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Home My WebLink AboutMINUTES - 06061989 - 1.33 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA C1aim Against the County, cr District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT June: 6., 1989 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $10, 000 , 00 Section 913 and 915.4. Please note all '�uffls" Y Counsel CLAIMANT: FRANCES BLANTON c/o Ellen Tabachnick 1989 ATTORNEY: 1017 MacDonald Avenue Richmond, CA 9.4801 Date received �✓lartlnez, CA 94553 ADDRESS: BY DELIVERY TO CLERK ON April 26 , 1989 BY MAIL POSTMARKED: April 25 , 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Ma 2 1989 PpHHIL BATCHELOR, Clerk le DATED: Y r BY: Deputy L, Hall 11. FROM: County Counsel TO: Clerk of the Board of Supervisors (= ) This claim complies substantially with Sections 910 and 910.2. This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: ' a BY: t Deputy County Counsel I11. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (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. Rpp Dated: JUN s 1989 PHIL BATCHELOR, Clerk, By ZK4�� 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. JUN 7 19069I. Dated: BY: PHIL BATCHELOR b ��ep.ly Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND OR NON-ACCEPTANCE OF CLAIM T0: Fra es Blanton c/o E1 Tabachnick 1017 MacDo d Ave. Richmond, CA 1 Re: Claim of FRANCES BLANTON 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. x 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: Deputy Coun el CERTIFICATE OF SERVICE BY MAIL C.C.P. §9 1012, 1013a, 2015 .5; Evid. C. S9 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: `A(�1j�\'� ,�qgG , 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) Claim to: T 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 . Ante ) 13 5/(, 1(46A)7_&,f§T-LZ ST RIMI,16OU6 _ — Against the County/of Contra Costa . or ). . + APR, 2 G 1989 District), a} an L0 _ 'J"C+� Fill in name ) ° =1 B nTF PE A C By .a - The undersigned. claimant hereby makes claim against C ty of Contra Costa or the above-named.,Distr.ict in the sum of:$ ' IA '666, Q— and in support of this claim represents as follows: -----------%----------------7-------7------------------------------------------------ 1. When did the damage •or injury occur? .(dive exact date and hour) 2. Where did the damage or injury occur? (Include city and county) t ------------------------------------------—. e�.- ........................ 3. How did the damage or injury occur? (Give full details; use extra paper if required) At 4. What "particular act or omission on the part of codistriofficers, servants or employees :caused.the injury or;damage? (over) 5. What are the names of county or district officers, servants cp employees causing. the damage or injury? Cie e ------------------------------------------------------------------------------------ 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.) 1 .. ------------- 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 Attoi7ney, �O (Claimants Signature `Aa��r�-ci Telephone No. 99�� Telephone No. �5�`023 N O 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. . � o ... 0 . 0 • , \ o ¢ ® � \ § \ © » o « t \ ON � I \ � t \ � $ 0® � \ k�6k a "o / CD @ m A. m ® a \ -� ° o \ ? w\ 0 \ & � \ � \ � S ƒ C . • � � ®t ©` \ � 4 � i , f $ \AK£ \ e _ 7 e . } CYt ' l ^ \ � \ - � ` �� © %� :? � \9\ . . � : § CLAIM le ' BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA 1 Claim Against the "County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT June 6, 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". CLAIMANT: DIANE A. PIP PIPES ETAL County counsel - ATTORNEY: Martinez , CA 94553 MAY Date received �o!/ ; 12 1969 ADDRESS: BY DELIVERY TO CLERK ON May 10, 1 , 1 del . ��53 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 11, 1989 PpHHIL BATCHELOR, Clerk BY: Deputy L. Hall 11. FROM: County Counsel TO: Clerk of the Board of Supervisors � ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: br, ��1 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 ;-in. .denying -this .claim, the County does not wd-ive any right to _assert that it has no jurisdiction to rule upon the claim. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. JeA Dated: UN 6 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 claimantas shown above. JUN UN 7 1999 BY: PHIL BATCHELOR by i putt' Clerk CC: County Counsel County Administrator f , w. . E . e.� 2 TO: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY f' AY 101989 651 PINE STREET _ MARTINEZ, CA. 94553 CLC:KBH'TRp PERvsc By. . .4.... RE: CLAIM OF DIANE A. PIPES AND L. DOUGLAS PIPES, SUBMITTED PURSUANT TO CALIFORNIA GOVERNMENT CODE SECTION 910 ET SEQ. CLAIMANTS: DIANE A. PIPES & L. DOUGLAS PIPES CLAIMANTS' ADDRESS: P.O. BOX 942 , MARTINEZ , CA. 94553 CLAIMANTS' ADDRESS FOR NOTICES: SAME BASIS OF CLAIM: On September 26, 1977 , Claimant DIANE A. PIPES was employed by Contra Costa County as a Court Reporter for John C. Minney, Judge of the Walnut Creek-Danville Municipal Court. MRS. PIPES worked continuously as Judge Minney's Court Reporter since that date. In July of 1987 Judge Minney became a Judge of the Superior Court of Contra Costa County, and MRS. PIPES continued as his Court Reporter. MRS. PIPES transferred 500 hours of accumulated sick leave effective upon her transfer from the Municipal Court to the Superior Court. (Atch 1) As of December 31, 1988 , MRS . PIPES had accumulated 628 hours of sick leave. On December 5, 1988 , Judge Minney signed a letter to 3 the Court Administrator, Len LeTellier, approving a leave of absence for MRS . PIPES to begin on May 6, 1989 . (Atch 2) In that same letter Judge Minney approved MRS. PIPES' utilization of her accmulated sick leave and vacation time prior to her taking her leave of absence. During this period the Contra Costa County Superior Court had a written policy covering its Court Reporters. (Atch 3) Paragraph 3 of the Policy provided, in pertinent part: "Upon approval of the judge, a reporter may take a leave of absence without pay for up to six months. . . Any unused vacation or sick leave may be used prior to taking a leave of absence. " On November 28 , 1988 , MRS . PIPES advised the Court Secretary of her leave of absence/use of vacation and sick leave plans. (Atch 4) On December 16, 1988 , MRS. PIPES was orally informed by Judge Minney that the Superior Court had disapproved her use of sick time prior to her leave of absence. On December 19, 1988 , MRS. PIPES wrote a letter to the Superior Court Administrator requesting a written response and explaining her position. (Atch 5) December 23 , 1988, :was the last actual work day for MRS. PIPES prior to her using her accumulated vacation. On December 27 , 1988 , the Superior Court Administrator sent to MRS. PIPES a written response denying her use of her accumulated sick leave. (Atch 6) 4 MRS. PIPES has been allowed to utilize her accumulated vacation, which extended her pay until January 6, 1989 . (Atch 7) MRS. PIPES was subsequently paid for this vacation time. (Atchs 8-9) On January 11, 1989, MRS. PIPES made a written demand upon the Superior Court Administrator that the Superior Court honor her employment terms and pay MRS. PIPES for her accumulated sick leave. (Atch 10) MRS. PIPES has not received a written reply to that letter. MRS. PIPES has not been paid for her sick leave. $2908 .80 was deducted from her January paycheck as absence without leave (Atch 8) , and MRS. PIPES has not received any pay for February, March, April or May of 1989 . The Court has completed her employee pay records listing MRS. PIPES as absent without leave from January 9, 1989 . (Atchs 11-12) In addition, Judge Minney has advised MRS. PIPES that she will not be paid for any of her sick leave (Atch 13) , in response to her letter of January 13 , 1989 , requesting that Judge Minney process her pay in the normal manner. (Atch 14) Thus, Contra Costa County has breached its employment terms with MRS. PIPES. MRS. PIPES has been bound by the terms of the Superior Court Policy on Court Reporters. When she was ill or taking vacation when her Judge was at work, MRS. PIPES has had to line up her own replacements. 5 MRS. PIPES has complied with all of the terms of the Court Policy. MRS. PIPES had nothing to do with the drafting of the Court Policy. The Policy was adopted by the Superior Court in 1984 . The Court Policy is not inequitable. Unlike County employees who are covered by the Merit System, Court Reporters serve at the pleasure of their judges. They may be terminated without a showing of good cause, and have no right to utilize the County grievance system. County employees who are covered by the Merit System (and judges as well) may be compensated for their accumulated. sick leave by adding it to their service time at retirement, thus increasing their retirement pay. Court Reporters are not allowed to add their sick leave to their service time at retirement (Paragraph 2 , Court Policy) . Thus, allowing reporters to take accumulated sick leave prior to a leave of absence is a method of equalizing the treatment of Court Reporters with other county employees. MRS . PIPES' large accumulated sick leave is the result of her being a conscientious employee who has not abused the use of sick leave. There is no inequity in her being compensated for it. Contrary to the claim of the Court Administrator, the County Policy on Reporters says nothing to limit the use of sick leave prior to a leave of absence to illness-related 6 or maternity leaves of absence. In fact, a former Superior Court Reporter, Richard Lenz i, was allowed to use his accumulated sick leave between June and October of 1988 when he was not ill (and certainly not pregnant) , because his judge had been appointed to the Court of Appeal and a replacement Superior Court Judge had not yet been appointed. The County's own conduct has undermined the position of the Superior Court. By allowing MRS . PIPES to utilize her unused vacation prior to her leave of absence (and paying MRS. PIPES for those vacation days) , the County has by its own actions admitted that the sentence "Any unused vacation . . . may be used prior to taking a leave of absence" applies to her. The authority to also use sick leave prior to a leave of absence is part and parcel of that same sentence. The County cannot claim that one part of the sentence applies to her, but a second and integral part does not, when both parts are subject to the same terms. Moreover, the County Policy also draws a distinction between a leave of absence and maternity leave. (See next sentence in paragraph 3 , which reads: "If vacation is used for leave of absence or maternity leave purposes. . . " . ) In short, Contra Costa County, through the office of the Superior Court Administrator, has violated its contract of employment with MRS. PIPES. MRS. PIPES is owed the 1 7 following sums: January 1989 $2 ,908 . 80 February 1989 $3 , 636 . 00 March 1989 $3 , 636. 00 April 1989 $3 , 636 . 00 May 1989 $ 727 . 20 TOTAL $14 , 544 . 00 In addition, MRS. PIPES is owed County benefits which MRS. PIPES should have been paid during the above period. Two benefits are requested: (1) The County's retirement contribution for February, March, April and May, the amount of which MRS. PIPES does not know; and (2) The use of deferred compensation at the rate of $400. 00 per month for the months of February through May. Claimant L. DOUGLAS PIPES is the husband of DIANE A. PIPES, and has a community property interest in the earnings of DIANE A. PIPES. L. DOUGLAS PIPES, therefore, is a claimant for one-half of the sums due DIANE A. PIPES, this claim being included in the claim of DIANE A. PIPES. All attachments referred to in this section are attached to this claim and are incorporated herein as if set forth verbatim in this text. 8 NAMES OF PUBLIC EMPLOYEES CAUSING LOSS OR INJURY: LEN LETELLIER, Court Administrator, Contra Costa County Superior Court HON. EDWARD MERRILL, Presiding Judge, Contra Costa County Superior Court, member of Superior Court Executive Committee HON. ROBERT MCGRATH, Judge of the Superior Court, Contra Costa County, member of Superior Court Executive Committee HON. NORMAN SPELLBERG, Judge of the Superior Court, Contra Costa County, member of Superior Court Executive Committee AMOUNTS CLAIMED: In acordance with California Government Code Section 910, since the amount claimed exceeds $10, 000. 00, no dollar amount is included in this claim. The jurisdiction over the claim would rest in the Municipal Court. DATE: MAY 10, 1989 Ld DIANE A. PIPES L. OUGLAS PIPES lt}JPt IDT (fmtrt JLuu ^.. M,N�eY 5fat.o r11 d2"ififitntia JUDGE DEPARTMENT 12 ,.- COUNTY OF CONTRA COSTA 415-646-4012 COURTHOUSE MARTINEZ, CALIFORNIA,94553 ' June 20 , 1988 Ms . Elaine Abbott Superior Court 725 Court Street Martinez , CA 94553 Re : Sick Leave Accumulation for Diane Pipes Dear Elaine : This is to confirm that Diane Pipes is transferring 500 hours of sick leave accumulated during her employment at Walnut Creek Municipal Court from September 1977 through July 1987 . Thank you for updating her file in this regard . Yours very truly , 'l C J. C . Minney dge of the uperior Court JCM : dap JOHN C. MINNEY - 5hde af UTlllTilia JUDGE COUNTY OF CONTRA COSTA DEPARTMENT 12 415.646.4012 COURTHOUSE MARTINEZ. CALIFORNIA 94553 December 5 , 1988 Mr . Len LeTellier Court Administrator Contra Costa County Superior Court P . O . Box 911 Martinez , CA 94553 Re : Leave of Absence for Diane Pipes , Employee #32333 Dear Len : This is to confirm that I have approved a leave of absence for Diane Pipes . Pursuant to the rules regarding court reporters , "any unused vacation or sick leave may be used prior to taking. a leave of absence . " Diane will be using all her sick leave as well as vacation time before commencing her leave of absence on May 6 , 1989 . After conferring with her , she h-as agreed to shorten her leave of absence to two weeks . If you need anything further to facilitate this leave of absence , please let me know . Yours very truly , J�irn C . MinneJudge of the Superior /'urt JCM : dap cc : Elaine Abbott Diane Pipes COYMk COSTA SUPERIOR COURT POLICY RE: OFFICIAL COURT REPORTERS 1. Vn Cr Re-,cr:ers shall be entitled to _1 days vacation durinz each cai- ender: :ear, shall be taken at the same time as the juage to whit, :he*: az-- assi:,ned. Vacation may not be accumulated and carried for_,ar_ :ne next year. .he countli will not pay for unused vacac_on upon or retirement of the reporter. In an instance where a jud^.c rices use all of his or her vacation, or noes ncc take anw vacac-, cn, =-a -e-orter may schedule vacation upon approval of the judge. :nen _ _ _n_e is attending conferences , training sessions , or is absent sue t_ 'mess , the reporter must be present for reassizr=enc er may elect to cake vacation. 2. SIC: - ;eocr:ers snail accc:::ulate sick leave ac the race of one day oer manch cf emvlovment. Sick leave may be accumulated ana car- ried :c :arc .._:nout limit on accrual. The count-: will not pav for anv unused sic.. :eave uveas retirement or ocher ce^:inacion of emolovmenc. (Upcn :.c,.=:-an and _Wpiemencacion of this oolicy,, revorters will oe creditzc -_t_. u used sick leave days based upon sick leave usage dating bac:: cc ::,.a ;•ear 1976. ) Upe� a. _rc:al of the judge, a reporter may take a leave of absence without aa- f_. u? to six months, or may continue co draw full salary and 'oe^.e'i_s '_r uo CO six moncas while providing the Court with a re- piacemen: r=_:cr:zr ac their own expense. Any unused vacation or sick leave ma_: be sed prior co caking a leave of absence. If vacation is used for leave absence or mate nit-: leave purposes , and the renorrer returns _: _,.r within the same caienaar vear, the revorter will be ex- pected :_ resent for reassignment (if the Lull allotment of II days vacacicn as *een used) should the reporter' s judge be off any time dur- ing the ret:-inter of that gear. G. SLS' CCURT RE'0QRTER: The re_c-:er of the Presiding Judge shall be designated Supervising Court Regie-:=_r. Reporters not otherwise caking vacation or sick leave days will :e =ecuired to report for work on days that their judge is absent =_..._ work, on which days they shall report to the Supervising Court Reper:zr who shall assign their work for that day. r POLICY RE: OFFICIAL COURT REPORTERS PACE 2 5. SIC:; LEA✓t/VAC.ITION RECORDS : The Court Administrator, with the assistance of the Supervising Court Reporter, shall keep records as to sick leave/vacation accrual and usage for each reporter. Each reporter shall submit a copy of demands relatine to same for the Supervising Reporter. This informa- tion will not appear on monthly paychecks but will be available upon inquiry of the Court Administrator. when a reporter has used the full allotment of vacation or all accrued sick 1,eave, they and their judge will be notified. If a reporter is absent once all vacation and sick leave have been used, they will be required to take the time off with- out pay, or provide a replacement at their own expense. 6. ^r?ORTER'S STATL:S : Upon the retirement of a judge or the new appointment of a judge , it is respectfully suggested that the incoming judge retain the Official Court Reporter of the then vacated department , for a period of time in which to establish a working relationship and to fully evaluate the reporter' s performance. 7. Every reoorter shall tare care of his or her own department corrmiencing at the time the Judae sets his own c. iendar. W'hetner it be 8:30 in the morning or 5:00 in the afternoon, he cr she shall be present for all proceedings assigned to that department until the matter is ccmpleted or his or her Judae has confirmed the fact that a record is not necessary. 8. Each reporter is responsible for obtaining their own pro tem reporter. If one cannot be located, he or she should be present until one is located. November 28 , 1988 Ms . Elaine Abbott Court Secretary Contra Costa County Superior Court P . O . Box 911 Martinez , CA 94553 Re : Leave of absence for Diane Pipes Dear Elaine : This is to confirm that I will be taking a leave of absence in 1989 . The rules regarding court reporters provide , " any unused vacation or sick leave may be used prior to taking a leave of absence . " I will have accrued 628 hours of sick leave as of December 31 , 1988 . This translates into 79 days . During my use of sick leave for January through April , I will have accrued another 32 hours , or four days , bringing my last day of sick leave to May 2 , 1989 . ' Also , since I have only had 13 days of vacation this year , I am taking December 27 through 30 as vacation days . This leaves me with four additional days of vacation , which I will begin to use when my sick leave runs out . I will begin my two-month leave of absence on May 6 , 1989 . If you need anything further from me or have any questions , please call me at 4012 . Thanks very much . Yours very truly , Diane A . Pipes Employee #32333 cc : Len LeTellier /17L� December 19 , 1988 Mr . Len LeTellier Court Administrator Contra Costa County Superior Couft- 1020 Ward Street Martinez , CA 94553 Dear Mr . LeTellier : I was advised by Judge Minney last Friday , December 16 , 1988 , that my approved use of sick leave prior to my approved leave of absence will not be honored by you . I know that Judge Minney wanted to tell me of your position before I learned of it from other sources , but I request a written response from you confirming and explaining your position . The written Superior Court policy regarding official court reporters states in clear terms , "Upon approval of the judge , a reporter may take a leave of absence without pay for up to six months . . . Any unused vacation or sick leave may be used prior to taking a leave of absence . " Judge Minney has approved in writing my leave of absence . The court ' s policy entitles me to use my unused sick leave prior to my leave of absence , and does not condition that use upon the approval of the Court Administrator or any other person . The Superior Court ' s policy constitutes a contractual agreement which has bound me in its terms and has been applied to other reporters . The court is bound to follow this agreement in the same way that reporters are bound to follow it . Several other reporters have in the past utilized the court ' s policy on unused sick leave prior to their leaves of absence . For you to deny me the right to also utilize this provision within the terms of the court ' s policy is a discriminatory practice which I cannot let go unchallenged . I want to give you an opportunity to reconsider your position before _I am forced _to. pursue A, c k 5 Mr . Len LeTellier Page 2 December 19 , 1988 legal remedies to uphold the court ' s policy . These will include a complaint to the State Fair Labor Practices Commission , retention of an attorney to file legal action against Contra Costa County and any officials participating in this discriminatory practice , and a complaint to the state Judicial Council . Since my last work day'-prior to my leave of absence , preceded by my use of vacation and sick leave , will be December 23 , 1988 , I must have a written reply not later than December 21 , 1988 . If I do not receive your reply by that date , I will assume that you continue to take the position that you will not follow the court ' s policy . Thank you for your consideration . I am looking forward to your reply . Yours very truly , i Diane A . Pipes cc : Judge Minney ,�$uyeriur Court State of ( alIfurnin COUNTY OF CONTRA COSTA A.F.BRAY COURTS BUILDING P.O.BOX 1 1 to MARTINEZ CALIFORNIA 94553 LEN LETELLIER (415)64&2356 ESTHER LUTERMgN MARGOLIS SUPERIOR COURT ADMINISTRATOR ASSISTANT i JURY COMMISSIONER SUPERIOR COURT ADMINISTRATOR JURY COMMISSIONER December 27 , 1988 Ms . Diane Pipes 6742 Corte Tercera Martinez, CA 94553 Dear Ms. Pipes : In a letter dated November 28 , 1988 , you advised the Court Secretary, Elaine Abbott, that you were taking two-month' s leave of absence, prior to which you planned to use all accumulated sick leave and vacation time. Although you did not specify a reason for the leave of absence, there was reason to believe that it was to provide you a break from the rigorous court environment while allowing time to pursue private deposition work. I brought the matter to the attention of the Presiding Judge, who convened a meeting of the Superior Court Executive Committee. It was the decision of the Committee that the provisions allowing the use of unused vacation and sick leave prior to a leave of absence was for illness-related or maternity leaves of absence only. In the absence of any proof to that extent, the Committee denied your request. Judge Minney was consulted and advised of this decision, and at his request, this written response was delayed until he could personally talk to you. Sincerely, LEN LeTELLIER Executive Officer LL:cb cc : Judges McGrath, Spellberg, Merrill and Minney *V January 2 , 1989 Ms. Elaine Abbott Court Secretary 725 Court Street Martinez, CA 94553 Dear Elaine: This is to advise you that I will be taking the last four days of my vacation commencing January 3 , 1989 and ending after January 6, 1989 . Thank you for updating my records. Yours very truly, 4O/i, Diane A. Pipes ,4�� 7 PAYEE T" JT` LDLUO` ��2 3n� 12P—R�c�ErL�� No. 22484 DIANE A PIPES ISSUE DATE � 01-10-89 **115994 TOTAL TOTAL PAY TAXES EDUCTIONS NET P Y D E D U T 10 N 5 AMO NT I 363600 72084 15522 11591 4 FEDERAL 4T AX 2706 INGs HOURS I STATE 3610W ADVANCE 1212,00 77:3 8 REGUX� 1212,00 AUTO CHK DEP. 1159'94 CHARITY PLEDGE 2000 DEFERRED CCMP 400'00 DENTAL 101 RETIREMENT(EE) 123,21 I I I I 1 1 I I I I I I I 1 I I 1 I I I I I I t 1 t BALANCE I I I (HOURS) VAC/PTO ACCT -----'---1 X00 COUNTY OF CONTRA COSTA I SICKLEAVE ACCT-- '00 STATEMENT OF EARNINGS AND DEDUCTIONS FLOATING HO L _________ 100 Fw �-1 PAYEE TAX STATUS DEPT. LOCATION EMPL NO. PERIOD ENDING NO. M03 0200-20012 32333 01-31-89 P- 23813 DIANc A PIPESI$$UE DATE ► "YYMY 02-10-89 "12987 TOTAL PAY TAXES DEDUCTIONS NET PAY DEDUCTIONS AMOUNT I 7270 54;62 54271 12937 FICA 54162 I I I I AUTO CHK DEP. 129187 EARNINGS HOURS AMOUNT CHARITY PLEDGE 2040 REGULAR 16000 363600 DEFERRED COMP 40000 AWUP -290880 DENTAL 101 RETIREMENT(EE ) 122;70 I I I I I 1 I I i I I I I I I I 1 I I 1 I I 1 I I I I I 1 I I I 1 I I 1 I I I BALANCE I I 1 (HOURS) VAC/PTC ACCT ---1 b0 COUNTY OF CONTRA COSTA SICKLEAVE ACCT_=_==____; ao STATEMENT OF EARNINGS AND DEDUCTIONS FLOATING H O L _________- :co A k, 9 January 11, 1989 Mr. Len LeTellier Superior Court Administrator Contra Costa County Superior Court P.O. Box 110 Martinez , CA 94553 Dear Mr. LeTellier: I have received your reply of December 27 , 1988 , to my letter of November 28, 1988, addressed to Elaine Abbott. Please be advised that I do not agree with the interpretation given by the Executive Committee of paragraph four of the Contra Costa Superior Court policy re official court reporters. That paragraph does not limit in any way the use of sick leave prior to a leave of absence to ilness-related or maternity leaves of absence. The precise terms of that paragraph apply to my situation. I want to place you on notice that I expect to receive my full Contra Costa County salary for the entire time of my sick leave accrual. If I do not receive my full, normal paycheck on January 25, 1989, I will consider that Contra Costa County and the Superior Court have breached their employment contract with me and are unlawfully denying me the compensation which I am due under that contract. I will then be forced to take the action described in my letter of December 19 , 1988 . Very truly yours, Diane A. Pipes cc: Judge Minney Y_ w J O C3�N W r < Z = .r \luo go bo zw N _ V N od 6 y N ` p fo A Ven 7- V V" W 2 WWW J W m W W Z So 3 0 0 � <6 • 7O ;N o a ¢ Y a. 0 W�, c w W p •.33 W � Ql � W N Y Z 1 � � � Y W i 6 W o U3 M. Z a '. w A fc/v I l EMPLOYEE BUDGET DRG CLASS PERIOD HOU DAY NUMBER 7 3 _UNIT U �' NUMBER L L',U U CODE n J P S 1 ENDING 2 G E3 d 9 COMP -. 00 EMNAMEEE o I P F S E D I A N E A . L C 2 VBALANCE ACAT U O SBALANC EE V O 1_ TIME REPORT 1 2 13 1 4 15 6 17 18 19 110 11 12 13114115 116 117 118 119120121122123124125126127 28129 30 1311 ADJUST CD HOURS 1 HOLIDAY i ON( O SEE REVERSE M i VACATION A E TSICK L' AVE 8 O ;"S `MY W/0 PAY 3 $ 5 5 5421. /3 F MONTH A'ORA HOURS 9 - ABSENT WITH LEAVE 7 ABSENT WITHOUT LEAVE 8 �j Z F OT HEA ABSENCE E OVERTIME T P T A SHIFT DIFF, y I T IR Y j HOLIDAY O/T HOURS (INCLUDE IN OVERTIME CODE T LINE) 6 OTHER DIFFERENTIAL W MPLEASE ENTER DATE IN APPROPRIATE APPOINTED APPROVAL E BOX IF EMPLOYEE STARTED WORK, PROMOTED/DENOTED _ F M PROMOTED, DEMOTED, TRANSFERRED TRANSFERRED_ __ _ _ O OR TERMINATE.^, IN THIS PAY PERIOD. ' TERMINATED VZIO (REV 3/78!N.7JRAL CARO VZIOB(RE',.3/791 vELLOW CARO 0 PARTMENT HEAD &W AUP}IO R AGENT A� G, 12. superior T,our1 JOHN C.MIN NEV �1Mlf o Ll aliform( JUDGE DEPARTMENT 12 COUNTY OF CONTRA COSTA «.... ., 15 415646.4012 COURTHOUSE `' v MARTINEZ.CALIFORNIA 94553 January 19 , 1989 Ms . Diane Pipes P.O. Box 942 Martinez , CA 94553 Dear Diane: In response to your letter of January 13 : 1 . I cannot process the card you sent me until the end of the month when it is to be turned in to the auditor. I will do it at that time. 2 . I have verified that you had four days of paid vacation coming as of January 1 , 1989 , and I will show those as being used by you on January 3 , 4 , 5 and 6 . 3 . I will fill out all the remaining January days as "absent without pay" and "absent without leave" , since the Court has refused to allow your request for four months of sick leave, and you have not requested any other form of leave. 4 . I am advised that there will be no check for you on January 25th because the policy of the auditor is not to pay vacation days on this "advance" date , but only at the end of the month check on the 10th. Please let me know as soon as possible if you intend to return to work, and if so, when . Yours ver truly, , 1 J,Qhn C . Minney Xrior Judge of the S Court JCM: mjb A4<..,k 13 January 13 , 1989 Hon. John C. Minney Judge of the Superior Court Department 12 P.O. Box 911 Martinez, CA 94553 Dear Judge: Enclosed is the pay card which the Court Secretary's office sent me for my January 1989 pay. Please sign this card and send it inter-office to the Auditor as we normally do. Thanks. �,( i /%•jam,�.i enclosure L � 4 Y q N ♦ 'Y' q r > 3 0 U � q v W J ¢ � a O r n � � V l 2 .n W 7 ¢ W y+ y ,�+ ♦ N N 1 O N w N t O V N i O_Z W Z 2 .- 6 W Yq N UQ W , f t 't W Y O ¢ z a -r J r O O N � ✓ � p W�" ¢ .- W CD OD M. �. � o '.r. s '� z r c w w ✓¢ w w k CC w a . M: fl W o m T w ✓a r N a W O T P W W ff WXr o-a of r CLAIM7j •,,-ff�' 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 June 6, 198 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: $2 , 307 . 50 Section 913 and 915.4. Please note all ings". my CLAIMANT: FARMERS INSURANCE a j,1 004ns�! P. O. Box 4035 ATTORNEY: Concord, CA 94524 Date receiveda 'he2, C 1g9 ADDRESS: BY DELIVERY TO CLERK ON May, 8 , 1989 '� 9 - BY MAIL POSTMARKED: May,=/.4, 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: May 11 , 1989 Jy1L BATCHELOR, Clerk �� Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: S I I5 11 BY A Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Adminis rator (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. Dated: np� JUN 6 1989 PHIL BATCHELOR, Clerk, /, Deputy Clerk By 0 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: JUN 7 1989 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator FA. Instructions to Claimant%•erkoftheBoard M rtine2,Calitomla 94553 Claims relating to causes of action for death or or injury to person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911.2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, California 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. . E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end or—this form. RE: Claim by )Reserved for Clerk' stamps RECEIVED Farmers Insurance ) P.O. Box 4035 Against the COUNTY OF CONTRA COSTA) MAY 89 Fk1 ATC or Mt. Diablo DISTRICT) Roos NT 7A C (Filln name a ... ... ... The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of 52 , 36.E _ 5n and in support of this claim represents as follows: l. When did the damage or ln3ury occur? (Give exact date ani fiourj 0.3-24-8.9 05 :10 a .m. �. W�iere $id tFie damage or ln7ury occur? (Include city and county Intersection of Cowell Rd and Ygnacio valley Rd. Uninc city_ -�------------------------- --------------- - 3. How did the damage or injury occur? (Give ?all �etaiis,-use ext=a--. sheets if required) 1 „ Our insured Steve Sternberg was w/b on Ygnacio valled Rd in the left lane traveling at 50 mph when he hit a downed light pole, 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? Downed light pole in middle of road. (over) - g employees causing damage or injury? unknown 6. What damage or injuries do you claim resulted? ZG�ve full extent of injuries or damages claimed. Attach two estimates for auto damage) $2,307. 50 'tota^1_ loss, of automob.i:le ------------ ------------ -- 7. How was the amount claimed above computed? (Include the estimate amount of any prospective injury or damage. ) See attached -------^-- ^----------^----------------- - -- ----------------- 8. Names ani addresses of witnesses, doctors and hospitals. �. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 4113189 Total loss of automobile $2,307. 50 *****A+kAf1**frir****f1R****1t*ftttlk*t►Ott*tA6rtRRttFltt*4t1E**At►�t1tf1F1tit*1r*RRfAf�fr#*!**ltir Govt. Code Sec. 910.2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " Name and Address of Attorney FaFr-¢'�rte` A„ .-- Claimant's Signature Ad ress rn 24524 Telephone No. Telephone No. (415) 627-1186 +r*t•tt,t«#a««t**�r*,t,t**tr*,t**�*,e**�c**tt*tt***�*****,r***t*t*�e:+t«�t*f�*t*t:*t,r**t,r NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher , or writing, is guilty of a felony. " _ '` tt}rr"", 'a'tr' r :'>,r'ti s 1 .J,n, oy',,i Nµr,a'*. ''.. ["• t' }"��,,�,.��',,�1rz %,r^•p'.i;.1 - X A fJ4:rh t A=J °b 4StZTi t±�,}y't', 9 i••+ eA3 1'� :' Y. i']"yf..(?.4"A[<`Jr'.""i^Y y 3n'.,'TL(. aJ.rq{♦i 2^ ir>.ry*t. i"taFV r r K 4•r 5Y TI T.TrH,ci as. 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Date of Loss Complete Vehicle Identification No. 9 1 D 7 ' ► Fw Z S- 6 '7 32 31931 N-0 VC.i A 35 3o fuZ VEHICLES EVALUATED Loss Vehicle Vehicle Evaluated Add or Subtract Number of Sources Used to Select Settlement Vehicle, 'ice S VO�V o for Difference Year and Make- - ----- -- -- ------ ----in Condition----- Comparable Vehicles -- - ---- ---Dealer Quotes_ -.- - Model No.Per Guide L'd r or Equipment Used Car Guide used a Body Style I(p tq Name t Type of Equipment Type of Equipment of Sources and Condition and Condition RR and 2• �si�. .y � Vehicle Sale Price Phone Its 3 Mileage Comments&Explanation of Settlement Engine NL' Transmission Pow&Steering AirCondition--- Metal--- Interior - -�-- - - -- --------- Sheet:Metal Paint-----. - - �) �-- --- - -- --'- - - ---r---_.=- '_- -_---- - Interior Vin I'To _ Stereo Wheel Tires-.' Recondition' S qCC (rte Ff -- - Se'ttlem@nt Compora6leCar ❑-Di-olerOuote t Actual Cash Valve of Loss Vehicle Z 150 Based on �❑ Used Car Guide wMarket Valuation Service SALVAGE REPORT -Add Sales Tax S PHONE SALVAGE BIDS BCO Settling 0 S g Lic. &/or Transfer Fee d Buyer Name Bid Amount No. No. Loss of Use Advance Tow Wearing Apparel Storage/Day Less Salvage Service Char Less Deductible S00-`D Est. SoIvag clue Amount of Draft ) 0 Location of Salvage Upon Inspection Name Address Phone# Salvage Released to: Name CR BCO Name # Address Phone#� Phone#/ ID -7 �� Dole y- /7- b`2 Release Date Sole# Stall .. BCM or Re orted toSCo` ny Reposed to 8� Assigne to i BCS - �- 0""( - Z(Z.'b� i/- I' �� Approval MICHAEL DATES Assigned to N.A.T.B. Assigned to Vendor or Buyer Los Settled , y APR Date 25 ',• B.C.O. COPY 3-W37587'11001 2001ST'PRINTED-IN U:S:A:- - - - - - - -- --------- - --- - - 1�_ [ii. 1 �•q• r sa � /1 t«.-. I s 1.. ,, .ems �•. w � r i }c 1 a n ) x�1 -ygvS:;•.t �9,�'�{.;1'w.kx,w w;Y�Ci. :. .:'.r.. 4...� '�!^' . yl A[ ISS... i•i44 rYr j ,� '. f 7 Y 4- SPSCTAL CpprIDNt• MIIMtt0m an ASICIAL ow"Wr MEMIER iNc r v►Aato winEDGOWN REPOIMNO DOTSCT .SAT 3_�88 1 13 CbwiaA Cosm YS vv OCCUMED ON DAY Tun now" him S til aZ o _V. --R ----- - g 051a 320 O Mw ATOPIN TMAWAV NOTOORAMNION:Y— FWfM M CP" OST CE II IA T Wl?bS tain Doc j ATMWECRDMwRTI WAn Rn IIEI Oft RET/MILIS Of C6WE4l- Rfl G/J El Ts Rj to mm PARTY GIDVER'SUCOSf MIA01m STATE CLAN MDw. VEIL VOL MARE/MODEL/ODLOR LNOISS NIM.M R I U 10 17S [A 3 G yS VoNa - 'Y;j — QRo� ,r /EKSYY/ GQ OW V% WASS(RRAT.MWA LAS) • S - r 7 SAFFN Mg* WREST ADDRESS OSRAERS ISYS &ANIS AS DRWER O 1 'ortecoti. c7 PAFAMD Q ATEIZW DYNSADDREMS SAMEAS DBMS VZONCLS D. we v c#q- -9s!S Z/ oom Sim Kmmg NEIDm wowrt, M0. YI n"T9 SAY • TIERS WC/ p89WnDMOP NRIIONOIOip gA oF11cE71 ®DISVEII orISR M 73RN 14441S-91/Axo N r w,. - . on" . RdIM SHONE .UAOSS MON. PRIOR NIECHUSCAL 0E/56T.: ROME APP~ RERIITOIIPMATWS �o:T DEttl.p YOiLt DAYAW . . SIMDINIMAYA ANKA wwR.NCE —•.-6^/yE�uer rNOR- &10-7/1 ZS / '- "_.� .. p/ ®11D° NIAAOR OrorK .. •. _ luvw _ ALOS JON.TRUTDNMONWAY.-- MEED SCI '- ._-- cc- O-- -- - -- - - - --- - GJ IYGAJACIO Vg/!G)i. PO ' 13 PARTY DIDVERs tCHiB[IaINI.OI WAn. Cup SAim VOLrR. YAR/MOOEI/COLOR _ UDiNSt InRIDIR WArS SOIO. mv= SAW(PUSSY.Moftlo LAST) /®EF .MEITADORE85 oER/ERS WrS. IAYE AS ORNEII .r ..< MIIKED GTOIRATIInP - OWS"ARIDNESS ^�Wf ASDOVER . vEMCU � SCT• SEE MA111 ErEB IISDIIT WMQMi NUMDATE RACE OOPOSRON of vtw-m ON OND(RS OP.. .' Oi1 01 OISVIN 071Ef11 USE Ya oAr_ = reAR ❑- - ❑ _ ❑• OTHER NoYESIO/a SIRIOfSS PROM:. ,. . ._........_ PIOORMECMAP.CAL&AIIXft -,`._._ .- IDIQAMARSPIT -._ NUMATID AORRAIIVI ' ❑ ❑ _. /. ._..__)�._•: _ YEmp Use ONLY MCLI TTM OESCMUVINCUDAMAGE .MADE M DAAMOED AREA SSUTANCI CARRIER _ _ -`--- Poucr MlRNtW, _ .QI.R-13NDNE '[:]IOgR -' -- -- '. MAJOR EITOTAL DI OMOP:. CMWIMLTORHMWAT - _ .- .PEW Sep .._. - Ex Q - - TRAVIL - `LIET PUC O _ cw PARTY aMrER.NIDENf[wx.ER - WATE "ASS I.ADEN VtKV% .YAKI JIwo aICOl011 ICOSEIIIrfR WATT Saw. 3 ' OWES HUM MAW,MIDDLE.LAST) • .• •_ . \ .• PE055. MW ADDRESS ovolummUE D&AYSASORIVSR MAN 13 PARKED CIT'I STATE ZW OWNER'S ADDRESS SAYE AS DRIVER . VEMCLE 1J ENR'. SEE I IL•-:. ETES "W"T WIDOW 40TH"TE RACE MSPOiMDN OF VEMCLE oNO11DERS opt DOFICER DDMIN DOTMER CLOT 00. OAT • YEAR ❑ G"" /DYE I/DNI DUSDOSSPMDME I NO II MICMAMMALOOFICTS: NONEAPPARMR REFERTOISRRATIVS ❑ ) .. CMP an ONLY DSSCI�.E WIMPLE RAI" SHADS N DAMAGED AREA DSUAWN CARR POLCTRIWE/ • _ IML IIOIM NM1011 ORW GN.IIMQTOR MOlrAT APSED ECP �.-..,t,. y ICO -y r•�'.t w 7- !'.K�i.. -*':s C.s. ' W , SOD.. -^.! ' r},t k � k ""�rtL4- +•„£iijt. r.n. t�. .11 � r- a r»�018,•PATS�M'1 NOTFFA I I. _ � . L YO C3, CHP }, M' f/ .,.La-it rs'I,tyl /^>•.Wl''�„•s s. .yl--s P"" { •^t'. �;:., relg 'r. .r. ri .4++@ y._ ...Y. ,,.ult._ . ----- 3 . OA. 2 8 OS o 9.32u 3 i 3-38 DAMAGE 'C C C ®� ON* It-irmC 47p �I . SEATING POSITION OCCUPANTS SAFETY EQUIPMENT MICI6=5.HEI uv► EJECTED FROM VEH. 1-DRIVER A.NONE IN VEHICLE L-AIR BAG DEPLOYED O.IIDT EJECTED X TO 6•PASSENGERS 8-UNKNOWN N-ARI BAG NOT DEPLOYED DRIVER 1-FULLY EJECTED T•STA.WOK REAR C-LAP BELT USED N-OTHER V-00 Z-PARTIALLY EWLIED 6•RR.OCC,TRK-OR VAN D-LAP BELT NOT USED P•NOT REGIARED W-YE8 3-UNKNOWN 6•POSITION UNKNOWN E•SHOULDER HARNESS USED 1 2 3 0.OTHER F•SHOULDER HARNESS NOT USED CHILD RESTRAINT PASSENGER 456 0-LAP I SMOULDER HARNESS USED 0-N VEHICLE USED X-00 N-LAP I SMOULDER HARNESS NOT USED R-N VEHICLE MOT USED Y•VES 7 J-PASSIVE RESTRAINT USED S-N VEHICLE USE UNKNOWN K-PASSIVE RESTRAINT NOT USED T•N IMPROPER FROPER USE U.NONE N VEHICLE ITEMS NARKED BELOW WHICH ARE FOLLOWED BY AN ASTERISK(•)SHOULD BE EXPLAINED N THE NARRATIVE PRIMARY COLLISION FACTOR lST PRECEDM NUMBER OF PARTY AT FAULT DEVICES 11. 2 3 �� VEHICLE OF 1 2 3 � SION A VC SECTION VIOLATED: ayon A CONTROLS FUNCTIONING A PASSENGER CAR I STA WGN. -COIUSfON E3 No III CONTROLS MDT FUNrTIONNG• B PASSENGER CAR W I TRAILER A STOPPED 1 MER IMPROPER DRIVING• CONTROLS OBSCURED C MOTORCYCLE I SCOOTER B PROC®/NG STRAIGHT D NO OORMoLB PRESENT I FACTOR• D PICKUP OR PANEL TRUCK C RAN OFF ROAD j C OTHER THAN DRIVER" TYPE OF COLLISION E PICKUP I PANM WA w I TLR D MAKNO RKRR TURN D UML40w • A READdM F TRUCK OR TRUCK TRACTOR E mum LEFT TNN • E ASLEEP• B SIDESWIPE . G TRK I TRK.TRACTOR w I RA I F MAKING u am j REAR END SCHooLBUS G BACKING WEATHER I MARK t TO 2 ITEMS D BROADSIDE I OTHER BUS H 8t016M1G/B110PPBq _ A CLEAR HT OBJECT J EMERGENCY VEHICLE - 1 PASIBKL OTHER VEHICLE j B CLOUDY rFovERTuRNw K NwY.CONST.EQUIPMENT - ..-I J CHANGING LANES ` - C IUUNNO--- :_ - - G VEHICLE I PEDESTRIAN.. . - -'-- .. - L NCVCIE I K PARKNO..MMIELm -- DSNOWING -."---- -'-- -- OTHER•: -- -' ' --- MoTHERvmU --- -- — - __ L ENTERINITTRAFRC - E FOG I VISIBILITY - FT. MOTOR VEHICLE INVOLVED WITH - - - N PEDESTRIAN M OTHER UNSAFE TURIOKO F OTMFA't A"mccuism .. MOPED - N XIB INTO OPPOSING LANE G WHo B PEDESTRIAN" O FAR ED - LIGHTINO C OTTER MOTOR VEHICLE - - P MERIIIG = A DAYLIGHT MOTOR VEH ON OTHER ROADWAY: OTHER ASSOCIATED FACTOR 'Q TRAVOlNG WR010 WAY B DUSK•DAWN PARKED MOTOR VEHICLE 2 3 �N TO:rtEA1B) R omme - C DAMN-STREET LIGHTS F TRAIN . •e:.. A Ye Yt:YI6HH YIOLAYI6Ha tlT6D - D DARK-NO STREET LIGHTS Q�BICYCLE __ �Tn ' - DARK. STREET LIGIITBNOT ANWLt _ _ - BVowCnbN FUNC DW ROADWAY SURFACE 0m oar I C wCOOM a n. 1 2 3 rraeLTToaLrmBl B WET - J OTHER OBJECT: �1D j, C6Nowr:IcY------- — _ D_ AGHADMRDTBEHNORNKLTIO D SLIPPERY(MUDDY.OILY.ETC.) I e. E VISION OBSCUREMENT: B MBD-NOTUNDW INFLUENCE -3 8 F INATTTEHTIONM C KBD-MOT IRIDBI NFw ,ROAOWAYCONDITIONS C _. G.STOPN4.ao lTHlLRLC,_..-._-- ._, DiKBa-RLPAIRMBR UMI• MARK 1 TO 2 ITEMS) ~PEDESTRIANS ACTION---` — '- E UNDER DRRIG BfLU.• - - A NO PEDESTRIAN INVOLVED H ENTERING/lFAV6KG RAMP F KMPARBBIf-PlIY61CAL• PREVIOUSCOLLLIISGION A MOLES,DEEP RuTTK• B CROSSING N CROSSWALK I UN6AMILIAi11MTH ROAD G NPAtRIBIT NOT KNOWN ! B LOOSE MATERIAL ON RDWY.• AT INTERSECTION VHl -: amb H MDT APPLICABLE C OBSTRUCTION ON ROADWAY• C CROSSING N CROSSWALK-NOT KIDEFEcTIVEQYM1 I I SLEEPY I FATIIIED D CONSTRUCTION-REPAIR ZONE AT INTERSECTION CPO SPECIALNUORMATION E REDUCED ROADWAY WIDTH D CROSSING•NOT IN CROSSWALK I L UNNVoLVED VEHICLE A wzARDOUS MATERIAL F FLOODED- E N ROAD-INCLUDES SHOULDER I M OTHER: G OTHER•: F NOT N ROAD I N NONE APPARENT `. H NO UNUSUAL CONDITIONS G APPROACH I LEAVING SCHOOL BUS 10 RUNAWAY VEHICLE aKncH � ' TAsc[uANrou. 071 ycn,RclO VgLliy ( , RO �wo.wAn I . OAP 4V VN. 11.•1sa .r.tt• ...est. .. .r.�.• ..tt VIL S9 •, ALL Y,A,YII,Y,MTt AO, APPMOX1Y ATC AMC NOT TO KALI UNLCOS STAttp 1$CALt . 1 YG-MACo V^ t, EY 2oA13 p . I� a.A 12 �f 131� 11, �" ..... -.. Lf/T . *w/owPL GAMY I 4wi i111M�OEII - 1 �It ItIf lot logo 2.1 - - — - - - - - - -66 -- - -- - -- - - -A-'- -N/t-- - I SELL (Z .I Cpm T" 01 A mamma 3.1 •" ,. , ---------- ---- - - -- -- - � .:. . ... 1......_._�i� .. -- "-=---- -.. ...r• _._.._..-___.ter_ � i cw► fN IAtt 1-vol ... ., .Wr 611&i Y Y AiIt-/ -W+Y-Y'Ii.IL':Y'QY VYr1 '� �pE87 aArca .a«3 - v= 8 olio 9 3 - Off""`O83✓ A ^✓row '7 oN! TT7lWPPLDlWALrWAMJC { EAA np %~TM t ay �OM� O MNPMTR ❑ FATAL ❑ NR Arun L-MaTE „�"\SLOMM WAL 0 OTHER a momwDomm"Twou a CNOOLEm ❑ OTHER CRY/C011NTT/AJOCCALOJSTRIGT REPORM4DOYMC10MAT CITATKMkU NA LOCATON/SMECT STATE IEONWAT PELTED TES MO C l�CE/VEP A CAU OF AP #9ccivc--mrwtrW 00jo DcrWla A V SCG+ E A ARftX QS?XAWo- 3. 4.SCg"C W Q YGMAC)o VAUGYYR 1f 0137/0N /S A W ! ' 6. LUIZII V(SAJACID VAUIPYRD F N ECco"Moy-wo 7. 7PAMC S 4!' T? - T t7 6 ONO 3 UGNN- 8. AAOP , 12. -O - MOM Mr 4F /c CG 14. SC - i -- S ( ') _ 771 V-1 16. 18. 19. FAMAI, 11VFQPMA71t7Aof --W- O V-1- - A - I- - f_/en 20. CAQ11icCE F 21. 22. S ONE 23. 4 5 - F --r -/ SrgSzoqnsp7 25. E &ASS Will O CJ► AP U rMr LE- E 26. Pr sornpq WNEK! FPLC Oc P SAMSAI C.7 i So G% 27. T.y S N ZME ROAD N4' f M R0 ccao 28. - AcI7 I Kc+ E �'. 29. 30. 31. ev. -87) aJ f< .a..r GHF`"G 4`.w✓.er - `ip�+�.. _ Q7-46311 .r'. ....r -yr .u::r.'.• PAGE.� BALD. MUMKR � « Oslo -3ZO 3-388 'XE�ON�E 'R�.q.�//E TYPE EUNlE1�LIffKrX ANEX/I�q "*ATM IYI R� 0 "UPM" O PATK ❑ IREWNU/MTE OEUPP EWWAL {❑ WMA 0 ONZA0 I"NATEIYNM ❑ iMOOl11M ❑ arm* CITY/COUMYNUW-UDWMCT RF.P'ORTIND O■FJCT04CAT OTATION NUMBER LOCAT"ISULECT _ EfATE WO/TNAY REUTED CI YES NO 1. QPI 1 JRAJS RNO CO"CCtASIOWX 3. Powr of mmeacr : xV ZW 'K W of AC/ LLC= 4. E INTMEC77W Wad Couarm %a ANP AM&QX '27&1- 6. 7 E C/ 1/!allr rZ i S 1 t . 7. 8. R v - ° o u RD /lvTE 9. OJ L > u 10. -- - - u E'. Y-/ SMCK PAJD N OIJ&77 A - C- R =lis _ o .7,_ . 12. "/Zn ve- 13, E I�F WW� ra�O-� bePJVCKeQ oDOWAJN A MIOA C CClt/ ►J i 14. C c 3-387 16 C E oF rWl-r Acct-u7-I l A L R mcculawx c v - X3-37. 18. �A 19. - _ -DAllcw-r." 20. - 21. 22. 23. 24, 25. 26. 7. 28. 29. i 30. 1 32. E o ZLEE - CHP 658(HoW.7-07)UPI 042 .: 87 46312 C) o 0 13 0 Cl 50w do `d G � � n is Z tZ, N Z9nm CP s s ° O a,os W '^ tv too o � pa N �M N n ;tto FZ m un p` cn u o W N O M h O i O x Y n x � l 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 June 6 , 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: $160 . 08 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: TE PHO.CUSTOMER STOMox 6 COMPANY co4hty Cp ATTORNEY: Benicia, CA 94510 Date received Ma 5 , 444 '9�L� 1 �9�9 ADDRESS: BY DELIVERY TO CLERK ON y 2 BY MAIL POSTMARKED: May 4, 1989 9553 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. May 11, 1989 PPHHIL BATCHELOR, Clerk DATED: BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: Deputy County Counsel —Tc III. FROM: Clerk of the Board TO: County Counsel (1) County Adminis r (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOA�R/D' ORDER: By unanimous vote of the Supervisors present (a() This Claim is rejected in full. Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. e Dated: JUN 6 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: JUN 71989 BY: PHIL BATCHELOR by lez � Y Clerk CC: County Counsel County Administrator Claim tA: BOARD OF SUPERVISORS OF OONTRA 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 19 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.) 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 oforrm. RE: Claim By ) Reserved for Clerk's filin st The Customer Company ) p y � IZECEIVED Against the County of Contra Costa ) AY 1989 or ) ' AT l C RV District) qr4T,.s . , c . . . ......... .... . Fill in name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 160.08 and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) April 12, 1989 5:40 P.M. ------------------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) Food & Liquor #78, 81 Center Street, Pacheco, Contra Costa County, CA 94553 ------------------------------------------------------------------------------------ 3. How did the damage or injury occur? (Give full details; use extra paper if required) see enclosed letter. ------------------------------------------------------------------------------------ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? see enclosed letter. (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? Officer, - Deputy Dempsey Report #89-9413 ------------------------------------------------------------------------------- - 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. see enclosed letter ---------------------- ---------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) see enclosed letter --------------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. Mike DiLibero, 327 Magellan Avenue, San Francisco, CA 94116 John F. Roscoe, 4457 Park Road; Benicia, CA 94510 --------------------------------------------------------------------- -------- -- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT see enclosed letter Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: ' (Attorney) or by some er n his behalf." Name and Address of Attorney 'Q� 10'00 / Tai S' tore Address Telephone No. Telephone No. * * * * * * * * * * * * * * • * * NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulenti claim, bill, account, voucher, or writing, is punishable either by imprisonment n 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. . Sheriff-CoronerContra Richard K. Rainey SHERIFF-CORONER P.O. Box 391 Costa Warren E.Rupf Martinez, California 94553-0039 Assistant Sheriff (415) 646-2402 County Gerald T.Mitosinka Assistant Sheriff Rodger L. Davis Assistant Sheriff April 27, 1989 Mr. John F. Roscoe The Customer Company P.O. Box 886 Benicia, California 94510 Dear Mr. Roscoe: Thank you for your correspondence of April 24, 1989. The Sheriff's Department always appreciates an opportunity to investigate a citizen's complaint and make adjustments which will result in an improved level of service to the community. I have alerted Captain William Shinn, Commander of our Patrol Division, of the concerns expressed in your letter and I have asked him to review these issues. A representative of the Patrol Division will be in contact with you soon. Pending completion of our investigation, you will be provided with our findings and advised of any corrective action taken in this matter. Monetary claims against the County and the Sheriff's Department have to be handled in a specific fashion and in that regard I have taken the liberty of enclosing a claim form. Directions for completing and filing this form are included. Sincerely, WARREN E. RUPF, Assistant Sheriff WER:mjf r .,AN EQUAL OPPORTUNITY EMPLOYER IT 42 April 24, 1989 t Sheriff Richard Rainey Contra Costa County 651 Pine Street Martinez, CA 94553 Dear Sheriff Rainey: 81 We operate a grocery store at 65* Center Street, Pacheco, California. This store is in the unincorporated area of Contra Costa County. About 5:40 P.M. on Wednesday, April 12th, the State Highway Patrol shot and wounded a man on our property. Shortly thereafter officers from your department commandeered part of our property, blocked off our access from Pacheco, and took possession of our gasoline operation. They remained in possession of our property until after our closing time at midnight. Our store sales were adversely affected. We made only two gasoline sales just before closing. At no time did your officers ask for the use of our `property. They were uncooperative when we tried to get them to return our property. They told me they would arrest me if I went to the blocked off portions of our property. We are certainly willing to cooperate with the law enforcement organizations. On some occasions we are willing to let them use our property. We expect to be asked for our cooperation and our property. We expect this use to be for a reasonable length of time. We expect our property is to be returned in good condition. If , the property is to be used for more time than is reasonably necessary, we expect to be compensatedfor its use. None of these requirements were met on the evening of April 12, 1989. We were never contacted by your department. Our property was seized without our permission. We were not informed when it would be returned. Your officers were abusive to us. The property was kept an unreasonable length of time. We expect to be compensated for our losses. Attached to this letter is a billing for those losses. Also attached is a sheet showing how these losses were calculated. I hope that your department will change its policies, procedures, and practices so that the taking of private propertX is handled in a more professional manner. The seizure of private property by government cannot be taken lightly in a free society. Your*. Jery .truly, John F. Roscoe • j4 /cc COMPANY, P.O. 886 BENICIA CALIFORNIA 94510 TEL: 707745-6691, FAX 707 746-0/ THE CUSTOMER COM .O,,BO ,. ( ) ( ) Bill to: Sherriff' s Department Contra Costa County 81 ' Loss of margin dollars for SSfr Center Street, Pacheco, California 4-24-89 Please remit to: The Customer Company 4457 Park Road Benicia, CA 94510 Computation of Loss: 4-24-89 Store Loss: Average daily store sales three previous weeks. Wednesday 3-22-89 ' $4,486 Wednesday 3-29-89 $4,403 Wednesday 4-05-89 $4,471 Average store sales for 3 preceeding Wednesdays $4,453 Store sales for Wednesday 4-12-89 3,956 Difference 497 Times Gross Margin Percent . 22% Net margin loss from store sales $ 109.34 Gasoline Loss: Average daily gasoline gallons sold, three previous weeks: Wednesday 3-22-89 $3,542 Wednesday 3-29-89 3,496 Wednesday 4-05-89 3,492 Average gallons for 3 preceeding Wednesdays $3,510 Gasoline gallons sold on Wednesday 4-12-89 2,035 Difference 1,475 Gasoline margin per gallon for 4-12-89 3.44 cents Gasoline margin dollars lost on 4-12-89 $50.74 Total margin dollars lost by 4-12-89 condemnation $160.08 vyvyvvvvyyy y'IteuS m t't 18ti� Ory r f f i O / •r Z71 > C N � Q ^ N � C1� M i LC)mV � +, M N w 4— O `^V YM O � 'Z' N tV OO '7.••a 4, c� cLO RECEIVED MAY 51989 FH,i BATCHELOR CLERK BOARD OF SUPERV;SORS GOt'TRA COSTA CO. 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 June 6 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: $889. 75 Section 913 and 915.4. Please note all "Warer' s". CLAIMANT: MADELINE RILEY ��c� nty L'OunS�' 1215 Wanda Street /Ay - ATTORNEY: Crockett, CA 94525 Mai 11.9 199 ADDRESS: BYtDELIVERYeTO CLERK ON May 3 , 1989 n�z C'q 9�ta _ u� BY MAIL POSTMARKED: May 2 , 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: May 11, 1989 PPHHIL BATCHELOR, Clerk �. BY: Deputy ' L. Hall II.\FROM: County Counsel TO: Clerk of the Board of Supervisors N ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: It �g 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. JUN 61989 �� Dated: PHIL BATCHELOR, Clerk, By ��"_ , Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you Should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JUN 7 1989 BY: PHIL BATCHELOR by r 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 naive 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 forma RE: Claim By ) Reserved for Clerk's filing stamp Against the County of Contra Costa ) or , District) Prim Tc °FHv FIS Fill in name ) 0ut , v .The undersigned claimant hereby makes claim against the County of Contra Costa or theabove-named District in the sum of $ 4559k 5-� and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) ------- 4r-if- --S=°`�-P'm=---------------------------------------------= 2. Where did the damage or injury occur? (Include city and county) �i /d ------------- ------------------- -- ------- ---- - }----- - =f -J- n 3. How did the damage or injury occur?- (Give full details; use extra paper if re uW -At-;64" Z fie%/ fv 7%e- 61leuhd. .gin Y_ 4. What 'particular act or omission on the part of. county or district o�firs, servants or employees caused the injury or 'damage? �/ 4! �" C, 'e, !7 s __9 , i! I/v u 1S( 1095 �i bL' / nc3 blele /�ics jZe�7 (over) 5. What are the names of county or .district ,officers, servants or employees cabs-Ing r the damage or injury?, a% dt6-xepurnp/z 5: 'What damage or injuries do you claim-resulted?, . (Give full extent of injuries or damages laimed.' `Attach�wo estimates for auto-damage. �pTY fi e % �>,.� �f '�y!tk1� �flo ;�d/`ice 1�ite_ � �f /s T a� 4M �2 `�ztYe1� 0 a r ✓v r% 14aW AL4--,_ 1 _------------Zme-i 7: 'How'was the amount claimed above computed? (Includg''the estimate amount of any prospective injury or damage.) cl2iv,,, „yr.ysP�•�t1ras l Y-b jwo ac1. 0 o.� <cr - 4. 6tzxs ;C AlP�elau - --------- 3- 8. Names and addresses `of witnesses, doctors and hospitals. Of _e v7r I 9. List, the expehditure7you made on account of this accident or injury: J DATE d . . ITEM AMOUNT �Ily � �c,$'l�txal /i�, fi9 d/Ll//°�. hi2ilo /�[sz��uSwo.4e:z .•»i'ssep/��/S•cb X 61•[.L-s ' 9 .00 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 Si ure .. . .,. (Address) 9f� Telephone No. Telephone.No: (�/S� 7S7 `3:3697 **F BF * *_ 4 iF 0 T�I CJE PoIng ©' 6� 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. p1NK=PPTiEN'i CAt•1AR�UStR1P� � , wN:W0WTe_k-OGA'RON ' RR 671 DISOUS10 tz N N N N Z Nom. Cn 5• Q' N OG ... IGGGns.. a N m CD m N -n r ' a o r' �� 3 o m w m. m ? ° _ v� o m p 7 tO �p o x X05 O N O 4 f. O N 0 p q a a 3 N N tD n N - o o O G N O O ... N N a. < "N -i N N O 7 j ?.. P, A O % rt N n m 0 "F, a �a co O O6 ` 0 G ?S �y N n 0 .. N 6 F n O ffN N m'm �� m �. � °� �y p � ? N n < v N A "Q ' ° V N O CD 0 2 CDD v z. O cNi O r 4 p F G 6 G 1 �. CD 0 p5E' N �• O 6+ i0 N ; �- �-�� 0 r a r n� 0 �-_r �. ,=-1 N 00 mssCD . OD ;A O Z1 �0t:r CD 01 �� G c• N ll �J0 O t� N rn r. C Lq -------------- 4.4 N� 4i. .,j R•. i, N D et tt C LA . N xxaLo LJ kl� •� � �_ w o r CPQ` -- � ��,�' • t!: w N-n T IIr 15 r l puwcrl I '•> � CAI jL+ { sc WNi 12 >z A a cr z V m Bank of America Mira Vista Branch April 28, 1989 Mrs. Madeline Riley P.O. Box 292 Rodeo, CA 94572 Dear Mrs. Riley: Following is a list of the days you have missed from work due to your accident and the total weekly gross salary lost: April 17, 18, 21, 24, 25, & 28 May 1, 2, & 5 $263.25 I am expecting you to return to work on May 8, .1989 to resume your regular teller duties. Sincerely, Mike Kloski Assistant Vice President Manager Branch.Operations MAK/me Bank of America National Trust and Savings Association 4800 MacDonald Avenue Richmond, California 94805 i t � gpb q rd �d Lld (' 1, �� CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA r . r Claim Against the County, 'or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT June 6 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: $500. 00 Section 913 and 915.4. : Please note all "4lavnings". CLAIMANT: MARZSIGA 4KCenter Avenue p !yq},nty c��ns�j ATTORNEY: Martinez , CA 945531219 Date received �@2 �9 C� ADDRESS: BY DELIVERY TO CLERK ON May 8 1989 3 BY MAIL POSTMARKED: May 2 , 1989 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. May 11, 1989 PPHHIL BATCHELOR, Clerk DATED: BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors � ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: is 7q BY: I Deputy County Counsel -I U 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 ( too) 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: JUN 6 19 np�, 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: JUN 7 1989 BY: PHIL BATCHELOR by Oe Clerk CC: County Counsel County Administrator • NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: Mark iga 954 Cent Avenue Martinez, 94553 Re: Claim of MARK IGA 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. x 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. 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 County 1 CERTIFICATE OF SERVICE BY MAIL C.C.P. SS 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 ( iginal) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4, 910 .8) .J BOARD OF SUPERVISORS OF CONTRA C0 'Pt �Sg ) i�1v e ur Sl applioatlan to. Instructions to Claimant Clerk of the Board P.O. Boz 911- A. Claims relating to causes of action for death or =or person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911. 2 , Govt. Code) B. Claims must be- filed with the Clerk of the Board of Supervisors at its office in Room 106 , County _Administration Building, 651 Pine Street, Martinez , California 94553. C. If claim is against a district governed by. the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end of this form. ************************************************************************ RE: Claim by ) Reserved .for Clerk' s filing stamps 25i6A RECIVEY" � .. 8 Against the COUNTY OF CONTRA COSTA) MAY 1989_ gg or DISTRICT) -' Ci) IL n okE.i s & (Fill in name) ) s •• ,y . The undersigned claimant hereby makes claim against t e Count of Contra Costa or the above-named District in the sum of S > o and in support of this claim represents as follows : ------------------------------------------------------------------------ 1. When did the dama e, or injury occur? (Give exact date and hour) A-r A&�x,II)OT�y Ate, ----------------h---d------------------------------------------------=------ 2. Where did te amage or injury occur? (Include city and county) CC2N G Ole-'> M v,V) G/QAL CON /7A w,S/.02 p2 --------------- d--------------------------------------------------------- 3. How did the amage or injuryJ�YIEur? (Give full details , use extra sheets if required) /Iemp'"oco P"a 6A c,< i�oiz ria y �JoSs�sry N 'Ib 5 A5vYME09 0tj" o H tZ rI L I-CS Sd'A1�0.4T vJ aW- - 0 TC A iM NT-Fgl»[.S A N� �/�i LW TV T PUY ------------------------------------------------------------------------ 9 . What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? 57 �� i}P�/Lw°2� ON �1►L Cor}�..m R�C� ov-rr%1D .:vt=. THC iN��°/N� CL'GC /N ?kf Ln�ar (over) 5..:.:•J� iat> are-the,_names of county or district officers , servants ox I employeescausing the damage or injury? --=---------------------------------=------------------------------- 6 . What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) OSS O� �FII 1 r �/x/.�Lo�✓,� �O(r?�iNG ��"a'C��, SH ------------------------------------------------ -- 7 . How .was the amount claimed above computed? (Include the estimated--- amount of any prospective injury or damage. ) IN I TH &AV---JJ 0 NA y P"Yst w+ y i3�Nr A cc c►��✓r %o ®Ay /;2 50F;NCs ----- ------------------------------------------------------------- 8. N-ames-----an-d addresses of witnesses , doctors and hospitals. SA J��LIN VJ ININ(, 2 g LE5-41E may M,44nN<Z--------------------------------- ----------------------------------------List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Govt. Code Sec. 910 . 2 provides "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " :.Name and Address of 'Attorney �._ Claimant.' s Signature Address Telephone No. Telephone No. NOTICE , i Section 72 of the Penal Code provides: "Every person who, with intert to defraud, presents for allowance or for payment to any state• board or officer , or to any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine , any false or fraudulent claim, bill , account , voucher , or writing , is guilty of a felony. j. " uINC�-_ N --- --- 00 I r fl \` J 2 `a1 ' / • 33 _.. 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 June 6 , n.l 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: $239 . 90 Section 913 and 915.4. Please note all .War^�gs". 4hty, CLAIMANT: HELLEN DAVIS C0Uns /✓ e/ 1144 Santa Fe Avenue AY ATTORNEY: Martinez , CA 94553 Date received May 10 r�989 X2'1 9,989 ADDRESS: BY DELIVERY TO CLERK ON y 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. May 11, 1989 PPHHIL BATCHELOR, Clerk DATED: BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors \ ( ) This claim complies substantially with Sections 910 and 910.2. �N ) 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: Cj� )tj BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County A nistrator (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: JUN 6 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: JUN 7 1989 BY: PHIL BATCHELOR by uty Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM T0: Helle Davis 1144 San Fe Avenue Martinez, 94553 Re: Claim of MARK Z GA 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. x 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. 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: V . WESTMAN, County Counsel By: /J Deputy County el CERTIFICATE OF SERVICE BY MAIL C.C.P. §§ 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: �� w\,.\'1 \qg� , at Martinez, California. T� cc: Clerk of the Board of Supervisors (original) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4, 910 .8) 4 I •. Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA OOUNTY 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 319 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 1069 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 orm. f • � 1F !E f # * i i ! * # Ik * * 1E * � * * * 1F # # i * i * � !F IF IF iF � 1F 1F IF IF * IE * IF RE: Claim By ) Reserved for Clerk'-s filing st p r I Against the County of Contra Costa ) r+�l1` or ) 1. 0 1989 Id;3o s CL" District) A7�.Hc!Gn �H�LB0 a ,'v'' Fill in name ) co °°F . F'=;' 1 By C0.` oenu„y u. The undersigned claimant hereby makes claim against the County of Contra osta or the above-named District in the sum of $ •� �� d 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?- (Inclu city and county) --L�--------- ------------------------------------------------ --------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) � -"---'�-' fir_---ate � - -� ----- What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? ---------------------------------------------- --------�_----==--- -' 5. What damage or 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. I----------------------------------------------------------- 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 !?Z some person on his behalf." Name and .Address of Attorney Claimant's Signature --address Telephone No. Telephone No. 3 Z Cv d 9 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. . CLAIM /33 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 June 6, 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: $127. 32 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: KELLY P . GAMET 50 Riverside Court ATTORNEY: West Pittsburg, CA 94565 /�%q4�ty�oVns Date received r @� ADDRESS: BY DELIVERY TO CLERK ON May 2atggg 1219(99 C BY MAIL POSTMARKED: May 1, 1989 � 91s I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ppHH gg DATED: May 11 , 1989 B`lIL DeputyLOR, ClerkZV20,r � 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: 3q B 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. JUN 6 1989 Dated: PHIL BATCHELOR, Clerk, Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in 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: JUN 7 1989 BY: PHIL BATCHELOR by ` , e Clerk CC: County Counsel County Administrator - ;CLAI M, TO BOARD OF SUPERVISORS OF CONTRA C0�e&�gj Wapplicatlonto: r Instructions to Claimant Clerk ofthe Board t P.0.Box 911 rtinez,CallfornIA 91533 A. Claims relating to causes of action for death or mor in3ury to person or toypersonal pro�ert or growing crops must be presented not later th n'a the 100t- hh ay after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later t-.han 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 94.553. C. If claim is against a district governed by the Board of Supervisors , rather than the County, the name of the District should be filled in. D. I:f the claim is against more than one public entity, separate claims must be filed against each publa,r entity. t E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end of this form. ************************************************************************ RE: Chaim by ) Reserved for Clerk' s filing stamps IV R ) RECEIVED ;Against the COUNTY OF CONTRA COSTA) MAY 21989 '''or ` . _= DISTT'.IC`1') isnT OR (Fill in name)- ) co RD F ERV -`- 0 .. ... . .. .. .. ... - . 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 : ---------=-------------------------=------------------------------------ l. When did the damage or injury occur? (Give exact date and hour) ------------- ---- e, aqe or injury ccrcur?. (Inclu.c._ city and cnuAn.ty) itih�vt __ oT DuVT mf SRi l _ rA Amos' _f- 0e *e-M _ r,I a -' Vit,e�_eiy ------- ---------------------- ------ -- 3. How d d the damage or injury ccir? (Give full aet ils , use extra sheets if required) r I,o.5 �_ ' My Qe_�S�.n�l Q��_ ' ----- 4 . What particular a.ct %:�r omission on the. ar-t of county or district officers: , sc:.L—ants ea- employees caused th- injury or damage? (over) 5.:->•? zat: are.,the.:names of county .or district officers , servants•_or , i employees::causing the damage or injury? r 71 --------- ------ - - ------=-- --- ------ 6 . What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for• auto damage) __� ("L 4-c,e- rh S % '�T' nv► T5. --$ coGS- 7. How was tthe)_amount !aimed above computed?- (Include the estimated amount of any prospective injury or damage. ) 7�-. C#0hA4-tie 5 r0 re wee Y� do 4,b T- ++ve. GJ&J"{%�fz -� see HO' c�wcg -Ae y co ST '�. re P IA<4 - In y M O 1-u.nrhih 7--0/cP 1",f 140 w M 4 ch 0 e..-e -- She a - -- - _ yvJ./4- ----- -- -- -`4----------- --------- -JV7 ----x------------------ 8 . Names and addresses of witnesses , doctors and hospitals. d�+2 ------------------------------------------------------------------------- 9 . List the expenditures you made on account of this accident or injury: DATE JAMOUNT a® p9 , -T - Govt. Code Sec.' X310 . p1fcviaes "The claim signed by the claiman- SEND NOTICES TO: (Attorney) or by some aerson on his behalf. ' Name and Address of, .Attorney Claimant' s Signature S� River S�'dr__ CT' Address ' — ;.e'.LLphune No. _ _ Telephone No. r 3 NOTICE Section 72 of the Penal Code provides: "Every person who , with intent to de-fraud, presents for. allowance or for payment to any state board or' officer , or to an} county, town, city district, ward or village board or or to allow or pay the same if genuine ,, any false or fraudulent claim, bill, account , voucher orwriting , is guilty of a felonv. " 4ccvf r 4-k o F -_�Ter� J* a�s �__�,__�__,;-,__�_,�_>-__r__ 7Th k' f U64 14 h 7L bl _T i-,(� �iefn_e —i 3 . 10 Dw_ I 4 k if 004 Tri'm cZr i r 'T lcgf\l Isle-ALLVI ,A u. {po" ch iAL7B, e__I -a&AT –4-4 - i L R e ry L /1 SSI - - 4 4ck _j___1—j--� __�---L—!_ --�-{- �_;—� �cry ear�'� r�- — -�1-�i��-�3 I�-�--�- 7 74 ; FFFF T7 1 �1I� r. All a ........; .L3 6n 0?VISOR WINOD (o SY.?>tAn3dns 30 owpa vam aol3H�1V8 77Hd IST. 6861 Z WN cl S to 0 0 cs�� CL c cv� a UA a N 1:x 8 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 June 6 , 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: $987 . 00 Section 913 and 915.4. Please note all "War` s" CLAIMANT: LINDA R. BUBECK ty C'0UnS 1021 Barrenger Drive /vigy e/ ATTORNEY: Danville, CA 94526 M ; 1219 ADDRESS: BYtDELIVERY eTO CLERK ON May 2 , 1989tnez' C,q q89 J BY MAIL POSTMARKED: April 27 , 1989 Certified P 104 832 257 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: May 11, 1989 PPHHIL BATCHELOR, Clerk BY. Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 5 IIS / a°) 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. BOA`R1D 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: J U N 6 1989 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you Should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JUN 7 1989 BY: PHIL BATCHELOR by Deput Clerk CC: County Counsel County Administrator ) f C,T.AIM% TO.• BOARD OF SUPERVISORS OF CONTRA CO��rrAp cr *mv - '%el°urri�Ri iThAl applleatlon to: 41' t Instructions to Claimant Clerk of the Board P.O. Box 911 A. Claims relating to causes of action for death or =ortrninCurynto453� person or to personal property or growing crops must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911. 2, Govt. Code) B. Claims must be- filed with the Clerk of the Board of Supervisors at its office in Room 106 , County ._Administration Building, 651 Pine Street, Martinez , California 94553. C. If claim is against a district governed by the Board of Supervisors , rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims mast be filed against each public entity. ' E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end of this form. RE: Claim by ) Reserved .for Clerk' s filing stamps //y✓�/� A? 7�MAY V�� . Against the COUNTY OF CONTRA COSTA) 89 orDISTRICT) (Fill in name) ) Ly I . 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) ------t--=-------------- ------------------------------------------------ 2. Where did the damage nor injury occur? (Include city and county) ------------------------------------------------------------------------ 3. How did the damage or injury occur? (Give full details , use extra sheets if required) �2/ZES%I NG Q��/GEIZ y-U2�tJE/� 161A C /rI G-lf/Eiv T.HCY /z Et 't� '07 THE y 32DU6Hr ff P�25E Ta o eNyA)G r,E T)4,g7 u//15 LVOT /YIiNE- 7-He OF��cE2 619/-0 IrHe P!/ .5 /,3C- ,Cer In C�/,:�s T// A2eESTiNG ----------------------- oG 9 . What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? /JCG6 660CE o 4) T/tc- Pl40e7- 0,= 7-h'6 S T GF'. (over) t 5..:,:•j� gat are...the..names .of county or district officers , servants, pr •. ( employeescausing the damage or injury? ------ - - ----------------•"---------------------- -------------- 6 Wh-at-d-amage------or--injuries do you claim resulted? (Give lull extent of injuries or damages claimed. Attach two estimates for auto damage) ( 053 0� vEY !//gL�RBLC .�Et-imE,c�ri9L g 12eEP[lfCE+OBc� ----------=-------------------------•------------------------------------- 7 . How was the amount claimed above computed? (Include the estimated amount of any prospective injur, or damage. ) --------------------------------------------------------- S. Names and addresses of witnesses , doctors and hospitals. ------------------------------------------------------------------------- 9 . List the expenditures you made on account of this accident or injury : DATE ITEM 7--MOUNT y Govt. Code Sec. 910 . 2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some cerson' on his behalf. " Name and Address of 'Attorney .. Claimant' s Signature g a9 Address Telephone No. -: 7 -7 a- Telephone No.Cy�) X3 7- 9a NOTICE v Section 72 of the Penal Code provides: "Every person who, with intert to defraud, presents for allowance or for payment to any state,• board or officer , or to an} county, town, city district, ward or village board or officer, authorized to allow or may the same if genuine , any false or fraudulent claim, bill , account , voucher, or writing , is guilty of a felony. " ;:. PROPERTY/CLOTHING RECEIPT ' . CONTRA COSTA COUNTY 'REC. NO.21243 4_� RACKMpA7E. DQ M E: CAH Boz 71 ' PROP BOX' C ' NAME" %>G'-1'f� WCJC ,, BOOKING NBR: OTHER" - 9'Y i CASH °.I ^• SHIRT/BLOUSE `` ❑ DRESS r A RF❑ TIE/SC 'tt sCOAT/JACKET ❑ r .: ❑`SHORTS/PANTIES ❑ JEWELRY, - } . .❑.SOCKS/NYLONS ., - t SWEATER/SWT:SHIR 17 Q TC G7 PANTS/SKIIIT / ' SHOES/BOOTS l ❑ T-SHIRT/BRA' 0 WALLET ❑ HAT/PURSE .. ❑ KEaS" ;.}._' . - . ❑ KNIFE "" GLASSES. j OTH(h \ BKG OFC �.,..- X � l INMATE SIGNATURE .'have received all of my per- .. PATE: sonal property" and clothing. REL OFC: X , INMATE SIGNATURE i i LINDA BUBECK i PURSE AND CONTENTS LOST AT MARTINEZ COUNTY JAIL t Louie Votton Purse $400.00 Louie Votton Wallet 200.00 i Louie Votton Make—up purse 150.00 Christian Dior Sunglasses 150.00 Make—up (2) Mary Kay Make—up 14.00 (3) Lipstick 15.00 eyelash:-.curler 4.00 eyeliner 4.00 scissors 3.00 nail polish 5.00 visine 2.00 brush 6.00 mascara 4.00 Check Book (Bank of America) Keys Credit Cards Social Security Card Voters Card Safety Deposit box key RMA card (to replace) 30.00 TOTAL 987.00 ' g � 15 � o d o • LJL�LI U U UU UL`�L.�J P 104 832 257 IAAY�=�Y11� j! Return Receipt Service. CPr 68,12i1d� i• � _ n x �+nIA D ti c°^ N F� '9O '^ Co Q ' 1 n N O q C JepiS eSJenei eyi uo peteidwoo � ons......•"_..........�.._.��.__. 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 June 6 , 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: $95 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: ROBBY CANFIELD county 1930 F Street /�qr 00'U'7801 ATTORNEY: Sparks , NVvr_89431 j Date received Ma 2 198a 9a. de ADDRESS: BY DELIVERY TO CLERK ON y ' `°`�,`4,, BY MAIL POSTMARKED: no envelope 11 45513 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. May 11, 1989 PpHHIL BATCHELOR, Clerk (/"Cl(� DATED: BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors �( ) This claim complies substantially with Sections 910 and 910.2. Tv ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: J 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: JUN 6 199 PHIL BATCHELOR, Clerk, By6�7�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: JUN 71989 BY: PHIL BATCHELOR by puty Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: RoEby Canfield 1930 F-�S-reet Sparks, NV 9431 Re: Claim of ROBBY CANFIELD 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. x 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. 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 I"?By: I Deputy County Coun 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 Country, 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 (or ginal) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .41 910 . 8) Clzim 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 -T ) ffEc'I D Against the County of Contra Costa ) /� or / ) MAY 2 1989 !✓� e District) PFiiWA7� ELQRFill in e ) cue ,K a isc,,s By P. A aputy The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 2SLo and in support of this claim represents as follows: -------I----------------------------------------------------------------------------- 1. When-did-the` or -- ? (Give exact date and hour) 2. _Whe } or—injury occur? (Include city and county) C� 3. How�did_the_damage or n ury occur? (Give full details; use extra paper if required) 4 -- 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? (over) FJ 5. What are the names of county or district officers, servants or employees causing- the damage on lQury? ------------------------------------------------------------------------------------ 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: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) ' or by s me peXson op hJ# behalf." Name and Address ,of ,Attorney Clai is Signature li 3 0 l= s Address Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, 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. AKAER TOW INC. dba n .:® T.TA -AlAMO TOW I (415) 831-9220 301 N.HARTZ AVENUE,DANVILLE,CA 94526 ACCOUNT NO. DATE J - 19 �13/TW6i ) '4N >CFzc NAME ,� , ADDRESS ,L3 F CITY L -1 STATE ;t TOW REQUESTED BY TI`/l��NL"t'l/fy 1-9 ,�/TIME/' R.MJ MA 30 P h'� YEAR?S LIC.NO. /'I///' COLOR _ COLOR "! V.I.N.NO.h .,jDRIV ER �C`AS C.O.D. CHARGE ON ACCT. FOR JUNK REPORTED TO L U �. TOW: FRONT[] REAR DOLLY ❑ PULL DRIVE SHAFT[] �O FROM: /+O /'1:- TO: 2ND TOW 4 i LABOR: STOP MI. START LEIN le-& START MI. '•' COMPLETE LEIN //G/IC/Se 7-0TOTAL MI. ADVANCECHGS.ke STORAGE: FROM:?-/!?- V7 TO: ]/� _Q ClC BRIDGE TOLL DEL.GAS V JJ AFTER HR. O TIRECHANGE DEAD BATTERY RELEASE SERVICE RECEIVED B �,.�" / TOTAL � NOT • FOR OF ACCOMPANIEDALL CLAIMS MUST BE R.O. P.O. EXPIRATION DATE MEMBERSHIP NO.OR DRIVERS LIC.NO. BILLING COPY 6621 —T 24 HOUR SERVICE CLAIM `��J 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 June 6 , 1989 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $1, 000, 000 . 00 Section 913 and 915.4. Please note all , CLAIMANT: JOSEPH FERNANDES COuns�� 3777 Willow Pass Road #62 MAY 12 1989 ATTORNEY: West Pittsburg, CA 94560 Date received Martinez, CA QJ ADDRESS: BY DELIVERY TO CLERK ON May 10, 1989 4,553 BY MAIL POSTMARKED: not legible I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. May 11 1989 PpHHIL BATCHELOR, Clerk DATED: y BY: Deputy L. Hall II. FROM: County Counsel TO: Clerk of the Board of Supervisors lam ) 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: /(% In BY:( J 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 AThis 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: JUN 6 1989 PHIL BATCHELOR, Clerk, By ` Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. JUN 7 1989 Dated: BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator CLAIM TO: BOARD OF SUPERVISORS OF CONTRA COP WYapplicationto: Instructions to ClaimantC!erk of the Board (.6-1f,� e Sfy f�io6 Martinez,Califomia 94553 A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day after the accrual of•'the cause of action. Claims relating to any other cause of action must be presented not later than one yea- 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 publlic entity, separate claims must be filed against each public entity. E. 4 ;•aud. See penalty forffraudulent claims , Penal Code Sec. 72 at end obis form. RE: Claim by ) Reserved for Clerk' s filing stamps JOSEPH (' �I?NANt�ES . ) RRQk,,IVEIJ Against the COUNTY OF CONTRA COSTA) MAY 1 01989 orThi a7 . bE-TENTlyn/ DISTRICT) ie `_ `ERs f Fill in name Fptcit_irY ) Con �.. up The• undersigned claimant hereby makes claim against the County/of Contra Costa or the above-named District in the sum of $ I d p ,. 0 o d o d and in support of this claim represents as follows. ----------------------------------------------------=-------------- --- 1. When did the damage or injury occur? • (Give exact date and hour] i!Vl AT_Ap1UxJ' AT4Y_ __3 U__�sm----=---------- 2. <�There didithe damage or injury occur? (Include city and county) 1�12TtN�Z_1JE] "_ric�N _ L�c_I�i�`t---Con ��2/ COSTn_ CDj_n T1 3. How did the damage or injury occur? (Give full details, use extra sheets .if required) E.F1;12_ To _ATt Rc:(tr p .'A pEA.):p�r m 4. •'What particular act or omission on the part of 'county or distriH--- officers , servants or employees caused the injury or damage? To Ot-ravPEm / N-I THRv 4 , 2 (over) 5. What are the names of county or district officers , servants or_. ` employees causing the damage or injury? 6. . What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) t . ------------ -- - ----------- 7 . How was the amount claimed above '• :omput d? (I*nclude the estimated . amount of any prospective injury or damage. ) I�� F EQ To _ _t � t�ctro_ E}�2_ Nt7y_m _ C_ --- - --------- and hospit----------------- B. Names and addzesses of witnesses , doctors and hospitals. ------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 1k Rrt**.':Ri�*i[*'k**]tit**♦t]F!!'It******�c*�tlf�f*fit*�C*'k*'k**�C****h*!1'�'*fir**'k at*ak**'�l'it�'*RAF**]T*at�k Govt. Code Sec. 910.2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " Name and Address of Attorney laimant s Signature 777 /tliLlr� cd r Address Telephone No. Telephone No. -�L597— 6G 75 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 br village board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, .account, voucher, oz writing, is guilty of a fet_"�Uny. i • --- - -- T�-- - 4. 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