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HomeMy WebLinkAboutMINUTES - 05121992 - 1.9 MCEIV E® l� f CLAIM APR 14 1992 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Claim`ACainst R>PiVE� District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 12, 1992 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 "Warnings". CLAIMANT: CORNEJO, Mario ATTORNEY: Law Offices of Allen H. Fleishman 79 Devine Street Date received ADDRESS: San Jose, CA 95110-2405 BY DELIVERY TO CLERK ON April 13, 1992 BY MAIL POSTMARKED: April 9, 1992 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: April 13, 1992 ppHHIL BATCHELOR, Clerk p 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: q Iq 9 _ BY: DT A 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 (vJ' 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: MAY 1 2 1992 PHIL BATCHELOR, Clerk, By, 44nmo/44'40� 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 Not' a to Claimant, addressed to the claimant as shown above. Dated: MAY 1 2 1992 BY: PHIL BATCHELOR byolWn 0 IAAj 0 Deputy Clerk CC: County Counsel County Administrator RECEIVED LAW OFFICES OF ALLEN H. FLEISHMAN 1 (ID #4712) APR 1 3 1992 79 Devine Street - 2 San Jose, CA 95110-2405 cLRK BOARD of SUPERV19ORS (408) 291-8686 CONTRA COSTA CO. 3 4 5 Attorney for Plaintiff, MARIO CORNEJO 6 7 IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA 8 IN AND FOR THE COUNTY OF CONTRA COSTA 9 10 MARIO CORNEJO, ) CASE NO: 11 Plaintiff, ) CLAIM AGAINST A 12 ) PUBLIC ENTITY -vs- ) [Government Code 13 ) Sections 905, CONTRA COSTA SHERIFF'S ) 905.2, 910, 910.2] 14 DEPARTMENT, CONTRA COSTA . ) 15 COUNTY, and DOES 1 - 25, ) 16 Defendants. ) 17 18 MARIO CORNEJO, Plaintiff, hereby makes a claim against the CONTRA COSTA 19 COUNTY SHERIFF'S DEPARTMENT, CONTRA COSTA COUNTY, and 1-10 CONTRA 20. COSTA COUNTY SHERIFF'S DEPARTMENT-EMPLOYEES currently unknown for the sum 21 of$1.000,000.00 and makes the following statements in support of the claim: 22 . (1) Plaintiff's address is: 12 Spruce Street, Brentwood, California: 23 (2) Notices concerning the claim should be sent to the Law Offices of Allen H. 24 25 Fleishman, 79 Devine Street, San Jose, California 95110-2405. 26 (3) The date and place of the incident giving rise to this claim are February 14 to 27 February 15, 1992, at or near the'Contra Costa County Sheriff's Detention Center in Martinez, 28 California. • 1 (4) THE CIRCUMSTANCES GIVING RISE TO THIS CLAIM ARE AS FOLLOWS: 2 Plaintiff, MARIO CORNEJO, on or about February .14, 1992, was arrested by the 3 4 Brentwood Police Department in Brentwood, California at approximately 7:00 p.m. for public 5 intoxication. He was subsequently transported the same evening to the Contra Costa County 6 Sheriff's Detention Center in Martinez, California, and was detained until the following morning 7 at which time he was released from custody. Sometime during the evening of February 14, 8 1992, while under Contra Costa County Sheriffs Department's custody, and with his wrists 9 handcuffed, Claimant was negligently, intentionally, physically beaten by several unknown 10 11 Deputy Sheriffs for no apparent reason. 12 (5) As a result of the general negligence and intentional misconduct described in 13 paragraph above, Claimant alleges the following causes of action against Contra Costa County, 14 Contra Costa County Sheriffs Department, and Employees currently unknown: 15 a. General negligence; 16 b. Assault; 17 18 c. Battery; 19 d. Intentional infliction of emotional distress; 20 e. Violation of State law [Calif. Civil Code § 51.7, and § 52]. 21 (6) Claimant's injuries include, but are not limited to: 22 a. Loss of teeth; 23 b. 'Contusions to the left eye, right shoulder, right ribcage, left and right calves; 24 c. Severely sprained right wrist; 25 26 d. Severe emotional and mental distress. 27 (7) Names of the County employees causing the injuries are currently unknown to 28 2 LAW OFFICES OF ALLEN H. FLEISHMAN 1 (ID #4712) 79 Devine Street 2 San Jose, CA 95110 (408) 279-8840 3 4 5 Attorney for Plaintiff, MARIO.CORNEJO 6 7 IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA 8 IN AND FOR THE COUNTY OF CONTRA COSTA 9 10 MARIO CORNEJO, ) CASE NO: 11 ) Plaintiff, ) PROOF OF SERVICE .12 ) BY MAIL -vs- ) 13 ) CONTRA COSTA SHERIFF'S ) 14 DEPARTMENT, CONTRA COSTA ) 15 COUNTY, and 1 - 10 COUNTY ) EMPLOYEES CURRENTLY ) 16 UNKNOWN, ) Defendants. ) 17 ) 18 I, LINDA DARLING, declare that: 19 I am employed in the County of Santa Clara, California. I am over the age of 20 eighteen years and not a party to the within entitled case. My business address is 79 21 Devine Street, San Jose, CA 95110-2405. 22 23 On 1992, I.served the attached document(s) entitled: 24 CLAIM AGAINST A PUBLIC ENTITY 25 Said document(s) were served on the following parties of record in said cause by 26 placing a true copy thereof with postage thereon fully prepaid, in the United States Mail 27 28 4 addressed as follows: 1 CLERK OF THE BOARD 2 651 Pine Street,'4106 Martinez, CA 94553 4 I declare under penalty of perjury that the foregoing is true and.correct and that 5 this declaration was-executed.on -' -r v 1992, at-San Jose, California. . 6 7 8 LIND DARLING 9 10 - 11 12 13 14 15 - 16 17 18 19 20 21 22 23 24 25 26 27 28 5 SF�4•a{ r �ttl� ��9 CY d U -j ¢ o o o, moo CL 2 � M O � v1 o vl tl On m ' 1 CLAIM r BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA r C16,+,m Against the County, or District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 12 , 1992 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: Indemnity Section 913 and 915.4. Please note all "Warnings". CLAIMANT: GILLIG CORPORATION AND HERRICK-PACIFIC CORPORATION APR 9 1992 ATTORNEY: Steven R. Enochian Moss & Enochian Date received � ZUNTY ��A61F� ADDRESS: P.O. Drawer 994608 BY DELIVERY TO CLERK ON April 9, Redding, CA 96099-4608 April 7 1992 BY MAIL POSTMARKED: p � I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. EVIL gATCHELOR, Clerk o DATED: April 9, 1992 : Deputy 9 1 1VW 14ME.4 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: �r\ C. o�� �,\ - o�✓vN. Dated: �{ I DT F'L BY: i'�x. S- 4 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 (v ) 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. O Dated: AY 1 199 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. i 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. J Dated: Y 1992 BY: PHIL BATCHELOR by ° Deputy Clerk CC: County Counsel County Administrator NOTICE OF INSUFFICIENCY AND ORS NON-ACCEPTANCE1OF CLAIM TO; 'Steven R. ENochian IM' Moss & Enochian P.O. Drawer 994608 Redding, CA 96099-4608 Re: Claim of GILLIG CORPORATION AND HERRICK-PACIFIC CORPORATION 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 circum- stances 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. S. 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 woulc rest in municipal or superior court. 6. The claim is not signed by the claimant or by some person on his behalf. xx 7. Other: Date of service not given VICTOR J. WESTMAN, County Counsel By: Deputy ftbnty Counsel' CERTIFICATE OF SERVICE BY MAIL (C.C.P. §§ 1012, 1013a, 2015.5; Evid. C. §§ 641, 664 ) My business address is the County Couns' el*ls Office of Contra Costa County, Co.Admin.Bldg. p 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 ofiInsufficiency 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: 'LAL at Martinez, California. cc: Clerk of the Board of, Supervisors ( iginal) Risk Management (NOTICE OF INSUFF) 71NCY OF CLAIM: GOVT. C. ' §§ 910, 910. 2 , 920 . 4 , 910 . 8 Ak oss 6 E,nochi8n A LAW CORPORATION 2701 PARK MARINA DRIVE STEVEN R. ENOCHIAN REDDING, CALIFORNIA 96001-2805 MAILING ADDRESS: LARRY B. MOSS POST OFFICE DRAWER 994608 TODD E. SLAUGHTER REDDING, CALIFORNIA 96099-4608 STEWART C. ALTEMUS (916) 225-8990 JOHN SULLIVAN KENNY FAX (916) 241-5734 ROBERT A. SPANO PATRICK R. BEASLEY - MICHAEL R. DEEMS J. MICHAEL FAVOR April 7, 1992RECEIVE® SANDRA L. JOHNSON MARK D. NORCROSS DARYL E. KENNEDY FAPR y^ 1992 FREDRICK E. CLEMENT y4 JOSEPH B. RUDER + CLERK BOARD OF—SUPERVISORS CONTRA COSTA CO. Clerk of the Board of Supervisors County Administration Building - Room 106 651 Pine Street Martinez, California 94553 Re: Gillig Corporation and Herrick-Pacific Corporation Dear Sir/Madam: Enclosed is a claim against Contra Costa County and/or Contra Costa County Transit District brought for indemnification on behalf of Gillig Corporation and Herrick-Pacific Corporation. Please return an endorsed filed copy of this claim in the envelope provided. . Thank you for your attention to- this matter. Very truly yours, MVJS & ENOCHI, STEVEN R. ENOCHIAN SRE:cmw 1030:17884 Enclosures RE: Claim By GILLIG CORPORATION and HERRICK-PACIFIC CORPORATION Against the COUNTY OF CONTRA COSTA or CONTRA COSTA COUNTY TRANSIT DISTRICT. The undersigned claimant hereby makes claim against the County of Contra Costa or the above named District in the sum of $unknown claim for indemnification only and in support of this claim represents as follows: 1. WHEN DID THE DAMAGE OR INJURY OCCUR? January 22, 1991 2. WHERE DID THE DAMAGE OR INJURY OCCUR? On a bus operated by the Contra Costa County Transit District on the property of Diablo Valley College at or near Golf Club Road in the City of Pleasant Hill, County of Contra Costa, State of California. 3. HOW DID THE DAMAGE OR INJURY OCCUR? Plaintiff, Arlene Smith, was allegedly boarding a "County Connection" bus in route to work when the handicapped lift on which her wheelchair was placed suddenly and without warning dropped from its elevated position to the ground, causing severe and permanent injuries to the plaintiff. . 4. WHAT PARTICULAR ACT OR OMISSION ON THE PART OF COUNTY OR DISTRICT OFFICERS, SERVANTS OR EMPLOYEES CAUSED THE INJURY OR DAMAGE? Unknown at the present time. 5. WHAT ARE THE NAMES OF COUNTY OR DISTRICT OFFICERS, -SERVANTS OR EMPLOYEES CAUSING THE DAMAGE OR INJURY? Unknown at the present time. 6. WHAT DAMAGE OR INJURIES DO YOU CLAIM RESULTED? Plaintiff's injuries are unknown. This is a claim for indemnity by claimants who have been sued by Arlene Smith. 7. HOW WAS THE AMOUNT CLAIMED ABOVE COMPUTED? Not applicable. 8. NAMES AND ADDRESSES OF WITNESSES, DOCTORS AND HOSPITALS. Unknown. 9. LIST THE EXPENDITURES YOU MADE ON ACCOUNT OF THIS ACCIDENT OR INJURY. To date none. SEND NOTICES TO: Steven R. Enochian Moss & Enochian P.O. Drawer 994608 Redding, CA 96099-4608 (916 ) 225-8990 S N R. ENOCHIAN DARYL . KENN-E Attorneys for Claimants 1030:17878 RE: Claim By GILLIG CORPORATION and HERRICK-PACIFIC CORPORATION Against the COUNTY OF CONTRA COSTA or CONTRA COSTA COUNTY TRANSIT DISTRICT. The undersigned claimant hereby makes claim against the County of Contra Costa or the above named District in the sum of $unknown claim for indemnification only and in support of this claim represents as follows: 1. WHEN DID THE DAMAGE OR INJURY OCCUR? January 22, 1991 2. WHERE DID THE DAMAGE OR INJURY OCCUR? On a bus operated by the Contra Costa County Transit District on the property of Diablo Valley College at or near Golf Club Road in the City of Pleasant Hill, County of Contra Costa, State of California. 3. HOW DID THE DAMAGE OR INJURY OCCUR? Plaintiff, Arlene Smith, was allegedly boarding a "County Connection" bus in route to work when the handicapped lift on which her wheelchair was placed suddenly and without warning dropped from its elevated position to the ground, causing severe and permanent injuries to the plaintiff. 4. WHAT PARTICULAR ACT OR OMISSION ON THE PART OF COUNTY OR DISTRICT OFFICERS, SERVANTS OR EMPLOYEES CAUSED THE INJURY OR DAMAGE? Unknown at the present time. 5. WHAT ARE THE NAMES OF COUNTY OR DISTRICT OFFICERS, SERVANTS OR EMPLOYEES CAUSING THE DAMAGE OR INJURY? Unknown at the present time. 6. WHAT DAMAGE OR INJURIES DO YOU CLAIM RESULTED? Plaintiff's injuries are unknown. This is a claim for indemnity by claimants who have been sued by Arlene Smith. 7. HOW WAS THE AMOUNT CLAIMED ABOVE COMPUTED? Not AO applicable. 8. NAMES AND ADDRESSES OF WITNESSES, DOCTORS AND HOSPITALS. Unknown. 9. LIST THE EXPENDITURES YOU MADE ON ACCOUNT OF THIS ACCIDENT OR INJURY. To date none. SEND NOTICES TO: Steven R. Enochian Moss & Enochian P.O. Drawer 994608 Redding, CA 96099-4608 (916) 225-8990 4 s NS N R. ENOCHIAN DARYL NN Attorneys for Claimants 1030:17878 m c CIA Oft as Z t� ua o Or (D c a f N A n O pf O z o Lf O O i LU O tr \ • U' l5� � t4, � � K N ro n1p (�D A ^,� Ul 0 77 ¢� �,sv ct ul 13 '03 !ti 1i1 ti N a ON QVR 14 1992 CLAIM r BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA 'OUNTY COUNSEL Claim Pjainst thA&VFJ CALIF g y or bistrict governed b ) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT May 12, 1992 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: $5;000:00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: REED III , Dwight T. ATTORNEY: Date received ADDRESS: 2224 Ohio Avenue BY DELIVERY TO CLERK ON April 9, 1992 Richmond, CA 94804 BY MAIL POSTMARKED: April 8, 1992 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. April 13, 1992 QQHHIL BATCHELOR, Clerk DATED: BY: Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors .1 ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections '910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a .late claim (Section 911.3). ( ) Other: Dated: W iy 2 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. BOARDD 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. 1 Dated: 19l�1 1 1992 PHIL BATCHELOR, Clerk, By (]AAAA. 01JAJ1,L_, Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. 0 Dated: Ay 1 2� 1q�� BY: PHIL BATCHELOR by 6_91 i Deputy Clerk d _ CC: County Counsel County Administrator Claim to: BOARD OF SUPBRVMRS OF 006N U 00.5TA OCi M 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 Dooember 319 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 camps and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of notion. 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 6911.2.) B. claims must be filed with the Clerk of the Board of Supervisors at its office in Roan 106, County Administration Building, 651 Pine Street, Martinezo CA 94553• C. If claim is against a distriot governed by the Board of Supervisors, rather than the County, the dame 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 publio entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this To m`. Claim By Reserved for Clerk's filing stamp DWIGHT T. REED, IIS } RECEIVED ga ns a unty of WEF&Tosta APR 9 1992 or ) District) CLERK BOARD OF SUPERVISORS WillN name ) CONTRA COSTA CO. The undersigned claimant hereby makes claim against the County of Contra Costa or the above-'named Distriot in the sum of $ 5000.00 and in support of this claim represents as follows: ------------------------ —r.►------------r.--r----------------r--- 1. When did the damage or injury occur? (Give exact date and hour) ON 3/16/92 AT 11 :05 PM JUDGE M. B. SIMONS DISMISSED CASE #630200-4 ON THE GROUNDS THAT A DEFENDENT HAS THE RIGHT TO A SPEEDY TRIAL. rrww—w-----r----r—rrr.rrrwrr.rw--wr—r--rw..�+---r--www.wrw-rrwrr----r-W---rr rw—rr..1rr--r- 2. Where did the damage or injury occur? (Inolude oity and oounty) RICHMOND,CALIFORNIA COUNTY OF CONTRA COSTA. rrwraw.sr rrrr--r-r.—w--.r------rr--rrrrrrrr---wr-rrr►.r w--rrrrr—.rrrr---w--------r--rrr-------- 3. How did the damage or injury oocur? (Give full detailel use extra paper if required) FAILDRE>:TO COMPLY WITH ARTICLE 11, 015 OF THE CALIFORINA CONSTITION AND THE SIXTH AMENDMENT OF THE UNITED STATES CONSTITUTION AMD CALIFORNIA PENAL CODES §422.6(b)§422.9(A) (b)§686. § 1050. (a) (b) (c) (d) (e) (f) (g) (j ) (k) §1050.5. (a) (b) §1462. 2. •rrr rwwrr r.--r-sw—rr—rr--w— rrw.wrr►w..—rw.r—rrr--»—r,r.MrM--rrr r rr-r Mihat particular cot or omission on the part of oounty or district offioers, servants or ,w*loyees caused the injury or damage? SEE ABOVE. (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? THE-..".CLERKS OF THE COURTS OF CONTRA COSTA COUNTY, BAY JUDICIAL DISTRICT. AND OTHERS UNKNOWEN AT THIS TIME. r ------r------r-------r---------r.�.,----r------r-r-----wr-r-... ----, -------------- 6. -What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. LOSS OF CONSTITUTIONAL RIGHTS,CALIFORNIA AND UNITED STATES-MENTAL STRESS. --------------------------------------------------------------------------- 7. How was the amount claimed above computed? (Include the estimated amount of any Prospective injury or damage.) LOSS OF RIGHTS, HOW DO YOU PUT A PRICE ON THAT? loss of wages, loss of time, mental stress, attorney fees. r------------r w.---------------------M------w-------------------------------------- 8. -----------------------------w---- 8. Names and addresses of witnesses, doctors and hospitals. DR.. .RAZA- TABZA RICHMOND; CALIFORNIA -- ---r--.w expenditures------------ --------you made on accor--r---- 9• List the -runt-r-rof-r..thisacc-rr-w--rident-r--or---- r--inr,)--ury:r----rrr--r--r DATE ITEM AMOUNT SEE V. Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES '1'Ot ) o som arson on his behalf." Name and Address of Attorney r__3 I ny man sSignature) Wdress) Telephone No. 6 (09�� Telephone No.J �-'� b •�v�!'Z.$"! IF * 1t 1t 7�7iri� If N IF N IF IF 1F IF '1F"I IT " * IF 1F NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowanoe or for payment to any state board or offioer, 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, a000unt, 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. op MUNICIPAL COURT OF CALIFORNIA, COUNTY OF CONTRA COSTA MT DIABLO JUDICIAL DISTRICT 2970 WILLOW PASS ROAD, CONCORD, CA 94519 510-646-5404 THE PEOPLE OF THE STATE 01' CALIFORNIA, DATE: 02/28/92 VS. REED DWIGHT THOMAS I1 DOCKET: M 630200-4 01 2224 OHIO AVE CITATION: 11 PK76104 RICHMOND, CA 94806 - T�IDTICE OF TIMIs--OF HEARING NOTICE IS HEREBY GIVEN THAT THE COURT TRIAL IN THE ABOVE ENTITLED ACTION HAS BEEN SET FOR HEARING ON 03/23/92 AT .10:00 AM AT 1010 WARD STREET IN MARTINEZ. IMPORTANT: PLEASE CHECK THE COURT CALENDAR IN THE LOBBY FOR THE DEPARTMENT THAT WILL HEAR THIS MATTER. FAILURE TO APPEAR AT YOUR TRIAL IS A MISDEMEANOR AND COULD RESULT IN A WARRANT FOR YOUR ARREST AND/OR INCREASED MONETARY SANCTIONS. 1 L'� I S. TORRE RK OF THE COURTS BY: KATRINA V. R DEPUTY CLERK / FORM: NTOH 3 y I ~ ^ ~ ^ ' ' ' ^ MUNICIPAL COURT, COUNTY OF CONTRA COSTA, STATE OPCALIFORNIA MT UtABLO .jUDIC1AL DIS[RlC � RI) CONCORD , CA 94519 W0TK9e°o NTF0Rw CLERK'S-,;DOCKET­AND MINUTES CA8EmO. 63020<>-4 1 DEFENDANT(NAME) REED DWIGHT THOMAS I1 DEPT 3 DATE O3/1 ;�9% TIME ��'� ') ROCM[/S ]M ��\4R POSTED BY — ' DEFENSE ATTORNEY TIME vxwvEo pnousemman counr nepuTv --T-----F--—'--T JUDGE M ' 8 ' S^ MONS nspo9Tsn R , MAS�L'�I CLERK G , HENn: APPLICABLE ENTRIES 2 H i p f � � N4 � 7th H v a pG N i ptn O IPA f gpfa OWN CA,cn 22 OVA O acn va �s 0 i } CLAIM /L •a:'' 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 May 12, 1992 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: $1,144.96 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: STILE, Lawrence T. ecEIVEDAPR ATTORNEY: 1960 Morse Avenue #13 15 1992 Sacramento, CA 95825 Date received MARfr COWS& ADDRESS: BY DELIVERY TO CLERK 1F, CA1iF. Apri 1 14, 1992 BY MAIL POSTMARKED: April 1, 1992 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. gg DATED: Apri 1 15, 1992 gy1L DeputyLOR, Clerk 0� 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: q ZI 5 �� BY: 'J- ,�. Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) i. ( ) 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. c� q`� Dated: ►11R� N AS v S PHIL BATCHELOR, Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: MAY 12 1992 BY: PHIL BATCHELOR b01JA,20 Deputy Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CON11U'COSTA COUNTY INSTRUCTIONS 710.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 1069 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 Seca 72 at the end of this form. _ RE: Claim By ) Reserved for Clerk's filing stamp Lawrence T. stile RECEIVED Against the County of Contra Costa ) AR ' 4 1992 or ) ' District) sogFtD COST cOISORS Fill in name ) SpA The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $1144,86-__ 4r }, 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) R.ich"tnond Hall of justice 1003171khSstrett (Richmond Hall of justice) 3. How did the damage or injury occur? (Give full details; use extra paper if required) ,Due to floe r:aiiv the .floor was extremely slippery. a. I entered the boilding from the rer ..parksng� lot. I wiped my shoes can the rug but, when I stepped on the marble floes both feet went out from under me and I fell very hard can. my left shoulder so fast ----I--ee+A-6- erf.+",e* �Lld'Tr- CI-T=_LU CI -rD- th e 4. What particular act or omission on the' part of county or district officers, stairs. servants or employees caused the injury or damage? There should have been additional mats to absorb the water. When that floor is wet it is like it h,,d been greased. (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. Acute contusion of left . shoulder rotator culf Bruised left hip. (copy of doctor ' s report included. ) -------------------------------------------------------------------------- ----------- 7.. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) Bill from Hospital. Bill from the Taxi Company summoned to Bill from Ambulance company. return me to my car not yet received. -- R e c e iDt_ f r QM-amu g-c n tje—------------------------------------------------------ 8. Names and addresses of witnesses, doctors and hospitals. I have no witnesses. I was so shaken up that was the furthest thing from my mind. The Depu'ty''Sheriff's on duty under the command Ofietheir sergeant took a complete record fro me and from the witnesses. They also' summoned the ambulance. ------------------------------------------------------------------------------------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 3�C/92; prPscrra tion $8. 50 prsc.ri tion 6.47 $14,9 Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICES T0• (rAttorney) or by s e person on his behalf." Name and Address of Attorney "' Claimant's Signature Address Telephone No. Telephone No. *. . V V W * .* 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. , T f THANK YOU FOR SHOPPING PAYLE S; 4332 PX S.- 50 RX 6. 47 AMT DUE 14. 97 CASH 15. 00 CHANGE 03/0602 16:10 311089 15 THANK OOKSIDE HOSPITAL r Lt. I L? 2000 Vale Road o San Pablo, CA 0480E 31, .ar.4RY D ! LL�'",1 SS ' �.1'.;� rVL STiLC S109 Y-4672 6717z5 m aw-UE. oil Sam,_ ?irt /y? i l c �f> Ua/O�IyZ X50! �IC)b. ")57.07f;Ufat (A BSUV , MICHAEL L . igt;r7 mua:;E VE ." s,t MEUILAkE OuTPATFLNT FMIF tGEN CY RUOM 1147-IGU 1I.OQ CL^4 iKAL SUPFLIF.S (`3'1AL Ltst�Re ? .ts1RUE5 .;, ,,< b� ldol bZX.U" z;ALANCL HF)K CARL) LHARL:ES l f f E!�(1LTiV,LF. AMF3IN I s i;C i.PON f t;A LA NCt 5�1.00 I l i Y k PLEASE REI111 ICJ 1-',-11ENT NUMBER --—ADDITIONAL PAIIF_NI RI i Rat,'^A),HI i 1 .I,, n1� \ INGIt)3RIES AFv1; NCtI- 'OSTFt7 h14 t4-N MIS 11111 VVA'` IJP AI:i <)H 7t !'n171U:;I'(liJlf N('[ CAIIRICRS D(I H 1[ PA ^41, I'AIt; 0 1 � 74(3<' f7 0:� LCt A NON PROFTY Or{GANILA I ION PHONL 1510! ;'.i, J u,}!, rr(11t ,I R a( Yti,.r t L CIO,H111,(41.1 UIM I f(: :cr'7 1419 P.O. BGX 61000, SAN FRANCISCO, CA 94161 IRS`NO. 94 6003'I45W X71`.)-7 TIP. E "j P N 0 r ":.A! BPr ^.O KSM10 --. rte. ®...--• 'Lo Vale' F1oad C iti {, 8�)h J 1 1.�_ as — ' � + ..... ....,..._...._ .i �)� "`.`-W ._-_'- ..�-,.1 r�..Gi._,i•_r .,.. 1. .'�1,��i�P.,4at!�.v.._ .�__ - ',..I:.:.:x.>� "_ AwG. M L F SfIL..F 6U973874. :-'671.725 +l. ...E ._ .s..id-r'+'mT 3 02. 1156 03/05/90 05 I:15/U(x...::5670160hG' G1bSiiV9 MI.CHAE` 1 . L A14 R L N(�G S T 11..F .t.QbO Mi;R,'-)E AVE 13 MEI I_CARE .0' T.P.ATI oiT . .. MCAS21iN -: 557t7 "r6U.bZA - . - - 6C 155'Izsa :0076U62 .. .., 1 ..� a+Cb9'17'v]ittl7 � 'tx 1• � r 1� T'�"Y7"'..F_ ".r.. aY^" n r�'`Y +.�. .t �4 _ •. ds .sol ....x�. .!'hi n+...e.+r''s .. Int .-�.........�:rr ..•..,m D.Z..:.:.. 1 t:0 ACiLITY iI1 423G9U3. 1 ?,.i3C�: 13Z. U0 a Lli,,Fiv PAL:K :tr23.085.01S .0o 15. U0 FI-J-'KGENCY RJON. 147.OU 14 7. 00 F P'r-I NTE.RMEDIAlE 4412-71:0 . 100,..0Ci._- .-.1,0.f�® 00 1GO:o00 100603 ,sjUt.1L;1ER CUMPLETE 414yG4yav 1?+.(3.XU_ I U.CDD :. PFL'IiJ HIP UNIL.AT. 4 } ti:04 9 e 1'y5.aU0 145 U0 . RA.DiUL0Gy 285..UU:' . 1F35. U0 /`'5 i .)Q.. INAL DIS P -4:0.5-C8:74 .7.O.U. 7. UU i ti 1 ULOFR IMMUB ILI tE�.= &05;06307 .Z ..DU 62.U0 (''E.NTRAL SUPr'LIES tI4'00U kBy. UJ I • I 1. 1 a,�.;til+{ � b ';4 '�Y t^ ID��ii.�i � - •..Y C�7 � Y,:3 +lr'-' 1 N1 TA rtA !t?lri`"riri 10 41 1t 1 C1 vn A J 1.4 F*•'' F a5' fi`T1 t `t �p fi J� t N o o oiVvo Q n , m ZG� 6�y C)Uu 03 G 7? •may, m p cl `- "t Nv N x. R} t,... �. co A m N cD 0 �.. 0 0 0, m v T% . CJ y '• .t A Z, q a O y v J n. � .. m pD ' Y n.fi * _ -w E: The examination and treatment-that you have received in the Emergency Department has been given ll an emergency basis only, and is not intended to be a substitute for complete medical care. it is important that you be checked again as instructed. If you notice any worsening of your symptoms, promptly Cali your referral doctor or "+- return to the hospital. If an x-ray or EKG has been performed, it has been read on a preliminary basis only, and will be reviewed by a radiologist or internist within,24 hours. You will be n tified if Aoditional #nt}+angs gq noted. YOUR DIAGNOSIS IS: TRAUMA ADULT Laceration/Puncture Head Injury Viral URI Pneumonia/Bronchitis Fever Control Otitis Media Miscarriage,gSPont'r'4*`PID Sprain/Strain Concussion* Gastroenteritis Asthma Viral URI Pneumonia/Bronchitis Miscarriage, Threaten Ovarian Cyst Burn/Abrasion Neck/Back Pain Utcer/Gastritis COPA Flare* Gastroenteritis Asthma* irregular Vag. Bleed Curettage Contusion Corneal Abrasion* Esophagitis* Tension Headache Pharyngitis, Viral* Poisoning, Pedes* Vaginitis* Menstrual Pain* Fracture Abscess* Chest Wall Pain* Hypertension, New Pharyngitis, Strep* Febrile Seizure* Cystitis, Fem. Kidney Stone* Cast and Splint Care Cellulitis* Seizure, Recurrent* Dehydration* Pharyng, Strep Pend'g* Croup* Pyelonephritis* GC/Chlamydia* Animal Bite* Allergic Reaction* Overdose* Hives* Conjunctivitis* PRINTED INSTRUCTIONS PROVIDED: ❑ indicated above ❑ other: ADDITIONAL INSTRUCTIONS' G ❑ Call 235-7006 x 2100 on for the results of your test: YOUR EMERGENCY DEPARTMENT P SIC HAS BEEN: � '�Gd ��.` E. Nipomnick I. Ahwah J. Ramp a �on R. Turner ' B. Gustin R. Mandiberg A. Strachan T. Smith t have received and understand the instructions outlined above. Patient or Representative Staff Date D/C Time HOSPITAL WORK/SCHOOL NOTIFICATION FORM was seen in the Emergency Department on s He/she should be able to return to work/school on with the following restrictions: X , M.D. . .\ . . . \ . � ¥ � � ® `#® � 'k - . - o 7 U� A . § � A � � k \ . . � \ iy 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 ;, 12, 1992 and Board Action. All Section references are to ) The copy of this document mailed �o 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: $1,070,000.00. Section 913 and 915.4. Please not ll "Warnings". CEIVED CLAIMANT: SUTTLE, Timothy 4PR l5 1992 ATTORNEY: Manton L. Selby III , Esq. COUNTY Law Chambers Building Date received MARTIN¢�UNSE1 ADDRESS: 345 Franklin Street BY DELIVERY TO CLERK ON Apri 1 1 Y92 Third Floor San Francisco, CA 94102 BY MAIL POSTMARKED: Hand delivered I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DATED: April 15, 1992 PPHHIL ATCHELOR, Clerk BY: Deputy __� 4 44 IL I1. FROM: County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: BY: ��--�r� J. Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD 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. A 0 Dated: �,no1 I V 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 Noti a to Claimant, addressed to the claimant N s gshcoywn.. anboyve. MAY 1 1932 BY: PHIL BATCHELOR b ° Deputy Clerk CC: County Counsel County Administrator RECEIVE APR 141991 CLAIM AGAINST PUBLIC ENTITY 3"/a p.r" CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. TO: CONTRA COSTA COUNTY TIMOTHY SUTTLE hereby makes claim against the County of Contra Costa for the sum of one million dollars ($1, 000,000.00) and makes the following statements in support of the claim: 1. Claimant's post office address is 163 Sparrow Drive, Hercules, California 94547. 2. Notices concerning the claim should be sent to Manton L. Selby, II, Esq. , Law Chambers Building, 345 Franklin Street, Third Floor, San Francisco, California 94102. 3. The date and place of the occurrence giving rise to this claim are January 5, . 1992 at Highway 4 at Sycamore Avenue. 4. The circumstances giving rise to the claim are as follows: On January 5, 1992 at 12:51 a.m. , reserve police officer RANDALL WATKINS acting under the instructions and supervision of the Hercules Police Department blocked Sycamore Avenue from travel by placing flares in a location where they could not be seen by oncoming traffic. Further Officer RANDALL WATKINS, using a flashlight, signaled Plaintiff to make a U-turn in a manner that Plaintiff reasonably thought it was safe to do so, resulting in an accident causing injuries to Plaintiff. 5. Plaintiff's injuries are fractures to his ankle and leg; bruises and contusions; soft tissue injuries; concussion; and other traumatic and psychological injuries. 6. The names of the public employees causing the claimant's injuries are unknown employees of Contra Costa County who supervised or instructed a reserve officer in such manners as the instant injuries were caused. 7. My claim is as of the date one million dollars ($1,000,000. 00) . The basis for the computation of the above amount is as follows: Medical expenses incurred to date $ 20, 000. 00 Estimated future medical expenses 50,000.00 Loss of .wages (Unknown) General damages 1, 000, 000. 00 ------------ Total $ 1,070,000.00 DATED: April 14, 1992 SELBY LAW OFFICES By: MANTON L. SELBY, , ESQ. Attorney at Law ih behalf of Claimant TIMOTHY SUTTLE CLAIM APR 16 1992BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY,CALIFORNIA WUWy COUNSEL Claim Against *AFMN611,tyAL1fflr District governed by) BOARD ACTION the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT Ma:y-7, 19 92 and Board Action. All Section references are to ) The copy of this document mailed to you is your notice of California Government Codes. ) the action taken on your claim by the Board of Supervisors (Paragraph IV .below), given pursuant to Government Code Amount: $200.00 Section'913 and 915.4. Please note all "Warnings". CLAIMANT: TRAUTNER, Charlene ATTORNEY: Date received ADDRESS: 3217 Br00kw00d Drive BY DELIVERY TO CLERK ON April 15, 1992 Lafayette, CA 94549 BY MAIL POSTMARKED:. April 14, 1992 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PpHHIL BATCHELOR, Clerk J DATED: April 16, 1 A92 BY: DeputyAl I LI. FROM: County Counsel TO: Clerk of the Board of Supervisors \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: IG BY: A Deputy County Counsel U 14 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: MAY 1 2 1992 PHIL BATCHELOR, Clerk, By Deputy Clerk ,.IM• � � r WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as sho:;n above. Dated: MAY 12 1992 BY: PHIL BATCHELOR by AAA o Deputy Clerk CC: County Counsel County Administrator Claif 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 RECEIVED ) Against the County of Contra Costa ) APR l 5 1992 Pr ) 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 $ X00• d D and in support of this claim represents as follows: e®®ee-aee_eee-ee-O---Mee---M-N--e-e-seeee---Neee--NN-e---e-e--e-e-NO-o---M--- 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 damage or injury occur? (Give full details; use extra paper if required) �vad eai.l, 0000�s , ��G .=--eee�e_--_-------------------------------------------�..e 4. What particular act or omission on the part of county or district officers, servants or .employees caused the injury or damage? 1J 6f .�c7 Ve- ��� c�/aG�r� TO It 2a .s 74 the c d e r �is fo. 7 /�rnou��s SkOLe[f0MW"cu/Q�ecf 041 �e S/c% 12,0-24/1 er_>774 �?t� G4>k- . (over) 4 i I s t - tD FR 63 TE AUTOMOTIVE EnTE&WISE5 PPOMISED : 02/ 1�7 CA 94540— CHECK 270'- _ 10-283 IaROOKWOOD DRD - OPIGTNAL ESTIMATE : 200 .00 ADDED AMOUNT-, OK D p T 1 TOTAL ES77MATE ; 200 00, G? PAR7§0 DMINT11M 01T EXTEND His ON AIN HICRISFy" OHM ---------------- .------ .___-_._..___-__...__.__..___. r 40 1 ( 1 I Taal ..ui.. .d I 'ti . C S x ! i� WnMR TO EPPI CAS. 69K 70 W, RDAMHR OF in Rum Fun t j T 7 al�Tflll[i"i * - �.yn:7C „_� _.I+ til i f+„C r ��A;i. .its., ..iIC C !1:• vt ea)� Y�r--"----_.-------------------------------- 1 .,._ .f.._.'_l- '-___-_._"_.-__...._ EI'.._tt .ti.__ H h%. _ :,C: JRK .. K . E r;�d _ t r_ ._+.. :; n; I'AT t.. n.t HE, _L+ '�' t,I4 it"--NIT YOU YOUR EPLOTES 'rEDjC;,NN IG PERK TK V_'!!,t__ HEREIN „H .._EL' ON _TPEET` -n-ti *I___ 00 C., C...J:.iH_. + I _ i Ltd. _Sr. .., IH-i I. F514Gi. s p_.,I i;i�. ri _..,. "_ •Ai, F, "_,.1r .. TOT,-,'L 0,00 ,'11 AOR: VEr_;._ TO .+M',.vf._ THE a�,�ONT it L!:. 41 ,. THERETO. .r,. :'nt NO HUD. ..;i M V 19 -0 f' 'I A cl fl A 19 m CA Im i. }fer�at y C'ruutflg MC NI 932803 2792 I CCOltUff MC}1+3560.292 3217 NiWwWA Dr 93B 9d6#: PAY Ale _ 00L.uRG f AC��11�i1�1t Mtav . P.O.a"Sell < tau"",CA W4i! MEMO ��` SIGNATURE : ?� 2Jrg1)035 a ?92 a 5 2 6Q9S6l)' r.i'gQOgQCgqqo0' TO .r=^ oAr TIML___ AM. FflaJ'M �---- A[ YmoE Ha. q7 - QYEXT E JE _. M _� ...�_ E A - ori SIGNED PMpNED� Ct3AGK CALLNNEp SiEEYl7UC, l� .AGAtNALL (� WRSVN '� 1iNukN1 P I}ts -,, Gafry Howes ' Costa Public Works C "l Maintenance Supervisor 1 1510)313-7044 s>' (510)313-7Q14 Fax Public Works Department J 2475 Waterbirn Way Martinez,California 94553-1488 S t o� a� Q ►�/ r q d