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HomeMy WebLinkAboutMINUTES - 07101990 - 1.35 — " CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA aKEIVE® Claim Against the County, or District governed by) BOARD ACTION tU N 199(l the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT - JULY 10, 1990 and Board Action. All Section references are to ) The copy of this document mailed to you is your noffd-AN'V couNSEL California Government Codes. ) the action taken on your claim by the Board of Supe'Wso rl (Paragraph IV below), given pursuant to Government Code Amount: $300.00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: ANDERSON, Rodney Lee ATTORNEY: Date received ADDRESS: P.O. Box C-68698 BY DELIVERY TO CLERK ON June 7, 1990 (P.O. Box) Tamal, CA 94964 BY MAIL POSTMARKED: June 5, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. June 11 1990 PpHHIL BATCHELOR, Clerk DATED: BY: 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: /�2 19(� BY: 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 OR ER: 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: J U L 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 asshown above. Dated: J U L 1 3 1994 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: R ney Lee Anderson P.O. ox C-68698 Tamal, 94964 Re: Claim of RODNEY LEE ANDERSON Please Take Notice As Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code section 910 and 910 . 2, or is otherwise insufficient for the reasons checked below: 1 . The claim fails to state the name and post office address of the claimant. 2 . The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. x 3 . The claim fails to state the 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. 6 . The claim is not signed by the claimant or by some person on his behalf . 7 . Other: VICTOR J. WESTMAN, County Counsel B 1DN-A q �, Y• AD�Qj N Deputy C Counsel Nvi CERTIFICATE OF SERVICE BY MAIL C.C.P. 99 1012, 1013a, 2015 .5; Evid. C. 99 641 , 664 ) My business address is the County Counsel's Office of Contra Costa County, Co. Admin. Bldg. , P.O. Box 69, Martinez, California, 94553, and I am a citizen of the United States, over 18 years of age, employed in Contra Costa County, and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non Acceptance of Claim by placing it in an envelope(s ) addressed as shown above (which is/are place(s) having delivery service by U.S. Mail) , which envelope(s) was then sealed and postage fully prepaid thereon, and thereafter was, on this day deposited in the U.S . Mail at Martinez/Concord, Contra Costa County, California. I certify under penalty of perjury that the foregoing is true and correct. Dated: 0�1 , at Martinez, California. cc: Clerk of the Board of Supervisors (original) / Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4, 910 . 8) 1 Kf TCS' BOARD OF SUPERVISORS OF CONTRA CO T �g v ' - atour i UM applicatlen to; r' Instructions to Claimant Clerk of the Board P.O.Boz 911 A. Claims relating to causes of action for death or Mori ingury�to4533 person or to personal property or growing crops must be presented not later than the 10Oth 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 Suo_ ervisors , 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. F. Frand. SeP penalty for fraudulent claims , Penal Cade Sec. 772 at end form. RE: Claim by ) Reserved for Clerk' s filing stamps L4 J^! ice:y- ( r— Against the COUNTY OF ..CONTRA COSTA) .JUN - 1990 or � � �t� DISTRICT) PHI BATCHELOR CLERK BOARD SUP RVISORS (Fill in name) ) CONTRA O. o ut i . The undersigned claimant hereby makes claim agains '- e County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: ��--71, ------------------------------------------------------------------------ 1. Wen did t' e damage or i E---------------------en njury occur? (Give exact date and hour) CY1 y V 1 S (MPLAOLO N RX46. &vokX.A/4 2. Where dial the damage or-injury occur? (include city and county) 3. How did the damage or injury occur? (Give full details , use extra sheets if required) '"' �� Y"" ,,,(`�'., � Gni'"_ B / Zd" 4La " 4 . What-particular act or omission on the part of county or district officers , servants or employees caused the injury or damage? (over) are...the...names of county or district officers , servants or J employees: causing the damage or injury? �.. - --- - -------------------------------------------------------- 6-.--What--damage----- or injuries (G do you claim resulted? ive full extent damagejries or damages claimed. Attach two est mates for auto /7M .. . 7 . How was the amount clsimed above computed? (Include the estimated amount of any prospectiveinjury or damage. ) t- 10 K_- Names -- - -----------= --__ - ------ -`- ----------------- S. - Names and addresses of witnesses r -doctors and hospitals. 14-41 i � ) ---- ------------------------ ----------------------------- -.------------- 9 . List the expenditures you made on account of this accident or injury: .DATE . :... !TL PMOUNT *ic�tt.i�ic�c**�cyc�*�*�**�r`�*-*�kL*�*�t��ic **,t5k***iciriric�t*xic*�F*�c�e�ticirir�tyrict�t�t�*ic�t**ic,t.ir�c�c***ir** Govt. Code Sec. 910 .2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf. " Name and Address of 'Attorney Claimant' s Signature Address Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides: "Every person who, with intert to defraud, presentz for allowance or for payment to any state. board or officer, or to any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine , anv false or fraudulent claim, bill , account , voucher, or writing , is guilty of a felony. " O 0�0 rn rn O 'cv t' Ol O Q IZ m • • "'`� �` � N N`''om. a fi '•� v � 'f1 G m a, 2m go m © c M on :qWvz j ]7 0 oo O ,KmOx C1 mO OD 3D m D T, � Zrn � m � � � m D 30 3 rnrn r mrn rn N N = n N C Z W m � t+3 [a9 n UI m OQ C2 Q �} I Ln LT a 45 X m m ha C2 O n � — D :1) < ` Z m Om m D m Z z r C) > TDOm m l l y JJ N - - m C • Zf z D m 1� PROPERTY/CLOTHING RECEIPT -=CONTRA COSTA COUNTY REC. N077600 ` u. RACK# MDF DATE: TIME: _ 4� - cLHBOX MCDF PROP BOX J. WFC. NAME: WCJC BOOKING NBR: OTHER INTAkE CASH: $ _ ❑ SHIRT/B USE RESS ❑ COAT/JACKET ❑ TIE/SCARF ❑ SHORTS/PANTIES ❑ JEWELRY / ❑ SOCKS/NYLONS ❑ SWEA_TER%SWT:SHIRT ❑ BELT PANTS/SKIRT,, - ❑ SHOES/BOOTS ❑ T-SHIRT/BRA ❑ WALLET HAT/PURSE ®K YS 1 ❑ KNIFE. GLASSES ❑ OTHER f .� 9t1 BKG OFC: _ lL r +_PNMATE SIGNATURE I have received all of my per- DATE: sonal property and clothing. _. REL OFC: X INMATE SIGNATURE t t C C 'w 11 J 8014 L ti .w�t1 � _ y rv-- Z ....� t .. _ 1-35 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 JULY 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: $ 25 , 000 . 00 Section 913 and 915.4. Please note all "Warnings"� CLAIMANT: BRODY, Alan C . �/�� ���®�,e ATTORNEY: COU, p�r990 Rj>n Date received June 1, 1990 vlR%�Fl ADDRESS: P •0. Box 4043 BY DELIVERY TO CLERK ON June 4 , 1990 (certi`f4ed mail' Stockton, CA 95204 P062 547 662 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PpHHIL BATCHELOR, Clerk DATED: June 5 , 1990 BY: Deputy II. FROM: County Counsel TO: Clerk of the Board of Su cors � ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: �� / `�(� BY: 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 of the Board's Order entered in its minutes for this date. n Dated: J U L 10 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code secti 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: J U L 13 1990 _ BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator 7; C1aim '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 ALAN C. BRODY ) Against the County of Contra Costa ) Cgy+. Po(v�) -5tj-7-64�,�:- or ) JUN 4 1990 District) Fill in name \ CLERK BOARD :UPE4ViSOFS / COSTA OSTA CO. gLe ub The undersigned claimant hereby makes claim against the Co _t) of Contra Costa or the above-named District in the sum of $ 25 ,000 .00 and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) ----FEBRUARY---2 4-,---1 9 9 0_@ 1400 HOURS_Q�_Z�QQ_p� ____________________________ ------ ------------ 2. Where did the damage or injury occur? (Include city and county) CALIFORNIA DEPARTMENT OF TRANSPORTATION YARD, HERCULES, CA. , C019TRA COSTA ------------------------------------------------------------------------------------ 3. How did the damage or injury occur? (Give full details; use extra paper if required) * SEE ATTACHED ------------------------------------------------------------------------------------ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? CONTRA COSTA COUNTY SHERIFF' S DEPATMENT PLACED ME IN THE WORK ALTERNATIVE PROGRAM IN WHICH THE WORK CREW SUPERVISOR AND OTHER PARTICIPANT WERE NEGLIGENT. (over) 5. What are the names of county or district officers, servants or.employees causing the damage or injury? MORRIS CHOSE, JAMES KENNARD, PAUL GEARHART, AND UNKNOWN OTHERS ------------------------------------------------------------------------------------ 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages. claimed. Attach two estimates for auto damage. BACK, NECK, AND RIGHT ELBOW ------------------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) LOSS OF WAGES, PAIN & SUFFERING, LOSS OF EDUCATION ------------------------------------------------------------------------------------- 8. Names and addresses of witnesses. doctors- and hospitals. ENTIRE WORK ALTERNATIVE PROGRAM WORK CREW (TO BE NAMED) DR. DAN MURPHY, PLEASONTON, CA AND UNKNOWN OTHERS ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT *NOT AVAILABLEL AT_THIS,.TIME Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: ,,(A•ttorney) - or by some person on his behalf." Name and Address-_of.;.,.Attorney, IN PRO PER Claimant's Signature P.O. BOX 4043 Address STOCKTON, CA 95204 Telephone No. Telephone No. N O T I C E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. • f 3. While being transported in a state vehicle, Jim Kennard the work crew supervisor of the Contra Costa County Sheriff' s Work Alternative Program, stopped at the California Department of Transportation yard in Hercules, CA. At approximately 1 : 50-2:00 P.M. , MR. Kennard left the work crew unsupervised, while attending to some paper work he had to fill out or drop off at the yard. During his absence, some of the participants of the work crew exited the vehicle to take a smoking break while . , the majority of the crew remained in the vehicle (including myself ) . The vehicle in question is a van, with two front passenger doors, one passenger side sliding door, and two swing out rear doors. The front portion of the vehicle has two bucket seats, while the rest of the vehicle has two bench seats one directly behind the other, accommodating up to three passengers each. While still seated in my chair (the front passenger seat) I was in a relaxed, but upright position. The sliding side door was left open (as it always was during breaks) . All but one of the occupants of the bench seat directly behind me had left the vehicle. While the occupant (Paul Gearhart) , was laying on his back (in a horizontal position) across the seat, he proceeded (for no apparent reason or thought) to close the sliding side door with his foot (of all things) while he was laying down. As he continued his careless action, my arm was resting along the side of the bucket seat and unknowing to me me elbow was extending into the path of the on-comming door. The force of his foot caused the door to build up a considerable amount of momentum and smashed my arm in the process of closing. As a result of the initial shock and pain, my body responded by reacting in a whiplash-like movement causing me further pain. r 1ye� 51 ' 0 1 Crim 'co: BOARD OF TFERVISORS OF amm own OCJUN'i'Y umummsTo aA A, (:lrr ims MlAtang tt3 causes of action for-death'or for injury to person :or to,perms s0r,�q_l pro.)(r X or growing or°ops and wbich 66or ue on or before Dember $1, 19870 u w l is rmt later taMun the Mth day after the accrual of the* amuse of rel tir oauTea of action for death or for it ur ► PSI reit cr t.0 p aasral p payrty or gmwi ng orope and uhich aocr;m on or after January 3, 1988, gust be presented not later than six months after the acorual 'of the cause of action. Clam relating to any other cause of aotion tit be presented not later than one year after, the aocr zl of the cause of action. ' (Govt.-Code S911.2.) B. Claims muat be filed with they Clerk of the Bowd of Supervisors at its office in Rim 106, County Administration Mldl-219, 851 Pine St t, Martimz, CA 9 +553. C. If claim is against a district governed by the Board of Supervisors, gather than the County, the name of the District shOVId be filled in. D. If the rlalm is aapirest wre than one public entity, separate claims must be filed against each public entity. E. F'ray(ud. See penalty for fraudulent claims, Pedal Code See. 72 at the end of this ISF 3i7 f RE: Claire By j Reserved for Clerk's filing stW ALAN C, BRLDX___. � RKEITV E`TE)f J u "N 0 1199 o: n '-SSa.M. FHtt BATCHft{7R District) «eco �°osir v�soas � � o The u%idersigned claimant hereby makes claim age.inst *he Cowity cf Contra Cus` a or the abn a-nned District t 3.n the s� o: .. aid i.r; su�porat of this claim represents as f"ollows o @t'YIs.+c0.m.m a mtl lC tt5 Ct�Cfc cusmi ravnrar.4:.m.,w..s:..ec.�c.vam.a<i...nrn:r RtFaDsatJf napen(1xi�.�a:nacGm---c9--s[-----------.}KiCSzsaoFa4ie.CRSC.ABR}RYVTi.dzoOb ;resp; d—am-aze Or in jun f, our? (Give exact date and hour) FoEBRUARt.o 2�4o t,��w�®uu`a.wcs�::,c,�«ri��'a z+-s:�-'�1'r.S �wn m"r�o4T3.r`J.�i.h'w�iurirtYlttr€.a.ra narsm,.em.�aas+ms ,.vea[n aeom.m.�y.m..oamr 2. "i4her^e did i.he dame or fn,imry ocour? (Iridlode pity and county) CALIFORNIA DEPARTMENT OF TRANSPORTATION YARDt HERCULES, CA. o CONTRA COSTA ds.•mwo®.mmwax4enosasm�:Sc94 anme.v..aw:ocn—mmmaasNgP�=wswbCF4ao—a�aacasrmomesmc:+aexam r,EovM a.yca.®aa�enrws!bram—a�+mmeem—..—.�— 3. How did the damaga o: in4ury ocow? (Give fuAl detaiys; use extra paper if required) * SEE ATTACHED fit. What particular act or omission ori,the part of county-or district oPfioers, - servants or employees caused the injury or damage? CONTRA COSTA COUNTY SHERIFrIS DEPATMENT PLACED.ME IN THE WORK ALTERNATIVE PROGRAM IN WH±CH THE WORK CREW SUPERVISOR AND OTHER PARTICIPANT WERE NEGLIGENT. (over) a c ` � P I l r' 50 What ape the namft. of eo=ty or district offioera= servants or aployees causing this damage ori-in.tirryr? MORRISf Op .E - FS KE NAR t O PAUL GEARK T, AND UNKNOWN OTHERS r_.. s-: - ec�Cr.::n..;_ .__,r-._c•'.:.^G;^.::cr -.sate'1G{ftTTm.y Ca_.ac:.::�0 ir,.gscs-mcr mL:L3Gt• ca+x•ouomwanrA a3�aa'=.smmucyv:A9i�osapmem ms+i�v 6. Fro lyou N ted? (Give full extent of irljurLes-br dwuq,*.s clai,rlaid¢ At oh t estimates for auto a$ - BACK p NECK p AND RIGHT MOW ® Hoa wms the amunt, claim above oompubed? Unolude the estimated amount of any pnospective Injury y or damage.) LOSS OF WAGES, PAIM t, CSUFPERING, LOSS Or EDUCATION 69 NA s and addresses of Witnesses, doctors emd hospitals. ENTIRE WORK ALTERNATIVE PROORAM WORK CREW (TO BE X' ED) DR. DAN MURPHY, PLEASOId; ON, CA AM-; UNKNOWN OTHERS 9, List the expenditures you made on aocount of this accident or in�ur*ys DAM I'i IM, NT *NOT AVAILABLE AT THIS TIME Gov" Code Sec. 910' 2 provident "The o]Mia <,st Ei� 9sd by t1he daimant SENT, fi'Os'IC S ( i:t=.rr� y) -_-- i r'� ��. .�L.raon on his bcnal f.n d eso:rney IN PRO PER 4 ?F-1 '� )- - .Oo Box 404,3 Section 72 oa the �.Fenal tie pmvi.des� � "Every Wson Vnc. with intent to do fraud, presents for alloigtnoa or for pay nt to any state boat or offioeri or to any oounty, city or dist-riot board or off icer t authorized to allow or pay the same if Senuinep any false or fraudulent, claim, bill, aocomt, voucherr or writing, is punishable either by i4prisonment in the bounty jail for a period of not mofe than one year, by a fine of net euro ding one thmisand ($1,000), or by both such impr•isonwnt and fine, or by iMrisonr nt in the state prison, by a fine of not meeding ten thousand dollars ($10,000, or by both euoh impriaornt and fine. �1111J k i IY 6 1 1 y i W fff J4.1 M U1 ° Ln CU ° z 01 En -a N a w � o a H wj � a x H En OA�j{ W p Pa W W H n a ° H C3 U Pa U z 3 n a CL n 9b6 t, o I Lr ° v Q, Wo.0 ►' a °MN . O0 a - E-4 Pa En _ . . A ,_ ` CLAIM 135 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 JULY 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: $41 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: IVIS , Vernon ftsIvIe® JCS` ATTORNEY: a 8 j9 Date received CUMy 9Q ADDRESS: 1001 West 3rd Street BY DELIVERY TO CLERK ON June 5 , 19�r`w(%h' '�h Antioch, CA 94509 delvT erect) BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. June 5 ' BY: D 1990 PpHHIL BATCHELOR, Clerk DATED: eputy 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 �1G BY: ID �_ Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD, ORDER: By unanimous vote of the Supervisors present ( This Claim is rejected in full . ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date, cinn Dated: J U L 10 19A PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov, code secti 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. an Dated:—JUL 1 3 1913U BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator. sy • A-of, '4 Clair. to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY 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 Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp ECEI. ', . Against the County of Contra Costa ) .JUO ; 1990 or ) �t:nv� I.'h District) �- T h:)A.,A C--sA Cii:y R5 r:A C:):Ta LC Fill in name The undersigned claimant hereby makes claim against th unty of Contra .Costa or the above-named District in the sum of $ q '"o and in support ,of this claim represents as follows: UZaS ('Z,\QASe.d O'ct-c" C�sA• Vac a_6 (\0 �wv�rr�St_m� h�g�_a�_J.1:b��—c Q in--------- 1. When did the damage or injury occur? (Give exact date and hour) ads o,.eecoj, ------------------------------ ----------------------------------------------------- 2. Where did the damage or injury occur? (Include city and county) \-A --- -�,���P�C'S--��-�(� S--`p • \ ��------- -0.5' -�C12 ---�= C 3. How did the damage 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? -�� Y��S do�� fie` �a� • .(over) .:.'. .....++.::.«..:r... ..:........ .ahs: t..�'..:....i.-..�.L'YF:: :....:......._-... .'-... ._ _.. -. _ .. .._ . - ..a. ..C.GX:... .. r ' 4 _ 5. What are the names of county or district officers,,., aervalmitff, or emrO:W -nausing the damage or injury? i -��©����,�_�`��_�ate_����_►� --=� � -�---------------- 5. What damage or injuries do you claim resulte ((Mve =qui i;, e jai: ofr' ifto 'ies or damages claimed. Attach two est-imates for autT, uta.; 5 � had O_\VYTNO- -�-�'►-`n_L�___ { --CY\� _ _L ---------------,- �v----- ---- 7. How was the amount claimed above computed? (I� ?1aru ; tom_ e�i� mda of ;any prospective injury or damage.) $. Names and addresses of witnesses, doctors and iiat3 ., -------------------------------------------------- 9. List the expenditures you made on account of tR; , - ;; bn)t. or,, ;':T&r7-rr DATE ITEM MMILT IN V W W 31e W C Sk *1 W M V W 4'i C "The claim nmst tb s0gnett tb_v Vie` ola,!Ta't SEND NOTICES. TO:. (Attorney) or by some �si� olm� t�,7Q brtalff."f Name and Address of:Attorney , l`. `k" a.$3J! Telephone No. Telephone ND)., N0TfCE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, prtmimft ice° - z nr or;•frCr ` payment to any state board or officer, or to any acorn,T„ c.-RtT cu° dLsftIria cr officer, authorized to allow or pay the same if genu��„ a It or, FIx dUIi rnt claim, bill, account, voucher, or writing, is pun kst e. tW fmpeii_—zrxwntl in the county jail for a period of not more than one 6W at fknB W' ra; e ding one thousand ($1,000), or .by both such imprisonment, 7UMmen` '#� �tplrlsmmment in the state prison, by a `fine of not exceeding ten thv.uzwzd, dtailam pr by both such, imprisonment and fine'. CLAIM / 3 S 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 JULY 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: $997 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: MALLORY, Matthew ATTORNEY: Date received ADDRESS: 822 - 9th Street BY DELIVERY TO CLERK ON June 18 , 1990 (signed) Richmond, CA 94801 /A. office ffi C.e BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. June 2 7 19 9 0 pH IL BATCHELOR, Cler 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: G �Z7 I((� BY: /JJ Deputy County Counsel T � III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (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: J U L 10 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code se n 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown absolve. Dated: J U L 1 3 IBM BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator A'Pq,"Nd-d -7110 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. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *- * * * * * * * * * * * * 4 RE: Claim By ) Reserved for Clerk's filing'stamp ) R ECEI VED Against the County of Contra Costa ) 'JUN .7 1990 or ) P�t1&ATCHEtC District) CLERK 6 ARD OF 5UFErV'51C.^.i COSTA CO. Fill Vin ) e .......... o� The undersigned claimant hereby makes claim against rohe ounty of Contra Costa or the above-named District in the sum of $ q q and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) --------=�/-�C�-- -------1�--�- - (-a -S%--c'-------------------------------- 2. Where did the damage or injury occur? (Include city and county) ----------------------5_h e r-l- --==4-=----------------------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) _Tn cAv� `n.�� -E,� rk� @B".V,j Qi.,i�� flit -thy s i� e 6f v►, L�b Vt c)•CL0-,Ct Ce to rhQ C�6v r C,QF�� 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? p�"\ (over) J 5. What are the names of county or district officers, servants or. employees causing the damage or injury? ----------------------------- - --- ------------------------------- ►_' 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ---------------------------------------------------------------------------------- 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 a�n;�ro�s 61 c�-7 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 Q.ltr (Claimant's 'Signature) fi4 S TIZ - T j (Address) !L c, i�1 rte,u hc� CPA cfLO ( Telephone No. Telephone No. 3 S 4o(a 3 * * * * 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. RECEIVED CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA JUN 1 1 19 9 Claim Against the County, or District governed by) BOARD ACTI OUNTY COUNSEL .1'i�•d��, 04LIP. the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JULY 10, 1_4P 99 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: $997.00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: MALLORY, Matthew ATTORNEY: Date received ADDRESS: 822 9th Street BY DELIVERY TO CLERK ON June 7, 1990 Richmond, CA 94801 BY MAIL POSTMARKED: June 5, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. June 11 1990 PFHHIL BATCHELOR, Clerk DATED: BY: Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors ^�( ) This claim complies substantially with Sections 910 and 910.2. rI ) 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 / i2 I�1G BY: I 1 Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Admin, trator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD OR 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: J U L 10 19"40 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sect 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: J U L 13 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: Matt w Mallory 822 9t treet Richmond, A 94801 Re: Claim of MATTHEW MALLORY 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, County Counsel BY'. �LQQ, S ��N Deputy Ty my Counsel CERTIFICATE OF SERVICE BY MAIL C.C.P. §§ 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: ko\\ at Martinez, California. cc: Clerk of the Board of Supervisors (o iginal) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4, 910 . 8) ' . ILI 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 RECEI VEA Against the County of Contra Costa ) `JUN 7 1990 or ) " PHiI BATCHELOR District) CLERK BOARD OF SUPEMSOPS Fill Win ) COSTA CO. Ge u The undersigned claimant hereby makes claim against theounty of Contra Costa or the above-named District in the sum of $ q 9 7 and in support of this claim represents as follows: ---------------------------7-7 1. When did the damage or injury occur? (Give exact date and hour) --------= �-� ----- -/ - r,3 _S _6 -------------------------------- 2. Where did the damage or injury occur? (Include city and county) -----------------------S her I- --==¢=----------------------------------------- 3. How did the damage or injury occur? (Give full details; use extra paper if required) -T-I\ CA vim. CA ire`%\Ip A-0 ��.r1C� Ze$L•�'`� Gl i e� �li�r1-t viles id e ------------------------------------------------------------------------------------ 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? -- 1 (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? ----------------------------- _ __ �_ 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. -------------------------------------------------------------------------------------- 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. --------------------------- ------------------ List, the expenditures you made on account of this accident or injury: . DATE ITEM AMOUNT 'boo Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES T0: (Attorney)r or by some person on his behalf." Name and Address-of Attorney -.-,. .. laimant's 'Signature 22 t� TR FET- (Address) rh O►1A (TA Cfq rot Telephone No. Telephone No. a 3 S 3 N O T I C E Section 72 of the Penal Code provides: "Every per.,5on 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 ($10,000, or by both such imprisonment and fine. COMPLETE BODY AND FENDER WORK FREE ESTIMATES ESTIMATE OF REPAIR COSTS / INSURANCE WORK OUR SPECIALTY Date ) ' Phone �? Name - � ' f goDY SH (11) Address 1082 THIRTEENTH STR[[T RICHMOND.CALIFORNIA 84801 City /�-l�! LYNN ALEXANDER PHON[ 299.6361 Year D.O.M. Make `"�'�C" Model�J Style License No. Body No. Serial No. Claim No. Insurance Quan, WORK TO BE DONE Labor Material 1 S 2 V 3 5 ? 6 7 8 9 10 11 12 13 14 15 16 17 j 18 19 20 REFINISH MATERIAL RUST PREVENTION MATERIAL BLEND&MATCH GRAVEL GUARD r MATERIAL PARTS, PRICES SUBJECT TO INVOICE TOTAL LABOR HRS. 4L�$ HA=$ �D PARTS The above is an estimate based on our inspection and does not 0 LIST$ LESS %DISC. cover any additional parts or labor which may be required after the work has been opened up. Occasionally after work has started. SALES TAX $ worn or damaged parts are discovered,which are not evident on PAINT,MATERIALS&NET ITEMS $ the first inspection. Because of this the above prices are not guar• anteed and are for immediate acceptance only. TOTAL REPAIR COST $ e �� Accepted by Owner or Agent VOID AFTER 30 DAYS REPAIR- VENTURA'S BODY-SHOP ESTIMATE 2013 23rd St•(415)2345077 SAN PABLO,CA 94806 "OUR EXPERIENCE MAKES THE DIFF RENCE IN QUALITY"Dole x Car Owner ` t 1`t Addnas 5 ' • K' f Y��'IHome Phone—),- Make �� IJ Year license No ����Type e 0 G L< Mileoyey ,9 5 b6 A business Phony` r t.0. Adjuster Phone Insurance Co. Ar/ll Inspector s Labor labor Labor Symbol • Hours Hours Symbol HoursPARTS SymbolHovn PARTS Bumper Fender Front Fender, Front IV Bumper Brkt. Fender Shield Fender Shield Fender Mldg. Fender Mldg. Headlamp Bumper Gd. Headlamp i Headlamp Door Frt. System Headlomp Door Sealed Beam Frame Sealed Beam Cowl Cross Member Cowl Door, Front Door, Front Door Hinge Y:hee; Door Hinge Door Glass Hub Cop Door Glass Fent Gloss Hub 8 Drum Vent Glass Door Mldg. Knuckle Door Mldgs. Door Handle Knuckle Sup. Door Handle Center Post Lr. Cont. Arm-Shaft Center Post Door, Rear License Frome-Brkt. Door, Rear Door Glass Up. Cont. Arm-Shaft Door Glass Door Mld . Shock Door Mldg. Rocker Panel Windshield Rocker Panel Raker Mldg. Rocker Mldg. Sill Plate Tie Rod Sill Plate Floor Steering Gear Floor Frame Steering Wheel Frame Dog Leg Horn Ring Dog Leg Quar. Panel Gravel Shield Quar. Panel Quor. Midg. Park. Light Quar. Mldg. Quar. Glass Grille Quar. Glass Fender, Rear Fender, Rear Fender Mldg. Fender Mldg. Fender Pad Fender Pod EJJ Mirror Inst. Panel Horn Bumper front Seat Baffle, Side Bumper Rail Front Seat Adj. Baffle, Lower Bumper Brkt. Trim Baffle, Upper Bumper Gd, ie^rlir.i g_..- lock Plate, Lr. Gravel Shield Top Lock Plate, Up. Lower Panel Tire Hood Top Floor Tube Hood Hinge Trunk Lid Battery Hood Mldg. Trunk, Lock Paint Ornament Trunk Handle Undercoat Rod. Sup., Tail Light- Polish Rod."Core Tail Pipe Misc. Materials Radio Antenna Gas Tank Rod. Hoses Frame Fan Blode Wheel AUTHORIZATION FOR REPAIRS Fan Belt Hub 8 Drum You ore hereby authorized to make the above Water Pump Back Up Light specified repairs. Motor Mts. license Frame—Brkt. Signed Labor / Hrs.J L $ Ports $ ►" WreckerCr/)ervice S A-ALIGN N NEW ON-OVERNAUL B-STRAIGMTEN OR REPAIR Elf-EXCHANGE Tai( • $ RCR[CNROME U-FOR USED PARTS •REBUILT This estimate is based on lowest possible cost consistent with quality work, and as such, is Sublet S gU.mmeed. Items not covered by this estimate or hidden will be additional. S 7-9 TOTAL $ RE-661.3 t�FHli r, 51 Date� �46, 19 Noo l `� ! Received Of. Address sdryol qs ;b/o ��',Q,Oys For 'so�Q$0 HOW PAID ALA E DUE REDIFOftM® 8l 820 carbonless BY. O \ O n r � m a o o � � r � r r fQ W Cl _ CLAIM 35 JUN 1999 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA ��COgqU��NTY COUNSEL Claim Against the County, or District governed by) BOARD ACTION-"T`N" dAL1F, the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JULY 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: $1,501,000.00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: MOZINGO, James, Linda, Timothy and Amy - ATTORNEY: Dean G. Miller, Esq. Attorney. at Law Date received ADDRESS: 1330 Broadway, Suite 1302 BY DELIVERY TO CLERK ON June 7, 1990 (hand delivered) Oakland, CA 94612 via San Ramon Police) BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PpHHIL BATCHELOR, Clerk DATED: June 11, 1990 BY: Deputy #-,/ --L 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: Dated: go BY: ) . Deputy County Counsel AUJ U \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 ORDE 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: J U L 10 1900 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code s cti 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: J U L 13 199(�0 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: Dea G. Miller, Esq. Attorn at Law 1330 Br way, Suite 1302 Oakland, CA 4612 Re: Claim of JAMES, INDA, TIMOTHY AND AMY MOZINGO 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, County Counsel By: I- AQ �� Deputy C my Couns JQ CERTIFICATE OF SERVICE BY MAIL C.C.P. §§ 1012, 1013a, 2015 . 5; Evid. C. §9 641 , 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: l�`��o �� , at Martinez, California. cc: Clerk of the Board of Supervisors (original)V/ Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4, 910 . 8 ) San Ramon b CAL I /O R Y I A a O g A T C O Date: June 4, 1990 To: City Manager, City Attorney, Police Services, Personnel/Risk Management From: Judy Macfarlane, City Clerk Attached is the following: Claim No. 017.90 Claimant Timothy Mozingo 3828 Aragon Lane San Ramon, CA 94583 Date Received: June 1, 1990 NOTE: - Appropriate department (department which is named in claim) to conduct an initial investigation and report to City Attorney and Assistant City :Manager within 15 calendar days from the date of this notice. -61 - (�fl-e r cor 74 �ro clmform. .` CLAIM N0. 017.90 kEC6 � , � u 1 DEAN G . MILLER JUN 1 1990 Attorney at Law 2 1330 BROADWAY , SUITE 1302 CITY OF SAN RAMON OAKLAND , CA 94612 3 (415) 763-0614 ��;; 4 ATTORNEY FOR JAMES MOZINGO , RECEI�1.ED LINDA MOZINGO , TIMOTHY MOZINGO 5 AND AMY MOZINGO JUN 71990 6 PHIL PAPtMEtOR Gk WX BOARD 5 �FivRpas 7RA 7 - 8 NOTICE OF CLAIM AGAINST THE CITY OF SAN RAMON, 9 CALIFORNIA AND CONTRA COSTA COUNTY, CALIFORNIA 10 Government Code ss 910, 910. 2 11 12 13 14 JAMES MOZINGO , LINDA MOZINGO, TIMOTHY MOZINGO AND AMY 15 MOZINGO, 16 Claimants , DATE OF OCCURANCE : April 8 , 1990 17 TIME OF OCCURANCE: 2 : 30 A .M. PLACE OF OCCURANCE: 3828 Aragon 1$ Lane , San Ramo VS. , 19 20 CITY OF SAN RAMON , OFFICER WENCEL, CONTRA COSTA COUNTY , 21 Defendants . 22 / 23 FACTS 24 i 25 On or about April 8 , 1990 defendants, without probable 26 cause , without permission and without legal authority entered the i i 27 28 - 1 - 1 property of the Mozingo family . Timothy Mozingo , an adult , 2 identified himself upon request of Officer Wencel and otherwise �, ,�3s; , c�cto,p.eWraaed#with Officer Wencel during Officer Wencel ' s 4 i<n;,te.r.•:i-oga•tion of him . Officer Wencel , without probable cause or 5 ; ; legalg4.;authority , demanded to speak with Timothy Mozingo ' s 6 ..p,a,nen,.ts . . Timothy Mozingo , informed Officer Wencel that he would _„.b.ringhhis��a'rents to the door of his house , but that Officer 8 Wencel did not have permission to enter the premises. 9 As Timothy Wencel entered the premises through the front ' 10 door Officer Wencel forced his way into the premises . Officer 11 Wencel had no probable cause to , or right to enter the premises 12 and did so after specifically being told by Timothy Mozingo that 13 he would not be allowed into the premises . 14 Once inside the premises , Officer Wencel attacked Timothy 15 Mozingo by choking him , beating him about the head and shoulders 16 and throwing him to the floor . 17 At no time during this attack did Officer Wencel announce 18 himself as a police officer . Linda and James Mozingo , parents of 19 Timothy Mozinga were awaken from a sound sleep by the attack of 20 Officer Wencel . Believing that the house was being broken into , 21 Linda' Mozingo called the police . While Linda Mozingo was on the 22 telephone to the police department , Larry `lozingo investigated 23 the intrusion . He could hear his son ' s voice and could hear 24 sounds of an altercation . Believing that his son was being 25 attacked , he went to the aid of his son . At: no time during t`:is 26 2/ 28 - 2 - 1 altercation did Officer Wencel identify himself as a police 2 officer . 3 After order was restored by Larry Mozingo , Officer 4 " Wencel , unlawfully and without cause , took Timothy Mozingo into 5 custody , arrested him and imprisoned him . 6 INJURIES 7 Timothy Mozingo , as a result of the .battery 9 upon him committed by Officer Wencel suffered injuries to his 10 groin and back as well as severe emotional distress . He has 11 sought and continues to seek medical attention for these 12 injuries . 13 Linda Mozingo , Amy Mozingo and Larry Mozingo have 14 suffered and continues to suffer severe emotional distress as a 15 result of Officer Wencel ' s unauthorized and illegal entry into 15 the house and physical attack upon Timothy Mozingo . 17 The damages of all of the claimants are continuing . 18 DAMAGES 19 Timothy Mozingo has suffered and continues to suffer loss 20 21 of wages as a result of his injuries . Linda Mozingo has also 22 suffered a loss of income as a result of the illegal and unauthorized actions of Officer Wencel . Larry Mozingo sustained 23 i 21 damage to a watch and there is approximately 51 , 000 . 00 in damages 25 to the house . 26 TOTAL CLAIM OF LINDA MOZINGO 5� O , 000 . 00 ti � fl. , 27 TOTAL CLAL1 OF TIMOTHY tOZINGO 28 3 - 1 TOTAL CLAIM OF LARRY MOZINGO 250 , 000 . 00 2 TOTAL CLAIM OF AMY MOZINGO 250 , 000 . 00 3 TOTAL CLAIM FOR PROPERTY DAMAGE 1 , 000 . 00 4 TOTAL CLAIM $1 , 501 ,000 . 00 5 60� 6 DATED : May 29 , 1990 Dean G . Mi ler , Attorney 7 for claim nts 8 9 10 11 12 r 13 15, 16 17 18 19 20 21 22 23 24 i 25 26 27 28 - 4 - t CERTIFICATE OF MAILING I , the undersigned , declare under penalty of perjury : That I am a citizen of the United States , over the age of 18 and not a party to the within cause or proceeding ; that I am an employee of Dean G . Miller and my business address is 1330 Broadway , Suite 1302 , Oakland , CA 94612 ; that I served a true copy of the attached : Notice of Claim Agoainst City and County by placing said copy in an envelope addressed to : City of San Ramon County .of Contra Costa City Clerk ' s Office Sheriff R . Rainey 2222 Camino Ramon 651 Pine Street San Ramon , CA 94583 Martinez , CA 94553 which envelope was then sealed and postage fully prepaid on the date set forth below, deposited in the United States mail at Oakland., California . Executed at Oakland , California . Date : May 30 , 1990 KFacePage CONTRA COSTA COUNTY SHERIFF'S DEPARTMEN f CA0070000 Beat 10 Continuation P.O. Box 391, Martinez, California 94553-0039 F7 Supplemental [1HRO Arrest ❑SI I.OR No. _ 2.City Code 3.Crime/Classification 4.Detail 1 Z 3 (3� P` 5.More Q �1-119 -3 A 2. Persons 6.Day/Date/Time of Occurrence7.Date/Time Reported 8.Employee No. 11 - 9 - Z `'t-yt - '1'.l 1-41 S-Z Z 9.Reclassi- 10.Address/Location of Occurrence fication t 1. ❑PRI ❑VIC ❑WIT ❑MSP ❑RUN gsus ❑LEAD ❑Other 12.Name(L,F,M) 13.Race/Sex/Age 14.DOB 715.Driver License No. ON , -„ 16.Address (Zip Code) 17.Home Phone 18.Employed By orQSho 19.Work Phone 20.Hair 21.Eyes 22.HL 23.Wt. 24.AKA/Maiden Name 25.Social Security No. y 26.Further Description(Scars,Tattoos,Mannerisms,Clothing,Etc.) 27.Booking or Cite No. TES r -� 3� ` _-S 4 .Q_ I-Q 4,2 i 28. ❑PRI 1 ❑WIT ❑MSP ❑RUN ❑SUS ❑LEAD ❑Other 29.Name(L,F.M) 30.Race/Sex/Age 31.DOB 32.Driver License No. .� 33.Address (Zip Code) 34.Home Phone 35.Employed By or School 36.Work Phone ( '-/)S-) Z7 S--Z Z_ t 37.Hair 38.Eyes 39.Ht. 40,Wt. 41.AKA/Maiden Name 42.Social Security No. 43.Further Description(Scars.Tattoos,Mannerisms,Clothing,Etc.) 44.Booking or Cite No. 45. ❑PRI ❑VIC IT ❑MSP ❑RUN ❑SUS ❑LEAD ❑Other 46.Name(L,F,M) 47.-Race f Sex f Age 48.DOB 49.Driver License No. A ( 3CS 50.Address (Zip Code) 51.Home Phone 52.Employed By or School 53.Work Phone 54.Hair 55.Eyes 56.Ht. 57.Wt. 58.AKA/Maiden Name 59.Social Security No. 60.Further Description(Scars,Tattoos,Mannerisms,Clothing,Etc.) 61.Booking or Cite No. 62.Veh/Ves 63.Lia No.(State) 64.Year 65.Make 66.Model 67.Body Style 63.Color Top ❑S ❑Vict 4-C, Q T Z.- ID :1 C Bottom 69.Status 70.Registered Owner 71,R.O.Address ❑Left ❑Impound 72.Towed to or Released to 73.Who has keys? ❑Stored 74.Evid. Yes 75.F/P ❑Yes 76.DispO of Evidence 77.$Missing 78.$Damaged ❑No ^No 79.Brief Synopsis of Incident (3) t r!>.�-- r?--\_41 P '2 Z 1 T (4) C c- -� .� y p. (s) S G-"C r Q Zn --L - (7) 80.Distribution 81.Additional Routing ❑B ❑C ODA ODE ❑L ❑OSR ❑V []Investigation ❑Vice ❑Narcotics ❑ uv ❑Coroner 82.Reporting Deputy(Print) 83.Date/Time Written 84.Dispo. ❑Property Ck. ❑ACS ❑Intell. ❑R.O. ❑SHC Patrol Captain ❑Compl.Ota ❑Marine Patrol 85.Approving Supv.(P int) 86.Supv.NNo•. 87.&11,1088.Page Ocher I'�P W oZss7i` of FORM A (Rev.1/89) ❑Face'Page CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat_ Continuation P.O. Box 391, Martinez, California 94553-0039 Supplemental ❑HRO rrest ❑SI 1.DR No. C, 2.City Code7AA-7Z; Crime/Classification 4.Detail 1 Z y 3Z PC. 5.More 9U ' �l (Sv A 2. Persons 6.Day/Date/Time of Occurrence 7.Date/Time Reported 8.Employee No. ❑ 9.Reclassi- 10.Address('Location of Occurrence ficatlon 11. []PRI ❑VIC ®'WIT ❑MSP ❑RUN ❑SUS ❑LEAD ❑Other 12.Name(L,F.M) 13.Race/Sex/Age 14,DOB 15.Driver License No. 16.Address (Zip Code) 17.Home Phone ­)'icq ZA ( ) 18.Employed By or School 19.Work Phone 20.Hair 21.Eyes 22.Ht 23.Wt_ 24.AKA Maiden Name 25.Social Security No. 26.Further Description(Scars,Tattoos,Mannerisms,Clothing,Etc.) 27.Booking or Cite No. 28. ❑PRI ❑VIC ❑WIT ❑MSP ❑RUN ❑SUS ❑LEAD ❑Other 29.Name(L,F,M) 30.Race/Sex/Age 31.DOB 32.Driver License No. 33.Address (Zip Code) 34.Home Phone 35.Employed By or School 36.Work Phone 37.Hair 38.Eyes 39.Ht. 40.Wt. 41.AKA/Maiden Name 42.Social Security No. 43.Further Description(Scars,Tattoos,Mannerisms,Clothing,Etc.) 44.Booking or Cite No. 45. ❑PRI ❑VIC ❑WIT ❑MSP ❑RUN ❑SUS Li LEAD ❑Other 46.Name(L,F,M) 47.Race/Sex/Age 48.DOB 49.Driver License No. 50:Address (Zip Code) 51.Home Phone 52.Employed By or School 53.Work Phone 54.Hair 55.Eyes 56.Ht. 57.Wt. 58.AKA/Maiden Name 59.Social Security No. 60.Further Description(Scars,Tattoos,Mannerisms,Clothing,Etc.) 61.Booking or Cite No. 62.Veh/Ves 63.Lie.No.(State) 64.Year 65.Make 66.Model 67.Body Style 63.Color Top ❑S ❑Viet Bottom 69.Status 70.Registered Owner 71.R.O.Address ❑Left []Impound 72.Towed to or Released to. 73.Who has keys? E]Stored 74.Evid. ❑Yes 75.F/P ❑Yes 76.Dispo of Evidence 77.$Missing 78.$Damaged No ❑No 79.Brief Synopsis of Incident (1) (2) (3) (5) (6) (7) 80.Distribution 81.Additional Routing ❑B ❑C ❑DA ❑DE ❑L ❑O F-1 SR ❑V ❑Investigation ❑Vice ❑Narcotics ❑Juv ❑Coroner 82.Reporting Deputy(Print) 83.Date/Time Written 84.Dispo. ❑Property Ck. ❑ACS ❑Intell. ❑R.O. ❑SHC I C- . ,---'a j'..i L. y- C.. "-ri _% C ZZQ r" [:'Patrol Captain. ❑Compl.Ofc. ❑Marine Patrol 85.Approving Supv.(Print) 86.Supv.No. 8817. at 88.Page E21,Other 8 iO -Z of FORMA (Rev.1/B9) Continuation CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat Supplemental P.O. Box 391, Martinez, California 94553-0039 E]HRO J74rrest F ,Si 1.DR No. 2.City Code 3.Crime/Classification 4.Detail 1 Zy 3 �S] 5.Reclassi- fication`1 V-' C641 C" (.0 '.� "T v:J: t o !� '7 - :C SSL 2. 6.Victim Name(L,F,M) 7.Date Ong.Report 8.Employee No. [ 44- —S- �i(S Z Z- 9.Address/Location of Occurrence 10.Suspect's Name(L,F,M) 11,Property Description: Impounded,Recovered,Found.Lost,Stolen-Item Number,Article,Quantity,Brand/Make/Manufacturer's Model Number,Serial Number,Miscellaneous Description,Location Where Taken,Value,Include Total Loss-LIST IN FOLLOWING ORDER:A)Currency,Notes;B)Jewelry;C)Clothing,Furs;D)Vehicles;E)Office Equipment:F)Radio,TVs,etc.; G)Firearms;H)Household Goods;1)Misc.' 12.Recovered Property$ 711') .Narrative/Statements I (2) (3) P I (4) I (5) (7) :A c.G FJ'� JTa, t 1a 1 T fa i i i , i r _ (11) \� V �� \l �� r �l 1` �L l ' Ciel i I (13) `� i A►1 lel \1�r Z l l� _ �• �\ n �EC r A-4 i R-Q-•4 (15) i (16) r Z> P"iiv . G "ice S ��SCC cQc.♦. l v1-C. i>��? `sir'_ r' ' i i j i c „ r (19) C,�,-i,.��a u �c 'L: � �`'G'tl..y�* i i f (23) I (24) c� .,� C G .�- 14,Distribution 15.Additional Routing [,'B [C [DA [DE [L [O [7SR [V ❑Investigation [Vice [Narcotics [Juv Coroner [Property Ck. [ACS ❑Intell. E.R.O. [SHC 16.Reporting Deputy(Print) 17.Date i Time Written 18.D spo. tl Patrol Captain �!Compl.Ofc. [Marine Patrol L,�;,• �`{- '. -tet` t`��rt Other- 19.Approving Supv.(Print) 20.Supv.No 21.D to 22.Page 8 4 0 T of F(-1R1kA R iRPv 11M . Continuation CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat-77/ ❑Supplemental P.O. Box 391, Martinez, California 94553-0039 HRO �itrrest C s 1.DR No. �. 2.City Code 3.Crime/Classification t C��L 4.Detail 1 Z S ('3) 5.Reclass- 1 t7 — 'en ((o I dl i.=a A :�_jL a� 7 Pv.-%C.7. 2. fication 6.Victim Name(L,F,M) 7.Date Orig.Report B.Employee No. ❑ 9.Address/Location of Occurrence 10.Suspect's Name(L,F,M) 11,Property Description: Impounded,Recovered,Found;Lost,Stolen-Item Number,Article,Quantity,Brand/Make/Manufacturer's Model Number,Serial Number,Miscellaneous Description,Location Where Taken,Value,Include Total Loss-LIST IN FOLLOWING ORDER:A)Currency,Notes;B)Jewelry;C)Clothing,Furs;D)Vehicles;E)Office Equipment;F)Radio,TVs,etc.; G)Firearms;H)Household Goods;1)Misc. 12.Recovered Property$ 13.Narrative/Statements T(1) (2) (3) t r4l -gr '•"\ — (6) -,c \ Oc r, .,; A v (7) (8) _ %nKz-,k Q ":bL- A-40 (9) C 7 r^ � 011 a. (10) M 7 �� ..J�' V v 1, r• D2. F=2�rh (13) (17) r- v !ateZ> (19) S\CI ss j-", `Z- F (20) '�� •• lr OP Y. J (21) �f� �1 M�r��Z S' ��CS�.►.�1 t - 1'T�' ���ti� (22) T�"y �.. T- •�\ '- \.fir- C:v (23) Vim. v-ilT y (24) Ir T \ IV1 IIV'.l (25) 14 Distribution 15,Additional Routing LB PC (`DA ❑DE ❑L ❑O []SR ❑V investigation ❑Vice ❑Narcotics ❑Juv ❑Coroner Property Ck. ❑ACS ❑Intel/. ❑R O. ❑SHC 16.Reporting Deputy(Print) 17.Date/Time Written 18.Dispo. L:Patrol Captain El Compl.Ofc. ❑Marine Patrol C L Other__ 19.Approving Supv.(Print) 20.Supv.No. 21.D to 22.Page O -tf of 5 Continuation CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat ❑Supplemental P.O. Box 391, Martinez, California 94553-0039 ❑HRO 'Arrest ❑Si 1.DR No. 2.City Code 3.Crime/Classification L 4.Detail 1 Z `c 3�L3] 5.Reclassi- 4?- b7�1�0 �,�.�J A-,—, cR" 2. fication 6.Victim Name(L,F.M) 7.Date Orig.Report 8.Employee No. C' 9.Address/Location of Occurrence 10,Suspect's Name(L,F,M) 11.Property Description: Impounded.Recovered,Found,Lost,Stolen-Item Number,Article,Quantity,Brand/Make/Manufacturer's Model Number.Serial Number,Miscellaneous Description,Location Where Taken,Value,Include Total Loss-LIST IN FOLLOWING ORDER:A)Currency,Notes;B)Jewelry;C)Clothing,Furs;D)Vehicles;E)Office Equipment:F)Radio,TVs,etc.; G)Firearms;H)Household Goods;1)Misc. 12.Recovered Property$ 13.Narrative/Statements (2) (3). .c- k.JCw 'c v t I (6) - "�� "'.� "� ice' Z\•iq,,-�. \-LAO. fir; i (t0) PRC_'T eSr ,r (jam . l (12) - rr s -m GAt_,�l (13) 2 `M t ' k_', O S- - �� .t ` k .• Z \1F1 { t s I (16). (17) ice•' ; .��.. -it nn c�� :1u1" (18) �-.� Q, Z .• rt Ll I (19) ��,• •- +1t�1'C S Ca s`1 a "3 �SiS2 rr1 ems'S '�S i Gas ''`�v t i �c s- Fv ti I (21) lJ chi'" v Z l-\ N1 " -LO L 1N i w 1& 1 i kl.P,-T (23) a cam`- !t"' (25) 14.Distribution 15.Additional Routing. ❑B ❑C []DA ❑DE ❑L ❑O LSR `fV Investigation ❑Vice FINarcotics ❑Juv ❑Coroner Property Ck. [I ACS 7,Intell. C R.O. ❑SHC 16.Reporting Deputy(Print) 17.Date/Time Written 18.D spo. Patrol Captain r Compl.Ofc. 17 Marine Patrol G - `i` ^1 L Other 19.Approving Supv(Print) 20.Supv.No. 21 D to 22. Page FORM R (Rev 1'89) Continuation CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat _ ❑Supplemental P.O. Box 391,Martinez, California 94553-0039 HRO E]Arrest ❑SI 1.DR No. 2.City Code 3.Crime/Classification 4.Detail 1 2 S k7, !,L, 5.Reclassi- , ' P^ • fication - 6.Victim Name(L,F,M) 7.Date Ong.Report B.Employee No. ❑ 9.Address/Location of Occurrence 10.Suspect's Name(L,F.M) 11.Property Description: Impounded,Recovered,Found,Lost,Stolen-Item Number,Article,Quantity,Brand/Make/Manufacturer's Model Number,Serial Number,Miscellaneous Description,Location Where Taken,Value,Include Total Loss-LIST IN FOLLOWING ORDER:A)Currency,Notes;B)Jewelry;C)Clothing,Furs;D)Vehicles;E)Office Equipment;F)Radio,TVs,etc.; G)Firearms;H)Household Goods;I)Misc. 12.Recovered Property$ 13.Narrative/Statements (2) (3). i >.Y -i i (19) (�1) �1.vt.r1 iG '•t.Y (13) 'Cy7 Z) ]Z.r (14) �+1.(,� �yi „v ,� .� '• t i, C� ��l J t+`: 1'�., A+.l�vcs.�r,� (15) 1' 5 '!J c c•r N-,A o 16-w— (17) 6- SZ lit '� . TSL (19) �a:>, �.'�a. 5 .'ti e1 7-a�t�ta Cess. 4... Na n.•CC'ir �cr era^ n i (21) I i t (23) O-\. t- 3. �. -t.C.t (24) .Q -T♦ i (25) ��J �. �C\Y.A i ll. ," _ .ta r.. C � z.- 14.Distribution 15.Additional Routing ❑B ❑C ❑DA ❑DE ❑L ❑0 FSR 1 iiV ❑Investigation ❑i Vice ❑Narcotics. ❑Juv r-1 Coroner ❑Property Ck. ❑ACS [i Inteff. ❑R.O. [SHC 16.Reporting Deputy(Print) 17.Date/Time Written 18.Dispo. Patrol Captain ❑Compl.Ofc. ❑Marine Patrol C- CAJ?- t✓'Other 19.ADpr e n�•.Supv.(Print) 20.Supv.No. 21.D to 22. Page g of `t FORM B (Rev 1/89) gContinuation CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat ❑Supplemental. P.O. Box 391, Martinez, California 94553-0039 E]HRO >,Arrest 1.DR No. 2.City Code 3.Crime/Classification 4.Detail 1 Z:i 3 d3� (.` 5.Reclassi- '01 C -- f= I C •-'fr-Qv !�, p - - r` .fSt .2. fication 6.Victim Name(L,F.M) 7.Date Ong.Report 8.Employee No. "I 9.Address/Location of Occurrence 10.Suspect's Name(L,F,M) 11.Property Description: Impounded,Recovered,Found,Lost,Stolen-Item Number,Article,Quantity,Brand/Make/Manufacturer's Model Number,Serial Number,Miscellaneous Description,Location Where Taken,Value,Include Total Loss•LIST IN FOLLOWING ORDER:A)Currency,Notes;B)Jewelry;C)Clothing,Furs;D)Vehicles;E)Office Equipment;F)Radio.TVs,etc.: G)Firearms;H)Household Goods;1)Misc. 12.Recovered Property$ 13.Narrative/Statements (1) (2) (3) \�•`� a �— (4) (5) 5? t - +tit `.. G �• S tt L i S (6) - •� (8) t.5• 7 Te Ja - -j Vv Z LAiw) (12) 'T`s.rti�, i �0�7 t _: _ Gam? �- �-k — (13) J (14) '��' S- ik' ttil i is L. �- (16) V-15 aT-cjc' �• (18) l'>,�� Cv^ �M A- _ - 3 ;,^y�J ! �'t •� C... (i 9) 1 � �T C'_L.5 � �. ,"c`5't 2'��N Cj•- M.:z-L r.:1L-�:. �''C CLc�T i r.��:' A C c�•v i 2 � (22) T (23) ! C7C'Z t'JG C., v i 2. ` tAc 'l dam_ !a S (241 _4 oi- (25) 14.Distribution 15.Additional Routing B �,, ❑DA ❑DE ❑L ❑O —SR [V Investigation L!Vice D Narcotics ❑Juv ❑Coroner Property Ck. [ACS ❑Intell. [ R.O. ❑SHC 16.Reporting Deputy(Print) 17.Date;Time Written 18.D;spo. Patrol Captain i!!Compl.Ofc. ❑Marine Patrol Other 19.Approving Supv.(Print) 20 Suov.No. 21. at 22. Page go :nRM R lnev 1/Rql Continuation CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat 71 ❑Supplemental P.O. Box 391, Martinez, California 94553-0039 E]HRO 1,;�44rrest ❑s 1.DR No. 2.City Code 3.Crime/Classification 4.Detail 1 Z�{ (3) pt. 5.ReCla9Si- Glt7" ci►a-s A c,:L:C&J'.JL. 2. fication 6.Victim Name(L,F,M) 7.Date Ong.Report 8.Employee No. I 9.Address/Location of Occurrence 10.Suspect's Name(L,F,M) 1 11.Property Description: Impounded,Recovered,Found,Lost,Stolen-Item Number,Article,Quantity,Brand/Make/Manufacturer's Model Number,Serial Number,Miscellaneous Description,Location Where Taken,Value,Include Total Loss-LIST IN FOLLOWING ORDER:A)Currency,Notes;B)Jewelry;C)Clothing,Furs;D)Vehicles;E)Office Equipment;F)Radio.TVs.etc.; A G)Firearms;H)Household Goods;1)Misc. 12.Recovered Property$ 13.Narrative/Statements i i (2) i I r (6) 2 t, cr-,.-T F. T �T 5 C M y \ I (7) k �l - :�� ♦ •``"��4� `•J t C-no (8) !>.0 tG�. � �5 �' •- — Grp r� ,2. A h�> ty i (10) :�:_�C- EL7 I:� Ti. C... v S f;G- y �Ctl` t �^ � l� T��•3�T - �` 1a (71) (12) (13) �► --ca .` -'[c ft.a S� (�..� L.•.:s\ ��: i t-Fr T. I�Cc_ L, (14) 5 i - ! Li :L.:l!� �C7 r!— L �2r L•-4 w cj—o (17) .^�. J c7 L G 2 (181 L+ "� �. :i t — k :i ^+.a AK - 'v (19) 'p.ti' 1Iy.-< M�s v ►airt ~L '�`r '�` t v� Q i� i t t lbw `\�� A a rJ (20) :J: �-4L( �1ns�0 L�+�Tl^1 (21) : .c., (22) Z i= - (\+- .3c.v Sti W A.J�J -y:'A-. (23) �JSeLr^.1 MJ ��� i O .` ,P.-,l- �t vi`T t. C t (24) (25) 14.Distribution 15.Additional Routing [B ❑C ❑DA EIDE ❑L ❑O ❑SR ❑V ❑Investigation ❑Vice ❑Narcotics ❑Juv ❑Coroner Property Ck. F'ACS ❑Intell. ❑R.O. ❑SHC 16.Reporting Deputy(Print) 17.Date/Time Written 18,Dispo r�Patrol Captain a Compl..Ofc. ❑Marine Patrol L, Other 19.Approving Supv.(Print) 20.Supv.No. 21. at 22.Page CnDKA n 'p— 1!RQI Continuation CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat 7 1 _ ❑Supplemental P.O. Box 391, Martinez, California 94553-0039 HRo k--�Arrest SI 1.DR No. 2.City Code 3.Crime/Classification 4.Detail 1 3 �� 5.Reclass- 2. fication 6.Victim Name(L,F,M) 7.Date Ong.Report 8.Employee No. ❑ 9.Address/Location of Occurrence 10.Suspect's Name(L,F,M) 11.Property Description: i Impounded,Recovered,Found,Lost,Stolen-Item Number,Article,Quantity,Brand/Make/Manufacturer's Model Number,Serial Number,Miscellaneous Description,Location Where Taken,Value,Include Total Loss-LIST IN FOLLOWING ORDER:A)Currency,Notes;B)Jewelry;C)Clothing,Furs;D)Vehicles;E)Office Equipment;F)Radio,TVs,etc.: G)Firearms;H)Household Goods;0 Misc. 12.Recovered Property$ 13.Narrative/Statements (1) I (2) (4) (5) ' 44-L ' .' S�' -4 G M tic r C, r (6) (8) F _\' _ L rJ �.J�tZ T r :-.: .•a' \ ^� \ :t j n r: (9) `Z`t 3 L:3��.C-- (10)(10) (11) (13) tr-� G� "� T\• I� �s� a.`.y �.�r�`-� ��Oc2a tic r MA mac`. (14) \ i:� :lP �� �r 7 .1\r cC�ty .^...>7t-y (19) (20) (22) 7` %;• r (23) (24) (25) 14.Distribution 15.Additional Routing F-B (_!C ❑DA —DE ❑L []0 `.SR ❑V Investigation ❑Vice 1 Narcotics ❑Juv D Coroner L;Property Ck. L,ACS l Intell. ❑R.O. `SHC 16.Reporting Deputy(Print) 17. Date%Time Written 18.D spo. i`Patrol Captain 7 Compi.Ofc. L Marine Patrol �: u •w � � _.Other-__.—_ — 19 Approving Supv.(Print) 20.Supv.No... 21.Date 22.Page FORM B (Rev 11891 1gFace Page CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat 7 __ ❑Continuation P.O. Box 391, Martinez, California 94553-0039 ❑Supplemental ❑HRo ❑Arrest C Si 1.DR No. 2.City Code 3.Crime/Classification 4.Detail 1 / 7 3 Z✓ 5.More C10- .C ; ' 2. Persons 6.Day/Date/Time of Occurrence 4 7.Date/Time Reported 8.Employee No. ❑ J}-s �-k - ci -`)o -`} C?Z l 4-4 9.Reclassi- 10.Address/Location of Occurrence fication 4411. X PRI ❑VIC KNIT ❑MSP ❑RUN ❑SUS ❑LEAD ❑Other 12.Name(L,F,M) 13.Race/Sex/Age 14.DOB 15.Driver License No. G F S L- 7 16.Address (Zip Code) 17.Home Phone 18.Employed By or School 19.Work Phone 20.Hair 21.Eyes 22.HL 23.Wt. 24.AKA'/Maiden Name 25.Social Security No. 26.Further Description(Scars.Tattoos,Mannerisms,Clothing,Etc.) 27.Booking or Cite No. 28. ❑PRI PVIC E WIT ❑MSP ❑RUN ❑SUS ❑I LEAD XOther 29.Name(L,F,M) 30.Race/Sex/Age 31.DOB32.Driver License No. �l ''a � 'J. � 7• �� vti'4``. 3'Z�`t 33.Address (Zip Code) 34.Home Phone I-1 O �_ :_-,`-r l T. �•l 2a^.3 35.Employed By or School 36.Work Phone 37.Hair 38.Eyes 39.Ht. 40.Wt. 41.AKA/Maiden Name 42.Social Security No. 43.Further Description(Scars,Tattoos,Mannerisms,Clothing,Etc.) 44.Booking or Cite No. 45. ❑PRI ❑VIC ❑WIT ❑MSP ❑RUN S LEAD Other 46.Name(L,F,M) 47.Race/Sex/Age 48.DOB 49.Driver License No. 50.Address (Zip Code) 51.Home Phone ( 1 52.Employed By or School 53.Work Phone 54.Hair 55.Eyes 56.Ht. 57.Wt. 58.AKA/Maiden Name 59.Social Security No. 60.Further Description(Scars.Tattoos,Mannerisms,Clothing,Etc.) 61.Booking or Cite No. 62.Veh/Ves 63.Lic.No.(State) 64.Year 65.Make 66.Model 67.Body Style 63.Color Top ❑S ❑Vict I Bottom 69.Status 70.Registered Owner 71. R.O.Address I ❑Left ❑Impound 72.Towed to or Released to 73.Who has keys? ❑Stored 74.Evid. ❑Yes 75.F/P [j Yes 76.Dispo of Evidence 7issing 78.S Damaged No No �c 79.Brief Synopsis of Incident (1) (4) (5) (6) (7) 80.Distribution 81.Additional Routing ❑B ❑C ❑DA `i DE ❑L ❑O ®SR ❑V ❑Investigation ❑Vice ❑Narcotics ❑Juv ❑Coroner 82,Reporting Deputy(Print) 83.Date/Time Written 84.Dispo. Property Ck. ❑ACS ❑Intel 1. ❑R.O. ❑SHC L` ` l - C CC'C vii SJ' n Patrol Captain Compl.Ofc. ❑Marine Patrol 85.tpp?iitrig Su v.( int) 86.SYp .talo.r r 8,r dip ,� 88 Page Other 1 ' FORM A (Rev.1/89) ~ f ll -7l �antinuation CONTRH COSTA COUNTY SHERIFF'S DEPARTMEF,. CA0070000 Beat Supplemental P.O. Box 391, Martinez, California 94553-0039 ❑HRO ❑Arrest 1.DR No. 2.City Code 3.Crime/classification 4.Detail 1 '� 5.Reclass- ficabon 2. rz- 6.Victim Name(L,F.M) 77.Date Orig.Report 8.Employee No. -7 9.Address/Location of Occurrence 10.Suspect's Name(L.F,M) Q`� L.:.• - '� h J� �.J �,J K./�V vim)-+1 i 11.Property Description: Impounded,Recovered,Found,Lost,Stolen-Item Number,Article,Quantity,Brand/Make/Manufacturer's Model Number,Serial Number,Miscellaneous Description,Location ' Where Taken,Value.Include Total Loss-LIST IN FOLLOWING ORDER:A)Currency,Notes;B)Jewelry;C)Clothing,Furs;D)Vehicles;E)Office Equipment;F)Radio.TVs,etc.: G)Firearms;H)Household Goods;1)Misc. 12.Recovered Property$ 13.Narrative/Statements (2) (3) rz 2 ME. t;—Z LA (6) (10) (12) !• r7 4 F i `=n,a a nom. f- L `0� L_ (13) YNt �!I:� '� 1 t ��-c�.� 1 'L�L�`\cfc -a7 it E E_(� ����aa `+:[' (14) '1 (1$) r ` ) •5 _ _ (16) c Tt.-i '� ', . 4- 2 i 5.•:`^ _ "t' :�� C, c: cr ti (18) "C L J (20) ��'.-�iCt-:l�Lr� C�i`^ �� if - bc��� i t — p'` (21) r- (22) (23) (24) f25) 14.Distribution 15.Additional Routing EB EC E'DA ❑DE ❑L [O ",SR ❑V L,Investigation []Vice ❑Narcotics L-Juv [-]Coroner Property Ck. D ACS ❑Intell. ❑R.O. ❑SHC 16.Reporting Deputy(Print) 17.Date i Time Written 18.D;spo. Patrol Captain D Compl.Ofc. u'Marine Patrol r - '� C-1;- Other iOther__ 19.A r in v.(Pnn II 20. /gL�Dw/}fJo/ 21 at 22.Page P P � o FORM 8 (Rev 1 89) �j CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT .,AO070000 CRil11f1:ANALYSIS SUPPLEMENT INCIDENT PAGE P.O. Box 391, Martinez, California 94553-0039 1.DR No. 2.Crime/Classification 3.Detail code 1 (��� 4. r- �'Iv- '�IJ6 ��`�n C_ �:Z 2. -[Felony L Misd. ❑Arrest ❑Cite tt', 5 Victim Name(L.F) 6.Address/Location of Occurrence 7.Employee No. 8.Gang Activity ❑Yes 7�lo OP E] Other Prints LEGHO ❑ Leg Holster TRK ❑ Trucking Company PS ❑ Paint Samples PISWP ❑ Pistol Whipped TVS ❑ TV/Stereo Sales/Repair 9.Name of Gang PH ❑ Photos PURSE ❑ Purse WHS ❑ Warehouse PJ ❑ Projectile/Casing RERPK ❑ Rear Pocket OTH ❑ Other 10.MEANS OF ATTACK RK ❑ Rape Kit RIGHH ❑ Right Hand B ❑ Bottle ST ❑ Semen PSACK ❑ Sack/Bag 21.SUSPECT'S ACTIONS C ❑ Club/Stick SP ❑ Shoe Prints SHOTS ❑ Shots Fired APPFF ❑ Approach from Front F ❑ Firearm SK ❑ Sketches SHLHO ❑ Shoulder Holster APPFR ❑ Approach from Rear G ❑ Handgun TT ❑ Tire Castings WAIST ❑ Waistband ATEDR ❑ Ate/Drank K ❑ Knife TL ❑ Tool Marks 18CIRCUMSTANCES NCESBLIND E! Blindfolded Victim . N E] Martial Arts Weapon VH WP ❑ Vehicle BOGAG Weapon COVVF ❑ Bound/Gagged P ❑ Physical(Hands) R ❑ Racial/Religious/Ethnic Covered Victim's Face ❑ p ❑ R ❑ Rifle/Shotgun 19 ALARM DEFEC ❑ Defecated S ❑ Shoes/Feet 13.METHOD OF ENTRY N one DEMON [i Demanded Money T ❑ Threats A ❑ Attempt A ctivated DISAL ❑ Disabled Alarm V ❑ Vehicle D ❑ Bodily Force P ❑ Bypassed DISPH ❑ Disabled Phone O ❑ Other G ❑ Bolt Cutters/Saw D ❑ ,Disabled DISPO LE Disabled Power E 7i Common Ceiling/Wall DISRO r! Disrobed Victim 11.PROPERTY ATTACKED L ❑ Cut 20.WHERE OCCURRED FIRED ❑ Fired Weapon ARG ❑ Agriculture C ❑ Hid in Building APO ❑ Apartment/Condo FOLVM r! Followed Victim ANT ❑ Antiques 0 ❑ Lockbox APT ❑ Auto/Tire Stores FVMTM Forced Victim to Move ART ❑ Art/Paintings B �NSFE BNK ❑ Bank/Savings 8 Loan FDISR _, Fully Disrobed(Suspect) AUT ❑ Auto Parts F L__j Pry BAR ❑ Bar/Lounge/Tavern HBO .' Had Been Drinking BYC ❑ Bicycles 1 ❑ Slim Jim/Coat Hanger CAB ❑ Cab/Taxi HITCH Hitchhiking BOT ❑ Boats HSmash/Break/Punch CWCar Wash MPp7 Impersonated Other BLM ❑ Building Materials K ❑ Unlocked CHU ❑ Church INJIN Inflicted Injury CAM ❑ Cameras/Projectors CLN [ Cleaners JUMPC r Jumped Counter CLO ❑ Clothing 14.POINT OF ENTRY CLO ❑ Clothing Store KLOCA Knew Location of Cash CRC ❑ Credit/ATM Cards Window Entry COC 1!! Construction Company LCRET ( Litted Cash Register Tray CUR _i Currency WC ❑ Crank COS _ Construction Site MADPR ❑ Made Purchase NRC ❑ Drugs WD❑ Louvered CON ❑ Convenience Store MTHRT Made Threats FIR ❑ Firearms WA _I Nonmovable DPT ❑ Department Store MASTU [, Masturbated FRN ❑ Furniture WB ❑ Sliding MDO ❑ Doctor/Dentist Office MOLES r Molested Victim APP i`I Household Appliances Door Entry DRG a Drug Store MULTI Multiple Suspects IND Industrial Equipment DG ❑ Double Swing DWY ❑ Driveway OCCUP Occupied Building JEW Jewelry DI Garage(overhead) 2P ❑i Duplex/Fourplex OFVFD Oflered Victim F000/Drink LIQ _ Liquor OF Single Swing FFS '`j Fast Food OFVRA 7. Oltered Victim Ride LtV ❑ Livestock DH ❑ Sliding GAD ❑ Garage Detached OFVS Offered Victim Sex MED ❑ Medical Equipment DJ ❑! Other GAS ❑ Gas Station ORALC r, Oral Copulation Inv. MIS ❑ Miscellaneous Other Entry GVT ❑ Government Facility PDISR Partially Disrobed(Suspe%) MOT Motorcycles/Mini bikes OP ❑; Basement SMS [ Grocery-Small Store PKLOT Parking Lot MUS ❑ Musical Instruments OK ❑ Floor MKT Grocery-Supermarket PRPEX ❑ Prepared Exit OFE ❑ Office Equipment 00 ❑ Ground Level HWY 17 Highway/Street/Road PPPAG Put Property in Bag PUP Purses/Wallets ON ❑ On Premises HOS Hospital PANS _ Ransacked RAD r! Radio/Stereo OL _i Roof HTO ❑ Hotel/Motel Office RIPCL Pipped Clothing COL 1=1 Rare Coins OR Upper Level HTR `: Hotel/Motel Room SELEC S,ective in Loot SLV Silverware OM F7 Wal; JEW Jewelry Store SMOKE Smoked on Premises SPD Sporting Goods 00 _I Unknown LAU _ Laundromat SARM Suspect Armed TEL 7 Television/VCRs UQ Liquor Store THRET Threatened Retaliation TOB ❑ Tobacco Products 15.ENTRY LOCATION MAL Mall TCONC _ Took Concealabies TOL Tools F Front MFG F7 Manufacturing Firm TDRUG _ Took Drugs/Narcotics VEH ❑ Vehicles(except motorcycles) R ❑ Rear MAR ! Marina/Dock/Wateriront TSTTV _ Took TV/Stereo Only S J Side MOV Movie/Playhouse TVMCL Took Victim's Clothes 12,PHYSICAL EVIDENCE O ❑ Other BKS _ Office Suppfy%Book/Stationery UID Under influence Drugs AC ❑ Accelerants OIL ^I Oil Company UNOCC Unoccupied Building AL Alcohol 16.NUMBER SUSPECTS PPK 77 Park/Playground ODORS Unusual Odors BL ❑ Blood. LOT `l Parking Lot UDEMN Used Demand Note CL ❑ Clothing 17,HOW WEAPON WAS USED RAL ❑' Railroad ULODR Used Lookout DC ❑ Documents COATP Coat Pocket RAP Rapid Transit/BART MATCH Used Matches DR L Drugs COVER " Covered RES Residential House USVEH Used Stolen Vehicle FP i! Fingerprints PROPK Front Pocket RST Restaurant UVNAM I_ Used Victim's Name GL ❑ Glass Fragments PANPK ❑ Hand in Pocket SAL Salvage/Wrecking Yard UVTOO _ Used Victim's Tools HA Hair HIPHO Hip Holster SCH r. School VANDL Vandalized MS !:: Mud/Soil LEFTH Left Hand SPT Sporting Goods Store VEHND Vehicle Needed 22,Distribution 23.Additional Routing �B _C DA _DE _L _0 _SR _V investigation i_Vice Narcotics `Juv Coroner 24.Reporting Deputy(Print) 25.Date/Time Written 26.Disposition i Property Ck. 7-ACS _Intell. R.O. SHC L{- C%.. _4 Patrol Captain Compl.Ofc. Marine Patrol -- --- -- 30.Page 28.ST29 Other CJf� �1'tC'GCor-� FORM C (Rev 2,89) CRIME ANALYSIS SUPPLEMENT CON4 .OSTA COUNTY SHERIFF'S DEPARTMEN. . I-AO070000 SUSPECT/VEHICLE PAGE P.O. Box 391,Martinez, California 94553-0039 1.DR No, 2.Crime/Classification 3.Detail code / 4. '1,:, „ �I k:� I �j � C Z .� 2 ` � Z -Felony� Misd �Arrest E:Cite 5.Victim Name(L,F) 6.Address/Location of Occurrence 7.Employee No. 8.SUSPECT BUILD 10.HAIR STYLE HAIR LENGTH/TYPE(CONT'D) 13.GENERAL APPEARANCE SPEECH(CONT'D) 123 123 123 123 123 U Ft= Unknown UNKN Unknown FINE Fine UN Unknown LSP Lm Lisp A Average AFRO Afro/Natural LONG [_�� Long BS B)ood-Shot Eyes LOU r Loud H Heavy BRAD Braided MEDI Medium CA Casual LOP I I Low Pitch M[m Muscular BUSH Bushy RCHL Receding Hairline CC Clean Cut RAP [m Rapid S [m Short CORN Cornrow SHAV Shaved CN ( Cocaine Nose SLO Slow L [m Slim CREW Crew Cut SHOR [ZT] Short DR �L I I Dirty SOF I Soft T Tall GRSY Greasy THTC [Z❑ Thick DS Disguise STU Stutter LONG ® Long THIN ® Thinning FL [m Flashy TLK Talkative MILT Military WIRY Wiry GIL Good Looking 15.DEMEANOR 9.COMPLEXION PONY Ponytail 12.FACIAL HAIR ML j+ Military 1 2 3 1 2 3 PROC Processed 1 2 3 TM Track Marks LINK Unknown UK Unknown PUNK Punk Rock UNKN Unknown UK Unkempt ANG Angry AC Acne STRA Straight CLSH Clean Shaven UO ! 1 I Unusual Odor APO :T] Apologetic DR [m Dark WVCL m Wavy/Curly FUMA Fu Manchu WG l Well-Groomed CAL Calm FR Freckled WIG Wig FULB [ Full Beard EFF Effeminate LT m Light FUZY Fuzzy(Youth) 14.SPEECH IRR Irrational ME Medium 11.HAIR LENGTH/TYPE GOAT Goatee 1 2 3 NER Nervous PA Pale 1 2 3 LOWL Lower Lip Hair LINK Unknown POL T] Polite PM Pock Marked UNKN � Unknown MUST Mustache ACCO Accent PFM Profane RU (� Ruddy BALD Bald SIDE Sideburns DISC Disguised PRO Professional TA Tanned CRS m Coarse UNSH C ID Unshaven HIP i ; I High Pitch VIO Violent 16.Weapon used by suspect:Describe in full(handgun,knife,icepick,color,length,caliber,etc.) Suspect 1: Suspect 2: Suspect 3: 17.Additional description(hat,mask,glasses,clothing,gloves,deformities,tattoos,etc.) Suspect t: uJ.1l"C `i ..:':_� t+r l�� a c� c�r:) ••�T t Suspect 2: i Suspect 3: 18.Type of Vehicle 1 Type of Vehicle 2 Type of Vehicle 3 (Make.Model,etc.) (Make,Model,etc.) (Make.Model,etc.) 19.GENERAL CONDITION 22.TYPE OF WHEELS 25.SPECIAL FEATURES 27.DAMAGE 123 123 123 123 E Excellent CHROM Chrome Rims UNKNO i Unknown UNKr Unknown G Good MAGS Mags LVALT Altered Suspension FRO Front F Fair UNIQU Oversized DECPT Custom Paint LEF Left P Poor SPOKE m Spoked DANFT r- Damage/Front NON None 20,INTERIOR DESCRIPTIONDAMSD ( Damage/Side REA Rear 1 2 3 23.TYPE OF WINDOWS EXANTJ Extra Antenna/Spotlight RIG. Right i UNKNO �_ Unknown 1 2 3 LDMUF ' Loud Muffler SID J Side UNKNO Unknown MISPT [ L Missing Parts 28.LIGHTS OUT BENST �, Bench Seats BKCWS ! i I '' Broken/Cracked WS PTINS (�;� Painted Inscription 1 2 3 BKTST i , i Bucket Seats BKWLS Broken Left Side RSTPR Rust/Primer UN Unknown CUSTM ( Custom Interior* BKCRW Broken Rear Window SPRWT l ! Special Wheels/Tires HL : Head Light EOADM I I Equip.Added/Missing' BKWRS Broken Right Side STK88 Stckr./Decal on Body/Bmpc LF Left Front FLSHT Floor Shift COVRWCovered Windows STKWI Sticker/Decal on Window LR Left Rear ITHGM r L l� Hanging from Mirror' 'T_ ITREW � Items In Rear Window' CUATN ,rTr I Curtains VNLTP ; Vinyl Top RF Right Front AP ST EW Stereo/Tape DECPQ Decal/Plaque In Window WINBK Window Broken RR Right Rear STKDC ( Sticker/Decal' TINTW Tinted Windows OTHER TL Tail Light Light* UNIPU Unique Item' OL Other Li 24.TIRE PATTERN 26.EXTERIOR DESCRIPTION Dg escribe 'Describe 1 2 3 21.VEHICLE MODIFIED? UNKSURE SUSPECT VEHICLES RE Unknown BE 1,2 and 3 CORRESPOND j WITH SUSPECT VEHICLES 1 2 3 DRKRE Dark/Reflective Windows FRONT [� Front ROLLS Roll Bar � LORID n-' Low Rider SUNROl= Sunroof 1,2 and 3 ON FORM A LOWER Lowered TTOPS L T Top 29.NUMBER OF OCCUPANTS RAISE Raised Vehicle No.1 REAR m Rear Vehicle No.2 OTHER Vehicle No.3 30,Additional Info.: 31.Distribution 32.Additional Routing ❑B ❑C ❑DA EDE ❑L `O 7SR ❑V 17 Investigation `I Vice ❑Narcotics ❑Juv ❑Coroner 33.Reporting Deputy(Print) 34.Date/Time Written 35 Disposition Property Ck. U ACS Intell. R.O. U SHC Patrol Captain r',,Compl.Ofc. J Marine Patrol 36.ApQrOupv.fPnhtl j� 37.�u do./ 13glp 39.Page i Other ll ct FORM D fRev.2/89) -!' CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA JUN 1 11990 Claim Against the County, or District governed by) BOARD AW>Y COUNSEL the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT 99 CALiF. JULY 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: Undetermined Section 913 and 915.4. Please note all "Warnings". CLAIMANT: PEREZ, Laura M. ATTORNEY: Date received ADDRESS: 4304 Lorenzetti Avenue BY DELIVERY TO CLERK ON June 8, 1990 (hand delivered) Oakley, CA 94561 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: June 11, 1990 RAIL BATCHELOR, Clerk eputX__ 3�=aa� 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: �Iz go BY: /J Deputy County Counsel v 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: ,)��L 1 0 19 90 PHIL BATCHELOR, Clerk, /By4 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: JU L 13 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND OR NON-ACCEPTANCE OF CLAIM TO: Lau M. Perez 4304 L enzetti Ave. Oakley, C 94561 Re: Claim of LAURA M. PEREZ 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. x 5 . The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000) . If the claim totals less than ten thousand dollars ($10, 000) , the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ($10,000) , the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. x 6 . The claim is not signed by the claimant or by some person on his behalf . 7 . Other: VICTOR J. WESTMAN County Counsel By: l Deputy CbtT ty Counsel CERTIFICATE OF SERVICE BY MAIL C.C.P. §§ 1012, 1013a, 2015 .5; Evid. C. §§ 641, 664 ) My business address is the County Counsel' s Office of Contra Costa County, Co. Admin. Bldg. , P.O. Box 69, Martinez, California, 94553, and I am a citizen of the United States, over 18 years of age, employed in Contra Costa County, and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non Acceptance of Claim by placing it in an envelope(s) addressed as shown above (which is/are place(s) having delivery service by U.S. Mail) , which envelope(s) was then sealed and postage fully prepaid thereon, and thereafter was, on this day deposited in the U.S. Mail at Martinez/Concord, Contra Costa County, California. I certify under penalty of perjury that the foregoing is true and correct. Dated: D� �� , at Martinez, California. a cc: Clerk of the Board of Supervisors (original Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM: GOV.C.§§ 910, 910 . 2, 920 .4, 910 . 8 ) :L.AIM. TCS' BOARD OF SUPERVISORS OF rD23�'I'A 0 �g "T'v e'ur inAl appllcatlon to: Instructions Clerk of me Board P. 0.Box 911 Martinez„ Calitornit 94533 A. Claims relating to causes of action for cera oz zor irf:3ury to person or to personal property or growim.g ;c-r- ps must be presented not later than the 100th day after the acc=rual of the cause of action. Claims relating to any other -.=se crf :action must be presented not later than one year after t�- •arrrual of the cause of action. (Sec. 911. 2, Govt. Code) B. Claims must be- filed with the Clerk of the Board of Sunervisors at its office in Room 106 , County „Admi-n stra-tion Building, 651 Pine Street, Martinez , California 94553. C. If claim is against a district governe'- ,� lav t;e Board of Sua_ ervisors , rather than the County, the name of the Lis,tri.ct should be filled in. D. If the claim is against more than one aa-uubliz. -nt ty_ , separate claims must be filed against each. public ent=ry.. E. Fraud. See penalty for fraudulent cle..i.=, 7—emp_1 Code Sec. 72 at end of this form. RE: Claim by ) Res;e=,&,d for Clerk' s filing stamps .7 P LE-CH� Against the -rOUNTY OF CONTP.A COSTA) JUN 8 1990 or ' DISTRICT) PHI:BATCHFiOR (Fill 1:1 name CLERK 80AW 'F SUPERVISORS CONT TA CO. • g e ut . The undersigned claimant hereby makes-- claim ag. s st the ounty of Contra Costa or the above-named District in the s, m zof $ ,4//tJ Nr, Cry ' and in support of this claim” represents as: .. zall�7s_ T ------------------------------------------ -__�__-------------------- l. When did the damage or injury occur? :(,Give -enact date and hour) o�# --------------------------------- ------ -- -----_ ------------ 2. Where did .the damage or injury occur? (Incivde city and county) -------------------------------------------.---.--_------------------------ 3. How did the damage or injury occur? `(`Give i-nl1 details , use extra sheets if required) wwl --- -- — --------------------- 9 . What particular act or omission on the Fart county or district officers , servants or employees causes: the jury or damage? (over) iat. ar.e..the..names of county or district z,6 j.. ' J employees::causing the damage or injury? 1 ---------------- '---------------------------e,. . .—.���.,—.— .— .+..��—..------- . �4hat damage or injuries do you claim res:.z.'t: ::� (4 ve =�a Qf Ment of injuries or damages claimed. Attach tmim ce5,tttma z = t,m�to damage) - ---- 7 . How was the amount claimed above computes` c._ ,-5p- am, p ttimated amount of any prospective injury or d )� -------------------------- ------------------__ -_-:�y__:_.�,___ ------- S. Names and addresses of witnesses , doctors3 : sd : 9 . List the expenditures you made on account o+ t a`a- ai �.injury. DATE-- a _ ` I TE2�! 1 T _••..<F..•.....w 4'n-'a..a. _.Y ,:C^w>t..- . GOxrt.O C.:� 5:- _provides : "TailiaiTkni s (zn -d }}fir claimant SEND NOTICES TO (Attorney) or w s=e-- behal` " Name and Address 94-4r4t_et-Tr,.ey TelephonNb. Ifto., *************ic*******************�:**�:**ic****�1,-��ri.�ctickyr.*':�*.:•ICr�itT�.Cr•khdk'i�r*****•his* NOTICE Section 72 of the Penal Code provides: "Every person whb, with intert to defrardl,, p� n?tz; ftm aUxm rance or for payment to any state',• board or off icer , or tm) an-�3P t r,g ttvum„ city district, ward or village board or officer, tm� aZ]mw ®r pay the same if genuine , anv false or fraudulent c sn,a hd-rLt,, az==t , voucher, or writing , is guilty of a felony. " CLAIM f,3-5 emceiven BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA J Claim Against the County, or District governed by) BOARD ACTION �4Q the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JULY 1MgRj UNSEL and Board Action. All Section references are to ) The copy of this document mailed to you is your noti eWF, California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: Undetermined Section 913 and 915.4. Please note all "Warnings". CLAIMANT: SAFEWAY STORES, INC. ATTORNEY: Jolie Krakauer, Esq. Martin, Ryan & Andrada Date received ADDRESS: Ordway Building, Suite 2275 BY 'DELIVERY TO CLERK ON June 8, 1990 ; One Kaiser Plaza Federal Exp. 3604512623" Oakland, CA 94.612 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. ppHH gg DATED: June 11, 1990 BYIL DeTutELOR, Clerk P y II. FROM: County Counsel TO: Clerk of the Board of Su sors ~(� ) 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: G 2 BY: I q o ,,- J. / Deputy County Counsel _0 - 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 RD - 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: J U L 10 19(�J0 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sec 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: J U L 13 1994 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator ' LAW OFFICES OF MARTIN, RYAN & ANDRADA GERALD P. MARTIN,JR. A PROFESSIONAL CORPORATION " JOSEPH D. RYAN ORDWAY BUILDING,SUITE 2275 J.RANDALL ANDRADA JOLIE KRAKAUER ONE KAISER PLAZA JILL J. LIFTER OAKLAND,CALIFORNIA 94612 KEITH I. CHRESTIONSON TELEPHONE:(415)763-6510 STEPHEN F. RILEY _ GLENN GOULD FAX:(415)763-3921 ALISON ILEEN SCOTT JULIE ANN CANDOLI June 7, 1990 FEDERAL EXPRESS MAIL TRANSMITTAL MEMO TO: Clerk of the Board of Supervisors 651 Pine Street, Room 106 Martinez, CA 94553 SUBJECT: SAFEWAY FIRE Monerletia Mott, et al. v. Safeway Stores, Inc. Our File No: S 831 ENCLOSURES: Original and a copy of a claim against Contra Costa County Health Department and a return envelope. REQUESTED ACTION: Please stamp the copy received and return the copy to this office in the envelope provided. YOUR COURTESY IS APPRECIATED Yours very truly MARTIN, RYAN & ANDRADA B 4 Nancy Far a-fiesh, Secretary to JOLIE KR K UER MARTIN, RYAN & ANDRADA � A Professional Corporation Ordway Building, Suite 2275 d 20.2 One Kaiser Plaza c Oakland, CA 94612 f:• ;o (415) 763-6510 JUN v 1990 Attorneys for Claimant PHIL BATCHELOR SAFEWAY STORES, INC. L K BOARD OF U�PE�RpVI.SOZS By �e�Q`... De ut CLAIM AGAINST BAY AREA AIR QUALITY MANAGEMENT DISTRICT, TO: CLERK OF THE BOARD OF SUPERVISORS, 651 Pine Street, Room 106, Martinez, CA 94553: SAFEWAY STORES , INC. hereby makes a claim against the CONTRA COSTA COUNTY HEALTH DEPARTMENT and makes the following statement in support thereof: 1. Claimant ' s post office address is: SAFEWAY STORES , INC. , 201 - 4th Street, Oakland, California 94607 . 2. Notices concerning the claim should be sent to Gerald P. Martin, Jr . , Martin,-. Ryan & Andrada, One Kaiser Plaza, Suite 2275, Oakland, CA 94612. 3. The date and place of the occurrence giving rise to this claim are as follows: On or about December 8, 1989 SAFEWAY STORES , INC. was served with a complaint captioned Monerletia Mott, et al. v. Safeway Stores, Inc. , et al. (Case .No. 658660-5) . The action was filed in the Superior Court of California, County of Alameda. 4. The circumstances giving rise to liability are as follows: SAFEWAY STORES, INC. owned and operated a distribution center warehouse at 2900 Hoffman Boulevard, City of Richmond, County of Contra Costa, State of California. On July 11, 1988, there was a fire in the warehouse. The fire burned for a number of days. The above-described lawsuit involves claims by plaintiffs for personal injury and property damage as a result of -1- JF exposure to smoke from the July 11, 1988 fire at the Safeway distribution center warehouse in Richmond, California. Among other allegations, plaintiffs contend that the fire should have been extinguished immediately and that plaintiffs should have been evacuated. Safeway contends that the Contra Costa County Health Department was responsible for monitoring the air quality in the area of the fire, advising community residents with regard to air quality, evacuating the area if necessary, rendering advice to the Richmond Fire Department regarding the necessity for extinguishing the fire, and for issuing any health advisories necessitated by the fire. The Contra Costa County Health Department was also responsible for monitoring the presence of toxins, if any, and rendering health advisories, if any such advisories were necessary. As a result of the Contra Costa County Health Department' s failure to properly manage the Safeway fire and its aftermath, claimant contends that it is entitled to indemnity for the damages sought in the above-described complaint. 5. General Description of Injury, Damage or Loss Incurred: Claimant is entitled to equitable or partial indemnity from the Bay Area Air Quality Management District pursuant to Greyhound Lines, Inc. v. County of Santa Clara (1986) 187 Cal.App. 3d 480. The indemnity to which claimant is entitled extends not only to the complaint set forth above, but to any subsequent complaints or cross-complaints brought against claimant based on the above-described occurrences. 6. Jurisdiction over this claim would rest in Superior Court. 7 . The names of the public employees causing claimant' s damages are unknown. 8 . The amount of the claim and the basis for its computation have yet to be determined. DATED: tJqD t MARTIN, RYAN & ANDRADA A Professional Corporation By -2- PROOF OF SERVICE BY MAIL - C.C.P. §91013a, 2015. 5 I , NANCY FARDANESH, certify that I am over the age of 18 years and not a party to the within action; that my business address is One Kaiser Plaza, Suite 2275, Oakland, California; and that on this date I placed a true copy of the foregoing document (s) entitled: CLAIM AGAINST CONTRA COSTA COUNTY HEALTH DEPARTMENT on the parties in this action by placing a true copy thereof in a sealed envelope addressed as follows: Clerk of the Board of Supervisors 651 Pine Street, Room 106 Martinez, CA 94553 XX (By Overnight Courier) I caused each envelope, with postage fully prepaid, to be sent by Federal Express (By Mail) I caused each envelope with postage fully prepaid to be placed for collection and mailing following the ordinary business practices of Martin, Ryan & Andrada. (By Hand) I caused each envelope to be delivered by hand to the offices listed above. (By Telecopy) I caused each document to be sent by Automatic Telecopier to the following number : I declare under penalty of perjury that the foregoing is true and correct. Executed on (Q `07 , at Oakla d, California. NANCY f!ARDANESH -3- 135 CLAIM RECE9VE® BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA JUIN 11199(1 Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JY UNSEL JULY 111�R'ii�J9e., F. 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: $300-00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: THEUS, Bruce ATTORNEY: Date received ADDRESS: P.O. Box 266 BY `DELIVERY TO CLERK ON June 7, 1990 (P.O. Box) Natchitoches, LA 71457 BY MAIL POSTMARKED: June 1, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: June 11, 1990 PpHHIL BATCHELOR, Clerk BY: eputy 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 Iz 10 BY: I 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. BOAR�This By unanimous vote of the Supervisors present ( laim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: J U L 10 1990 PHIL BATCHELOR, Clerk, B Deputy Clerk WARNING (Gov. code se 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 Po'stal 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: J U L 13 1990 BY: PHIL BATCHELOR b Deputy Clerk CC: County Counsel County Administrator ..LAIN,- TO.- BOARD OF SUPERVISORS OF CONTRA COERTe,urWi 1m5S1applicationt0: Instructions to Claimant Clerk of the Board P. O. Box 911' A. Claims relating to causes of action for death or rorniriJu`rly�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. If claim is against a district governed by the Board of Suo_ ervisors , rather than the County, the name of the District should be filled in. D. If the claim is against more than one- public entity, separate claims must be filed against each- public- entity. E. Fraud. See penalty for fraudulent claims , Pen4l Code Sec. 72 at end Of: :his form. RE: Claim by .) Reserved for Clerk' s filing stamps F-1 1 ECFP7� AcJain.st_ the `'COUNTY OF CONTRA COSTA) : JUN 71990 or DISTRICT) , (Fill in name) PHLRA•CHElOz c,eaK soAI RD or SUPER-.OR a CONTRA COSTA c . The undersigned claimant hereby makes claim agar f Contra Costa or the above-named District in the sum of $ :3.0c) (pz) 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? (Inc ude city and county)3. How did the damage or injury occur? (Give full details , use extra sheets if required) -T1\eNc was *wo d\ow:,oAJ gold QAj-r�,Ar� 0aS. row\ upor, rn.{ o,rresA aid placed la, Aepuo�Qr_•4y roo,N• a� Jkt Con+r4 Cos�A Cs%wt�:(" 3c,:1 bQ-,V vNv\ Onq re;�-vrv\�pe tJa�c�3�oces �tr�s{��o�1 iR i�cs. e�Loclles'1 Qart��S wa.s lns�'�.r,� e -----------.----------------------------------------- 9 What particular act or omission on the part of county or district officers , servants or employees caused the injury or damage?-. _ 7�py wetE fleger.� Lnos\Z,,g prapea��y w�nlc(� `��e � 'ullY wms OaJaLre 0-f C ar\%n9 4(- p t^w_Al , (over) '.:5..:.:•f zat ar.e.:the...names of county or district officers, servants or employees::causing the damage or injury? T}.e PQrson rta�we, �+i k�o�•� j (xaPP-, -• Q, 'p ©. . ` I�'8S sheer x.11 •b� oriaa.-� -Fo o'v -'6r i2vie,w , CLS `� y dv seQ- o A Mc�a4+J� d,�JAL+ 5�9n a •rekA!Ce, -�� � met eL(f ----------------------------------------------- -------y---------------- 6 . What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) -rhe, d0 Y e is AQ- last 04 my -� e1*1QLWO C1 c ,(l e-arc,�ep ,.Wkl,.k w4� P��cele ss 6ex0, P-�e.q wtre. %%vw^ 6 r&o-, 6y " ftoAe,r qs q %i : t,O�ae�. h cid c�.yal�9e ok G.p?roxAMa&elyiL3©O"tic 7 . How-was the amount claimed above computed? (Include the estimated amount of any prospective injury or. damage. ) +t\Q. ctmt;VY 0. -�\Q- @,ocrtr\c�S a.Y� �1�Q,se eam�tt gS wQrQ, IDp°�.�o td, w�•4�n re�.l c��o,,�na,�dS , l�l K --------------------------------------------------------- QArr 8. Names and addresses of witnesses , doctors and hospitals �Puft T\afPRS 6- 41q- e_s Coula orLY PisoLIidQ You w u9he,�4 bQt:ev a w; l Vie.\iP y o O i r\ ?s Y► cL4Q-r. The A4�-o pao p l e u3o brQv9h�' rr.Q he ire No &Nc n+eS P.,kk \Sai Ms. Wrk1 a'- �e. a-,�.r� eG E-,kA'Y`cLA..N Viov\. COQ'�+pO�YtY 1 ri OAS Me-;K,%CO . ------------------------------------------------------------------------- 9 . List the expenditures you made on account of this accident or injury: DATE _ ` ITEM AMOUNT O.o ne, Govt. Code Sec. 910 .2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorne.y) or by some Derson on his behalf. " Name and Address of Attorney Claiman ' s Signature Address ti�a�chiloches, ka-uin,nn Telephone No. - t Telephone No. (31g,�5�-eoq3 - NOTICE Section 72 of the Penal Code provides: "Every person who, with intert to defraud, presents for allowance or for payment to any state, board or officer , or to any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine , any false 'or fraudulent claim, bill , account , voucher or writing , is guilty of a felony. " PROPERTY/CLOTHING RECEIPT CONTRA COSTA COUNTY REC. No- 74403 umm1 7,, 0 , 7 DATE: � �TIME: PsoenoxiWFC° NAME:? �4 C� hA �WCJC . BOOKING NBR: OTHER I -CASH: _$ ❑ SHIRT/BLOUSE ❑ DRESS i C❑ COAT/JACKET ❑ TIE/SCARF ❑_SHOR WRANTIES JEWELRY ❑,•SOCKS`/NYLONS: ❑ SWEATER/SWT SHIRT WATCH C❑ BELT=, - a LU PANTSZ KI RT ❑ .SHOES/BOOTS ` . T SHIRT/B ❑ RA ❑.WALLET `- ❑ HAT/PURSE.. r: ❑.KEYS : ".. ❑,;.KNFFE�' .. '❑..GLASSES - ❑_OTHER'_" B K G OFC X 4 INMATE SIGNATURE I have received--'all .of my:per- DATE: sonal property,;. and clothing. I REL OFC: X t INMATE SIGNATURE a -0, Z n0� m r- • rid • o ~�� 4 c_. Z CJ CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA RECEIVE® Claim Against the County, or District governed by) BOARD AC7q,'oN N the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JULY 10ep& 4 0C01MSEi and Board Action. All Section references are to ) The copy of this document mailed to you is yourlVa.Q;iJ1t;gtZp C w: California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code "apount: $983.37 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: WEEMAN, Richard E. 4163 Camden Avenue ATTORNEY: San Jose, CA 95124 Date received ADDRESS: BY DELIVERY TO CLERK ON June 11, 1990 BY MAIL POSTMARKED: June 8, 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: June 11, 1990 gtIL DeputyLOR, Clerk II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and'910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: IIZ-I BY: ' Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDE 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. t1 Dated: J U L 10 1990 PHIL BATCHELOR, Clerk, ByZZ Deputy Clerk WARNING (Gov. code s 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: JUL 13 1994 BY: PHIL BATCHELOR by �iDeputy Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to'per- sonal property or growing crops and'which accrue on' or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. . Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of -action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec.­72 at the end of this form. RE: Claim By ) ReserE;Z' n stamp Against the County of Contra Costa ) or SDistrict) e Fill in name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents as follows: ---------------------------------------------------------------------------------- i• Whe:: did the ..i.. n�s?8 _njnry:�c r? (Give ex c date and hour) ___________________ _______________ 2. Where did- thedamag a or in ' occur? (Include city and 6ounty) J�''3' --� - ---��-�- ---- Q-- --------------- 3. How did the damage.or injury occur? (Give full details- a tra pa r if req fired) � G 1}hf jCM1 6� 4\Q tJ1& 1 4. What particular act or omission on the part of county or district officers, servants or emps caused the injury or damage? Rloy (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury.> 6. What damage or injuries do you claim resulted? (Give full xtent of injuries or damages claimed. Attach two estimates for auto damage. _1----------M--------------____ 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) ------ -11�---- ------ - - ------------------------------------- 8. Names and addresses of witnes s, doctors and hospitals. _ ------------------ S _- = 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT M eQ� c Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES T0: (Attorney)'.. or b some person on his behalf." Name and Address of. Attorney,, ,• Claimant's Signat Address CkWems. Telephone No. I Telephone No. N OT I C E Section 72 ci the Penal. Code provides: ".Every person who,; with intent to defraud, presents for allowance or for payment to,any state board orIofficer, 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. ` 562 K C C)L-L _ 1 E; 1 Cb 1\E 18\9 c: B.A.R # AG141O82 870 COMMERCIAL ST a SAN JOSE5 CA 92131 (408) 436-1400 EST I MATE # 562 by BOBBY Date! 04-26-1991: Timel 1x':11 RICHARD WEEMAN--r4163 CAMDEN AVE Remarks IDAMAGE RR Adjusterl SAN JOSE. CA 95124 License 12892025 Appraisel Home 1408 265 6471 Ser # I Claimant{ Work: 1408 436 1350Rate Codel Insured I 85 TOYOTA TOYOTA PICKUP'+ In/Out Mil Policy #1 Style I IPt. 1 PQuct!bIF $0.00 Claim #- I # DESCRIPTION EST PRICE I LABOR I PAINT I 1 NEW REAR BUMPER STEP TYPE EAR 1 186. 10 1 1 .0 1 1 2 NEW BRKT LFT RT 1 110.50 1 1.0 r 1 1 3 NEW BUMPER EMD COVER 1 35.99 1 0.5 1 1 4 REPAIR AL16N OTR POST LFT 1 1 2.0 1 4.2 1 5 RESTRIPE PCK6 4$ OPEN *i 1 ! 1 1 6 R&I TAILLAMP LFT 1 1 tray 1 1 7 BLEND TINT I 1 0.5 1 1 8 COVER VEHICLE 1 8.00 1 0.3 1 1 9 COLOR MATCH /POLISH I 1 1 .0 1 I ESTIMATE SUMMARY Labor Descri tine Items BODY LAB 6.8 @ 48.00 326.40 1 REF MATERIAL 84.00 FRAME LAB Q.o @ 54.oO 0.00 1 BDY MATERIAL 0.0o MECH LAB 0.0 @ 54.00 0.00 1 SUBLET SERV 0.00 .0 @ 0.00 0.00 1 TISTORAGE 0.0o 11 .c_r Labor hrs. TFems --4c14.517 Labor 528.Oo Subtotal ubt oott�a ll 952.59 Tax @537250 3 Grand Total $983.37 * * * �� Part Prices Subject to Invoice * # * * AUTHORIZED AND ACCEPTED: You are hereby authorized to make the above specified repairs. I understand that payment in full will be he upon release of vehicle, including additional supplemental damage charges, and hereby grant you and/or your employees permission to operate the car, truck or vehicle herein described on street, highways or elsewhere for the purpose ;f testing and/or inspection. An express mechanic's lien is hereby acknowledged on above car, truck or vehicle to secure the amount of repairs thereto. You will not be held responsible for loss or damage to vehicle or articles left in vehicle in case or fire, theft, accident or any other cause beyond your control OLD FARTS ARE JUNKED UNLESS INSTRUCTED!!! ESTIMATE authorized by----------------------------------------date .................... THANK YOU FOR COMING TO OUR SHOP FOR YOUR REPAIRS # ESTIMATE FORM ADDRESS Y R MAKE OF CAR TYPE LICENSE NUMBER DATE SERIAL NO. 1p�o I 1 0-4 INSURED BY ADJUSTER MANUFATURE DATE PHONE ❑Home ❑Business R'pr R'pl Labor Refinish Parts Sublet �/ Roaf 0 l �6 r fDqA m RECAPITULATION LABOR HRS.77� @$ !44 ' $308 T _ H-i — = PARTS $ 2- 2- 1 MATERIAL $ � - 3 TAX $� QUALITY AUTO PAINTING & BODY WORK SUBLET $- 730-L North 9th Street • San Jose, CA 95112 • 408/294-2001 TOWING $ 6� TOTAL $ +.� Y J ,�•� KBO ZLl56;eiujo{qeso�t1 e ��anoj uailbun/ lg' saui7 ug ON EfiVn out ,swgjsAs, ujegw• T Ct 717M.0 t -� AMENDED CLAIM /r 3� 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 JULY 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: $ 300 . 00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: ANDERSON , Rodney Lee ATTORNEY: Date received ADDRESS: P. O. Bax. C #68698 BY DELIVERY TO CLERK ON June 15, 1990 (transmittal) Tamal , CA 94964 BY MAIL POSTMARKED: June 14 , 1990 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PpHHIL BATCHELOR, Clerk DATED: June 19 , 1990 BY: Deputy II.\FROM: County Counsel TO: Clerk of the Board o 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: C. 76 BY: )- Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Admi 'strator (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: J U L 10 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sec 13) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JUL 13 1990 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator i i JuN 15 1990 /7 cou" cou+vsa ��a"i' time•�.:�..� ` C�OR/K�.BCA."D Of SUP2..lV:SQRS C^�' r05'ACO -- — o r w — - - I - a , pvc TM,' TCS '. BOARD OF SUPERVISORS OF CONTRA CO�Te�t'ur�fg i 11 v application tp; Instructions to Claimant Clerk of the Board P.O.Box 911 A. Claims relating to causes of action for death or forf1ein�u ynto�533 person or to personal property or growing crops must be presented not later than the laOth 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. Frand. SeP penalty for f-raudulent clairns, Penal Code Sec. 12- -'at end oZ his Corm. RE: Claim by ) Reserved for Clerk' s filing stamps L ti ) 13rxC- ' - RECEIVED -A.M lot .-(::A �. 9 4 ) Against the COUNTY OF CONTRA COSTA). JUN 1 1990 or NR-12t Sok fit . DISTRICT) a PH;L BATCHEL02 - CLERK BOARD SUP '15ORS (Fill in name) ) CON?RA o. p ................ ... ur - The undersigned claimant hereby makes claim acains - e County of Contra Costa or the above-named District in the' sum of $ 300� ' and in support of this claim represents as follows : ---------------------------*%1-1 ------------------------------------------ 1. When did the damage or in' ry occur? (Give exact date and hour) V1 S J (rnA U vs �,.� s LaST t7. N R 6 $doK i�►/�, Y. - - --- -------Where did the damage or injury - occur? (I-nclude-------city-- -and-county)---- I oo © {�T Ca. c.v, C� . TAX 4 , APA/2T-r- i �. 3 How did the damage or injury occur? (Give full details, use extra- sheets if required) 7 "�I llw� � '�' �Lw- t f-- tL �"'��.�� Q►_ i:� � 9 . What particccular act or omission on-the part or county-or district officers , servants or employees caused the. in�ury or damage? (over) I ;5..:.:•.Jr zat.. ar.e.,the_names of county or district officers , servants or I employees.9causing the damage or injury? ------ - - - ---------------------------------------------------- 6. Wh-at-d-amage- ---or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage) _,J, �/ Zoo �yci,aG� !�'c.,t- •__ , 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) AO .�����2�IN/{�/ ��IIY C�.��/������4� j �v.•r 6:`C'Y'.-!+'i�,�A,JI_r��117,� _-_--_ S. Names and addresses of witnesses , doctors and hospitals . k __ _ -- - ---- ------------------ List the expenditures you made on account of this ac-cident or injury DATE ITEId / 7--MOUNT cJ Govt. Code Sec. 910.2 provides : "The claim signed by the claimant SEND NOTICES TO: (Attorney) or by some Derson on his behalf. " Name and Address of 'Attorney Claimant ' s Signature Address Telephone No. - ; Telephone No ..... NOTICE Section 72 of the Penal Code provides: "Every person whb, with intert to defraud, presents for allowance or for payment to any state, board or officer, or to any county, town, city district, ward or village board or officer, authorized to allow or pay the same if genuine , any false or fraudulent claim, bill, account , voucher, or writing , is guilty of a felony. " i 10 �w T-•Y H(57 \ \( DO,: O � -a AMENDED CLAIM 1. 3-5 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 JULY 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: Undetermined Section 913 and 915.4. Please note all "Warnings". CLAIMANT: RODRIGUES, Cecilia Miguel ATTORNEY: James E . Cox Cox, Garrett & Lally Date received ADDRESS: Court & Mellus Streets BY DELIVERY TO CLERK ON June 26 , 1990 Chanel delivered P. O. Box 111 Martinez , CA 94553 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PPHHIL BATCHELOR, Cler3 DATED: June 27 , 1990 BY: Deputy II. FROM: County Counsel TO: Clerk of the Board of visors —."(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: BY: S /� Deputy County Counsel TQ 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. BOAR�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: J U L 10 1990 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code se ' 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: J U L 13 19JU BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator I JAMES E. COX DAVID R. FISCHER RECEIV_E0 2 COX, GARRETT & LALLY A Professional: Corporation .UN 2 619M 3 Court & Mellus Streets .3o Post Office Box 111 4 Martinez , California 94553 ?'LERK 80AR0 OF SUPERVISOR1 Telephone : (415) 228=7300 coNtR - tzsTac . - - ' 5 Attorneys for Claimant 6 CECILIA MIGUEL RODRIGUES 7 8 BOARD OF SUPERVISORS -- COUNTY OF CONTRA COSTA 9 10 In Re: Claim By ) 11 CECILIA MIGUEL RODRIGUES, ) 12 V. ) AMENDED CLAIM 13 COUNTY OF CONTRA COSTA, ) 14 ) 15 The undersigned claimant hereby amends her claim filed on 16 May 25 , 1990 and submits the following as an amended claim against 17 the County of Contra Costa . Pursuant to Government Code §910 18 claimant makes the following representations in support of this 19 amended claim: 20 (a) The name and post office address of the claimant is as 21 follows: Cecilia Miguel Rodrigues , Route 3 , Box 1 , Oakley, 22 California 94561 . 23 (b) The post office address to which the person presenting 24 the claim desires notices to be sent is as follows : James E. Cox, 25 Esq. , Cox, Garrett & Lally, A Professional Corporation , Post Office 26 Box 111 , Martinez , California 94553 . 27 28 -1- 1 (c) The date, place and other circumstances of the 2 occurrence or transaction which gave rise to the claim asserted 3 are as follows: 4 Claimant is the owner of Contra Costa County Assessor ' s 5 Parcel No. 37-200-001 , situated in Oakley, California. A portion 6 of claimant ' s property is presently involved in an eminent domain 7 proceeding entitled County of Contra Costa v . Cecilia Miguel 8 Rodrigues , Contra Costa County Superior Court Action No . 306985 , 9 and will be herein referred to as the "TAKE PARCEL" . Said eminent 10 domain proceeding involves land necessary for the Vintage Parkway 11 railroad overcrossing in Oakley, California . The portion of 12 claimant 's parcel which is not being condemned will be herein 13 referred to as "CLAIMANT'S RB4AINDER PARCEL" . 14 The Hofmann Company, as agent for the County, has constructed 15 a portion of Vintage Parkway on the TAKE PARCEL. 16 The Hofmann Company and the County of Contra Costa , knowing 17 that the soils in the area were of a sandy character , proceeded 18 to construct an approximate four to six foot high vertical cut on 19 the TAKE PARCEL, immediately adjacent to CLAIMANT'S REMAINDER 20 PARCEL. This caused CLAIMANT'S REMAINDER PARCEL to become 21 approximately four to six feet higher than the grade of the adjacent 22 Vintage Parkway. During the construction of Vintage Parkway, The 23 Hofmann Company and the County of Contra Costa, willfully and in 24 a conscious disregard for claimant and her property, failed to 25 construct any retaining wall or take any other measures to protect 26 CLA IMANT'.S RIMA I NDER PARCEL. 27 Claimant is informed and believes that , at various times 28 during the construction of Vintage Parkway, several employees of -2- 1 the County and of The Hofmann Company trespassed on CLAIMANT' S 2 RIMAINDER PARCEL. Also, dust and airborne dirt were allowed to 3 enter onto CLAIMANT'S REMAINDER PARCEL as a result of the 4 construction of the Parkway. 5 On ' several occasions during the construction of Vintage 6 Parkway, agents and representatives of The Hofmann Company 7 harrassed and threatened claimant and attempted to coerce claimant 8 into accepting inadequate compensation for some of the acts alleged 9 in this claim. Further , The Hofmann Company in its capacity as 10 the agent of the County, engaged in other oppressive, unethical , 11 and malicious conduct in and about CLAIMANT' S RIMAINDER PARCEL 12 intending to cause, and actually causing, grave and serious injury 13 to the claimant . 14 Due to the adjacent construction of Vintage Parkway, 15 claimant ' s land has been left without lateral and subjacent support . 16 Due to subsequent rain and erosion, portions of CLAIMANT' S REMAINDER 17 PARCEL have slipped away. In addition to damage to CLAIMANT'S 18 RI~MAINDER PARCEL, claimant ' s fruit orchard has been damaged by 19 such slippage and lack of support . Furthermore the actions of the 20 County and its agent , The Hofmann Company, have resulted in a loss 21 of value to CLAIMANT'S RMAINDER PARCEL. Claimant has suffered 22 personal injury in addition to the damage to her land in that she , 23 as a proximate result of the tortious conduct described, has 24 suffered severe emotional distress . 25 Claimant is informed and believes that the County employee 26 in charge of the Vintage Parkway project is Mitch Avalon of the 27 Contra Costa County Public Works Department . 28 Claimant is informed and believes that Vintage Parkway was -3- I constructed , as alleged hereinabove , between on or about February 2 1 , 1988 and on or about October 15 , 1989 . The occurrences alleged 3 hereinabove , which give rise to the claim asserted herein, occurred 4 at various times between said dates ; the exact dates being known 5 to the County of Contra Costa and its agents , but unknown to 6 claimant at this time . Claimant first became aware of the actual 7 location of the dividing line between the TAKE PARCEL and CLAIMANT'S 8 REMAINDER PARCEL, on or about December 2 , 1989 . Prior to claimant ' s 9 learning of the location of said dividing line , there were no facts 10 which would have put claimant on notice that some of the occurrences 11 alleged above were taking place on CLAIMANT'S RIMAINDER PARCEL 12 ( rather than on the TAKE PARCEL) . Claimant is informed and believes 13 that the County of Contra Costa and The Hofmann Company concealed 14 from claimant the location of said dividing line in an effort to 15 deceive claimant and trick claimant into believing that the 16 occurrences alleged above were taking place on the TAKE PARCEL. 17 Furthermore , The Hofmann Company represented to claimant that 18 certain acts were taking place on the TAKE PARCEL side of the 19 dividing line , when in fact it has been learned that the acts took 20 place on the other side of such line ( i .e . , on CLAIMANT' S REMAINDER 21 PARCEL) . 22 Claimant believed the court would , and as a result petitioned 23 it during the trial for the "TAKE PARCEL" (which took place from 24 February 13 , 1990 to March 13 , 1990) , to take jurisdiction over 25 the issues raised in this claim. However , the court declined to 26 take such jurisdiction and recommended that claimant pursue these 27 issues in an independent action . Claimant ' s belief that the court 28 would take such jurisdiction was justified under the circumstances -4- I because such court was adjudicating collateral issues and claimant 2 desired to avoid a multiciplicity of suit . 3 CLAIMANT'S RMIA I NDER PARCEL is located a t t h e northwest 4 corner of the intersection of State Highway 4 and Vintage Parkway, 5 Oakley, California . 6 (d) A general description of the indebtedness , obligation, 7 injury, damage or loss incurred so far as it is known at the time 8 of presentation of this claim, is as follows : See (c) above . 9 (e) The name or names of the public employee or employees 10 causing the injury, damage, or loss, if known, is as follows: See 11 (e) above . 12 (f) Amount of claim: The amount claimed pursuant to this 13 claim exceeds ten thousand dollars ($10 , 000 . 00) . Jurisdiction 14 over this claim rests in the Superior Court . 15 Date: June , 1990 COX, GARRETT & LALLY A Professional Corporation 16 17 Bdtiornieys~for -- ----- -------- 18 S . Cox Claimant 19 CECILIA MIGUEL RODRIGUES 20 21 22 23 24 25 26 27 28 -5-