addresses of witnesses, dootors and hospitals. 1. DR. LAWRENCE EMERGENCY ROOM 2. JOHN WILLIAM - OFFICER KAISER HOSPITAL RICHMOND POLICE DEPT. ------------------Bh=T._A_VaL_BJ.MWQ=.,._QAs 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) orb some person on his 1Xhalf.11 Name and Address of-Attorney Claimant's Sig tune Address 5031 PLAZA CIRCLE - I��nRnnm GnTrTn 94804 Telephone No. Telephone No. (41 ) 234-1575 N 0 T I C E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. 46 - Oq 3.7-f 0 C tr -^ CN XI F 1 G d � 9 � H H n *xi H �U CD d u' C �-a1y d M t.0 t-4 C ca H Ca w" 70 b rAV3N o o Vol CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA C1'aim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 16, 1989 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: $508 , 653. 00 Section 913 and 915.4. Please note -aQJ ���1°jnAs". CLAIMANT: JUDY M. MYERS ousel c/o Rita F. Gilmore, Esq. I � � 1989 ATTORNEY: 260 California St. #1002 Martin San Francisco, CA 94111 Date received ��' CA 94,553 ADDRESS: BY DELIVERY TO CLERK ON April 18 , 1989 BY MAIL POSTMARKED: April 17, 1989 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. A ril 21 1989 PpHHIL BATCHELOR, Clerk DATED: p � BY: eputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors \ (I-J) 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 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 t x) This Claim is rejected in full. {/\) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: MAY 16 1989 PHIL BATCHELOR, Clerk, By J 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. 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: MAY 19 1989 BY: PHIL BATCHELOR by Clerk CC: County Counsel County Administrator MARVIN A. JACOBS & ASSOCIATES ATTORNEYS AT LAW 260 CALIFORNIA STREET,TENTH FLOOR TELEPHONE SAN FRANCISCO, CALIFORNIA 94111 (415)391-7281 R EWE Er"CFE A-V- D- April 17, 1989 APR 181989 PHIL BATCHELOR CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. �( Deput Clerk of the Board of Supervisors Contra Costa County 651 Pine Street, Room 106 Martinez, CA 94553 Re: Claim of Judy M. Myers for Damages for Personal Injuries Gentlemen: Enclosed please find original and copy of Claim of Judy M. Myers for Damages for Personal Injuries. Please stamp the copy with your date stamp upon receipt and return to our office in the envelope which is enclosed for your convenience. Sincerel h e Ki neman Secre ary to Rita F. Gilmore SK:bh enclosure 1 RITA F. GILMORE, ESQ. 260 California Street, Suite 1002 =� 2 San Francisco, California 94111 Telephone: (415) 391-7281 3 Attorneys MeyMYERS Claimant 4 JUDY ��� 1 5 Q -Ali 7 8 9 10 it CLAIM OF JUDY M. MYERS, ) 12 ) CLAIM FOR DAMAGES Against ) FOR PERSONAL INJURIES 13 ) 14 THE COUNTY OF CONTRA COSTA. ) 15 ) 16 TO: THE COUNTY OF CONTRA COSTA: 17 18 1. YOU ARE HEREBY NOTIFIED that Judy M. Myers, whose address 19 is 2060 Buttner Road, Pleasant Hill, California 94523, claims 20 economic and non-economic damages from THE COUNTY OF CONTRA COSTA 21 in the amount of $508, 653 . 00 for damages for personal injuries and 22 emotional distress. 23 2 . This claim is based on an accident that occurred on 24 February 8, 1989 at approximately 8:00 a.m. at the BAY AREA RAPID 25 TRANSIT DISTICT ("BART") Station in Orinda, CONTRA COSTA COUNTY, 26 California. At that time and place, as a result of the negligence 1 of the agents, employees and other representatives of the BAY AREA 2 RAPID TRANSIT DISTRICT, and/or COUNTY OF CONTRA COSTA, and a 3 dangerous condition of public property, among other things, 4 claimant Judy M. Myers was caused to fall while walking to the 5 Orinda Station. 6 3 . CLAIMANT does not know the names of the public employees 7 who caused claimant's injuries. 8 4 . CLAIMANT sustained injuries to her right wrist and hand, 9 injuries and damages to her nervous system, pain and suffering, and 10 other injuries not presently diagnosed. 11 5. CLAIMANT's medical expenses to date are approximately 12 $8,553 . 00 and are continuing, and her lost wages are approximately 13 $6,000. 00 and are also ongoing. Non-economic damages are 14 $500, 000.00. CLAIMANT does not now know the amount of the damages 15 she will incur in the future as a result of her injuries. 16 6. All notices and communications with regard to this claim 17 should be sent to: 18 RITA F. GILMORE, ESQ. 260 California Street, Suite 1002 19 San Francisco, CA 94111 20 21 DATED: April 17, 1989 22 23 iRITA'F./"G±1MORE 24 'Claimant Judy M. Myer 25 26 2 - 1 PROOF OF SERVICE BY MAIL 2 I declare that I am employed in the City and County of 3 San Francisco, California. I am over the age of eighteen years 4 and not a party to this cause. My business address is 260 5 California Street, 10th Floor, San Francisco, California 94111. 6 Today I served the foregoing CLAIM FOR DAMAGES FOR PERSONAL 7 INJURIES on all parties in this cause by placing a true copy 8 thereof enclosed in a sealed envelope with postage fully prepaid, 9 in the United States mail at San Francisco, California, addressed 10 as follows: 11 Clerk of the Board of Supervisors Contra Costa County 12 651 Pine Street, Room 106 Martinez, CA 94553 13 14 I declare under penalty of perjury that the foregoing is 15 true and correct. 16 Executed on April 17, 1989 at San Francisco, California. 17 18 Stephanie Kihneman 19 20 21 22 23 24 25 26 D C N Zo Z � > D A � zo r) 0 - �1 y O C o , Lam A m c r- > O m > A Zz � D A T AVS a l 70 D m +i ti H r+ (D rf rt t Y•ro n x m 0 N ro 0 t-t o (n t<t rt 0rtrrpr � � aro rohm wrra o to n Ln rt 11 o kC o a t✓ � o r✓ rn b ro N i y�N (D,� r o� n a 1711 ° n� of tit m 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 May 16, 1989 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: $113. 11 Section 913 and 915.4. Please note all "Warcua" CLAIMANT: PAUL GEARHART nty COunsel 1620 #4 Cauallo Road APR,1. t 1969 ATTORNEY: Antioch, CA 94509 Martinez,Date received April 14, 1989 CA 94,5%53A ADDRESS: BY DELIVERY TO CLERK ON P BY MAIL POSTMARKED: March 31 , 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. April 17 1989 PPHHIL BATCHELOR, Clerk DATED: P 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: ) ��9 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 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' Order entered in its minutes for this date. Dated: MAY 16 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: MAY 19 1989 BY: PHIL BATCHELOR by c puty Clerk CC: County Counsel County Administrator i 41/ in/iq� 4 /9�tt�+��r `�P�cz•� Zvi f�iP _y1?•�(�t�LV' S�aua h rw✓1 :1 O t° /�•`..oG 4 6/0 r ♦ ! 7�iP rt Lv l+4 S r, GL:f CX; 4s ,� i.Lrl� a JiG�� ��� �•�� my ritv �f i _.�--� G�Gti C'tJ�t•(tY ���+6t..SP �R/l-! <�-.P -d.� �.sP., ..{TY./`Y, 7�<S Arr f0 f1-le /oYso-"s a-11 141/f . /`�.. `� .CGI,°�.-,,,�. 9��a9 �`;�,, �• 1 K • co V n z 1 a _< m m 0 m Z �_ r V r m m m Z Z Z K� D m m DN o v a Z � J l 9 �o n N n 1 ' Cl)Zn a cZi O C D `. y D m m m m 1N O m m x x m m M t M O g m m D D 2 2 y m , r r c (A m U) m r m � � . moi 37 ` s z a z m D p A T A " 1 ° In La r m m D D a rn n D m \ m z \s --i m c� J 1 m C Hr In (n (n y O z (7 -I -1 -i M 33 3 � m m m m g -moi O D m C x = D D r D D D D m m C C x x x x O O m v .{ W � 7C A (n Z D r= � t= � cn co T -n = _ _ = O � z D O < 7C O O O T -n D D D D 0 m r O W W � � v V v_ D D m m U) (cn vi (n N r' O D W MCl) m m m m 0 T -I _ (n :13 v v -0 2 m m m m m z M z z m T 69 N 1 „ � T � D m m ♦� CLAIM BOARD-OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA r Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 16 , 1989 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: $10, 000 . 00 Section 913 and 915.4. Please note all 'Warnings". CLAIMANT: DEAN S. MEAK.IN ©Unyousl 18333 Bollinger Canyon Road APR o2 X198 ATTORNEY: San Ramon, CA 94583 Date received MartIn ,,zz ADDRESS: BY DELIVERY TO CLERK ON April 18 , F49) 4,1�5Yanage. 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. April 21 1989 PpHHIL BATCHELOR, Clerk DATED: p 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: 5 `� / 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 ORDER: By unanimous vote of the Supervisors present X) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. ,�gy�pp Dated: MAY 1 6 `989 PHIL BATCHELOR, Clerk, By 4�vputy 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: MAY 19 1989 BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator r _ Cleimt 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 per- sonal property or growing crops and which accrue on or before December 31, 19872 must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for .death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months 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. (Govt. Code §911.2.) 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• 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 the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp R'EUVRED Against the County of Contra Costa ) A P R,13 1989 or ) " B Lon District) CLER Qr'. -rBy R� F �E � Fill in name ) utv . The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ /L>, ,o UQ and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) -----------��' t .-a�lu IMmi 4, /18 9 --- Q"-^-�0="-'t'- avuyc -------------------------------- ------------- 2. Where did the damage or injury occur? (Include city and county) ------------------------------------------------------------------------------------ 3. How did the damage or injury occur? (Give full details; use extra paper if required) L j mA✓,*A% 6,o.. &A/LO t ' .a_2.73 -9 9 PA-4. Zo ------------------------------------------------------------------------------------ 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 mousing the damage or injury? ; , , ¢ ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for au o damage. -------------------� _______________-_________________ 7. How was the amount claimed above computed. (Include the estimated amount_of/ ny prospective injury or damage.) �„�,�,o,�",s d a-0 --------- ------------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. 9. List the, expenditures you made on account of this accident or injury: DATE ITEM AMOUNT S-Q�- W .7 Gov. Code Sec. 910:2 provides: "The cl im must be signed by the claimant SEND NOTICES TO: (Attorney) or by ldme person hA his ehalf." Name and Address. of Attorney �•Qe�.N-Q- s' �, n Claimant's Signature I Fs 3 3 3 3&" M6AA, C"on, lam' 54 3 3 3 $ ,• ®.h COe.. • qy5&3 Address Telephone No. Telephone No. 3 3 In " 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, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine.