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MINUTES - 02061990 - 1.15
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 February 6 , 1990 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 'j.COunse1 CLAIMANT: NAVARRO, Adrienne JAN 0 1990 ATTORNEY: Mr. Alvin E . Tabor ingzz CA Q4553 Ryan, Tabor & Tabor Date received ADDRESS: 50 Francisco Street , Ste . 122 .8Y DELIVERY TO CLERK ON January 8 , 1990 San Francisco , CA 94133 ' BY MAIL POSTMARKED: January 4 , 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk DATED: January 9 , 1990 8Y: Deputy 1I. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. � ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim;on ground that it was filed late and send warning of claimant's right to apply for leave to present,a late claim (Section 911.3). ( ) Other: Dated: 1 / 9 /{(j BY: � ' Deputy County Counsel U, I1I. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). 1V. BOARD ORD R:' 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: FEB 6 1990 PHIL BATCHELOR, Clerk, By_,'.,. Deputy Clerk WARNING (Gov. code se - n 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times .herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimantasshown above. Dated: FEBCD 7 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator i NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: r. Alvin E. Tabor Ry Tabor & Tabor 50 Fra ' sco Street, Ste. 122 San Franci CA 94133 Re: Claim of ADRIENNE NAVARRO 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. 1 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 date, place or other 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 failslto state whether jurisdiction over the claim would rest yin 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 B Counsel I J Y� Deputy Co ty Counsel CERTIFICATE OF SERVICE BY MA C.C.P. 95 1012, 1013a, 2015.5; Evid. C. QS 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 (ori 'nal) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 .2, 920 .4, 910 .8) i Y• - 5. 1: 171: t: I• ii. ,i ,..'....! ..r.•.is ..':.!.���:t..�..,,.. .... �. ,', �.�;.,'� li��� '.r: -,, r r , 1 is r.t:.. RYAN' ';�' 'r 'TABOR .& .TABOR !. r15r� ?:, i' :l� i 1.,. , • �: 50� Franc 'j`:�• .i isco Street suite :1 - 7:1 -94133I. San` �r s w .F anci co � !CA`• 1. . ;: i 1:., .. '.��'�• � ..1. t 415+ X981-2010 r Attornle for . Claimant R A . !I EQ .. AW '8 1990 ,. EIOR'PHIL BATCFI N CLERK IIOARD._OF SUPERVISORS c OSTA CO. = B eu ADRIENNE NAVARRO, 9 : 'Claimant, CLAIM FOR: DAMAGES 10. vs COUNTY OF CONTRA COSTA STATE; OF CALIFORNIA, • ' : + ,: Respondents. ' 15f,:: Claimant, ,ADR'I'ENNE NAVARRO, -presents. claim' for; n f•; j 9 "damages pursuant` 'to the Government Code.*' " 1. " Adrienne Navarro ' 1801 e ' - ��:�• X17'.; ; I,r ntz Lane;' Apt. l•, San Pablo., 18 ; CA '9`,4..806.. 2 Notices are to be sent to the law offices of Ryan, Tabor 20: :: Y` &;`Tabor, : 50 Francisco Street, : Suite 122, San .Franc.sco, , - t'' 21, Ca�:ifgrriia ,94133: 1 That on.:' or'• about Jul ;25 1989 .at' approximatel. 9.: 30j. . Y y .: :: . .23:. a...m :claimant was involved in an automobile accident on .San. .:: 24' . .,Pablo;:: Dam-Road, approximately 60. feet west .of :Hillcrest .Road..:. 25 There. is a police report by the California Highway Patrol, No.' ;�, ��t� �'1J't lel:�.```I 7,'�,i1' I,'tl; 'I. ti 1r'�il.J; i*��I�{1 :I lt'li .,I, r. � i n .1 a i. 1 •I: I ,.11 :i ,I �;11j;'1;:;1� �!I �'.4��,�+l:l{'iRY1�1tY r'�: f.�i:T 1,.,,.,F:•'ff :����E'I,�. '�'� �.� w4~. IIM��mF';L �iu;1i� �, Flab i+:� 6I CZ�:tiTN�� 27 al-i6 tioming" or;.;lnot-:working property or were' -w ng, pr 1 orki op:erly 1, ,,.as '.designed• but 'pres,ented'; the•::dari e'rous condi'ti'on of..: ublic =r qP 1.i rx. �1• :r,,• f 11.x=.,. , :a1 1'�• �ri� R,YrA:N TABOR R 8 TAEOR'1..7. i%' ATTORNEYS AT IAN!r• 1i• �: a'i � — :'I •i�' ,. :•J:r p .t e� ACO Ei. SUITE E�xl - 'i r�. ff11 ANLL C '''� :'7 ,11.::r {0 CIM I .:tr •t.. i ia: 1 ,4 ;. I k ,.' t ON t10 �, ' .1..I.: ... ,J`, � 0. 7 #.:,:: 1 2 :t. '#.I�'.J .l..J.11.-I ... �...li•(;:'.. `�y n.•.'IIf1 Y".':1..5... .4 ... ., r•li. � _ 1 .I .. 1�� Y' �... ...'t �.... . ;I. ,I 's' Il.. i 't ' Y.;,: '',' 1 1.1. .i fz _ - -;; i. :i.: °1 .. is ;i ` '..i' 1' � - 1• I' f X13 i. i `di'' i , ( <C ,. S�� 4•. i' ` 7' ,'i. % , l ;1l, .a" ,� ,. ,'_' f.. ;., >;' '. '• r :i'. _?•`. ro •,ert b the ''se hence' yT i.th psi naIs at sem: 1 .i'nt.ers.ecti.on. '" i i Said Count grid Sta to Ai!e - - entl, ins ect+ 'ed' '' --' t- i d'` fl: .1 !' , ''1 ',1 t ,1' 1:` ;1. f!' 21' .II ''I r.' .1 '. :Y,1 .. ".: o erated' cont'ro�1�l.�ed and; clesi ned. the 'in exsect o arid' is e. g t i n'' l igh' -1 l ;: rt;' P'' ,;' r, °;i, f 1: - s f: 3 :i ,; } J .1 and '.:the: place, of 'the 'accide.nt so as :to' cause .the:.injuries ;.to ":r �' .. ,.. t. ,.... -iiq ;.' . 'r a 'i?}'I ' 'i�;.. �' :;.. :�q Claimant. i - , ,":, . �: .5' ;j':: I i:; , '1+ Iii: 3�• M1 I' ,.L.,�<:. .: tC' :3 ;Pub,lic ;ein lb •ees. °res onsl.. " ` `are unknown:; ',is:'3::'.'}.:!, ^,::,'',: y tlx1.�9' i;!ja !,l is r.4. �1 :1 :,' :,:,!1'1..-01.:;,.!, ..,;.,-.i,; x c 't ••...e:�w�. 1 I1ra. ,., ! .f l t5... 1.' ...I r .) :...:i .�,.. L: I,�t 1 v,l 1 :t 1 1:• 4•, •1 rP ij •:a i'a , :0'' 'i i1 •.r• is•: i jr. i: I• 5 F; I: 'S+ iiji: 'I�°°eir: f::'r , ii, ;.5'. >i:. 4 ased. "o' ':' , :knoLllled I.I L; esent$. avalYable :ever �1 1 I. , .B n� th ge�'pr `;:: :al`�� ' i'' }I ?:., Y g. Vis.. .I ./•I i , yy 1 1, :I l: t`.:'`': .t, 4 t,' I:: tri j•:,- f . I :a� 'rr. �.'a,.II!,t'il:�: s... .!.+!.'. 1,5..1 ;:is. E: .,r: 1 ! "i:..t -Il.i' 7i1 }- .�:.:, dams es' r es to ;; ;,- ;': }•1.:. ,.,.. >. s ..,•(•i.,.:.•.,t., .,.',. .. �f ... ;a .e::: .tma d.:.:at;' $�1�� :0;0:0 `O�OOi.�00.: Plai�n't' f-f:`�;�has� r:° ...ti. ,1.. IE I>i lt.• .X. .w .,:7, SIIt: .1- +I1: .,s: i• :/. I,. I !' �i:'':iF•' 'a�: 1 '{S}:: :. .,r'i...tr --05-:r. ;:.,:;11 'N tt {. . ? {r : j YI',' }p1y. LL.,. ; ., , '1:: , .,.y.: ,.:'., �,.. ;, '..i' '�; i' }:3;;:: -, ii•id•}A1.fi'iS iJ.'•I�_ 'i:i, . , .91t:.. .5 h;Ja t!'.,I. h'i }� I;'I ,rr. r.I.,i ,A.•..:SI r,., .,�'. 1Hi :I '1 f,' I: Y 7' J:' r,_ I' f:' SI. I' ,,7`''• 9r' rJ'1 t:'h! ,V: '. L. 1.t, _ �'f ri: 1 v- k- y ;• , �. II;; I( .i. ..a'I rox'i�ma a•el� Z? ;000` 00•i;�in.; �e' •{,:' {;r - t $ ;m deal-:bl'Ts'.:anci• .these `.are. .rL''ll' 1�1.I::1:' .Y i 1e1"7:::i;i: .I', 1,1. ..t. :1: :Y'i.•, , Y:t .l: .l'et:• 'l:"A• :,11 !i,:;, -.i' '�h: ,+t':;.t:';4"°s. :?. - y ':i'' .S': 'Il' .9: 'd..^a' •iL+:.1;f: a ti'::;. I,. .1'- li: v, ,.i! 4;1..n. .,.i T Y}� f'�•r .,I.:.'2• �,.. i e,li f :' ':i•11.. ::14:' S:; i. % FL: a ,`a` t 'Ill' .1. •J• . , t. it a t.L U a'i i` =con in in g •i. r. :;` ::�;'; .. .. .I - .. ;F, 0' I DATED:::: : December: :•19''' .1989' ' -RYAN .;TABOR &-'TABOR.: i, p: % -i`! y;:,'; ;� i J i' 11 , .'.. r . , ,I, 'I :.t . .. I 1 . 2 I. '. . . . I . By: ,. ,.1,,'=,. , :1'3,. ,� 1'I. . . i Alvin E. Tabor-,' . (: ,. I. i. s',! i 1ii: . 4. ..�.�:it .. .. .. .',.,:..I."':': :..1::.. i.:il , ,.. ,, .I .,,., .. .. .' ..' ;�'u.��,;j' .k.:..,.. , .,1;. _ . 15.: .:. : ,. i; ::.,,. . 3'1''. - .. I.' - .�3. - 1 }`'. •} 1. % . 1,;e �1 6: . t' I' . . % i' .; i I ..: 1 7: ::j'{• :`i.' 1 .111, i !, �.' •1'1•: :( .1 . ..C.` I 1.1.0,;. is . . . ' •.i-;.1 " ..- .. , F'. .i:�i ':. .1.... .,;,{1-1n, .. .. .: _ _ .. 1. Y :, +:i r: i'` Ii. •:1.9;;x, ,:. ._ ...:. I. , .,, ..! ., .}. .I...... .,.. ,d :.y, ., ,::... .,,,'.... I. a ....c: r. ... ...,. •,','. f•'l" Fi r' j: J :.` .. . 0 1' �i .t.1 ,• rl' 'I T".., '� �l. I , .r.: ,.. 1. , ''': .�. , ,. .. 1,. . . .� . . , 9. '��:,' - ,,:... 11- :1. I. - ":, . , ;i :.21.3 24 .. . .. . . ' ' ' :;; •. :E ,_:. , 1 t. . . I • I� .A e S i� li� .1:' n rii'll lll. I7.' S' :L 0 yi.l ,{,I /. i{ lj` I17i: e ..9i'1 1 {. 71,. !I "1': 1,'1 11!.. .i`?I`I' I::• f I; ' "i%%- i IF -i'I :II: . 'I I i ,, ,I;. i l' Z.. I 15 Y .I I E G Y.. (! @'•' I 11..x.. i �I } i 'I! .. �! .rti. l!l•',.... 1, <•'k.i.::I I' i '� ,'i i.-1.:' �I tU°;I .i. .1 }A {..11llr0" .iwl.l}� ra :I.{M:t,:,.1 1.C.Ili III I,. ,I ,1;:x,11 11:. I :�I.,1161:�1I..:,�I,l I,I.;.r,' ,li,�.:ld I it `I iwl. E..: , ii I Ii.. f I..I.I,I I„ 1:5: !' _ �I ..1 l p, 5 �1�:,.t' :i,'Ill.a �I'Lri �.,, ,.� 3' ,., ::1�r. .:,, . .its . Ill-p , I �: I. ,.. . ,.: ;'. : k`!:.:.E. ......,... ..: 'ir.; Ali {' '1 a' ., ,I. ..�:,,,. .\. .. .. ... �I: I'is-�'., i, ;,: } ,k., kl L li;'• �.{,' .it ,11. i1 1 i. }:' �I.• 1. ::,1., l •� ;If.7, }„ is 1- i ,:l: 'h i t 4� •LIH! � , s1,1: $ 4'' { .; .. f. ..i:.; .T - �I�- 'i.` 'RYAN AB R TA i' O 8 BOR''"•I ^� I ,� �' ;r: :Ail t r 'i'� o rn t SAr� I''! ':: �. i `r i _ i'�' i;t} 1 :tOt ItANC13C0i1.I.iYl1E'wl 'I, - '1. 'r' St ,. r t II 'tA f1 MCItCO .1 C 011 :'l: .�r it 'f'' - it I' I�t`�'<ii:' it 't:.i i} �': �; 1 ,. 1 C 11 ^,1; 6 IOtI� t010:�� �I.� 'I 1 ,.i It. .'i +1 as". ., , •i .r ',.......:. .... .. .... .:.". +... ::.':% aid - L'. i .. I - . I , PROOF� OF SERVICE :BY MAIL'' f� '';: ,;:, section 10113 (a) , .2015.5), '1 �` '��: (.CCP �-� fiam a citizen of the 'Uhitedi States and 'a'.,resident of the =3 ,io . City :and Count of .S.an Francisco Ca'iifornia; I am over) the age i• I �:`4 - e e r. nd n t'::'a party. to. the: within n. c 'o in. ,,; rof'l;.eight eri y. a .st.�a o ,. p r y 1 �a ti n;` y� �.f: ail: { �•[�` Y' 5• e s `s 50 Francisco Street Suite '122 :San> busn'essi� addr s �i , : c 1� .•f.' I �. I c •133 . ��F'ranc�i0 CA, 94s, QIJ bn; 'I served the within CLAIM; FOR'.' DAMAGES'"'' _ ''sdactionby� placinU,: a true copy' thereof' d .'a 'in: . ` + :9 :'_' :sea.led..envelope with postage thereon fully prepaid; in a United;. 1�.0;.,;'. Statea:;P.ostal Service mail box at San Francisco; ;;Ca'1-ifornia ; 11 addressed as follows. I: � h ,i o o Su ervisors .B and, f. 4 i t; : - =Count.) of :Co tra..Costa: , 1.3< "t f .> . I tate: of: California S:tat&: ControllerIs Office �J. I : 3 : - 7'` 17.1 G G� 18; - ;. 19: : ; I declare under penalty .of. perjury that- the above is true and..-:correct..: Executed on .the above date at• San Francisco CA .: Alvin `E.,,:Tabor. ,. ;I . ..... : ....:. .. - ;r '1 7 ,'1• 19� I I1 �[�,, I i#.n: 1rYa':il:Iq:I;111E:: ..r,.. ,s". ,i:7:,; ;11141;1.1' 11 {11. p b 1 ::h:I{..:i: ,1{, 'y� ai. I' !I��.•161((I�+USI'� ��Ilyy���h++Y I�e WIC .�Ii 1�iI1: pq II?I•N Ilrl�I�I '���1�1•�'I!II:N•: :II�TI'�'�J• :.IIZ.I,II{:111�15���'1 Iry '� �:��'y(( �'!�(:���114{il(��•� �6d'r�:l�i_3ill�Ir"��t��Ill� i!. I�`IS�IX:►J�Ifi.dGrC�fbll.II+�II.IIII `���I 8R I.. Rf •t.:t�r.,_If39MrvM,,I�� t�� II�Aq�'� r1:.{ �. .r, ,. I�►�. �'1,7u, ':,;.r.,;: .cl I' ,�!• ���. �� .'4�,, .�. ,�. .1� E, II, .�_,;!f'. !t:: :n1�:,:r:. :•�l,:,/�, ,•I r:r::a: ?�1 l,t :1., "�?• ..r: .�.• cl'• .Ii. .f. :'I::..::I.. �.. I:' .�: ..I�i. 1. SI. I I L. .. ..... _� is.. I. ..:. .. ,. . .� � :. � .r. .,., �•�: ,5 ,.• 1,27.:,.. _ .. '�1 .. i` �1. RYAN TABORET —' r,;�'."..'-'•..,.-;,::j�`�::1: -. 'I. . . ATTORNEYS AT LAM 60 fAINCIICO ST.SUITE 0112, ,'1 7' �•. 1 N:IAIN I =1'� ':i - 11 c Ico c1 ou A 'I r: N111,111.1010 S „ N Z D 1 oc� SZ° 1 mG.� � ,•t. w O •'. o o z Z t� �D . y�� l'i'd•' D�> •. W2 cp 1 j r O tI` A t n � l Q M 0 3` y •r t n. 7 N v J 3k, 6ty ' 1 ,c• .. 4a-Gam• q�; i i��•t k}t`•�Dn' otl a ` j'•. 1 4 , 1 a 1 f v CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) i BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TOICLAIMANT February 6, 1990 and Board Action. All Section references are to ) The copy of thiis document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IVIbelow), given pursuant to Government Code Amount: Undetermined Section 913 an 915.4. Please noteeblu'_'Warnings". CLAIMANT: DANCIU, Aurora And Teodor Y Counsel JA,N 5 1990 ATTORNEY: H. Mal Cameron Law Offices of Alan Grossman �F�lB�('Z Date received CA n4,55 ADDRESS: 4460 Black Avenue, Suite F BY DELIVERY TO CLERK ON January 3, 1990 Pleasanton, CA 94566:. Cert. No.P 118 904 959 BY MAIL POSTMARKED: January 2, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim, DATED: January 4, 1990 PeHHIL BATCHELOR, Clerk 8Y: Deputy I I II. FROM: County Counsel TO: Clerk of the Board of Sup visors This claim complies substantially with Sections 910 and1910.2. I ( ) 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 claiim 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: I i Dated: /i `((1 BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1)I 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 I certify that this is a true and correct copy of theiBoard's Order entered in its minutes for this dater. Dated: FEB 6 1990 PHIL BATCHELOR, Clerk, Bi Deputy Clerk WARNING (Gov. code set 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, I AFFIDAVIT OF MAIiLING 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: FEB 7 1990 BY: PHIL BATCHELOR 'by Deputy Clerk CC: County Counsel County Administrator . .`r• I I CLAIM AGAINST PUBLIC AGENCY RECE- V�� TO: CLERK OF THE BOARD { L AN 3 1990 BOARD OF SUPERVISORS FHIL BA'CH"OR COUNTY OF CONTRA COSTA K BOARD OFSUPERVISORSCCOSTA CO. 651 Pine Street, Room 106 Martinez, CA 94553 Aurora Danciu and Teodor Danciu, Ihereby make a claim against the County of Contra Costa for a sum ii excess of $750, 000 and make the following statements in support of their claims: 1. Claimants ' Address: 1003 Esther Drive, Pleasant Hill, CA 94523 ; 2 . Notices concerning the claims should be sent to the I claimants in care of the attorney oflrecord, Law Offices of Alan Grossman, 4460 Black Avenue, Suite F,1 Pleasanton, CA 94566; 3 . The date and place of the laccident giving rise to the claims are 7-4-89 at 6:50 p.m. at the intersection of Concord Boulevard and Parkside Drive in Concord, California; 1 4 . The circumstances giving rise to the claim are as follows: Claimant Teodor Danciu was proceeding westbound on Concord Boulevard when his vehicle was struck1by another vehicle, operated by Timothy Francis Siller which had been proceeding northbound on Darksi de Dri-trc ="ri fa; 1 cari to ctvp atl t,}+o _ntcr•-?,rti(n due to the I fact that the control signal for the intersection, a stop sign, was completely blocked from the view of northbound drivers on Parkside Drive by a tree, bushes and/or foliage creating a dangerous condition of public property proximately causing the automobiles to collide and the injuries sustained by Teodor Danciu and Aurora Danciu. Bushes, trees, and other Ifoliage blocked the view of I I operators on both Concord Boulevard and Parkside Drive, creating a dangerous condition of public properly, causing injuries to said claimants. 1 . I 5. As a result of injuries to Teodor Danciu, Aurora Danciu has lost the society, comfort and lovelof her husband and is hereby asserting a loss of consortium claim. i As a result of the injuries sustained in the accident by Teodor Dinciu, he has been unable to perform the necessary duties as a spouse and the work and services usually performed in the care, maintenance and management of the family home and will be unable to do Iso in the future in addition to the loss of society, comfort and 1.6ve of said spouse. I 6. Teodor Danciu sustained severe head injuries, neck injuries, and numerous other injuries to his body, which include but are not strictly limited to a subdural hemotoma, disc damage in the cervical vertebrae area, and numerous other contusions, lacerations, and back injuries. 7 . The names of the public employees who failed to make certain that the control signal for ithis particular intersection was not blocked from view and that the' intersection was not blocked by bushes, trees, and foliage are unknown at this time. S. The medical specials i.ncurlrp.d by said C.Iair cants -15 In. excess of $30, 000 at this point and is continuing. Claimant Teodor Danciu has been unable to work sincelthe date of the accident and I has incurred wage loss in excess of $15, 000, which is continuing. DATED: January 2, 1990 LAW OFFICES OF ALAN GROSSMAN BY: 2�t)�a"!' H. MXL CAMERON I 1 PROOF OF SERVICE BY MAIL (CCP 1013 (a) ,I 2015. 5 2 I declare that: 3 I am a citizen of the United States and employed in 4 5 Alameda County, State of California, over the age of eighteen years, and not a party to the within action. My business 6 address is 4460 Black Avenue, Suite F, Pleasanton, California 7 94566. 8 I am readily familiar with , our business ' practice for 9 collection and processing of documents for mailing with the 10 United States Postal Service. On January 2 , 1990 at the above 11 I i location, I sealed envelopes enclosing the following: 12 CLAIM AGAINST PUBLIC AGENCY 13 addressed as shown below, and placed them for collection and 14 mailing following ordinary business practices to be deposited 15 with the United States Postal Service on this same date. 16 Clerk of the Board 17 Board of Supervisors County of Contra Costa 18 651 Pine Street, Room 106 Martinez, CA 94553 19 I declare under penalty of perjury that the foregoing is true 20 land correct, and that this is executed on January 2 , 1990 at 21 Pleasanton, California. 22 23 '/� 24 Neleen Moitoso 25 26 `1! �04. ZT1 rte , ry fi C) cd m m O p O O O U o4 M u U') 0 4-1 p4P4-J (1) (ON ao p Q) <C ,Z 0v •uU 4-J U) V) t 44 4444 O N N O O N xb 4-Ja •r Q) Cd p -4OOu, w I uPCI r-) .o i, y 1 I Ln t 'nunu(� Z co cr i to U- 0 O d` ti Co s W Q) D U U 1��1 U W Z Q � U- j 0 %w YZ Z < Q g � COW Q a i . CLAIM �• �s BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA I Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT F e r u a r y 6 , 1990 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 Gover ent Code Amount: $2 ,000 , 000 . 00 Section 913 and 915.4. Please note all '1WarnL4QrqyntY C+ounsei CLAIMANT: SEIDLER, Christine Noelle JAN 9 1990 ATTORNEY: Ms . Rita Rowland Martinez, CA P4553 - McCray, Rowland & Donovan Date received ADDRESS: 1700 N. Broadway , Ste . 305 BY DELIVERY TO CLERK ON January 8 , 1990 (hand delivere( Walnut Creek, CA 94596 BY MAIL POSTMARKED: - i I. FROM: Clerk of the Board of Supervisors TO: County Co6nsel Attached is a copy of the above-noted claim. DATED: January 9 , 1990 BY?L BATCepuYELOR, Clerk II. FROM: County Counsel TO: . Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2,. and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: /`� I �J BY: 1 J Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) I County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER By unanimous vote of the Superviscrs present ( This Claim is rejected in full . ( ) Other: I certify that this is a true and correct copy o.f the Board's Order entered in its minutes for this date. Dated:F E B 6 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code se i 13) 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 1 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: r E B 7 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator i LAW OFFICES OF McCRAY, ROWLAND & DONOVAN 1700 N. BROADWAY SUITE 305 WALNUT CREEK, CALIFORNIA 94596 DUBLIN OFFICE 14151 932-6716 11960 SILVERGATE DRIVE KEVIN B. MCCRAY SUITE 201 RITA KAY ROWLAND DUBLIN. CA 94568 STEPHEN H. DONOVAN INSTRUCTIONS TO CCS 8-3322 RECEIVED FROM: RITA ROWLAND �-`� ` , JA's � 1990 CASE NAME: SIEDLER v. CITY OF CONCORD PHIL BATCHELOR CLERK BOARD ,OFF SSUUPERVISORS DATE: January 8 , 1990 � NTRRA"'�' CO ����/y BY��``i.� �T FILE THE ENCLOSED ORIGINAL: Claim of Christine Noelle Seidler against the County of Contra Costa TO BE FILED WITH: Clerk of the Board of Supervisors Room 106 , County Administration Building 651 Pine Street Martinez , CA 94553 . RETURN ENDORSED-FILED COPIES TO OUR OFFICE : [x] VIA MESSENGER [ ] IN SELF-ADDRESSED STAMPED ENVELOPE SPECIAL INSTRUCTIONS : THESE DOCUMENTS MUST BE FILED TODAY. Please return the filed-endorsed documents to our office today (round-trip) . SHOULD YOU HAVE ANY QUESTIONS OR PROBLEMS, PLEASE CALL US IMMEDIATELY. Thank you. Sally ' Claim to,: BOARD OF S!JFM�,1_30RS OF CONTRA COSTA COUNTY i:^lt'TQ 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 aetion1for death or for injury to person or to personal property 'or growing crops andlwhich 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 thecauseof action. (Govt. Code 5911.2.) 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 Tor-M. III Int It RE: Claim By ) Reserved forClerk-'s fil og stamp CHRISTINE NOELLE SEIDLER ) i MC 'IVED Against the County of Contra Costa ) ,lAN����, or ) PHIL BATCHELOR CLERK BOARD OF SUPERVISORS District) 40NTRA CTA CO. Fill in name ) .J.r—" � � v" — The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ _2,000,060.00 and in support of this claim represents as follows: ----------------------- ------------------------------ - 1. When did the damage or injury occur? (Give exact date and hour) JULY 12, 1989; 1709 SEE POLICE REPORT ATTACHED. -------------------------------------- --- I------------------------------..�� 2. Where did the damage or injury occur? (Include city and county) WILLOW PASS ROAD - approximately 1300' Southlof the West Kinne Road entrance, Concord, Contra Costa County. SEE POLICE RETORT ATTACHED. -------------------------------------------------------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) See Police Report attached, especially page 4 where it describes drop off from pavement to shoulder surface as well as the account of Mss Seidler and other references to drop off. ------------------------------------------------ ----------------------------------- 4. What particular act or omission on the part of county or district officers servants or employees caused the injury or damage? It is claimed that such road condition is the result of negligent and unsafe road maintenance and/or road design. Furthermore, there may be other condition and design features which are currently unknown that might also indicate liability on the part of the County of Contra Costa. (over) i c 5. What are the names of county or district officers, servants or employees oausirig the damage or injury? The name of the County Agency(ies) and/or County Employee(s)- that caused the injury/unknown at this time. is i ---------------------- 6. ------------------- ----- 6. What damage or injuries .do you .claim resulted? i (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. i See Attachment. i ------------------------------------��-r------- ----------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) Estimated:- $260,000.00 in medical bills and wage loss to date plus $1,800,000.00 for future medical bills, wage loss, lost earning capacity and pain and suffering. i --------------------------------------------------i------------------------ -- 8. Names and addresses of witnesses, doctors and hospitals. Plaintiff was treated at John Muir Hospital, 1601 Ygnacio Valley Road, Walnut Creek, Kaiser Hospital, 1425 S. Main, Walnut Creek, Klaiser Hospital, 2425 Geary, San Francisco See Police Report attached. Treatment is ongoing. Names and Addresses of witnesses are provided in Police Report. 9. List the expenditures you made on account of this accident or injury: DATE.-•..........._. .:ITFNi .. ., ,.�.,_ . j AMOUNT Estima"tjecl uiedica�l''expe " 'es to date are approximately $180,000.00; however, ! ki . exact '.ambilnt i`s'spresentTy unknown. Gov. Code See. 910.2 provides: "The claim1 must be signed by the claimant SEND NOTICES YTO,:. (Attorne ,) -... R; orb some erson on his behalf." Name and Address of Attorney RITA ROWLAND McCRAY, ROWLAND & DONOVAN (Claimant's Signature) 1700 North Broadway, Suite 305 RITA ROWLAND, Attorney for CHRISTINE NOELLE SEIDL Walnut Creek, CA 94596 McCRAY, ROWLAND & DONOVAN Address 1700 N. BROADWAY, SUITE 305, WALNUT CREEK, CA 94596 Telephone No. (415) 932-6716 TelephonelNo. (415) 932-6716 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)9 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. i I r ' I - CLAIM OF: Attachment to #7, re damages, injuries. CHRISTINE NOELLE SEIDLER 5497 IOWA DRIVE CONCORD, CA 94596 I ATTORNEY: {� I MUMMY McCray, Rowland & Donovan 1700 North Broadway, Suite 305 Walnut Creek, CA 94596 I Telephone (415) 932-6716 I I I #7. The full extent of the injuries are unknown.) Ms. Seidler received massive injuries from the head-on collision. She has had five operations on her hip and ankle and lower part of her leg. She has had rods, screws, plates, and a broken tibula and fibula, a shattered ankle (requiring reconstructive surgery) , facial cuts, and back problems which are yet to be diagnosed. Residual effects from the injuries are anticipated. She maylnever recover use of her ankle. I I i i I I I I I I I I I I I I i I I I I I Joe JUL 2 '7 1989 r•-- ,• --- ////7 c CONCORD PQLICS DEPARTMENT ;'•"rrc•t_ CON"I'.10NS 114UMBER:HIT&RUN TRAFFIC COLLISION REPORT INJURED'FELONY ��p / . G FcZ.. � SPF.;IAL VEHICLES I NUMBER MI SDUNI COUNTY I i2 JDATE 8 TIME REPORTED PAGE CITY I PONCE I CMERR IAIL OTN w I Contra Costa 07 i�,Z ��j 1/7047 / S OF CLASi1F ICATI N •DATE Q TIME OCCURRED N.I.NO. OFFICER I.O. N ro �. J�ICGTa d7 %7 S9 ?�� 0704 OC URREO ON: P (MARY STR T ED DAY OF WEEK TOW AWAY STATE HWY PHOTOS MARY TL�7,,- / REL ''// 00 �1 S M-6— F S l�IN03 1 IWINO S (i,YES IJ II_: AT INTERN SSE CTION WITH ! (SECCOONDARY STREET) L FE TD ID SUPP O I TLS O R:/3� �I M I L E S N E W O F 7. � (,..,!6�i /../.SLE/C.Q. E.�t�s�.L^/C E cx 0%VRI ORS LICENSE NO. ISTATIt CLASS ISAFE T VE MAKE Ei'OLOjt LICE NS; NO: STATE 8 3 E 60UI L��I/�( PED NAM (PIRST,MIDO LE,LAST) P / � A G� P1�Ti.,/E R PKD STREET ADDRESS �r IOWNER'3 NAME SAME AS DRIVER '" \� O �dn1LCrCo4 T OwNER•S ADOR E33 BIKE CITY/STATE/ZIP ( ) SAME,�S DRIVER / Y 44 . 9�.�a 38� �i.t�c.�r oSfc S •.lE.f•�e,< OTHR SEX HAIR EYES MGHT WGHT MD BIR TD^D ATE Y[A RA E DISPO ION OF VEHICLE ON ORDERS OR: oPPICEw ( JOwIv[w I • Ole 3 NOM1/�E PHONE BUSyN ESS PHONE L PRIOR MECHANICAL DEFECTS: ( )NONE APPAw[wT ( )NEPER To NA—ATIVE, 8,x/3 (�,f-s) 4� ��/,,J• II TOWED BY DESCRIBE VEHICLE DAMAGE SHADE AIN REA: I INSURANCE CARRIER Q( POLICY NUMBER I// IUNK )NONE ( )MINOR IMOD )MAJOR TOTAL TRAVEFIONPTREET OR HWAY f0 PCF all PUC .r _-- CHP I i RVR;DRIV ERAS LICENSE NO. STATE CLASS 1.6 YI VE N.YR,I MAKE/MO ;COLOR LICENSE MO. STATE i l.CLoOoZoZC� eA 8 /�.ca ,tee dc.E V .yre c�a PED I NAME (FIRST,MIDDLE.LAST) •I I Jim .PKD STR/�E ET:D7E53OWNER'S NAME SAME AS DRIVER RYEM 19/- 4A1�^/C.4T .�P. T I BIKE CITY/STATE/ZIP OWNi R S ADDRESS SAME AS DRIVER I Y A Z IOTHR j SEX HAIR JEYES I HGHT I WGHTS� BIRTH GATE RACE DISPO TION OF VEHICLE ON ORDERS OF: FPICEw ( )D wlvEw DA /1 /r �• Y`Ew C-CiLdQ�Q ( )DTNEw HO/ME PHONE BUS E55 PHONE / PRIOR MECHANICAL DEFECTS: ( )NONE APPARENT ( )w EPE.To NARRATIVE 7 /.7/� �S/� TOWED BY DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED i J 'V AREA: INSURANCE CARRIER POLICY NUMBER IUNK )NONE ( )MINOR J' fi.P Ecus 9�iaz3o6o -z ,rfyE I IMOD ) )MAJOR )(TOTAL DIR.OF ON �yTREET O(R MI MWAlYICC ( ) TRA ELi //�G.� �;a.J '/d �� I PUC ''__��(/ G'i�Jl CMP ( I ORVR DRIVER 5 LICENSE NO. (STATE ICLASS �SAFETY1"EMi.YR. MAKE/MODEL/COLORLICENSE NO: STATE EQUIP. . . . . . . . . . . . . . . • PEO NAME (PI-ST.MIDDLE.LAST) P I A PKD STREET ADDRESS OWNIER'S NAME SAME AS DRIVER R VEH T Y BIKE I CITY/STATFIZIP OWNEIRS ADDRESS SAME AS DRIVER 3 OTMRISEX HAIR (EYES JHGHT �WGHT BIRTHDATE RACE JOISPIOSITION OF VEHICLE ON ORDERS OF: ( )C—ace. ( )owlveR Mo. CAr YEAw ( )DTN[w HOME PHONE BUSINESS PHONE PRIOR MECHANICAL DEFECTS: ( )NONE APPARENT ( )R[FERTO NAwPATIVE ( ) TOWED BY A [IZSCRIBE VEHICLE DAMAGE SHADE IN DAMAGEDI REA: (INSURANCE CARRIER POLICY NVMBER ) )UNK )NONE )MINOR)MOD ( )MAJOR ( )TOTAL IDIR.OFON STREET OR HIGHWAY PCF ICC, ( ) ' TRAVEL: PUC ( ) CMP ( ) RE�RTiNG OF FIC rR + BEAT DATE & TIME REPORT WRITTEN SUPERVISOR APPROVING ' 6Q �� I CP-2S•t JUN i7' CONCORD PC !CE DEPARTIM ENT TRAFFIC COL!ISiON CODING ^ • PAGE _.(w�, G.SC3 DATE 0FF)COLLISION TIME (/ 4 NCIC NU M'rBER OFFIG-R I.D. MO. / DAV ,raZ Y6ARQQ' !L+ / 0704 I V� /-/ sa - .1 O NER'S NAMr,ADORESS PROPERTY nor17 IED DAMAGED ISCRIPTION OF DAMAGE ( IY.:S ( )NO I-,� I SEATING POSITION i SAFETY EQUIPMENT c M!C BICYCL� EJECTED FROM VEH.! OCCUPANTS: - A•None in Vehicle 1 -Driver � L-air Bag Deployedi 0-Not Ejected ,1961 2 to 6 •Passengers Mair Bag Not Deployed HELMET 7.Station Wagon Rear I B-Unknown N•Other DRIVER 1-Fully Ejected C- Lao Beit Used 2•Partially Ejected 8-RR.Occ.Truck or Van P•Not Required V-No D• Lap Belt Not Used 3-Unknown 1 23 0-Other-Position Unknown I E-Shoulder Harness Used CHILD RESTRAINT W-Yes 0 F.Shoulder Harness Not Used Q-In Vehicle Usea PASSENGER 4 5 o G- LapiShoulder Harness Used R-In Vehicle Not Used X-No 7 H• Lap/Shoulder Harness Not Used S-In Vehicle Used Unknown Y-Yes J-Passive Restraint Used T- In Vehicle Improper Use K-Passive Restraint Not Used U-None In Vehicle ITEMS MARKED BELOW WHICH ARE FOLLOWED BY AN ASTERISK (-,I SHOULD BE EXPLAINED IN THE NARRATIVE. PRIMARY COLLISION FACTOR TRAFFIC CONTROL DEVICES 1 I T !3 TYPE OF VEHICLE 1 I2 I3 I MOVEMENT SRIONEDING LIST NO. (sl OF PARTY AT FAULT =1 A VC, ec-!99n ated: Cited: A Controls Functioningr. ;A Passenger Car/Station Wagon 1 I A Stooped j �01C� L( )Yes ( )No IS Controls Not Functioning* ! ! !B Passenger Car With Trailer *IL! 18 Proceeding Straignt I a i B Other Improper Driving* 1C Controls Obscured 1 1 IC MOLarcyc!e%Scooter IC Ran Off Road D No Controls Present:Factor* I I !D Pickup or Panel Truck D Making Right Turn I C Other Than Driver* I . er 1 1 E Pickup/Panel TrkW/Trail TYPE OF COLLISION I E Making Left Turn 10 Unknown' ;A Head•OnI F Truck or Truck Tractor E Fell Asleep' 1 F Making U Turn , ur z I ! i I B Sideswipe ! G Truck/Trk.Tractor W/TrailerI I IG Backing IC Rear End I 'H School Bus 1 I H Slowing/Stooping /S 'HEATHER (MARK I TO z ITEMS) - - - g topping I - A Clear D Broadside I Other Bus 1 I I I Passing Other Vehicle - 1 E Hit Object ! J Emergency Vehicle 1 I J Chancing Lanes I -- J y ; F Overturned K Hwy.Const. Ecuipment ! K Parking Maneuver i C Ralninc D Snowinq IG Vehicle Pedestrian L Sicycle 1 I L Entering Traffic - liry c. !H Other': ! M Other Vehicle 1M Other Unsafe Turnine 1 MOTOR VEHICLE INVOLVED WITH I i N Pedestrian N XingInto OpposingLane ' I F Other' A Non-Collision !0 Mooed I 0 Parked 1 G Wind ! LIGHTING 6 Pedestrian I I I I 1P Merain A Daylight C Other Motor Vehicle ! ! I 1 Q Travelinq Wrong Wav i D Motor Veh.on Other Roadway OTHER ASSOCIATED FACTOR I I I R Other•: j I B Dusk Dawn I (MARK I TO 2 ITEMS) IC Dark •Street Liahts I E Parked Motor Vehicle 1 F Train A VC Sec-io Violation: 10 park -No Street Liants I n/ Cited: I I !G 9icvcle ( IYes 1 INo I I I I E Dark -Street Lights Not I Animal: Functioning* ; g `JC Section Violation Cited: SOBRIETY DRUG I11 I ( )Yes ( )No I I I PHYSICAL ROADWAY SURFACE C VC Section Violation Cited: , )MARK I TO ITEMs) I Fixed Object: ;X! :I A Had Not Been Drinking I A Dry ( IYes I INo B We- ii Other Object: 10 I I IS HBO .Under Influence `C Snowy - Icy I I IE Vision Obscurement ( _1C HBD-Not Under Influence' ' 10 Siicoery Imuddv,oily,etc.) I I F Inattention' I . 1 10 HBO •Impairment Unknown" ROADWAY CONDITIONS PEDESTRIANS ACTION 1 1 IG Stoo&Go Traffic 1 I E Under DrugInfluence' I (MARK 1 TO 2 ITEMS) 1 1 I H Entering/ Ramp I +A No Pedestrian Involved g F Impairment-Physical• 1A Holes, Deeo Ruts' 1B Crossing in Crosswalk I i i t Previous Collision I G Impairment Not Known i B Loose Material on Roadway1 at Intersection I I !J Unfamiliar with Road I 1H Not Aoolicable i IC Obstruction on Roadway' IC Crossing in Crosswalk -Nor I 1 1K Defective Veh. Equip.: Cited: 1 Sleeov/Fnrioued _ 1D Construction-Repair Zone I at Intersection I I ( )Yes 1 )No I I I SPECIAL INFORMATION !E Reduced Roadwav Width ID Crossing-Not in Crosswalk I 1L Uninvolved Vehicle I 1A Hazardous Material I IF Fl000ed' I E In Road - Includes Shoulder i M Otner•: 1 IS Fire Involved- IG Other' _ I F Not in Roaa IN None Aooarent I IC Tire Oefect/Failure *H No Unusual Conditions IG Aooroach/Leavine School Bus I !0 Runawav Vehicle I I I SKETCH: �,� -f„— t— T. — 1 —T n MISCELLANEOUS: C�.e.cfE` �-�/o�,c�QE.� /'c.i. �c/a.errESi Su F4 .(7- AOV 7165,11.4-1-1 70 r�...u.JE ZI ��z I OATH �-- ,3.r`..a 4Lt.;19 L �•Y o.�rcA�R I CONCORD POLICE DEPARTMENT INJURED/WITNESSES/PASSENGERS PAGE �oF6 DATEOFCOI--*9ION TIME jI3O NCIC NUMBER OFFIG R I.D. NU R U704 EXTENT OF INJURY ("X"ONE) I INJURED WAS("X"ONE) M1TNL1f Tw{1LnG!RI AOH ( /C% ONLYOn LY PATAL I {LV[RL OTN[R VI{1■L[ COMP6AINT PAw TY f[AT fA1[TY DR—C. ASS. P[D. ■ICYCLI{T OTN[w NuMRLw POS. 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LE .h!T o LIGE i�C. CtdT.� O•L/ J�.4CJ� —.�Eq�c/ c/..! p7 Ti TC EQ Su �,c VICTIM OF VIOLENT CRIME NOTIFIED ❑ _ ❑ I 1—�❑ I ❑ ❑ ❑ j CK' F-] 101 ❑ ❑ I l" NAGE D.O.B. ADDRESS TELEPHONE Vi i E •Cac c E.� E L-�Slo �r 7.3 .vL•�/u T QR. o.c <E T ry ORTED By (IN:U ED O LY): TAKEN TO: .�E eS.o.�/.a,� � �1)1� :FC -S /C--1 -5,.A 4E VICTIM OF VIOLENT CRIME NOTIFIED NAME D.O.B. (ADDRESS TELEPHONE j TRANSPORTED BY (INJURED ONLY): (TAKEN TO:I DESCRIBE INJURIES I VICTIM OF VIOLENT CRIME NOTIFIED (REP RTING OFFICER !BEAT AND TIME REPORT WRITTEN SUPERVISOR APPROVING TYPIST DATE AND TIME REPORT TYPED si.e7-,.IE C��'� I � IDATF C`7-/3 CP-29`1 JUN i7 CONCORD POLICE DEPARTMENT '^ FACTUAL DIAGRAM • PAGE : DATE OF COLLISION iTIMEtz4o. 0 I NCIC NUMBER0/ OPPICER I.D. NUMBER O7V� j MO DAY YR, I ALL MEASUREMENTS AREA PPROX I MATE AND NOT TO SCALE UNLESS STATED 1SCALE . I INDICAT< NORTH J DRAWN BY I.D. NUMBER MO, DAY YR. REVIEWER 3 NAME MO. 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Lo s-A-3 v c7 c-, h-k AA -N \CILIF iii f<'TC c- 1 SCS,k c -T� C 7 T i i -7 "CP-I 1 1-777 CONCORD POLICE DEPARTMENT FACTUAL DIAGRAM _ PAGE �OJArz OF COLLI 110171 Q TIM E1122400 Q NCIC NUMBERr�w OFFICEERR�yI.D. NUM BER t R Mo. �• owr 1L YR.V� \ l�-1 071/Y 'Vl eA\- 1� ��V ALL MEASUREMENTS ARE APPROXIMATE AND NOT TO SCALE UNLESS STATED (SCALE • • IRGICAT= MCRTN - - I 1 - - T - _ S _ H O v TO WEST EXIT Of wwwE E • t - R _ T d �1W5 E 1 p _E N1J1;S PROPERTY _ L R _c PP•OPEXTY E O --. ..._._ .. .. L E (� E 5 -1� — �—REFERENCE _ 5.7 M 719.E MARK 1►1 -- . . SHOLLIDEIi of � Zy2� I►� _ �49 ° 23'9' SKlDMA0.\ZS Faoin v'2 A- LEFT REI.R• 19'5' (21 71mt .SCUFF MAP-Y, - o i SD 6' R1GtiT R�l�R= 181a _ C POSSNpLE. I-VI FRoiCT — POI _ — --- - ---- - -- -- 1 jY---•- --' -_ --- ---- -- p=lEFt�RoNT. 1`1 t. �•b� wES� Of EnSZ _ _ E R>aHr FROMIL 14.9• 51�DuLo ER �` 1 REFE.4ENCE l�•IE oit _ IL 1,300'6' So.,jr of I LLn:ZER OF..WEST Kiwi E - 1 N BY I.D. NUMBER MO. DAV YR, REVIEWER S NAME MO. DAY YR. 17 /3 82 CONCORD POLICE DEPARTMENT INJURED/WITNESSES/PASSENGERS DATE OF COLLISION TIME(.ACQ) MR OFFICER D. DER PACE I NC,c NU "80704 I. EXTENT OF INJURY("X"ONE) I INJURED WAS("Xl*ONE) .—Ass .S.K.Ga. G 10a. I —smurDARTY s[AT '... III Yl Pico. w,cVcujsT OTNQR ❑ J 1 F7 NAME ADDRESS LEPNONE TRANSPORTED BY (INJURED ONLY): TAKEN TO: 1TE OF-SCRIBE INJURIES ❑ VICTIM OF VIOLENT CRIME NOTIFIED 71 171 7 NAME I D.O.D. ITE LEPHONE TRANSPORTED BY (INJURED ONLY)-. TAKEN I'll: DESCRIBE INJURIES ❑ VICTIM OF VIOLENT CRIME NOTIFIED 7! 17 E ITELEPHONE !TRANSPORTED By (INJURED ONLY): (TAKEN TO ,RISE INJURIES VICTIM OF VIOLENT CRIME NOTIFIED NAME ITRANSPORTED By (INJURED ONLY): T A K rN TO: ITZLEPHONE DESCRIBE INJURIES ❑ VICTIM OF VIOLENT CRIME NOTIFIED NAME ID D (ADDRESS TRANSPORTED BY (INJURED ONLY): TAKEN TO: (TELEPHONE DESCRIBE INJURIES ❑r7 VICTIM OF VIOLENT CRIME NOTIFIED NAME ADDRESS - I I ITELEPNION TRANSPORTED By (INJURED ONLY); ITA KEN TO: Des r7 VICTIM OF VIOLENT CRIME NOTIFIED REPORTING OFFICER SEAT DATE AND TIME REPORT WRITTEN jSUPERVISOR APPROVING ITYPIST (DATE AND TIME REPORT TYPED C-29-1 JUN 07 • 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 February 6, 1990 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: $145.00 Section 913 and 915.4. Please note all "Warnings". County Counsel CLAIMANT: STONE, David Scott _ . ATTORNEY: JAN 9 1990 Date received MafteaCAP ADDRESS: 12000 Marsh Creek Road BY DELIVERY TO CLERK ON January 9, 1990 (vi cler3office) Clayton„CA 94517 BY MAIL POSTMARKED: January 8, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JVIL BATCHELOR, Clerk DATED: January 9, 1990 : Deputy II�OM: County Counsel TO: Clerk of the Board of Supervisors ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: ( �1( BY: ) Z)2j/IU ,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 ORDE By unanimous vote of the Superviscrs .present ( This Claim is rejected in full. ( ) Other: j I certify that this is a true and correct copy o.f the Board's Order entered in its minutes for this date. Dated: FEB 6 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk i WARNING (Gov. code sslai 1 913) 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: FEB 7 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator i CLAIM TO: BOARD OF SUPERVISORS OFi CONTRA C O9T_ArF4*NXapplication to: Instructions to ClaimantC!erk of the Board . .O.Box 911 Martinez.Califomla 94553 A. Claims relating to causes o'f action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day. after the accrual of the cause. of action. 'Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911.2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, California 94553. C. If claim is against a district governed by the ,Board of Supervisors , rather than the County, the name of the Distript should be filled in. D. If the claim is against more than onelpublic entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims , Penal Code Sec. 72 at end o his form. RE: Claim by ) Reserved for Clerk' s filing stamps �AJ 'k Seoli REr Against the COUNTY OF CONTRA COSTA) 1. JAN 9 1990 or DISTRICT) PHIL BATCHELOR Fill 1 n name CLERK BOARD OF SUPERVISORS C OSTA CO. The undersigned claimant hereby makes claim agains the County of Contra Costa or the above-named District in the sum of $ ILkr on and in support of this claim represents as follows : 17-FIE; did the damage or in3ury occur? Tq (Give exact date) an/d hour 1 elf S --- ---- - ------••------ T- - -------------------------------- ----- C1id T the damage or-injury---occur? I (Include city and county) Y4 pm 4 3. How did the damage or injury occur? (Give full details use extra sheets if required) C0c, /�y� © 6� cc) 0c, C&ar`r� --------------------------------T----------------------------•..T-�.- ------ ..---- 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? (over) i i 5. What are the names of county or district officers, servants or employees causing the damage or injury? �.-------- --------T-T--T-------------T---------�.--- T--•�---------•�----- 6. What Zamage or injuries do you claim resulted? Give full extent of injuries or damages claimed.' Attach two estimates for auto damage) C �® ------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury oridamage. ) .� _ e. --�v- Lw icGI Vr /• l �, ,4 - v. o 1, 42aNro,d . -- -p--o- o A) . I. T- St1+2r 10.ov 1. Ad,& Cgcr,r 1f3.o o To7,aL Iµ.S. 00 - -N-am-e-s-and addresses of witnesses, doctors and hospitals. . j 3 List the expenaitures you made onaccount of this accident or injury: DATE. .. _ .•.. ITEM i AMOUNT s � :;: - . .,-;.....,.. ..,• . : Govt. Code Sec. 910.2 provides : "The claim signed by the claimant SEND NOTICES 'TO: (Attorney) 1 or by some person on his behalf. " ,' Name and 'Address of Attorney I (� � G�,er, ✓f C�� f�� Cla-imant, s Signature A. Address Telephone No. - Telephone No.`. :; N�6Q= Y7OTI CE i Section 72 of the Penal Code provides: "Every person who, with intent to'idefraud, presents for all-owance 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 ofa felony. " i \ A : ` t j.i \ L n+9 0 9 Cs:,dC I CLAIM 1 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA w I Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT February 6, 1990 and Board Action. All Section references are to The copy of thisldocument mailed to you is your notice of California Government Codes. ) the action takenlon your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $20,000,000.00 Section 913 and 915.4. Please note all "Warnings". I County Counsel CLAIMANT: SWAY, Jennifer J. I ATTORNEY: A� Date received !R artInez. CA EMMS, ADDRESS: 325 Silver Avenue BY DELIVERY TO CLERK ON January 5, 1990 i Richmond, CA 94801 BY MAIL POSTMARKED: January 4, 1990 _ I I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ppH�} gg I DATED: January 5, 1990 BYIL DeputyLOR, Clerk i i II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 9110.2. ( ) 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). I I ( ) Claim is not timely filed. The Clerk should return claimlon ground that it was filed late and send warning of claimant's right to apply for leave to presentla late claim (Section 911.3). I I ( ) Other: 1 I I n Dated: BY: I /J Deputy County Counsel I III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (ISection 911.3). i IV. BOARD ORDER: By unanimous vote of the Superviscrsipresent I ( ) This Claim is rejected in full . 1 I ( ) Other: I I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Cp Dated: r G D 6 199 0 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code se ' 913) Subject to certain exceptions, you have only six (6) months from thle date this notice was personally served or deposited in the mail to file a court action on this claim. See Givernment 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. I I AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all timesiherein 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. FEB 7 1990 Dated: L D BY: PHIL BATCHELOR by Deputy Clerk I CC: County Counsel County Administrator I I I I I i 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 dayiafter 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 causelof action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) 1 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 theBoardof Supervisors, rather than the County, the name of the District should bel filled in. 1 D. If the claim is against more than one public entity, separate claims must be filed against each public entity. I E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By Jennifer J. Sway ) Rese Clerk's filing stamp 325 Silver Avenue ) Richmond, CA 94.801 ) RECEIVPD Against the County of Contra Costa ) JAN 51990 or ) PHIL BATCHELOR, Social Services (Child Protective CLERK BOARD OF SUPERVISORS = B OI' COSTA CO. Services Department) District) - De u, Fill in name ) 1 I The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ g0 , 000 , 000. 00 and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) August 28th 1989 was the start of every thing. ------------------------------------------------------------------------------------ 2. Where did the damage or injury occur? (Include city and county) S.anna:�1o.,CA Contra Costa County. When my children were placed with Sandra Littlejohn and Valerie Shaw By Child Protedtive Services . ------------------------------------------ - ----------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) CPS placed my children in ani enviornment where they were abused. My daughter has made severalistatements to me that she has infact been R)D- s while under the care of two people who had been harrassing me since July 1989 and CPS workers- were awear of this --------------- --------------------------------------------------------------------- 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? Failure to investigate the allegations properly. Failure to replace my kids while they deceided to do whatever they were going to. Willfull neglegence for my Childrens welfare, which in result has caused them unrepairable emotional damage for the rest of their lives . Slander, Emotional stress, Failure to �ydegiaaCas ,p abut mai�1 , auu anio oow IYlLremoval of my kids . Marty Gunthers (Mr. Gunthers tried to be somewhat faiPl9r)his deeisions) 5. What are the names of county or district officers, servants or employees causing the damage orin'ury? Lydia Cass , Fabu Omari ( my daughter admitted at my { first visit ?hat she was being beaten at night but bis . Omari dismissed it as a spanking and warned Sandra which caused my daughter to only be spanked more) ,Paula Hollowell Dar, Edward Mann, Charles Underwood ------ ICE_o f f i s_------------------------- 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. Physical and emotional damage to Sarah and Kevin Jones and 'Emotional stress and slander to Jennifer Sway (me) wrongfull removal of my kids failure to conduct �_�?x2[2�T_.�.t1Y.�t�ig�ia��_tb.�.taste:.__F�c�i�T�e_�.a_ca�u►�.i.t-�x�e�3L- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) There is no price that can erase the emotionadL damage done to my family as a result of the willfull failure of CPS there fore I have encluded the cost of therapy for my self and my i children and something to ease the pain of being labled ank unfit or _few------------------------------ 8. Names and addresses of witnesses, doctors and hospitals. Childrens Hospital .Richmond Piediatrics , their p)aychiatrist, Carlotta Davidson, Avery Gillians , Abdessalem Hammami , Dr. Wells , ------------------------------------------------------------ 9. List the expenditures you made on account of' this accident or injury: DATE ITEM AMOUNT I cannot estimate the, cost of therapy because I am mot yet sure what the overall cost will be . Gov. Code Sec. 910.2 provides: "The claim must be signed bS� the claimant SEND NOTICES TO: (Attorney) or b me person on his behalf." Name and .""Iddress of Attorney Jennifer Sway _ 325 ailver Ave. Sig Richmond, CA 94801 325 Silver Avenue Richmond, CA 94801 Address 1415) 2239370 Telephone No. (415) 2 2 3 9 3 7 0 I Telephone No. N 0 T I C E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or -for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for 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. 1 .. y G_4 V +'� tl•- � C7' s' � 1 1 V C� Imo./1 igM.4 1 Z 2 � r r a- 1 0 �1 0 © ,=too . y v 1 .1 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT February 6, 1990 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: $20,000,000.00 Section 913 and 915.4. Please note all "Warnings". County Counsel CLAIMANT: SWAY, Jennifer ATTORNEY: J A N 5 Date received Magainez, CA 04—W ADDRESS: 325 Silver Avenue BY DELIVERY TO CLERK ON Llanuary 5. 1 C)C)n Richmond„CA 94801 BY MAIL POSTMARKED: January 4, 1990 I. FROM: Clerk of the Board of Supervisors T0: County Counsel Attached is a copy of the above-noted claim. DATED: January 5, 1990 JAIL BATCHELOR, Cler 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�c1p BY: 1 J - /1 Deputy County Counsel I III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD OR 'R: 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: FEB 6 1990 PHIL BATCHELOR, Clerk, By _26Deputy Clerk WARNING (Gov. code se n913) 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: FEB 7 1990 BY: PHIL BATCHELOR by Deputy Clerk f CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building. 651 'Pine Street, Martinez, CA 94553• i C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled' in. i D. if the claim is against more i hari ofle pit lic: 1,L1U Uy, JCji4iGtc C:iaiu� u ust `vc filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. j Re rued for Clerk's filing stamp RE: Claim By Jennifer Sway Against the County of Contra Costa ) _ 'JAN 5 1990 or ) Sheriffs Department Bay Station CLERK BOARD BATCHELOR of Contra Cost Bounty District) a .: +T COSTA CO. o� Fill in name ) The undersigned claimant hereby makes claimairist the County of Contra Costa or the above-named District in the sum of $ 20 , 00 ; 000 . 00 and in support of this claim represents as follows: i i ------------------------------------------------------------------------------------- 1. When did the dame or injury occur? Give exact date aid hour) August 26th lyS9at or aY�ound 1 : 0� am, lUctober ltsth in the afternoon October 27th, and another date aroundithe 24th or so . ------------------------------ 2. Where did the damagg or injury occur? (Include city and county) 325 Silver Ave ichmon . Contra Costa county ------------------------------------------------ ------------------------------------ 3. How did the damage or in.iurv_o r^u1n (Give_ full details: use extra_. paper if required)• wrong=full-removal of my kids even "though they -were made awear of the on going problem I had been having with my two sisters . I had left my moms house at 12: 30 am my children' were sleeping when I left and were in no danger. Failure to act acording to the law , `I�_ was`also told not to ---cater-tai-�trr-=f`-��a�E-rr�-nranttra-�azz5�d- -brn�ri-y- -�r�n------------------ 4. What particular act or omission on the part of county or district officers, sery is or employees ca sed the in ' dams e? Failure to stand by while I checked on my property by Mr. am on Oct . 27th, Failure to allow ,me the opportunity to place Valerie under citiaens arrest. by an officer that had blond hair and his failure to take a police report . wrongfull removal of my kids .on Aug 26th . Continuous Harrassment, Threats of being put in jail if I call to report Harrassment `a ainst Valerie or Sandra ain. 0ailure to s nd the pol c eports to the DA sp th t I could ess charges agains Sandra and la irie . `over I w 5. What are the names of county or district officers, servants or employees causing v the damage or .-,jury? Battle , An Asian officer, a blon';dhaired officer the Sargent ,.', Lt . Pool. (ALL NAMES AND EXACT DATES ARE VERIFYABLE THROUGH PAY 911' CALLS) ------------------------------------------------------------------------------------ 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. . Attach two estimates for auto damage. Distruction of my sewing machine, on the 27th emotional damage to myself and my kids . Placing my life in danger by refusing to stand by, and. Failure to act. ------------------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) It is hard to place a price on emotional - ,s:tr.ess�=and--;.the..,phyc:a.l.ogical-.:.:damE�Lg-e:done by.-:the....part._p.layed by the _ ' sheriffs department therefore I have came up with 't is sum based -on the trama caused b thein. 8. Names and addresses of witnesses, doctors and hospitals. Carlotta Davidson, Avery Gillians , Abdessalem Hammami, My childrens phyciatrist, and others . ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT pldase see statement °made above . 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 Jennifer Sway 325 Silver Ave. n Claimant's tures Richmond, CA 94801 2 Address Telephone No. (415)2239370 Telephone No. (415) 2239370 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 4 i i r`5 cr snv a ¢pv : / Lr ,� d�Q •: cc Y . U - CLAIM 1. 15 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 'February 6, 1990 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 tV16v r menet Code Amount: Undetermined Section 913 and 915.4. Please note all "✓Warnynfectunsel CLAIMANT: BRADFORD, Bru6e Wayne A N 3 1990 ATTORNEY: Estate:! o.f Martine?. CA P4&53 Date received ADDRESS: William Godfrey Davis, Esq. BY DELIVERY TO CLERK ON January 9, 1990 (via Shegiff) Davis and Hill 3000 S. Robertson Blvd. , #245 BY MAIL POSTMARKED: Los Angeles, CA 90034 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. pH DATED: January 9, 1990 JVIL g BATCHELOR, Clerk y 11. FROM: County Counsel TO: Clerk of the Boa of Supervisors �+ ) This claim complies substantially with Sections 910 and 9110.2. ( ) This claim FAILS to comply substantially with Sections 91 i 0 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: i Dated: ( /`l / 9() BY: ` Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Bcard's.Order entered in its minutes for this dates. Dated: r E B 6 19%)0 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sec 'W913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today 1 deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: FEB 7 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator IRECEIVED Nt, she, 1 CLAIM AGAINST PUBLIC ENTITIES JAN 9 1990 1 PH!L BATCHELOR CLERK BOARD OF SUPERVISORS In the Matter of the Claim of } , _ CONT COSTACO. Deputy 2 The Estate of Bruce Wayne Bradford ) Edna Marie Simien, (Mother) , ) 3 Richard Lawrence Bradford, (Brother) , ) CLAIM FOR Wrongful Death, 1Tracey Bradford (Daughter) , Trina ) Medical Malpractice, and 41Bradford, (Daughter) ; Bruce Wayne ) Violation of Civil Rights i jBradford Jr. (Son) , and all other ) Re: Bruce Wayne Bradford 1 5 qualifying heirs, Claimants, ) while in Custody from Sept 1 29 , 1989 thur Oct. 1, 1989 61vs . } D.O. B. September. 29 , 1953 i 71'The City of Martinez ; County of ) j 'Contra Costa; The Contra Costa County) i 8j!Sheriff ' s/Police Department; } i,All Involved Medical Personnel ; and ) 9 lDoes I thur _C, Inclusive 10 ;The Law Firm of DAVIS & HILL hereby presents this claim to the 11 I City of Martinez , The County of Contra Costa, The Contra Costa 12 1Sheriff' s/Police Department, and all involved medical personnel, 131 ;and Does I thur C pursuant to Section 910 of the California 14 ; — 1 Government_Code: 15 j1 111 . The names and post office addresses of the claimants are: The 1611 Estate of Bruce Wayne Bradford, Edna Marie Simien, Richard L. 171 1 . Bradford, Tracey Bradford, Trina Bradford, BruceWayneBradford, 191 and all other qualifying heirs, each of 1048 57th Street, Los I .Angeles, CA 90037 . 20 j 2 . The post office address to which the persons presenting the 21 i 1claim desires all notices and communications with regard to this I 22 i 23 claim should be sent is: 3000 S . Robertson Blvd. , #245, Los Angeles, CA 90034 . 241 . The date, place and other circumstances of the occurrence or 2511 j 261transaction which gave rise to the claims asserted are as follows: 1 1 27 On or about September 29 , 1989 thur October 1, 1989 , the decedent I 28 1 1 I was arrested, held incommunicado; refused telephone calls to attorneys, parents, physicians, and otherwise intentionally and/or 1 negligently refused medical treatment. These actions were taken 21 with full knowledge of the entities and parties who this claim is 311filed against and at a time when the decedent was in desperate 4: meed of medical assistance. Each of said entities and persons, i i SlI 1willfully, knowingly, purposely, and with the specific intent I Leprived Decedent of his Civil. Rights, the right to timely and 7 ineffective medical assistance, and the advise of a medical 8 1. hysician, ,•hile at custnuy athe Contra Costa County Main i 91 etentioii Cent.er in Martinez , Com,, all. of which proximately caused 101 said decedent ' s death. W14 . The loss of each claimant consist of loss of consortium (love, I. 12 affection, support) , financial benefit, counsel, companionship, 13,etc. , sustained as a .result of decedent ' s death on or about � 141October 1, 1989 . 15 � b . At present, other than the above-named entities and parties, i 16i"claimants do not know the specific names of the p� public entities 17 Lnd/or employees who caused claimants ' damages. 18; The total amount of the claim exceeds ten thousand dollars 19 I. ;($10, 000. 00) as of this date, and is based on. the life expectancy 20 Pi f the deceased. Jurisdiction over the matter would rest in 21 . ederal or Superior Court . i 22 , ated: January 2 , 1990 DAIIIIS .:& LL 2 3 24 i By: til dam Godf ey,'� i s, Esq , 251�lmagst.pub Attorneys f r C imants I 26 271 i I 28I I WILLIAM GODFREY DAVIS, Esq. DAVIS & HILL 3000 S . Robertson Blvd. , Suite 245 Los Angeles, CA 90034 (213) 287-0326 Attorney for Plaintiffs PROOF OF PERSONAL SERVICE AND SERVICE BY MAIL I am a citizen of the United States and a resident of the County of Los Angeles; I am over the age of 1.8 years and not a party to the above-numbered action; my business address is shown above. On January 2 , 1990 I served the Claim Against Public Entities, herein, on the courts and parties in said action by causing personal delivery of a true copy thereof during normal business hours to and by mailing a true copy, postage paid, in the United States mail addressed to: The City of Martinez The County of Contra Costa 525 Henrietta Street Martinez , CA 94553 The Contra Costa County Sheriff ' s/Police Department 1000 Ward Street Martinez , CA 94553 I declare under penalty of perjury that the foregoing is true and correct. Executed on January 2 , 1990, at Los Angeles, California.6/. J Simmons prfsvc.pub 1 EIE �-P 57 427 � CIJUM AGAINST PUBLIC ENTITIES JAN 2 91990 1 q :PHIL BATCHELOR In the Matter of the Claim of ) CiE1'ciNTRDOFST�COSQ� 2 The Estate of Bruce Wayne Bradford ) D• • Edna Marie Simien, (Mother) , ) 3 Richard Lawrence Bradford, (Brother) , ) CLAIM FOR Wrongful Death, Tracey Bradford (Daughter) , Trina ) Medica•l Malpractice, and 4 Bradford, (Daughter) ; Bruce Wayne ) Violation of Civil Rights Bradford Jr. (Son) , and all other ) Re: Bruce Wayne Bradford '9- qualifying heirs, Claimants, ) while in. Custody from Sept 29, 1989 thur Oct. 1, 1989 6 vs. ) D.O.B. September 29, 1953 7 The City of Martinez ; County of ) Contra Costa The Contra Costa Couirity) 8 Sheriffs/Poli-ce Department:.; All Involved Medical- Personana ) 9 Does_I thur C,•_ ficl.u.si.ve____ _ 1 10 The Law Firm of DAVIS & HILL hereby presents this claim to the 11 City of Martinez, The County of Contra Costa, The Contra Costa 12 Sheriff' s/Police Department, and all involved medical personnel, 13 and 'Does, I thur C pursuant to Section 910 of the California 14 Government Code.. . 15 1. The and dost c.cf ice addresses of the claimants are: TPie 16 Estate of ' Bruce Wayne Bradford, Edna Marie Simien, Richard L. 17 Bradford, Tracey Bradford, Trina Bradford, Bruce Wayne Bradford, 18 and allother qualifying heirs, �ach of. 1048 57th Street Los 19 Angeles, CA 90037 . 20 2 . The post office address to which the persons presenting the 21 :laim desires all notices and communications with regard to this 22 :lai.m . should be s::nt is. 3000 S. Robertson Blvd. , #245, Los 23 Angeles, CA 9C034 . 24 3 . . The date, place and othc.-er c.:.rcumstc:nces of the occurrence or 25 -r nsac- i.on which gave, ride tothe l:ains asserted are as follows: 26 Jr.= Y or about Sep'C'Ie_ubar ,9 , 1989 thus October 1989, the decedent 27 28 was arrested, held incommunicado; refused telephone calls to attorneys, parents, physicians, and otherwise intentionally and/or 1 negligently refused medical treatment. These actions were taken 2 with full knowledge of the entities and parties who this claim is 3 filed against and at a time when the decedent was in desperate 4 5 need of medical assistance. Each of said entities and persons, willfully, knowingly, purposely, and with the specific intent 6 deprived Decedent of his Civil Rights, the right to timely and 7 effective medical assistance, and the advise of a medical 8 physician, while in custody at the Contra Costa County Main 9 10 detention Center in Martinez! CA, all of which proximately caused said decedent's death. 11 4. The loss of each claimant consist of loss of consortium (love, 12 13 affection, support) , financial benefit, counsel, companionship, etc. , sustained as a result of decedent's death on or about 14 October 1, 1989 . 15 5. At present, other than the above-named entities and parties, 16 claimants do not know the specifi names of the public entities 17 and/or employees who caused claimants ' damages. 18 5. Thetotal: amount of the claire exceeds ten thousand dollars 19 ($10, 000. 00) as of this, date, and is based on the life expectancy 20 of the deceased. Jurisdiction over the matter would rest in 21 ,ederal or Superior Court. 22 Dated: January 25, 1990 DAV S ILL 23 ' 24 By: illiam Gq reClavis, Esq. , 25--lmagst.pub Attorneys for Claimants 26 27 28 WILLIAM GODFREY DAVIS, Esq. i DAVIS & HILL 3000 S. Robertson Blvd. , Suite 245 Los Angeles, CA 90034- (213) 287-0326 Attorney for Plaintiffs PROOF OF PERSONAL SERVICE AND SERVICE BY MAIL I am a citizen of the United States. and a resident of the •County of Las Angeles; I am over the age of 18 years and not a party to the above-numbered action; my business address is shown above. On January 25, 1990 I served the Claim Against Public Entities, herein, on the courts and parties in said action by causing personal delivery of a true copy thereof during normal business hours to and by mailing a true copy, postage paid, in the United States mail addressed to: The Clerk of the Board of Supervisors County Administration Building Room 106 651 Pine Street Martinez, CA 94553 I declare under penalty of perjury that the foregoing is true and correct. Executed on January 25, 1990, at Los Angeles, California. r Ju A. Simmons prfsvc.pub 1 v s r •'� k.y ^ LO �. CNV .. r p} � _ N U vgvo o . 3 �4 d � •�"✓ 4 ? O OX J1 0 2 d3 Z W W U •- U N K W ..� � N b � 0� 5 Q Y4 "� 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 February 6 199P and Board Action. All Section references are to ) The copy of this document mailed to you, is your no{ice o California Government Codes. ) the action taken on your claim by the oard of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: Undetermined Section 913 and 915.4. Please note all y CO CLAIMANT:- HOLCOMB, Terry A. and Peggy L. J S 11175e/ ATTORNEY: David J. Holcomb, Esq - f f /U 1990 Attorney at Law Date received �� ' �•'A ADDRESS: 1850 Mt. Diablo Blvd. , Suite 510 BY DELIVERY TO CLERK ON Januar , 1990 (via (T� office) Walnut Creek, CA 94596 BY MAIL POSTMARKED: no env looe 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PPHHIL BATCHELOR, Clerk DATED: January 4, 1990 BY: Deputy i II.\.FROM: County Counsel TO: Clerk of the Boari of Supe isors r ) 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). I ' I ( ) Other: i Dated: I � `) Uoriy BY: Deputy County Counsel T I III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Slection 911.3). IV. BOARD ORD By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy o.f the Board's Order entered in its minutes for this date. Dated: FEB 6 19,010 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code se 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: FEB 7 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator • Y 1 LAW OFFICES OF DAVID J. HOLCOMB _ RECEIVED David J. Holcomb, Esq. vb, Cert:s a 2 1 850 Mt. Diablo Blvd. , Suite 510 = JAN 31990 Walnut Creek, CA 9459.6 - 3 ( 41 5 ) 933-6800 PHIL BATCHELOR CLERK BOARD OF SUPERVISORS ■ COSTA CO. 4 B De u 5 6 TERRY A. HOLCOMB and NOTICE OF CLAIM PEGGY L. HOLCOMB AGAINST GOVERNMENTAL 7 claimants ENTITY 8 9 CONTRA COSTA COUNTY 10 a public entity 11 12 TO: THE COUNTY OF CONTRA COSTA in the State of California, 13 PLEASE TAKE NOTICE that Terry A. Holcomb and Peggy L. 14 Holcomb ( "Claimants" ) claim damages against the County 15 of Contra Costa, a public entity,' ( "County" ) as set forth 16 below. 17 The Claimants ' address is 3127 Diablo View Road, 18 Lafayette, CA, located in Contra Costa County. For purposes 19 of responding to this claim, the address of Claimants ' attorney i3: 20 LAW OFFICES OF DAVID J. HOLCOMB 21 David J. Holcomb, Esq. 1850 Mt. Diablo Blvd. , Suite 510 22 Walnut Creek, CA 94596 (415 ) 933-6800 23 This claim arises out of a series of actions and ommissions 24 by the agents and employees of the County and/or the acts and 25 ommissions of agents and employees of the Building Inspection 26 Department and/or the Health Services Department of the County 27 commencing on or about August 1989 and continuing through the 28 present date. The actions and ommissions giving rise to the 1 claim were purported to relate to abatement of "debris", 2 "used building supplies" , "miscelleanous junk" and/or "wastes" . 3 No such conditions have existed at any relevant time on 4 Claimants ' property and the County and its officials have 5 been without authority to abate or threaten abatement of any 6 of the conditions which actually exist or have existed on said 7 property. 8 The County and its agents have had actual knowledge at all 9 times that they were without authority to abate or threaten to 10 abate any condition on Claimants ' property. Nevertheless, 11 the County and its agents have proceeded with a deliberate 12 and/or negligent course of action to harrass, annoy, interfere 13 with, discrimate against, inflict emotional distress upon, 14 disrupt the business of , and take away the quiet enjoyment 15 of the property of Claimants. The County has thereby deprived 16 Claimants of their Constitutional property rights and deprived 17 them of equal protection and due process of law. 18 Furthermore, the County has breached a settlement agreement reached between its a 19 g gents and Claimants with regard 20 to Claimants ' use of their property (without any admission by 21 Claimants that the County had any authority to do the actions 22 threatened) by persisting in threatening forced removal of 23 the subject materials and conditions. 24 The County has delayed unreasonably and/or refused to 25 respond to Claimants ' demands that it cease and desist from 26 its tortious and unauthorized course of conduct. 27 Some of the public employees involved in this course of 28 conduct are: 1 James Blake Health Services Dept. 2 Mark Robbins Health Services Dept. 3 R.W. Giese Building Inspection Dept. 4 William R. Martindale Building Inspection Dept. 5 The Health Services Department has also refused and/or 6 unreasonably delayed in responding to Claimants ' request 7 for an administrative hearing (as provided by County Ordinance) 8 to challenge the County ' s threatened abatement action. 9 As a result of the County' s acts and ommissions , Claimants I 10 have suffered severe emotional distress, annoyance, aggravation, 11 inconvenience, distraction, loss of sleep, lost time from work 12 and other pursuits and have been! deprived of their right to I 13 fully enjoy their property without unwarranted governmental 14 intrusion, have been deprived of important property rights 15 without due process of law and have had their privacy and other i 16 important Constitutional rights ! taken from them. i 17 The estimated dollar value of the damages suffered by I 18 Claimants is within the jurisdictional amount of the Superior I 19 Court, County of Contra Costa, State of California. 20 C 21 Dated: ba 22 23 24 25 David J. olcomb, Esq. 26 Attorney for Claimants 27 28 CLAIM I /.T BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT February 6, 1990 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: $340.00 Section 913 and 915.4. Please note allnin s" Mrcou,7. N 5 1990 CLAIMANT: JONES, Lisa (aka Diane McDaniels) JA N ATTORNEY: r 41a.-tine" Date received CA CIA ADDRESS: 2517 Cutting Blvd. BY DELIVERY TO CLERK ON January 3, 1990 (via C.leY1 's office Richmond, CA BY MAIL POSTMARKED: December 30, 1989 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. UV IL January 4, 1990 BYIL BATCHELOR, Clerk eputy 11. FROM: County Counsel TO: Clerk of the Board of Supervisors �v ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to presenta late claim (Section 911.3). ( ) Other: Dated: `►() BY: / Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORD R: By unanimous vote of the Superviscrs present ( This Claim is rejected in full . ( ) Other: I certify that this is a true and correct copy o.f the Board's Order entered in its minutes for . this date.. Dated:F E B 6 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk I WARNING (Gov. code sec 13) Subject to certain exceptions, you have only six (6) months from thejdate 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 ashown (a�bbovve. Dated: FEB D ` 1JQu BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator BOARD OF SUPERVISORS OF CONTRA COV;Tur�2Wt�irn'vmappllcatlomto: Instructions to Claimant Clerk of the Board P.O. box 911 Morlinez,Californlik 94553 A. claims relating to causes of action for death or tor inDury 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 , Counil--y .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..piiblic entity. E. Fraud. See penalty for fraudulent claims, Pen4l Code Sec. 72 at end of this form. RE: Claim by- ) Reserved for Clerk' s filing stamps RECEIVEP 3 Against the COUNTY OF CONTRA COSTA} JAN ! 1990. PHIL BATCHELOR Or DISTRICT CLERK BOARD Of SUPERVISORS C OSTA CO. (Fill in name) i By ...... .... ...... Deouty . The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ • 1 70 and in support of this claim represents I-as follows : -- ---------------------------------------- ------------------ 1. When did the damage or injury occur I? {Give exact date and hour) 2 0 1-01 I elf 9 /z K7 C CJ t:�' 7 -—————————————————————————————-- -———————————————————————————- 2. Where did the damage or injury ;occur? (Include city and county) ———————————————————-- ———————————— —— — — — 3. w did the damage or innury occur? (T1V_j_i_UH_J_;_tai1s —u;e—extra — sheets if required) 4 - , , , - „ ()1.7 f di stri r ct 4 . What particular act or omission on the part of county or officers , servants or employees caused the injury or damage? (over) ••• '.:5.:.:•f zat ar.e.;the..names of county or district officers, servants or ' emploj`yees.: 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 Loins- - V. ,oma CxJ)k.Vu P �-1 w.�s�' tr��,�¢e. .S,gno1R LS .,0 . oo ' .� uc' Q(3 7 . How was the-amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) 1 8. Names and aadresses of witnesses , doctors and hosbitals. i ---------- ---------------------------------- 9 . List the expenditures you made on account of this accident or injury: DP_TE'... ...:........ 1TEE 14 AMOUNT Govt. Code Sec. 910.2 provides : "The claim signed by the claimant, SEND NOTICES T0: (Attorney) or by some person on his behaZr. Name and Address of 'Attorney Clai is Signa re 1 f Address �? Telephone No. Telephone No. �� - NOTICE Section 72 of the Penal Code provides: " "Every person whb, with intert' to defraud, presentz 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. " ell CO Iz rz IL tw RD Com. 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 February 6, 1990 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. pdbuAote all "Warnings". Y Counsssi CLAIMANT: MORRIS, Tony AN 1994 ATTORNEY: - .rtinez Date received A F%Me ADDRESS: P.O. Box C-82013 BY DELIVERY TO CLERK ON January 3, 1990 (via Clerk's office) Tama.l, CA 94964 BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors T0: County Counsel Attached is a copy of the above-noted claim. DATED: January 4, 1990 PpHHIL BATCHELOR, Clerk BY: Deputy I II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for '15 days (Section 910.8) . ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: I.� 1 9 c) BY: eputy County Counsel I III. FROM: Clerk of the Board TO: County Counsel (1) County Administrate (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Superviscrs 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: F E B 6 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sec 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: FEB 7 1990 BY: PHIL BATCHELOR by Deputy Clerk Y CC: County Counsel County Administrator .LAIM- TCS- BOARD OF SUPERVISORS OF CONTRA COTeiur�ig i Alapplication to: !� Instructions to Claimant Clerk of the Board P.O.Box 911 A. Claims relating to causes of action for death or =ornin3ury�to4533 person or to personal property or growing crops must be presented not later than the 100th day after ithe 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 _Administratin;; BLiiding, 651 Pine Street, Martinez , California 9 Y5:53s 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, Pen4l Code Sec. 72 at end of this form. RE: Claim y ) Reserved for Clerk' s filing stamps 7 RKEIVED . y �T I) - 3 1990 Against the COUNTY Or CONTRA COSTA) JAN PHIL BATCHELOR or DISTRICT) CLERK BOARD OF SUPERVISORS (Fill In name) STA CO ............. The undersigned claimant hereby makes cllaim against the County of Contra Costa or the above-named District in the sum of $ T 1�01,1,,Aj�s and in support of this claim represents as follows : ----------------------------- ----------I--------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) -------------------------`----------------------- -----------------Y----- 2. Where did the damage or injury occur? (Include city and count ) I'n C o om6 y JA oaTe- Co�&�� �0c�At --------------------------------------------------------------=---------- 3. How did the damage or injury occur?' (Give f411 details , use extra. sheets if required) ------------------------------------------------------------- 4 What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? t � YC�AVe /SWAY oR LoST MY GLAC,1� �iLA I � l J N 1 6- .S H 0 (over) R' ;:5.:-:•J� iat ar.e.,the..names .of county ordistrict officers, servants or { I employees.:causing the damage or injury? ------------------------------------------------------------------------- 6. 0_Rat 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 rrospecti:ve injury or damage. ) ------------------------------------------------------------------------- 8. names and addresses of witnesses , aocCors and hospitals. � A vEAj—► ; ,\/ R 4 i� 6AhJ SHOW i CAw4F IaC_R 01949 W ; 7/4 W51VT To N�Ai,�TI'YVEZ VV,TH T/46AA A/%t/Z -- --------------------------------------,-------------------------------- - 9 .— List., the expenditures you made on account of this accident or injury: DATE : j.. ITEM 7--MOUNT Govt. Code Sec. 910 .2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some oerson on his behalf. " . - Name and Address of 'Attorney `Claimant' s Signature a C " Address Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides: "Every. person whit, 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 ,z or writing , is guilty of a felony. " DEPARTMENT OF CORRECTIONS DISTRIBUTION STATE OF CALIFORNIA ORIG: Inmate (White) Property)File (Canary) PROPERTY AND CASH RECEIPTS - ARRIVAL CC: Trust O ice (Pink) Central File (Green) INMATE'S NAME j� NUM / �y CASH PLACED INC0 iACCOUNT DISPOSITION CODE: K=KEPT IN POSSESSION (WATCHES, RIN-PSS,,,AND METALS VALUED LESSSTHAN $30) M=MAIL D=DONATED S=HELD IN SAFE V=VAULT QUANTITY ARTICLES DISP. QUANTITY ARTICLES I DISP. QUANTITY ARTICLES DISP, BELT SUIT I DENTURES BLOUSE SWEATER DRIVER'S LICENSE CAP TANK TOP EYEGLASSES COAT UNDERWEAR I KEYS DRESS HANDKERCHIEF HAT LEGAL PAPERS MEDICAL ID JACKET LETTERS MISC. ID NECKTIE/SCARF PHOTOS MARK. CERT. OVERCOAT PURSE I BIRTH CERT. PAJAMAS BILLFOLD I SEL. SER'. CARD PANTS/SLACKS BOOKS SOC. SEC. CARD SHIRT BIBLE I RELIGIOUS MEDALS SHOES DICTIONARY I RING SHORTS SUNGLASSES SKIRT WATCH SLIPPERS COIN I SOCKS CURRENCY STOCKINGS CANTEEN DUCAT DESCRIPTION OF ITEMS ALLEGED BY INMATE TO HAVE A VALUE OVER $30 Dc I DESCRIPTION OF ITEMS "TO BE DESTROYED'' I ARTICLES LISTED AS "MAIL'' ABOVE ARE TO BE FORWARDED TO: ADDRESS NAME CITY STATE AND IP CODE CLAIM A.4D RELEASE t relinquish all claim to the articles listed abo�e as ""Donated'", and hereby acknowledge receipt of articles listed as "Kept in Possession". The above is a correct inventory of personal property in my possession at the time of admission. SIGNATURE OF INMATE DATE WIT IN OFFICER l4ereby authorize destruction of articles listed above as "To be Destroyed". SIGNATURE OF INMATE Y—_ DATE WITNESSING OFFICER I I / hereby acknowledge receipt of the articles listed above as "Held in Safe" which was given to me upon my release from the institution. SIGNATURE OF INMATE 101 P.TE WITNESSING OFFICER CDC-104 (REV. 4/77) I B690M CC: Property File (Canary) Trust Office.(Pink) Central File (Green) NUM�B � ��✓✓__i ,r4 .CASH PLACED IN INMATE'S ACCOUNT - _ .. _ DISPOSITION CODE: K=KEPT IN POSSESSION(WATCHES, RINGS, AND METALS VALUED LESS THAN $30) M=MAIL D=DONATED S=HE ID IN SAFE V=VAULT QUANTITY ARTICLES DISP.. QUANTITY ARTICLES DISP. QUANTITY ARTICLES DISP. BELT SUIT DENTURES _ BLOUSE n SWEATER I DRIVER'S LICENSE CAP y "- I[ _ TANK TOP EYEGLASSES COAT UNDERWEAR I KEYS DRESS HANDKERCHIEF HAT LEGAL PAPERS MEDICAL ID JACKET ZLETTERS MISC. ID NECKTIE/SCARF PHOTOS MARK. CERT. OVERCOAT PURSE I BIRTH CERT. PAJAMAS �_ BILLFOLD I SEL. SER'. CARD PANTS/SLACKS BOOKS --SOC. SEC. CARD or- SHIRT BIBLE RELIGIOUS M52ALS SHOES DICTIONARY I RING SHORTS SUNGL`AS6ES SKIRT WATCH SLIPPERS (COIN SOCKS CURRENCY 1 STOCKINGS CANTEEN DUCAT .•0tSCRIP...TION-OF'=t.T.eMS'ALL'E. ED:'BY-'-TNMATE� O HAVE-A"V'ALl'1E=0VER'330 �lA C X-114 �® �, cy G dolt � �n a DESCRIPTION OF ITEMS "TO•BE DESTROYED;' ARTICLES LISTED AS "MAIL'' ABOVE ARE TO BE FORWARDED TO: ADDRESS NAME �.Z6.aa CITU ,�� ��._' /-!` - STATE AND ZIP, D l CLAIM AND RELEASE l relinquish all claim to the articles listed above as "Donated", and hereby acknowledge receipt of articles listed as "Kept in Possession". The above is a cone& inventory of personal property in my possession at the-time of.admission. SIGNATURE OF • D z . WIVES` OFFI'CE�. � G I�/fK;JJ�/^'�^I///,�J^/_) (•f/ Com' ' cfj I hereby authorize destruction of articles, ijted•ato4 s.{'T SIGNATURE OF INMrTE - DATE` 1 l hereby acknowledge receipt of the articles lis upon my release from the institution. SIGNATURE OF INMATE DA CDC-104 (REV. 4/77) i i �s• ; �► Z V oe d'•� O � ,� `� W kr • �3- � Z r 19 1 4L0- v 0 0 a Q CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT February 6, 1990 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: $72.00 Section 913 and 915.4. Please note all "Warnings". Counsel CLAIMANT: SANCHEZ, Rebecca J ��1 r 5 199 ATTORNEY: - Date received Martinez; CA NW3 ADDRESS: 910 Evelyn BY DELIVERY TO CLERK ONJanuary 5, 1990 Albany., CA 94706 BY MAIL POSTMARKED: January 4, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PpHHIL BATCHELOR, Clerk DATED: January 5, 1990 BY: Deputy l II. FROM: County Counsel TO: Clerk of the Boa-d of Supervisors This claim complies substantially with Sections 910 and 9_0.2. ( ) This claim FAILS to comply substantially with Sections 913 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.3). ( ) 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: r Dated: 5 v BY: ) /J� Deputy County Counsel JAI 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: F E B 6 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk l11 WARNING (Gov. code sec 13) 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: FEB 7 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Claim to: BOARD OF- SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue. on or before December 31, 1987, must be presented not later than the 100th day after.•the. accrual,.of the,. cause of action.. Claims relating to ,causes of action,. for death, or., for 4njury;:to person ort o: personal property or growing crops and which accrue on or. after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reser amp ��b.ec��- 5a��he� ; RECEIVED, I 0�_.Ve.Lc. r'1 ui 6) 7Z& j i . . 51990 .. Against the County of Contra Costa ) N or ) PHIL BATCHELOR CLERK BOARD OF SUPERVISORS CO . -OSTA CO. Dc u District) Fill in name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ '71- and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) =-n'----9- ------M----- ----------------------------------- 2.. Where did the damage or injury occur? (Include city and county) �Aei._�U1�_c� , _ �_Svr�ra�l C���-1 i_GL__ ( D►'1+l iL C.05�- C01 J—r— i� .1— ----_— - 3. How did the damage or injury occur? (Give full details; use extra paper if required) 51"n 1 (e— h.,-t c` po+ h v Lu a �� Vim-- r�r tui ►1ll-y � -!-{�. u-b � '�� v �- L., f� �j!'rt .. r it o�-r�(.l�- c�Pry; ` . J-� 3_tlrl_i_��1 _� L _�vlij_ w aS _/l/1•vn�u�S�=_ �_ Gc_r r---------------- 4. What particular act or omission on the part 9f county or district officers, servants or employees caused the injury or damage? The, W dz a- Mt-A-1w"-, t,, p ,+ Ko LL_ o,-, o_ppa4- LJ �� ws vY V►.1�.� 4-o 1u_waw- (over) ,. I 5. What are the names of county or district officers, servants or employees causing the damage or injury? 6,-6n41,w,- 1.054-P.— C-0-01i , (200 I SGv b✓ -►ti-u- : ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or d e, claimed. Attach t o stimate for uto d e. , �t t l��L �s ►'na S 0L Y4 ;,,r,� �,!- �l,c-mob C�-b �:o v� (.?�-'I'w o�i..�- . °e.ti -n"x. "c�-►'"c- Vi c� .�5 � 50--�a�' - ---------�° ------------------- rLP --- ` - acct--------- 'U-' ` 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) See- +�-t- - ------------------------------------------------ i------------------------------------ 3. Names and addresses of witnesses, doctors and hospitals. To h n S ter, c.h,z, e.� 10 �; I-e-Lq n , a--b S u► ri- 5 an �h�Z c� i D ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATEITEM AMOUNT f 2-?di-sl q-, .. fd rr-N� (it,��Le.✓_ �' �n�C.L� � tv Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO:, (Attorney) or by som r on on his behalf." Name and Address of Attorney Cla'ma is Signature I AH-L r� Address L�- cf 1 . (�, LJ-70LP r _ Telephone No. TelephoneJ N,o y- -4 w q J S Z N 0 T I C E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim; bill, account, voucher, or writing, is punishable either by imprisonment in the county jail- fo`r 'a- period of not more than once 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 ten1thousand dollars ($10,000, or by both such imprisonment and fine. OUB CAP JIOHNNY 4313 MacDor ald Ave. RICHMOND, CALIF©RNIA 94805 (415) 62®-b16m SOLO BY DATE .. Il 9 NAME •, 71- kDDRESS CASH C.O.D. CHARGE 01-ACC T. .............. ............. . . ...� I. . . ............ ..... .......`-,,.............fir,.......... ...... ................... ( V1 -,., _ f-�- ........................................................- ........................................................................... ...................................................................... , ............................................................................................................................................................................................ Il�ECEIVED BY I;!V'• 1h S 5123 `17mnk`You All claims and returned goods MUST bei ccompanied by this bill. CHRYSLER PLYM©UTH IMPORTS un i .f 12300 SAN PABLO AVE. RICHMOND, CA 94805 (i 15) 237-8289 or (Dial) B-E-S-T B-U-Y O. C� cl,} . C. a i 4- �t � ySS �• �i�4 i CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT February 6 , 1990 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the. Board of Supervisors (Paragraph 1V below), given pursuant to Government Code Amount: $17 ,481 . 96 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: USAA (Gerald Glueck) County Counsel ATTORNEY: JAN 9 1990 USAA Western Regional Office Date received ADDRESS: P.O. Box 15506 BY DELIVERY TO CLERK ON .7aniinry Mart =m CA A[L��A Sacramento, CA 95852-1506 BY MAIL POSTMARKED: January 5, 1990 I. FROM: Clerk of the Board of Supervisors TO: County .Cobnsel Attached is a copy of the above-noted claim. DATED: January 9 1990 �bIL eputy_ Clerk : I1. FROM: County Counsel TO: Clerk of the Boaid 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: i Dated: 1 1 U BY; SVIA Deputy County Counsel —T III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (lection 911.3). 1V. BOARD ORDER- By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: FEB 6 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code secnn 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 hierein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the Unitedi 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: FEB 7 1990 BY: PHIL BATCHELOR by Deputy Clerk r' CC: County Counsel County Administrator f � USAA PROPERTY AND CASUALTY INSURANCE USAA RECEIVED January 3, 1990 JAN 8 1990 PHIL BATCHELOR Contra Costa County CLERKBOA2D0 FSTACOSORS = County Administration Building °e "t 651 Pine St. Room 106 Martinez, CA 94553 The Board of Supervisors Attn: J. Bosarge, Deputy Clerk Re: Our Insured: Gerald Glueck Our File # : 610054 Dear J. Bosarge: In response to your letter of December 27 , 1989 , attached is the claim form with a copy of the police report. Sincerely, Glenda Bar oe BI Specialist GB:kl Enclosures v el rvo is l, -t�j CA- awl" USAA Western Regional Office P.O. Box 15506 Sacramento, CA 95852-1506 (916) 921-9060 '1 .Claiin to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims. relating to causes of -action f r,rdelth 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 Ifor 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, 6511 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 tie 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 USAA U ON ) � P.O. BOX 15506 Sacramento, CA ) 95824 Against the County of Contra Costa ) 11989 or ) 1 CLERK';O?,RJ O' ; VI OR; District) 2 CONTRAC STAC . Fill in name ) By �✓— U.. `. Drnu The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ 17, 481 . 96 and in support of this claim represents as follows: See #6 ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) 6-9-89 at 8 : 05 a.m. 2. Where did the damage or injury occur? (Include city and county) _----- Camino Diablo 1 . 4 miles east 3. How did the damage or injury occur? (Give full details; use extra paper if required) See attached_recort aolice______________________________________________ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? RECEIVED See attached police report I JAN 8 1990 PHIL BATCHELOR CLERK BOARD OF SUPERVISORS 6t. . CONT COSTA CO /64 0 P L7 E.G / r �^�p(X+ �:N !,1 O'I I L�T��i D e ut I 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. * Figure will be adjusted when salvage received. Approx. $17 ,481 . 96 for rental vehicle expense and damage to 1984 Mercede --------------------------------------------------- I--------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) Rental vehicle expenses currentrate vehicle damage estimate by USAA representative ------ , Names and addresses of witnesses, doctors and hospitals. Ed Landry 5640 Starboard 415-634-7329 Byron, CA 94514 ------------------------------------------- ------------------------------------ 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 7-5-89 appraisal fee $85 . 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 \ I /-- -ZV- i Claimant's Signature) Glenda Bartoe P.O. Box 15506 , Sacramento, CA 95852 Address Telephone No. Telephone No. 916-921-9060 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 anylcounty, 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 ten1thousand dollars ($10,000, or by both such imprisonment and fine. $AW 4: EVALUATION NOTE: ALL SHADED AREAS MUST BE COMPLETED IN DETAIL AT CAR INSURED USAA NUMBER CLAIMAI;T DAT O1 LOSS DATE'. SS NE YEAR-MAKE MODEL BODY STYLE DATE OF INSFkECTION LICENSE NUMBER SERIAL NUMBER MILEAGE COLOR TYPE OF LO COL FIRE THEFT FLOOD VAND OTHER LOCATION OF CAR INSPECTION BOOK VALUE &EDITION DATE �._ y�- PRIOR ' DIFFERENCES ❑ RED ❑ NADA ,iYBLUE a OTHER CONDITION G. F P OLD DAMAGE ----- YES NO A. B. REPORT DED ADD �c. RETAIL l Q Z1 S'O[' BUMPERS p I --- X MILES:.. 6;3g!� &x� GRILLE .I 1. ENGINE `416/8 \ —\-- HOOD' 2. CID/LITERS -- FENDER 3. GAS, IESE I W/S-GLASS " i .4. FUEL INJECTEC DOORS yl; --- -1. 5. COMPUTER FACT ROCKERS yc X 6.TRANS 3/4/5, UTO I QTRS ryC I -.?, . 7.4-WHL DRIVE ROOF 8.AIR CONDITION TRK/LIFT HOOD �C - 9. PWR.STEERING. I -- REAR BODY 10. PWR BRAKES PAINT . 11. PWR WINDOWS f TRIMyc — 12. PWR DOOR LOCKS ENGINE 13.SEATS PWR SPLIT — -- -_ TRANS 14. CRUISE MAKE READY 15.TILT TELE WHL SMOG TEST. -- ��. - A -ASS B EQUIP DIFF -- �: 17. CUSTOM TRIM PKG r 18. ATHER ELOUR _��j MILES (+.or—) -- 19.VINYL TOP TIRES I L/F .. .tib /32 R/F. 09/32 -- y, 20.TU-TONE REMAINING TREAD I L/R /32 R/R. /32 .� 21. CUSTOM WHLS BRAND SPARE /32__ r 22.WIRE WHL COVERS TOTAL DIFFERENCES .� 23. SUN ROOF/MOON ROOF I RETAIL ❑BOOK •�Z 24. Y..LUGGAGE.RAC -- ,IJEALEB �. 25. REAR DEFOGGER ..: ADDITIONS J _— �, 26. PWR.ATTENNA TOTAL VALUE 7- 27.3RD SEAT .. - DEDUCTIONS 28. OTHER TOTAL BOOK VALUE S NET VALUE$ /.2!7 �• j3 �,�'�� ��()�'_,�(�� J b ! t11i, Z MARKET SURVEY/VALUE 11 i DEALER SALES MANAGER Et PHONE CASH VALUE —i A1LAfNo YES_— �]1ct� y t 5'-b�b uZ00 - -- T�y1 L_c" �y---moi --- -- NOTES: 3 _ AVERAGES AVERAGE BOOK S 157Cl',_�Z) - STALL NQ. I -- - SALVAGE%,IOV'ED E� U POOL NO b'� STORAGE S DAY SINCE "/.; EST. SALV. S . COMPANY APPRAISER'S SIGNATURE ¢ DATE TOWING CHARGES: 97 R nn/ 1.12 001}6 Uyl."ZI car, kV�CCfl •lT A�:u4 .1YT U: JS!A.L ra.;;TI:T I,LCC:(•rs'srOR>AA704:1 11'1 WEn Fr._J; •� j >i.za34n I•tr;:nLo, purr .:ro:r:-.c:TTw_-T ._.':,+ .1 '''br'j `<` e v a-a:�6•l.t�..<�SL����(J.��/�_C" �/7 /� J :+yam 'I _ q . .''.OLL.'_IC++=.C'-w V.,;;. ovac 1 :.in :A7 'C.i.'.;1 '�J771�TQ7 � - � - J �� ,uT i J. - t 'l :'.1 L: ,:'Y,.F N::S.STi7Y' Oar OD'Dr SEr T 7p':TATA.7 7 �. ISQTCSAAD KJ 0T: M ,� l,—_._ .,� c��►rl t72T^, r - - 5 I'v/l Y'a7 :'9^ i 1 a- :.p ......._-_ Cj(>.t^LE7 ;jidNil '-;a:'C6....CCN3[:aFTCFfi - _— _ --rc'a_ri"�..lni0 OuiT41r:nS[.;+ YL'.:.v.:,t:C::, :�.••�.•�••�••�•`e. -• ... -.iU,. 41.i—•.:A ;'-1+%I �� i"t r I.�,�_T..� I � / i __ I '^r2 { I YM[M'i Ml•1[ - ����• `-`'CO `•irr;T a,siW _—!IUrinIR�F.aL'Art30 , - -•- _.�.�•.•�-�•.•• t•_::cLe w r+ / /{ ��%1_T i % f�C / ����1� %� T' -z F -- /�� wA tAjA Ll'SC 1--'T C:t•.ii/11 3+ClllCai -� RKY r I,j . 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