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HomeMy WebLinkAboutMINUTES - 04101990 - 1.15 (2) •• l_d�.J C.tl14 V�'A'O tlSlS lwl G CLAIM 1�II�Rio BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA M ; Id / BOARD ION'4T;,(Qr,',Q4553 Claim Against the County, or District governed by) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT Apr i 1 10 , 199 0 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $ 200 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: ADCOCK, James C . ATTORNEY: r Date received ADDRESS: 60 Bay Drive BY DELIVERY TO CLERK ON March 9 , 1990 (hand delivered) Pittsburg , CA 94565 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JVIL gATCHELOR, Clerk DATED: March 13, 1990 : Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors (v ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: w /go BY: � Deputy County Counsel U III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (V<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: APR 10 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sect 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 claimant as shown above. Dated: APR 1 1 1994 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, 19871 must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed 'with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp 7ED a530FM Against the County of Contra Costa - 1900 y 1990 or ) ; N143 3ATCHROR District) PERVISORS Fill in name ) e� `....... ..'...' ..... ...... O'Cet .- The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ ao o. o o and in support of this claim represents as. follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) I - 2..c3 -- G,� 30 PM Z uogS V--,J ea:SCA raw` W) ,.sk i\aA---4: �u� 2. Where did the damage or injur occ ? (Include city and county) T c1`Xas 1�1C� ��nc�t ��ne �VoPL� CV G .i Ce'rC� 1os� �� Ol1 lc,ctiQ� �ottile 6ihN else "t G -t-- - -_- - t- ao f_Jr__ Q (ci GLS (------------------------------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) Thi Co���y S�Rv i�� Dept 60loWeJ p_ 33Q_ 4�) ------------------------------------------------------------ --- ----------- 4. What What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? 1 aS� b o4S av A 'a c (over) a 5. What are the names of county or district officers, servants or employees causing the damage or injury? T LOgS 1poo k ecob TA C, ���nel1, `&�d�e used © ux � bUlt ----------------------- ------a ---- ---- ------- ------------------ ----- 6. What damage or injuries .do you .claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto rdamage. w\\) �RQ(A wk` jD�G�CQ� eG���d� �E t�e��o��ECJ 1�� � 4�. C ----------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) C',C- ------------------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. rp-CP-V -ry - z - fig - 4b (.CXA„0 v, — o,�d ��.s -�Qcl � rte. �� t� ��� C�.; .�,. o.`�-- fi1�•� � �.�.�,e, ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 4:'pit Gov. Code Sec. 910.2 provides: a - "The claim must be signed by the claimant SEND NOTICES TO: -' (Attorney) or by some person on his behalf." Name and-Address of "Attorney, Claimant's Signature Address f� Telephone No. Telephone No. '74I 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. MOPERTY/GLOTH•iNG EGEIPT CONTRA COSTA COUNTY "SEC. NO.]20Mk 1' FACILITY .5118 DATE: cK, ..' v. dx NAME: BOOKING NBR:` CASH: $ r ❑�rJACKET F71S—HI,RT/BLOUSE ,. :0-DRESS LJ COAT -`r: TIE/SCARF p h ❑ SHORTSIPANTI � JEWELRY !'�l�9.5 L HL OCK NYLONSY 7&L AzC E :: rIC>'i1 i �'� L t49 ❑-S EATER/SWT:S-NJRT - i sG ❑ WATCH ` BELT ` ' ! ❑ NTS/SK , . I SHOE BO q_9 te�r'- ❑ T-SHIRT/BRA C WALLET C1 HAT/PURSE y ❑ KE/�YS ❑ KNIFE (GLASSES 9�Y TFiER r CJ BKG OF( 1 -'INMATE SIGNATURE RELWE 1have received all of my per DATE: sonal .property and clothing. REL OFC: X INMATE SIGNATURE County Counsel CLAIM • MAR. 1 1,90 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA w1aftinez, CA P455.3 Claim Against .the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT April 10 , 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: $105 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: CARROLL, Darla J . ATTORNEY: Date received ADDRESS: 1647 Willow Pass Rd. #142 BY DELIVERY TO CLERK ON March 7 , 1990 Concord, CA 94520 BY MAIL POSTMARKED: March 5 , 1990 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: March 13 , 1990 JAIL 1AATTCyELOR, Clerk epu 11. FROM: County Counsel TO: Clerk of the Board of Supervisors � ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: i 1() BY: '- -�^Q ). A / 1 Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to, claimant (Section 911.3). 1V. BOARD ORDER: By unanimous vote of the Supervisors present ( his 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: APR 10 199 0 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sect 913) Subject to certain exceptions, you have only six (6) months from the date.this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: APR 1.1 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Clair.: to: BOARD OF SUPERVISORS OF CONTRA COSTA CMUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to persp� or to per- sonal property or growing crops and which accrue on or before December 31, 19811 , must be presented,.- not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2. ) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than. the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp LA.. C"IVED y Against the County of Contra Costa ) 14AR T or ) Fr14UI�0 District) CtERKlp1410.p© A YI¢0o5 Fill in name ) 8 C QA 6iA CQ• be u The undersigned claimant hereby makes claim asainst the County of Contra .Costa or the above-named District in the sum of and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) AA ------- ---------------------------------------------------- 2. Where did the damage or injury occur? (Include city and county) _V i2AM1r1JJf_40 ------ - - --- °--� =---------------------- ------------------------ 3. How did the ge or injury occur? (Give full details, use extra paper if required) ----- -------------------------------------- 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? .,-. (ove ) I 5. What are the names o. county or district officers, serv=ants or employees cail'sir,g ' the damage or iniurv? I I ti ----------------------;,------------------- ----------------------------------------- 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimateslfor auto damage. I ---------------------------- ----------- - ----- ------------------------- ----- 7. How was the amount claimed above comp ( computed? Include the estimated amount of anY prospective injury. or damage.) I I ------------------------------------------;------------------------------------------ 8. Names and addresses of witnesses, doc ors and hospitals. ----------------------------------------- ------------------------------------------ 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: i Mie claim must be signed by the claimant SEND NOTICES TO:;>; ,.(-Attorney) or Ibv some person on his behalf." Name aha Address: of,.,.-Attorney ,: /l Claimant's Signature a s Address Telephone No. Telephone No. /$-- � � * � * � � I N0TICIE Section 72 of the Penal Code provides: I "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 exceedling ten thousand dollars ($10,000, or by both such imprisonment and fine. . I Zdid411i �Clt �5- cF/ 131" SCfCLC CASH COD DC MCASC/HIP SHIP OEIAT WL DATE OEF. FEIT. • 0 1 2 3 5 6 7 }worry}} oav cooe Moxr}} 11 1 I 11112A ACCOUNT NUMBER I APPROVAL NAME Nn of ( (� MCI PNFiARY PHONE ADDRESS . •. DTATE mCOO! SECDEOARY PHONE CITY DELIVERY 1O.T. °'Y ROUTE TYPE HANDLING AREA cooE . ... .'... .., ,... .. :.:,.�:.;�:::"�'.`'.:��,-':�'- �•:•.'I SPECIAL INSTRUCTION _ =" DATE � NO. DEL CODE SHIP FROM S S STORE STORE 1 ❑STOCK WHSE. �C M D C. ❑DIST CTR. ETAI ECiR COMPARISON WITH �14hiTHLY This credit purchase is subject to the . .. _....:...,.._.. .... :STATEMENT.OR FOR RETURN.OR EXCHANGE terms o my SearsChargeAgreement. which is Incorporated herein by ref- 7 ....-:.......:._. ..moi.... ._:. .:...•::y::-_.:.i:.P.',.__. :�:.. -0327 ., .. .. .. ,._::.,...�.�.,.. ,,..,�... . . .. even -.Y., - ce and Identified by the above. . �_•'��:�:�' :..: account number.I grant Sears a secur- ., " i interest or lien in this merchandise _. Ur .. ...._._.:...- .......:.... ... .... :. unless prohibited by law, until paid .._..=;:°::�;:;_�.::::.� w•:::�::.:::::-:: .:.:�,.: in full00 f+ - - ATD 5.00 If the sale is on Sears Home Improve- ment Plan (SHIP), use applicable. contractform. 3/ /9) 1 H TTL .. . .....-- . .. ... .. • ,. � � CS 105.00 ' _ - - - _CaNholder_'acknowe dges`receipt''oY :.goods°:andlor,;servlces,in:ihe:amount 'of;the ictal:Shivilf hereon'ah agrees 7. to.perform the opligatlonaGsei forth io=the`CarBholder'sc greeineet ,a•F '' � eS +1.''T I; 11!URCFIASttD:BYy> os: ows Iwb•.or.swiius .. .. T; rY:.y.y�.. y,r.%,y.{a�.. .•..D��6ai�j�'i.:. •!E'3L� .N.cob i �;,;,,:• i OTY STOCK NO./ :DESCRIPTION'' REGULAR SELLING SELLING MISC.ACCT. PRICE REDUCTION PRICE 75 i i i THIS IS PART-OF A PART ORDER. J�an4 You for shopping at � STAX ALES O0, DEPOSIT .I. PLEASE RETAIN THIS COPY FOR COMPARISON WITH YOUR MONTHLY STATEMENT. OR IN CASE OF RETURN OR EXCHANGE. BALANCE 16082 SMEs Forms Management 1-SHIPPER i . I. L_ t Y { 1 !f 1 LX T 1 .9 9 g 1/ 'n Z VI . _ N F••1 tea° CP � � W v dry" �+Sl U4 P" CD up-6 CL- K O oi V) U) LLI V) ct" C;. oc') LL. Cd LU > 4AJ :o L; co C:o cv) Lf) ILS CLCn 13 0 C7 laC3 o0 (tj Ir c D'.inty Counso1 CLAIM Y AR. _- 5 1330 �J BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Matnez. CA c4553 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT April 10 , 1990 and Board Action. All Section references are to The copy of this document mailed to you is your notice of California Goverment Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Mount: $105 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: CARROLL, Darla J . ATTORNEY: - Date received ADDRESS: 1647 Willow Pass Rd. #142 BY DELIVERY TO CLERK ON March 7 , 1990 Concord, CA 94520, BY MAIL POSTMARKED: March 5 , 1990 1. FROM: Clerk of the Board of Supervisors T0: County Counsel`: Attached is a copy of the above-noted claim. March 13, 1990; pptH1IL BATCHELOR, Clerk DATED: 81: Deputy -i 11. FROM: County Counsel j; TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to complyllsubstantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed.!, The Clerk should return claim on ground that it.was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: 1 Dated• / / `l C BY: Deputy County Counsel I1). FROM: Clerk of the Board TO: County Counsel (1) County Adminis rator (2) , ( ) Claim was returned as untimely with notice to claimant (Section 911.3). ij IV. BOARD ORDER: By unanimous vote of the Supervisors present ( his Claim is rejected in- full. ( ) Other: I certify that this is a true and•correct copy of the Board's Order entered in its minutes for this date. Dated: APR 10 1990 !' PHIL BATCHELOR, Clerk, By Deputy Clerk �. WARNING (Gov. code sect' 913) Subject to cel. Laiii 6>:Leyt1ors, you han only six (6) months from the .Hato.this notice was Dersonally 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 3oday 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. G Dated: APR 1.1 14,910 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator 04 BOARD OF SUPERVISORS, CONTRA COSTA COUNTY, CALIFORNIA ` AFF'IDAV'IT OF MAILING In the Matter of: Darla J. Carroll 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: claim that was denied April 10, 1990 (second mailing - first returned) to the following: Darla J. Carroll 1803 Mission Street #22 Santa Cruz, CA 95050 I I declare under penalty of perjury that the foregoing is true and correct. Dated May 7, 1990 at Martinez, California 4eputy Clerk I -Sheriff-Coroner Contra Richard Rainey SHERIFF-CORONER P.O. Box 391 Duayne J. Dillon Costa -Martinez. California 94553 Assistant Sheriff (415) 372- 4494 County Warren E. Rupf V Assistant Sheriff -4 , Enclosed, is a County Claim Form.. Please list the missing articles and their value, along with any documents you may have, i .e. , receipts etc. Be sure you have included oertinent dates that tiee, , in with your loss. These dates should show when you were ,brought here and when you left. Then you must return this form to Contra Costa County, Clerk of the Board, P.O. Box 911, Martinez, Ca. 94.553 r C. Ludwig Support Services Dept. • Cra4r. '1-o: F CONTRA f *ARD OF SUPERVISORS 0 0 TA COLWTrY 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. Claim 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 ..he County, the nacre 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 C.^de Sec. 72 at the end of this Porn. RE: Claim By Reserved for Clerk's filing stamp 3, Against the County of Contra Costa or District) (Fill in name) The undersigned clai 4igLnt hereby makes claim agairigjt the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: --—--—-------------—----- 1. When did the d ge or injury occur? (Give exact date and hour) �ca���-.moo aJ��/�� ,� �/�/q� ——----—------------—- -------- 2. Where did the damage or injury occur? (Include city and county) 3. How did the4amagg or injury occur?- (Give full details;-use-extra paper if required) -- --------------- 4. . What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? 0 •.t 5. What are the names covnty or district officers, wants or employees causing" the damage or in _.._------ ---—__.,,_----—-------------------—_ 5. What damage or, injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. --------- -------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) S. Names and addresses of witnesses, docpors and hospitals. ------_----- ---—_____-- 9. List the expenditures you made on account of this accident or injury: A DATE MOUNT 312-1ga : � d IQsav- 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 Wig nt's Signature `t 4m MJZ Address .... Telephone No. Telephone No. 1$`- * * 1 171 * � 1 W I W NaF * 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);l or by both such imprisonment and fine, or by imprisonment in the state prison, by d fine.of not exceeding ten thousand dollars ($10,000, or by both such imprisonmenti and qne, lbIb41IJ .: ... SGCLC OC Man CAS1 Prr. - 0 1 2 3 5 6 MOWN DAY COOE MONTH „ , „ z - - - _ ACCOUNT APPROVAL - NUMBER ANTI L PH" ADDRESS S.COICAM P"O E CITY DELIVERY Y0'I" ROUTE TYPE HANDLING "*A C006 DATE NO. DEL CODE SHIP FROM SPECIAL INSTRUCTIONS W. ci- STORE o STORE STOCK WHSE. 0 C.M.D.C.Q CTR.' -.: RETAIN FOR COMPARISON KITH MONTHLY This credit purchase Is subject to the STATEMENT .OR FOR RETURN OR EXCHANGE �. terms of my SearsCharge Agreement `i - �`:_`�-'`•"'' y which K Incorporated hereto by ref• +3327 60136E/023 . 42 erence and Identified by the above account number.I grant Sears a secur- 1 18 "is 105-C ity Interest or lien in this merchandise, STL .105.E In unless prohibited by law, until paid f full. TAX - .( ATO 110.1. XCNG 5J .... . :. If the sale is on Sears Home Improve- ment Plan (SHIP), use applicable contract form. 3/42/94 1 CSH TTL 105.[ dNholder `ecknowledgee`.'iseetpt` 'of =goods andiof services:In.the-amount :d the total._Sirowrr'hereorr and agrees =to-podorm.,Bre►:obligations,set.forth =lr the Cardholder's'Agreement'i tm • the Iswer. ��''�;�--►�-'F��,%:,'.'fr` PURCHASED BY..:- falx+ ;;:' s. . ~STOCK NOJ v REGULAR SELLING SELLING CITY. MISC.ACCT. -DESCRIPTION. PRICE REDUCTION PRICE - r THIS IS PART-OF A PART ORDER. _ c-� SALES J�an4 you for shopping at SEARS TAX ,. oEt�ostT PLEASE RETAIN THIS COPY IN CAE OCOMPRARIS 1 WITH YOUR MONTHLY STATEMENT. - - / BALANCENCE o. 18082 Seemform♦MAnpanMt 1-SHIPPER c:runty Counsel CLAIM MnR. ].3 X30: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT APRIL 1 0 , 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: $ 250 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: COUSEY, Thomas C . ATTORNEY r Date received ADDRESS: 353 South 17th Street BY DELIVERY TO CLERK ON March 12 , 1990 Richmond, CA 94804 BY MAIL POSTMARKED: March 9 , 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Ja11 BAATTCYELOR, Clerk DATED: March 1 3 9 1 g 9 n epu 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: c BY: I JI �;()� y I ` 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 o.f the Board's Order entered in its minutes for this date. c� Dated: APR 1 0 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date.this notice was personally served or. deposited in the mail to file a court' action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that :today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and .Notice to Claimant, addressed to the claimant as shown above. Dated: APR 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, 19879 must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, MartinP7; CA 9455?, C. If claim is again:>t aidistrict governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp REE.!,_I ; F f Against the County of, .Contra Costa ) MAR 12 1990 j or 4CCLlLr} CLERK_c)ARD0, Dlsltvic�t) C CUsr.;cu. e u1 C Fill in name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named Distrietiin the sum of $ and in support of this claim represents as 1follows: *, ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) ------------ 2. Where did the damagelor injury occur? (Include city 7d county) ------------------------------------- i 3. flow did the damage or injury occur? (Give full details; use extra paper if required) --�reoA6,e7 __l1LQs�L 4. What parti-Cular act or omission on the part of county or district officers, servants or employees caused the injury or damage? /d ',S $ y (over) .4- , 5. What are the names of county or district officers, servants or employees causing the damage or injury? li "&7`" . -T! 6. What damage or injuries .do yo .claim resulted? (Give full extent of injuries r damages claimed. Attach two estimates for auto damage. /eOlUitl �1,t� Pi_ ti �D,QC -Y s�� ---'-=. ' •d - ------------ - -------------------- ---------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) r t5. ames and auai°esses af�-wit.,esses;'d6ctorrs and� Nhospitals. //�T ��� Of iP,�,t., ,f8�• l�W 4--vo w7w i.�(1�17 W fAh!,F—,------ AfZN_ o , yob , = - - =-__ �1 . _ �7- r - �o,� 9. List the expenditures you made on account of this accident o injury: DATE. ITEM AMOUNT Gov. Code Sec. 910.2 prov .des: "The claim must be signed by the claimant SEND NOTICES TO.- (Attorney).. or by some person on his behalf." Name and Address of Attorney Claimant's Signat 56) Address f Telephone No. Telephone No. X02- g ' j 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 fire 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 � � d7 li --v ............... li.......... cw CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA ;; p- CA .q 5,53 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT APRIL 10 19" and Board Action. All Section references are to The copy of this document mailed to you is your notice o California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $ 1 , S00 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: LUPOI , Tony James ATTORNEY: Brookman & Hoffman, -inc. 1990 N. California Blvd. Date received ADDRESS: Suite 740 BY DELIVERY TO CLERK ON March 8 , 1990 (hand delivered) Walnut Creek, CA 94596 BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ��IL BATCHELOR, Clerk DATED: March 13 , 1990 : 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: 3 I`l BY: )_ �J. Deputy County Counsel I 'XQ 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 ( his Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: APR 1 0 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code se tion 3) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: APR 11 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 uses of action for death or for injury to person or to'per- I. sonal property or.•growing crops andwhich accrue on or before .December. 34: 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 elating 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 ofthe District •should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. . See penalty,.for fraudulent claims, Penal Code Sec. 72 at- the,.end of this form. RE: Claim By ) Reserved for Clerk's filing stamp Against the County of Contra Costa ) MAR 3 � 1990 Or ) fH!L BATCHELOR C� K BOARD OF PERVISORS District) ex ••••• Zt Deputy Fill in name 11 ) T _ The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the_sum-of`$ •1500 . 00 and in support of this claim represents as follows:. ------------------------------------------------------------------------------------- 1. -When,•did the damage l;or- injury occur?. (Give,.exact date and hour) February 2 , 19910 at 1 : 30 p.m. 2. Where did the damage or injury .occur? (Include city and county) On• Bike 'Trail alt Citrus in Concord, California ------------------------------------------------------------------------------------ 3. How did the damage or injury Joccur7' (Give full details; use extra paper if required) . One of.1 the posts in the center of the trail was out of position and the large hole was .exposed. My bike wheel went in a hole,. - 4. What particular actlor omission on the part of county or district officers, servants or employees caused the injury or damage? Posts were removed from post holes. (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? Unknown. ---------------------- -----------------------=----------------------------------- 6. What damage'or injuries do-,you claim resulted? (Give full=extent of 'injuries or damages'-claimed. ' Attach two estimates for auto damage.' Injury to left elbow. ---------------------- ------------------ ----------=--------------------------------- 7. How was the amount claimed above computed?:, '(Include the estimated amount-of any prospective injury or damage.) Medical bulls of $521 : 00- and general damages of $1.;000 . 00 . -----------------------'---------------- --------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. Dr. Dennis Gustafson, M-.-D. . .. Sport & Health, Inc. ---------------------- ------------=--------------------------------------- ---- 9.. List the •expend itures you made on account of this accident or injury: DATE ITEM AMOUNT BILLS ATTACHED' Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES T0:'� (Attorney):.`' or bsome per on his behalf." Name and Address• of=-Attorney-,•;•= -•; _. Brookman & Hoffman, Inc. 1990 N. California Blvd.: , Claiman s S' tore Suite 740 �� Z� Walnut Creek, CA 91.4596' Address r I Telephone No. (415) 932-4008 Telephone No. (415) 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'lallow 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), jlor by both: such imprisonment-and fine, or by imprisonment' in the state prison, by al,fine of not exceeding ten thousand- dollars ($10,000, or by both such imprisonment and fine. I i i ., Page : 1 ,Sport Health, Inc . Fed Ident : 942876787 . 415-945-7309 Pat Ident : LUPOI T 2150 No . Broadway Therapist : Janice Muise Walnut Creek , CA h,ysician Dennis Gustafson, M . D . 94596 Diagnosis : ) Tony J Lupoi' Z 2320 West C l"i f f #21 Walnut Creek, Ca 94596 I STATEMENT OF ACCOUNT > Period Beginning .2-01 -90 and Ending 2-26-90 D < ----------- ------------------------------------------------------------------- Date Type Description Amount -----------------------'-------------------------------------------------------- 2/06/90 95833 Muscle testing - hand 115 . 00 2/07/90 97010 One area hot or cold packs 5 . 00 97016 ;Vaso pneumatic devices 28 . 00 97124 Massage 12 . 00 2/07/90 97010 One area hot or cold packs 5 . 00 97118 Electriacl Stim.. (Manual ). 20 . 00 97124 Message 12 . 00 2/08/90 - - 97010 One area hot or cold packs -. 5 . 00- 97014 Electrical Stim. (Unattended) 15 . 00 97124 :Massage 12 . 00 2/09/90 97010 One area hot or cold packs 5 . 00 97014 Electrical Stim. (Unattended) 15 . 00 97124 Massage 12 . 00 2/ 12/90 97010 One area hot or cold packs 5 . 00 97014 Electrical Stim. (Unattended) 15 . 00 97124 Massage 12 . 00 2/ 13/90 97010 One area hot or cold packs 5 . 00 97014 Electrical Stim. (Unattended) 15 . 00 97124 .Massage 12 . 00 2/ 16/90 97010 One area hot or cold packs 5 . 00 97014 Electrical Stim. (Unattended) 15 . 00 97124 Massage 12 . 00 97128 Ultra Sound 15 . 00 2/20/90 97010 One area hot or. cold packs 5 . 00 97014 Electrical Stim. (Unattended) 15 . 00 97124 Massage 12 . 00 2/21 /90 . 97010 One area hot or cold packs 5 . 00 . 97014 Electrical Stim. (Unattended) 15 . 00 ------------- $424 . 00 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD. ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT April 10 , 1 9 p 0 and Board Action. All Section references are to The copy of this document mailed to you is your notice o California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $120 . 00 Section 913 and 915.4. Please note all "Warnings" County Counsel CLAIMANT: PARLANTI , Floyd Leo MAR , 1 ,) 130 ATTORNEY: r Date received Martinez. CA N553 ADDRESS: P. O. Box 1112 BY DELIVERY TO CLERK ON March 9 , 1990 Bethel Island, CA 94511 BY MAIL POSTMARKED: March 7 , 1990 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PpHHIL BATCHELOR, Clerk DATED: March 19, 1990 BY: Deputy �*22d .1 1I. FROM: County Counsel TO: Clerk of the Board of Su visors �( ) 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: / 19 /go BY: Deputy County Counsel 1 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: R 31 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sec ion 913) Subject to certain exceptions, you have only six (6) months from the date,this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: APR 11 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: Flo y eo Parlanti P.O. Box 12 Bethel Islan CA 94511 Re: Claim of FLOYD LEO PARLANTI Please Take Notice As Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code section 910 and 910 . 2, or is otherwise insufficient for the reasons checked below: 1 . The claim fails to state the name and post office address of the claimant. 2 . The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. 3 . The claim fails to state the 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 fails to state whether jurisdiction over the claim would rest in municipal or superior court. x 6 . The claim is not signed by the claimant or by some person on his behalf . 7 . Other: VICTOR J. WESTMAN, _ ounty Counsel By: �JQ Deputy Co ty Counsel CERTIFICATE OF SERVICE BY MAIL C.C.P. S§ 1012, 1013a, 2015 .5; Evid. C. 96 641, 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: p�� , at Martinez, California. cc: Clerk of the Board of Supervisors Noiginal) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4, 910.8) ^LAIN,, TO.- BOARD OF SUPERVISORS OF CONTRA CO'QurR i iwi application to, r Instructions to Claimant Clerk of the Board P. O. Box 911 A. Claims relating to causes of action for death or zorninC urynto�533 person or to personal property or growing crops must be .presented not later than the 100th day after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911. 2 , Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106 , County Administration Building, 651 Pine Street, Martinez , California 94553. C. If claim is against a district governed by the Board of Supervisors , rather than the. County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end of this form. RE: Claim by _ ) Reserved for Clerk' s filinc stamps (� ) JLJAgainst the BOUNTY OF CONTRA. COSTA) MAR 9 1990 or DISTRICT) : FtI:L BATCHELOR ! (Fill in name) ) CLERK 30RD OF SUPERVISORS CO. . Sf C . B .............. a Utz . The undersigned claimant hereby makes claim acai the County of Contra Costa or the above=named District in the sum of $ j•��L>_cc_ and in support of this claim represents as follows : ------------------------------------------------------------------------- 1 . When did the damage or injury . occur? (Give exact date and hour) �i1 L �tiC{-� ZLveyS �� e�S � e�C \�7 Cc1Q,v." Cc c\4`t VX,\ N-\ ���:� \•rnt \A, 5L01-'C41-A OfIct A a _--- - _Sh_r. ___c-.-- 2. Where did the damage or injury occur? (Include city and' county) ofC\rAi,-\c.Z , CCCu; k. 1�0 -------------------------------------------------- 3 How did the damage or injury occur? (Give full details , use extra sheets if required) k GC.L�tii \ br, it �=e1h o L. A . Ve�.; c c" er,',C�C!� �JCG1�5 . r�i4c� C%V �Ct�nS�c; �`^� C1i;��+,`T` wcrL t.�tSS;c�� . "L r;.Occ- CCC\CG�� Yh�m �� _r..;---------------------------- 4 . What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? Wvv;N euc.r 'Y�t N.•2,� : �K`,t l.�C^ C'C_L\C'.v':ci� •�1-e.m . 1.C�.� Cl L,a- �1C•,J�-- \h1t,Y. 4� 14N4L1-1-K Ole � Q. �\- •c�;c•.f�t o'V�.Z CL'��r,i..� '-1�;,\ ,'�.�'� '1. 6.�GL w l (over) "�\�•„ �, L.W. la .4' 4 . No bdd- 00,. J2, i� l •i �; h V V f �J o �;a 1. ♦� d � {Gam• '� I > i C100, �. county counsel .. I" BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA MAR+V 119T90 Claim Against the County, or District governed by) BOARD V'e-t-;ON1eZ_oCA x'4553 the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT Ap r i 1 10 1990 and Board Action. All Section references are to The copy of this document mailed to you is your nokice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $ 220 . 5 8 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: RONCHETTO, Kristen K. ATTORNEY: - Date received ADDRESS: 215 Reflections Dr . No . 15 BY DELIVERY TO CLERK ON March 9 . 1990 (via Risk Mgmt . ) San Ramon, CA 94.583 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. gVIL Bep�tyLOR, Clerk DATED: March 13, 199(1 I1. FROM: County Counsel TO: Clerk of the Board of Supervisors � ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: /I'� l() BY: JJJ ' n Deputy County Counsel v� 1 I11. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: APR 1 0 WO PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date.this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING 1 declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant., addressed to the claimant as shown above. Dated: APR 11 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Claim to:,. BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY Pop H " 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 filediwith the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name; of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code .Sec. 72 at the end of this form. RE: Claim By ) Reserved fr�o� �� " C in stain . 1%1_-57e19 �rh oI`�E D I Against the County of Contra Costa a � 1990 QSId #0- or = PHU^ATCHELOR C RK BOARD OF PERVIS02S O District) B De ut Fill in name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ Z-n_ s9' and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damageior injury occur? (Give exact date and hour) Dec. ;Q, 1g89 5-. 30 AM ----------- 2. Where did the damage or injury occur? (Include city and county) C4 17HnvJ1e_ &Vd- % )31oj(_c x -)i a�49- AIAAA0 s OVe -------------------------A=�x-Ya M i le- Sam tq (3P +h e- DHnv i I l e- &1,x.1� 5one.UA i leg + 3. How did the damage or injury occur? (Give full details; use extra paper if required) :14 c,,.S C*rL)C_+rk,U-4--Me -a C&X(S-FYdVeIflOq r)Drth D( Q9 7o;112. gIc)d in A air( wide 11:)rie uj4- aA 0�c x��inqq Si n A�,�J�'S1A�ld.T��e rlA> r CDMQrtf f3c pie EW to�fh 01 ✓�'�l eCior�a i/ on cv�e'b►n� no Sign . -fie was n01 wlj24z'11�� tit G9� 1 ,Cs lyel)f cep over fh e Deb w n�t_v_r B� h�1�.s . 4. What particular act or omission on the part of county or district officers, � (,VL15 servants or employees caused the injury or damage? _ m ()PJ�. a 1ua_� 1 )/]15�11�? 4)')Q p}f��r• � Q(' 1`3'1Q�r2 i11 C�r�iC3� anew +P_,es �vP_ l�%n Cone or H �, le,�in opJe �no(,� ral_ �ver) eos-r �ne-+l-Q nem � VIA, 6'. ��t wc(5 jn the m/bai� o� -�h� pool - �SP,,opwl�MA - s . 5. What are thefi it s of county or district officers, servants or employees cauhing the damage ;or: ,in jury? -------------------------------------------------------------------------------------- 6. What damage or' injuries do you claim resulted? (Give. full extent of injuries or damages claimed. Attach two estimates for auto damage. �uq�}Ure d holes CO%)S)1'/1q v 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) (/9 8. Names and addresses ;of itnesse doctors and hospitals. �vHvs rv� "Toni. A . Ron Che,AAa c ' 5)me .fQ,�--G - cage -0 C- -fi res - Saw Si ,jd AAO�rk.S -----------------------=------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE `.:r.,JT-EM AMOUNT Gov. Code Sec. 910.2 provides: s ' ` "The claim must be signed by the claimant SEND''NOTICES TO:- .(Attorney) or by some person on his behalf." '•:<Name=•and�Addnesi 15f"Attorney z - USC- (Claimant's S' nature Address Telephone No. Telephone No. '4/5 930-0 00?0 i 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 beard 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 ii�grisonment and fine, or by imprisonment in the state. .prison, by a fine of not exceedi%t/ thousand dollars ($10,000, or by both such imprisonment and fine. PC,sta (; �I ilOUpt., JAN 87989 Risk Manag, .. _ ,a.. -. .; m - N �'' w -i - :, _,:i' •'tri �•�' rS":f c", =.,.A Cr-^..c ()'. '-t:t. - ''l': "SS' ')..'f' Z. 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' :qi r. ` ::' :, @' >• a f tJ - �,. 1 :L ,, a' F :: , .. ,tc. .. ''{, .Via. .. r. r r .._ .. .. '.-�. i� r 4 y . . �+t. I i 7 ` ;r.:::. s' ., `Y k t1°' vr. .. .. ... - - . ��"w +9"a4"� P•,r: . _ _ .__ I, - . .i i vu.•,J - - . .� MARA, 1330 /,is- CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA M&rflknez, CA 0,4553 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT APRIL 101 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: $ 35 ,000 , 000 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: SWOOPES , Michael by Cloteal Swoopes ATTORNEY: Date received ADDRESS: Box 922 BY DELIVERY TO CLERK ON March 8 , 1990 (via Counsel) Oakland, CA 94604 BY MAIL POSTMARKED: March 2 , 1990 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. BT: ppHH1L BATCHELOR. Clerk DATED: March ui , ig9(1 eputy 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: �1 1 Dated: I`� BY: �� /�' 1 Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned.as untimely with notice to claimant (Section 911.3). 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: APR 1 n 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 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: APR 1 1 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: Mi el Swoopes Box 9 Oakland, 94604 Re: Claim of MICHAEL SWOOPES Please Take Notice As Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code section 910 and 910 . 2, or is otherwise insufficient for the reasons checked below: X 1 . The claim fails to state the name and post office address of the claimant. x 2 . The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. x 3 . The claim fails to state the date, place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. x 4 . The claim fails to state the name(s ) of the public employee(s) causing the injury, damage, or loss, if known. 5 . The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000 ) . If the claim totals less than ten thousand dollars ($10,000) , the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ($10,000) , the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. 6 . The claim is not signed by the claimant or by some person on his behalf . 7 . Other: VICTOR J. WESTMAN, County Counsel By: I .� S. Deputy Cvnty Counsel I CERTIFICATE OF SERVICE BY MAIL C.C.P. SS 1012, 1013a, 2015 .5: Evid. C. 99 641 , 664 ) My business address is the County Counsel's Office of Contra Costa County, Co. Admin. Bldg. , P.O. Box 69, Martinez, California, 94553, and I am a citizen of the United States, over 18 years of age, employed in Contra Costa County, and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non Acceptance of Claim by placing it in an envelope(s) addressed as shown above (which is/are place(s) having delivery service by U.S. Mail) , which envelope(s) was then sealed and postage fully prepaid thereon, and thereafter was, on this day deposited in the U.S. Mail at Martinez/Concord, Contra Costa County, California. I certify under penalty of perjury that the foregoing is true and correct. Dated: IS , at Martinez, California. cc: Clerk of the Board of Supervisors ( iginal) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4, 910. 8) i I• kCTOR J. WESTMAN CONTRA COSTA COUNTY COUNSEL TOP.O. BOX 69, CO. ADMIN. BLDG.. MARTINEZ. CA 94553 DATE-- O SUBJECT I� I: l� �I �i ,-mac— —-- X 1990 � � C 'r�Y•r•.:i, r- _. of-f:5 CC iJ1�A CG51. CU. - .az............ ...... r... _ i D—�.. _ j; u I � j ;, Ps4 C''?°Jnty Counsel errithew iiIAR 1330 emoria Martinez, ca :�� ss C NPOURd AND CLINICS TO: Office of County Counsel DATE: March 6, 1990 Contra Costa County FROM: Mark Finucane ?�54 RE: CLAIM Health Services Director Swoopes, Cloteal Patient - Swoopes, Michael Record # 237483 The attached claim for care provided to Michael Swoopes was received by Merrithew Memorial Hospital today. � -� I RECEi vED r v,R CzX)4�5EJ- SP MAR 81990 Attachment PHIL WCHELOR 11 CLERK,c.GARO Of SliPi:^.VISORS I'ONT cc: Risk Management Department �BX ...... Contra Costa County rq,CUUS' A-301A (3/87) NOTICE OF Q.AIM � ��� TO: KEDIQ►L DIRECTOR and RESIDENT PSYCHIATRISTRECEIVED $ �ggp KERRITHEW EMORIAL HOSPITAL 500 - Alhambra Avenue FHL• BATCHELOR 1 Martinez, California M53 CLERV004RDOFSJiEAIMORS jj CON 111A C..... rr^ i Please take notice that a claim has been established against you and each of you and Does in the amount of $35 Million Dollars for Medical Malpractice committed against Michael Swoopes, and for activities strictly prohibited by the United States Constitution. 7 _ Date: March 2, 1990 Cloteal Swoopes DE24AND TO: CONTRA COSTA MENTAL HEALTH DEPARTMENT, ET AL This Demand dated March 2, 1990 which is being served on the Contra Costa Mental Health Department, and its subsidiaries, the Administrative Office, Mental Health Facilities, Merrithew Memorial Hospital, William W eiskirch, and Does demands that all medical malpractice disguised as psychiatric "treatment", all psychotropic medications, mind altering drugs, hypnotic practices and all abusive chemicals being used against Michael Swoopes be immediately stopped. The amount of $35 Million shown on attached Notice of Claim which is dated March 2, 1990 for malpractice and U. S. Constitutional violations is for medical malpractice which has taken place. Any further medical malpractice and any future medical malpractice will result in additional claims against the Contra Costa Mental Health Department and its subsidiaries and Does. Date: Ma 2 1990 March Cloteal Swoopes r , r N 6' V , Vu o l� r d Q ca Q fro Ve � sV \� v N r C;:.;Unty coumsel ~ CLAIM �q� 1J BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA MAR J 139 0 Claim Against the County, or District governed by) BOARD ("A 04653 the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT April 10 , 1990 and BoardAction. 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: $ 256 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: YAKEL, Rick ATTORNEY: Date received ADDRESS: 1204 Mission Drive BY DELIVERY TO CLERK ON March 6 , 1990 (hand delivered) Antioch, CA 94509 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JVIL BAATTCyELOR, Clerk DATED: March 13, 199epu I1. FROM: County Counsel TO: Clerk of the Board of Supervisors (� ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 5 G, BY: �//7 / - I Deputy County Counsel v V 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) { ) Claim was returned as untimely with notice to, claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present �This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: APR 10 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date,this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek- the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: A P R 417 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator CLAIM T0: BOARD OF SUPERVISORSCONTRA C . OF OAT_�8rrF4*NYapplication to: Instructions to ClaimantClerk of the Board P.O.Box 911 Martinez.Califomla94553 A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than the 100th day- after the accrual of the cause of action... 'Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Sec. 911.2, Govt. Code) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106 , County Administration Building, 651 Pine Street, Martinez , California 94553. C. If claim is against a district governed by the Board of Supervisors , rather than the County, the name of the Distript should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. . E. Fraud. See penalty for fraudulent claims , Penal Code Sec. 72 at end oY this form. RE: Claim by )Reserved for Clerk' s filing stamps . RECEIVED Against the COUNTY OF CONTRA COSTA) MAR i) _ 1990 3;oa or DISTRICT) - rNrtaAftOtLo# Cif 29 BOARD or suVFiMals (Fill1n name ) _ � -I CCJaT.RASDsr co. The undersigned claimant hereby makes claim against,,t-he County of Contra Costa or the above-named District in the sum of $ � and in support of this claim represents as follows: ---------------------------=---------------------=-------------- ---- �. When did the de or injury occur? (Give exact date and hour ,s-/ _ T..._ 17-RUN—ala the da _f ge--- o—r_injury__occur? (Include city and county) 3. How did the damage or injury occur? (Give Kull details , se extr sheets if re red) ----------------------- __ __ 4.___What__particular__ act or omission on__the__________ _____ ------ _____ part of county or district officers , servants or employees caused the injury or damage? (over) ` f 5. What are the namesof. county or district officers, servants or employees causing the damage or injury? --------- --------T-T--T-------------Tom.--------�•--- T--••-------.�-.�----- 6. What damage or injuries do you claim resulted? Give full extent of injuries of damages claimed. - Attach two estimates for auto damage) 7. How was th.e amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) 7 ------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. -------------� •- T- ------------------------------T--------------------- the expenditures you made on account of this accident or injury: ,......bP;'T '.."..,, w...�a.,�_, .•a:. . ITEM _ . AMOUNT SS S 6 ! i st*�,t*** �•**,t**�.*it,t,tit**itstrt�t**lr�k,r*stitsc**,tst�*,t****#,r***,t*�*,t,tst**t�t�*��4*,t,t��,k*** ° :�"':L�:.:,'`;�'"'; .w'�.. �," """'...•, Govt. Code Sec. -910.2 provides : "The claim signed by the claimant SEND NOTICES 'TO: (Attornev) or by some person on hio b alf. " Name .and 'Address of Attorney Iaimint� S nature +Add D r ss ,� , ct4-5 Telephone No. Telephone No. ****red***tti•�ir+t**,kit*#st,t,tit,tie�t9�*,tic*,ksr,i+t,t�k�,t�***�t1F**rt�k*�k•krt,t*ik�,t*,t�lr*•kt�a,t�***,t�k NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, • or to any county, town, city district, ward or village board or officer', authorized to allow or pay the same if genuine, any false or fraudulent claim, bill , account, voucher, or writing, is guilty of a felony. " .... _ - - «?c DATE —SALES SLIP NO. TYPE OF SALE 1s 9d44800 cS00 O ASH CHARGE VOID MAJOR ACCOUNT NO. CUSTOMER NO. CENSUS TRACK NO. ADVERTISING SURVEY CODE(CIRCLE APPROPRIATE ITEM BELOW) (1)Referral (2)Repeat (3)W.O.M. (4)Main City Paper (5)Local Area Paper (6)Direct Mail (7)Radio (8)TV (9)Yellow Pages (A)Location (B)Don't Know (C)Sales/Promotion (D)Industrial FIRST Q AST f)ek NAME _�� L -' ----- ---"- ---- STREE A D ESS fr� CITY STATE ZIP 0A4��zY HOME TEL.NO. BIRTHDATE MARITAL STATUS OCCUPATION EMPLOYER WORK TEL.NO. SPOUSE NAME TOTAL SIGNED BY TAX Lo 7� 'SEE REVERSE SIDE FOR PROPER SHOE CARE ALL claims and returned goods MUST be 1,SUBTOTAL, accompanied by sales slip. `# .a 64400 � r LavawaY m •� s R ^ g k I,PAYRflENT x' PRINTED IN U.S.A. r ORIGINAL-STORE COPY ------ - -- - -----S-S� --- - - SS--- - - dS kod VAIs Shoe �.��•�', -- 264,1 Spm�rav0le Bntioah, M 94 ° CONTRA COSTA DETENTION FACIL+J' LJ I S I I CLOTHING RECEIPT DATE:' G l r'1► .:;�Ct REC: 13 2':�=t TIME: 0 21 5 FACILITY: t ICyi= NAME (L, F, M): D.O.B.: BOOKING NBR: [SHIRT/BLOUSE PANTS/SKIRT C] COAT/JACKET ©SHOES/BOOTS [aSHORTS/PANTIES [ffT-SHIRT/BRA SOCKS/NYLONS HAT/PURSE 0 SWEATER/SWT. SHIRTDRESS OTHER BKG OFC: X. INMATE SIGNATURE DATE� � 4 HAVE RECEIVED ALL OF MY CLOTHING. REL OFC: INMATE SIGNATURE Os- APPLICATION TO FILE LATE CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA CO(JNTY, CALIFORNIA and as Governing Board of the Contra Costa County Flood BOARD ACTION Control and Water Conservation District April 10 , 1990 Application to File Late Claim ) NOTICE TO APPLICANT Against the County, Routing ) The copy of this document mailed to you is your Endorsements, and Board Action.) notice of the action taken on your application by (All Section References are to ) the Board of Supervisors (Paragraph III, below), _California Government Code.) ' ) given pursuant to Government Code Sections 911.8 and 915.4. Please note the *WARNING" below. Claimant: HOLLAND, Ronald & Gwendlyn County Counsel t Attorney: Richard A. Barsotti , Esq . f�, 130 Scott & Barsotti Maftinez; CA 94553 Address: 315 East Leland Road Pittsburg , CA 94565 Amount: By delivery to Clerk on March 6 , 1990 (Federal Exp .) Undetermined Date Received: March 6 , 1990 By mail, postmarked on I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above noted Application to File Late Claim. DATED: March 7 , 1990 PHIL BATCHELOR, Clerk, By Deputy II. FROM: County Counsel W. Clerk of the Board of Supervisors ( ) The Board should grant this Application to File Late Claim - Section 911.6). The Board should deny this Application to File LateANim ( ction 1.6 . DATED: j 1() VICTOR WESTM , County Counsel, By I - �J. puty V III. BOARD ORDER By unanimous vote of Supervisors present (Check one only) ( ) This Application is granted (Section 911.6). ( This Application to File Late Claim is denied (Section 911.6). I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. DATE: APR 10 1990 PHIL BATCHELOR, Clerk, By4MRW::j*_ Deputy WARNING (Gov. Code 3911.8) If you wish to file a oourt action on this matter, you must first petition the appropriate court for an order relieving you from the provisions of Government Code Section 945.4 (claims preseritation requirement). See Goverment Code Section 946.6. Such petition must be filed with the court within six (6) months frcm the date your application for leave to present a late claim was denied. You may seek the advise of any attorney of your choice in oomeetion with this matter. If you want to consult an attorney, u should do so immediately. IV. FROM: Clerk of the Board TO: 1 County Counsel 2 County Administrator Attached are copies of the above Application. We notifed the applicant of the Board's action on this Application by mailing a copy of this document, and a memo thereof has ben filed and endorsed on the Board's copy of this Claim in accordance With Section 29703. DATM: APR 11 1990 PHIL'BATCHELOR, Clerk, By Deputy V. FROM: 1 County Counsel 2 County AEinfartrator TO: Clerk of the Board of Supervisors Received copies of this Application and Board Order. DATED: County Counsel, By County Administrator, By APPLICATION TO FILE LATE CLAIM LAW OFFICES OF SCOTT & BARSOTTI ;, ;i: 1 A Professional Corporation 315 East Leland Road 2 Pittsburg , California 94565 3 ( 415) 432-2955 REC j EaL Attorneys for Claimants MAR 6 4 RONALD HOLLAND and GWENDLYN HOLLAND = 1990 11!5 rHIL BATCI � V 1 CLERK ARD Of S ISOQS IA5o11 V. D r 6 7 8 IN THE MATTER OF THE CLAIM OF ) NO. ; 9 RONALD HOLLAND and ) APPLICATION FOR LEAVE TO , GWENDLYN HOLLAND ) PRESENT LATE CLAIM 10 ) ( Govt . Code Section 911 . 4) j V . ) CITY OF ANTIOCH ) �` r 12 CITY OF PITTSBURG , ) H a COUNTY OF CONTRA COSTA , and ) � 2: Q1 13 STATE OF CALIFORNIA ) o & � ) Wc� ° Zo 14 U ; o� ZS � � TO: THE COUNTY OF CONTRA COSTA 15 gH � < � ' u W H0 �, � I 16 ° Application is hereby made for leave to present a late 17 claim under Section 911 . 4 of the Government Code . The claim is 18 19 founded on a cause of action for wrongful death which occurred 1 20 on March 12 , 1989 , and for which a claim was not timely presented . For additional circumstances relating to the cause ' 21 22 of action , reference is made to the proposed claim attached 23 hereto as Exhibit A and made a part hereof . ;. 2 II 4 !' 25 The reason for the delay in presenting this claim is 26 the mistake, inadvertence , surprise and excusable neglect of 27 claimants , as more particularly shown in the Declarations of 28 claimants attached hereto marked Exhibits B and C. The County 1 . of Contra Costa was not prejudiced by the failure to timely f i le 1 the claims as shown by the Declaration of Richard A . Barsotti 2 attached hereto marked Exhibit D and made a part hereof . 3 III 4 The application is presented within a reasonable time 5 after the accrual of the cause of action as shown by the 6 Declaration of Richard A. Barsotti ( Exhibit D) . 7 IV 8 WHEREFORE, it is respectfully requested that this 9 application be granted and that the attached claim be received 10 and acted upon in accordance with Sections 912. 4 through 912. 8 of the Government Code. 12 � t, H DATED: N d 1990 13 g °rS LAW OFFICES OF SCOTT & BARSOTTI W � ° 14 E85d A Professional CorporationLL o Z < 3 ° U) ' 15 H ° N o � M 16 By o; RICHARD A. BARSOTTI 17 Attorneys for Claimants 18 19 20 21 { I; 22 ' 23 24 I, . I 25 i ii 26 27 28 2 i 1 JAMES E. SCOTT, ESQ. Law Offices 2 SCOTT & BARSOTTI 315 East Leland Road 3 Pittsburg, CA 94565 415/432-2955 4 Attorneys for Claimants 5 6 7 RONALD HOLLAND and ) CLAIM FOR DAMAGES PURSUANT 8 GWENDLYN HOLLAND, ) TO GOVERNMENT CODE SECTION 910 9 Claimants, ) 10 vs. ) 11 COUNTY OF CONTRA COSTA, CITY ) OF PITTSBURG, CITY OF ANTIOCH, ) 12 STATE OF CALIFORNIA ) F a N 0 o < d 13 Respondents. ) 5 .' 14 Co 0 < , : 15 TO THE COUNTY OF CONTRA COSTA: gF0 < m - � W F M In - O � mF 16 RONALD HOLLAND and GWENDLYN HOLLAND claim as follows: � a 17 (A) Claimants' post office address is: 2760 Alcala Street, 18 Antioch, California. 19 (B) Notice concerning this claim are to be sent to the Law 20 Offices of Scott & Barsotti, 315 East Leland Road, Pittsburg, 21 California 94565. 22 (C) The date and place of the occurrence giving rise to 23 this claim is March 12, 1989, at the intersection where Lone 24 Tree Way meets Putnam Street and Worrell Road, Antioch, 25 California. 26 Claimants are the parents of Denise Marie Russo, deceased, 27 who is survived by her widower, Michael Russo, and there are no 28 surviving children of decedent. 1 I 1 The circumstances giving rise to the claim are: On March 2 12, 1989, Daniel Smith, a reserve officer for the Sheriff of 3 Contra Costa County, was on duty and assigned as a "cover car" 4 in the West Pittsburg area, alone and without a full time 5 supervising officer as a partner. Officer Smith was assigned 6 to observe and enforce the stop sign at the Highway 4 off-ramp 7 at Bailey Road. 8 Reserve Officer Smith observed a vehicle go through the 9 stop sign without stopping and stopped the vehicle and called 10 into his dispatch as to his location and the vehicle license 11 number. The stopped vehicle then accelerated away from him. 12 Reserve Officer Smith then advised his dispatch of this action, ►ti r. 000 13 i and advised that he was in pursuit, which pursuit continued cn � 0, �_ryryo g 14 ! east on Leland heading towards Pittsburg, attaining high speeds 3 � 2i N � 15 I through residential neighborhoods, including the City of gF < � W p Ea N a 16 1 Antioch, and through red traffic signals and stop signs, in 17 I moderate to heavy traffic. i 18 ' During this high speed pursuit through the City of 19 Pittsburg and Antioch, Reserve Officer Smith was joined by 20 units of the Pittsburg and Antioch City Police while the high 21 speed pursuit was in their respective City limits. 22 The speeds attained in these areas, including dense 23 residential neighborhoods, ranged from 45 mph to 80 mph. 24 At one time during this unbroken and continuous high speed 25 chase, Reserve Officer Smith made physical contact with the 26 vehicle being pursued, and broke off the physical contact when 27 the vehicle pursued "jiggled". 28 = // 2 1 Reserve Officer Smith, and units of the Antioch City 2 Police, continued the high speed pursuit through residential 3 neighborhoods of Minta and Putnam Streets, Antioch, California, 4 and continued to chase the fleeing vehicle on Putnam Street, 5 into the intersection of Lone Tree Way, against the red traffic 6 light. 7 California Highway Patrol Officer Michael Walker was on 8 I Lone Tree Way, north of the intersection of Lone Tree Way, 9 jPutnam and Worrell, listening to the dispatch and aware of the 10 ( pursuit and the fact that the pursuit would come through the 11 iintersection at Lone Tree Way, Putnam and Worrell. He was 12 waiting to join in the pursuit and aware of the high speeds and M h 13 reckless conduct of those already involved in the pursuit, yet u � o Z c 14 l failed to take any steps to warn traffic on Lone Tree Way or to 4Ra < ga 3 �s ° ; u `< 15 protect the intersection of Lone Tree Way, Putnam and Worrell Q L 0 z _ J H W W pl f o � N � 16 from the dangerous condition. a - cc 4 17 At that time and place, Denise Marie Russo, age 21, had 18 legally entered the intersection of Lone Tree Way, northbound 19 : with a green light. She was struck broadside on the left door 20 by the pursued vehicle, who at that time was driving at a speed 21 estimated to be in excess of 60 mph. 22 I Denise Marie Russo was killed instantly in the collision. i 23 I The high speed pursuit engaged in by Reserve Officer Smith, 24 iwithout a regular Sheriff Deputy with him supervising his 25 actions and the pursuit, and joined by units of the Pittsburg 26 and Antioch Police Departments, was negligently supervised 27 land/or unsupervised, controlled, directed, reckless, and 28 idangerously allowed to continue through residential 3 I 1 neighborhoods, major arterial intersections and streets, 2 through red lights and stop signs, with negligent and reckless 3 disregard for the safety of the general public, and which 4 violates all policy, both written and unwritten, for the safe 5 conduct of vehicular pursuits and guidelines for the protection 6 of the general public, and violates the minimum standards 7 imposed for such pursuits, and did indeed jeopardize the safety 8 of the general public, the proximate result of which was the 9 death of Denise Marie Russo, as well as the injuries and 10 damages sustained by the Claimants. The high speed pursuit was 11 completely out of proportion to the offense committed by the 12 pursued vehicle and the attendant risk involved in such pursuit M h Hoo ? 13 that was undertaken by the pursuing officers. m ¢ cs U X1. 14 (D) The general description of injury, damage and loss �My� li W WJ j ° �sl= 3 Oa ;° 15 are: gH � < � u w a HLn . Mm 1. All damages, both prospective, o � � � 16 g , present anddue to 17 the wrongful death of the Claimants' daughter, as well as the 18 physical, mental and emotional trauma, shock, injury and 19 distress suffered by the Claimants on being told of the death 20 of their child. 21 (E) The names of the public employees causing the death, 22 injury or loss are: 23 1. Daniel Smith, a Contra Costa County reserve 24 officer; 25 2 . The names of the supervising officer(s) , watch 26 commander and dispatch officer for Officer Smith are unknown at 27 this time; 28 4 1 3 . The names of the Pittsburg Police Officers who 2 engaged in the high speed pursuit in Pittsburg, together with 3 their supervisors and watch commander, are unknown at this 4 time; 5 4 . The names of the Antioch Police officers who 6 engaged in the high speed pursuit in Antioch, together with the 7 names of their supervisors and watch commander, are unknown at 8 this time. 9 5. The name of the California Highway Patrol officers 10 who assisted in this pursuit is Michael Walker. 11 6. Jurisdiction over the amount of this claim will 12 be in the Superior Court. HMAR 5 1990 Doo = 13 DATED: W .0 S 7 o S ; ; 14 Law Offices LLW < W ; . SCOTT & BARSOTTI 3 ,y ° ~ " 15 gF � << � u W pp H R16 N C U 17 RICHARD A. 8'MSbYTI 18 Attorney for Claimants 19 20 21 22 23 24 25 26 27 28 5 LAW OFFICES OF SCOTT & BARSOTTI 1 A Professional Corporation 315 East Leland Road 2 Pittsburg , California 94565 ( 415) 432-2955 3 Attorneys for Claimants 4 RONALD HOLLAND and GWENDLYN HOLLAND 5 6 7 8 IN THE MATTER OF THE CLAIM OF ) NO. 9 RONALD HOLLAND and ) DECLARATION OF GWENDLYN HOLLAND ) GWENDLYN HOLLAND 10 ) V . ) 11 ) CITY OF ANTIOCH , ) 12 CITY OF PITTSBURG , and ) F COUNTY OF CONTRA COSTA ) 13 0 ° °Or s ) N Ul 0 o °5 i 2 , 14 I , GWENDLYN HOLLAND, declare: � LL H 1 � W . O z e 3 � 2N ° 15 I am the mother of DENISE MARIE RUSSO , deceased , who 4 W IC HSN = 16 was fatally injured in an automobile accident on March 12 , 1989. � a 17 At the time of her death , DENISE MARIE RUSSO was 18 married to Michael P. Russo . DENISE MARIE RUSSO had no 19 children . 20 Since my daughter was married , I was under the belief 21 that the only person who had any claim because of her wrongful 22 death was her husband , Michael P. Russo . Because my daughter 23 was married , it was my understanding and belief that I had no 24 legal rights with regard to my daughter . After my daughter ' s 25 death , her widower , Michael P. Russo , assumed exclusive control 26 of all of the funeral and burial arrangements . 27 We had no input concerning our feelings on such things 28 1 r as whether it would be an open or closed casket funeral service , 1 _ what type of services would be arranged , or even the location 2 where my daughter would be buried . 3 On February 27 , 1990 , Michael Russo ' s mother called 4 and asked if I had filed any type of a claim for the wrongful 5 death of our daughter . This was the first indication of any 6 kind that I had that I might have a claim of some type. I 7 immediately made an appointment with the Law Offices of Scott & i 8 Barsotti and was advised that I did have a claim for the 9 _. wrongful death of my daughter . I retained that law office to 10 proceed to represent me in an action to recover damages for 11 i wrongful death . 12 HItis also excusable neglect on my part for not r 000K 13 is o = Wa - 0 presenting a claim because I had no suspicion nor reason to u 8z o 14 o believe that I did in fact have a claim. 3Qyo a < � '� o _ 15 g H 4 W m H00 I declare under penalty of perjury under the laws of O M h 16 a the State of California that the foregoing is true and correct 17 and make this declaration this J-3- (-) day of March , 1990. 18 19 20 GWENDLYN HOLLAND 21 1: . 22 23 24 25 26 27 28 2 '' LAW OFFICES OF SCOTT & BARSOTTI 1 A Professional Corporation 315 East Leland Road 2 Pittsburg , California 94565 (415) 432-2955 3 Attorneys for Claimants 4 RONALD HOLLAND and GWENDLYN HOLLAND 5 6 7 8 IN THE MATTER OF THE CLAIM OF ) NO. 9 RONALD HOLLAND and ) DECLARATION OF GWENDLYN HOLLAND ) RONALD HOLLAND 10 ) v . ) 11 ) CITY OF ANTIOCH , ) 12 CITY OF PITTSBURG , and ) n COUNTY OF CONTRA COSTA ) H = 13 foo . ) Ngo ° = � w u g z o 14 4 V 1 , RONALD HOLLAND,. declare: M S d ` 4Y�'�I � Z J < � 3QB2 ; `✓ ; 15 gH4W � I am the father of DENISE MARIE RUSSO , deceased , who HMN O F i6 was fatally injured in an automobile accident on March 12 , 1989. (n a 17 At the time of her death , DENISE MARIE RUSSO was 18 married to Michael P. Russo . DENISE MARIE RUSSO had no 19 children. 20 Since my daughter was married , I was under the belief 21 that the only person who had any claim because of her wrongful 22 death was her husband , Michael P. Russo . Because my daughter 23 was married , it was my understanding and belief that I had no 24 legal rights with regard to my daughter . After my daughter ' s 25 death , her widower , Michael P. Russo , assumed exclusive control 26 of all of the funeral and burial arrangements . 27 I had no input concerning my feelings on such things 28 1 i as whether it would be an open or closed casket funeral service , 1 what type of services would be arranged , or even the location 2 where my daughter would be buried . 3 On February 27 , 1990 , Michael Russo ' s mother called 4 my wife and asked if we had filed any type of a claim for the 5 wrongful death of our daughter . This was the first indication 6 of any kind that I had that I might have a claim of some type. 7 My wife and I immediately made an appointment with the Law 8 Offices of Scott & Barsotti . My wife kept that appointment and 9 was advised that we did have a claim for the wrongful death of 10 our daughter. My wife and I retained the Law Offices of Scott 11 & Barsotti to represent us in an action to recover damages for 12 ra r. H13 wrongful death . 0 ° ° S ° � .4 It is also excusable neglect on my part for not 14 ryM� i LLW O W 0 0 � � ; presenting a claim because I had no suspicion nor reason to 3 � 0 � 15 gH4W � _ H010: believe that I did in fact have a claim. Oam0 16 U � 17 I declare under penalty of perjury under the laws of 18 the State of California that the foregoing is true and correct 19 and make this declaration this day of March , 1990. 20 21 RONALD HOLLAND 22 23 24 ?' 25 26 27 28 2 LAW OFFICES OF SCOTT & BARSOTTI 1 A Professional Corporation 315 East Leland Road 2 Pittsburg , California 94565 (415) 432-2955 3 Attorneys for Claimants 4 RONALD HOLLAND and GWENDLYN HOLLAND 5 6 7 8 IN THE MATTER OF THE CLAIM OF ) NO. 9 RONALD HOLLAND and ) DECLARATION OF GWENDLYN HOLLAND ) RICHARD A. BARSOTTI 10 ) IN SUPPORT OF APPLICATION V . ) FOR LEAVE TO PRESENT 11 ) LATE CLAIM CITY OF ANTIOCH , ) (Govt. Code Section 911 .4) 12 CITY OF PITTSBURG , and ) F c COUNTY OF CONTRA COSTA ) 13 ) o0, Wa � om ; u ° S ° 14 4 1 , RICHARD A. BARSOTTI , declare: /y� V 4 li Fy O z < _ N En 15 gH4W � I am an attorney licensed to practice in all the H °a � m 0 F 16 courts of the State of California and am one of the attorneys 17 for claimants . 18 On February 28 , 1990 , Claimant Gwendlyn Holland first 19 came to this office to seek advice concerning the wrongful death 20 of her daughter , DENISE MARIE RUSSO , who was fatally injured in 21 an automobile accident of March 29 , 1989. We reviewed the 22 information available and advised Gwendlyn Holland that she did 23 have a legal claim or claims for damages arising out of the 24 wrongful death of her daughter , DENISE MARIE RUSSO. 25 Our office then contacted Attorney Anthony Trent 26 Russo , 115 North Sutter Street , Suite 208 , Stockton , California. 27 He informed us that he was representing Michael P. Russo , the 28 1 I ' i XHIBIT widower of decedent , DENISE MARIE RUSSO , and that timely claims 1 were filed on his behalf with the City of Pittsburg , the County 2 of Contra Costa , and the City of Antioch arising out of the same 3 automobile accident that took the life of DENISE MARIE RUSSO. 4 Copies of those claims are attached hereto and incorporated 5 herein by reference. 6 This claim is being presented within one week of when 7 claimants first realized that they had a claim or claims arising 8 out of the wrongful death of their daughter , DENISE MARIE RUSSO . i 9 I declare under penalty of perjury under the laws of 10 the State of California that the foregoing is true and correct 11 and make this declaration this 3r' . day of March , 1990. 12 �117 F x F13 h Z � � � < w , 0 5 y 14 R I CHARD A. BARSOTT I O� i � 3 ,ya � U o _ 15 4W pp F N m 0 CrM M 16 17 18 19 20 . 21 22 23 s 24 25 26 27 28 2 AMBILL ',���rIIr1111SE.iHISA!RB!LL FOR DOME57lC'SHIPMEN7S WITHIN THE CONTINENTAL-U.S A..ALA SIrA AND IIAWAIl1 ' 4 'a+l ♦ °rlF,y''q �LSPTHE INTERNATIONAL AIR WAYBILL FOR SHIPMENTS TO PUERTO RICO. k: "PACKAGE t t07 ufs noxsir,ALL 803.238-5355 TOLL FREE. a TRACKING NUMBER..! 1• y' Date'' From(Your_Name) Please.Prinl �:'':`,y .. Your Phone Numbor:(Very Ilri lanl) j To(Recipient's Name) Please Print - Recipients Phone Number(very Important) i hr rd : o Ba sott ti ,...._: _ i`: Com ar�...:' - ,:.•.; .: .:De aAment/Floor No:- ComPanl_•I _p . . Y 'Depart en.`t FooN . o. SC C T If C 5u visors .Street Address ;,•:.r Exact Street Address(We Caring iw to P.O.Bares a ip Codes) •:) .. C . a _. •. . ,... :. Slate ZIP.Required .�, _City �: . .State.'\ Z . IP Requred " ;6. i.: . Martinez' :,.. A;.. 94553 '�YOUR BILLING'REFEf ENCE INFORMATION.(First24 characters will appear ori invoice.) "^i : IF HOLD FOR PICK-UP,.PIint FEDEX Address Heie., _- `7p..::, .•: '.. M. .: ,i - qdd 0 �� Hol`lanc3 PAYMENT 1 g,tl Sentler 2❑,8i`I Rrtiip em s'FetlEa Acct:No.. 3 Bill 3rd Party'FedF�Accl.No A I Dill Crean Cara' .}' City. 1 State ZIP Requlietl .�:-. 5❑Ca471 sh .. y 01 1" s. ..;SERVICES...��: . .] .. WEIGHT- 't'roua'orclaaro'iCvEx Emp.No.. .:.bale .. .. Fedefal Express (Check orl.one box DE IVERY'AND SPECIAL HANDLING ( vuuE: svE Prion' 0vefnl ht'.,.••Slanderd Overni fir':: .,`' .- e5.{ .. .': ty ,B. .. 8!'. 1� )• 'HOLD FOR PICK-UP ~. .. ' Sase Charg (Delivery by near.:'.; rDclrvery by.nc>,r... ... _.. I :."i ti 0 C1xj. ':pcn9 ir;I+n:b- ;gecared Vawe ems. " businvss.mnrning+l•....'Cusinec'a.lernoont)" 2: : ...:_.': ❑'DELIVER WEEKDA Y', ,i ., ..:+ ' .. YOUR .• `_.i.. . ,` Ire 3.DELIVERSATURDAr�e.b;i cniy:: ..• Other 1 �y :''� ❑PACKAGING. ". ❑ .❑ _ �el:Address� 2 ::� •DANGEROUS GOODS' ,. ,•.:` 16. FEDEX LETTER,•'S6 FEDEX LETTER". A❑., .. ) - :.City.. .... Zi - `;"•„' �°1 ,E.un�nnry .. 12' ... FEDEX PAK• :..52 �FEDEXPAK..',' CONSTANT SURVEILLANCE SVC.(CSS). Total Total:'':.. {Total •A'"� .� ' ❑ .. - .viU?�O�IIReleassS:9iiilw�iN laic 13.❑FEDEX BOX. 53 F.—]FEDEX BOX:'. '16❑'ORYICE:,- _.._ ins :., 1• .�Rdcelved BY. 4.Totel'Ghal•e%'I i. ..r ..� :. DIM SHIPMENT(Heavy egnl Se vies O 9y1 X 0 14❑FEDEX TUBE.=..r54❑'FEDEX TUBE ,.7r❑ OTHER SPECIAL SERVICE.:::..'..: - — �' . ;ED�r::,•:Y hl s_%;nii .... ": . . : 8'❑ '., .Q .�y '.Da')te./.Tun.:a.R:.e.(eivCtl.; FedEx Empldyee Number PAEVFlITSIRO1N1'9DATE .B'IB9 conomy.SeivlceHaiyywghrSd Ihir0rlYSlanbn:Ain. Ow tx1ra La, or any TURDAY PLCK•uPFORMAT 9014 Package over 150 fns) fEA h"] in" . :•' . . .. 70' HEA EIGHT.: .1d . :. .. �,r�� Stop,... .. .. .❑ ... .. ❑ .�. _ e7_:On-Gall '.. I �::.:�` 317 I'-4.0, .; _5 Q: ECONOMY. DEFEHHED ... r...': .. .' : e ease OItatl �F� r,•. 30 .80. . . .11.x. 4-?:r•:a^+;7:.•:;.� , 7.: ..'oropBox .BS'C;. �.:Statics'''.:Signatuie:.....;..��_ ... .•r. _ _�` L. t ti..�.:._...- PRINTED.IIJ� SERVICE- .p HEAVYWEIGHT'•: ❑..pr:............:_.,:_�.__ t'_ .. - tDelrve commitment may 'Ocl'Jaicdv il$100 FedEx. I•�-} �,. l% ae 'lTe' . N y ,' HOLIDAY DELIVERY In av�ni. �„! 1+ U.S.A leer ''12 h' Em No.'. i yy.: be Idler x1 some areas '•Gall for deli�kry schedule.;��,III❑ IE.vanwryhr J ., �' P' - cognty Counsel CLAIM ®® BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA MAR; ; 3 191 3 0 Claim Against the County, or District governed by) BOARD ACMW44, . CA ;`4';53 the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT April 10 , 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: $15, 000 . 00 . Section 913 and 915.4. Please note all "Warnings". CLAIMANT: BAUPR, Scott Andrew ATTORNEY: Law Offices of John Gordon Date received ADDRESS: 1941 Oak Park Blvd. ,, Ste . 20 BY DELIVERY TO CLERK ON March 7 . 1990 Pleasant Hill, CA 94523 BY MAIL POSTMARKED: March 6 . 1990 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. �bIL gATCHELOR, Clerk DATED: March 13 , 1990 : Deputy 11. FROM: County Counsel TO: Clerk of the Board of Supervisors (" ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 3 I�� 1 BY: I - � Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to, claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (V1 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: APR 1 n 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sectio 3) Subject to certain exceptions, you have only six (6) months from the date.this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: APR 11 .1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator i : ; RECEIVED MAR 1 ; 1990 CLAIM AGAINST PUBLIC ENTITY PH'L ATC_="0' 2 CLERCO NTRACCF TACO. [Government Code Sections 905, 905.2, 910, 910.2] Deoubi TO: County of Contra Costa Contra Costa County Sheriff's Department West Contra Costa County Narcotic Enforcement Team 5 City Of El Cerrito 6 SCOTT ANDREW BAUER hereby makes a claim against the County of Contra Costa, the Contra Costa County Sheriff ' s Department, the 7 West Contra Costa County Narcotic Enforcement Team and the City Of El Cerrito, jointly and severally, for the sum of $15,000.00 and 8 makes the following statements in support of the claim: 9 1. Claimant' s post office address is 1911 Thompson Lane, El 10 Sobrante, CA 94803. 11 2. Notices concerning this claim should be sent to the LAW OFFICES OF JONATHAN D. GORDON, 1941 Oak Park Blvd. , Suite 20, 12 Pleasant Hill, CA 94523. 13 3. The date and place of the occurrences giving rise to this claim are on or about December 14, 1989, at or near the Hilltop 14 Mall parking lot in or around Richmond, California. 15 4 . The circumstances giving rise to this claim are as follows: Claimant was detained and arrested for suspiscion of 16 possession for sale of methamphetamine on the above date. Claimant peaceably submitted to a search procedure by undercover police 17 officers Wally Trujillo, Wayne Mann and other unidentified undercover police officers incident to his arrest. During the 18 course of this search, officer Wally Trujillo and/or other unidentified undercover police officers, without provocation, used 19 unnecessary and unreasonable force against him and violently Zstepped on his head while he lay peacefully on the ground causing p* M 20 him to sustain personal injuries. N 0 wcD �,, Oz 21 5. Claimant suffered pain and suffering and injuries to his opo= head, notably bruises and contusions and an open wound which o Z n y ^ 22 required several stitches to close, which has resulted in what is 3=a believed to be permanent scarring to his forehead. 23 Qom ; Z° 6 . Claimant is informed and believes that the names of the p 24 public employees causing the claimant ' s injuries are Wally 25 Trujillo and/or other presently unidentified undercover Narcotic Enforcement Team police officers. 26 7. Claimant's claim as of this date is $15,000.00. 27 28 i I i 1 2 8. The basis of the above computation is as follows: General damages for pain and suffering in the sum of $12 , 600, medical 3 expenses to date of approximately $320, wage loss of approximately $80. 00 and estimated future medical expenses of $2, 000 . 00 for 4 plastic surgery. 5 LA OFFI S OF J THAN D. GORDON 6 DATED: March 4, 1990 7 JO THAN D.GORDON Attorney for Claimant 8 9 10 11 12 13 14 15 16 17 18 19 Z 0 20 0 7 00?0 21 WC7 > � a L U- 22 O =o 1 23 QR ZCL o C) 24 25 26 27 28 CERTIFICATE OF SERVICE BY MAIL 2 [C.C.P. Secs. 1013a, 2015.5] 3 I, JONATHAN D. GORDON, certify under penalty of perjury that the 4 following facts are true and correct: 5 1 am an active member of the State Bar of California; I am not a party to the within cause and my business address is 1941 Oak Park 6 Boulevard, Suite 20, Pleasant Hill, California. 7 On March 5, 1990, 1 served the following documents: 8 CLAIM AGAINST PUBLIC ENTITY 9 on the interested parties by depositing a true and exact copy thereof enclosed in a sealed envelope with postage thereon fully 10 prepaid in the United States Mail at Pleasant Hill, California addressed as follows: 11 12 City Clerk, City of El Cerrito 10890 San Pablo Avenue 13 El Cerrito, CA 94530 14 Clerk of Board of Supervisors, Contra Costa County 651 Pine Street, Room 106 15 Martinez, CA 94553 16 EXECUTED on March 5, 1990, at Pleasant Hill, California. 17 18 JONATHAN D. GORDON, ESQ. 19 Z iv 0 a 20 u a: 0 21 u- , � A 22 0 ZI.4 = - 23 Z 0- 0 24 25 26 27 28 b a ti 3 4-J - C Q U f — x c `l).) U U p � d a 4v m - 0 � U _ 4J to N 0 4J Cn A i4 44 w bU) �4 0 �a 44 O .4 v U Z 0 �? Q r n RECEIVED a " l� a O U ° x = MAR r,71990 tzcc i rH'L BATCHELOR a j CLERK BOARD OF SUPERVISORS 9 F CONTRA COSTA CO. a Br ................................. papWr mam�ccemia�emmmmcs •.Z +0 /t