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HomeMy WebLinkAboutMINUTES - 05231989 - 1.18 CLAIM /XP - 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 23 , 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: $350 . 0 0 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: MARLIN L. WATSON 901 Court Street ATTORNEY: Martinez, CA 94553 Date received ADDRESS: BY DELIVERY TO CLERK ON April 25 , 1989 BY MAIL POSTMARKED: April 24, 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: May 2 , 1989 Ry!L BAATTCHELOR, Clerk 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 (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 2 3 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 2..4 1989 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator ' ,:LAIMi TO• - BOARD OF SUPERVISORS OF CONTRA g0'cRTeiurR 8 it5Sl application t0: �. Instructions to Claimant Clerk of the Board P.o.Box st�j artinez,Cattforn `94533 A. Claims relating to causes of action for death o _?4or injuryo person or to personal property or growing cro �s mm_��4 not later than the 100th day after the accrual of-the 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 Clex.'k 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 ent ty- 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 RECEIVED Against the, COUNTY 'OF CONTRA COSTA) APR 2 51989 :.r DISTRICT) orfs riot s — �— ( it li'?i nAme) _) a .. ... . °... ......T......' aJ, . . The undersigned claimant hereby makes claim agains e�o�t Q Contra Costa or the above-named District in the sum of and in support of this claim represents as follow 1. When-cid-tne damage or inju--------------- y occur? - (Give xact date and --� 7_ GT1is cr e ��• .',ti ` 47Ym�:r7Te n�r yr----1- ------------ ry —c—ur �in ludo v1a1 :i=-a--v --- - ---- injury c ive ftails use extra 3. How did the damag� or � y occur . ull\ sheets if required) ' --------------------------------------•------------------------------_---- 4 . What particular act or omission on the part of county or district officers , . servants or employees caused the injury or damage? (over) zat: are.,tbe,:names of county or district officers , servants or., i employeescausing the damage or injury? ' 1 . ------------------------------------------------------------------------- 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 was the amount claimed above computed. (Include the estimated amount of any prospective injury or damage. ) ------------------------------------------------------------------------- 8 . Names and addresses of witnesses , doctors and hospitals. ---------------------=--------------------------------------------------- 9 . List the expenditures you made on account of this accident or injury: _I-DATE,,.... - ITEM AMI OUNT **,*********************ic�c�c�c *�Y*******i 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 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 of writing , is guilty of a felony. " C-CkYln -� R \ bLk Ck,k rn . z, COUM� �ci C OV1 S �Gfte� caex� CoG.h �' � b��d� cr cm +c 4 qo � Va- q�f 5 5 • a ................................. 'O]V1S0]YntNp] l; SSOS1Aa3dn5 i0 QDVOB 18313 d013H]lY1 UHI 686b 5 Z ddd �) 9 (wl \0" 1 v 57/ 1 �y� �I ►" CLAIM `CJX ''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 23 , 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: $560 , 00 Section 913 and 915.4. Please note all "tT(5W '.00unsel CLAIMANT: MARK MCCL'ENN0, 344 Linda Drive (ViAY 3: 1989 ATTORNEY: San Pablo, CA 9.4806 Martinez, CA 94553 Date received ADDRESS: BY DELIVERY TO CLERK ON April 25 , 1989 BY MAIL POSTMARKED: April 20, 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. May Ma 2 1989 gaIL BATCHELOR, Clerk DATED: r eputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors '\Tli ) 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: l Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Adminis ator (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 2 3 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 claimantasshown above. Dated: MAY 2 4 1989 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator T_Mfi TO• BOARD OF SUPERVISORS OF CONTRA CO`cRTeiurg2i��1 eppltcatlen tp; Instructions to Claimant Clerk of the Board P.O. Box 911 M artinez.Californl 94533 A. Claims relating to causes of action for death or or injury �`o 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 Rooia 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 nst each public entity. E. Fraud. See penalty for fraudulent claims, Penal C01e Sec. 72 at end of this form. RE: Claim by _ _ ) ReserClerk' s filing stamps RECEI'VED Against the COUNTY OF CONTRA COSTA) APR 2 61989 Cv01 r6—C00a- e-eut'IY Zxtt. ) CL6ot4A ) F oQ or DISTRICT) (Fill in name) ) L . The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ `rL �®,00 and in support of this claim represents as follows :yo --- ------ --------------------- - l. When did the damage or injury occur? (Give exact date a d ho r) N1R2`/i--- 9�4a1f p7t� 7ie_�_!_�._Q�i 1 i jJ (i7R2Tifl--- _ 2. Where dict the damage or injury occur? (Include city and county) �Ro�rR_r`[ wa� co,�Y_l�Y�h-e �,a•il s La�.F -- - -------------------------------------- 3. How di_d the damage or injury occur? (Give full details , use extra sheets if required) _�•E�►S-.lv� •�Wi fl.�'(T r1�-cHnab�n iµ'Foa�t�0 r1� Tv 1=����'�i�s�I�i�_7o_�3e _Rei��u�Y _-- 4 . What particular act or omission on the part of county or district officers , . servants or employees caused the injury or damage? (over) '.5..o. at, are,..the,names of county or district officers , -servants, . ~ y; employeescausing the damage or injury? LRu pkQ7_y'_ r1=i_Cfl'_ __ __ _ ___ _ __ _ 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 was the amount claimed above computed? (I.nclude the estimated amount of any prospective injury or damage. ) =. U .�� i n AGC._i 5_d.i S-_- ----- -- -------------- 8 . Names and addresses of witnesses , aoctors and hospitals. Sh-errr o'Fr- A-10-P-, ID , Goo-I•7_4t.`C..g 9r000 w4ao 9-rree.-r p�.1�41G7in�2Z) �°/�e cfu5s3 ro Per-1 9 . List the expenditures you made on account of this accident or injury y ITEM A-MOUNT Boo-6 oo -rvivfe yVol v t ge 14 05,.0t0n 1t Shir 3,0.0 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 �h _ Me av+n-uo4 Claimant' s Signature Address SAN P&O o_t A.e l'iW a 6 Telephone No. Telephone No. g.33 -3H�1(o mes5,6-9.e N . NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for ,al_lowance 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. " � 4 .... nit} ' 9 '0J b'150:)v81N0D smostAtl ns 30 GIVOG 7133D 71013471V9 UNI 68619 Z UV LLL d � � ©Ake M-0 o C3 _,C) Z b 968 dsx �6 1 1 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, 23 , 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: $2, 00'0 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: BARBARA DIANE HES5ELBERG 212 LaQuesta Drive ATTORNEY: Danville, CA 94526 Date received ADDRESS: BY DELIVERY TO CLERK ON May 1 , 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. DATED: May 2, 19.89 ppHH1L ATCHELOR, Clerk SY: Deputy -�c-----^� L,,Hall 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 J�l `� 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 2 3 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 2 4 1989 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator 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: C ai By ) Reserved for Clerk's filing stamp tall Ile, Against t e T6unty of ntra Cost ) or ) MAY 11989�� District) BHS Fill in name ) CL FIK RD TC P R• TPA T By _ tY The undersigned claimant hereby makes claim against t e ounty o^ n ra osta or the above-named District in the sum of $ 24M , in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) ✓ J L N /G�Q�j A.,� Z _Lh�_11_.c -- -- --- —_al---------------------- 2. Where did the damage or injury occur? (Include city and county) ��//Z��9_ ,�2z-4_�_/ _Z2�_ 3• How did " he damage or injury occur? (Give 1 details; use extra paper if required) vX 10 he— ZZL__y_ - /G 4. What particular act or omission on the part of county or district office , servants or employees caused the injury orLag��� Al XlUeN(f.el �191esokol over) f 5. What are the names of couAy or district officers, servants or oyees cay.ni the damage or injury? 6o lv 5. What damage or injuries you i resulted? (Give full extent of i juries or damages claimed. Attach wo est mates for auto damage. U11 .� ,�1 _ -- - ----------- 7. How �sthe t claimed above computed? (Includ the estimated amount of any prosetive injury or damage.) -7 - - - � 'e-e----------------- 8. Names and addresses of witnesses doctors and hospita�t ` 1179 1 417 lVa Nu - ja�-- C ------ --------------------------- 9• List the enditures you 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) or s me ers on h s behal Name and Address of Attorney. Clai 's ignature /V cIL2 - Ze��-Ad ess Alv�ll 6-2 Telephone No. Telephone No&Li- 9��-aa 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. LIV7 _ - - '- k-o %_ 7/zt- o��z_ --- - - 2-17721-06 . �vi���v 4- 72 L 751 146- LZ 46 _ 1 _i 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 23 , 1 9.8 9. 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: $200, 00 Section 913 and 915.4. Please note all "Warni10 " CLAIMANT: MINDY:'A;. DAVIS ��$ (; 50 Chelsea Hills Drive #1 ���r3 f se/ ATTORNEY: Benicia, CA 94510 �� Date received 6 ADDRESS: BY DELIVERY TO CLERK ON May 1 , 1989 C,g BY MAIL POSTMARKED: April 29, 1989 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. May 2 1989. PpHHIL BATCHELOR, Clerk DATED: y r 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: -.P 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. �ty1w Dated: MAY2 �� PHIL BATCHELOR, Clerk, By � . y 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: 1aY 2 4'1989 BY: PHIL BATCHELOR by Deputy 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 ) Reserved for Clerk's filing stamp Against the County of Contra Costa ) MAY 11989 or ) OR Ct_ O? U F UPV District) CDe Fill in name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ �(�_ ��� and in' support of this claim represents as follows: ------------------------------------------------------------------------------------- 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) fi+ tn[erseJ iorl o f (904)u?_t PdChe�!o, ma.d 9 n e z / Con�a Cbl au r4y ------------------------------------------------------------------------------------ 3. How did the damage or injury occur? (Give full details; use extra paper if required)$i- the +,foe J: c1rcwe +brou3k +Oersedico, There WO-S 4 tohife $ucW of poinf' On O u C.B ar,d zk- lis Kno c(04 over (glia fhe_ r oM. Thee e- LA-)as oo L0Q-J ©f aur c10'J PG,tn t� dve 4o a-Fhe,r ve.�,cfes on �c�, 11 refore, u�h� e �n�-�5 �`��� � - lrt _v_ _4�e=-------------- -------------------------------------- 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? npn I 1,9 encs G k' n � ��n l . (over) t ' 5. What are the names of county or district officers, servants or employees causing the damage or injury? on i(nown 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. w K��e �,�.�n-I� �s �o�.� �.�h s►mss of any ��►cte� -See aki&A- - ------------------------------------------------------ How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) a% 6 -------------------------- ------:- -Q-------------------------------- 8. Namps and addresses of witnesses, doctors and hospitals. nAc+u 4r en o� Pa%fn� 'on r00d ------------------------------------------------------------------------------------- 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 the claimant SEND NOTICES TO: (Attorney ) or by some person on hi half." Name and Address of Attorney V11'4�11ZIJ- Zzl� 1 imant's ignature / + . 6 �� h'//Xs (Address) U Telephone No. Telephone No. 70-77� 7 /f 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. DAMAGE REPORT DAVIS Date: 04/19/89 D.R. 00000279 AF118563 Estimator: AUTOS , TRUCKS & EQUIPMENT REFINISHING 4562 E 2ND ST Benicia, Ca 94510— (707) 746-0535 VEHICLE OWNER: MINDY DAVIS DAY PHONE: (707) 747-1819— OTHER PHONE: (707) - - ADDRESS : 50 CHILSEA HILLS DR, Benicia, Ca 94510 YEAR: 82 MAKE: NISSAN MODEL: 200SX STYLE: COLOR: SILVER LICENSE: VIN: PROD DATE: / MILEAGE: 0 INSURANCE CO. : PHONE: - - - ADJUSTER: CLAIII NO. ! DED. : 0 . 00 -------------------------------------------------------------------------------- REPLACE PARTS LBR PAIINT T NO. REPAIR DESCRIPTION OF DAMAGE OTY PRICE HRS HRS MISC -------------------------------------------------------------------------------- 1 REMOVE LOWER PAINT SPASHED 1 0 . 00 0 . 0 0 . 0 2 FROM ROADWAY 1 0 . 00 0 . 0 0 . 0 X 200 . 00 3 WASH & WAX 1 0 . 00 0 . 0 0 . 0 --------------------------------------------------------------------------------- Subtotals =__> 0 . 00 0 . 0 0 . 0 200 , 00 Sublet/Misc 200 . 00 Subtotal $ 200 . 00 ------------------------------------------ GRAND TOTAL $ 200 . 00 TiIS ESTD!ATE IS BASED C: DAi4AGE :xiAT ',A,*, BE SEE,, AT THIS 71M. Ai,Y KDDE",: DAMAGE CP. PARTS ?RICE' i'ICREASES CCU!D I?iCREASE THE TOTAL REPAIR ESTIMATE. THE ABOVE PRICES GOOD FOR 30 DAYS 01,1LY, YOU «AY BE REQUIRED TO POST A SPECIFIC DEPOSIT TO SECURE AP'rT & FARTS. 90 DAY GUARANTEE 011 PARTS & r:ABOR, 1 YR TfARRA TY CII PAT_!- REPkTRS. Al,D ADDITIOIiAT IJOP„ MUST BE I'.i ;'IRITIiIG 71 ADVA CE Cr REPATRS. (c) Copyright 1938, Sheldon Research Group Page. 1 C? s 74:!a yyr,fir? Qn �.` t CLAIM i BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA y Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 23 , 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, 292 . 76 Section 913 and 915.4. Please note all "Wargfnfiy o�,ns�l CLAIMANT: GABRIEL A. ADEKIYI 1; r 7534 Sterling Drive `�- 19 ATTORNEY: Oakland, CA 94605 ate received art/n��, CA �� ADDRESS: BY DELIVERY TO CLERK ON April 26, 1939 hand 9991fa 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. DATED: May 2, 1989 g�IL 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 910.8). ( ) 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 I 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. Dated: MAY 2 3 1989 PHIL BATCHELOR, Clerk, By r , eputy 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 24 1969 BY: PHIL BATCHELOR by eputy Clerk CC: County Counsel County Administrator y u Fi .. 1 NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: Ga iel A. Adekiyi 7534 eriing Drive Oakland, 94605 Re: Claim of GABR L A. ADEKIYI Please Take Notice As Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code section 910 and 910 . 2, or is otherwise insufficient for the reasons checked below: 1 . The claim fails to state the name and post office address of the claimant. 2 . The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. 3. The claim fails to state the circumstances of the occurrence or transaction which gave rise to the claim asserted. 4 . The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. X 5 . The claim fails to state whether the amount claimed exceeds ten thousand dollars ( $10,000 ) . If the claim totals less than ten thousand dollars ($10,000) , the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ($10,000) , the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. 6 . The claim is not signed by the claimant or by some person on his behalf . 7 . Other: TO WESTMAN, County Counsel By. Deputy County C nse CERTIFICATE OF SERVICE BY MAIL C.C.P. §S 1012, 1013a, 2015 .5; Evid. C. SS 641 , 664 ) My business address is the County Counsel's Office of Contra Costa County, Co. Admin. Bldg. , P.O. Box 69, Martinez, California, 94553, and I am a citizen of the United States, over 18 years of age, employed in Contra Costa County, and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non Acceptance of Claim by placing it in an envelope(s) addressed as shown above (which is/are place(s ) having delivery service by U.S. Mail) , which envelope(s) was then sealed and postage fully prepaid thereon, and thereafter was, on this day deposited in the U.S. Mail at Martinez/Concord,, Contra Costa County, California. I certify under penalty of perjury that the foregoing is true and correct. Dated:_�oQ _�� , at Martinez, California. cc: Clerk of the Board of Supervisors (original) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4, 910. 8) 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 ) Reserved for Clerk's filing stamp Against the County of Contra Costa or ) AP R' r� District) Fill in name ) , 0 :4..,s C°_. ' ,T P The undersigned claimant hereby makes claim against t „ _o t�o or the above-named District in the sum of $ and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) -------V _Lg`----------- ----------------- 2. Where did the damage or injury occur? (Include city and county) 1 ve,W"A - -_ .L �e4u k cel How in 'ur occ i d 3 Ho did the da�1 a or y occur? (Give 1 tails, use extra paper if required) .;q S o o a e�2 t.� r t u'ot�e Ce f ;Lew t- �1 ------------------------------- - -------- ------------------------------------- 4. What particular act or omission on. the part of county or district officers, servants or employees caused the injury or damages?' f ._1n�eyam-�C,e 1 to�CCS04 -��eQin v��CFLpe `�t.q-� � `c► `,-eY �p-_� r k l&*T 6e,�X'kv\ j 6m -*4� y_k��Vvo ve-kae +-D (over) 5. What are the names of county or district officers, servants or employees causing - the damage or injury? R J) � (A ee(. 0 ------------=----------------------------------------------------------------------- 5. What damage or injuries do you claim resulted? (Give full extent of injuries or dqmages claimed. Attach two estimates for auto damage. 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) �� O N ------------------------------------------------------------------------------------- 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 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 Claimant's S ture 7) 4 Address Telephone No. Telephone No.. 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 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. m ❑ „ ❑ ❑„ ❑s ❑o ❑_ ❑ Claw? - A N A A A < A Z Q a n t O X m 2 Cl. ZA mo �;Oz o '•m �O�p p - i A c cIC r c° Z T z o Sid A z -, p1� C z t- m u0 O / Lrln n x DQ crl Ll U� A z t 1A 3 N m - n DEALER *AC68066R .- Shattuck Auto Center, Inc. N. � D 9 O m 3207 SHATTUCJC AVE.,BERKtLEY,CA.94705 (415)848-6281 6618 SHATTUCK AVE.,OAKLAND,CA.94609 � FRONT Lbr. PARTS LEFT Lbr• PARTS RIGHT Lbr. PARTS H rs. H rs. H rs. \m Bmpr Fndr 6, �s Fndr fl Ls!s v Bmpr Brkt _ Fndr Shld _—. Fndr Shld \ Bmpr Gd Fndr Mldg— -. Fndr Mlda —. \ Bmpr Bolts&Shims Grvl Shld --—_ dlmp .. Prk Lite �3 Hdlmp DoorHdlmp Door J7 ,h{�m Frt Svst -- --- - --- --- -- ��\��� — ---- — Frame _—.._„—,—..... —.-...,. - Sealed Beam__...,—_. , __.Sealed Beam +Mbr _ —_—_—_-- Cowl_Post _--._ —_ Cowl___Post Door(Frt) or(Ft_— W heel Hub Cao --.._.—........_ D.o-oLtiinae O O �4 ds_.Qrum....._......... _..pogr MId9 --..- -.._-QQ.o1...M1d9__.....---. m m Knuckle -..-......._-.........__Door Lock.-_...-_ —......._..-..............- _.-....-. 1 btr`h Up Cont Arro---- -.. ..._—.-.. CtI�9it—........ Lr Cont Arm Door—(Rear r r Shock —.._...—.._.._... Door.MlSlg_—.-......---...... ...._—.-_.--_. Tie Rod Ends - --- -------- -- --- ------------ �0 Rocker Pnl-- Rocker Pnl 0 R9S.k..r...Mid9._.__...._.......—............—._...—........—........—_..._._.—Roclsr....Mlii9...._..--...._. Floor Floor --- — �' -- — Qtr Pnl ...... -- --- -— -- ----- -.... ...._—_. ..—......_..— _....—......—._..—_ ... ..... R, . Qtr Mld_L__ _QtrIJV l-dg-- — —..__—...._...—.-._...— -----...—..._.._.._.—.........---.._...— ._...—.._..._...—._. Qtr Ext---- - - _.—......_..— ...__.._.........—...........—............—. 1 LockPlate Lr _WJSI_-HSg_.......-...—.....-...—.......—....._—......_..—.........._—.......�N.h...11Lsg._—..........—.....-..—.. ..._..... m Lock Plate�tp2..� --..... REAR .-... ..... ... — MISC. - —..._ � _ 3�-OLS..Bm.pr.Brki.. — ----- — _ . ..- - -.. — ..__. ..... — nae �- S_ sa_fn� _HmnLGd— -- _-. ...... =C TM F to D — —__. _ Wndshld Kit....._ .... Sup Back.UR Lite - — -- — - -- Hding — --- -- --- m d...GBLe-.---------- ........— ._ ._.._Lw.r._Body Pn L._.._...._ ..........__..... _ ...._-_._.. ..---........._._Top_-............. ........—_._ ..—......... .—..._ _. D olantTire_.- /o Worn RadHose”.Clamps__. ...— ....�a.il..Lite..—._....._.._..—.......—.. ... ..__._.._ ...—.......- --......-._ ... --..._....Fan Shroud . ...._..__- ......_.._—.__ i�- _ 1 Fan Rladp _..—_..- TrsJk_.Lid—_.....__—..._....—._...-.. _.............—.__._—....._.__ _......_Bait........__......_—......._—........._ ......—__._ —.._ Z oWater Pump ry --- —--_.Scnk Lid Hmpe-- — —Antenna --- O D y� -AJC Core ........—. __.Trnk Li.dMldg-_.. . .. .. �...Pein.t...&"-MtI 771 .. ' ]7 Pachrg - - --------F 1.44 '- -- ---- - — --' --_�/��/- --_ ---— -— -- - -Frame +Mbr.... ......_.. .., ...._-.. j4..- dir ...... .- .— Mtr Mts Trans Linkage ._--....._ _.___.TailRipe..M-f-fly-_._--.._ —_. - LABOR Z, �U HRS. )$ $ — -- .--...... .-.._—...- PARTS $ $ —......--.._..—..-._._. - ... --..--..-—-.—._........._-.. -- - - TAX $ _-- -..---------—---------------------- - --- TOW&STG. $ TOTAL NET PRICE s/X, 3 3/ Operations not listed hereon are additional to the Total Net Price.Selection of materials,methods and parts used for repairs and testing will be made by repairer only. All agreements and also the final sale price of labor,parts and materials are shown only on Repair Orders of Shattuck Auto Center,Inc.All sales are based on the Total Net Price;each component itemized price is only for the use and convenience of repairer in computing Total Net Price—not for defining the final sale price of each component item. Total Net Price is subject to correction to the extent of:any difference between dealers'retail price and the price listed herein for parts,computation errors and other latent mistakes. CODE: A-Align—Ex& X-Exchange—N-New—OH-Overhaul—P-Paint—R-Repair—S-Straighten—U-Used - ESTIMATE OF REPAIR COSTS <r- S_� BODY AND FENDER WORK FRONT END ALIGNMENT Date l �� a"+�Phan,No. REFINISHING- PAINTING ] d� WHEEL BALANCING ' a Cd �/(.4CZ �O ��64, L Name • tri t_ ` FRAME STRAIGHTENING .' ; �. Addres a" -� a A 6? 6446 fHATTUCK AVENUE PERSONAL SERVICE . NEAR ALCATRAZ GLASS WORK-WELDING i , . e OAKLAND,CALIFORNIA 94609 653-7393 city--I,. - / J Mok of Cor_ Yea//- 'k,Type'✓*" �-- Stat License No fyE 1 Motor No. ._ Z Serial No. Mileage Insurance QUAN. WORK TO BE DONE PARTS LABOR l.' .e? e F 4 J.� r h�• r , -21 N TH - l" r OU The above is an estimate based on our inspection and does not cover TOTAL LABOR p� lr`f�ur any additional parts or labor which may be required after the work has TOTAL PARTS �� been opened up. Occasionally after the work has started,worn or damaged parts are discovered which are not evident on the first inspection. Because of this the above prices are not guaranteed, and are for immediate oc- TAX ON PARTS ceptonce only. TOWING AND STORAGE , Accepted by Owner or Agent TOTAL OF ESTIMATE T6 ►" /♦�!J a a y CLAIM 4` BOARu OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA y. f Claim Against the County, or District governed by) BOARD ACTION the Boa+d of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 23 , 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: Unspecified Section 913 and 915.4. Please note all "Wap%fy' ty ® CLAIMANT: MALCOM K. SMITH ETAL j���, Unse/ c/o Roger-J. Brothers , Esq. 3. ATTORNEY: McNamara, Houston, Dodge, McClure & Ney 44at il7e /989 1211 ADDRESS: Walnutewell Creek, CA Avenue. 94596F1oor Date received May 2 , 1989 �' CN 945,3 BY DELIVERY TO CLERK ON BY MAIL POSTMARKED. May 1 , 1989 Certified P 772 333 277 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: May 2, 1989 RYIL BAATTCYELOR, Clerk ' epukwae___�, 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: R f °I BY::Q 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 2 3 1989 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. AFFIDAVIT OF MAILING 1 declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: MAY 2 4 1989 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator �. u s. r - NOTICE OF INSUFFICIENCY AND OR NON-ACCEPTANCE OF CLAIM TO: Malcom K. ith, et al. c/o Roger J. rothers, Esq. McNamara, Hous n, Dodge, McClure & Ney 1211 Newell Ave, 2d Floor Walnut Creek, CA 4596 Re: Claim of MALCOM K. SMITH, et al. Please Take Notice As Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code section 910 and 910 . 2, or is otherwise insufficient for the reasons checked below: x 1 . The claim fails to state the name and post office address of the claimant. 2 . The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. 3 . The claim fails to state the circumstances of the occurrence or transaction which gave rise to the claim asserted. 4 . The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. x 5 . The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000) . If the claim totals less than ten thousand dollars ($10,000) , the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ( $10,000) , the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. 6 . The claim is not signed by the claimant or by some person on his 'behalf . 7 . Other: VIC . WESTMAN, County Counsel IJ By.. Deputy County Cou CERTIFICATE OF SERVICE BY MAIL C.C.P. SS 1012, 1013a, 2015 .5; Evid. C. §§ 641, 664) My business address is the County Counsel's Office of Contra Costa County, Co. Admin. Bldg. , P.O. Box 69, Martinez, California, 94553, and I am a citizen of the United States, over 18 years of age, employed in Contra Costa County, and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non Acceptance of Claim by placing it in an envelope(s) addressed as shown above (which is/are place(s ) having delivery service by U.S . Mail) , which envelope(s ) was then sealed and postage fully prepaid thereon, and thereafter was, on this day deposited in the U.S. Mail at Martinez/Concord, Contra Costa County, California. I certify under penalty of perjury that the foregoing is true and correct. Dated: SAat Martinez, California. cc: Clerk of the Board of Supervisors ( riginal) / Risk Management 1/ (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4, 910. 8) RECEIVED i } CLAIM AGAINST COUNTY OF IMA 1 CONTRA COSTA FOR INDEMNITY CLE: PIA-41 .� .- }n 1� 2 TO: COUNTY OF CONTRA COSTA: � ' By . opU 3 MALCOM K. SMITH and SHIRLEY J. SMITH, through their 4 attorneys, McNamara, Houston, Dodge, McClure & Ney, hereby makes 5 claim against the County of Contra Costa for indemnity arising out 6 of the First Amended Complaint of Charles Howard Stanley and Carol 7 Ann Stanley. A true and correct copy of that First Amended 8 Complaint is attached hereto and incorporated herein by reference 9 as Exhibit "A" . Said claimants make the following statements in 10 support of the claim: 11 1) The mailing address of claimants ' attorneys is as 12 follows: 13 Roger -J Brothers, Esq. 14 McNAMARA, HOUSTON, DODGE, McCLURE & NEY 1211 Newell Avenue, Second Floor 15 Post Office Box 5286 Walnut Creek, California 94596 16 2) All notices concerning the claim should be sent to the 17 above address. 18 3 ) The First Amended Complaint was filed and served on 19 claimants on or about February 9, 1989. 20 4) The First Amended Complaint was for damages for breach of 21 contract, breach of implied warranty, fraud, nuisance and 22 maintenance of dangerous condition of property. Claimants 23 incorporate by reference the language of the First Amended 24 Complaint without admitting any of the allegations contained 25 therein, as solely for the purpose of identification. 26 27 28 MCNAMARA,HOUSTON, DODGE,MCCLURE&NEY ATTORNEYS AT LAW 1211 NEWELL AVE..SUITE 202 P.O.BOX 5288 WALNUT CREEK.CA.94598 14151 939-5330 r 1 5) Claimants claim that they are entitled to equitable 2 indemnification and/or contribution on the part of the County of 3 Contra Costa to the extent that the injuries and damages claimed 4 by plaintiffs are alleged to have occurred by reason of errors and 5 omissions committed by the County of Contra Costa and/or its 6 employees, agents and representatives. 7 6) The names of the public employees causing the plaintiffs ' 8 injuries are unknown. 9 7) This claim is for indemnity and contribution only. 10 DATED: April 20, 1989. 11 McNAMARA, HOUSTON, DODGE, McCL RE & NEY 12 13 14 _ 15 ROGER J. BROTHERS 16 Attorneys for Claimants MALCOM K. SMITH and SHIRLEY J. SMITH 17 18 19 20 21 22 23 24 25 26 27 28 - 2 MCNAMARA,HOUSTON, DODGE,MCCLURE&NEY ATTORNEYS AT LAW 1211 NEWELL AVE..SUITE 202 P.O.BOX 5288 WALNUT CREEK,CA.94596 14151 939-5330 ���� 1! �1 1 RING, ATHEY & LANE, INC. 1 BY: ROBERT J. ATHEY P. 0. Box 97 2 1437 N. Broadway Walnut Creek, California 94596 3 Telephone: (1-415) 935-0550 4 Attorney for Plaintiffs 5 ) I bi � 7 SUPERIOR COURT OF CALIFORNIA, COUNTY .OF CONTRA COSTA 8 CHARLES HOWARD STANLEY and 9 CAROL ANN STANLEY (formerly NO. 307450 CAROL ANN PRIEST) , PROPOSED 10 Plaintiffs, FIRST AMENDED COMPLAINT 11 FOR DAMAGES FOR BREACH OF VS . CONTRACT, BREACH OF 12 IMPLIED WARRANTY , FRAUD, MALCOLM K. SMITH, SHIRLEY J. SMITH, NUISANCE, AND MAINTENANCE 13CONTRA COSTA COUNTY, CONTRA COSTA OF DANGEROUS CONDITION OF COUNTY FLOOD CONTROL AND WATER PROPERTY 14 DISTRICT, DOES I through XXX, inclusive, 15 Defendants / 16 Comes now Plaintiffs and for cause of action against 17 18 Defendants and each of them, allege as follows: GENERAL ALLEGATIONS 19 j . 20 1 . The true name and/or capacities , whether individual , 21 associate, corporate , or otherwise, of Defendants DOES I through XXX, inclusive, are unknown to Plaintiffs at this time, who, 22 23 therefore, sue said Defendants by such fictitious names and when the true names and capacities of said Defendants have been 2411 25 j ascertained, Plaintiffs will amend this complaint accordingly. 26 2 . Plaintiffs are informed and believe and on that basis RING ATMEN B LANE INC A PROFESSIONAL LAW CORPOR.TiON i 1437 NORTH BROODWAY f PO B0+ 9T W.LNU�CREE• C•94596 i i allege that each Defendant, designated as DOE herein, is 1 i responsible, negligent, or in some other manner, liable for the 2 events and happenings herein referred to, and caused injuries and i 3 damages proximately thereby to the Plaintiffs, as hereinafter 4 alleged, whether through Defendants ' own conduct or through the 5 conduct of their agents , servants or employees or due to the 6 7 ownership, maintenance, or sale of the property or instrumentality causing the injuries , or in -some other manner. 8 3. Plaintiffs are informed and believe , and thereupon 9 allege, that at all times herein mentioned, Defendants, and each 10 11 of them, were the agents , servants , and employees of the Co-Defendants and were, as such, acting within the course, scope, 12 and authority of said agency and employment and that each and 13 ! every Defendant, as aforesaid , acting as a principal, was 14 15 negligent in the selection, hiring and supervision of each other Defendant as the agent and servant. 16 i 4 . On or about November 19 , 1985 , and for many years prior 17 thereof, Defendants MALCOLM K. SMITH and SHIRLEY J. SMITH 18 (hereinafter Defendants "SMITHS" ) were the owners of that certain 19 i 20 real property situated in the City of Walnut Creek, State of 21 California , commonly known as 3 Blade Court. � 5 . Defendant CONTRA COSTA COUNTY is , and at all times 22 mentioned herein, was a county duly organized and existing under 23 the laws of the State of California. 24 - 6 . Defendant CONTRA COSTA COUNTY FLOOD CONTROL AND WATER ! 25 CONSERVATION DISTRICT, is a flood control district, duly 26 I ATMEN 8 LANE INC •PROFESSIONAL LAW CORPORA',ON 2 137 NORTH eROAOw.� P" BO■ 97 �LNJT CREE. C.9AS96 -1 03. C" ! organized and existing under the laws of the State of California. 1 7 . Defendants COUNTY AND FLOOD CONTROL DISTRICT are the 2 owners of a drainage easement , culvert , and other improvements 3 in, upon and along a creek which flows parallel and contiguous to 4 Plaintiffs ' side boundary and thence across and upon Plaintiffs ' S property, directing water through a culvert, under the street in 6 front of Plaintiffs ' property. 7 8 . On or about November 19 , 1985 , Defendants SMITHS entered 8 into a written contract with Plaintiffs herein for the sale and I 9 purchase of the said real property described in paragraph 4 10 , above, for the total purchase price of One Hundred Fifty-Nine . 11 Thousand, Five Hundred Dollars ($159 , 000) . 12 9. On or about January 21 , 1986 , escrow closed at the 13 ! Founders Title Company in Concord, California and possession of 14 ' 15 said property was delivered to Plaintiffs on or about said date. 10 . After escrow closed and Plaintiffs took possession of i 16 said property, immediately thereafter and in the weeks following, 17 said property flooded. Plaintiffs are informed and believe that 18 Defendants S?SITHS knew that said property flooded frequently, and � 19 20 deliberately withheld said information from Plaintiffs. FIRST CAUSE OF ACTION 21 (Breach of Contract) , 22 11 . Plaintiffs reallege and incorporate herein by this 23 24 reference, all of the General Allegations hereinabove set forth. _ 25 . 12. Plaintiffs have fully performed all conditions, I • 26 covenants and promises required of them by said contract. ; I 5 ATMEY 8 LANE INC A PROFESSIONAL LAM CORPORA-ON 137 NORTH BROADWAY PO BOL 91 L,NL;T CREEP CA 9A59E 10•E 93E 7t.,'_ l 13 . Defendants SMITHS represented as a part of their 1 contract with Plaintiffs , that the said property would be 2 delivered free of major defects , such as faulty drainage. 3 Defendants SMITHS breached their contract with Plaintiffs by A delivering to them, the said real property with a serious 5 drainage deficiency, causing the property to flood and preventing 6 � i Plaintiffs from fully using and enjoying said property. 7 14 . As a direct and proximate result of the breach of said 8 9 contract, Plaintiffs have been and will be required to expend i sums of money to repair the flood damage and to repair and 10 construct existing and new drainage facilities . The exact amount 11 of said damages has not been ascertained and Plaintiffs pray 12 leave to amend this complaint to set forth said damages with more 13 .� particularity when the same have been ascertained. 14 15 . As a further direct and proximate result of the breach j 15 16 of contract by Defendant SMITHS, the usefulness and economic � j value of said property has been substantially diminished, in an 17 amount not yet ascertained. Plaintiffs pray leave to amend this 18 complaint to set forth the extent of said damages when the same 19 has been ascertained. 20 16 . A provision in said contract provides for payment of 21 attorneys fees and costs should suit be necessary to enforce the 22 I1 terms of said contract or for the breach thereof. 23 WHEREFORE, Plaintiffs pray judgment as hereinafter set 24 forth. 25 26 i i NG ATMEY 8 LANE INC A PROFE55'ONAL ' LAW C111110 "ON I 4 1/37 NO ATM SAO ADW A PO BO. 97 i.,'CREEP CA 9459E 1415 93•_J__C I� SECOND CAUSE OF ACTION 1 2 (Breach of Implied Warranty) 17 . Plaintiffs reallege and incorporate herein by this 3 4 reference, all of their General Allegations and paragraphs 13 5i through 16 of the First Cause of Action. i 18 . At the time said contract was entered into, Defendants 6 ;ISMITHS impliedly warranted to Plaintiffs that the real property 7 � and improvements located thereon were free from defects and fit 8I for a normal use as residential property. 9 19 . After discovering the defective condition of said 10 11 property, notice was given to Defendants SMITHS as prescribed by law. 12 20 . As a proximate result of the breach of said warranty, j 13 I. 14 , Ii Plaintiffs have been damaged as hereinabove set forth. , WHEREFORE, Plaintiffs pray judgment as hereinafter set 15 16 i forth. THIRD CAUSE OF ACTION 17 18i (Fraud as to Defendants SMITHS) 1911 . Plaintiffs reallege and incorporate herein by this 1 20 reference, all their General Allegations and paragraphs 13 21 through 16 of the First Cause of Action. 22 22 . Defendants SMITHS, at the time they entered into the i 23 agreement to sell said real property to Plaintiffs, knew that the 24 property flooded during rainstorms , and that such flooding had j occurred many times in the past. However, Defendants SMITHS 25 i 26 represented to Plaintiffs that a section of the creek running +G AT.El A LANE INC A PROCS SOn.. ' LAW CORPORA�10N 14 37 NOR7w OROAOWAY P C ) 07 CRCCw CA 94S96 I ,AIS 95t JSS: 1 ' I through said property had been dredged three times during a i 1 twenty year period, and that they had had o problems, Defendants 2 SMITHS further represented that at its most extreme, very little 3 of the sub-area had wet soil or standing water. 4 51 23. Defendants SMITHS, at the time Plaintiffs entered into i the agreement to purchase their said property, concealed the fact ! 6 ! 7j that the creek adjoining and flowing across SMITHS ' property had 8i overflowed and flooded the property several. times in the past, I I including the sub-areas of the structures thereon. 91 10 24 . The representations and failures to disclose 11 information, and suppression of information herein alleged by Defendants SMITHS, were made with the intent to induce Plaintiffs 12 i to entered into the agreement hereinabove set forth, and to 13 ' 14 II purchase the said real property. i1 25. At the time said representations, failure to disclose 1511 1 i and suppression of facts occurred, Plaintiffs were ignorant of 16 the existence of said facts which said Defendants either 17 18 misrepresented, concealed or failed to disclose. If Plaintiffs had been aware of the existence of the facts not disclosed and 191,t ; 20 II misrepresented by said Defendants , Plaintiffs would not have i 21i entered into the said. agreement to purchase Defendants SMITHS ' I said property. 22 23I 26 . As a proximate result of said Defendants' fraud and i deceit, and the facts herein alleged, Plaintiffs have been 24 _ 25 � damaged as more particularly set forth in paragraphs 14 and 15 li ! above. 26 i i NG ATNEY 8 LANE INC I I A PROFESS:CNAL LAW CORPORATION ' 1197 NORTH 80OADW416 PO BO■ 97 6ALNJ7 CREED CA 94596 :CiS 937:)55: i 27 . In doing the acts herein alleged, all of said Defendants 1 2 acted with oppression, fraud, and malice and Plaintiffs are entitled to exemplary damages in at least the sum of $250 , 000 . 3 WHEREFORE, Plaintiffs pray judgement as hereinafter set 4 forth. 5 FOURTH CAUSE OF ACTION 6 (Nuisance as to Defendants COUNTY and 7 FLOOD CONTROL DISTRICT) 8 28 . Plaintiffs reallege and incorporate herein by this 9 reference, all their General Allegations . 10 29 . Since before November of 1985 , and for many years 11 before, Defendants COUNTY and FLOOD CONTROL DISTRICT have 12 maintained said creek and the drainage facilities , including a 13 culvert, which run and are located parallel to and across and 14 ( upon Plaintiffs ' said property , in such a manner as to constitute 15 a continuing nuisance in that the culvert on Plaintiffs' property 16 during rainstorms , does not channel the water in said creek fast 17 enough, causing a back-up onto Plaintiffs' said property. 18 Further, said Defendants have continued to permit and authorize 19 development upstream and to allow said new construction to divert i 20 and drain additional water into said creek drainage system 21 without making improvements to the system to accept the I 22 additional water so as not to cause back-ups on Plaintiffs ' and i 23 other people ' s property who adjoin said creek, consistently Z4 damaging Plaintiffs ' property thereby, destroying bushes, and 25 ground cover, depositing silt, soil and debris on Plaintiffs ' 26 IG ATMET d LANE. INC I APROFESSIONAL L'. CORPORATION 7 i�7T NORTr BRC)ADWA1 II PO BGA u' IALNUT CREE. c 9Ai.9h property , soil erosion and causing decay to Plaintiffs ' wooden 1 fence. 2 30 . Plaintiffs are informed and believe and on that basis 3 allege that as a result of the above-described nuisance, the 4 value of Plaintiffs ' property has been diminished by at least the S sum of $100 , 000 . Further, Plaintiffs are informed and believe 6 7 that the costs of improving said creek drainage system so as to 81 prevent further damage to Plaintiffs ' said -property is 9 approximately $100 , 000. 31 . On or about August 26 , 1988 , Plaintiffs presented to the 10 11 said Defendants , by delivering a claim to the Clerk of the Board 12 ' of Supervisors of said County, for the damages suffered and ` incurred by them by reason of the above-described occurrences , 13 i all in compliance with the Government Code. A copy of the claim is attached hereto, marked "Exhibit A" and incorporated herein by 15 this reference. 16 17 32 . On or about September 27 , 1988 , the Board of Supervisors 18 of said County rejected the claim in its entirety. A copy of the 19 � Notice of Rejection is attached hereto, marked "Exhibit B" and i incorporated herein by this reference. .20 WHEREFORE , Plaintiffs pray judgement as hereinafter set 21 forth. 22 f FIFTH CAUSE OF ACTION 23 (Dangerous Condition as to Defendants _ 2A I COU14TY and FLOOD CONTROL DISTRICT) 25I 33 . Plaintiffs realle e and incorporate herein by this 9 P 1 i 26 LING AT04EY 6 LANE INC A PROFESS ONAL ' LAW COPPORA,.ON O 1437 NORT-BROADw A• o P0 BO. 97 *ALN-1 CREE. CA 9459E reference, all of their General Allegations, and paragraphs 28 , j 1 2 29 , 30 , 31 , and 32 of the Fourth Cause of Action as though fully 3 set forth herein. 34 . The failure of Defendants COUNTY and FLOOD CONTROL 4 ` DISTRICT to repair, replace, improve or construct new drainage 5 1 improvements and facilities in and along said creek, and 6 especially to the culvert on Plaintiffs ' property causes and 7 continues to cause a dangerous condition which has proximately 8 I 9 caused the damages herein alleged and which continues to create a substantial risk of the type of 'injury and damage herein alleged 10 in the future. 11 WHEREFORE, Plaintiffs prays judgment as follows: ! 12 1 . For damages for repairs and the cost of 13 'Iinstallation of a new or remodeled drainage system, according to 14 15 proof, as to all Defendants; 16 2 . For damages for loss of usefulness and 17 economic value of the property which is the subject of the 18 complaint, according to proof, as to all Defendants; 3 . For punitive damages in at least the sum of I 19 - 20 $250 , 000 , as to Defendants SMITHS; 21 4 . For reasonable attorneys fees as to Defendants � SMITH; 22 23 5 . For costs of suit incurred herein; and 24 25I 26 tiNG ATMEY 8 LANE .•. - i w PROFESS CNA, LANCORPORAT�O•. I477 NORTH BROA:111' II PO BC+ 91 WAINV'CREE- Cl-. 1 6 . For such other and further relief as the Court deems proper. 2 Dated: January , 1989 . RING, ATHEY & LANE, INC. 3 4 5I ROBERT J. ATHEY Attorney for Plaintiffs 6 7I VERIFICATION 8 .1 I am an attorney at law admitted to practice before all 9 courts of the State of California and have my office in Contra 10 Costa County, California , and am the attorney for plaintiffs in 111 the above-entitled action; that plaintiffs are unable to make the 1211 verification because plaintiffs are absent from said county and 13 ' for that reason affiant makes this verification on plaintiffs ' 14 behalf; that I have read the foregoing First Amended Complaint i 15 for Damages for Breach of Contract, Breach of Implied warranty, 16 Fraud, Nuisance, and Maintenance of Dangerous Condition of 17 Property and am informed and believe the matters therein to be f 18 true and on that ground allege that the matters stated therein 19 I are true. i I 20 II I declare under penalty of perjury under the laws of the I ' 21 + State of California, that the foregoing is true and correct. 22 IIS Dated: January 1989 . 23 24111 ROBERT J. ATHEY 1 25 26 I 4G ATHEY A LANE. INC A PR0rES5-CNNAL LAW CORPUFATION 10 137 111107, SROADW47 PO BO. 97 MALNU,COVE- CA 94596 -!. 97- _. �I I R ' AUG 2 6 1988. CLAIM AGAINST CONTRA COSTA COUN Iv . 1 �� .M. , PHIL BATCHELOR CL K BO D OF S wtScRn CO ,I�A COS Q 2 By DoDuty TO: Contra Costa County and to Contra Costa County 3 Flood Control and' Water Conservation District + 4 CHARLES HOWARD STANLEY and CAROL ANN STANLEY hereby make claim S against Contra Costa County and Contra Costa County Flood Control i 6 and Water Conservation District for the sum of $125,000 , and make 7 r 8 ' the following statements in support of the claim: I 1 . Claimants ' post office address is 3 Blade Court, Walnut 9 Creek , CA 94595. 10 11 � 2. Notices concerning the claim should, be sent to Robert J. AtheT Rin -Athe• & Lane Inc . , P. 0. Box 97 Walnut Creek CA 12 � 1 ► g► y ► � i 13 94596 . 3 . The date and place of the occurrences giving rise to 14 15 this claim are : every winter in which a downpour of medium to heavy intensity occurs. 16 17 4 . The circumstances giving rise to this care: Claimants 18 bought their house and lot at 3 Blade Court in Walnut Creek on or 19 i about January 21 , 1986. Almost immediately after moving in that -20 month, and in the weeks following, said property flooded in � 21 downpours which resulted from the overflow of a drainage creek i � 22 running parallel to and across the lower end of said property. 23 The creek, and improvements along and in said creek, including a r lvert on Claimants ' property, were and are the property of and 24 cu 25 subject to a drainage easement belonging to the County of Contra 26 Costa , and maintained by its Flood Control District . Claimants I NG ATMEV 6 LANE INC A PPO ( 5'O+AL , LAW CORP04AT.. i�y7 NORTH�4740WA� ►0 .0, a+ EAXHIDIT RAR wAINI.+CR.r.. CA 9�SV6 ,A,5 935 055C' have discovered that the culvert does not channel the water fast 1 2 enough, causing a back-up onto Claimants ' property. The County has continued to permit development upstream and to allow new 3 � construction to drain water into the system, exacerbating the 4 5 problem, constituting a continuing nuisance, and consistently 6 I damaging Claimants ' property thereby. 5 . Claimants ' Damages : Claimants ' real property has lost 7 market value of at least $100 , 000, due to the danger of continual 8 9 flooding . Further, in 1986 , the County approved a design for improving the said drainage system in an attempt to prevent 10 further flooding. The best estimate obtained at that time was 11 $91 , 920. The County elected to have the upstream developer 12 deposit $30, 000 into a fund for eventual improvement of the 13 la drainage system, rather than construct the needed improvements . 15 The flooding has caused soil erosion, destroyed bushes and 16 ground cover, deposited silt, soil and debris on Claimants ' 17 property, and is causing decay in Claimants ' wooden fence. 28 6 . The claim as of this date is $125 , 000 . 19 7. The basis of the computation is that that amount is 20 estimated to be the 1988 cost of re-designing the drainage 21 system. In the alternative, that figure represents diminution 22 in the market value of Claimants ' property if the system is not 23 repaired to prevent the flooding from reoccurring.24 �- DATED: August , 1988 . 25 RING, A LANE, INC. 26 RO tB T JHEY rney. or Aand In behalf of A?%C. A'-4E'. 8 LANE 111-CClaimants Charles Howard Stanley LAW Co.°p4A1.ON and Carol Ann Stanley 14 37 NOA1n oAOAOWA1 P. •O■ 0 7 2 WALNUT CREE, CA 9AS95 • 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 Geptember 27, 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 Amount: $125,000.00 Section 913 and 915.4. Please note all *Warnings". CLAIMANT: CHARLES HOWARD STANLEY ETAL c/o Robert J. Athey ATTORNEY: Ring, Athey & Lane, Inc. P.O. Box 97 Date received 1988 hand del. ADDRESS: Walnut Creek, CA 94596 BY DELIVERY TO CLERK ON August 26, BY MAIL POSTMARKED: no envelope FROtt: Cler'. of the Board of Supervisors 70: County COun5el Attached is a copy of the above-noted claim, / pH DATED: August 26, 1988 BATCHELOR, Clerk gylL B 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 �ounty Counso ( ) Other: (',UG 2 (; 190R Uanine7 GA 94553 Uateo: A BY; % 6h;&)_1___peputy County Covrsel 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 DER: By unanimous vote of the Supervisors present (ZThis Claim is rejected in full, % ( ) Other: I certify that this is a true and correct copy of the Board's Order entered it its minutes for this date. SEP 27 1988 ����j Deputy Clerk Dated: PHIL BATCHELOR, Clerk, By WARNING (Gov, code section 913) c,hiart to cPrtain Pxrpntiona, you have only six (6) month, 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 secx 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 Unitrzd 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 an Notice to Claimant, addressed tc the claimant as shown above. SEP 2 8 1988 Dated: BY: PHIL BATCHELOR by Clerk CC: County Counsel County Administrator mea 71 fl -�{ ❑ �» tnAo ` Z 2 I Rl �� rt 0 a �a� D m ® LU uj y �.r� tai nj 1" 4 Q1 Ul 0 7i rt N G > N•Fd r' > m Z3 H-W, % @ 0 : > N @ oy N x P z 0 1z1 4 mD wdi K ' Cl rt £ -s CDSD r 0 0 o r @ D Z x �4 = D"J , ,.Q rt Q+ v 0 z { &N m O oa 0 Ln 0 Ln tit 0 ro t� D {7AO i � O W A m r C!1 x c � O D � N c @ 0 Ftror � G N• � m r O S n z to � -c 4 'r �! .,��j>•tied ��.r CA„ a as a Y;jilii / 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, 23 , 19 89_and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of VCalifornia 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 "Warnings"CLAIMANT: FARMERS INSURANCE GROUP Insured; Paul Rasmussen County Counsel 11533 Dublin Canyon Road Policy# 9.6 10874 22 22 I;iAY3: 19$9 ATTORNEY: Pleasanton, CA 94566 Date received Martinez, CA 94553 ADDRESS: BY DELIVERY TO CLERK ON April 26 , 1989 .PW 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. Ma 2 1989_ EVIL BATCHELOR, Clerk DATED: y , 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 istrator (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 2 3 190o 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. 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 2 4 10,009 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: Farmer Insurance Group 11533 Dub 'n Canyon Road Pleasanton, 94566 Re: Claim of FARMER INSURANCE GROUP Please Take Notice As Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code section 910 and 910 . 2, or is otherwise insufficient for the reasons checked below: x 1 . The claim fails to state the name and post office address of the claimant. 2 . The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. 3 . The claim fails to state the circumstances of the occurrence or transaction which gave rise to the claim asserted. 4 . The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. x 5 . The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000) . If the claim totals less than ten thousand dollars ($10,000) , the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ($10,000) , the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. x 6 . The claim is not signed by the claimant or by some person on his behalf . 7 . Other: VICTOR J. WESTMAN, County Counsel By: - Deputy Co o e CERTIFICATE OF SERVICE BY MAIL C.C.P. §§ 1012, 1013a, 2015 .5 ; Evid. C. SS 641, 664 ) My business address is the County Counsel's Office of Contra Costa County, Co. Admin. Bldg. , P.O. Box 69, Martinez, California, 94553, and I am a citizen of the United States, over 18 years of age, employed in Contra Costa County, and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non Acceptance of Claim by placing it in an envelope(s) addressed as shown above (which is/are place(s) having delivery service by U.S. Mail) , which envelope(s) was then sealed and postage fully prepaid thereon, and thereafter was, on this day deposited in the U.S. Mail at Martinez/Concord, Contra Costa County, California. I certify under penalty of perjury that the foregoing is true and correct. Dated: `J`c�`� �,, �,�� , at Martinez, California. cc: Clerk of the Board of Supervisors (o iginal) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910. 2, 920 .4, 910. 8) Contra .Costa Public Worts Department County 255 Glacier Drive ����� J.Michael Walford Martinez, California 945 `IU `N Public Works Director � ti E..L ^.AP 10.i98g • ,p o tui V, LETTER OF TRANSMITTAL CUs�f �4 VV•V "r V TO: �ISfC / i4iflf '/I// � DATE: �/ /-g/ IF ATTN.: FROM: We are sending you the following items: attached ❑ under separate cover via Copies ,J��Description / �/ r l r A vC, e 4///77 These are transmitted as checked below: ❑ For your use ❑ Returned for corrections ❑ Reviewed/no comments ❑ As requested ❑ Sign/return copies ❑ Reviewed/see comments ❑ For review ❑ ❑ Return corrected ❑ For approval prints Remarks: APR,2 n yJpER Viso,, �eAufy SIGNED: �`` � DIVISION: ROAD ENGINEERING PHONE: 646-4470 ` EXTENSION: �� TH E Farmers Insurance Group OF COMPANIES MARCH 21, 1989 11533 DUBLIN CANYON RD. PLEASANTON, CA 94566 415-463-8555 • PUBLIC WORKS DEPARTMENT RECEIVED - PW 255 GLACIER DR. AAR 241989 MARTINEZ, CA 94553 ATTN: TRAFFIC ROAD ENGINEERING RE : OUR INSURED PAUL RASMUSSEN POLICY NO. 96 10874 22 22 DOL 1/19/89 -- SALN 0 B2 036555 TO WHOM IT MAY CONCERN: THIS IT TO NOTIFY YOUR AGENCY OF A LOSS WHICH OCCURRED ON DOUGHERTY ROAD, IN AN UNINCORPORATED AREA OF CONTRA COSTA COUNTY, ON 1 /19/89 . WE FEEL THE ROAD CONDITION MAY HAVE CONTRIBUTED TO THIS ACCIDENT, AND ARE THEREBY PUTTING YOU ON NOTICE OF A PENDING INJURY CLAIM BEING PRESENTED BY MR. YOUNG ON LEE. I HAVE ENCLOSED A COPY OF THE POLICE REPORT FOR YOUR FILE. SINCERELY, FARMERS INSURANCE RE rii, VE[) SUSAN DEISENROTH APR' G 1989 CLAIMS REPRESENTATIVE PLEASANTON BCO M5 Cie; .a 'L CH LOP B NTR F SCOISORS SD: P8 Y _-- Dept FAST,FAIR,FRIENDLY SERVICE ,�� STATE OF CALIFORNIA PAGE I Of 'OLUsION REPORT - NUMBER MIT.RUN CIT/ JUDICIAL DISTRICT LOCAL REPORTNUMSER . INJURED FELONY - - ❑ W("Lf)V �+ NUMSER NR E RUN COUNTY R[PORTm DISTRICT BEAT KILLED Mlow C- O © `r-r o .. OLLISION OCCURRED - MO. DAY YamTIYH(%00) HICK;/ []PRICER l r 7 - --15- --��r ------------ ; 1 ; I MILEPOST NFORMATq DAV Of W[[K TOW AWAY PHOTOGRAPHS BY: F J It U FEET/ML P S M T M&S OYU []mo STATE HWY REL. � J OAT INTERSECTION WITHN 1 EM .OR: E I MILES OF ` QYd NO NONE PARTY DRIVER'S LICENSE NUMBER STATECLASS SAFETY VIM.yam YAK[/YODEL/COLOR LICENSE NUMBER STATE Eouv. 3 DRIVER NM/E(FIRST.MIDDLE,LAST) L/cl PEDES- STREET ADDRESS OWNERS NAME SAYE AS DRIVER MAN o L PARKED CRY I STATE/ZW OWNERS ADDRESS QSAME AS DRIVER fEO` CAH5H4 1:125r r BICY• BEX HwR EYES OOM WElOHR BIRTHDAYS RACE DISPOSITION OF VEHICLE ON ORDERS[] &FACER E:] []DTH OUST Y0. DAY YEAR ❑ M r r S'� �s 3 i S I H �.. 2d- ta 1,21 OTHER HOME PHONE C� BUSINESS PHONE w�}'L�,'� W A. PRIOR MECHANICALD�EPECTS: ARZMT REFER TO NARRATIVE E] ❑ {y (W\5) CMP USE ONLY DEscRIst YEHICIE DAMAGE SHADE IN DAMAOED AREA VEHICLE TYPE INSURANCE CARRIER POLICY NUMBERn U r- ❑�' []NONE QYNOR 5k2. 0 ®MAJOR ❑TOTAL DIR OP ON STREETORVMFMMV SPEED PCF ICC[] TRAVEL , 2 LIMIT ,�- CCPUC"PPa . PARTY DRIVER'S LICENSE NUMBER STATE CLAN fArETr vEK Y[M MAKE/MODEL/COLOR EASE NUMBER STATE P CA I'LL t«.. rz � Hzo��•CA 2 S � .dA R�- a. DRIVER NAPE IRRST.IBDDIt,LAST PEDEB TREET ADDRESS OWNERS MAYt ❑S DRIVER TRIAN ❑ Ho 1 f- r PARKED CITY/STATE/ZIP OWNSRS ADORNS []SAME AS DRIVER HIC VELE ❑ INCY- NX MMR Eris HEIGHT WEIGHT BIRTHDATE RAC[ asPoBR10N oFV MCL[BIN ORDi OF: �OFRCER []DRIVER ❑O ER CUET M0. ; DAV YEAR ❑ T h[%L\� -� ; = (a L./a.W1 OTHER HOME PHONE SUSINEN P1MOIIS PRIOR MECHANICAL DEFECTS. NONE APPARENT REFER TO NARRATIVE ❑ Wiz) %:Lo ( --w I CHP USE ONLYSCVEHICLE DAMAGE SHADE IN DAMAGED AREA INSURANCE CARRIER POLICY NUMBER VEHICLE TYPE �yr� UMIL �NONt ❑MNOII 1 A`r y-nc_O-B ©{ I — :100! -11,11E ®1WOR ❑TOTAL DIF.OF ON STREET OR HISMIM Y SPEED PCF Kx 13 TIL llpQ Y- LIMIT ��.� � PUP❑ CMP O PARTY DRIVERS UCDISE NUMB ER STATE CLASS SAFETY VEIN.YEAR MAKE/YODEL/COLOR LICENSE NUMBER STATE saw. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DRIVER NAME(FIRST,MIDDLE,LAST) ❑ PEDES- ISTREET ADDRESS OWNER'S NAME []SAME AS DRIVER TRIAN 11 1 PARKED CRY/STATE/ZIP OWNER'S ADDRESS SAME AS DRIVER VEHICLE 13 ❑ SICU- SEX HAIR EYES MaGNl WEIGHT SIRTH.ATE RACE D15POSITON Of VEHICLE ON ORDERS Of: ❑OFFICER []DRIVER []OTHER CAST YO. DAY YEAR 1:1 I OTHER HOME PHONE BUSINESS PHONE PRIOR MECHANICAL DEFECTS: NONE APPARENT[] REFER TO NARRATIVE[] ❑ ( ) ( ) CMP USE ONLY DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED AREA INSURANCE CARRIER POLICY NUMBER VEHICLE TYPE OINK. []NONE []MINOR i i 1:10". 0 MAJOR ❑TOTAL DIR.OF ION STREET OR HIGHWAY SPEED PCI ICC❑ , TRAVEL LIMIT PUC13 CMP 13 PREPARER'5 NANII DISPATCH NOTIFIEDREVIEWER'S NAME DA REVIEWED KVES E3NO 13N/A -5- ... • c a. _....�d'Y'lIi` (.fl7 i,lllvU 1 PAGE PATE OF C`OLLINONQy TIME(aw) NSC NUNb[II fACLA L D� NW BEII ' AO V 1 '! YEAH e I ':Ef Nonn'o.. . OYES NO +S zit.ATii-,4t.A POST OON SAFETY EQUIPMENT • EJECTED FROM VEHICLE Y/C BICYCLE HEI L-AIR SAO DEPLOYED 0-NOT EJECTED A•NONE IN VEACLE Y-AIR BAG NOT DEPLOYED DRIVER 1-FULLY EJECTED B-UNKNOWN '. N-OTHER V-MO 2-PARTIALLY EJECTED C-LAP BELT USED P-NOT REQUIRED W YES 3-UNKNOWN I-DRIVER D-LAP BELT NOT USED 1 2 3 2 TO 6-PASSENGERS E-SHOULDER HARNESS USED PASSENGER 4 S 6 7-STATION WAGON REAR F-SHOULDER HARNESS NOT USED CHILD RESTRAINT X-No 8-REAR OCC.TRK OR VAN G-LAP/SHOULDER HARNESS USED O-IN VEHICLE USED Y-YES 9-POSITION UNKNOWN H•LAP/SHOULDER HARNESS NOT USED R-IN VEHICLE NOT USED 7 0-OTHER J-PASSIVE RESTRAINT USED S-IN VEHICLE USE UNKNOWN K-PASSIVE RESTRAINT NOT USED T-IN VEHICLE IMPROPER USE U-NONE IN VEHICLE ITEMS MARKED BELOW FOLLOWED BY AN ASTERISK(•)SHOULD BE EXPLAINED IN THE NARRATIVE PRIMARY COLLISION FACTOR TRAFFIC CONTROL DEVICES 1 2 3 TYPE OF VEHICLE 1 2 3 MOVEMENT PRECEDING UST NUMBER (N) OF PARTY AT FAULT COLLISION A AVnC.SECTION VIOLATED: T YES ACONTROLS FUNCTIONING APASSENGER CAR I STATION WAGON ASTOPPED 2 3SO NO B CONTROLS NOT FUNCTIONING• B PASSENGER CAR W I TRAILER B PROCEEDING STRAIGHT s B OTHER IMPROPER DRIVING•: CONTROLS OBSCURED C MOTORCYCLE/SCOOTER C RAN OFF ROAD DNO CONTROLS PRESENT/FACTOR• D PICKUP OR PANEL TRUCK D MAKING RIGHT TURN C OTHER THAN DRIVER• TYPE OF COLLISION I IE PICKUP/PANEL TRUCK W/TRAILER I IE MAKING LEFT TURN D UNKNOWN' HEAD-ON I IF TRUCK OR TRUCK TRACTOR F MAKING U TURN Y E FELL L B SIDESWIPE I IGTRUCK/TRUCK TRACTOR W/TRLFL GBACKING REAR END H SCHOOL BUS H SLOWING-/STOPPING WEATHER( MARK T TO 21TEMS) BROADSIDE I OTHER BUS I PASSING OTHER VEHICLE ACLEAR E HIT OBJECT J EMERGENCY VEHICLE J CHANGING LANES B CLOUDY F OVERTURNED KHIGHWAY CONST.EOUIPYENT KPARKING MANEUVER C RAINING VEHICLE/PEDESTRIAN L BICYCLE L ENTERING TRAFFIC D SNOWING H OTHER MOTHER VEHICLE OTHER UNSAFE TURNING E FOG/VISIBILITY FR. MOTOR VEHICLE INVOLVED WITH IN PEDESTRIAN XING INTO OPPOSING LANE F OTHER•: ANON-COLLSION 0 MOPED PARKED G WIND PEDESTRIAN P MERGING LIGHTING OTHER MOTOR VEHICLE TRAVELING WRONG WAY A DAYLIGHT D MOTOR VEHICLE ON OTHER ROADWAY 1 2 3 OTHER ASSOCIATED FACTOR(S) OTHER..: DUSK-DAWN E PARKED MOTOR VEHICLE (MARK I TO 2 ITEMS) C DARK-STREET LIGHTS IFTRAIN Avice[CT10NVaunON: CnED D DARK-NO STREET LIGHTS BICYCLE OYES ❑No DARK-STREET LIGHTS NOT ANIMAL: B vc sr"ON VIOLAnON: CITED FUNCTIONING• l3vE9 SOBRIETY- ROADWAY SURFACE FIXED OBJECT: Rr PHYSICAL UG A DRY ``VC iECnoN VIOUTu711: OYp 1 2 3 (MARK I TO 2ITEMS) B WET OTHER OBJECT: �� HAD NOT BEEN DRINKING SNOWY-ICY D D SLIPPERY(MUDDY.OILY,ETC.) E VISION OBSCUREMENT: B HBO-UNDER INFLUENCE F INATTENTION•. HBO-NOT UNDER INFLUENCE' ROADWAY CONDITIONS) G STOP i GO TRAFFIC HBD-IMPAIRMENT UNKNOWN, (MARK I TO 21TEMS) PEDESTRIAMS INVOLVED E UNDER DRUG INFLUENCE' A NO PEDESTRIAN INVOLVED H ENTERING/LEAVING RAMP F IMPAIRMENT-PHYSICAL I PREVIOUS COLLISION A HOLES,DEEP RUT• B CROSSING IN CROSSWALK UNFAMILIAR WITH ROAD IMPAIRMENT NOT KNOWN B LOOSE MATERIAL ON ROADWAY• AT INTERSECTION J DEFECTIVE VEH,EQUIP-: CITED NOT APPLICABLE C OBSTRUCTION ON ROADWAY• CROSSING IN CROSSWALK-NOT QYES I SLEEPY/FATIGUED D CONSTRUCTION-REPAIR ZONE AT INTERSECTION OND SPECIAL INFORMATION E REDUCED ROADWAY WIDTH D CROSSING-NOT IN CROSSWALK L UNINVOLVED VEHICLE IA HAZARDOUS MATERIAL FLOODED• IN ROAD-INCLUDES SHOULDER OTHER G OTHER•: NOT IN ROAD NONE APPARENT H NO UNUSUAL CONDITIONS APPROACHING/LEAVING SCHOOL BUS O RUNAWAY VEHICLE SKETCH \ MISCELLANEOUS LJG �( TT M101CA NORTH fox VI m CHP 555 PAGE 2( Rev 1-88)OPI042 • ^'iL 12400) EXTENT OF INJURY ( "X" ONE) INJURED WAS( "X" ONE ) PARTY SEAT SAFETY ITW&4° - - EJECTED FATAL SEVERE OTHER VISIBLE COMPLAINT NUMBER POS. EQUIP. INJURY INJURY INJURY OF PAIN DRIVER PASS. PED. BICYCLIST OTHER NAM- TELEPHONE Le 'UREO ONL ANSPORTEO TAKEN TO: DESCRIBE INJURIES T �- Inn �-c r I VICTIM OF VIOLENT CRIME NOTIFIED ❑In ❑ ❑ ❑ ❑ ® ❑ ® ❑ ❑ ❑ o .NAME 10.9 .S./ADDRESS TELEPHONE �, O sas o (INJURED ONLY)TRANSPORT Y: TAKEN r NT r 1 DESCRIBE INJURIES , e -c ClVICTIM OF VIOLENT CRIME NOTIFIED ❑� ❑ ❑ ❑ ❑ I IQ IN 10 1 QI ❑ 101 1 111 N E/D.O.B.I ADDRESS TELEPHONE (INJURED ONLY)TRANS RTED BY: TAKEN TO: DESCRIBE INJURIES r"\ r c r VICTIM OF VIOLENT CRIME NOTIFIED ❑# ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ NAME/D.O.S./ADDRESS TELEPHONE ONJURED ONLY)TRANSPORTED BY: TAKEN TO: DESCRIBE INJURIES ❑ VICTIM OF VIOLENT CRIME NOTIFIED D� ❑ ❑ ❑ ❑ ❑ 11110 1111 ❑ 101 NAME/D.O.S.I ADDRESS TELEPHONE (INJURED ONLY)TRANSPORTED BY: TAKEN TO: DESCRIBE INJURIES ❑ VICTIM OF VIOLENT CRIME NOTIFIED ❑# ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ NAME/O.O.S./ADDRESS TELEPHONE ONJURED ONLY)TRANSPORTED BY: TAKEN TO: DESCRIBE INJURIES LJ VICTIM OF VIOLENT CRIME NOTI RED PREPARER'S NAME 1.D,NUMBERI MO. DAY YEAR REVIEWERS NAME MO, DAY YEA CH 555-Page 3(Rev. 7.87) OPI 042 87 43637 1 ) NCIC NUMBCR O//,}C! .uD, HUMBER - .1-9 R9 9 v R. V / ALL MEASUREMENTS ARE APPROXIMATE AND NOT TO SCALE UNLESS STATED (SCALEISCALE - <ASP14ALT- ZDWI,) // ,ND,e wTt NORTH 10EGENlA x �{ WARE ® 85,r7, Locke. 4j kzL Sk/,D g' w&a SK/2, \ \ a 9 Q/S r r �.00KEd cJNt L� SK/D F,¢ay i x. V-/ /s ,Q/r,QpA/T TiAZE C � /OFr. CocK'Eo rJr/icl S,l,o rito�r 1 ' I QAspNACr�baow•ay Ev6� OPEN ©1��&2i5 I i r/tG1� I i I 70 Co* 3' M r !I Rr � fI � t o DRAWN BY NUMBER MO. OwV VR. REV,EWlR'S AME I MO. Owr YR. R/Q.Stogy �✓ 1,*0, 1 CHP 555—Page 4 (Rev 11-85) OPI 042 „• ...a����1'�I ML. PAGE J DATEOFCOWSIJN • TIME L24Oq NCIC NUMBER OFFICERI'M NUMBER \ �o 320 �sask WONE, TYPE SUPPLEMENTAL rX APPLICABLE) •I LISION REPORT _ a BA UPDATE O FATAL O NIT i RUN UPDATE d Lj $ OTHER:. ❑ HAZARDOUS MATERIALS ❑ SCHOOLBUS ❑ oTHER: DI /COUNTY/JUDICAL STRICT J - REPORTING DISTRICT I BEAT CJTATbON NUMBER �t OCATION/SUBJECT - STATE HIGHWAY RELATED YES NO 1. c--T 5 2. O'r t ( -r k n o4 yn o 3. 1 r c �r l- 4. r-� L T Y- \ 6. -- L-j TWO - 1.. c w A1-1- 7. C-cy-' s-rr c- ne- r 8. e r 1 to. Th o 5,'c 11. 'Th 1_ o 12. 0,T T \ 13. V L s 14. V 15. c T -1 \ Yr1 r ' CI (\ 16. 0-- 17. 'T 18. M r-� \ r rnssp T 20. w1 t 21. , A \ 22. 1r1 � O t Y- 23. 25. O -r 26. 1 \ ea 28. \h r-,, '• r c c c C r r-”— I'^ r4C d 1 29. 31. , O r\ 32. -c Z'or c •r- M p tz� P RS NAME MONTH/DAY/YEAA E 75� 1 CHP 556(Rev. 7-87)OPI 042 U»Prot o6b"umli e-p-bE 87 45312 •- r-IARRA-riyE/SUPPLEMENTAL PAGE ., ATE OF COUISION, , .. TIME(210010 NCIC NUMBER^ O OFFICERI. NUMBER -- LiJUDICAL TYPE SUPPLEMENTALFIrAPPLICABLE) .,..:ON REPORT SA UPDATE ❑ FATAL HT I RUN UPDATE LEMENTAL, 1 1 OTHER - .�a.W\ZARDOUS MATERLALS SCHOOL" ❑ OTHER:DISTRICT iii�JJJJ REPORTING DISTRICT/BEAT CITATION NUMBER I ' LOCATION/SUBJECT STATE HIGHWAY RELATED YES NO.„ 1 2. \rl c' \ - "TIC 3. C 1 4. P \ \-. G�l \ m` ev--\ r t 5. L ' \ rS k,,j C f-C 7. \ r r T 8. 10. T r th.,'t rr\\ O c c1 12. P 13. 14. 7 cm r T S 15. r- c- �G 1 � 16. r- 17. 'C'` \ r,� I 18. yc� k,-) '` C T � -T c C` 4r LI 20. c ' `\ ,rn I 21. c I r C T r r \ 22. '. �. c)-1 c �-- p., \ \`.t^ t r`. ' r-� ra C, : 1 23. 'C r. `� 25. G!a tck e 1 t\ nne,cr-J `r T= `, 1 ,1 27. r_a G T 28. Y-\ - O "r /a. r 2 30. yn 0 en U c6n "t' 1 'r n r' T 31. O I r rti f7nr'r1 32. © \ n c w^, n 4 C f1 r ' Cp'n PREP R'S NAMEI.D.NUMBER MONTH/ AY YEAR R IEWER'S NAME MO N/OAY/YEAR �, CHP 556(Rev. 7-87)OP(042 UwproN MOom unit eoPLbE 87 45312 Atrsr�rr j.-.-)uveL'EMENTAL PAGE DATE OF COLLISION TIME(24M NCICNUMSER OFFICERI.D. NUMBER I/4. TWE SUPPLE AENTALCx'APPLICABLE) COLLISION REPORT ❑ SA UPOATE ❑ FATAL ❑ HIT A RUN UPDATE w .rJAL � OiNEA:. ❑ HA2ARDOl6 MATERIALS. ❑ SCHOOL BUS O OTHER Lam' TY/JUDICALDISTRICT REPORTING DISTRICT/BEAT CITATIONNUMBER OddAtION/SUBJECT - STATE HIGHWAY RELATED YES NO 'Tin 2. T --r 4. 5. ro 1 r m 6. r- ..r .' t"-7 7. 10. 8.lrl\ cn8.Y`\ a 'r- ' 13. A "T c4 V l 14. T = \ �T\ P 15. r - 16. t' 17. 17- N,c lie, Y 19. C h 20. 21. r^ -T W : 22. 23, 4 25. 26. \j 6- c- In G C... Y'r 28. -7 r ` \"l r 'n � I 29. e-m-, c. r. r', 31. f1r h T C5 \�\S PREPARERS NAME I.D.NUMBER MONTH/DAY/YEAR REVIEWER'S NAME MONTH/DAY/YEAR h ( �r P4 CHP 556(Rev. 7-87)OPI 042 Use pre« we«»unel e.p.NO 87 45312 PAGE 'DATEOF COLI TIME(24M NCIC NUMBER OFFICER TYPE SUPPLEJAENTAL r)r APPLICABLE) - ,7N REPORT ❑ BA UPDATE FATAL ❑ HR i RUN UPDATE li I SUPPLEMENTAL - ❑ OTNER: O IM2AR000S MATERIALS ❑ SCHOOLSUS Q OTHER CTTYV 0OUNTY/JUDICALOISTRICT REPORTING DISTRICT/BEAT CITATION NUMBER `L'LTCAT ION/SUBJECT STATE HIGHWAY RELATED YES NO es, rn lip- 2. t'1 L r" -r 3. -- ` 4. 5. C` -T re,S s, m r 'Z . Co �.�rz 7. S o, r 8. t 10. 11. G. E 12. 13. en f 14. 15. C. 16. 'C A r" 1.. 17. c- c-�r% c= n t V 18. r 1..-\ r1 19. c T ge r 20. \4 21. S 1 r fes' 22. Y) r-,�z , 23. 24. 25. 26. 27. 28. 29, 30. 31. 32. PREPARERS NAME ` I.D.NUMB MONTH/DAV/YEAR REVIEWERSNAME MONTH/OAY/YEAR f �. C( CHP 556 (Rev.7.87)OPI 042 U..pmM "bons unll dopLMe 87 45312 D[PA RTM[NT OF CALII,ORNIA HIGH WAV PATROL ACCIDENT NUMp[R ACCOIb['T�%� uON���ACCIDENT GATE TE gT gKID DATH SKID-SPEED INFORMATION _ D V i= r)CONDITIONS ACCIDENT SKID DATA CENTRIFUGAL SKID 11.r LENGTH IMPENDING LOCKED WHEEL TOTAL .G•.f L•F• FE[T CO++� R F• CHORD L.R. Feer �J1bE(DIRECTION R R MID•OR DIN ATE •, C �` -CCI OCNT VEHICLE (year,make,model) ✓ LONGE ST ::•a'':•tib?•:{:r K 1 O TEST SKID INFORMATION NO. MPH RADAR L.F., R.F. L.R. R.R. LONGEST SKID OTHER DATA ORIV6R I.D.NUMpHR 1,• VEHICLE LIC.OR EQUIP.NO. MAKE VEAR(MODEL SPEHDOM[THR INDICATED ACTUAL SPEED DATE CAL16"ATED METHOD SKIDMARKS MEASURED WEATHER(temp.) TIME MINIMUM 1PEED PROM ` CHART(over) ACCIDENT�/]O M 17�:�C, jTffZT ACCIDENT T[{T ACCIDENT T69T OTAP[ �a ROLATA►EOTHER El TAPE O ROLATAPH O OTHER INV[STIGATING OFFICER—ACCIDENT w, I.D.NVM ER �'v CO.,OP PR ICTION % M►H S►HED SK10 OFP CC I.D.NVMplR �1 O %a DRAG SLED DATA {LBO WE16NT PULL WEIGHT FORMULA CALCULATED COEF. ADJV gTM6NT TApLE =01111,CIK"T PV LL WT. SLED WT. -CALCULATIONS/DIAGRAM ,/ = V 3 p TD S z'c> V = VJ ox. laSr.x SS VZ7 rN� o•���S T �/ ' if'O. /7/ SYMBOLS FORMULAS EXAMPLE: CENTRIFUGAL SKIDMARK l—COEFFICIENT OP FRICTION C—CHORD IPTI V R e CE M AJRC MIDDLE ]O{ /M = 1 _ � ORDINATE V—$PEED IMPHI M—MID-ORDINATE v • Jo/9 V IfR/ f—SKID LENGTH (PT) R—RADIUS (FT) L_._ S0CHORD CHP 185(Rev 3-84) OPI 031 Destroy editions prior to 12-81 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Clairry.Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 23 , 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: $50, 000, 00 Section 913 and 915.4. Please note all "Wa pings". CLAIMANT: DUANE SCOTT JOACHIM E--01909 �Unty COL11l,3ej ATTORNEY: so ��aaax CAC 93690 i>rif�Y 3• 1989 Date received Mai'l1 ADDRESS: BY DELIVERY TO CLERK ON April 25 , 19 F, CA 94553 BY MAIL POSTMARKED: April 26 , 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. May 2 1989 PpHHIL BATCHELOR, Clerk DATED: y 8Y: Deputy .--L. Hall :1II. 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: 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. Dated: MAY 2 3 1989 PHIL BATCHELOR, Clerk, By Ak_d�eputy 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 otice to Claimant, addressed to the claimant as shown above. Dated: MAY 2 4 1989 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Claim 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, 19879 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 pUAme Scoff , }�� ) Reserve p a= R E V E Against the County of Contra Costa ) APR, 2 G 1989 or ) O CL aK B B ERVI OBS District) By F O A D y Fill in name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $�.� () , yy and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) rel &L) (24 W , N 99 j t0 ; 30 A AA , ---------- --------------------------------------------------------------------- 2. Where did the damage or injury occur? (Include city and county) e0V)2A Cd S?6t ---------,--------------------------------------------------------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) W-t„A_1 k�l;r�t oC -tL ,e PL L(,c_ 00eFelJen` 265a~111 n-e n�seN�e 'Tl,-P- u,Lr�e�SS,Je�, i�J ft C°4i'v1,AJA) 1v!A)7e/L ;&) cAse 1vdnMbe.e. 999)998-3 i,v r/,'scvveiry oone!%.•,:.�.4,2y -7fiA IJS&?,1,-)S si,re,v nnJ a j[6 I9R, MA-, ko1 i AJ O�rel?- CD/LJIC`clQN1,'.�t 1 ,nrforr rtE►�.0Al �,(}r'1d„al -76,e o�,`s, .�1A�ec� �ael,:r►.tl.4Q onl SlS/Bd 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? W u r1 �2.9,c�S�r1��o7S /u i o 1A ) i.c� A /'-Se b eA,J? /2i"C A 7 S AAa' ,',�J e 2 eCl .�0 SclGdi 2�C'dl�orS�7�'tf� !3 c :f "Lr4le ol, (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? NR2/ef —Mees AA,,J M'I CA'4 e l 6 9 ------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ------------------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 6.J 01^-7Ae el',,1/1 Coc1e-,4A--JA4eA,-,-),4-1 AA-j i X-4 oAJ 74e An Y , -7o e 1;rA-Ag U-,(`d`A71 e.✓ ------------------------------------------------------------------------------------- 8. Names and addresses' of witnesses, doctors and hospitals. lo4J `7124alTdVA11f75 of -M, P- &a,4-7 ------------------------------------------------------------------------------------- 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) or by some person on his behalf." Name and Address of Attorney s (Clai7n7(ClainSignature P 0, rd Address L)lej,441, 6, f3ol!id 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, 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. q1 Q -SCJ a 3 � O„n C,tj 1 ` CLAIM B;1ARD OF-SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA r , Claim Against the Cou`ty, or')istrict governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 23 , - 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 2 5 0 0 0 0 0 . 0 0 (Paragraph IV below), given pursuant to Government Code Amount: ' ' Section 913 and 915.4. Please note all rnings". DUANE SCOTT JOACHIM + oUnty COUnsel CLAIMANT: P. O. Box 686 E-01909 ATTORNEY: Soledad, CA 93690 ���'� � 1989 Date received 1 April 11� 9 6 � Z' C 94553 ADDRESS: BY DELIVERY TO CLERK ON BY MAIL POSTMARKED: April 10, 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: I Z°� BY: I' Deputy County Counsel !T-�T 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 2 3 1989 PHIL BATCHELOR, Clerk, By eputy 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 2 4 1989 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator r i NOTICE OF INSUFFICIENCY AND OR NON-ACCEPTANCE OF CLAIM TO: Duane ott Joachim P.O. Box E-01090 Soledad, CA 90 Re: Claim of DUANE SCOTT JOACHIM Please Take Notice As Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code section 910 and 910 . 2, or is otherwise insufficient for the reasons checked below: 1 . The claim fails to state the name and post office address of the claimant. 2 . The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. 3 . The claim fails to state the circumstances of the occurrence or transaction which gave rise to the claim asserted. 4 . The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. X 5. The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000) . If the claim totals less than ten thousand dollars ($10,000) , the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ($10,000) , the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. 6 . The claim is not signed by the claimant or by some person on his behalf . 7 . Other: VICTOR J. WESTMAN, County Counsel By: I Deputy Count Couns CERTIFICATE OF SERVICE BY MAIL C.C.P. 99 1012, 1013a, 2015 .5; Evid. C. 99 641, 664 ) My business address is the County Counsel's Office of Contra Costa County, Co. Admin. Bldg. , P.O. Box 69, Martinez, California, 94553, and I am a citizen of the United States, over 18 years of age, employed in Contra Costa County, and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non Acceptance of Claim by placing it in an envelope(s ) addressed as shown above (which is/are place(s) having delivery service by U.S. Mail) , which envelope(s) was then sealed and postage fully prepaid thereon, and thereafter was, on this day deposited in the U.S. Mail at Martinez/Concord, Contra Costa County, California. I certify under penalty of perjury that the foregoing is true and correct. Dated: ��`��, 'at Martinez, California. cc: Clerk of the Board of Supervisors (o ginal) ,,/// Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920.4, 910 .8) CLAIM TO BOARD OF SUPERVISORS OF CONTRA C009_10f Q Yapplicationto*. Instructions to ClaimantClerk of the Board P, e shy ,vio6 Martinez,Califomla94553 A. . Claims relating to causes of action for death or for injury to person or t'o personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of r 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 mus. 'be filed against each public entity. . E. ta•aud. See penalty forffraudulent claims, Penal C e Sec. 72 at end o€-this form. RE: Claim by ) Reserve ps NAN&& -�COTC6R E(;`F I V E 0 Against the COUNTY OF CONTRA COSTA) ���RX1989 ) or DISTRICT; CLE ,x a R A P �G z� (Fill in name NTF The* undersigned claimant hereby makes claim against the County of. Contra Costa orthe above-named District in the sum of $ '' ; C ,ooh, and in ,support of this claim represents as follows: _ 1.- When did the damage or injury occur?- (Give exact date andourj- ...__. _-._��_.1_.r-z-----.,._ --------___.- T------ _...-- 2. Where did tFieadamage oriin3ury occur? (Include city. and county) i'c r2�1, -w`did the damage or injury occur? (Give full-details, use extra sheets if required) S 4 . What particular act --------------- n on the part of county or district officers , servants or employees caused the injury or damage? (over) i • I i I a- C ql�fl EKES OINJ i►� ivcdlvA .� rtNcc iN CA ��5 UH'i�(A` 1 1 �s Pon- C�.n,nles 54.,�es /� +w PQs2fc�2,v1PW.�CeS AcGo2��:N4 `� �nAc� f� /1-r torwe. ,t i `To C��e_t,i t S t-TAZ i o t`1� w i-�� �.v 5 2►.s�t t�1J 1 Scu-r1 �ontc(,� .ten (gyp t2 i1�Pt e 2 �� 2 �om+c lni rv� P,-T (lo k I ti� Ir�e2 , el�i✓i�o2NiP� cLt!i S3 S-)a. 4n! t LUPtS SPJ, i N n- I, s c ;sc�.ssioNs be-zwee� 2t ozinJ A-zoizry e yLS "► � �zT r\1 At-N%S" M2 I Cyr /k ZdLE '1 til S r';Z A A CC51� C tJtS C��1 l,� TO ! l i C� tiro Zo nn�i eci/ -i(,.e rvx --To 1 PAO , (� i n,� a� I lops—tP�vg � A �a 1 i� j 9��1efZ ©L'rP�Tt,? N .) 6 ! k 11 i i 10 J,J OCL kp--ko%-JtJI c , t I t I I i nh P's Al000e y .JAS COP-L<Z_C� --ra ACJU?!-e c:Onnn�C>�tCrtlLOp.1S W�Z�-, co►.3sec, ue�--� 1 l er a-1 e-CD -to i1,3�o��� -r1.•e�.n� o I i nn i"E I RrL�, i 1�n�{�AC.1.. n� �vnj1nac-1 6Lc bis;s a�' uldzo,v� � ,OQ2 v2rv►Q�1C,�.S, tt f I i I i l I J i i I I - i I i I i oi C�v-l � e;�s L L- X1'6- JOpe; ,a- Co J 12"i1n((��6�-� l�.J/� 'Z 2-art t--lam -lc--> S2--l. -C(we- N�e-U'o c /�- GO rd S- _ -- �U.1 a o t--y s_av`\� a`i�c�t-,- (Aj kin_ 2 b c,c`t.. rvP��S ill? 0C n^ leJ c>� c•e--p�.orJ� Y 1"�-rJ✓LJ,n Z vy t C J (��. J.�('r"1 �� wP.<, ft,.e-� &4r: fro Svpefa zoo 6co/an 1 -ti4.e �e pto-:e-- _ Or.<SS i6,\S_ W es �1���.•�n� I-.a s co�rz-� 2�co s � ess � r � d F. v 1 'a � � v 24 1 os Y9 C16- �. � a v � E t RECEIVED M APR 1 . 1989 CLEFK"OA?D OI `•t:PE!'V SOPS "uY De ut Q c� � CLAIM May 23 , 1989 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION Claim Against the County, or bistrict ) NOTICE TO CLAIMANT governed by the Board of Supervisors, ) The copy of this document mailed to you is your Routing Endorsements, and Board ) notice of the action taken on your claim by the Action. All Section references are ) Board of Supervisors (Paragraph IV, below), to California Government Codes ) given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". Claimant: David & Stuart Johns Attorney: Address: 1897 Castle Hill Road Walnut Creek , CA Amount: $3 ,300 By delivery to clerk on 4/27/89 from Supervisor Schro s OTTiCe Date Received: 4/27/89 By mail, postmarked on I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: A p r . 2 7 , 19 8 9 PHIL BATCHELOR, Clerk, By Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors (Check only one) 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. 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: G By: Deputy County Counsel III. FROM: Clerk of the Board TO: (1) County Counse , County Administrator ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER By unanimous vote of 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 mi s2T9 s date. Dated: '►IH' PHIL BATCHELOR, Clerk, By , Deputy Clerk WARNING (Gov. Code Section 913) Subject to certain exceptions, you have only six (6)-months from the date of 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. O Dated: MAY 2 41949 BY: PHIL BATCHELOR by Z�Deputy Clerk CC: County Counsel County Administrator < RECEIVED Claim�to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY APR 2 ; 1989 INSTRUCTIONS TO CLAIMANT HRODER A. Claims relating to causes of action for death or for injury t Sp�ePrsonvlo 0 o 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 -mbre 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 irk / Against the County of Contra Costa ) or ) (I pHtl.BATCHELOR District) CLER COTRP QR OST p CC?RVISOS . pPPuty Fill in name ) B . The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 3��} E' and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) 41,ov. 12 19W .To Nov ;'7, /99"0- (d&4rit) ------------------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) 1iveR,�4e� ------------------------------------------------------------------------------------ 3. How did the damage or injury occur? (Give full details; use extra paper if required) e#a/1�44vs 2Lcotrd��. 6JM�,rJvns- o C a-O•L11n016Nr W_-&-` h,W,-6_n -- /✓o T� 4Z4& `rD2 4 G.p�-¢d 17A.IiE[7)fC� NavF To bC- Tiar xiecd C°e-��L�rE GoecNe�: d� �Tii�velc cJcCS'.FCc s�2 f/E ISTOK�9 /�S til V6r2y srekdo4, .4N1 m,454,aW Ver (•Ise 6'0w-ov) kv46 sAcv g?oj+ c--*CY day, 13v-7- dt 01Ai l Nc�rt /�E tip! �oyv- 3�L6s -_______/iV /O d aV5-d4ei d&tnaZa �ONc c=srla .4A a� ------------- ----- ---------- --------------------- 4. What particular act or omission on the part of county or district officers, /1 � 5 servants or employees caused the injury or damage? ►} �'�' '� Lzvc-u �27i/"v � as� 6�c � �. ,av,ar �Lc- %v soLv6p2abLs � WA R _ ,¢ use ZV-a14 �r- •q 6/-c- ; . `DLG°�:nr Q Ca r�1A/�r?tg� SiyC-�ly 1-J �l�, l.�•/D '�s' 4viL1` ,.` /^y 7iG+1 /!� d f91(JQ.I��lL4 6/te y�latl� "El2F �d(1�1Z� OP ���6L�>t5l i ljOA.c� .Anal JP1,1 U$ dd!� W'45 t�v�/1 �`r�0'Slfil q GAO r s r;L�.iG I/A21bv5�Sh!C-t-7e�-- .4J5!_,-7IWO r4A,'$1V60--,i db (over) Ft ►�E iti,�s :ry �rC d Dy 4-e r"41- cc "dl1101V Al.SE ��/G47'JD�/S "GllPi7�iG rJn/ -/C.IJGAY-/tl�r4 /�' 01c,'( cid/ I7AAf- d`'oA/filCee �C/©r/S WyJW`/7 'f-fiC7 5. What are the names of county or district officers, servants or employees causing, the damage or injury? l;uqi,q � 1�� Xf`- 444 J J -�11Q �ur� i) .4 r stiurE-2 �ulr,�l�- ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. -Atta -h t est-imates--ep-au - ���>< aF vvR ��-���aa� G��.a-�- �7��v.� •�1 �'c%15 cry' �,c..�.�rn�2,.- -------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amoun of any prospective injury or damage.) 4 oa �� OW4-1,©,o1v 4�",v D,2ac lau�f Co7r X00 % C�',�joi�� ��,r�5.. cPo-5 r 360 �A✓•S Ver 61OL-i E<6 t?&bV1L �.c-.�r /P:Gifu �%icT✓:ajc:YSee rs P"�a bC7T 2 •C':Jf-'� I_v_T6i2£ ------------------ 8. Names and addresses of witnesses, doctors and hospitals. (MOdiL ��T� 17.2 Oo-rr, M4at0'T;N Di.," / EN � ,�a SavA,�l ey DO" �' 13c�o ,3o:�t✓41*1 j,�,¢y ltJgL.ut-r Fac .r! pv: Py��.2�j11 D,2 Wle4iV f /*'If Dl4bio 64-g,-7-4`�_l7r�_ 141rn m 5-DVjyJ i 3J 9 Y4a✓A.6 Lo,4 vE--�q:v,P4 116 ------ -- "�--------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM i AMOUNT ;2WTo A-,vfOk Aiec/> ie 65cA,r Np• >5 Q� rn N �,t�dc�lu��-ir�L /%:�� ? Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SE NOTICES TO: (Attorney) or by sojpepepson on his behalf." Name Address of Attorney Claimant's Signature (Address — - Telephone -No. -• - .r-VTelephone .No. 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. -7- It Y L Qmw 7Z) Y) JA G .I yl I Lj Wwr MA Zt ;Q-t%f- 2 AV OV -I— Ar el Ao� 907 AIAI, Qz- "12 n' :i Mb°�v" Y -d,x�n.e.-e �... +.s 4la`. � � ,�w 1 h j'.. W y t f`'�l '�� :k W-: i- ,_..v..a",,� t t t ;.��-.�� ,.�._ i�� '.;•. � _ J -�.m__�ll�_._---.-�------T,y��.r_�yon/�►/_._,1>�__.�_____1l�_ __�-�®____dc.��.._c��.c.�_4'1 vim'___.___.___. . T_T.__ _ R� �c�y ,._.Gt1�.-_.._Cor�iT�C✓� i2'. . is ril .PAvl"✓ Aye-i V I qxe;, �v cP_��,la►�2� COti�A�rh<;���N<�u-�a� --__.-__�_._. . ___ �!�_.N<f(/G---.CElt�-`l-_��'�----�Q._�,2F�_J�9�Ti-�G�_C�veyl�_..._d.►�2��%`��f�ln��<.;(�� C. �/,� 7 - _7 M: Gvin,4 sv� �v �y �' �u�✓ Told Zti //�/j T S�/ r � .' 'I w p//•��.(w/,/-,l^`y'Y �' f',*,... x/s'w/s/'r/<`-�w xi �+5 ......._..,._�_ '�i iV/��...���� _��I{/' �!/.�f✓{��._..�!D�..�......__...//�"���..�_{�.�d�.T` /_ ����- �-A't r//L V��5S HA.' Z i A), V • ar 4L 7 ne k5 ----------- ` Stu and Mary Johns / 1897 Castle Hill Road S41,112 'Zc✓ 15 Dj,41,pef walnut Creek, CA. ' 94595 Home 930-8362 -ork 521-1541 Ban )9 z�,q�,,4 o P-1 ti•AO 4 T J216t1 T Conc^rd,CA -spr. Supervisor Schroder j oee CC County Administrator Phil Batchlar CC County Administrator Scot Tandv Various Other Interested Parties To '3hom it May Concern : On November 120 two rangers arrived at 9 PM demanded that we turn our dou C.easer over to them for 10 condinement based on three nrevious erroneous =nd unsubdtantiated allegations dated from 1982 and the f=.ct th-,t Ceaser had jumned over his fenced confiement area and left -. tooth mark on nei7hbor' s knee (no blood) . The rangers insisted on taking dog even though he was in fenced area, had all his shots, and was licensed. Med,e,4o ( Great Dane' s are -hysically weak, very sensitive, have to sleep on f6ds , kept warm and calm fed good. Much more care than most dogs , like can' t sleep on cold cement. The shelter was totally ignorant of this . Our dog Ceaser was a Perfect Breed Great Dane - Black and weight of 175 lbs , 5 years old and was raised with our Six kids and all their many , many friends . People would visit us just to play with Ceaser. He was a big pussy cat! a 1) Our relationship with Mr. Garewa'_14 has not been good ever since he moved into the neia_ hborhood. He has been inconsiderate and imnatient wit'z the rural nature of the neichborhood. 2) Our dogs have been confined in a fenced yard for several years . 3) Mr. Garewall has complained t•-) us several times `that our dogs would bark while we were away in the day time as we counter comnlained that his dog also barked while he was awayei-r ,t,iewr-, - 4) Mr. Garewall has a small farm containg a number of goats duck , c'iickens, etc. tr. Garewall does not contain or control his dog or his goats . They routinely come up into our yard and bother our dog; . Please not6that goats are suite vicious to other animals . i 1)70,V- pan s"� 6*0,015 �1rau iu ,� a PA P7 Wr 3�u.S doAlclem'd ,b7 s.:G4 4r pxsv �(,l�in� , ,,4 5) On occasion, our doers have .gottn out of our yard and Rkm he has threatened to kick , hit with a baseball bat or even to shoot our dogs if they ever bothered anv^ne or animal from his house. Yet his dog always runs free. Ris dog also has bitten my daughter and a friend while riding a motorcycle. 6) Mr. Garewalls dog was loose on our private road on November 12 , 1988 And kids were running around outside our fence. Our dog Ceaser who loves to play got out of the yard and in the commotion allegedly bit Mr. arewall . We understand it was a single tooth mark with- out blood and was on the right knee. We believe Mr . Garewall was trying to break-up a dog fight between his dog. and ours, yet our dog is a male and his is a female. This m,-)t likely was a courtship in progress . � The only reasonalbe wav a man -•ould get bit on the knee from a very large dog is if he was in the act of kicking the dog. If this had been an attack against the man, the dog certainly would have gone for anther higher body part, like arm or hand. Please realize that our dog stands nearly six feet tall . As a result of these allegations -Ceaser eras impmunded at the 1�dpi Contra Costa Clunty' s Pound and had endured what we believe I to be neglectful , cruel and extremely inhumane treatment. `N 1'M�a✓� kside from Ceasers treatment, t'-Ie Johns Family has in deal- ing with the Contra Cost, She1_terbeen put through unnedessary rudeness, misinformation, incom -)etence. Before Ceaser was removed from the pound because of his o-;or .state of health It is interesting to n^te tizat upon calling about his care we were told he was bei n:, given "red carpet treatment" -nd he was "fine" . In these exact words we were reassured four \' times .that his health and state -f mind was perfect. We J received an offical letter from CC Animal S-e?ter on 11/14/88 �ty telling us to pick uo Ceaser on 11/25 /89 or animal becomes property of CDunty to be sold or destroyed. On 11/24/889 we phoned to make arrangements to -pick un V Ceaser on 11/25/,88. '.•,e were told by Ted Brasier teat we .couldn ' t pick uo do:; that this d^g was considered vicious and would have to staff,- in confinement for up to (1) month. This was our first indicator of what a mike operation xasx `Phe animal shelter xssx is . My Son with his friend Dave Smit drove out immediatley to visit Ceaser , when he saw Ceaser he could hardly believe what he saw. Ceaser was huddled in corner of cold cement floor, hardly able to move from lyi-ig on cold cenent floor LL and -,,orse vet instead of being 175 lbs , we later found -out, !J he was 124 lbs -nd lots :f mucous coming from nose and bl^od IA,l l�day5 all over dog and a117, of nen . 3 - - My Son and frien (who will v•-�rify) quickly went out to Mark Drainer (Animal Shelter Supv) =nd asked him to come back and do something that the dog would die from lack of blood Also :chat about Dogs tremendous loss of weight and mucous M,rk refused ao to anything and asked my Son if he thought he was a veterinarian . My Son took (4) r_hotos to prove con- dition. I 'd like to note that Ted Brazier was also oresent in office and kne=.a and approved of Draiper ' s action. My Son returned and told me .story (His dog was being killed in Animal shelter and we couldn' t do anything about it. I could hardley believe what was ha^peing, ever:-ne kno•.js that generally people run animal shelters are supposed to be the warmest and most consi-'erate people on earth. The animal Shelter is su--�oosed to hire oeorle that know animals . These emnloyees ;rlved to us they haven' t the slighest knowldge of how to care for Great Danes . Even Dian Iwasa know noth- ing of how to feed them, how to }provide sleeping mats ,nd are also very sensitive to stress, such as Animal Shelter confinement. .Also oli - dog was being drudged by her admition to me. I c?lled Ted Brazier and Mark DraiTer on phone discussed U their animal shelter employees unconern for my Son' s feeling Q and also the health of the doa. Rxxtk I Got in return smart remarks and f efusal to be of anv concern of his . I asked �j them howthey could be so cold in his attitude towards �i animals and animal owners . They stated to me that the un- 1 �0 written law if anyone in his business becomes cold towards the animals or animal owners he should ­uite. I later asked �\ both Terry McGra •- =_nd 'cot Tandv that according this un- written la-q these workers should crust. (^ Something had to be done and uickly since Mark Draioer and Ted Brazier �%lere not going to release d;g for medical ,L treatment. I started ^honinri Diane Iwasa, Director of -4 D Shelter for h•eln and called at`ention to dogs condition, she � ag�ee to "'Da dogs Vet Bills but ,nd ( fr1/3 on she�w�uldn a tiger ?hone. ;e even tried having my daughter call but no answer. . Diane had gone into hidi ::.g and turned ver the operation to Ted Brazier . '.•.e t;ien called Diane ' s boss , Terry D!cGra�•: Sutw pryer Animal Shelter, for help. He was a great help. He got a hold of. Diane and stated t-7 me bot': Diane and e confirmed (� DC Shelter would aav all medical bills . He also was able to Q' force Ted Brazier to get oaners for us to a?prove transfer of dog to Kennel near our home. (8 on December 2 , Ted Brasier stated to us that Dr. Cowen (CC Counties hiered Vet) had checked our dog each day of his confinement. Dr. Cowen didn' t notice the doers weitht hd drop,,-)ed fr--�m 175 �o 124 lbs . That he had a fever of 104 degrees , lots of mucous and congestion in his nose indicating possible pneumonia aad not ening. - When dog arrived at Canyonwick Kennel Mary ( the owner) 1 immedi?tely noted how sick Ceasor was Asked ho : could Shelter treat dog this way. .3he said dog was too sick for her .to care for.$ Our owr� Vet Dr. Brent Martin as called and came ass sJ.,a le and confirmed he findings . Doa was sick. He called Shelter and old them Dog should be released to our care and He 3 ould take care of it. No they said he should go to J ocal Vet. '^;e had Shelters an_ proval to take dog to O r. :Jiggins and si^ned naners to transfer to 7-7igrins. �l xxxXigxixg This time we had to force Ted Brazier a bet ore by contacting Shella Corrie ( aid to Supv Schroeder) =nd Mr. Laezman ( aid to Ccngressman Boatwright) who nut nressure on Ted Brazier and we were asked if Mr. ,s ic_ gins �N was our choice which it wqs: However, Ted Brazier nlayed new hand and instead of taking dog to Wiggins he took dog to Dr. Saunders . Dr. Sauners was very qq4CS unset with Dog' s condition reali,ing driving sick \ c \ �I dog all over town was very cruel and extremely inhumane. The next day Dr. Saunders said he c-.?uldn' t keen dog (� ( too sick) so dog had to be moved to Dr. Lammers ( 20 ` miles away. Again, we contacted Shella Corrie, Mr. Laezman, Terry McGraw to force Ted Brazier to write up a �► new release . My Son and itness Troy LaSalle rac.:d out f to Animal Shelter t-) sirn the new transfer oaners only this time Mr. Ted Brazier added state- f_ ment -=avinq we n:-)w would assume all responsibility for v\ J Amo*, medical bills . Ted Brazier had gone -)ver Diane 1J (`} Iwa�;a' : head , gone over Terry McGraw' s head, over C�a SHeela Corrie: head and over Mr. Laezman ' s head . Thee all confirmed county would pavcUl77ADt_rT.m W,vet bbells . He refused to transfer doh to V��iospital assumin ; ,11 medical resnonsi ility. He said he wDu_.cr Bust bring dog backto �k S7-e-ter to die. My Son (witnessed by Troy Las-ale) x stated to Ted Brazi^r that his boss Diane Iwasa told a �i she wouj7d assume V=t Pills , that Diane ' s Boss Terry McGra,7 told us the CC Shelter would as..=ume Vet Bills. 3 � Th,t Shella Corrie Aid to CC Supv Scl-,roeder c^nfirmed to �q us after talking to Terry McGraw and Diane Inti*asa that if::)- CC >CC Shelter would assume all Vet Bills and Mr. Laezman Aid d to Congressman Boatrrig_ht confirmed t.i us after taking to C rs ` . Terr•,i McGra=a and Diane Iwasa that CC Shelter willpay C, r a?' Ve Bills . My Son as%ed 'nim why he cidn ' t listen to I` hissupervisor, Ted Brazier stated to my Son (+ witness) That He didn ' t have to listen to any Congressman , County_ Sure rvi.sor or Director, That 4E RUN THE ANIr:A- SHELT371 V\ me�nibg He and Mark Dr,i--,er. Since Diane I'dasa hac' disa,3p- v ed from duty. I believe you have to call this cold, cruel c�� inhumane care . �J .�..^^•v .v v 11/vr v i . ,. _ __v _w r.J/ v i.vr .v.r • ..... .�,,�//_ ' -^ _� .y—V / s de duress�he h sig q My Son said under had to �n b cause do _ was dying and time was against us . To prove severity of dog' s condition Read in Dr. Lammers resort that dog collapsed upon arrival .at his Hospital and had to be carried in. 'Dr. Lammens said he really didn ' t have a chance. Dr. L�mm­�ns did the best he c;uld and we visite, the dog on Sunday and spent ( 3) hours netting and rubbing him to let "Ceaser" know we hadn' t forgotten him, lie calmed do,-!n but diedeearly next mornin7. Two times I have asked that these employees , Diane Iwasa Ted Brazier and Mark Draiper be transfered t-, some County Office where they have no .contact with animals and people. The cruel , Coldness , and arrogance is harddto believe. and by their own code they should xxiix Kx D/L� quit or ask for tran fer. rr �L ST 6145 Conf irmatio Mr. Laezman (Aid to Congressman Boat.rright 515-689 Shella Corrie (Aid to Supervisor of CC 3UR Schroeder) 820-8683 Terry McGraw 415-646-4855 Humane Societv of USA Mr. Sakhack 916-447-3295 Let--er from: Dr. Lammens DVM Brent Martin DVM Df. Saunders DVM County has letter Dr. Wiggins DVM County has letter Ne heard that iia Sacnamento on Law Books concerning Animals that there is a Law requiring and keeper of animals over night must pr7)vide a piastice bed for dog to sleep on so it doesn' t have to sleep on cold concrete. If this is true what are penalties for breaking Lava. This shelter should be so charged. x,11 the followin-. "egue=ted copies of our windup statement: Aid to Congressman Boatwright: Mr. Laezman encouraged us to sue He had had it ;with Animal Shelter, Ted Braizer Sheila Corrie said Sunv. Schroe�er was very interested and xxxx±Srx sensitive to injustices and problems of government of this tyr.e . Eric% Sakhach of Humane - ociety of USA Wants to get involved He stated when animal is taked for confinement it must be returned in same health Centra Costa Times Newspaper Lesher Communidations Martha Joseph, 831 Main, Martinez and 22 other concerned groups . * CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim APiainst the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 23 , 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 Gove6nment Code Amount: $1, 000 . 00 Section 913 and 915.4. Please note all "WarP'f i�,0 CLAIMANT: JON GEORGE WALKER l�4� o��s�f 26 Hill Street 44art ATTORNEY: Sari Francisco, CA 9.4114 th�� � 1989 Date ADDRESS: BYDELIVERY eTO CLERK ON May 2 r 1989 9_466i? BY MAIL POSTMARKED: Mav 1, 1939. I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: May 2 , 19-89 gy1L BAATTCYELOR, Clerk epu 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: t— / 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). 1V. 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. 61-1 Dated: MAY 2 3 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 d Notice to Claimant, addressed to the claimant as shown above. Dated: MAY 2`4 1Z701.7 BY:BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator I,AIM; TCS• BOARD OF SUPERVISORS OF CONTRA CO.��T to �gt]rl� . , e ur Mi i appticatlen t0: Instructions to Claimant Clerk of the Board P.d-.Box 911 Martinez.Califoml 94533 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 o'f 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, 6.51 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 st_amps n (T accci J R E C I V. ED Against the COUNTY OF CONTRA COSTA) 7, ,MI�AY or _ DISTRICT) PF E3A EOR (Fill -in name) ) cL=,K NT ,, Q� By _ _ . The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ / QQQ1 l . and in support of this claim represents as follows : 1. Whe dig? the "amaye ci i ------ ^ � njury occur?-- (Giveexactat deanci our Cf e C14 2. ere did the damage or injury occur? - (Include city and county) 3�I- ai: d the damag or injur our? (Give full details , `use exp a sheets if require ) J ! � C fi y1C 1,e 4 . What articu ar ac or mission on the part of- ounty or di ict officers , servants or employees caused the injury or. damage- wda/ C- (over) '.:5.: :• zat: ar.e.:tbe_,.names of county or district officers, servant& or employees causing the damage or injury? � 1hat amage or injuries do yo cla resulted. (Give full ex�e nt ' of injuries or damages claim A '•ach two estimates for aut6 damage) 6-4 IM �ZJ u C ---- 7. ow was the amount clai " d above /computed? (Include the e�Eimated amo t of any prospec 've injurylor damage. ) 8. Names and addresses of witnesses , "-: ors hospitals. �fd r er 9 . List `h -ex enditures you made on account of -t�iis accident or injury: DATE ITEM AMOUNT u- cjc� Govt. Code Sec. 910.2 provides: "The claim signed by the claiman- SENJ NOTICES TO: (Attorney) or by some person on his, behalf. ' Name and Address .of Attorney do-,, Z/V V014 c2n aimant;' s ;S gna ire — G -26 xi -/ fi �. ✓ 3r Address! Telephone No. 9 1 Telephone No. NOTICE Section 72 of the Penal Code provides : "Every person who, with intent to defraud, . present.s , 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 , anv false or fraudulent claim, bill , account , voucher or writing , guilty�- is pill of a felony, " PROPERTY/CLOTHING RECEIPT rc O- NTRA COSTA COUNTY REC. N0. ", 99_1 DATE: - RACK# MDF TIME: ' v CCH BOX MCDF PROP.BOX WFC NAME: WCJC BOOKING NBR: OTHER aa CASH . ❑ SHIRT/BLOUSE ❑ DRESS COAT/JACKET ❑ TIE/SCARF ❑ SHORTS/PANTIES ❑ JEWELRY D SOCKS/NYLONS ❑ SWEATER/SWT. SHIRT El WATCH ❑ BELT ❑ PANTS/SKIRT ❑ SHOES/BOOTS ❑ T-SHIRT/BRA ❑ WALLET ❑ HAT/PURSE ❑ KEYS ❑ KNIFE ❑ GLASSES ❑ O BKG OFC: x INMATE SIGNATURE 1 have received all of my per- DATE: sonal property and clothing. REL OFC: X INMATE SIGNATURE CONTRA COSTA DETENTION FACILITY PROPERTY RECEIPT DATE: "- '+ i REC: TIME: FACILITY: ilr;Yµ NAME: D.O.B.: PROPERTY :• I- . BOOKING NBR: k3';3Ill 0 f, 1:131 ITEM UNDER COUNTER: Y OR N INTAKE CASH: $ JEWELRY: N DESC: WATCH: N d DESC: LIGHTER: WALLET/PURSE: �N KEYS: C's GLASSES: i 9 BELT: .14 KNIFE: N OTHER: I SEALE['? 6*k, F Gr BKG OFC: E X ✓' I TE SIGNATURE RELEASE DATE: I HAVE RECEIVED ALL OF MY PERSONAL PROPERTY. REL OFC: X INMATE SIGNATURE A 'p v,Nm t� n�0 • mss F'qP� cl SZh .i lVRV1 v t� r • rn w -0 0 m b`< ° N o a -� _ D � 3;c CD 7 b coCn (D N 1 W O H a) O m m • 7t V co UU N M �.i t� 3 C� C t ~ C1gk� h co 47 `p < a° *may i'aul Dudlci Whicc MMS B M i f �a C© C 3 Ya.: * CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA C1.. Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 23 , 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: Unspecified Section 913 and 915.4. Please note all "Warnings". County Counsel CLAIMANT: KIM GRIFFITH 10612 Harrogate Drive WiAY y 1989 ATTORNEY: Delta, British Columbia Canada V4C8E2 Date received Martinez, CA 94YO ADDRESS: BY DELIVERY TO CLERK ON April 21, 1989 Sheri t'' s BY MAIL POSTMARKED: no date I. FROM: Clerk of the Board of Supervisors T0: Count, Coursel Attached is a copy of the above-noted -claim. DATED: May'-2, 1989 PpHHI:L BATCHELOR, Clerk eputy L. Hall FROM: County Counsel TO: Clerk of the Board of Supervisors \`(v ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: I� °, SY: 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. A Dated: MAY 2 3 1989 PHIL BATCHELOR, Clerk B De ut Clerk Y � P Y WARNIN.r (Gov. code section 913) Subject to certain exceptions, you have on'y six (6) months from the date this notice was personally servp,d 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 2 4 1989 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator ` ► � CLAIM / ► BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA * i` Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 23 , 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: Unspecified Section 913 and 915.4. Please note all "Warnings". County Counsel CLAIMANT: RIM GRIFFITH 10612 Harrogate Drive MIAY3 1989 ATTORNEY: Delta, British Columbia Canada V4C8E2 Date received Martinez, CA 9455 ADDRESS: BY DELIVERY TO CLERK ON April 21, 1989 Sheriff ' s BY MAIL POSTMARKED: no date I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. y Ma. . 2 19.89. PpHHIL BATCHELOR, Clerk , DATED: - r BY: Deputy L. Hall •I.�. 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 NJ 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. q (� Dated: MAY 2 3 `98d 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. r/ Dated: MAY 2.4 1989 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator �j Claim to: HOARD 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 ) Reserved for Clerk's filing stamp KM G��FF ,-�N ; ECEISE® tEc�-�oR So+J tSFXT of Klt1 Against the County of Contra Costa ) P � ��� or ) / _ District) ��, � L IS LB N Fill in name ) DOR The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ SES and in support of this claim represents as follows: I.,oSS---- DF 3�vaELLy- ER -------------------------------- ---------------------- -�R�By-R►`�) -------- 1. When did the damage or injury occur? (Give exact date and hour) NodEM6ER _�2_- -�q 88-------AFT iq.L---, L5_ Where did the damage or injury occur? (Include city and county) �oN a_ CoSkN CoRot�ZRS 0�F �cE_�_1o�q__CEN7E� A��_ _M (Z�tntEZ� CA ----- ------- ------ 3. How did the damage or injury occur? (Give full details; use extra paper if required) MT. -0ta0t_0 NoSP��At✓ riE•ptCAt, CEt,TER REt_EASEb -vt C REMAINS of GEoZGC GRwF-vrt-k vJtTN A R%.�gy Ri 4 G L��PED To FttJ6ER� To 'DEPUTY ERtKSEN ov- -cqE cmaoNER'S oFrtcE Fop_ f\vToPSY_ �W; �EPJT� S�GtNED Vo9- REC�tPT of TNF R1tJG 8U NeXT pF kltJ �1� ------------------------------------------------------------------------------------ 4. What particular act or omission on the part of county or district officers,v40T GE-T servants or employees caused the injury or damage? t T F 6zo Nt O t LE. — M tSPt_PC's? vN�Ceo�N�E� FSR . (over) Y C3 41F 06 ` ���� Vis. ,��• �, �.: �', �' Ul� 0 r.t 0 ✓�" � rip r �, 4A 7 t . VA p.• cl) 0 •�� C� '1 g • �� rte-+ � •'+ �� �` `� CO � f IT- 1 i m � J � C � Ln _. . CLASSIFICATION 'VEE El m- Apparent Natural CASE#: CR 88-1243 CONTRA COSTA COUNTY COPY OFFICE OF SHERIFF-CORONER CORONER'S REPORT DECEDENT: Griffith George Davi d CR 88-1243 LAST FIRST MIDDLE AKA: OTHER I.D. : SOCIAL SECURITY #: None Listed on DC DCS,; 9-25-15 SEX: Male Est. WT: 150 HT: 67 RACE: Cau AGE: 73 UNDER 1 YR: * MOS: * DAYS HAIR: Gry EYES: Brn USUAL ADDRESS: 1080 San Miguel Road, #17 CITY & STATE: Concord, Calif. CITY LIMITS: Yes I.D. BY: Margaret Whitney DATE & TIME: 11-12-88, @ 1430hr. ADDRESS, CITY & STATE: 55 Pacifica Dr. #7, Pittsburg, Calif 458-1881 OTHER INVESTIGATING AGENCY: n/a AGENCY FILE # : n/a ASSIGNED OFFICER: n/a CASE DATA DATE REPORTED: 11-12-88 TIME REPORTED: 1615hr. DATE OF DEATH: 11-12-88 TIME OF DEATH: 1508hr. REPORT BY INVESTIGATING DEPUTY CORONER: Steve Young NEXT OF KIN NAME RELATIONSHIP 1. Kim Griffith 1. Son 2. 2. V4C-2P6 ADDRESS, CITY & STATE: 10466 Main Street, N. Delta British Columbia Canada RESIDENCE & BUSINESS TELEPHONE: (H) (604)584-2585 (W) NOTIFIED BY: Margaret Whitney AGENCY: Friend DATE & TIME NOTIFIED: 11-12-88 @ 1915hr. HOW: Phone -1 - .DECEDENT: Griffith, George CASE#: CR $$-1243 PLACE OF DEATH LOCATION: Mt. Diablo Hospital CORONER'S SEAL: No ADDRESS: 2540 East Street CITY LIMITS: Yes CITY & STATE: Concord, Calif. PRONOUNCED BY: Dr. Buchele PERSON REPORTING DEATH: Joann Green-RN TEL# PERSON WHO DISCOVERED DECEASED: n/a TEL# : ADDRESS, CITY & STATE: BODY REMOVED TO: Central Morgue ORDERED BY: Dep. Eriksen MEDICAL HISTORY REGULAR PHYSICIAN: None TEL#• ADDRESS: CITY & STATE: DATE LAST SEEN: MEDICAL HX: INJURY INFORMATION DATE OF INJURY: n/a TIME OF INJURY: LOCATION: ( i.e. ROOM, ROADWAY, etc. ) ADDRESS INJURY OCCURRED: CITY LIMITS: MAP LOC: AT WORK: STATUS/MV: HOW INJURY OCCURRED: IF APPLICABLE-STATE TYPE GUN and/or WEAPON: VEHICLE (MAKE-MODEL-YEAR-LIC# ) : REGISTERED TO: ADDRESS, CITY & STATE: TOWED TO: ORDERED BY: -2- DECEDENT: Griffith, George CASE#: CR 88-1243 WITNESSES: (NAME-ADDRESS-TELEPHONE) 1. Margaret Whitney (friend) 2. 3 . 4. ************************************************************************** SUPPLEMENTAL NOR INFORMATION INVESTIGATION REPORT Griffith was brought into the emergency room on 11-12-88 @ 1445hr. via ambulance from home where he had been found unresponsive by a friend, W-Whitney. She called 911 and the fire department had initiated heroics which continued without success and he was pronounced by Dr. Buchele. Dep. Eriksen talked with W-Whitney who said that she had talked with Griffith over the phone. He told her that he was not feeling well and his voice was slurred. He was an alcoholic. When W-Whitney went to Griffith's residence she got no answer at the door. Concord Police forced entry. W-Whitney left a message on the NOK's answering machine. D removed and tagged by Dep. Eriksen. Dep. S. g -3- DECEDENT: Griffith, George CASE#: CR 88-1243 PROPERTY/CLOTHING INVENTORY REPORT Clothing Inventory Shorts, white t-shirt. Inventoried by: Dep. S. Young Received by: ?y Date: 1 Property Inventory Itemized, detailed description of same, Property Released to including color, size, serial number, etc. Investigating Agency (Officer-Agency) ITEM 1. ITEM 2. ITEM 3 . ITEM 4. ITEM 5. ITEM 6. ITEM 7 . ITEM 8 . ITEM 9. ITEM 10. Inventoried by: Date: I certify that I have received all of the above listed property with the exception of Item(s) # RECEIVED BY: (SIGNATURE) REPRESENTING DATE: DEPUTY (SIGNATURE) MT. DIABLO HOSPITAL MEDICAL CENTER Michael L. Wall BOARD OF DIRECTORS President& Chief Executive Officer Harry F. Bowers Chairman John J. Baie Vice-Chairman Mary Louise Mahoney Secretary-Treasurer Jason Appel, M.D. Director Dione Mustard Director November 30, 1988 Mr. Kim Griffith Delta, B.C. Canada V4C 2P6 Dear Mr. Griffith: Regarding your letter of November 19, 1988 inquiring into your late father's property, attached please find a copy of our Medical Centers form for release of remains and personal pro- perty. The form indicates that a yellow metal ring with red and white stones was taped to the finger of George Griffith at the time he was released to the Deputy Coroner on November 12 , 1988 . The form also indicates that Mr. Griffith's wallet and I . D. cards were given to a friend, one Margarite Whitney. A search of our lost and found records reveals no other property. Sincerely, Georg Dyer Security Director GD/jdf cc: David Taylor 2540 East Street, Concord, CA 94520-1960 415-682-8200 Facsimile#674-2012 OPERATED BY THE MT. DIABLO HOSPITAL DISTRICT Section I. / Date — I � / IQ I g Time of death �Jr Attending Physician E U � 4a�. Release the remains of e D I-Q P_ &C I to Cor 0 r�-eJ (Patient) (Mortuary) Signature (Next of kin) (Relationship) Or, if necessary - Telephone permission granted by (Relationship) Witnessed by Section II. Inventory - Patient's Clothing and Valuables Contact lens Hearing aid Shaving equip. Wallet cT D CC!—OL Comb-Brush Pajamas (Electric) Watch Dentures Purse Slippers Wig Glasses Radio Toothbrush Money (Amount) Gowns Robe Toothpaste -Currency Q. )Ite n -coins f 's � l/) x'1:1 O W f I �) -Chec s Receipt for VALUABLES in Hospital Safe 5'r\o,rts vL h t�� 'f e e_ 1 rt Miscellaneous: lo,�� Invent y: Received by: Section III. Date l ( a g Time RECEIVED FROM MT. DIABLO HOSPITAL IN GOOD CONDITION: The remains of Rings (Taped to finger) Description ❑ Dentures (In container) ISOLATION PRECAUTIONS ❑ Glasses (In paper bag) Blood & Body fluid precautions Yes No ❑ All items listed in Section II. Other known Infectious disease W CU IF—,t C Z') cw GJ s Signature: . cP W Mortuary Personnel q iv en -to P r i flrn d - V__. l��q a-c�e W K.i c Signature: Witness RELEASE OF REMAINS AND PERSONAL PROPERTY 1�r ;'k " P294004 73 !M 1452 GRIFFITH, GEORGE D MT. DIABLO HOSPITAL MEDICAL CENTER ISUCHELEaNICHAEL J. . HD q FM 79010 18/861 Phoy of 8C REOISERVI jam, Kim Griffith 10466 Main St . Delta, B.C. Canada V4C 2P6 December 8, 1988 Deputy Coroner Dear Sir : Further to my letter of November 19, 1988 inquiring into my late father ' s missing ring I have received a letter and photocopy from MT. DIABLO HOSPITAL MEDICAL CENTER. I have included them with this letter to you . The ring referred to in their inventory is the ring that I am looking for . Mt . Diablo has described it as : red and white stones 1 yellow ring (band ) . After discussion with my mother we can further describe it as a 14K heavy yellow gold men ' s ring. It has a large square cut ruby (bezel edge ) in the center with (we believe ) two flanking diamonds . We believe that the diamonds were mounted on opposing white gold shoulders . My father ( in his younger days ) was a jeweller and made this ring . The inside of the band should have a mark such as : +w+ which signified the mark of Trayling & Waters Jewellers from Vancouver, B.C. This mark might have worn off over the years however . I have heard from OUIMET BROS . and they have told me that they did not pick up the ring with my father 's remains when he was released from your office . I hope this helps your search. Please advise . Sincerely, Kim Griffith Executor KG/kg enc Sheriff-Co ro'n e r Contra Richard K. Rainey SHERIFF-CORONER P.O. Box 391 Costa Warren E.Rupf Martinez, California 94553-0039 Assistant Sheriff (415)Xew6- 646-2406 County Gerald T.Mifosinka Assistant Sheriff Rodger L.Davis Assistant Sheriff 12-15-88 Mr. Kim Griffith 1.1466 Mai. Street North Delta British Columbia, Canada V4C-2P6 Re: CR 88-1243 (George Griffith) Dear Mr. Griffith: Pursuant to your letter of November 19, I have attempted to locate your fathers ring. It appears from the hospital records your father was wearing the ring you described when he arrived. His personal effects were released by the hospital to Margarite Whitney. We have contacted the hospital, Ouimet Brothers Funeral Chapel, and Ms. Whitney and have not found his ring. Deputy Eriksen from this office removed your father from the hospital, and does not recall the ring being on his finger. Unless the ring was left on his finger, it would normally be released with other personal effects. When remains are brought into the office jewelry left on the body is removed and logged on a property inventory form. Since all other effects and personal property were released by the hospital, I believe the ring was not with your father when Deputy Eriksen picked him up. I 'm sorry we could not help you with your request. Sincerely, Al Moore, pt. Contra Costa Coroners Office 1019 Center Ave. Martinez, CA. 94553 AN EQUAL OPPORTUNITY EMPLOYER Mr .• Kim Griffith 10466 Main Street Delta, B .C. Canada V4C 2P6 January 18, 1989 Al Moore, Capt . Contra Costa Coroners office 1019 Center Avenue Martinez, CA 94553 Dear Capt . Moore : As I thought that perhaps my second letter and your reply may have crossed each other in the Christmas mail I waited until now to reply to your letter of December 15, 1988. As you can see from Mt . Diablo 's letter of November 30, 1988 they say that the ring "was taped to the finger of George Griffith at the time he was released to the Deputy Coroner on November 12, 1988" . Also that only "Mr . Griffith ' s wallet and I .D. cards were given to a friend, one Margarite Whitney" . This was confirmed to me by Mrs . Whitney. Enclosed you will find a photocopy of Mt . Diablo ' s letter and a photocopy of the Release of Remains and Personal Property that will confirm this . It shows that Deputy Eriksen signed for Dad 's remains and his ring (taped to finger ) . As I have Dad ' s ashes all that remains somewhere in your office is Dad ' s ring . As you may have gathered; this ring has great sentimental value to me because it is the only valuable possession that Dad left and was to become a keepsake/heirloom. What is your position and responsibility in this matter? Thank you very much for your time . Sincerely, Kim Griffith Sheriff-Coroner Contra Richard K. Rainey SHERIFF-CORONER P.O. Box 391 Costa Warren E.Rupf Martinez, California 94553-0039 Assistant Sheriff (415) 646- 2406 County Gerald T.Mitosinka Assistant Sheriff Rodger L.Davis Assistant Sheriff January 30 , 1989 Mr. Kim Griffith 10466 Main North Delta British Columbia, Canada V4C-2P6 Dear Mr. Griffith: The copy of the release from Mt. Diablo Hospital indicates in Section II a red and white stone, yellow metal ring was included in your father' s property. In Section III there is an (X) in a box, but no description of the ring. Also in Section III it indicates property released to Margarite Whitney. Your father' s ring is not in this office. If it were here it would have been. returned to you promptly. We can neither prove nor disprove the ring was on your father ' s finger when removal was made from the hospital, however, Deputy Eriksen did sign the release which indicated it was taped to finger. I realize the ring was of considerable sentimental value, and I am sorry we have not been able to locate it. Enclosed is a claim form, which you may complete and return to the county for disposition. Sincerely, Captain Al Moore, Coroner Division Commander. AM/JJm Enclosure 1 AN EQUAL OPPORTUNITY EMPLOYER 0 Aff d01 0 0 CP 00 v cp I'l, � 9 0 G o c� 0 o �l 0 a -7 S, ) 3 i ' �Il, • 1{ 0 fia ;' 9 00 0 AW �M1 tiJ