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HomeMy WebLinkAboutMINUTES - 06041991 - 1.39 CLAIM / ,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 JUNE 4 , 1991 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: Unknown Section 913 and 915.4. Please note all "Warnisq�'i,vao CLAIMANT: ALEXANDER, Ilonka R 669 APR 3 01991 ATTORNEY: Scott R. Bennett Wells Call Clark & Bennett COUNSEL > > Date received NMARTIN IARTINQ; CALIF. ADDRESS: 1710 Pennsylvania Ave. BY DELIVERY TO CLERK ON April 26, 1991 (hand Suite C delivered) Fairfield, CA 94533 BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. April 30 1991 PpHHIL BATCHELOR, Cler DATED: p BY: Deputy I1. FROM: County Counsel - TO: Clerk of the Board of sors �(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 shoul:d. 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: J&Dated: BY: �- Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD/ORDER: By unanimous vote of the Supervisors present This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: JUN a 1091 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov, code s 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: JUN 5 199' BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator h Claim to: BOAS )F SUPERVISORS OF CONTRA COSTA LATY 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_ q_causes of action for deathr,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..mt 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 ILONKA ALEXANDER ) RECEIVE® Against the County of Contra Costa ) 2 61991 1.:'-1 2,20 rY+ . BGARD'OF Fill in name ) The undersigned claimant hereby makes claimainst the County of Contra Costa or the above-named District in the sum of $ 0 9T Op u 8 8 p l n e x c d in support of this claim represents- as follows:::. Government Code Section 910. N - 1. When did the damage or injury occur? (Give exact date and hour) October 31 , .1,.9.90 ,, P Pa rox= imatel 48 : 30 :a m_...._. ----^-------- --------- --------------------=--- -- ----- ------- 2. Where did the damage or injury occur? (Include city and county) Interstate 680:and Pache�co::BouleVard.,Off�_­Ramp 3. How did the damage or injury occur? (Give full_'details;­use�-extra~paper if required)Ilo;nka A-1e,xander: .w_a-s t,rave11,i-ng in. -the•; ar.,ri; ht_lane:.:of I-680 in . .:"-.stop and go" traf fic , 'when ;a Cont-r•a` GosVa C,oun�y tru}ek atteYmp•ted � o fo,rcib,1 en•.ter.. ;'the r.igtlt Lane of I 680 f,rorn t,hff.GPachleco Boulevard, o„ff xamp , , colliding- w,itlu I1o:nl�a Alexander ' sfeh�e,lsr > v �J _ k r �s _ . --- 4.;`What particular act or omission on the .part -.of county or..district officers, servants or,employees• caused.the in jury or damage? -,T,h-e d a m a.,g e.s .a n l i n j u r-ife s were caused when the Contra Costa County emplyee dr;ivi-og a C:_ont.r-a.• Corsa o County truck forced. his. -vel iC- e;into zthe-r ght--hand.-;lane of. .M eavy -traffic on--I-680ofrom the Pacheco Boulevard off ramp , said traffic being too congested and hazardous to attempt a successful merge at that time , striking Ilonka Alexander ' s vehicle . (over) 5. -What are the names ( ,ounty or district officers, se' nts or employees causing the damage or in jury; a .. . .. _ Mike Fontana, who was driving Contra Costa County truck. 45.504 -- ------------------------------------------------------------------------------ 6'. What damage-'or injuries •d6 you claim resulted? (Give-full extent •of-injurie§ or damages"claimed. two estimates'for auto'damage-.1'.v e hi c i-e`"Dam a g e• :'R i g h t f r o n t bumper afi:d s gridk` area, wheiel`'well ,'~ and fender :" Personal 'Injury, .• -Shoulder , neck �and--�back �xnjuries . L-ossaof Use of VehIcf - ''4 'd`'a'ys . :Genera"l '"Damages . 7. How was the amount claimed above computed?-• (Include the estimated amount of any prospective injury or damage.)Vehicle Damage - $ 1 , 812 . 84 ; computed based on p•rofessioiial- e'stima,t'& at ' T-ra'vi•s Auto Body . Personal Injury - -Medical bills knowfi- -to date"--are` estmated to be $2", 249 . 00-. Loss of use - $60 - 00 . General Damages in an amount yet to be determined . 8. Names and addresses of witnesses, doctors and hospitals. Kaiser Permanente Dr . Michael:'.Oyoung , D . C . Dr ._ODouglas Slater.'; -DC 1550 Gateway Blvd,.** •1'530- Webster: Street , Ste. E 3416 Sonoma Blvd . Fairfield, CA 94533 Fairfield , CA 94533 Vallejo ; -CA - 94590 ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: „ ' DATE ITEMAMOUNT Kaiser - . Fair'fei`d- - "ER 'visit $ 84 . 00 (Estimated)' ' Dr . Oyoung , D . C . Chiropractic Care 1 , 231 . 00 Dr . Douglas Slater , '_ - Chiropractic Care _ - --. 93.4.,0-0•----(.T.o.-•.d.a.te)..-- -_ D . C . Gov. Code Sec. `9102 provides: --= "The claim must be signed'by the claimant SEND NOTICES TO: (Attorney) or b some person on his behalf." Name and Address of Attorney - SCOTT R. BENNETT WELLS , CALL , CLARK & BENNETT Claimant's Signature 1710 Penn '`l'van-ia Averiue� � Suite'"C `S'COTT R. =BE�tNETT - r-- Fairf ieId, CA n :94.5L33 y ' .. �_.At.t.o_rne for 'I"lonika`"�Alexander ""� - "--- ( 7 0 7) 426-5300 ___._.___._,.._,._...._ Address Telephone No. Telephone No. NOTICE Section 72"of-th .._..__.._........._.9..w..............,._ ...._.. _ _. _.. . ._. -the-, providesi` "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-Jai-1-for-a-per iod"of-not-more-than-one`-year;-by,a-,fine of­not':exceeding`"';, one thousand- ($1;000),`-or by both''suclil"imprisonment and fine, or by-'imprisonment' in the state prison, by a fine of not exceeding ten thousarid'-'dollars ($109000,•'6r by both such imprisonment and fine. i ESI 0 s . CLAIM 1. 37 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JUNE 4, 1991 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 VED Amount: $350 . 00 Section 913 and 915.4. Please note all "Warnings '. CLAIMANT: ALLEN, Matthew L . APR 3 0 1091 1051 Heartwood Ave. COUNTY COUNSEL ATTORNEY: Vallejo , CA 94591 MARTINEZ, CALIF. Date received ADDRESS: BY DELIVERY TO CLERK ON April 29 , 1991 (hand `delivered) BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: April 30 , 1991 IVIL DepCLyLOR, Clerk II. FROM: County Counsel TO: Clerk of the Board o rvisors . This claim complies substantially with Sections 910 and 910.2. ( ) This claim (AILS 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: y/ Al BY: _ Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( This Claim. is rejected in full. ( ) Other: I certify that this 'is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: JUN 4 1991nnpp11 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. codes ti 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: JUN 5 1991 BY: PHIL BATCHELOR by Deputy Clerk CC: .County Counsel County Administrator LOST -PROPERTY CLAIM Return original application to: Clerk of the Board PO Box gll Martinez, CA 94553 A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops must be presented not later than - the 100th day after the accrual of the cause of action. Claims relating to any other cause of. action must be presented not later than one 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 it's 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 - Section 72'of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, town, city district, ward, or village board of officer, authorized to allow or pay the same if genuine, any false of fradulent claim, bill, account, voucher, or writing, i_s g6ilty of a felony. " J-J.J.J.J J J.J.J.J J.J.J.J.J.J J.J J.J.J.J.J.J. J.J..t J.J J. J.J.J.J.J 4 J.J.J..l J.1 J.J•l.r- 4.V J..V ✓..J J. 1 J J.J.1� � L n 1^ � ........c.c.......c...........c...c............:c.........c�c..ic.........c:...........,.,..c....k .......*.c...c�'c:cdc..�..9c.c...... :4 do �**. ✓.r _ RE: Claim By Reserved If or C er 's:.filf g stamps M � e+� �, , AL 1- E� RECEIVED X291991 Against the COUNTY OF CONTRA COSTA � . or DISTRICT CLERK BOARD OF SUPERVISORS (Fill in name) CONTRA COSTA CO. The undersigned claimant hereby makes claim against the County of Contra. Costa or the above-named District in the sum of $�.$'p� p 0 and in support of this claim re- presents as follows: _ 1. When did the damage or injury occur? (Give exact. date and hour) 2. Where did the damage or injury occur: (include city and county.) MART N iF7- D eTe4jrj 0,4 C eArTeit /�IARTffJt 2 �A 3. How did the dama;e or injury occur? (Give Cull details; use extra sheets if required.) e.c� ' 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? over - y - •.rr- rs, r • S., What are the names or.county or district officers , servants, or employees causing the damage or injury?. 6. Meat damage or injuries do you claim resulted?- (Give full extent of injurie or damages claimed. Attach two estimates ,fo tato„_) ` a ; �oST A27"i c t,E S of C Z o/Mid Su t T 1E k l 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 Govt. Code Sec. 910.2 provides: "The claim signed by the claimant or by some person on his behalf,” SEND NOTICES TO (Attorney) Name and Address df Attorney io ��v�� ,rf/I Claimants Signature o S I gCe Je7 i v 0 DAy Address Telephone Number: Telephone Number: (o CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JUNE 4, 1991 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: $568.24 Section 913 and 915.4. Please note all "Warni� CLAIMANT: DYNAN, Launa P.O. Box 5369 MAY 10 1091 ATTORNEY: Cottonwood CA 96022 COUNTY COUNSEL Date received MARTINEZ, CALIF, ADDRESS: BY DELIVERY TO CLERK ON May 6, 1991 BY MAIL POSTMARKED: May 2, 1991 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim, ppH�{ gg DATED: May 10, 1991 89IL DeputyLOR, Clerk 101, II. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 5 I� BY: ( S. /J1Z,� 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. pts Dated: JUN 4 199 1 PHIL BATCHELOR, Clerk, By , Deputy Clerk WARNING (Gov. code sect' 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING 1 declare under penalty of perjury that 1 am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JUN 5 X991 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for. death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action.. Claims relating to causes of action for death or for 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 failed 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 RECEIVE® Against thf County of Contra Costa ) MAY ` 6 1991 or ) District) CLERK BOARD OF SUPERVISORS Fill in name ) CONTRA COSTA rn The undersigned claimant hereby makes claim against the Co ty of Contra Costa or the above-named District in the sum of $ ,a and in support of this claim represents as follows: ------------ -- ------------------------- ---------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) ----------------------1 �L_Zz/ --------�- ys" - ------------------------------ 2. Where did the damage or injury occur? (InS;lude city and county ` _l1 _ - y 3. How did the damage or injury occur? .(Give full details; useextrapaper if required) a/vIv Dl A / J 7 � /G'O/A7 ,big OAC e. �o/e war pro ------------------ --,�------------------------------------------------------------ 4. What particular actor omission on the part of county or district officers, servants or employees caused the injury or damage? 4S Cl 60A/ SC(f 0 0j-.. � /► e �o�.% f . lbe�o � �''/✓ r/rpt had £�/vuoJ'f- Mew SAe)CrF, / ` °►^�d' e �'Yt.�/ G' r'�Y [�cw 01:( 90 //V 74.v 6 r (over) °L,��,• `'�. �y /I ,� acc�Q�e�r had, fv aIrt vc" eny ba,� 1-car M 0 A/i!/ 760 h Q f/e eA :YC'i X- 5. What are the names of county or district officers, servants or employees causing the damage or injury? ,Q 0� 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. lon y -1 `re• JPS r Nec1 my 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) /� /^ M �rU� fGj d✓ -�- re�Uf ac _ P/o�-t= -� ®r� r a,�/ ���ss� yfti e� �re� _ 9 .y �° 8. Names and addresses of witnesses,-doctors and hospitals. _ ,J I"@ N e-) fJ r iniac 9 t o a y0l� SrO Zi S'-f. A*h 0C. j/SO 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT %122/9/ Ate, V A10( A( -Ilv r6. ov 9 ' Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant .SEND NOTICES TO (Attorney)` =- or by some person on his behalf." Name and Address of Attorney Claimant's Signat (Address) 112 i Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment .to any state board or officer, or to any county, city or district ,board- or officer, .authorized to allow or pay the same if. genuine, any false or,fraudulent claim, bill; account, voucher, or writing, is punishable either by imprisonment in the county. jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and .Fine, or by* imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($1090009 or by both such imprisonment .and fine. o �. oM od' o�31*1 $, �, m D 3"8 m � y � mmn D j m z �£ 8 fsW" m a a 3 r D p w 3❑ � iU 2 9.t QZ _ N$ r r M '� "'mva A l7 A m amm � m 7C m >•�- �: ® p$� O m m � N F D O�a C D Doc 9y', r m ❑ m ew m y a v z 0:7o m z#D g o^m Fi n }; o$c z n m=o_ 4 D G) s aaA ' 00b s N C m A $ c 1% Ria^• a X83 ° M 0cnC) Fay' N w o D7oc mmm e � �., DS ;OR0D'EJ m om o c nm mni o vo v �a' 1 $1 i £ T ax -. 2v M a�m � I r m (/mem mpo Gy + m > z ii �c�-omFmm-zt m X - q _imS1- N tn. $ M, xxm�$=vim m - w < m om O 'N NOmwmoyom9 x �U7�fA� 'n- 19 n m x? ❑'fiSi p Emma Vy m`<e C Dm Dm Dz R m N Omw-om3m m m�m�mr a Z .�D �/ 1 ODnc��mmc a F d- �3 r It ZmJwm�3� m m m ami nw�0 9w co 69 fA fA Q m ms �om�om0 m -4 m o m D m 7.(D o �„ x ❑ n� m 9a�mmmQ�m w k�'. �> O OOdV. 1-3:3m°JQm� m a _ yS moo` D mo.ym��.g N I }� O n O 1�'' y I -o- io m F c1 w t3 co a ❑ d ,�,,,([�� m oo:ooac,m. 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N N m o C Z• A O p G v 2 C-1 r 9 4 i N N Z N O C-) ro-000" x. to G fi a N 5 �1 T .o 0 * N Y t� o m� 0 o 5 0 91 0 x A o CO o �. k" © or .f/1 t A_ tU N Op � Oam O p © O'P � , or `gyp 0 O qzz e t w� � V r. K C t rl T i ((U N Y w \ s r i CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JUNE 4,- 1991 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 �q�g,ED Amount: $310.00 Section 913 and 915.4. Please note all "Warning3 ��ii, CLAIMANT: GRAHAM, Bernard Stanley MAY 10 1001 90 Farallones Street COUNTY COUNSEL ATTORNEY: San Francisco, CA 94112 MARTINEZ' CALIF. Date received ADDRESS: BY DELIVERY TO CLERK ON May 8, 1991 BY MAIL POSTMARKED: May 7, 1991 1. FROM: Clerk of the Board of Supervisors TO: County Counsel' `_ Attached is a copy of the above-noted claim, p gg DATED: May 10, 1991 gpIL DeputyLOR, Clerk I1. FROM: County Counsel TO: Clerk of the Board ofer0i ors This claim complies substantially. with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: I I By/D S Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( 0 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. m[� Dated: JUN 4 1991 PHIL BATCHELOR, Clerk, By Deputy Clerk Or WARNING (Gov. code ectio 13) Subject to certain exceptions, you have only six (6) months from tho date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with .this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JUN 5 1991 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator I - • LOST PROPERTY CLAIM Return original application to: Clerk of the Board i PO Box 911 Martinez, CA 94553 - A. Claims relating to causes of action for death or for injury to person or to. personal property.or growing crops must be presented not later than- the 100th day after the accrual of the cause of action. Claims relating to any other cause of. action must be presented not later than one 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 it's 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 - Section 72'of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, town, city district, ward, or village board of officer, authorized to allow or pay the same if genuine, any false of fradulent claim, bill, account, voucher, or writing, is guilty of a felony." t J.J.1 J!J.J._r•J_r•J-J..r.J J J.J J.J J.J.J.J. J.J..4 J.J J. .J..r..r..r.J•4 niC nk iC 1 J.-r.1..r,_ 1._l.r,1 J J.J J. J. 1 J.1.1.1 1 L V 111 i ....,....c.c,......c..,.....,c.c...c...c........;c.........c�c..�.........c.. .....c...,k�.......:c.c,..c..4csY�c..*..�c�........t�Y..i:�:�.�.......k..k _ RE: Claim By Reserved for Clerk's:.filing stamps ER CEIVED 89 f 5 MAY- 81991 Against the COUNTY OF CONTRA COSTA - CLERK BOARD OF SUPERVI or DISTRICT- COMRA COSTA Co. (Fill in name) ' The undersigned claimant hereby makes claim against the County of Contra. Costa or the above-named District in the sum of $ !>io. o0 and in support of this claim re- resents as follows: 1. When did the damageor 'njury occur? (Give exact. date and hour) ONO 04 2. Where did the damage or injury-occur: (Include city and county.) Gi7� o� i9e�i��`Z- COM� Cas4 �vaAv� 3. How did the dama;e or. injury occur? (Give full detaild: use extra sheets if required.) --r- w/YS be-,AI he-ICI by Conlyr� ev 5� Cov.v9 5&1-,l'�_s �. 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? , Co�l�[ Noy ; C/ i> _ ever - ._ 7 '.xl;'.,'�.,-�,d9.s..+,tsa+r 1 tY04nwamY-1'S•_..c. ...,.l+.k"'SVit4UfGAw+.:.taW J. ''r....: ^... .+er _ ... .. .. W........ s -. ti. �4 5.. What are the names or county or district officers , servants, oremploye'e'scausing 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.) �vSan, nc/sco 10 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 IMI AMOUNT 3 fa-)/`/1 I >,►nU2 Co.,�- �jas a 0 /ate/a� i Sri F a�, 91,14,j Sw(*Jer VSs oa I,.I& As S 1,5%oc� CV/oF) gs.on Govt. Code Sec. 910.2 provides: "The claim signed by the claimant or by some person on his .behalf." SEND NOTICES TO (Attorney) . Name and Address of Attorney _ _ Claima' s Signature Address Ca- cjelj/� Telephone Number: Telephone Number: 4j/S S81f- 38�j s _ ._Y .- ..-., .. _..a...'g`I 1..>.:.�... 3... •. ...- .�A.•.. _vim <_P.. Cfa�� d � a Ci' � O ry r + Q � � 6 o p CL- . co o � ocn c N taw i= CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JUNE 4, 1991 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $1,000,000.00 Section 913 and 915.4. Please note all 'WarningsQFCEIVE® CLAIMANT• OLSEN, Christianna MAY 10 1991 f1 ATTORNEY: Timothy Halloran, Esq. 19 { 88 Kearny Street, 11th Floor Date received """ �� � � ADDRESS: San Francisco, CA 94108 BY DELIVERY TO CLERK ON May 2, 1991 (hand delivered) BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: May 10, 1991 QQHHIL ATCHELOR, Clerk Bl�: �puty II. FROM: County Counsel TO: Clerk of the Board of Supervisors ---ti ) 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: /J Deputy County Counsel I11. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: JUN 4 1991 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 Goverment Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JUN 5 1991 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT ,A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 19879 must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room .106, County Administration Building, 651 Pine Street, 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 ZER ) Against the County of Contra Costa >,(/r`� District) Fill in name) ) The undersigned claimant hereby makes claiT.; a• st the "-PRO"In y of Contra Costa or the above-named District in the sum of $ support of this claim represents as follows: --------------------------------------------------------- ---------------------- 1. When did the damage or injury occur? (Give exact date and hour) --- -- ---f- L--�--- ------c------------------------------------- T ✓' 2. Where did the damage or injury occur? (Include city and county) 3. How did the ge or injury occur? (Give full details; use extra paper if required) -- ------ -L'---------------------- ------- --------- . 4'. What particular Peyees or omission on the part of county or district officers, servants or emcaused the injury or damage? � r s .�--CyNC������ �.!� .lit��i���G�..Gfi�/ 4• s�;�I.GG�7�C L�''L�m-' employees causing 5. � ltiat are the names of county or district officers, servants or ' the damage or inj 001, -V\�G � ------- -------- -- ----------------------------- 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. -- ----- ---�rE''_ � r_-- --- 'Y' c'_ �i2� 7. How was the amount claimed above computed? (Include the estimated amount f y % 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 );4 Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO (At`torne Y orb " some person on his behalf. Name and Address of Attorney Claimant's Signat e) ! Ad�drress _ Telephone No. �-OJ= Ai_/yelJI Telephone No. ����� "/ �E4-CIO2 # # * # # # * * # * # * # # # 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 eenuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000,_ or by both such imprisonment and fine. ` CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JUNE 4, 1991 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $1,000,000.00 Section 913 and 915.4. Please note all •Warning ' CEIVE® CLAIMANT: OLSEN, Christianna MAY j 0 1991 ATTORNEY: Timothy Halloran, Esq. IlI j� 88 Kearny Street, 11th Floor Date received4 ADDRESS: San Francisco, CA 94108 BY DELIVERY TO CLERK ON May 2, 1991 (hand delivered) BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: May 10, 1991 IVIL p�tyLOR, Clerk 11. FROM: County Counsel TO: Clerk of the Board of Sup 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: t BY: 1 Deputy County Counsel, 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) { ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present (VI This Claim is rejected in full. ( ) Other: ' I certify that this is a true and correct copy of the Board's Order entered in its minutes for . this date. Dated: JUN 4 1991 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sec4p3) 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 l 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. J 11 Dated: N 5 1991 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 19879 must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, 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 fer Clerk's filing stamp t, RECEIVE® Against the County f C ntra Costa ) orl�i• ) MAY - 21991 t I' To A District) ARK BOARD OF SUPERVISORS (RY11 in name) ) CONTRA COSTA c0. The undersigned claimant hereby makes claimai st the �Cqqunty of Contra Costa or the above-named District in the sum of $ �, ,�, d� and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the damage or injury occur? (Give exact date and hour) _- _ �- ��----- ---------.---------------------------------- 2. Where did the damage or injury occur? (Include city and county) 3. How did the ge or injury occur? (Give full details; use extra paper if required) , 4. What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? s� (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. -------- -�LA7�� , --- S-iP-G9y XY x�- -/---------------- - 7. How was the amount aimed above computed? (Include the estimated amount of any.. a . prospective injury or damage.) ------------------------------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney Address p ��� °//<-� Telephone No. %/ Telephone No���i�'�'�`� NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. , 3y r' ` CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by') BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JUNE 4, 1991 and Board Action. All Section references are to The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $1,000,000.00 Section 913 and 915.4. Please note all "WarningRECOVE® 'CLAIMANT: OLSEN, Clifford A. MRM 10 1091 ATTORNEY: Timothy Halloran, Esq. OUNTY COUNSEL 88 Kearny Street, 11th Floor Date received MARTINEZ, CALIF. ADDRESS: San Francisco, CA 94108 BY DELIVERY TO CLERK ON May 2, 1991 (hand delivered) BY MAIL POSTMARKED: Ir. '54"-k I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: May 10, 1991 HHIL BATCHELOR, Clerk 1. Deputy II. FROM: County Counsel TO: Clerk of the Board of Supe visors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: �� I BY:� �_ Deputy County Counsel I11. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: JUN 4 7991 PHIL BATCHELOR, Clerk, By _. Deputy Clerk WARNING (Gov. code sect13) Subject to certain exceptions, you have only six (6) months from the date this notice was persinally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING 1 declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a.certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JUN 5 1991 BY: PHIL BATCHELOR by Deputy Clerk • CC: County Counsel County Administrator 'Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for 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 fcr Clerk's filing stamp j RECEIVED ) Against the County of Contra Costa _, ) MAY - 2 199 District) CLERK BOARD OF SUPERVISORS F in name ) L CONTRA COSTA Co. Theundersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ �� W. " and in support of this claim represents as follows: 1. When did �_ or_ injury occur? (Give exact date and hour) 0 - ----r---- ------------ --- _J------------I---------------------------------- 2. Where did the damage or injury occur? (Include city and county) ------------------------------------ 3. How did the 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? , 7 " 5. What are the names of county or district officers, servants or employees causing the damage or injury? ----------- --=Cy----------------------------------------------- -------- 6. What damag 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.) 10, ti 8. Names and addresses of witnesses, doctors and hospitals. ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf." Name and Address of Attorney UA4J l Claimant's Signature Address u Ufa , CA Telephone No. � '� C� Telephone No. q34 J off( NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. �9 Y CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JUNE 4, 1991 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV below), given pursuant to Government Code Amount: $1,000,000.00 Section 913 and 915.4. Please note all "Warnin FE'VE® CLAIMANT: OLSEN, Clifford A. MAY 10 1991 ATTORNEY•• Timothy Halloran, Esq. COUNTY COUNSEL 88 Kearny Street, 11th Floor Date received MARTINEZ. CALIF. ADDRESS: San Francisco, CA 94108 BY DELIVERY TO CLERK ON May 2, 1991 (handl delivered) BY MAIL POSTMARKED: / l I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. GATED: May 10, 1991 ppyylL BATCHELOR, Clerk Bl�: Deputy 11.. FROM: County Counsel TO: Clerk of the Board of Su ors `N ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: >. Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORD R: By unanimous vote of the Supervisors present ( ) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: JUN 4 199 1 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 1 declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 16; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JUN 5 X991 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 19889 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 `its 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 fcr Clerk's filing stamp RECEIVED " Against the i ount of Contra Costa ) MAY - 21991 CORK BOAR[)OF SUPERVISORS District) CONTRA COSTA CO. Fill in name ) The undersigned claimant hereby makes claim �a`in'st the County of Contra Costa or the above-named District in the sum of $ / 41-If A and in support of this claim represents as follows: -- ---------------------------------------------------------------------------------- 1. When did the injury occur? (Give exact date and hour) c =-- -�f S �- ---- -------- ---------------------------------- 2. Where did the or injury occur? (Include city and county) — ---- ----------------------------------------- 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? t (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? Oe 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. r.. 7. How was the amount claimed above computed? (Include the estimated amount of an ' 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 Jk p. , Gov. Code Sec. 910.2 provides: "The claim must be signed b the claimant SEND NOTICES TO:�===(Attorn�eq)?���`_ ,` or by some person on his behalf." Name and Address of Attorney 24W CU (Claimant's Signature R b ox ----71R Address tr,�«T1} Telephone No. �/�= ��� Telephone No. q39' NO 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. CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JUNE 4, 1991 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: $1,276,851.70 Section 913 and 915.4. Please note all •WarningOCEOVED CLAIMANT: OLSEN, Zoe Anne MAY 1 �1 ATTORNEY: Timothy Halloran, Esq. 88 Kearny Street, 11th Floor Date received1e' ADDRESS: San Francisco, CA 94108 BY DELIVERY TO CLERK ON May 2, 1991 (hand delivered) BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: May 10, 1991 gVIL BATCHELOR, Clerk II. FROM: County Counsel TO: Clerk of the Board o -visors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.6). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). { ) Other: Dated: I BY: J • Deputy County Counsel �— , W+ I]]. 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 DRQ 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. UN 4flfl1 Dated: JI PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sect 913) Subject to certain exceptions. you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age. 18; and that today I deposited in the United States Postal Service in Martinez, California. postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: UN 5 1991 BY: PHIL BATCHELOR by Deputy Clerk CC: . County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for 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 924553• 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 fcr Clerk's filing stamp w RECEIVED Against the County of Contra Cosh) M�=` f99�- ,�c�G °r/��istrict) CLER S gACOST s Fill in name ) The undersigned claimant hereby makes claim against the C9unt,yy�of Contra Costa or the above-named District in the sum of $ ` ���'/• 7`-Cnd in support of this claim represents as follows: ------------------ --- ---7-7------------------------------------------------------- 1. When did th dama or injury occur? (Give exact date and hour) -- - , -------------------------I---------------------------------- 2. Where did the i9or injury occur? (Include city and county) -- ��-- �- - - '-`_=-- -" --------------------------------------------- 3. How did the or injury occur? (Give full details; use extra paper if required) zz---------- J - --- --- ---�'�-`a - - - ---- --------- -=--- art of count o district officers �4. What particular a or mission- the p y , servants or employee he injury or damage? y— 6 (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? ---------- - f- ------------------------------------------- 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. effac+h tuo estimaf.Q� Fpm-fie. ----- ---- - ------------- 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage..) ------ -- ----------------------------------------------------------------- 8. Names and addresses of witnesses, doctors and hospitals. ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or,,?by some Person on h ehalf." Name and Address of Attorney / Claimant's Signature 0 Address Telephone No� /S ���IQG Te ephone No. Y�> ' -?5 J��a 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. a � a • f J t oa • 1 a J i - 1 1 , I ` 1 1 J, I _ I : • 65 i c �/4 i yy _ n i r- .���-amu 1 , _--.._._ _ ._� _.-- I --------y/='--�,KC� ..lig+- - � �!__.__��__-/�.•r�7� � . e%• f 1 I f. ��✓ I -------------___ .__. .......... i GAj : I F i 4 , ' I 1 � : f xf f I - --- --__._._._._... _..._.._....._.___. f } i f ' t � G 0• 500. 00 + 687.00 + 50.00 + 100. 00 + 200.00 + 200. 00 + 11500. 00 + 11500.00 + 21500.00 + 500. 00 + 21500.001+ " 500.00 + 500?00 + 725. 00 + 71250. 00 0 11000. 00 + 31000. 00 + 71250. 00' 60. 00 + �. 682.69 + 650.00 + 426.93 + 21500•.00 + 650.00 + 11000.00 + 510- 08 + r 1 1175• X 948•,1.351.70 0 5• 5 x$75.00 .. 10.1000.00 + 9 ,'000•,00 + 00 1 1050.0.0 + ` 1 1600.00' + 50. 00 + 31000. 00 + 200.00 + 750.00 + 11500. 00 + 1600. 00 + 21500.00 1 + 11000. 00 + 2.9,5.60.00 + `z 500. 00 + 500.00 + vr501.0�0.00 + 275.1000.00 + 1'0261851 •70 *.11." �c 6001000.•00 + 251000.00 + 51875.00 + 201000.00 + 500.00 + 800-00 + 2, / 450. 00 + / 255.00 + 65.00 + 50.00 + 65. 00 + _ 11000.00 + f 11000.00 + I I f , i , w CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTS the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT JUNE 4, 1991 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: $1,276,851.70 Section 913 and 915.4. Please note all •MarniRWEIVE® CLAIMANT: OLSEN, Zoe Anne MAY 10 1091 ATTORNEY: Timothy Halloran, Esq. ZOUNTY COUNSEL 88 Kearny Street, 11th Floor Date received MARTINEZ, CALIF. ADDRESS: San Francisco, CA 94108 BY DELIVERY TO CLERK ON May 2, 1991 (hand delivered) BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. May 10, 1991 QQHHIL BATCHELOR, Clerk DATED: y Bl�: Deputy I1. FROM: County Counsel TO: Clerk of the Board of Su rvisors � ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). { ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: ' - Deputy County Counsel 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 N_ 4 119ee01 1 PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code sec 6 .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 16; and that today I deposited in the United States Postal Service i6 Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JUN 5 1991 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for 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 945530 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 fer Clerk's filing stamp RECEIVE® Against the County of ontra Coos "-�— oY - 21991 _. 3r°A. 1� District) KDOFSUPERVISORS Fill in name ) CONTRA COSTA CO. The undersigned claimant hereby makes claim agai st the o ty of Contra Costa or the above-named District in the sum of $ '7i and in support of this claim represents as follows: ------------------------------------------------------------------------------------- 1. When did the/Q or injury occur? (Give exact date and hour) ----- -- --���5 -----------------•---------------------------------- 2. Where did the damage or injury occur? (Include city and county) --- --------------M1 -_- --- j --=------------------------------------- 3. How did the 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? (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. ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or,,k some person on hi behalf." Name and Address of Attorney Claimant's Signature Address Telephone Nb.�%/� Telephone No. �S NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. r t t v X 2- s --- Ora Ao r i j - --..-_- j < I � 4 r j I P c , 6 1oto�Cwt'- -- - ---- _ ---- .^_oa' - - _ . -� _- -lee-� . 1 Ae- i C,.PZ yp IS 4 oof ze i R II i ew : 0• 500. 00 + 6$7. 00 + 50.00 + 100. 00 + 200. 00 + 200. 00 + 1 +500.00 + -_ 11500. 00 + 2+500. 00 + f 500.00 + » 2,500. 00 + 500. 00 + 50000 + .725. 00 + 71250. 00 0 11000. 00 + i 31000- 00 + Tv 250'0'00 �. 60- 00 + 682.69 + 650. 00 + 426.93 + 2,500•.00 + 650. 00 + j 11000. 00 + 510. 08 + .1 ,175• X r948 351 •70 015 f 5• - -875-00 t.1,0,,0 Q 0. 00. 9',"0.00;00 + 00 c. 1050. 0.0 + t 1 +600.60' + 50. 00 + '3 +000. 00 + 200.00 + 750. 00 + 1 +500.00 + ,• .. 1, 1600. 00 + 21500.00 + 1 +000. 00 + 2A:5,60.00 + .; 500.00 + 500. 00 + 3 5'0 +0,00. 00 + 275.+000.00 + T 1 261851 •70 e 600,000.- 00 + 25 +000.00 + 5 1875-00 + ,l 20+000. 00 + 500.00 + 2 I i 800- 00 + + 450. 00 + 255.00 + 65.00 + 50.00 + 65.00 + 1 +000. 00 + ______1 1000-00 + CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT UUNE74, 1991 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: Unknown Section 913 and 915.4. Please note all -Warningr�EI� o CLAIMANT: OUTLAW, Mary Ann MAY 10 1901 COUNTY ATTORNEY: Thomas M. Pegnim, Esq. MARTINEZ,CALIF. McLaughlin & Pegnim Date received ADDRESS: BY DELIVERY TO CLERK ON May 7, 1991 (via Risk Mgmt) 3105 Lone Tree Way, Suite A Antioch, CA 94509 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED• May 10, 1991 IVIL BAATTCHELOR, Clerk ty II. FROM: County Counsel TO: Clerk of the Board of 1Wpexrfsors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: j Z1, BY: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORD R: By unanimous vote of the Supervisors present ( This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: JUN. 4 1991 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: JUN 5 1991 BY: PHIL BATCHELOR by Deputy Clerk CC: County Counsel County Administrator RECEIVE® MAY - 7 1991 Claim of MARY ANN OUTLAW, CLERK BOARD OF SU RVISORS CONTRA COSTA CO.' Claimants, CLAIM FOR PERSONAL INJURIES (Government Code Section 910) against Contra Costa County, Defendant. --------------- ------------- You are hereby notified that MARY ANN OUTLAW, hereinafter described as claimant, whose address is 1234 Beach Court, Byron, California, claims damages from Contra Costa County for personal injuries in the amount computed as of the date of presentation of this claim as follows: Mary Ann Outlaw Contra Costa County $300, 000. 00 This claim is based on personal injuries sustained by claimant on or about November 8, 1990 on State Route 4 off-ramp to Hillcrest Avenue, 15 feet west of Hillcrest Avenue in the City of Antioch, County of Contra Costa, State of California. On said date, claimant MARY ANN OUTLAW was the driver of a 1985 Chrysler LeBaron, California License Number 2BLY761, involved collision with a 1989 Ford van shuttle bus, California License Number 3457015. The proximate cause of the injuries to the claimant was the careless, negligent and dangerous management, maintenance, repairs, construction, design and control of said roadways and surrounding areas and stop lights and stop signs and failure to warn of the particular hazards of the roadway and immediate areas adjacent to the roadway intersection of Hillcrest and State Route 4 eastbound off-ramp, and Tregallis and Hillcrest. The damages sustained by claimant, MARY ANN OUTLAW, as far as known, as of the date of presentation of this claim are as follows: Loss of Earnings and Impairment:to Wage Earning Capacity. . . . . . . . . . . . . . . . . . $Unknown General Damages. . . . . . . . . . . . . . . . . . . . . . . . . $250, 000. 00 Medical Expenses. . . . . . . . . . . . . . . . . . . . . . . . $ 5, 000. 00 and continuing/unknown TOTAL In Excess of $100, 000. 00 All notices or other communications with regard to this claim should be sent to Thomas M. Pegnim, Esq. of McLAUGHLIN & PEGNIM, 3105 Lone Tree Way, '"5e'A, An h, CA 94509, telephone (415) 754-9901. Dated: May 3, 1991 Thomas M. Pe im Attorney for C t. MARY ANN OUTLAW