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HomeMy WebLinkAboutMINUTES - 04241990 - 1.11 w 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 24, 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: $8,389.00 Section 913 and 915.4. Please note all "rarniAt'y.Counsel CLAIMANT: CALIFORNIA HEALTH ASSOCIATES, INC. ;'Y t� 2 G 1090 ATTORNEY: Norris and Norris Martinez, C.%,A 3260 Blume Drive, Ste. 200 Date received �� ADDRESS: Richmond, CA 94806-1394 BY DELIVERY TO CLERK ON March 21, 1990 BY MAIL POSTMARKED: March 20, 1990 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. March 26 1990 PpHMIL BATCHELOR, Clerk DATED: BY: Deputy II. FROM: County Counsel TO: Clerk of the Board of ervisors ~~( ) 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: 121 A0 BY: �. Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy o.f the Board's Order entered in its minutes for this date. Dated: APR 2 4 1920 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code se(tion 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 2-4 19J(l BY: PHIL BATCHELOR by Deputy Clerk ` CC: County Counsel County Administrator LAW OFFICES RICHARD E.NORRIS NOI?I?IS AND NORRIS MELANIE REYNOLDS NORRIS* M.JEFFREY MICKLAS HILLTOP OFFICE PARK TELEPHONE DOUGLAS C.STRAUS 3260 BLUME DRIVE, SUITE 200 (415) 222-2100 CY EPSTEIN RICHMOND, CALIFORNIA 94800-1394 FACSIMILE COLIN J.COFFEY JOSHUA G.GENSER (415) 222-5992 SUSAN K.NORRIS S. MARIE HARTSFIELD PERRY P. OEI MATTHEW E.McCABE March 20, 1990 T `CERTIFIED FAMILY LAW SPECIALIST REl//�E VIED Clerk of the Board of Supervisors 11A 21 1990 Contra Costa County County Administration Building PHIL BATCHf1OR CLERK BOARD Of SUPERVISORS 651 Pine Street COr STA Co. Martinez, California 94553 B """ Re: Government Claim Submitted on behalf of California Health Associates Dear Clerk: Pursuant to Section 910 of the California Government Code, the following claim is presented on behalf of California Health Associates, Inc. : 1. The claimant is California Health Associates, Inc. , 1360 Rising Dawn Lane, Concord, California 94521; 2 . Please send notices in response to this claim to California Health Associates, Inc. , c/o Norris and Norris, 3260 Blume Drive, Suite 200, Richmond, California 94806; 3 . Pursuant to a Department of Alcohol and Drug Program' s audit of sums due California Health Associates (CHA) , CHA submitted a demand pursuant to the State audit and its contract with Contra Costa County on October 1, 1989. Copy attached. Contra Costa County has failed to pay or otherwise respond to the state mandated demand. 4. CHA's contract with Contra Costa County, No. 24-297-17, provided for payments to CHA from Contra Costa County in sums to be confirmed by an audit of the California Department of Alcohol and Drug Programs. That audit concluded that CHA was due the amount of $8, 389. 00. Contra Costa County has failed to pay its obligation to CHA. 5. The public employees responsible for claimant's contract damages are: Patrick Godley, Chief Financial Officer, and Stewart McCullough, Director, Mental Health Department, and such others not presently known to claimant. 6. The amount claimed is presently $8, 389. 00. Clerk of the Board of Supervisors March 20, 1990 Page two Thank you for your handling of the presentation of this claim to the Board of Supervisors. Very truly ly ours, RR:SA BY COLIN CJC:kw VIA CERTIFIED MAIL 5TnTL UF CA.-IfORNIA—HEALTH AND WELFARE AGENCY GEORGE DEUKMEJIAN, Guvernai ` E-PARTMENT OF ALCOHOL AND DRUG PROGRAMS III CAPITOL MALL SACRAMENTO. CA 95814-3279 TTY (916) •543-1942 (916) 323-7795 March 31 , 1989 CERTIFIEJ !Alf- NO. P-505 633 725 Chuck Deutschman. Drug Program Chief 595 Center Averui, Martinez, SCA 9 '.553 Dear 11r, r�, �J'.` =. ..... '1: Enc ic:sc report reflecting the results of our audit of Cal ?forn ..: ,Sociates for the period July 1 , 1986 through June In the audit: repo',-t ; we recommend adjustments to the cost report in the Amount of �,�3, :?:_ the Contractor. The results of this audit will be incorporated in the countywide report. If you disagree with the results of this audit, you should notify the Department of Alcohol and Drug Programs within sixty (60) calendar days from receipt of this letter. The notice should be directed to the Audit Appeals Coordinator, Department of Alcohol and Drug Programs, 111 Capitol Mall , Room 320, Sacramento, California 95814. A copy of the audit appeal process is enclosed for your convenience (Appendix D) . All accounting and supportive records relating to the program costs must be retained for four (4) years after the cost report is approved for paymynt. hIo n an audit has been started before the expiration of the four (4) year period, the records shall be retained until completion of the audit and the final resolution of all issues which arise from it. Si cerely, HOWARD G. S NDERS, JR. Assistant Audit Manager Audit Services Section E:nc ,. , ,: I 1- -MANU IFN on the Treasury of the COUN'rY OF CON'L'IZA COSTA STATE- OF CALIFORNIA DATE !'�,s_`''.:- _ + : . . . . •.�.^.�9-Th=tie. . lF IMPORTANT _----•--.J..---.__..._.-.........---•----..__...__-- See Instructions on Reverse Side noel+k9S _ Cll Y, STA f f:- .__ ---------. ZIP CODE For the surn of ��� �/9�D✓'r'4iJj� /�?+� '�O�Ey /�i6/�Ty /��~/� fbollars $ ��" As itemized below: DATE i DESCRIPTION AMOUNT I Awl I ----------------._. —Tho. under igntd w0er !h�: rt,,.i:d1y of perjury states: That the above claim and the it s a herein set out are true and correct:; chat no part theruef (Ia- s D tla I! r:a ;:e paid, and that the amount therein is justly due, d ti )e s• e is presented within one year a tf:r the Last. i.t.r,nl Lherec;l• has accrued. Signed rVENDOR No. Roceived, Accepted , and Expenditure Authorized _ I C�_l_•L—L DEPARTMENT HEAD OR CHIEF DEPUTY y"$J?f 1175 1 TTlVnTfQ brflFUND/OA4. ACCOUNT ENCUMBRANCEN C PAYMthT AMOU147 1: AMOUNT TAB 0 10 C ITY IlCOUNT • ) � i I � OLtCNIPTION FUND/OR*. ACCOUNT tNCUNPNANnt NO. PJ6 PAY MS NT AMOUIrI .:::.::::..:::.::;.::.,.;;..::::.:<:::::..::•...:;:{ : ii�i;:;::;;: TAxAllt .AMOUNT TARK OPTION ACTIVITY OIDCOUNT 9U11 HD7 uaY�:uE U...Yt'• •• old( TION PUN070RG. ACCOUNT ENOUMIMANCt NO. P/C { PAYNH HT AMOUNT •YAK AELE AYOUIIT TACK OPTIONJ ACTIVITY DPCC K49. D19t0Ubi .t e. .t.,1. 7) . { 0 M A xW Z 0 rn o Z O 2 3 O il mn n� D O Z O m n 0 z � 0�x �•�•� c D 0 yip c'jD � m x r� nOwo O o 1.4 0 ? W t 4 T a- 0 Er w F ; A) Ln O O rt ~ � rt- n N• ro rt* x (D O N (D > n 1-hPi 0 ` Cn En rt , c) rt N•rt �3. fD N• �.o (D rn 0 .W 'Ch. r- rrO O Ln ri C w crn a :� n HJ< o } ro w H (D o 03\ a n I JSP. L- N- rn ; rrr y til 1 � i L Cn aaaaanaaaaaae 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 24, 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 "Wa-ninq " : o�hty Counsel CLAIMANT: IRWIN, Kristi MAR.2 6 10,390 ATTORNEY: Date received Mart�ne4 CA M,1560- ADDRESS: 365 El Divisadero BY DELIVERY TO CLERK ON March 26, 1990 Walnut Creek, CA 94598 BY MAIL POSTMARKED: March 24, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. March 26 1990 PpHMIL BATCHELOR, Clerk DATED: 8Y: DeputOry 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: 7 p BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORD 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. 19M Dated: APR 2 4 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 2 4 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator y 5. What are ,the names of county .or district officers, servants or employees causing the damage or injury? ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or - damages claimed. Attach two estimates for auto damage. a , oo ---------------=--------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) -----------------------------,-------------------------------------------------------- 8. Names and addresses of'witnesses, doctors and hospitals. ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney , Claimant's itnature (Address) ��/►'l c �t�,�-esz.,�;. C�-� _ �'1�5 moi's� Telephone No. Telephone No. N 0 T I C E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for 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. Y Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, .Penal .Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp .. - Against the County of Contra Costa ) 1990 or ) �. 0 ARD O' +UPERVlSOF..S District) 70ST CO. Fill in name ) 06 U The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ gyp, Q and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) --- - =-q0 --------------------------------- 2. Where did the damage or injury occur? (Include city and county) 3. How did the damage or injury occur? (Give full details; use extra paper if required) �'O �. QA_�J ---- =14s � -- -- ------------------------------ - 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? (over) n COUNTY OF CONTRA COSTA REPORT EVERY ACCIDENT AS SOON AS —._—..---� PUBLIC LIABILITY ACCIDENT POSSIBLE TO: RISK MANAGEMENT (OTHER THAN AUTOMOBILE) 651 Pine Street Martinez, California 94553 DATE OF ACCIDENT TIME THE ACCIDENT PLACE -- � iv O �A DESCRIPTION � OF -- ACCIDENT ' NAME STREET ADDRESS CITY STATE TELEPHONE OCCUPATION THE WHAT WAS INJURED DOING WHEN HURT? INJURY NATURE AND EXTENT OF INJURY WHERE WAS INJURED TAKEN AFTER A I ENT? NAME=PITAL OWNER ADDRESS TELEPHONE PROPERTY KIND OF PROPERTY AND EXTENT OF DA GE J DAMAGE S ' -ST!i.1A.TEDCOSTO;R:�AIP � _ C'sO , o 0 NAME ADDRESS T ELEPHONE NAME ADDRESS TELEPHONE WITNESSES NAME ADDRESS TELEPHONE DATE SIGNATURE OF REPORTING PARTY SIGNATURE OF SUPERVISOR DEPARTMENT TO BE COMPLETED BY INVESTIGATOR BY WHOM INVESTIGATED DATE COMPLAINANT S STATEMENT COUNTY'S INVESTI- STATE WHETHER OR NOT YOU THINK CLAIM WILL BE MADE GATION OF REMARKS AND RECOMMENDATIONS ACCIDENT POLICY REPORT? WHERE F- v ol J T, Q46 . 01 { �e r Al" V � v oa [j[jkl u 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 24, 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: $175.00 Section 913 and 915.4. Please note all 11Wtrnl8jfi� CC)UIlSBI CLAIMANT: JORGENSEN, Stephen D. UR'2 G 1090 ATTORNEY: Martinez. D ,GAt 4f��H Date received ADDRESS: 602 East 'D' Street BY DELIVERY TO CLERK ON March 26, 1990 Alturas, CA 96101 BY MAIL POSTMARKED: March 24, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. March 26, 1990 PpHHIL BATCHELOR, Clerk DATED: BY: 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: j 21 /9 BY: Q,Q �°� S ,� Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORD By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy o.f the Board's Order entered in its minutes for this date. Dated: !PR 2 4 1991 PHIL BATCHELOR, Clerk, By q6Deputy Clerk WARNING (Gov. code secti 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 2. 4 19911 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator 5. What are the names of county or district officers, servants or employees causing n' the damage or injury? t st--------------------------------------------------------- 5. What dage or injuries do you claim resulted? (Give full extent of injuries or d ies claimed. Attach two estimates for auto damage. L ----------------------- How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) . `` ------------------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. ------------------------------------------------------------------------------------ 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the- claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney V//// ai nt's Signature Address m�5 S Telephone No. Telephone No. N 0 T I C E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for . payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or .fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for 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. ` Clair.: to: BOARD OF SUPERVISORS OF CONTRA COSTA C0UP1Y INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to perspn or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2. ) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553- C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sac. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp E IVE' Against the County of Contra Costa ) MAR 2 6 1990 or ) CLERK 3oAi?:., ii";!Uf^_P!!,0P..S District) ce osu;CO. 6 De Ul ! Fill in name The undersigned claimant hereby makes claim against the County of Contra .Costa or the above-named District in the sum of $ r-, and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date .and hour) ------------------ � �.---�---- ----------------------------------------------- 2. Where did the damage or injury occur? (Include city and county) c2tLL �c__t_ r.��.-,._--------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if ^required) w R S -� d`cL r1 S I oOQC e 1 � y GOh�n w G S e 1eG{E� C� „� vs,a- e e Vim. C9g ------------------------------------------------------------------------------------ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? 0- P vzx ._ --- _.. - •(over ��,,, Sheriff-Coroner Richard K. Rainey .9 Contra SHERIFF-CORONER P.O. Box 391 + Duayne J. Dillon Martinez. California 94553 ossa Assistant Sheriff (415) 372- 4494County Warren E. Rupt Assistant Sheriff ._ � fes' �.� i .. � 1 E NEAR 2 61990 . P!lil.3,1TCHELO CLERK ii C;I.F.0 OF SUPERY;SORS CGI CRA C D ................... .. DeEW 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 tie 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, 651 Pine -St. , Room 1061 Martinez-, CA 94553. AN EQUAL OPPORTUNITY EMPLOYER 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 24, 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: $800,00 Section 913 and 915.4. Please note all "Warr,*;g5J'3! ('Cons( CLAIMANT: MADISON, Marc S. ry �AR.2 ATTORNEY: Date received ADDRESS: 4935 San Pablo Dam Road BY DELIVERY TO CLERK ON March 21, 1990 (hand delivered) Richmond, CA 94803 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. March 26, 1990 PpHMIL BATCHELOR, Clerk DATED: BY: 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: 27 go BY: � J . � Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORD By unanimous vote of the Supervisors present ( ) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: APR 24 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 24 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator 5. What are the names of county or district officers,, 5'er'✓,u,nts, or the damage or injury? 5. What damage or injuries do you claim resulted? 1��s or damages claimed. Attach two estimates for auto d,awagi.;��.. 7.- How was the amount claimed above computed? (Includle. th& entli' edi amcumt of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors and hospllta0a, • ------- 9. List the expenditures you made on account of this acfdt.�n*; cern DATE ITEM AYE= _ -_-=an;r y. -rw•*w-:•ur,.b.n:...evx,..ra-..•,r:.a.. . 41, W: #; W Via. W. '.Ff ?k, 46, -1 V Gov. Code Sec. 10.2 prm tta tt. "The claim must Te, bR tl e, c1,1-ad..ma'a : SEND NOTICES; .T;O- Wt'orney) or by some persTm ora 'it 7jm he�tall_` .,'I! Name and Address of Attorney S .�357 5.4:q PA; r" 1�414A Addreisz j, 40 Telephone No. Telephone No. 2,2 3 U�-� NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents! fzw- aMowa=�,- �tm fbr payment to any state board or officer, or to any county„ cii.ly� =, c.22tr*Jmt ?bvard ar officer, authorized to allow or pay the same if genuine-„ ar±y/ fO,ae� (=- fflmuklal emt claim, bill, account, voucher, or writing, is punishable; ejiitfifw" b-F i;mp^i5mmmMt in the county jail for a period of not more than one year, bF m ffaae: cad' =t, e=eeding one thousand ($1,000), or by both such imprisonment and IL-„ or tW Ift-r-asmmment in the state prison, by a fine of not exceeding ten thouszoid abllavaa (t �, (�.Q 1„ er by both such imprisonment and fine. _. ' 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 24, 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: $102.50 Section 913 and 915.4. Please note all "Warnings" avlty Counsel CLAIMANT: NESHEIM, Travis R. 'fiAR,2 G 19, 90! ATTORNEY: Date received Martinez, tGA,tg'4figg ADDRESS: 463 Camelback Road BY DELIVERY TO CLERK ON March 23, 1990 (hand delivered) Pleasant Hill, CA 94523 BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors T0: County Counsel Attached is a copy of the above-noted claim. march 26, 1990 BYPpHHIL BATCHELOR, Clerk DATED: : Deputy 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: 17 /90 BY: S. 2�U Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Admini -gator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD RDE By unanimous vote of the Superviscrs present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy o.f the Board's Order entered in its minutes for this date. Dated: A R 241q-C10_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 2 4 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator F r, n ^ 'tea 5. What are the na.*�es o. county or district officers„ ;�., rasn.,:� or �.Ty��:.��h.��.� pausing ` the damage or injury? -�--�{C nEktTiE S 00 P"T4 M4e44 Ori AN 4 m 4e" 1x1,1 )Cic . A, 5. What damage or injuries do you claim resulted? (Gf%vt, ewTL:�7 a_f �� s or damages claimed. Attach two estimates for auto daTngA�._ LOS$ (DF --------- ---------------------------------------------------___._�_�� =-- 7. How was the amount claimed above computed? (InclFyaliat the., e�ati-aaiftedl a==, t sof any prospective inqury or damage.) C5IPTS .APjQ LSTiWtr� �S AS F��g+ © SN I rZT 1425.50 + 1-60 = 2'i.I o (2c-f?) (:3) s ttms ­35.od) assr) 2. SE rS O 32-99 + 2-.4 1 8. Names and addresses of witnesses, doctors and hose:t--,Oas.. 'PM5006 tic.- ora DLM W tA&Q -Z:_ WAS P4 t_.c--Ag&o &T 3:00– 3:00 Rt-A. or.-I tAka2 C64 tail lgoj 0 9. List the expenditures you made on account of this ccid .n w— iln-" DATE ITr.M A`U1111T -y_Ny +nfiS� 6 D 'TCS R-6 LN:6 G1.0Tt-t IP,-1 6 L GTE D vIV OSI tJ ,SLC ` 7-7T Gov. Code Sec. 32ia.2 "The claim must Te, aiTtze�&! by t'ta. cEa ..m l ane; gq g Q_��g1g TO:,, (Attorriev- or by some persTm ami 11i7s beta++%`'.," OUTPOST 'ess of_Attorne,)f>,a 1. IBJ 2469997 SKU? Clalc�n^i•"s ���"12�. A 19.99 MOSE 1347368 SKUO q t4OSEa + �0 J G� 25.50 rros Addre i` A 2 32.99 Ct 105.61 TOTL 05.61 VISATelephone No. �Jlsr� 6 7b-S'.30 Z 8563 12/02/89 1033 858449 N O T I C E 5x:33 PM f the Penal Code provides: "Every person who, with intent to defraud, presents� ftr payment to any state board or officer, or to any county,, ci.tyw - &J3tr UxA 'board -Dr officer, authorized to allow or pay the same if genuine:,, any/ Baer (=- Tlrmudalemt claim, bill, account, voucher, or writing, is punishable; e�tt he—_ b-p, i;mpriimmmant in the county jail for a period of not more than one year, V ai ff�n-e; c :cc 3; ming one thousand ($1,000), or by both such imprisonment crtW- mpr smnsasnt in the state prison, by a fine of not exceeding ten thousL¢t dtrs� (S xJ;r( ( �e mr by both such imprisonment and fine. 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 24, 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: $150.00 Section 913 and 915.4. Please note all "Wa: 11 r. MNIVJ Counsel CLAIMANT: PRADO, Patricia Carrol MAR-2 G 1990' ATTORNEY: M art Date received EC1e `' , ,P�f145`3 ADDRESS: 3451 Church Lane No. 31 BY DELIVERY TO CLERK ON March 22, 1990 San Pablo, CA 94806 - BY MAIL POSTMARKED: March 19, 1990 1. FROM: Clerk of. the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. March 26, 1990 IL BATCHELOR, Clerk DATED: �1�: eputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. �v ) 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: "D Dated: / C) BY: O J. Deputy County Counsel J 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 Superviscrs present (� ) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: APR 2 4 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 2 4 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM T0: Pa ' cia Carrol Prado 3451 rch Lane No. 31 San Pablo, CA 94806 Re: Claim of PATRICIA ARROL PRADO 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. WEST , County Counsel • Y• B J1 Deputy C6my Counsel I CERTIFICATE OF SERVICE BY MAIL J C.C.P. S§ 1012, 1013a, 2015.5; Evid. C. §§ 641, 664 ) My business address is the County Counsel's Office of Contra Costa County, Co. Admin. Bldg. , P.O. Box 69, Martinez, California, 94553, and I am a citizen of the United States, over 18 years of age, employed in Contra Costa County, and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non Acceptance of Claim by placing it in an envelope(s) addressed as shown above (which is/are place(s) having delivery service by U.S. Mail) , which envelope(s) was then sealed and postage fully prepaid thereon, and thereafter was, on this day deposited in the U.S. Mail at Martinez/Concord, Contra Costa County, California. I certify under penalty of perjury that the foregoing is true and correct. Dated: � at Martinez, California. cc: Clerk of the Board of Supervisors (or final) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910. 2, 920 .4, 910. 8) CLAIN TO,:• BOARD OF SUPERVISORS OF CONTRA COVTAt HRR iTUy e ur �ri99i1581 application t0. Instructions to Claimant Clerk of the Board P.O.Box 911 IkAaA. Claims relating to causes of ,action for death or torn n ury to4533 . 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. I� claim is against a district governed by the Board of Supervisors , rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at end of this form. RE: Claim by ) Reserved for Clerk' s filing stamps Against the COUNTY OF CONTRA COSTA) , MAR 2 1990 or Q DISTRICT) PH;LBATCHELoR CLERK BOARD SUPERVISORS • D i 1CON- O. - -- f B e ut 4 . The undersigned claimant hereby makes claim agains� he 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) a� WRs B USED TRO QD o.X wA S_M KO W er O�ci the d wxy ASS -1 r -------------------------------------------- (1jurur? r 1 e y� acounty) LU�) ��J W 4 3. w -'' - - J - - t r -tra sheets i required) VIWIS . maywo�p � � v - CU ____ ____ -__ ____ ___ __ _-------------- ____ ___ __ _________ 4 . What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? SME W NS,NQZU -�bEM Fs wbm- Pfm�AWb IIF M.!�IE oT- w 0L\L RNW M.TM WY 10 - Wh� 1� (over) ©u� 1l �r� ►� � � �� � cam-- -� � ��C�,v--c.5 t G R-I -v MOM & wj�s (2)(AT"Tz) k)C - W A 004, C� o Dm� r:.o0 coo ' t7t o 404 /0 0004 m 7 ]r -o� vj Cay. .GJ vo oj 0 0000 p 4. ' k ov 0/0 eW0000....ii, PROPERTY/CLOTHING�RP` 7ECEI CONTRA COSTA COONTY REC. NOS 1I OO 6 o DAA*E �j t RacK MDF TIME- , 0 Boy_ MCDF aRo °gox WFC BOOKING NBR: NOCASH: $ F7 SH7RTABL065E' C] DROSS ❑ COAT/JACKET ❑ TSCARF :::'.0 SHORT S/PALATI S JEI ItLRY ❑ SOCKS/NYLONS __ ❑_.S�NEAT�6LSWT .SH.LR�L<<�.,�A- L�;1 - ..�.:,:�.:w_._.- - . -- - uTBELT ❑ PANTS/SKIRT �. ❑ SHOES/BOOTS ❑ T-SHIRT/BRA ❑ WALLET HAT/ URS : �_ KEYS- ❑ K E S S ❑ OT S , Dom .1 U BKG OFC: INMA •E SIGNATURE have received all of `my per- DATE: sonal property and clothing, REL OFC: X INMATE SIGNATURE v It a cli � o � �aQ �0 4`°o . < ay . w V 6 6 "Cad CC ct 9 V � L Cr i r t l