Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
MINUTES - 05191998 - C11
CLAIM ''• BOARS U S1}PF 3VI5C?RS 4F Cl7NTRA COSTA COUNTI', C_A11,TFORN1A BOARD AO 1k Mey 1%1:998 Claim Against the County, or District Governed by ? the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to a The copy of this document mailed to you is your California Government Codes. } notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), 'given pursuant to Government Corte Section913 and 915.4. Please note all "1N -Wlx 'EM) AMOUNT: $407.97 APR Z 2 1998 CLAIMANT: Enterprise Rent-a-Car COUNTY COUNSEL File #CX2307B 14 MAFITINEZ OALIF� ATTORNEY: DATE RECEIVED: Attn: Julie Aumock ADDRESS: 2550 Monument Blvd. BY DELIVERY TO CLERK ON: April 22, 1998 Concord, CA 94520 BY MAIL POSTMARKED: L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk Dated: April 22, 1998 By: Deputy r` tee_. U. 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: 6�3 m By: tai'[— eputy County Counsel — 0 M. 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 ent red in its minutes for this date. Dated: _ PHIL BATCHELOR, Clerk, By , Deputy Clerk 67— 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAIL NG 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, ddressed to the claimant as shown above. Dated• /, � By: PHIL BATCHELOR By puty Clerk CC: County Counsel County Administrator _ _...... ......... ......... .._...... _ _ ............ ......... ......... .......... ........ ......... ......... ......._. _ ......... ......... ......... ......... ......... ......... ......... _ _ ....._.................._................................................. _ _. ....................... F-I—ERSEF; RI-.�TA:I:N THIS I t-HNNEE::CI N 1N t-IC'1ERt3"'I"IC)N (PNC)') REC IEE IPT FOR TIHIS VIm I-€:LC I_.I=: . T'i-€i: PNO IS VRL.:11) UNTIL.. THE t.Ji::i'€:Lt f_E I:.`.> C>Ii REG I:.`.:>'#'RR.F I()N :IS REt*11=::WED . f"!1x V4::€ I:I tW€_i : r.U:i L-1__ REETA:IN I'T'S EXPI RRT:I C31N :C::t t CE:: ANLL :I€= c::zE' .I f=1"f'f::Ca L`)(JR:IN(5 ANY ;• OR"T'_ION OF I rs REGIS_IRA.T_I()N YEAR , FULL. YERR RENEWAL FEES FIRE DUE . WE.TwAl' FEES ONLY NRY BE PRO—RA'T'ED FOR CC:II"IMERCI:AL VEHICLES . A PNO STATUS ATUS :I:`.i NOT R REGIS'rRRTION . 'IF A VEHICLE WITH A PNO STATUS IS OPERATED, PARKED OR LEFT STANDING ON A PUBLIC STREET OR HIGHWAY , I'T' MAY BE SUBJECT TO CITATION . IF TI-IIS VEHICLE WILL.. BE OPERATED, EVIDENCE OF FINANC-IAL RESPONSIBILITY MUST" BE PROVIrIED Tc) 'THE DEPARTMENT WITH THE PAYMEN"I- OF FEES ON OR BEFORE -I'NE :CR-rE OF FIRST OPERATION . THERE 1:S NO GRACE PERIOD. IF REGISTRATION FEES ARE NOT PAID BEFORE THE VEHICLE IS OPERATED, THE FOLLOWING PENALTIES ARE DUE : FOR AN C>HV , TI"-1L-:: PENALTY IS 502 OF TIME REG:IS'T"RATII--IN: FEE . FOR ALL OTHER VEHICLES , THE PENALTY IS 1011. (1- 10 ISYS LATE) , 21.1% (11•-30 DAYS LATE) , OR f f)% (31-365 DAYS LATE) . ADDITIONAL. PENALTIES WILL BE ADDED AFTER ONE YEAR . FEES WNL`? OR PENRLTIES PAID FOR FILING THE PNO WILL NOT BE CREDITED TO, ANY SUBSEQUENT RENEWAL FEES DUE . DO NOT DET€-1Ci...I .._ REGISTERED OWNER INFORMATION x•� x"� ��x �,�;,�.�.H..,�.� IBM mm E'NtI -lti=::ta DEFERRED MAKE YR MODEL YR 1ST SOLD VLF CLASS *YR TYPE VEH TYPE LIC LICENSE NUMBER 4 DODG 87 88 BM 97 12.3 11 3TWR530 BODY TYPE MODEL "P no VEHICLE ID NUMBER VC 61 DN 2 B61-IB23T6HK296722 TYPE VEHICLE USE DATE ISSUED CC/ALCO DT EEE RECVD PIC USE TAX AU I"(_illt:)B ILL C12/23/98 C-17 (.12/2:3/98 ::3 568 REG EXPIRES : 04/08/98 REGISTERED OVNER AMOUNT PAID WARD C;l__EN JERRY T E(10 , 011 4853 BOXER BLVD AMOUNT DUE AMOUNT RECVD - ' 6110 . 1.1(;1 Cw.A S Fl C:I-ftvE::: CONC()R D C RD*l- 590 . (Jo CA 94521 LIENHOLDER FO:I 523 (.,2 t_It'tfitjC}I)f) 0(:14 CS F01 022398 3.1, :.3TWR530 722 __ _....... _.._.......... .ar.sr..ar. 'Y"Mt f l l,I C f"i1DV --- . Recreational vehicle Adjustment sheet Request# HDI96017 User# 48811 Adjusters FISCHER Date: 02124198 Loss Comp Comp. Comp Comp Vehicle veh #1 veh #2 veh #3 Veh #4 Take Price $6,900 $5,200 $4,995 Year 1987 + make DODGE Model B250 Length STD Type CONVERSION Chassis Mfr. DODGE Engine Model 8-5.2L-2 Power Options AS LISTED Conv Options AS LISTED Kitchen Bath Auxiliary A1C N Auxiliary Heat N Generator ** Roof Rack Y Awning ** Hitch N Odometer 111,510 + + _ Other AS LISTED - + + Adjusted value 111111!!1111 $6,955 $5,405 $5,280 CCC value $5,880 02/24/98 TUE 07:51 €TX/RX No Sloe) Q008 . . x= 11 Available Representative vehicle #1 Request# HD196017 User# 48811 Insureds WARD Claim# 05 4046 549 Dates 02/24/98 Adjusters FISCHER Dealer PRIVATE SALE Address , CA Contact Telephone (415) 992-0429 Stock # Selling Price $6,900 Year 1987 Floor Plan ** Make DODGE Kitchen ** Model B250 Bath ** Aux A/C N Length STD Aux Heater N class 1 Generator ** Body Type CONVERSION Roof Rank Y ** Chassis Mfg. Awning Hitch N Model # Engine Mfg. Model # 8-G Odometer AVG Transmission AUTO condition 2 Power Steering Y Other Items: DELUXE CONVERSION Power Brakes Y STANDARD ROOF Power Windows Y OAK PACKAGE Power Locks Y LIGHT PACKAGE Power Seats N CTV Cruise Control Y Tilt Wheel Y Air Conditioning Y Aux Fuel Tank N Radio AM/FM/ST/CA Interior DELUXE Paint 2 Wheel Type STYLET} STEEL Tire Size 8815 Wear Remaining 50% 02/24/98 TUE 07:51 [TX/RK NO 61061 Q005 � l Available Representative vehicle #2 Request# RD196017 User# 48811 Insured: WARD Claim# 45 4046 549 Date: 02/24/98 Adjuster: FISCHER Dealer PRIVATE SALE Address , CA Contact OAR Telephone (916) 269-1708 Stock # Selling Price $5,200 Year 1987 Floor Plan ** Make DODGE Kitchen ** Model B250 Bath ** Aux A/C N Length STD Aux Heater N Class 1 Generator ** Body Type CONVERSION Roof Rack Y Awning ** Chassis Mfg. DODGE Hitch N Model # B250 Engine Mfg. DODGE Model # 8-5.2L-F1 Odometer AVG Transmission AUTO Condition 2 Power Steering Y Other Items: DELUXE CONVERSION Power Brakes Y STANDARD ROOF Power Windows Y OAK PACKAGE Power Locks Y LIGHT PACKAGE Power Seats N Cruise Control Y Tilt Wheel Y " Air Conditioning Y Aux Fuel Tank N Radio AM/FM/ST/CA Interior DELUXE Paint 2 Wheel Type STYLED STEEL Tire size 8815 Wear Remaining 50% 02/24/98 TUE 07:51 [TI/RX No elo8] Q006 ..... ,fery Available Representative vehicle #3 Request# HD196017 User# 48811 Insured; WARD Claim# 05 4046 549 Dates 02/24/98 Adjusters F'ISCHER Dealer WHEEL & DEALS Address SAN BRUNEI, CA Contact SALES Telephone (415) 583-4320 Stock # Selling Price $4,995 Year 1986 Floor Plan ** Make DODGE Kitchen * Madel B250 Hath ** Aux A/C N Length STD Aux Heater N Class 1 Generator ** Body Type CONVERSION Roof Rack Y ** Chassis Mfg. AwningHitch AI Model # Engine Mfg. Model # 8-G Odometer 110,000 Transmission AUTO Condition 2 Power Steering Y Other Items- DELUXE CONVERSION Power Brakes Y STANDARD ROOF Power Windows Y OAK PACKAGE Power Locks Y LIGHT PACKAGE Power Seats N Cruise Control Y Tilt Wheel Y Air Conditioning Y Aux Fuel Tank N Radio AM/FM1ST/CA Interior DELUXE Paint 2 Wheel Type STYLED STEEL 'lire Size 8815 Wear Remaining 50% 02/24/88 TUE 07:51 CTX/R$ NO 61067 Q007 .... .. < �........... Recreational Vehicle valuation Request Number --- HD196017 User ID: 46811 Date: 62/24/98 Loss Date: 62/15/98 Adjuster: Claim Reference: Owner: VIN: FISCHIER 05 4646 549 WARD 2B6HB23T6HK296722 Message Center Valuation amount includes the fallowing common/customary equipment: FULL PADDED CARPET, INSULATED WALLS WITH PANELING OR FABRIC, CUSTOM UPHOLSTERED DOOR PANELS 8 HEADLINER, FULL OAK TRIM, 4 RECLINING CAPTAIN CHAIRS, REAR FOLD OUT SOFA BED, 2 SLIDING BAY WINDOWS, 2 STATIONARY BAY WINDOWS, DEEP TINT GLASS, MINT BLINDS OR DRAPES, INDIRECT LIGHTING, 6 SPEAKER STEREO, OVERHEAD CONSOLE, STYLED STEM WHEELS, OUTSIDE REAR MOUNT SPARE WT COVER, ALUMINUM RUNNING BOARDS, LUGGAGE RACK WI LADDER, CUSTOM 2 TONE PAINT, FRONT CONSOLE, CENTER MOUNT REAR GAME TABLE, FLIP UP AIR VENT. NOTE MODEWYEAR DIFFERENCE OF REPRESENTATIVE VEHICLES. 02/24/$8 TUE 07:51 [TX/RK NO 61061 Q004 DATE: 02/24/'98 TO.- FISCHER STATE FARM INSURANCE Co. (510) 580.-4131 (FAX#) APPRAISER: APPRAISAL compANY': (FAX#) PAGE'S: 7 FOLLOWS 4 42/24/98 TUE 07:51 [TX/RX No 81081 0001 FRAME/UNIBODY DAMAGE ANALYSIS SHEET CLAIM NUMEIER ESTIMATOR Y6AftI MAKE MODEL `t3` REMARKS: • Use Arrows to indicate direction of movement Sirlesway- - -- L.40. Sag 2. Use Symbols for area of damage and additional Pubs required 3. Use Brackets 1 to indicate component or section to be replaced Symbols � �._. �- g Suckle - -- - -- 8 Mash . .. .. _ . M Diamon0---- -- -- D 0Twist -- --- --- T Strut Tower Pull - --ST Cowl Pull-- . _ _. C Floor Pull --- -- F a 0 0 0 DIMENSIONAL CORRECTIONS HOURS O 4 DIMENSIONAL CORRECTION TOTAL $ l 3,3"r 1-0 PLATE SET-UP RATE tt s Rer.6.94 Total $ O6 of d PAGE STATE FARM MUTUAL INSURANCE COMPANY PLEASANT HILL SERVICE CENTER 333 CIVIC DRIVE P. O. BOX 4011 CONCORD, CA 94524 (510) 680-4100 CD LOG NO 0003251 DATE 02/20/98 CLAIM# 05-4046-54902 POLICY# COMPANY CLAIM REP FISCHER INSURED JERRY WARD CLAIMANT LOSS DATE 02/16/98 TYPE OF LOSS LOLL/FLD INSP DATE 2/20/98 LOCATION M&T APPRAISER B.FULLER COMPANY NAME JERRY WARD WORK PHONE ADDRESS 4853 BOXER BLVD CITY STATE CONCORD CA ZIP 94521-3603 PHONE (510) 671-2956 LIC# 3TWR520 VIN 2B6HB23T6HK296722 ENG/COLOR WHITE/RED MILEAGE 11.1610 CONDITION GOOD ACCT'NG CTL# E=NEW PART EC=QUALITY REPLACEMENT PART EU=QUALITY RECYCLED PART EP=SEE PX REPORT P=CHECK I=REPAIR/ALIGN/SUBLET L=REFINISH N=ADDITIONAL OPERATION TE=PART/PARTIAL REPLACE ET--LABOR/PARTIAL REPLACE IT-LABOR/PARTIAL REPAIR AA=APPEARANCE ALLOWANCE RP=RELATED PRIOR DAMAGE UP=UNRELATED PRIOR DAMAGE REPAIRS MAY EXCEED ACV BLEND RT DOOR 1987 DODGE RAM VAN 250 3/4 T 109" N6144A/B OPTNS F/2DJMNOQRSTY OPTIONS: TWO-STAGE -EXTERIOR SURFACES BUMPER STRIPS BUMPER GUARDS PRIVACY GLASS SHADED WINDSHIELD POWER WINDOWS AIR CONDITIONING AUTOMATIC TRANS HINGED SIDE CARGO DOORS DUAL REAR DOORS TILT STEERING WHEEL OP GDE MC DESCRIPTION MFG. PART NO. PRICE AJ% HOURS R N 000 UNIBODY-FRAME INCL SETUP ADDITIONAL OPERATION 4 .5*1* E P006 BUMPER,FRONT ** QUALITY REPL PART 200. 00 2.3 1 E 014 STRIP,FRONT IMPACT RT 4249826 8. 50 1 E 017 ST'RIP,FRONT IMPACT RT 4249828 5.70 1 E 008 GUARD,FRONT BUMPER RT 4249830 66.50 1 E 010 PAD, FRONT GUARD RT 4039739 10. 00 E 012 SUPT,FRONT BUMPER MTG RT 4249832 29.75 1 E 032 SUPT,FRONT BUMPER MTG RT 4249880 24 . 75 2 E 030 40 GRILLE ASSEMBLY 4249586 195.00 1 N 973 HEADLAMPS AIM ADDITIONAL OPERATION . 5 1 E 044 40 SEALED BEAM,HALOGEN RT LOOH6054 14. 00 .1 1 DODGE RAM VAN 250 3/4 T 109" PAGE 2 CD LOG NO 0003251 DATE 02/20/98 OP GDE MC DESCRIPTION MFG. PART NO. PRICE AJ% HOURS R E P050 DOOR,HEADLAMP RT ** QUALITY REPL PART 42 .80 . 1 1 E 307 SCREW,HEADLKI.'lIP ADJ RT 4434141 1. 00* 1 E 035 PANEL,HEADLAMP MTG RT 4351134 52.50 1.9 1 E 055 40 PARKLAMP ASSEMBLY RT 4260202 17.25 1 E 082 PANEL,RADIATOR SIRE RT 4156188 23 .75 .1 1 L 082 PANEL,RADIATCR SIDE RT REFINISH .2 4 E 073 CRSMBR,RAD PANEL UPR 4351142 71.50 3.9 1 L 073 CRSMBR,RAD PANEL UPR REFINISH .4 4 I 074 CRSMBR,RAD PNL LOWER REPAIR/ALIGN 1.0*1 L 074 CRSMBR,RAD PNL LOWER REFINISH .2 4 E 080 APRON,FRT PANEL LOWER 4351131 48.00 1 L 080 APRON,FRT PANEL LOWER REFINISH 1.0 4 I 088 EXTENSION,LWR CRSMBR RT REPAIR/ALIGN 1.0*1 E 733 CASE,A/C UPPER 4114053 84.50 3. 0 2 E 734 CASE,A/C LOWER 83507031 50.50 1.5 2 E 114 WHLHS,FRT FENDER OTR RT 4113914 220. 00 3.9 1 E 104 40 FENDER,FRONT RT 4156915 118 .00 7.9 1 L 104 09 FENDER,FRONT RT REFINISH 3.4 4 E 112 EXTN,;FRONT FENDER RT 4351140 39. 25 1 E 108 REINP,FRT WHEEL OPNG RT 4080444 13 .50 1 E 722 GEAR ASSY,STEERING 83643333 275. 00 1.9 2 E 705 ARM,STEERING PITMAN 4089350 84 .50 .3 2 ECG143 40 WINDSHIELD,SHADED NAGS DW964--GB * 1 E 186 PANEL,COWL SIDE RT 55026748 48.50 3.0 1 L 186 PANEL,COWL SIDE RT REFINISH .3 4 L 210 PNL,FRONT DOOM OUTER RT REFINISH 1.2*4 E 232 W/STRIP,BELT OUTER RT R & I * .2 1 E 250 02 PNL,INNER DOOR. TRIM RT R & I * 1 # = 01, 02 E 272 N/PLATE,FRONT DOOR RT 4357107 4 . 45 .2 1 E 258 HEAD ASSY,MIRROR OUTER RT R & I * . 3 1 E 215 HANDLE,FRONT DOOR OTR RT R & I * .1 1 EC CORRISION PROTECTION ** QUALITY REPL PART 5. 00* .3*1* N TINT ADDITIONAL OPERATION . 5*1* I 2 WHEEL ALIGNMENT SUBLET 50.00* 1* N COVER VEHICLE ADDITIONAL OPERATION 5.00* .3*1* EC COOLANT ** QUALITY REPL PART 12 .00* 1* I A/C RECHARGE & RECOVERY SUBLET 168.50* 1* EC UNDERCOAT ** QUALITY REPL PART 10.00* .5*1* L CUSTOM PAINT REFINISH 10. 0*4* 50 ITEMS MC MESSAGE 01 CALL DEALER FOR. EXACT PART NUMBER / PRICE 02 PART NO. DISCONTINUED, CALL DEALER FOR EXACT PART NO. 09 INCLUDES 0. 6 HOURS MAJOR PANEL TWO--STAGE ALLOWANCE 40 PXN SEARCHED BUT NOT COMPARED DODGE RAM VAN 250 3/4 T 109" PAGE 3 CD LOG NO 0003251 DATE 02/24/98 FINAL CALCULATIONS & ENTRIES GROSS PARTS 1, 506.40 OTHER PARTS 274 .80 PAINT MATERIAL 350.00 ** PARTS TOTAL 2 , 131.20 TAX ON PARTS & MATERIAL @ 8. 250% 175.82 LABOR RATE REPLACE HRS REPAIR HRS 2-SHEET METAL 54 .00 24 .8 7 .8 1;760.40 2-MECH/ELEC 54. 00 6.7 361. 80 3-FRAME 54 . 00 4-REFINISH 54.00 16. 7 901.80 5-PAINT MATERIAL 23.00 LABOR TOTAL 3,024.00 TAX ON LABOR @ . 000% SUBLET REPAIRS 218.50 TOWING & STORAGE GROSS TOTAL 5, 549.52 LESS: DEDUCTIBLE 100. 00-- NET TOTAL 5,449.52 PXN:YY/07/02/02/00 SEARCH AREA: PLEASANT HILL GEOCODE: 94523 DEVICE #78173-484 ADP AUDAPOINT U ES LOG 0003252 DATE 02/20/98 09:37: 16 R2.5S CD 02/98 COPYRIGHT, 1995 AUTOMATIC DATA. PROCESSING ** USER--ESTABLISHER THRESHOLD FOR PAINT MATERIAL HAS BEEN REACHED. ANY ADDITIONAL MATERIALS MAY REQUIRE FURTHER APPROVAL. 1.0 HOURS WERE ADDED TO THIS ESTIMATE BASED ON ADP'S TWO-S'T'AGE REFINISH FORMULA: 20% OF REFINISH HOURS, AFTER OVERLAP, PLUS 0. 6 HOURS FOR THE FIRST MAJOR PANEL, WHERE NOTED. "NOTICE - REPAIRS TO THIS VEHICLE MAY REQUIRE SPECIFIC WELTING EQUIPMENT AS RECOMMENDED BY THE MANUFACTURER" ESTIMATE REVIEWED BY SHOP ESTIMATE REVIEWED BY ESTIMATOR ALL SUPPLEMENTS REQUIRE PRIOR APPRO AL BY A STATE FARM REPRESENTATIVE. CALL REINSPECTION HOTLINE AT 680-4128. PAGE 1 QUALITY REPLACEMENT PARTS REPORT SUBSTITUTED FOR 0 CS S GUIDE SUPPLIER CHRYSLER R`LR P NO. PART DESCRIPTION PART NUMBER PART NUMBER G SC L 006 BUMPER,FRQNT CH1002147 4249873 C 1 01 050 DOOR,HEADLAMP RT CH2513134 4249590 C 1 01 ORG = ORIGIN CODE: C - CD H - HOST CLS = CLASSIFICATION CODE: R - RECONDITIONED PART C - CAPA CERTIFIED PART QUOTED BY LISTED SUPPLIER SRC = SOURCE CODE: 1. - NON-ORIGINAL EQUIPMENT MANUFACTURER PART 3 - ORIGINAL EQUIPMENT MANUFACTURER (OEM) PART SPL CODE SUPPLIER/ADDRESS ID/CITY ST ZIP TELEPHONE 01 COLLISION PRTS NTWRK PXN1693 {800} 734>--`?757 4009 SEAPORT BLVD WEST SACRAMENTO CA 95691 (916) 387--8010 ------------------------------------------------------------------------------- DATE 02/20/98 09:56:14 AUDAPOINT SEQUENCE #0003251 SEARCH AREA: PLEASANT HILL GEOCODE: 94523'. ADP AUDAPOINT U ES LOG 0003251. DATE 02/20/98 09: 37: 16 R2 .5S CD 02/98 COPYRIGHT, 1995 AUTOMATIC DATA PROCESSING TRAFFIC ACCIDENT#NFO DAY WE K TIME Qi.S Rev. 10y97?rirXsa in li.S.A. T f" •�� �. LOCA w -. .�.., ON AT R f.NAME if] MtpD(E PHONE NCi, ADDRESS DRI SI VE' Np .YR. rt M i Yq DIRECTIO NAME$ADD ftE#31STERED OWNER OR LESSErz N S E MEAS DRIVER E IFIRST b#DDLE.LAST) PHONE NO, ADORE CITY DRIVER'S LICEN STAFF BIRTHDATE SEX VEH.LIC.NO. VEH.YR. �� k10DEt p y INS.COJPOLICY N ' UEH.ON OIRECT#ON NAME$AOORESS OF REGISTER€O C7WNER fll? N S E W E CI SAME AS ORIVER /THIS REPORT NOT T4 DE Cr"'71 Dt�'UCA�'ED OR FUR Y?. HED TO tir ` : . CSR AGENCY $ ME{gIRST,MIDDt E.iASfj �* ��ryry t PHONE NO. —• . AND IS TV FSC f`a i3::< i _ ..EPAR t MENT ADDRESSCITY UPC,,;,-.4I _ PC,,,,i'F �E s:OiLr. DRIVER'SLICENSE STATE BIRTHDATE SEX ��ee f ia �is+ '{ M '.1 VI M.LIC.NO. A V EH YR, MAKE MODEL D I _ . i i;1e tNS C#3.IPOLtCv Ir VER.ON ��yyI NAME$ADDRESS OF REGISTERED OWNER flfl LESSEE OIFt310N R:- vrds }:ur e-au N S E W Concord Police Depa eat ctSAMEA3DRIVER SKETCH INDICATE _ NORTH RE _ 199( MAR -- -- ILL HILL This form Is the only repo"of this collision.See back of form, OFF# L ! BEAT CP-"I MAY 96 WHITE•PD GREEN-ENG. CANARY,FENK,t3LDNRD•UEH.DRIVER VAI "of o, .... ca3 CA a 0 Z m nn ru Imi wrIM V ..Lt► t b > Ln VICTOR J.WESTMAN COSTA COUNTY COUNSEL CONTRA COSTA COUNTY PHILIP S.ALTHOFF OFFICE OF THE COUNTY COUNSEL SHARON L ANNDERSON ARTHUR W.WALENTA,JR. ANDREA W.CASSIDY COUNTY ADMINISTRATION BUILDING VICKIE L.DAWES ASSISTANT COUNTY COUNSEL 651 PINE STREET,9th FLOOR MARKS S.ESTIS D MICHAEL D.FARR MARTINEZ,CALIFORNIA 94553-1229 LILLIAN T.FUJII SILVANO B.MARCHESI DENNIS C.GRAVES ASSISTANT COUNTY COUNSEL GREGORY C,HARVEY JANET L.HOLMES GAYLE MLIGGLi KEVINT KERR BERNARD L.KNAPP OFFICE MANAGER EDWARD Y.LANE,JR. MARY ANN MASON PAUL R.MUNIZ PHONE(825)335-1800 PHILIP J.NORGAARD FAX(925)646-1078 VALERIE J.RANCHE DAVID F.SCHMIDT DIANA J.SILVER BARBARA N.SUTUFFE JACQUELINE Y WOODS NOTICE OF INSUFFICIENCY AbW-M NQN A IC EPTANCE CLAIM TO: Lawrence A. Kennett&Manley M. Wessels Law Offices of Kennett&Rowland RE: CLAIM OF: Federal Express Corporation&Noel Hansen 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: [ ] I. The claim fails to state the name and post office address of the claimant. [ 12. The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. [ ] 3. The claim fails to state the date,place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. [ 4. The claim fails to state the name(s)of the public employee(s)causing the injury, damage, or loss, if known. [ ] 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 ($10,000),the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. Page 1 [ ] 6. The claim is not signed by the claimant or by some person on his behalf. [x ] 7. Other: The claim fails to describe any duty or obligation of the publicentity and any action giving rise to the claim. VICTOR J. WESTMAN, County Counsel By: Brea W. Cassidy Deputy County Counsel CERTIFICATE OF SERVICE BY MAIL (C.C.P.§§ 1012, 1013a,2015.5;Evidence Code§§641,664) I declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California 94553;1 am a citizen of the United States,over 18 years of age,employed in Contra Costa County,and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non-acceptance of Claim by placing it in an envelope addressed as shown above,sealed and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S.Mail at Martinez,California. I certify under penalty of perjury that the foregoing is true and correct. Dated: April n, 1998,at Martinez,California. Carole Brown cc: Clerk of the Board of Supervisors(original) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM:GOVT.CODE§§910,910.2,920.4,910.$) Page 2 RECEIV EMG\2645\32783 ` AM s 20-;-. 1 LAWRENCE A. BENNETT (Bar No.70134) STANLEY M. WESSELS {Bar No.108132} CIO. t 2 LAW OFFICES OF BEN'NETT & ROWLAND LLP �« One Embarcadero Center, Suite 750 3 San Francisco, CA 94111 (415) 956-4800 4 5 Attorneys for Claimants, 6 FEDERAL EXPRESS CORPORATION, a corporation, and NOEL HANSEN 7 8 9 la Claim of: } 11 FEDERAL EXPRESS ) CLAIM FOR INDEMNITY 12 CORPORATION and NOEL ) (Injuries to Person and HANSEN, ) Personal Property) 13 ) Against: ) 14 ) COUNTY OF CONTRA COSTA ) 15 ) j 16 17 TO THE COUNTY OF CONTRA COSTA: 18 1. You are hereby notified that claimant, FEDERAL EXPRESS 19 CORPORATION, a corporation, whose address is P.O'. Box 727, Memphis, 20 Tennessee 38194-2132, and claimant, NOEL HANSEN, Whose address is 21 394 - 49th Street, Oakland, California 94609, claim from the COUNTY 22 OF CONTRA COSTA, any amounts required to" indemnify claimants for 23 personal injuries damages obtained by BRITTANY OLSEN, plaintiff in 24 that certain action entitled "BRITTANY OLSEN v. FEDERAL EXPRESS 25 CORPORATION, et al. , Defendants. " being Action Number C97-05158, in 26 1 LAW OFFICES OF B jE'j�`�N('�NE7TAT*�&"y Lt`�`w ANDLLF EMG\2645\32783 1 the Superior Court of California, County of Contra Costa. A copy 2 of the complaint in that action is attached hereto, marked as 3 Exhibit "A", and incorporated herein by reference for informational 4 purposes only. Said complaint was personally served on claimants 5 on January 5, 1998, and January 29, 1998. 6 2. Notices regarding this claim are to be sent to 7 Lawrence A. Bennett, Esq. , Bennett & Rowland LLP, One Embarcadero 8 Center, Suite 750, San Francisco, California 94111. 9 3. This claim involves a motor vehicle accident which 10 occurred on November 13, 1996, at the intersection of San Pablo 11 Avenue and Hilltop Drive, in the City of Richmond., County of Contra 12 Costa, State of California. The details of this incident are more 13 fully set forth in Exhibit "A" which is attached hereto. 14 4. This claim arose as the resultof the incident 15 described above. Claimants are informed and believe that the 16 injuries and damages, if any, sustained by plaintiff BRITTANY OLSEN 17 were caused by the negligent conduct of the COUNTY OF CONTRA COSTA 18 and its employees. The amount of the damages claimed by plaintiff 19 BRITTANY OLSEN are unknown at this time. 20 '5. The names of the public employees causing the injury, 21 damages, or loss, are unknown at this time. 22 6. Damages sustained by claimants to date, or to be 23 incurred in the future, are unknown, and depend upon a final 24 25 26 2 �Aw rcae�s aF BENaRi '& R67I..AND ur EM02643132783 1 determination of the action pending in the Superior Court referred 2 to in Exhibit "A" attached hereto, 3 Dated: April 16, 1998. 4 BENNETT^ ROW D LLP 6 By: f LAWRE E A. BENNETT 7 Attorneys for Claimants, FEDERAL EXPRESS CORPORATION, a 8 corporation, and NOEL HANSEN 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 3 raw of Es of BE.(yNk(V�jE�T,�T�Tt& ATTORNEY OR PARTY WITHOUT ATTORNEY(NAME AND ADDRESS): 98130 TELEPHONE NO.: fiOR COURT USE ONLY CANDICE E. STODDARD 510/942-510 Attorney at Law 1.111 Civic Drive, Suite # 380 Walnut Creek, CA 94596 t ATTORNEY FOR(NAA*): Plaintiff, BRMAidY OLSON t22 DEC 10 P 4. 00, insert nam of court.judicial district or branch court.if any,and post office and street address: SUPERIOR COURT OF CALIFORNIA, COUNTY OF CONTRA COSTN, C+ � r i{ 3tEf Court & Main Streets TY Ga�'FA ACU P.O. Bax 911 Martinez, CA 94553 - . rr PLAINTIFF: BRITTANY OLSON DfftlANT: PER LOCAL RULE 5 THIS FEDERAL EXPRESS CORPORATION, NOEL FELL HANSEN, and CASE 1S ASSIGNED TO DEPT 001`51 TO 5 0 CO ff—Per fn ,Pwperty v�'s Wmngful Dealh CASE NIAASER: ® L40TOR VEHICLE MOTHER(specify): EMOTIONAL DISTRESS property Damage Wrongful Dean C 97 - 05158 Personal Injury 19 Other Damage*{specify}. 1. This pleading,including attachments and exhibits,consists of the following number of pages: five 2. a. Each plaintiff named above is a competent adult [D ExeW plaintiff(name} a corporation qualified to do business in California an unincorporated entity(describe} a public entity(descdbet a minor E] an adult for Whom a guardian or conservator of the estate or a guardian ad litem has been appointed other(specify} (D other(specify} [� Excopt plaintiff(haute} a corporation qualified to do business in Califomia 71 an unincorporated entity(describe} a public entity(describe] CD a minor [—] an adult for Whom a guardian or conservator of the estate or a guardian ad!item has been appointed other(specify} [� other(specify.. b. Plaintiff(name}: Is doing business under the fictitious name of(specify) and has compiled with the fictitious business name laws. c. 71 Information about additional plaintiffs Who are not competent adults is contained in Complaint- Attachment 2c. (Continued) Fo, ,Appro+nd by th. COMPLAINT--t Personal Injury.Property Damages CCP 425:12 1ieia#Ccuncti2 0l Calitrtia an.<ci Ruii:se2.1(1) Wrongful Wrongful Death CEB SHORT TITLE: CASE NUMBER: OLSON v. FEDERAL EXPRESS CORP. , et al. COMPLAINT--Personal I n Jury,Property Damage,Wrongftd Death page two 3. a. Each defendant named above is a natural person M Except defendant(name). Except defendant(name), FEDERAL EXPRESS CORPORATION a business organization,form unknown a business organization,form unknown a corporation a corporation [�] an unincorporated entity(describe), an unincorporated entity(describe). a public entity(describe). a public entity(describe} ® other(speciW.. other(specify) C] Excerpt defendant(name). Except defendant(name). a business organization,form unknown a business organization,form unknown a corporation a corporation an unincorporated entity(describe}. an unincorporated entity(describe}: 0 a public entity(describe): a public entity(describe). C] other(specify') [,� other(specify}. b. The true names and capacities of defendants sued as Does are unknown to plaintiff. c.M Information about additional defendants who are not natural persons is contained in Complaint-- Attachment 3c. d.F—] Defendants who are joined pursuant to Code of Civil Procedure section 382 are(names} 4. F__] Plaintiff is required to comply with a claims statute,and a. plaintiff has compiled with applicable claims statutes,or b. plaintiff is excused from complying because(specify}. 5. This court is the proper court because at least one defendant now resides in its jurisdictional area. the principal place of business of a corporation or unincorporated association is in this jurisdictional area. injury to person or damage to personal property occurred in its jurisdictional area. other(specify) 6. The following paragraphs of this complaint are alleged on information and belief(specify paragraph numbers): (Continued) Page t" CES SHORT TITLE. CASE Nom: OLS©N v. FEDERAL EXPRESS CORP. , et al. COMPLAINT—Personal injury,Property Damage,Wrongful Death(Conthwe+d) pa"th,.* T. [] The damages claimed for wrongful death and the relationships of the plaintiff to the deceased are [� listed In Complaint- Attachment 7 [--J as follows: 8. Plaintiff has suffered wage loss I ZXI loss of use of property hospital and medical expenses rVI general damage property damage loss of earning capacity ether damage(specify): Emotional Distress 9. Relief sought in this complaint is within the jurisdiction of this court. 10. PLAINTIFF PRAYS For judgment for costs of suit,for such relief as is fair,just,and equitable,and for compensatory damages (Supwior,Court)according to proof. (Murdelpai and Justice Court)In the amount of$ other(specify}: 11. The following causes of action are attached and the statements above apply to each: (Each complaint must hairs Oft or more causes of action attached.) Motor Vehicle GeneralNegiigence – Emotional Distress Intentional Tort Products Liability Premises Liability Other(specify). ...................CA=ICE...E»....S1.L43.i�. M......,.......,.... .. (Type or print nanw) {Sig #urs o`plaintiff 0-rift-0 COMPLAINT-- Personal injury,Property Damage, •4ea,t,>t +rc) Wrongful Death(Continued) COP 44.12 CF-B s T-rnLE CASE Nom: OLSON v. FEDERAL EXPRESS CORP. , et al. FIRST CAUSE OF ACTION--motor Vehicle Page four (number) ATTACHMENT TO [M Complaint [] Cross-Complaint (Use a separate cause of action form for each cause of action.) Plaintiff(name).BRITTANY OLSON MV-1. Plaintiff alleges the acts of defendants were negligent.the acts were the legal(proximate)cause of injuries and damages to plaintiff-,the acts occurred on{date. November 13, 1996 at(place). Sen Pablo Avenue at Hilltop Drive, City of Richmond, County of Contra Costa, State of California. * Note: Plaintiff was a minor at the time of the incident and reached the age of majority on January 2, 1997. MV-2. DEFENDANTS a. M The defendants who operated a motor vehicle are(names). NOEL FELL HANSEN CM Does 1 to so b. [M The defendants who employed the persons who operated a motor vehicle in the course of their employment are(names}: FEDERAL EXPRESS CORPORATION M toes 1 to : so c. [X] The defendants who owned the motor vehicle which was operated with their permission are(names). FEDERAL EXPRESS CORPORATION MX toes 1 to so d. ( The defendants who entrusted the motor vehicle are(names).- FEDERAL names):FEDERAL EXPRESS CORPORATION Does 1 to so e. [X] The defendants who were the agents and employees of the other defendants and acted within the scope of the agency were(names); NOEL FELL HANSEN Q Does 1 to so f. 71 The defendants who are liable to plaintiffs for other reasons and the reasons for the liability are listed in Attachment MV-2f [] as follows: Does to Fom��t J, o," ,i. n RWW Ll rasa CAUSE CF ACTION---motor vehme OCP,as.1x CEB sko TrrLE. CASE NUMBER- OLSON v. FEDERAL EXPRESS CORP. , et al. SECOND CAUSE OF ACTION--General Negli eme Pap five (number) EMOTIONAL DISTRESS ATTACHMENT TO (M Complaint [D Cross-Complaint (Use a sepanste cause of action form for each cause of action) GN-1. plaintiff(name): BRITTANY OLSd N alleges that defendant(name). FEDERAL EXPRESS CORPORATION, NOEL FELL: HANSEN Does 1 to so was the legal(proximate)cause of damages to plaintiff.By the following acts or omissions to act,defendant negligently caused the damage to plaintiff on(date). November 13, 1957 at(puce): San Pablo Avenue at Hilltop Drive, City of Richmond, County of Contra Costa, State of California (description of reasons for liability): This plaintiff refers to and incorporates the allegations of the Complaint and previous causes of actions. At all times herein this Plaintiff had a close and loving relationship with her daughter, KYLIE OLSON, also injured in this incident At all times mentioned, this plaintiff was in close proximity to the above-described incident and personally witnessed the infliction of injury to her daughter, KYLIE OLSON. By witnessing the incident and said injuries, this plaintiff sustained great emotional disturbance and shock and injury to the nervous system which caused and resulted in great physical and mental pain and suffering, inability to work, and medical expenses all to this plaintiff' s damage according to proof at trial. F«m 1�apravad by d1a " °tom IM CAUSE OF A►CT1Ci � li EHact#w Janesty 1,,1982 Rte 992.1(3) CCP 125.12 cm N a LAJ ii t N Ul f .M rr] -a r 41 h • w I T � H � trf7r3 K Imo' 0 M m m c� mt0-hX CJS O O M 1rt K mLn w 00 fA iL ft' K W PA M ti tit fi F+• E4 O O c CLAIM BOARD OF SUPEWaS RS OF CONTRA COSTA COUNTY, CALMORNIA BARD AGT1O�t Icy>/ o 1998 Claim Against the County, or District Governed by f the Board of Supervisors, Routing Endorsements, 1 NOTICE TO CLAIMANT and Board Action. All Section references are to The copy of this document mailed to you is your California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. JParagraph IV N.owl, given pursuant to Government Cade Section 913 and 915.4. Please note all " T&aVM 1D AMOUNT: Unknown MAY — 1 1998 CLAIMANT: Janet Gutierrez on behalf on minor COUNTY COUNSEL Stephanie Monique Burton MARTINEZCALtF. ATTORNEY: Law Offices of John L. Burris DATE RECEIVED: ADDRESS: 1212 Broadway, 12th Floor BY DELIVERY TO CLERK ON: May 1, 1998 Oakland, CA 94612 BY MAIL POSTMARKED: L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BAT LOR, Clerk Dated: May 1, 1998 By: Deputy ''"�-- M FRON1 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:� Deputy County Counsel ffi. 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:&, � 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAEL ING 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, dressed to the claimant as shown above. Dated: �' ""$y: PHIL BATCHELOR By eputy Clerk CC: County Counsel County Administrator RECEIVED MAY 1 19 CLM #RAOF S PER�I'1SCQN , QRS JANET GUTIERREZ, as guardian ad litem for Stephanie Monique Burton, a minor, presents claims for damages within the jurisdiction of the superior Court against Contra Costa County Juvenile Hall, Centra Costa County-Probation Department, Contra Costa County Juvenile Hall Guard John Donnell, Guard Chanelle (last name unknown) , Guard Charles (last name unknown) , Guard Laurie (last name unknown) , and other unnamed Contra Costa County Juvenile Hall guards. Claimants seek punitive damages against the individually named officers. CLAIMANT'S ADDRESS c/o LAW OFFICES OF JOHN L. BURRIS 1212 Broadway, 12th Floor Oakland, CA 94612 (510) 839-5200 DATE OF OCCURRENCE: November 4, 1997 PLACE OF OCCURRENCE: Contra Costa County Juvenile Hall - Martinez, California CLAIM ARISES FROM THE FOLLOWING CIRCUMSTANCES: On November 4, 1997, Claimant's daughter, Stephanie, was residing in Contra Costa County Juvenile Hail. On this day, Stephanie and other residents were waiting in line for an eye exam, when Guard, John Donnell, walked by and asked Stephanie what she was talking about. In response to her reply of"nothing", Guard Donnell stated that she was getting "smart", and that he was taking her back to her wing. En route back to her wing, Stephanie had to stop to pull up her pants. She was wearing a size XXXL, and the pants were falling down. When she stopped, she made contact with Guard Donnell. Claimant is informed and believes that Donnell stated that Stephanie intentionally backed into Donnell. Claimant is informed and believes that Stephanie made a comment, that "it's not that serious", to suggest that her actions dial not warrant this treatment. Claimant is informed and believes that Donnell responded to Stephanie by saying, "Shut the fuck up." Claimant is informed and believes that at that time, two other 1 guards approached, one named Channelle, the ether Charles. Guard Donnell has hold of Stephanie's left arm, and is twisting it. Stephanie then pleads for him to let go of her arm, and snatches it away. In response, Guard Donnell throws Stephanie onto the floor and breaks her arm. At this time, another guard approaches, Laurie, and she grabs Stephanie's feet. Chanel.le had her other foot, while Donnell has her arm. Stephanie tried to explain to them that her arm was broken, and plead with them to release her. Charles then lifted her by the broken arm. Stephanie's roommate Tamika could see that there was something wrong with Stephanie's arm and asked the guards to get a nurse. When the nurse arrived, she was asked to cut the sleeve of Stephanie's sweater, but she refused to do so. The nurse was then asked to call 911. The nurse responded that Stephanie's probation officer was coming to get her. Although in much plain, Stephanie was sent to see her probation officer. She did not receive adequate medical attention until Stephanie spoke with her mother and explained to her that her arm was broken. At that time, Stephanie's mother, Claimant, called the police at which time the staff took Stephanie to John Muir Hospital, some two and one half hours after the incident. The County of Centra Costa and its supervisors and employees have a mandatory duty of care to properly and adequately select, train, retain, supervise, and discipline officers so as to avoid unreasonable risk of harm to citizens. They failed to take necessary, appropriate or adequate measures to prevent the violation of claimant's rights by officers. They breached their duty of care to citizens in that they failed to adequately train officers in the proper method of detention, arrest, and use of force against citizens. DESCRIPTION OF NATURE AND EXTENT OF DAMAGES OR INJURIES: Stephanie's injuries and damage include but are not limited to the following: pain and injury to neck, lumps on neck, bruises, broken arm and possible nerve damage to arm, requiring medical attention including treatment and physical. therapy. Claimant's lost time from work. Emotional injury to all claimants includes traumatic shock, anguish, fear, terror, embarrassment, humiliation, loss of sense of security, dignity, and pride. CAUSES of ACTION: The above acts were dune intentionally and maliciously. Possible causes of action include but are not limited to: assault and 2 �1�r battery, intentional infliction of emotional distress; negligence; negligent infliction of emotional distress; violation of Penal Code 273a; state and Federal civil rights violations including Civil Cade §§ 51.7, and 52.1, 42 U.S.C. § 1981 and 1983; Fourth, Fifth, and Fourteenth Amendments to the United States Constitution, Article 1 to California Constitution; negligent selection, training, retention, supervision, and discipline; and respondeat superior. Injunctive and declaratory relief to remedy the above violations. Dated. April 30, 1998 t t p 0 L. S, torney for Claimants 3 ............................................................................................... .............................................................. CLAIM -- Amended BOARD OF SUMMSM QE CONTRA COSTA COUNTY* CALIFORNIA BOARD ACII 1t May 10, 11998 Claim Against the County, or District Governed by the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action. All Section references are to The copy of this document mailed to you is your California Government Codes. 1 notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: S4114.15 CLAIMANT: Elton Delynn Hankins ATTORNEY: DATE RECEIVED: ADDRESS: 1716 5th Street BY DELIVERY TO CLERK ON: _May 5, 1998 Richmond CA 94801 BY MAIL POSTMARKED: L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk Dated:— May 6, 1998 By: Deputy IL 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: 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: This Claim is rejected in full. Other: I certify that this is a true and correct copy of the Board's Order ent ed in its minutes for this date. 3y Z�� Dated:4HI a PL 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. *For Additional Warning See Reverse Side of This Notice. 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 Postl Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, dressed to the claimant as shown above. Dated: HI By: PL BATCHELOR B —Zleputy Clerk CC: County Counsel County Administrator VWOR J.WEBTUAty t:C3NTl�A Cc75YA COUNTY ° 'r „ COUNTY COUNSEL Mir t47W.uI OFFIGE OF THE COUNTY COUNSEL 'e.—m +l�.� rr16ae0.W.t:A+0.1Cr ARTHUR W,WALENTA,A. VW"L.wiRrS WAKE ft tSrm ASSIMANT 00uerrY COI)NUL "i PINE BTMIT,M FLOOR WAMAU 0 FAPA MARTINEZ,CAUr-O NIA 94553.1229 utt M t wu ul SiWANO W MARCHEW n%W8c.tyoauKS tiA$atlKc tMRVAY AaseTANT COUNTY COUNSEL JAW%.-HOLAdS ptpwAGt KNAAP eDl+'+iNCY WeC.Ja. UfFfG£F,iANAGE#t MU0.Y Aw.MAS1f5N HaA a,MURit PH(M(938)32C-1 Soo f++w�s aaA4ttaart PAX(M)846.1078 � °� �� j} } t_ mW O R Boa tlr L.1415),7-S .•^^ '�.t.A c�- "�°rti`. � t3 t MMal�i4AttN UtrE U�COURtMC Y.Wootvc OF ..1 TO', Elton DSI) tTt HSnwils IEE, CLATM OF: Elton T}ClYivr llwildns Mass Take Notice as F4l1aevfl; The claim you prescntM against the C'otulty of Contra Cosa or District Aovetned by the Beard of Supervisors fails to comply sub0antially With the requircmentz of California Government Code Sco'tion 910 and$If1.2,ur is othcrwi,c insufficient for the masons cliecked below. ( 11, Tim claim faits to state the mune and Trost office address of the claintw ( )Z. The claim fails to state the post office address to which the person presenting the claim dr~sfres notlow to be DO$% F [}(l;i. The plaint falls to state the elate.pbwQ or other cireum8taw"of the oeeuMnCe Or � transactiurl which gavc ri+ec to the clininnl"sorted. [X ]4. Tho claire fails to state Lht natlte(s)of the public wnployrAKs)causing the injury,damage,or loos,if)anuwm ( 15. The,claim fails to state whether the amuum cfaf lied moveds test thousand dollars($10,004 ' If the claire totals 1e8e than ten thousand dollars($10,000),the claim fails to state tho amount clairnod as of the date of pre%entation,the ettitnatcd amount of arty prospective injury, damage or lass so far as Buowni rw the basis of computation of the amount ciniMOd, tf thv amount claimed exceeds ten thousand dollars($10,000),the claim fails to Oate whothcr jUnjdictioli over the claim would rest in municipal or superior court. [ 36. The claim is not signed by the Claimant un by wine his bnshlalf. nage s i, ..... _ . —.�_..� .... . r j X 7 7. Other;The claim fails to dowribe ally duty ur obligation of the pub!(o entity and may action Sivinq rime io the claim, VICTOR I.WBSTMAN,Cu��unty.�Corunsel By; AiA w W.Cuaidy btlputy Cutuily Counsel CRR' ILIC.Ai -aRSERVi{`.P.l3Y, AI . (C.C.P.§§Ifll2,Ifl13%MIS;EvidenocC'.odo"641,664) I declare thwi n+y bucinase sddeeas 6 she C%Ywity Coulton s f1PRea(01,W,lira costs County,611 Yina stud,Mot iut,r.01 nnia 9455311 atu a citizen of rhr.I lniw4 States,over 18 Years of ags,aMloyed is Cantrs Cam County,slid not a party to this artirm. i served a true copy urdlis Notice or Insuffivioncy andlor Nun scceptance of Claim by placing it in an envelope Addrsseed as shuw,r stove,sealed and postape fully tr+'apaid thorcon,and thersOer wit,de{wsilM this day in W U.S.Mail of Martinez,California. I ecriify undw yauaily of pctir'y tlwi the fwvaoing it me mirl ttnneul. batul April 29, at Martlnsz,csJifutnia. t`-t�' c�. Gil,%'•"'.1�0 t'wul*Won% tt! Clerkot'ditlt3VeidorSlllH' inors(utidltiai) Risk Msaagcntcnt (NOTA:v.M 04%TFECIENCY OF CLAIW Ut}VT.CODE f#VIA 91D.2,0264,W.R1 Page 3 diem Chair' to. BOARD OF SVERY13M or C O)aRA C.dsrA Lx7U M a`• .THS7#tuC`f Iotl'S-7YJ't��sAi�rt' A. Claisss relating to causes or action for'daatti or for injury w peruw or to imp.. "1141 propuMy or growing ernes and $tfoh aeorue an or before December 31, 1987, mast be presented not later than the loath day after the aeon al of Che cauae of 3atioss. Claim relating to causes of action for.daath or for iNury to person or to personal property or growing crops and which Aaorpe ars or arta' January 1, 1988, must b` presented rwt later tura six months after the accrual or the caws Of scticn- Claims relating to any ctlie:r cause of aotian ==I be pr*sentpd not liter than rasa year after the acorual, of the atuste ct notion. (Govt. Godo J911.2.) B. Claims must be filed with the c erk of the Board of Srrparwlsoft at Its office in � A<som 1061 County Administration Building, 851 Pirse Street, t4artinez, CA 94553. C. If claim is agasinst A district g<svorsssd by U16 Board of Supervisors, rather thea the Couesty, the rta:oe of the District should be filled in. D. If the claim is aPiast trAn me public entity, ueparate olaim9 must ire Piled against ftob public_ entity. rkud. sero penalty for fraud4lent claims, Penial Code Sec. 72 at the end of oris T; . ! KKK K K M * 1t �! k K s 11 1! i tf K K M K k # K # K k ii * # kik N K • K #e • n; C:.gim 9Y ; Reserved for Clerk's filing stamp i 1 cr J � 1 A�`the linty a ra eta resit—.,.....Dietrich tS rayc The anderelgned claSiAar►t twMby makes claim a Dat the County of Contra Costa or the above-res m'd District in the SMoC $ ' arse 3n support et this claim represents-as follows s A.t�n,� � � �� 1. WhW did the damage.er injury occur? (Givo exact e'ate and hour) � .w...«.-..................-�.._.-.n..n..w�.-...,...-......_.-........_..-......mow_ 2. Where did the damage or inNpy occur? (1W1Udc city aAd *cushy) UAJ 3. How did the damage or injury ooW? (Give Rall detail•; use extra paper If reguirkd) _� AJ x+. liras' partiouisr Act ar Olisrsion an tine pint of edmuy or district officers, servainta 0r.employees caused.the injury or,damage? i SAE L-CUti-r p. CO, 0OvNf ...�'tl�r'.��3s'�� MT vr'Qb1,O P-W( $Hell A ot-, Mite.tib G. ptyU,e, ; mi' -ZAI-s vewle-is OJft � Ute Ates kur NtAc fav A/I NARRATIVEISUPPLEMENTAL CHP so(%V?,W Opt 042 P 4 pw48iN• CC '�! GtTs�fiW 1GNWOrl, waa Nwaa "Um"94 . ', •• '#t'fl��e��...1.-._.Lbj{.�grt ��.Ll.✓ YVR Sttr+ iMl�Lrsr } � l ©Nn+tadva COM±sion report DA U04W c irow Ll Hit wo Nn+.spdw* C Sugv.v.tecNRl C7 otAac H%avl*xr msta t io C7 pditt but o odton Yr.µs. �lNtTAtC7 REK7N UttT'A1CWW4T CRATIpNNtrMBix., ff ATATE+Nt3fiSw+tY A€tAtitl _ } �. %`�T W'rlry Rw .�nL•'I .�..�� T^— �—����1� �'--�.L.''S'+���. err 2. 7�t€'�e.�„_.•r..t� -- --��k �'7.d�'_'r;,,,rr �;tr�� �tr�y2_--.._ �• �_.�.�_� ..Wit- '" _,�' �.�' ,:r,,�.� r _ r � r 7._ y.. l7 T fi? "�`yr t ._✓" �`_- "Ji tl'-ID—2VI �— �..ter• .����J����s[�Li�..�tk�,-,. �i .f-.,c�,o•-•r�.`1�•.-+....dry. .-._l.:+rt 1�} ',f+��'Ll r j..+Grl.�`�.�t 1 J 1^� tz /llt:f; tti2dtJ-rat hf " cs'a: .G�+?7 �._ •�;1rr /}�.•��y L�..-�[""m rte+;,,�:,_��,, �,��'�,,��i� � krw.iL.+:r, , ,lT' -.� Y'--^-.ra•P. ��L'f.�++AG�•f��'cw-.e+.�-,--� "7x.g" Pt cel_ fs�� 17 /,T .Z rl i"� I1 rgO' • AkLr- 23. j�1Q Mora 1 — f 4x�kzw t � ( f ic Zti L1..1'nrJ,�' }�s�_ fv��{�I'~ •�5�.ti"' .r.#,� +; 'S�i,•- ;_,_,�,udL.,��r/ -,---: •a �'ZZ'-{I( } 3 xAE?N rN-0 a N� ACr a 4GW NAME Use plowus 841ikJ#s Uw drtNetb. ( a+t;rwt { C1 A ' t � G j j>✓ 5. What are the res of county or disrriet orricare,m7a +rntA W =PlvYee3 Must the dage Or in„fu,^y? "T �}tf}j�lr WtOf t4Ank''.dtxJv/_ �tYJ. t J, �19Uhi -3YtYr�pl�, fJr�n�r�" try,`. bt,��� l�Xlfn tACOOt>91 r. r rr^....r�wrr..r,y,y..r �...�rr�rrrw...rMrr.�y�wM�'.rriArw•Kw'.wrwrNr�awrw w �v �........ 5.�i at�dasaage nr iaJuries do you claim resulted? (Give null extAp,t: or injusUs or damages claimed Attach two optintes for auto damage. J U Fj -t D f*! R t afLitJfl� i�.3 ' t�4' E,4£?1L"5 �._.�5F.1�.'wii: .. -_.�.t.=l��.► -o..�..+w...+rw....rrwl+.rr+wYrw.II.r.Vr�r.. T. How was the aammt oiatmed above oomputedl (Snolude the eatizatod anount of any prospective injury or damage.) .7'�+ RMrn�t�7' (:!� Cd^ApOre-D eq jtp 'v-Laz-5 rpt wfnpc-1,� MEC>,O_p1 Odt'_%! Mrr>f,�_l"e ON)k) -,�✓,l�+fTs9tbtJ ..�a+..rrr..®,..�s..r..».._...w+.rw..-....aa..�..wr.........r..w,.-+r.swr....,.�-++r....nw.,�—.+..ewrrw..wr.,-�... S. Namesandaddreso ofw tMR1?e , JMoOrapand hu,pitals. V1,154p filblgs 17/(F 6A r M1rf01 rJ4A•s,,s r�t.'r�6�'Ni! 1 s Tql � er r- puC, S017T sr,,a r71o)_��3- 10656, �gr4cv..itA►J M:p,r.n i R�'a'/���ssc ,c,t3rot�,nrn 3r+r Ft�RAic t S�n tib, �._� tt ��,��5�(,5 �PIIyZ,7"J G•�rZ1 t�S�K, '57k-AQ tM,P, 9(e�J► t'"'tt f�/L�r+ly�}��1t�Rj Y/tp"(`.�,it�'1F pk��/G'��},�tti,�9kr�S7ts���r��l�.r.�.y�(�•yc�,?jJ ��y � ia�i��liiw}L:i..W.l:.Sc,t di1.+iW'aiY. ..4rwl �'..i�iN�i.:4.✓ List 0,4 epanditt"s you made on acoount of thisdent or fnjuryt DATE IM AH" `3111 N 11 If of M M M M at at ♦4 at aE M as r<.aa at.as M * • e a t as * n as aE a< ar M as a< CSov. Code Seo.'gM2 provldest "The claim�t be signed by tho claimant S Nt7fIC S_TOa --tAtfi4rne l is " Name and A rasa o Attorney ,�a;, �_ Etilwy x�J... `l�l i?`c�t "'..1�.....Y..�A`�fi rass •--_.�... Telephone No. I Telephone No. as 1F as a4 ra +� as : as as as tb as +t a, as +t SOctiOn 7a or the Penal Code pmvidase: "Every person ubo, with intent to defraud, praasenta for 40.lowamp tui foto pasymWt to any state boam or offioer, or to anyoounty, city or district board or Offioar, authorized to allow or ;*y the same if;Ses=ltm, any,Woe or (raudul.ent dais,, bmt neoount, vouchar, or Witing, is punishaMs either by imprisorim"t in the county jail'fcr a poriod of not e=,a than me-yaw, Or A Liras of not emooding tbthOuRaDd ($3.,000), Or by both such fstpris rtt OW rime;-or by imprisonment in * state priift, by a tine of Wt exceeding tarn thousand.dollars 010,000, or by - both ,hints iMprisorunmt aarx) fine, CIArnn BQAED OF SUPUMSORS OFCON COSTA Oi TY• CALEEOMIA WMID AO M4 19# 199 Claim Against the County, or District Governed by } the Board of Supervisors, Routing Endorsements, } NOTICE TO CLAIMANT and Board Action. All Section references are to } The copy of this document mailed to you is your California Government Codes. } notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings" AMOUNT: $4114.15 scalivz,]) CLAIMANT: Elton Delynn Hankins APR Z 3 1998 COUNTY DATE RECEIVED: CAL . ADDRESS: 1716 5th Street BY DELIVERY TO CLERK ON: Richmond CA 94801 BY MAIL POSTMARKED: _ _ _ April 2;; 1998 I. FROM. Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCI-IELO Clerk Dated: April 23, 1998 By: Deputy w H. FRONL- 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 1.5 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 1 III. FROM- Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: /JW--' PHIL BATCHELOR, Clerk, By -3-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. *For Additional Warning See Reverse Side of This Notice. 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, ddressed to the claimant as shown above. Dated: By: PHIL BATCHELOR By puky Clerk CC: County Counsel County Administrator VICTOR J.WESTMAN DEPUTIES: CONTRA COSTA COUTY PHILIP S.ALTHO FFCdUNTY COUNSEL OFFICE OFTHE COUNTY COUNSEL S ARRONLANDERSON VDELAAS IDv ARTHUR W.WALENTA,JR. COUNTY ADMINISTRATION.BUILDING ICKI .DtE ASSISTANT COUNTY COUNSEL 651'PINE STREET,9th FLOOR MS.ESTI$ MICH E CHAEt D.PARR MARTINEZ,CALIFORNIA 94553-1229 LILLIAN T.FUJI SILVANO B.MARCHESI DENNIS C.GRAVES ASSISTANT COUNTY COUNSEL GREGORY ETL.HC.HARVEY JANET L.HC. KEVIN T.KERR GAYLE MUGGLI BERNARD L.KNAPP OFFICE MANAGER EDWARD V.LANE,JR. MARY ANN MASON PAUL A.MUNIZ PHONE(925)335-1800 PHILIP J.NORGAARD FAX(925)646.1078 VALERIE J.RANCHE DAVID F.SCHMIDT DIANA J.SILVER BARBARA N.SUTLIFFE JACQUELINE Y.WOODS NOTICE OE INSUFFICIENCY A-NDM NON-ACCEPTANCE OF CLAIM TO: Elton Delynn Hankins RE: CLAIM OF: Elton Delynn Hankins 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: [ It. The claim fails to state the name and post office address of the claimant. [ ] 2. The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. [X ] 3. The claim fails to state the date,place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. [X ] 4. The claim fails to state the name(s) of the public employee(s)causing the injury, damage,or loss, if known. [ 15. The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000). If the claim totals less than ten thousand dollars ($10,000),the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars($10,000), the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. [ 16. The claim is not signed by the claimant or by some person on his behalf. Page 1 [ X] 7. Other: The claim fails to describe any duty or obligation of the public entity and any action giving rise to the claim. VICTOR J. WESTMAN, County Counsel Ey: /i Andrea W. Cassidy Deputy County Counsel' CERTIFICATE OF SERVICE BY MAIL (C.C.P.§§ 1012, 1013a,2015.5;Evidence Code§§641,664) I declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California 94553;I am a citizen of the United States,over 18 years of age,employed in Contra Costa County,and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non-acceptance of Claim by placing it in an envelope addressed as shown above,sealed and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S.Mail at Martinez,California. I certify under penalty of perjury that the foregoing is true and correct. Dated: April 2-7, 1998,at Martinez,California. Carole Brown cc; Clerk of the Board of Supervisors(original) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM:GOVT.CODE§§910,910.2,920.4,910.8) Page 2 ......... ....._._. _. _. ....... ......... .........._.. ........._......_._......_ _... ...................... _._.... ................. ......... ......... Ciaire to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLADW4T A. Clams relating to causes of action for death or for injury to person or to per- ::r..., perty or growing crops and c id accrue on or before December 31, 1987, :must'be presented not later than the 100Th day after the accrual of the Oa... of action. Claims relating to causes of action for-death or for injury to person or, w personal property or growing crops and which accrue on or after January 1, ..19.88,j 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 Superviscrs, 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 ) RVI Against the County of Contra Costa ) 00 or } P 199 00 M'7'0f lv f-1.0"r 0-1 (no �, r, District) _t; 5 t (Fill in The undersigned claimant hereby makes claim against the County of Contra Cost or the above-named District in the,,.sum of $ fit y s f and 'in support 5f this claim represents -as follows: 62 ¢M w�,fe ......+..r.r,...r.....wiwr..�rraw.•..._.......r.�.r..r rw�w......s_ .._+. .r�+..r_...�...awirw... 1. When.di ..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 'ext ar paper if required) 1 i 4. What particular act or omission on the part of county or district officers, servants or ,employees caused. the injury or damage? e (over) ........ ... ................................................''I'll 1-1111111............................... I.,....1.11'..''............................................................................................................... ...................................................................................................................................................................................1.11.......... . . ........................................................ Wnar. are tne 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 injur es or tAi " damages claimed. Attach two est,,ima�es kdamage. T3 #X0 Noru 7. How was the amount claimed above computed?' (Include the estimated amount of any prospective injury or damage.) ?�'z)C '-Itl /-h5'D'C/4t 9j(/ rAce i-,� -—----------- d Adg7rses of witDqsse _itals. � d ctqrs and hosp lily 7% r.---s_0 q q0r;t -X' iW�Xlj M,V- C- 3 , Cry70 4-LIE 6r- —--—---------—--—------ 9. List the expenditures You made on account of this accident or injury-. DATE' ITEM AMOUNT 3 fl Gov. Code Sea. 910:2 provides-. "The claim must be signed by the claimant SEND NOTICES TO: (Attorney_ or by_some erson on his.behalf." Nam 7�) and Address of Atorney A (Claimants Signature) 77, uAddress) Telephone No.45f) 4_3] Telephone No. 11, 4 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 .genuines any false or fraudulent claim, bill, account, voucher,, or writing, is punishable either by imprisonment in the county ,failfora period of not more than one-yeart by a fine of not exceeding one thousand ($1,000), or by both such* imOrisOtiment and fineI 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- .............I............. _. ......... ......... ................ ... . ........... .....__... ......... ......... ... __....... ..... ........._. ............ ;'44 ''+ U F lr5 o uju,.3 c�o��� `:%Ca .� �'>:�f��"�' �'��� � �� �'~�.' ��.7 , .,�••:% E,�,t��i ��.,}l �a,fid `�" ..- Foe r i f ' l wl(�:�:rrj�• �; ;mo i ' ^ All elet j A7 /��"�"` 4- � x .,------ .����� ,F.% �" t'`''s�✓ <�,.� � ���f'%�7�%�, fes;�..; f�% � �,. rk tit 7'h yy Cx g/}'.^.'..� y e-�/-J } !!'' pry 4f. .✓ ,r.t S F� F /k Fr F� i -� ` {.!7wY: G ij iqe, I O,(,)J( i iq-y 77i All v 4 �.. ,may i' r s V CILAIM BOARD Of SUPEMSORS OF COSTA CUIUMs CALF'O MA DOW A.CTIQt May 19 1998 Claim Against the County, or District Governed by } the Board of Supervisors, Routing Endorsements, } NOTICE TO CLAIMANT and Board Action. All Section references are to } The copy of this docurnent mailed to you is your California Government Codes. } notice of the action;taken on your claim by the Board of Supervisors'. {Paragraph IV beloul, Oven pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: $76.96 Iftscallw1% CLAIMANT: Heidi F. & Keith S. Henderson APR 2 3 1998 ATTORNEY: DATE RECEIVED: ART NEZ CALF. ADDRESS: 1036 2nd Ave #B BY DELIVERY TO CLERK ON: Crockett CA 94525 BY MAIL POSTMARKED: _'April 22, 1998 L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELO Jerk Dated: April 23, 1998 By: Deputy -' LL FROn- 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: If 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 e ered in its minutes for this date. Dated: „, ! 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAH.JNG I declare under penalty of perjury that I am now, and at all tunes 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' !�o By: PHIL BATCHELOR By Deputy Clerk CC: County Counsel County Administrator f/ Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injurer 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 actio for.death or for injury to person or to personal property or growing cps 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 ofSuper-visors at its office in Room 106P 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, renal. Code Sec. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp RECEIVE Against the County of Contra Costa ) APR 2 3 1998 or } District) C014TRA CosCA CO. 1 19 name . ) The undersigned claimant hereby makes claimagainst the County of Contra Costa or the above-named District in the sox`s of $ �t0 .2( and in support of this claim represents as follows: 1. When did the dama.ge or injury occur? (Give exact date and hour) 4c 2. Wh did the damage or injury occur? (Include city and county) 3. How did the damage or injury occ ? (Give full details; use extra paper if required)`-�t "e, C.�#^e. -N%1;;T;r l a rc5 C_ p d' d�;,E�.o � i�6e"` , ¢>> . ` 4*t Ave C 1 �'. S - (.• j �L'� 1 t r;C1( it to�`7 j� r J } J f } �t t ^ ea , R, fL t/'1 (vCtv'� Li �, a'C^ („.. d,t/'�:°� t. ro 4. 'what partioular act or omission on the part of county or district officers, servants or .employees caused the.injury or.damage? ;I e4v In '`Cw tFjam. '7LL7 -7, C3� wnat are the names of county or district officers, servants or employees cau3ing the damage or injury? j� J - �f 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. i {2 ,rr�zrt Qrres �, Y�'t 7. How was the amount claimed above computed? (I elude the estimated amount of any prospective injury or damage.) U)f If(!, i-L. 6 rvi e . _____a_______ _____- $. Nam sand addresses of witnesses, doctors and hospitals. M- LA .._ '.tis. - ..� �t3 . �C �v•a, 9. List the expenditures you made on accoun of this accident or injury: DATE ITEM AMOUNT r l wmm� fire- 15 1-V� Gov. Code Sec. 910.2 provides* "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or b some n on his.behalf." Name and Address of Attorney Claimantls Signature 262 c Address Telephone No. Telephone No. * +t 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 fines- 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. ................... ................... W m ; �i 0 n en 9++ >45 rte^ 0 CO rn co ib .. .> cr CL 0 so m m O !� CIA }C ' Ul U3 m m M cn _ y 7y p s r*I � 00 33 Y� wIDd 0 m � 0. 5 OL `3 10 1> o r fD p t,y p rn a ru 8 Q '; p, >... C r 1f a (D o � N• [b N rr p, ' � s �y ,A Lrl Lrl [V Cxf , ��� � LA CLAIM BOARD OF SUPERVISORS OCONMA COSTA COUNTY, CATF+[)12NiA B�IARD ACi1011 May /9 1998 Claim Against the County, or District Governed by the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed to you is your California Government Codes. 1 notice of the action ';taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: $500,000 RMCMaWAD CLAIMANT: Walter Lanie Laniel MAY " 1 1998 COUNTY COUNSEL ATTORNEY: DATE RECEIVED: MAR7lN9Z CALIF. ADDRESS: 4 Simo Street BY DELIVERY TO CLERK. ON: Alamo CA 94507 BY MAIL POSTMARKED: APRIL 30, 1998 L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHEL , Clerk Dated: May 1, 1998 By: DeputyH. 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 filedlate and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: � — Deputy County Counsel TCI. FROM Clerk of the Board TO: ��� Cou ty Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). W. 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 e tered in its minutes for this date. Dated: 44 /'o 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAH NC 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, ddressed to the claimant as shown above. Dated: r` By: PHIL BATCHELOR By Deputy Clerk CC: County Counsel County Administrator la:t to- BOARD of SUPERVISORS OF CDNTRA COSTA COUtM INSTRUCTIONS TD CLADAANT 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 clause of action. (Govt. Code $911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its .off ice in Room 106, County Administration Building, 551 Pins Street, Martinez, CA 94553• C. If claim is against a district governed by the Board of Supervisors, rather than the County, the game 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. y YY YY YY y BE: Claim By ) Reserved for Clerk's filing stamp CIV - Aga nst tt-e County'of Contra Costa � MAY 1 1998 or CLERK Chi. District) CONTRA (PITT In ) The undersigned claimant hereby makes claim against the County of Contra Costa or, the above-named District in the sum of $ , r o a_nn u=,�, d 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) WALNUT NMTH. NUN AN1,T) �.....r.w.._sws:«.w..w.._rr...r..r._r...... ...n..rw...�..r.+r.._...�.r.......r........ri 3. How did the damage or injury occur? (Give full details; use extra paper if required) SEAQ A TTA w 4. What particular act or cmiss cn,on the part of county or district officers, servantsor.employeescaused. the.inj.uryor.damag.. e? y t E< ALOVG, r f .Rt SLAh)TROTUS VaR7AL tB,rz,,,,1k3Ap, AND VTAW1V3-'_D: 1AiTnrp AND FALSE ettMiTON<BY LOLTC'E VIC , HAS ,.AI'^�.'.>D NE SEVER AMT*iAkT��!`M rsYCR LOGMC •yL*� CARS A-ND A Wit`-IN."n MY JRq,'RS0 ACKAIRACNIR R °i-ND KATTI ER 07, WHTCH -ISS Nt n.`'`''m 4 L A' L U—MI T A k l?MT €€.M U.-V €R.amr A M TAX AYXMi AV TCA 'BY UW VT T (over) ......................................................................I .............................................................................111.1111, ........''I'll,.....''I'll'', ..... ............. ...... .. . . .. . . .................................... ........................................................................................................... ........... Wnat are tne names of county or district officers servants or employees causing% the damage or injury? T�� RD TO G12-TE, �7-n THT-MR NAMS 0,14 _TDRikTITTES IN: TFFJ.R ATTEMIT TO, ff- ER ff R.351FUSE 7 UP THE D TREACOMERT CTHER TW,,N Va' NA ME (IF "Ma OFFICER OF THE TIC NET, 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. BIIUS,344S C1 MY HIM ROK M SML ARUS& ALOIG WMH FSYCHOLMICIAL DAPINGE W MF IESL "R . ' K I UND FROX THED THREATS AND 3LANMD:K �,GAVCT TIM 1WEGRITY U Y' HOMTSTr, 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) T FX A KO U N T C 10 KP U,MD� W A S 0 KR TM- 3Y.' TAXI M,', I K"C PSYCHOLOGMAL TRAM ALO.Nn WrI71H .1HY31r.,AL, Fs.1,1TT CF T14EDI AB-TSE AGAI-11M37 DE IMUDIM THE TIVE W WHIMIL IT TICON TO TWE TO VERBAL=.3 THIS MMSCESSJ�%'RTY I- NciDEn IN 1WR=M* M.M.01,MU AIRITSM, .....----- ------—--- 6. Names and addresses of witnesses,, doctors and hospitals. M nJJXSEWM (YFIMERS TTEWSRLVESr MWa Ml,M n, wnF,. —-—---------— —- -------____........_-.._......,...__..-- 9. ------- 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT k 3-1 7`�-98" AIX TIME HoURS TYFUG VWENTY F117-F, _Df, -L, RS AM, FOUR 4-3-99V T"n i.-Hom fahTns FIWE DICTUARS AM CALL T4K PHCU CALl$ Gov. Code Sec. 910;2 provides: "The claim must be signed by the claimant �y someeTwman hi SEND NOTICES TO: (Attorney) or on his.bbehalf." _ Name and Address or Attorney �Claimant'B 61gnatarel (Address) _ot Telephone No. Telephone NoA70) TT V W F_ W W 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 .genuinel any false or fraudulent claim, bill, account, voucher* or writing, ispunishableeither by imprisorriment in the county failfora 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 ($101,0009 or by,. both such imprisonment and fine. ............................................................................... ............................... IATA T ODA Y." 22 A rI? qR T(rDAY,TT IS OBVIOUS WHICH DIRECTION THIS ST�,TE IS CiOII�iG TN, FROM THE DAYS O F THE WILD AND FREE FR ONT IER i A ND THE GOLD R USIi, OF THE E IGhTEEN HUTNTREDS,T O T ODAYS PANTY' AI@TY ANTI. SIMOXIM LAWS, THE FREEDONS THAT AFRICA WAS FOUNDED UPON HAVE; ALL BUT DIISSAFREARED FROM THIS STATE TCDAYITO THE POINT' CF WHfCH. THAT THE HONEST LAW ABIDING:rTAX RAYING:,AND REGISTERED VOT M. CITIZEN,TS NOW THE HUNMED, AND HOUNDED CRIMINAL BY' THE STAT ATES POLICE DEITARTPENTS, THE LAW ABIDINGCITIZEN TODAY' IMUST COhTSTAIQTLY' BE ON HIS OR HER GUARD TO PREVENT THE UN LAWFUL AND ILLEGAL ENTRAPcEIIT AND ]INCRIKINATI'01T BY, THE JUDMIAL SYSTEMS SERVAMrS THE POLICE,OF WHICH' THE LAW AHIDM TAX PAYER PAYS TO H. Ir—,' PRCTECT HIMSE'IF o THEE LAW ABIDING TAX PAYER IS Nth T,ONGER THE EMPLOYEER OF THE STATE'S POLICE,HUT` THE VICTIM W THE ILLEGAL,.. HCRRASMEN: T AND INICRTPIINATION. CF THE TAX PAYERS MASTERS THE POLICE DEFT'', A L01C LONG: TIME AGO, DURING THE H OLITINGG (7 AIriERMA, THE FOUNDING FATI-r—RS, WITH" FCRE SIGHT AND WISDOMS WRGTE INTO EFFECT AND ARTMLE CF T?m_ CoNSTITUTIONr td ICH STATES SOMKHING, TO THE EFF-ECT, THE RIGHT TO TSEP AM BEAR ARMS BY THE IF,LVA.TE CITIZENS SHALL NOT BE I.`RINGED UPON BY `1.'H.E POLI'C'E OR THE GOVERN IENT SIS ANY WAY, TCDAY,ALL PALRICTIC, FIRE ARAI ENTHUSIASTS ARC COUNTED AS CRIMINALS AND ACCUSED Cr INSANITY BY THE LAW EWORCEMNT COMUNZTY C.,F WHICH' IS PAI D TO ENFORCE OUR CONSTITUIONAI, RIGHTS AND TO SAFE GUARD THEM FROM DFRINGEMfENra T.CDAYS LAW ENFCRCEMNT FERSONNELL, ARE THE FORE RUINERS Cr DISARA TIC THE AMFRLCAN PEOPLE', IN AND A: MIT TO ENSLAVE THE LAW ARIDING' TAX PAYES TO THlM TI.RRANY' ANI} DICTATCR SHIP.,, AND THREATS OF VIOL-1 CE.. THE O]D SAYING: , WHEN GUNS ARE OUT IXWED ONlY OUT LAWS WILL HAVE GUMS, IS AND MIS STATEPEI , THE TRUTH ISrWHEN GUNS ARE OUT LASTED,CPtLI" THE POLICE WILL HAVE C GUX,SjLEAVING- YOU AND r)THE TAW ABIDING, TAX PAYER, AT THE WILL AIS Eli S?'A`IE WENT CF A!1'IJ ILLEGAL POLICE RUIN STATE, TCT'ALLY' CONTROLLED AND DIC-TATE'D CrER BY THE IAW E?VFCRCr^.h`NET AGSM ES CF TMAYS AS SOON AS WE THE FE4OPIE HAVE NAD ENTCLGH',HISTORY WILT fiNCE ACI".I*t RE ErIT ?T SELF FC.R THE MILLICNT THH TIME/AND WE Tom' PEOPLE WILL ONCE AGAP?T DISE UP AS WT HAVE OVER The CEN1`UURIES,A TD VIC1 NT-LY FREE CILIR SELVES PROM THE SA ivE TASK MASTERS TH.«T HAVESOMHT TO EN SLAVE US ALL THROLrlH OL'T TlW_ C'E�NTLURIES, I MUST BE D-,TZNDED jA?vT1 I Iv UST BE CONFENSATED FOR THE ILLEGAL ACTIVITY C"F TCDAYS ILLEGAL T? LIE A , e FCT�R THE FUf RE OF APERICAS FREEDOM, ANTI THE H UI'URS CF APE,i?TCAS CHILDREN DEIEI0 UPON; IT, IN THE :AXE, C41 LIFE, LIBERTY:, FREEDOM, AND JUSTICE FCR ALL, LA.TIEL,; LA NIE, WALTER A NI,CITIZE' . CF THS` UNITIED STATES CF AMERICA 11 E PLURIBUS UNIUMI, I AM JNNCCStjr CF SAY" WALY-TIM ADTD IT IS MIMSIBSE TO J:RME M G=Tr& ALL ARE INNXENT UNTIL FRN GLrnT'f llcLt 3I W,SEIr" IN4XccCgjr ITO EMS= GSR AX'THIM TCr T OrMR7r. �. � PC3L:t E CFFZDM WAS CUARLYIN ERR a4 Z, t n i o f j { - f 1 .w, ............... .......... 3 Iq F TONIGHT. AT APX 01 OOh-rs. AS 1 WALM) UP ALOFG THE STREET TO GET A "UP OF 0 cF. F.E'E I AS I WALYED BY TIE CHEVROM DEALEIRSHTPo TO M-r FRONT ON, THE SAM SIDE ( ' THE S STREP, ,,I TOrICED THREE POLICE OFFICERS HORASSING SONE LITT LE FIDS AX BOON rMR S TO MYJFRO'NT,' IN FRONT OF TARGET STORE, crRcm -Thv— AT THE CROSS WALK r WALXED ACROSS THE STORE TO THE OMR SIDE lqCT' W.Am7DC TO WALK BY THE POLICE WHILE THEY WERE BOTHERING PRITATE CITIZENS, AFTER WALKING: ACROSS THE STY9"l.&.-Lt9—Q?-Qc>S WALK, AND AMER WALKIM, AND DISTANCE ALONG AM*FA.BT DE CROSSIM THE EGAN F�OLLCWING' AND DISTA ME BEHIND Pvlo STREET WHERE THEM E WAS NO ORCSS WA ; a I C O-M.113 Di WALKING YCT W x A ILYZINGi TO STOP FEELING U.N EASY. ABour THE POLICE FOLLOWING,' PE IN AND SENT DARK AREA AT NIGHT, ........................ v(xL- I � L � 4 1. Ac To TOI!�I HT ON: THIS N IGHT AT AFk 0100 HRS AS I WALKED IN TOEN WALNtT' CREEK ALL ALONE AND FOR NO-AEPARENT RESASO'N WAS FOLLOWD BY AND Fcn NO ATTAREN 21 WAS �UESTIONED' BT AN POLICE OFFICER, WAS ILLEGALLY DETAINED WAS I1LLEGALLff Mi OATED BW RL B Y.S=AL; SEAR,XH CF NY.' PERSON FOR NO APPARENT- REASM AND WAS INSULTED, AND SUBJECTED TO PH=YSICAL ABUSE BY'THE P O LICE CFFICE�fi,: WHIIS T'WO' OT R OFFICERS LOOTED ON. TIE POLICE OFFICER BEING UP-SET BECAUSE THAT' I DID ICT" HAVE AND DRIVERS LISCENSE IN MY, WALLETT; JERKED n,- WALLET OUr OF MYHAIM IN AND AGGRESSIVE AND VIOLENT, M A MR, MY WA LLTETT BEING, ATTACHED HED T O MY` PA!rSTS ICY AND IBATHER CORD, THAT PULLED IS FORWARD TOWARDS THE OFFICER, r AT THIS TIME AND DURIN7 THIS ENTIRE INCIDEITMINi'AIl'In ABY:COMPOSURE AND DEFENDIIE MY' SEL; THROUGH MYt CO NSTITUIONAL RIGHT FREEDOM OF SPEECH. I STATED THAT TIE CFF ICER OFFICERS HAD NO PROBABLE CAUSE TO HA Vu STOPPED M TO BEG=IN W ZTHi ACCUSED INIE CF JAY WALKI C9 W%1 =1 I: DEN D, THE CFF tICERS DIDNr HAVE ANYTHINM,. ELSE TG DO MER THAN TO ATT2EM� TO HUMILIATE W THE TAX PAYER AND PROVIDERS CF THEIR PAY' CHECK(., AFTER? AND UNNECESARILYr LEIGTHY: PERIOD CF TIME CP WHICH. I WAS 77 SUBJECTED TO THEIR' PHYSICAL, ABUSE AND ABUSIWE AN SLA NER GUS QUEST IONS C Gi�E ERNINu MY CHARACTER, AND THREATF.NIt-n TO TAKE ME TO JAIL FOR NO REASOfN FII"ALT WR OTE �E AIT TICKET FOR AND OFFENSE THAT DID NOr' AC C UR AND A LL rW D NE TO LEAVE, THE CF-FICE'R WHOM CITED �21 , W'IEN I ASKED FCR THEIR RUS MISS CARDS FM, LATTER IDENrIFICCATION DENlEED YZ THEIR BUSIME E CARDS AND INSULTED nL, FOR ASKT-M FOR THEIR BUSINESS CARDS„ IN WHAT I CAN AOi LY,- ASSURE WAS AN ATTEMPT' TO HIDE THEIR IDENTITIES FROM M FOR STATIM THAT IWAS AM GOING TO FILE AND SUIT' AGAINS THEN C FCR THEIR ILLEGAL AND UNLAWFUL DETA IMM E NI` AND SEARC HI CF, DiT SA NT ITY OF I�X" FERSONs THE CFFICER, ALSO STOM TOO CLOSE LO IE Ate? SPOW TO rE IN AND MANNER THAT Z..COULD CNLY1 DESCRIBE AS AIND ACT CF HOMOSEXUALITY cr WHICH I DONT BELIEVE M PARTAKE IN. kff COhTSTITUONAL RIGHTS WERE CLEARLY VIOLATED AND I , OR TO BE TAKE AGAINST THESE AI r„a AND CR I I TN L POLICE. c .... .::: ......... . ... ...... .... X' THESE OFFICERS COMPvI'I�EPD AND OFFEICE AGAII�PST AM LAW ABIDIM CITIZEN (7 THE ERUTVTIANT:' I� NY' OPION TO AND BREAKING AND INTERIN W AND BUSINESS WITH INTENTION TO STEAD FROM THE PROPERTY, THESE THREE GFFICERS AtM I CLEARLY STATED SO TO THEIR FACE, WERE ATTEMPrII , TO FROVOIE IE INTO AND PHYSICALLY' DEFENSIVE POSTURE AND TO DEFEND NY. SELF AGAAIIIST THEM Rr 14-Y RMICA STRENGTlij IN CRDER FCH THEIR ,TUSDIFICATION FOR WANTIM TO TAM ISE TO JAIL FCR NO AEPARENT RESOD OTHER THAN TO JUST KILL TIDE. TOTALL 0PR(FESSIONAL: BEHAVIOR ARD TC3TAL INSULT TO Ai<PI3 RONEST' TAX PAYER, WHOM BMIDES THEN CF THEIR FINANCIAL PAY. WHICH I NIGHT ADD IS' WAY ;3f)p- r 700 H,=K AND I FI311} IT BUIRDENSOM TO BE BURNED CF THEIR PAY. ` ft4 c. i RESPECTFULLYs LANIELs LAM, WALTER AN CITIZEN CSF THE UNITED STATES CF AMERICA I WAS DE AMD F{fit APS ONE HOUR AND THIRTY' MINWES AND SUIIIPECTEDF TO THEIR ABUSE Yl, TIDE IS VALMD AT AEC 11W ARC., $100,.00I AN HOM AND I DEMNI) NCST RESEECFULLY TO BE COKEE'NSATED FCR THE ILLFGA.L, DETAINPEIRT CF hl,' TITS AND FOR VIM` INSTRUCTION IN THE LAW TOS THESE. POLICE CFFILCERS WHOM. AT THE SANE TIDE WERE T' i- TEXllC- 1,1 EERWON WITH BO B;CDIL'f HARM AND ABUSE. $t5a-00 do Mrs2NMl FILE AND J'USTI S= AND MULTIPLY' DA mG&5'sEVERA L. HUlMREDFOI ,. PLEASE NsA PSE CHECK OUT' TO HY:' lc:AM AND PAIL TO FE FROMPrILT, AND PRIVATE CITIZEN CF A�ER ICA. LANI,EL, JAN0 9 WALTER E PLURIB.US UNUM ----------------------------------------------------------- --- --- - - ----- - LANIEL WAITER L COURTESY NOTICE 4 SIMO ST ALAMO ,CA 94507-1055 BRING THIS NOTICE WHEN APPEARING OR WITH RETURN PAYMENT DOCKET: W 644731-2 1 Cite: 30683325-5 Issued: 02/14/98 Driv.Lic.: N6008730 CA DOB: 05/11/59 Veh. Lic.: CA Location: N MAIN/LA CASSIS c, r You have been cited with the following violations: CVC 21955 -CROSS BETWEEN INTRSC G t.1t "tO �c ' 4, Iva COMA Clear this citation an or before the due date of 03/17198 by doing CIN o� a following: 0 ;7 1) Pay $55.00 G - 2) Apppear in court at 8:15 AM any Tuesday through Friday except holidays. � �' z >Check in at the Clerk's Office. NOTICE: You are not eligible for traffic school because this is not a movingtraffic citation. I Ii ted above.you will be s SED BAIL, SE SUSPENSIO REST f IL ASSESS erre ollec'tion agency. BEA06 `1-HM '50-D ,tic. WALNUT CREEK/DANVILLE JUD DIST W 644731-2 1 PO BOX 5128 w WALNUT CREEK CA 94596-1128 A14 tw4 riTr �e��, _7 _.. . ......... ......... ......... ......... ......... ..... ........ .............. .......................... ._......... ......... ......... ......... ......... ......... .............................. MUNICIPAL COURT OF CALIFORNIA, COUNTY OF CONTRA COSTA WALNUT CREEK/DANVILLE JUDICIAL DISTRICT s; tom` 640 YCNACIO VALLEY ROAD, WALNUT CREEK, CA 94596 r1 510-646-6572 ''jia x- ,r a_; (... IIE 'EG1vr c f) _°f NF. 7 nT DATE: 03/24/98 VS. WALTER L. LANIEL DOCKET: W 644731-2 01 f 4 SIM(7 STCITATION: 30 683325-5 t1' ALAMO, CA 94507 NOTICE OF RETURNED CITATION/BAIL REQUEST WE ARE RETURNING YOUR COURTESY NOTICE RECEIVED IN THIS OFFICE ON MARCH 23, 1998. IN RESPONSE TO YOUR LETTER, THE BAIL IN THIS MATTER IS $ 55.00 WHICH IS DUE ON OR BEFORE APRIL 17, 1998. IF YOU DO NOT PAY BAIL ON OR BEFORE THAT DUE DATE, YOU MUST APPEAR IN COURT BY CHECKING IN AT THE CLERK'S OFFICE AT 8:00 AM ANY TUESDAY THROUGH FRIDAY, ON OR BEFORE THE ABOVE DUE DATE. IF YOU FAIL TO CLEAR THIS CITATION BY THE DATE LISTED ABOVE YOU WILL BE SUBJECT TO INCREASED BAIL, DRIVER'S LICENSE SUSPENSION, ARREST AND/OR IMPOSITION OF A CIVIL ASSESSMENT UP TO $250.00 AND YOUR CASE REFERRED TO A COLLECTION AGENCY. PLEASE RETURN THIS FORM WITH YOUR REPLY. DO NOT SEND CASH. T F y` oo('/7 KEN TORRE CLERK OF THE COURTS BY: P BONNICI DEPUTY CLERK FORM: NORC1 20" ASR g8 " FIFTY DOLLARS TO OR M5 THE STRE''T" ;NZ TH: IS LATEST AP141) UNWANTED CASE CF POLICE HCRASSMENT AND ILLEGAL CONDUCT, I: WCULD AFl-`RECIATE FROM 'BETirME'13N ONE HUNDRED AFD FIF'T'Y THOUSAND DOLLARS APED FIVE HUIIPRE'D THOUSAND DOLLARS IN COMI✓ENSATICY, ND DAMAGES, FT HFFREE POPLES CF THE STATE, OF CALIFLRNIA CANT' NCT ALLOW THEIR TAX DOLLARS O BE ILLEGALLY:' USED AIM W.,_STED IN TM PUBLIC' SERVANT`S, TIMPOLICE DEPPS., TTE G'AS TO HCRASS, DERDE9 AND HUMILIATE THE TAX PAYERS aw TkC✓ STATEOFALIF ORNTA• THE MORE MCNEY"THE POLICE I7E'1'S., GES' OUT` OF THE TAX PAYERS OF TAFF STATE C CAL"!I0'RYIA, THE GREATER ARE THEIR ILLEGAL EFFCRTS TO INCRIMANATE THE SAM TAX PAYERS WHOM PAYTHEM FAY TO"BEGILT WITH-. THE POLICE DONT- BLINK AND EYE GIVM. YOU AND I AND EXCESSIVELY HIGH AND COSTLY TICIET FCR THE MOST TRIVIAL CF CJFF NSE, IT IS TIME, FOR YOU AND I THE TAX PAYERS AND CITIZEA� OF THE STATE TO TURN THE TABLES AND BEGIN FINIM. TIE PCLIE FCR THEIR MIEGAL COFID?r—T AND ACTIVITY AGAINST LIS, MaAMIC THE CITIZENS OF THE U.S., WE THE PEOPLE. i' am f ilitg and fire aggairst t he police and contra costa count Y their employe rs IN THE riMOU2dT OF FIVE HU10RED THOUSAND DOLLARS IN THEIR ATTEMPT TO !NCRIiVdNATE is'L, THF: TAX PAYER & JAY' W, LKIM, OF WHICH DID ?SOT ACCUR. FDTY DOLLARS TC W:,I,K ACROSS THE STRE''T CF WHICH THE TAX PAYERS LAID FCR TO BEGIN WITH.. JAY.' W.'LXI?rs ORP CT`, THECRIi�� IS AN ATTEF4PP TC! COLI ECT FIFTY, DOLLARS 1 TEN HODS OF LlB(R AT MIFi MUM WAGE FROM THE PUBLIC, THE F-ECK:E THAT PAL'S T€3 INST!kLL-AM, hiAl r—, IN THE STREET TO BEGIN WITH. A CRM AGS II T TIl' TAX PAYERS THE CITIZEF'S OF THS STATE OF CALIFORNIA._ BY THE, FOLI:E 'DEPT. .TAM-,L, LAM, ',-i LTER AIM, ^Z ItEN OF THE UN TED STATE; OF 9t.ET'TCA P,S. THE 1'01,11C'J (,u vl���'.i�l iYHOM CI ED ME FCR t'AN O FE'NSE THn D t� N( Avl UP.! HIMSrf TF BECAME, GUILTY OF THE OFFENSE AS HE JAY W.,LYmD .1CR033 THEE STRE?'T TO HC3RASS AFS TC` IT-LEGALITY CITE y-`, HE IS GUILTY. I Ali, NCT. tt: l k I < X. Is AS r-1 SAW ABUVE fQDRESS a "CITY ZIP Q$A A t (t' _ h E Y.ysP✓' .?,r4,}vrh. � ��L s ! � A ham: WVE NEH SPO LMT. Not NQE ' y� .61. f_ t .....�.: .L.1 ££ I ff !m(q IdOT CONtAP[TEO MI MY PRESENCE CEHtIFtl;k10l1 INFORl1M7ON ANO tlELIEF, ' It - R PENALTY OF PERJURY THAT THE FOREGO gJ IS TRUE AND CORRECT: ;`•..r, 3 .ExEO. THE OATESHOWNABGYEATVA4LNlff CREEKCAtJF ;, ,.''•,- ISSt31NC3O� 00I''R^^� x L . ':NAP. OF AitMESTsvG DF'f10Et•E' '-.:.REHY PROM A$CC < ... t ryf '10UT Ti. TO ATT'FTBitE PLACEBELOW - t ,.,pp J Y TIME t }LSI O`W�S. •££ f��yy. rry i.�fin �4 u Sflf FN +..v..ICff�IL CII)LI ♦ NACtrI VALLEY ROAD, vy yyY V S ( IA iib` CHECKED- -. i S ry P AT 3fi i3tiFCf Lt37ED 9Ei.OW iF CFt;KED {.•a+Y+RI .v ��. []4FiE f 5 by,UDwGrxeaFCALIFoaNu SEE REVESI RSE C1E �95t3(H,IQSt"s F��6 .L9( v tfl183S: - 8602 SAMELl, TAME, WAM - #4, SMI smEET AIAMer,, CA 94507" 20 AA• gLr CUST`'0"r 'S 0Rii1ER tJfiS. EP7. lrtAMt: .. KWO Ls GOURT WAS� CREEK .�►Dl7►RESfi: 1 1 640`. mala "VALLEY R .D CITY,STATE,ZIP WALXW CBEEK, CA '4596,, *H"" ce ON wccr. Hose rata. ouf,out MUMI MDER FOR nLEGA a A SYS ICA A$: T `r tA AMMIUMS14 NTAT IVE W WE THE 1'0PIZ., UTZ Hu AREST. WILD, ItEC!<tYED BY: KEEP THIS COPY FOR YOUR RECORDS 01997 F-MMO0 SL320 vo/ 000, 00 V . ;; ..;. •{ r•:.ry .v... +�.,:� .... >y .f.' �•,f. :�,L'' .'.S NUJ� ' ;�s i %k' Y rr {.f-' .,a Tr` <} 3 .•yt..' + �;� 6{ '.r`,�J F'••;�3�{�'k`z�/'°*{is 'aky' r. .�{ ,�,> i Y'}^<'y' '"3 '.,,< R r �'� %4 �� � -s z i$+ �� .,{•F 3 - ry �,��i� ?� ����.""�wn. XS ar�3f�� �r#,3q,a...r+,e(Y• S "�` `��f%..f�3 §��°Aty:{. o- {. r {<)._ � •'si kpf+ .;.. f k y�k,Y���zl4^�� € �'.` YAr++�r.,,.. d� y � r %a k ,rgr,�yy,��'.+� ,+ ,� >° 3 fi r } _ {�Y { ,�y�<a ¢f •"' 3 '• 2 x a.F r '. �` ^ { F§fi'<•.. rr{fi ? r'°' 'a"( y {:f;^ •°,�'•?'S f; ••9 �f '�'� �w. a +ei{ •h F� ^X er. s� y�3 �'.• r .J 5 f; y !•.I• +4 �, { sy :r t y � ?a"� a� �<�' s{C�, �y k• rr�`��' ''>fi ..< q :-{�S'�s�'y;.• s".•3 t-' s fi 3'+r .'�`�,�tom,:� 'Y�"S>. `1a Y ��rf q.�4r,;�v.: v �,- .r�. ,♦§� �... 3. .f. 'tgfi x�.y> :- �� F�:� ,,c� s�S§ F•}et §•"r�`�N,<7 Sr�{ { y ; ��fi 3{ ,...* „Su.•+�S• t r 3 v 4 #".e%q� `,h+dG-f+ ,» `Y`+„fin' `tF'�gf z Ay r`a < v r +°{di4� .r F'.rt% Mm -o � < -u. {F ..�.+. ar''•' r~> {,�{Y y >r # q "iy ? £x,f.'•{''•^`$N" s�rat"'9r'.x°' •ar ''q'A.J+'{ .,.. s f. `.+ ' 2�i wY,' �� n r.: rq t C�^ Yrr7'-,? F y mw<. s . { . , .r { .+ . r .].;4 t .s•y �Si 5n 25'' a '' y�„�• §+t�. t�y,Y �*•+'�'• q• _ N` u 6 .¢x r, ,i v x 3•y�.'� f fi� fi �.�+ r "�'� % { 3 r sy�f r„-Y :. i .c �. V%.�'•„y f A{'•n. a Mw IN + ' :Rf..F Yr•,€;� € f�-- +v'`. •�- y ���ir� .� :'q 4• � ,. t a {{�' }ic l }€<y`€k, n z 3 ry, ? f .:. >* € €-s v<. {'kY{ S:. -. y Cyt�7 y rrM {" n••E� �`'` ,a yam' rt r._ 'ay3 : �-.;- �, � ��{ < r :f{•k,�r s#S}"tis { P' r {2 +` � R z t ,.§ ' { SI a _ { ?•ri a_ 04 ,5 y{° € .Nht, a'yy'- �`fiA n. a. ti .R4 yah 7 { r r'i2 n r v �K, ✓+. `v .t y�`<`'�+' ,y3y 3 `l L`+ '° y Y �y �F >r _ {,� F '*� �� r >Xj''?t �s%t�y ! '�iF,� 'x' �.{�`�•{ o-.ss ,a ,�1*��+'� �3� �FG {r'•.yt' . 38 t szAxy Y .. ar s 4-t G �j..fi y,<ns�v'`t` } ^s ?•.>l{+i�Y{ .3 >z'%r� '° /t �'v+X .(ea5 c ?f,gc ,*, � dJYS_ °'' ti < r r< f�4 fx�a i• � � ., °� �r r-��� .; v 4 :. .: Sr r r .✓ r �'�' Sa y 1-drY r l��j r,'` <�: t�t�� tr�> �fi ti F Y \\y q f�> i.sr4 w t tr>' .y r ./ .<yq v x x�`•r? ''. j ,•,{:,: 4Z` >ti<M S!' Lr rr N�'wM4.+r rY�'€'r<S a'w•,rd a',✓n�2! „cs`a r,.�l f.r ...y •}�rq,RXY"''° �i-3`y} '•' `>9'ra£.� °+ �r ` a,r_' •,+ <� }^f <.�f 'q/y$r 1 ^wr .,:p�'$r Lq��l �y�°„r,, v. r fi'F w.�r° f "NOR s.F'� r. '' q -'€ .f�•>s 2'+. t• ,��{�;,3 � Y,�wy s} ,yap Y^L.�G.+•`{ t�. 4{ q . S'^ f tY +xi �Yh v+€ � Svi'W �A rw r { » 3 +�F� `-r r�r r u5�{0 WINN"> fi• °;fir 3 � .�° � % ,R� kxa}€v `}xv`x {r ^wYti•`a� r {,t< r x rF. { � 4 r${," �r.+ `r-Y a vts.;a�� fiy tta�'a"' s1t. #.. +kr} Y .�„r,•^.s• §f r s a {• { F..y ''.s'{a'7 4aY•� ty r � xIIIE . Y'Y f:•j y �, k y 1 f+�.,Yrk c,� q S a ; fi� y5f q qi}} ```���,,, •, Y{ P/ <*f : ?{."'ff•1',f grr,: ;',�, Ta.•ky 7+"3'•" ¢t #< :vvfi#{2,y` c, hY.t s,xX .�a +'+^'+' ,• s #y{+�. }, SA't'r 3:`'+<, °+"'r ? faY { p,F`fYY r. ,1•S a¢ ^,•.. S r+t < r{ F r"--------- ^ ---- -$ {, .. { .• :,,N /•{. .'r i`t`� F{ €ysfr �rr -------------- Y Y ..gi;.:fi a+,s-•`' r e{`{ r cY•4:y �- s.- y t r ri{+ .:,'.'k i`}:. . S- y �,.`a i°,',•a• •9' {.j,?'' V .4`,�y`,75. s+. t �t Y>? � ,,s( 's r F Fq.+f � � �r§4,F�'r t't r •i'r x .. +�yr'jf � tf�,; kyr {k<{�:3.: Y sr:< rd�r°-SYr r°a_ <p fi '��Y f.5�'`'�+(�{ry 3.:.? �`'pFv�.'t r Ly<yLf �i3 3.'✓v€���°�5�3:£+�k•A'�?�xsc:F,s. 'rs F.4t -:{ +. 2-+ V � A.?ci- y'vj.%S.?r�S"2y .� k �. . * rZZ, } .�+ yv��� YP�4�{y°?{�vA.f+•y Ft1r1���``\�?,��� '�fy�-�. g� q �r t � - S� �� f b„E.w.lt - 9A-+t 3 3<.•{.r F fy Y ?+-3, x s 'vr,, S '{' F.. b M b +,,},{•+' �{tfi�•K 3'�-�sc�sem• 5°'' s/t� A�����..•;S} F r� } {. o '!�� `:; �� ,: . �Sr�n jj +k�p F �j •z r yah. € x se{; * ,c � .• �{ 7� o e$ f��{�,4y ;�q res {r� y�' �.�+<'� �r r r -s'�•� .rq h > x � q yr?q` y t�;S {�A§,S. �,�'•2' r/{� 4 { < { {'`�r:^c y <'�°c � �� ��.w`c':: b•,+� 0 43'as 'S'r• ,fA`gp q#a s) { y •+. ..r _ '�'A' F' #ur �,�Y{�'tq,°�i+k� � 3 +y``yy{•:.N +•:''�c a s ?{r +• 3 +{' r���l� •���{f.�r+i 1�'Y`'.��'tyF'�r�s rw2 � '� {. r. fY ._ r t GGGO{li `"'�^pp a OR F ,..:. CLAIM ° 1 CALM-01101A BCI=AOS Claim Against the County, or District Governed by } the Board of Supervisors, Routing Endorsements, } N0110E TO CLAIMANT and Board Action. All Section references are to } The copy of this document mailed to you is your California Government Cedes. } notice of the action :taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "W� ��' AMOUNT: $7382.12 MAY _ 1 1998 CLAIMANT: Jeannette & Mickey Lee MARTINS CALIF ATTORNEY: DATE RECEIVED: ADDRESS: 107 Mary's Ave BY DELIVERY TO CLERK. ON: April 30, 1998 Bay Point CA 94565 BY MAIL POSTMARKED: L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHEL , Clerk Dated: May 1, 1498 By: Deputy -.H. FROM: County Counsel TC?: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 91.0.2. { } This claim FAILS to comply substantially with Sections 910 and 410.2, 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: S' ` " By:_ Deputy County Counsel 1H. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 411.3). 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:�' /„�� ,/'1W' PHIL BATCHELOR, Clerk, By -r '_ �, Qeputy 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 445.6. 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 3o immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAH IN G I declare under penalty of perjury that I am now, and at all tithes 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, a dressed to the claimant as shown above. Dated: By: PHIL BATCHELOR By eputy Clerk CC: County Counsel County Administrator ".�i�`"f✓�c� �:,�z:"tit t r I .. Claire to; BOARD OF SUPERVISM OF OoNTRA cosTA Ctx3'y ° INSTRUCtIONS TO CLAXHW A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and *.hioh accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Clams relating to causes of action four.death or for injury to person or to tenal � ue on � January 1 $$ must beproperty not i the afteand which r he accrual of the cause Of action. Claims relating to any other rause of action must' be presented not later than One year after the accrual or the :cause of action. (Govt. Code 5911.2.) B. Claim must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Mu tinez, CA 94553. C. If claim is against a district governed by the Beard of Supervisors, rather than the County,, the name of the District should be filled in. D. If the claim 1s against mm--e than one public entity, separate claims must be filen against each public entity. E.' Fes. See: penalty for fraudulent claims, Penal. Code See. fit at the end of this form. e * s e s 4 * e s +t RE: Claim By } Rederved for Clerk='s filing stamp "amt et sk RECEIVED Against tim U&MIty of Contra t—* ) District) n CLERK BOARt7 UP TUPERViSORS .. Ct>NTRA COSTA CO. 'I"he undersigned oUlMant hereby makes claim against the County of Contra Costa or the above-named District in the sum of � � � ,""�, ��, and in support of this claim represents.as follow.. I. Mhen did the damage or injury occur? (Give exact cute and hour) 2. Where did e e or injury occur? (Include cit nd county) 3. Bost disc the or injury occur'? (Give full details; use extra paper if required) 1 CX �C rec.•�. .4� +'a -St... 'fir�s. .C`C�5,.., z�Cr: �n + swcw. l.r.a +. *L t k: What particular* aet or omission on The part of county or district officers, servants or.eq9pyees, caused,the.injury or.damage? (over) 5, what are ttse names of county or district officers, servants or employees causing the damage or injury? 5. What age or injuries do you claim resulted? (Give full extent of injuries or damges 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.) ZQZ S. Names and addresses of wi , esses, �o�toy,-s aund hospitals. "` •. . `L 4. List the expenditures you made on account of this accident or injury: DATE SM T � iF �#� �"S�"t�.�!• �3� 'r+J+�.`s�� � '� �.4 * '� � � # '����t� 1t� i i � 1! 1F M !F if IF Gov. Code See. '910:2 provides: "'Che claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by pppqpg2M bdlalf." e sand Address of Attorney CMaimutt-s Sigr;ature (Addrdr s � � " . . 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 offioer, authorized to allow or pay the same if,genuine, any false or fraudulent claim, bill, acoounnt, voucher, or writing, is punishable either by imprisonment in the county % for a period of not more than one-year, by a fine of not exceeding one thousand ($1,000), Or by'bath stash itpri.sorbe!nt and fine;•`or`by imprisormnt in the state prison, by a tine of not exceeding ten thousand ,dollars ($10,OW, or'by. both such imprisonment and fine. .. ... .................... . ...._................................... _......._.. ............ .................._............._........ ......... ......... ..............._.. CLAIM e, /f BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARDAO011t May 19,1998 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed to you is your California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below),'1,given pursuant to Government Code Section;913 and 915.4. Please note all "Warnings". AMOUNT: $5000 CLAIMANT: Geneva Marks APR 2 2 1998 ATTORNEY: DATE RECEIVED: MAR7�lN�GAL4F� ADDRESS: 2201 Dover Way BY DELIVERY TO CLERK ON: April 21, 1998 Pittsburg, CA 94565 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR:, Clerk ..� j Dated: April 22, 1998 By: Deputy :z-:��.._- r�'`�.y-�r�.��,?'' _.�-- •.,,,..,,.- IL FROM: County Counsel TO: Clerk of the Board of Supervisors { j 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: _ �' ' d ! lt���-.• ,t..�►t- L SLC.+�G � G Dated:— 1 ( y 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: 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. *For Additional Warning See Reverse Side of This Notice. AFF DAVIT 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: By: PHIL BATCHELOR By eputy Clerk CC: County Counsel County Administrator X.- Claim .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 craps and which accrue on or after January 1, 19881, 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 5911.2.) B. Claims must be filed with the Clerk of the Boars! 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 forst. BE: Claim By Reserved for Clerk's filing stamp RECEIVED Against the 63Fty of Contra Costa APR 2110 or F Lt District) CLERK BOARD OF SLIPFoRVJ, t)RS (Fill inn __ - CONTRA COSTA CO, The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ �,� and in support of this claim represents .as follows:: 1. When did the damage or injury occur? (Give exact date and hour) --A 11&�yj 2. There did the damage or 'inJury occur? (Include city and coup y) 3. How did the damage or injury occur? (Give Hilal 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? 41�t j) . C (over) wrist, are the names of county or district officers, servants or employees causing the damage or injury? 5. 'What dam e or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. � � l•.. *^^ l�iM��wGi7�M�i� _ ` - ,. .,. .�.....� f ars t clai7med above computed? (Include the estimated amount o Y . H�was the amount c1a prospective injury or damage.) 6. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DA'T'E ITEM AMOUNT < Gov. Code Sec. '914:2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorne ) or some perAgn on his.behalf." Name and .Address of Attorney Claimant's Signature L2of P k Address Telephone No. � C Telephone No. E" 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 ($19000), or by both such -imprisonmenttand finel--or by dollars {$ifitpris,nmenor t in the state prison, by a fine of not exceeding ten both such imprisonment and fine. CLAIM {err BOARD OF SUP.ERMMS OF C ► TRA COSTA COUNTY, CALIFORNIA BOARD May J9199$ Claim Against the County, or District Governed by the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this docixnent mailed to you is your California Government Codes. 1 notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all " C�.;�RI�'��" AMOUNT: To be determined APR 2 7 1998 CLAIMANT: Leroy and Claudia Quan COUNTY COUNSEL MARTINEZ CALIF, ATTORNEY: Buresh, Kaplan, Jang, Feller & Austin DATE RECEIVED: ADDRESS: 2298 Durant Avenue BY DELIVERY TO CLERK ON: April 27, 1998- - Berkeley CA 94704 BY MAIL POSTMARKED: 1. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATC OR; Clerk Dated: April 27, 1998 By: Deputy , Il. FROVL County Counsel TO: Clerk of the Board of Sup isors (V) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: By: Deputy County Counsel 1IL 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:�� PHIL BATCHELOR, Clerk, By eputy 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAELIN G 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, ddressed to the claimant as shown above. Dated: V' By: PHIL BATCHELOR By eputy Clerk CC: County Counsel County Administrator ...................................................................................................................................................................................... ................................. ......... ......... y LAW OFFICES i &a SCOTT BURESH Buresh, Kaplan, Jang, Feller Austin OF COUNSEL ANN S.KAPLAN 229$DURANT AVENUE PAMELA J.ZAID ALAN J.JANG FRED M.FELLER BERKELEY,CALIFORNIA 94704 STEVEN K.AUSTIN GINA DASHMAN BOER TELEPHONE(510)548-7474 — FACSIMILE(510)548-7488 PEGGY CHANG NOEL S.PLUMMER CHARLES A.ALFONZO April 20, 1998 A f-'Q 9, 7 1998 L.wa County Clerk 4 a siA 60STA CO. Risk Management Division 651 Pine Street Martinez, CA 94553 Re: Claim of Leroy and Claudia Quan Date of Loss: January 1997 and ongoing Our File No.: SFTRI 97219 Dear Clerk: Enclosed please find the original and two copies of the above-referenced Government Code Claim. Please file the original and return an stamped received copy to our office in the enclosed self-addressed envelope. Thank you for your assistance. 'fiery truly yours, BURESH, KAPLAN, JANG, FELLER. & AUSTIN � Stacey Prickett, Secretary to Alan J. Jang :sp Enclosures GOVERNMENT CODE CLAIM FORM TO THE GOVERNING BODY OF COUNTY OF CONTRA COSTA Claimant: Leroy and Claudia Quan Address: 3875 Los Arabis Drive Lafayette, CA 94549-2945 DATE OF INCIDENT: Landslide occurred in January 1997 and ongoing. Indemnity claims accrued on and after service of various complaints and cross-complaints from December 1997 continuing to present. LOCATION OF INCIDENT: Tiffany Hills Subdivision Quail Ridge Road, Lafayette, California DESCRIPTION OF INCIDENT: Landslide NATURE OF DAMAGES: Indemnity for cross-complaints asserted in Contra Costa Superior Court Case No. C97-44790 by Bakr, Pelino, Chang,Hagen, Wu, Cronin,Chen,Cheng, Korpell, Glidden, Stuart, Cheng, City of Lafayette, East Bay Municipal Utilities District AMOUNT OF CLAIM: To Be Determined ITEMIZATION OF CLAIM (List Items Totaling Amount Set Forth Above) To Be Determined ATTORNEYS TO WHOM NOTICE Alan J. Jang, Esq. SHOULD BE SENT: Buresh, Kaplan, Jang, Feller & Austin 2298 Durant Avenue Berkeley, CA 94744 Tel: (510) 548-7474 Fax: (510) 548-7488 Dated: April 1, 1998 $y: Attorneys for Claimant CLAIM .�l BOARD OF pmVISORS OF CONMACOS1A_COUN'T'Y. CATIEMNTA BOARD ACTtQAt may 19,1998 Claim Against the County, or District Governed by } the Board of Supervisors, Routing Endorsements, } NOTICE TO CLAIMANT and Board Action. All Section references are to } The copy of this document mailed to you is your California Government Codes. ► notice of the actiontaken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". `aawm) AMOUNT: $450 Li APR 2 2 1998 CLAIMANT: Carlos & Stella Quintella SL ATTORNEY: DATE RECEIVED: MARTINEZ CAL1F- ADDRESS: 37 Nancy Drive BY DELIVERY TO CLERK ON: ..April 22, 1998_ San Pablo, CA 94806 BY MAIL POSTMARKED: L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. f, PHIL BATCHELC ; Clerk Dated: April 22, 1998 By: Deputy ^ - H. FROM: County Counsel TO: Clerk of the Board of Su ervisors KThis 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 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: /f9 '" �' PHIL BATCHELOR, Clerk, By �_--, I� puty 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I 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: rl By: PHIL BATCHELOR Clerk CC: County Counsel County Administrator ....... ..... RECEDE[ ' ' <%RSONAL PROPERTY REIMBURSEMENT f.. AIM 2 21998 TO BE COMPLETED BY CLAIMANT: MOMS zzs 1A IMF- �itg 8C}A�0 of;&U��VtSI�R� Claimant's Name: Address. 4 Department: Employee No: Describe the manner in which the loss or damage occurred: AT Amount of Loss Claim $ Amount to repair damaged property (attach invoice & actual repair) $ ,� Original purchase price of article(s) (attach sales slip on same) $ Where purchased: Date purchased: Do you carry private .insurance coverage for property -Loss or damage to your personal property? Yes No If yes, have you contacted your insurance agent for reimbursement? Yes No If yes, how much did your insurance reimburse you for the claim? If no, why did the company-reject your claim? /3e/0/1 TO BE COMPLETED BY WITNESS Employees Signature atef Confirming statement by witness to incident: Te Al 14 1 oto . Witness` Name (Print) Signature of Witness TO BE COMPLETED BY TMMEDI SUPERVISOR Confirming statementby immediate supervisor:_ Supervisor's Name Print Signature of Immediate Supervisor TO BE COMPLETED BY DEPARTMENT HEAD OR DESIGNATED REPRESENTATIVE: I recommend approval of this claim becaa:se said claim meets the criteria for reim- bursement provided by Administrative Bulletin #313. 1, as follows: (Please refer to items 1-4 under Administrative Bulletin #313.1. ) I recommend rejection of this claim because said claim does not meet the criteria for reimbursement provided by Administrative Bulletin #313.1, as follows: (Please refer to items 1-4 under Administrative Bulletin #313.1. ) Signature of Department Head or Designated Representative HAVE YOU CHECKED TO BE SURE 1. Damaged property is attached to this claim. If not, please .. explainCONrI,,A 3. This form hes ` �� c�► i ¢�¢ �y answered. t _D 3. County demanRtOPM and Board Order, if needed, is attached. AK130 6/83 LIC.# 352884 N° 8857 vµ - FENCE WALL Since 1977 670 SAID PABLO AVE. * RODEO, CA 94572 • No. 510/799-2355 MAILING: 'P.O. BOX 427 * RODEO, CA 94572 ES'TIMA'TE A CONTRACT TO: Date: t r r Phone Bus. Res. % OVERALL OVERA11 TAKE DOWN"ISTING WIRE DIAMETER LINE POST LINE STAKES SET BY CUSTOMER LENGTH HEIGHT FENCE IYES NO GAUGE TERM.POST SPACING MAUL AWAY EXISTING v x FENCE YES0. NO WALK DRIVE TYPE STYLE DIAMETER DIAMETER DOGEAR Set: GAre GATE of WOOD OF PENCE LINE POST TOP RAIL FLAT TOP WE PROPOSE TO FURNISH LABOR 04 MATERIALS IN STRICT ACCORDANCE WITH THE PLAINS AND SPECIFICATIONS AS FOLLOWS:UNLESS OTHERWISE NOTED ON THIS CONTRACT,WE HAVE A ONE YEAR GUARANTEE ON ALL WORKMANSHIP, DIAGRAM INSTALL APPROXIMATELY LINEAL r LINEAL FEET 'RFA OF 6 ` HI'GH I.,-V FENCE/ tL SET ALL POSTS 1N CONCRETE ON ie CENTERS OR LESS. USE :!Y X q., -POSTS ( (2u.::2 ) and - 2 X 4 RAILS (redwood) WITH I X SOAR S __-- Building PRICE: FOR THE TOTAL SLIM OF . . . . . $ TERMS. i F R.ONTr-1I SUBMITTED: CONDITIONS t ESTIMATOR: 4 Materials remain property of Creative Fence&Wadi until pays ant Is made. It Is understood and agreed that we shall not be held liable for any loss,damage MANAGER: or delays occasioned by fire,strikes.or material stolen after delivery upon premises, (Nilay be subject to rmmit eroent eppmvan) lockouts, acts of God, or the pZb enemy, accidents, boycotts, material OWNER RESPONSIBLE suppliers, disturbed labor conditions,delayed deliverryof materials from Seller's suppliers,force malaure.Inclement weather,floods,fraight embargoes,causes FOR CLEARING VEGETA- Incident to national emargencies,war or outer causes beyond the reasonable TION AND OBSTACLES control of Senor,whether of like or diriorent character,or outer causes beyond his control.Prices quoted in Oft contract ars based upon present prices and upon FROM FENCE LINE condition that the proposal will be accepted within thirty days.Also general THS PROPOSAL IS SUBMITTED IN DUPLICATE.THE RETURN TO US OF ONE COPY WITH conditions which aro standard for specialty contractors in the constriction Industry. Y043R SI[itaATURE SHALL CONSTITUTE A CONTRACT.NO VERBAL AGREEMENTS ARE Property line layouts are responsibility of owner.25%of above contract will be S#ffHNG IF NOT WRITTEN IN THIS CONTRACT. charged the buyer If above cvrttract is cancelled by the buyer. Buyer agrees to pay all court costs,legal and/or ooUaction charges required, ACCEPTED: if TEE terms dude 1%pat mnot honntth n the unpaid balance. CUSTOMER X Creathrs fst"A Wall shall have no liability for damaged sprinkler or other (Daft) ftnattuel underground lines. WHITE - Original/Contract Copy Pink - Estimators Copy Yellow - Customer Copy Gold - Job Copy CLAIM f. BOARD OF SUPERMM OF WNWA COSTA CMNns CALLE IA CONTRA. COSTA COUNTY FM PROTECTION DISTRICT BO; lay 19, 1998 Claim Against the County, or District Governed by 1 the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action. All Section references are to } The copy of this docurnent rnailed to you is your California Government Odes. } notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: $528.19 P170catEW113) CLAIMANT: Realty Management Dale Prentice APR 2 3 1998 ATTORNEY: DATE RECEIVED: COUNTY COUNSEL MAFtTINEZ CALIF. ADDRESS: PO Box 2295 BY DELIVERY TO CLERK. ON: Antioch CA 94531 BY MAIL POSTMARKED: April 21, 1998 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk Dated: April 23, 1998 By: Deputy IC. FROM: County Counsel TO: Clerk of the Board of Supervisors /This claim complies substantially with Sections 910 and 914.2. { ) 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: Z Deputy County Counsel M. 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: PHIL BATCHELOR, Clerk, By puty Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (f) 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. *For Additional Warning See Reverse Side of This Notice. AFFIIMAVIT 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, ddressed to the claimant as shown above. Dated: By: PHIL BATCHELOR By uty Clerk CC: County Counsel County Administrator Clain to: BOARD OF SUPERVISORS OF CWM COSTA COUNTY Y INSMCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to per- tonal property or growing crops and which accrue on or before December 31, 1987t 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 Mich accrue on or after January 1, 1988, must be presented not later than six months after the accrual sof 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. Cade §911.2.) B. Claims mast be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pirie 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 ad } } P FVED �v r F1 r`.e- r Against the County of Contra Cos /r ���� � � ��9� or inname) } The undersigned claimant hereby makes claim ins t�tA County of Contra Costa or the above-gid District in the sum of $ and; in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) 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) ,0 F/^I e (�./e 1, _c e! IV17 +�f ✓ s 9 t` c is c t ., tx�+,•/ .,* "T;-t e-1/ ter 3 c ..c .. 7/�i�►.ys/ s. k i. rt a�rr 4. What particular act or omission on the part of county or district officers, servants or.employees caused- the.injury or.damage? Fr (over) ....................................I'll., ...................................... .................................. ............................... ........................................ ............ Wnat are tne names of county or district officers, servants or employees causing the damage or injury? 11 Coll 9-70091k4 ----------- 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two esimates for auto damage. ,7 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) ----------- Names and addresses of witnesses, doctors and hospitals. 7 7 d1v cu �L' a 101V del /V 6 0Z C1'e."Z'1 e to 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Y-_1- Z6cr 91 rlov A,4- Z_abc,k- S GoV. Code Sec. 910;2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or bv some verson on is- behalf." Name and Address of Attorney (Claimant s Signq,.ure5 PoYgevk c2 915 �Ad X ess) Telephone No. Telephone No. V W Aeal ManatftrMa nt NOTICE P fox 55 Antioch,CA 94531 Section 72 of the Penal Code provides: 510-754-6418 "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 .genuinep 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)1, or by both such imprisonment and fine;- or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($109000# or by. both such imprisonment and fine. ............... ........... ri 'TI ' T 000 o Z i o c T vallt-I I ,h y 4 l 4 L fit. K 5 I 5, f 4 i r ........................................................................................................................................................ ..................................................................................................... ............... .......... THE HOME DEPOT 0644 THE HOME DEPOT 0644 2300 NORTH PARK BLVD 2300 NORTH PARK BLVD PITTSBURGY CA 94565 (510)473-1400 PITTSBURG# CA 94565 (510)473-1900 0644 00002 55265 04/05/96 0644 00006 36605 04/06/98 SALE 61 420 11:36 AN SALE 11 648 46x07 PM 042049012927 HANDLESET 42.40 049793022356 DEADOOLT 1.83 076512404275 CHISEL SET 17.93 049793094223 LATCH 3.11 086584205871 $LAO DOOR 68.00 043374022537 FoAm TAPE 1.67 SUBTOTAL 128.33 SUBTOTAL 6.61 128.33 TAX CA 8.2501 6.61 TAX CA 8.230 TOTAL $138.92 � TOTAL 0369779020 CHECK 138.9i CASH 20.00 9 /0 CHANCE DUE 12.84 RUTH CODE 455800 z AW.- ORIGINAL RECEIPT REQUIRED FOR REFUND ORIGINAL RECEIPT REQUIRED FOR REFUND THANK YOU FOR SHOPPING AT THE HOM DEPOT WAREHOUSE "m THE HOME DEPOT 0644 2300 NORTH PARK BLVD Fri w f- PITTSSURGi CA 94565 (510473-000 0644 00006 37264 04/11/98 "r;4 4 C$el- SALE 11 214 10156 AM 021200010538 MOUNT.TAPE 3.46 9 3.46 TAX CA 8.250 0.29 TOTAL $3.75 TAX 8,F5 4.00 T Q CASH CHANGE DUE 0.25 TAL C97 1 3 CHH-NOE DUE R 98 ORIGINAL RECEIPT REQUIRED FOR REFUND TOW YOU FOR SHOPPING AT THE HONE DEPOT TRANSACTION 00,12664 VAREHOUSE PRICES-DY IN# DAY OUT cl Thank ymi for aur b u r,41 ne s s AO,v ......... . t : � 11.1 11 �mlI ach I*$ o of 1. Al. -� 1 . . , _ {T/ {{ .. 19 99 k$r+.s.::rt 3 t.. �Y:•$.. .�' r rl.;•....F .n. Ft a3 R - 14Q Qfi9 .. ... ...::-- ","'m 9 �- 9.9 199'.999 9999 9. 9 9. 9 .9 4.. �✓A- nS 1 7 iI TM w ,W W 1- RI9. ImafflH.q � -- ..�I.-j- - fR •^� � y.":w°f Y ; � 3' + 3 .'fi$r . A • — . . ,9 � �Z. : - � .�99.9 9 ' .9 99 � t, r . 409€ G .11 9� .. -. INSURANCE PROOF OF LOSS � Sk { : } 'fA� : 9 9 YV { . �'- °A " ? .: .. . .:. RffiY7IP0 : X ( pt C , .: x -. , � ', K ? k ti .. $ rC5i . M z ii .Rvai t �tV i } Y y :.9',r. � ;:.7:,.� P, :9:9 : .�:�:�W:�.9 9.1 Y� k'1111:911:1 99"grg9gr 9 _91]:1 9 1'91�1::�9��::��%j:: _ : ,, r - r 9 . 1�V . b. ...r..I 9.., -9 9 9,9. ft : # y � ISc9%.:..,:..,- -. ...9 1 . - � .:, i c :��: , :�..-,�.::,"�,q:�,��i.:,9-9.-:6:::9::,�,: r .: , ,r.&,,,::�:�,,�... .I 1 91 9 Y I. 9. Yii�i - i - 9 � jiffilM r ."I.I.V;r, �-:6�1; , �13 t , l C �..,�.��-:.- iiiiC�::l ., � 9. e r I 1 91 '-,,. . . .. ,, 9. jr-jk :. ..: i : A APR' W� . - ft,�;-:%-`�� -..-;:,. --; .--..-- ." �996:-:.- . . - - X � I 9 1 199.:���:, 4��� ..- . I. . -:,, S-Ndr- , . . . 6 . . I �77il�i��:i��9� I 99 ;s: �`{U .9 9-* .I : r:.r.i.::9 :.r,�9 1_d.l.19:�:99 .,. D 9-9. r: r 4�.,9.9 9 - I :, 7 r� - 91 9,� � . 9 .19. 91� 9 1 - 9 t�,��� ,{ 1.9 199 9 ia a 9. 9 95 99 11 { k. MAx k1bGritY �nRiesd •d td 40• W... :• 09 99 999 ° c#� � C ' tf I . Mi�lSE �S + w :As5�� wt- 1. 9 wd t 1"t�w " �qp m"d WM . 9 fes� � " aK0, #!om + k s 69 9 r. 9.r ,69.9 9 " `-wo'-"JF ACrAsA" s t . ♦ 6 } ♦ 0 � :s 1 ONs "� 1' WAI MAE ,X ♦f .r � d c n ?gyp co r.3 ao f r NJ q,tri �. wnat are the zees of county or district officers, servants or employees causing the damage or in ju-y? , CV 9 --D __ _/Z/ -77 5. What damage or injuries do you claim resulted? (Give full extent of injuries or �w..dda�mages claimed.�}y Attach two es i 7- g ;,�j terms(,/,fort �autyc'ajJ"damage�.) 7,," / ,�./f�ry 4-1 y�� r+.•w:+�i/�w4)Ik M+e .•r.W QU5i.i.r�isr Ila-al LLL i` STa "e 7 x7'4 _ 04,,.i.e. wwMrwMr+w•r+w 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) r 5. Names and addresses of witnesses, doctors and hospitals. tra b� y z a-s te ,.rt-P g. List the expenditures you made on account of this accident or 'injuryt DATE ITEM AMOUNT ea GoV Code Sec. '91W provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney),., or some on Ais.b�f." Name and Address of Attorney (Claimant's Signe toe5 Telephone No. Telephone No. e " e eeeeeeW It � e NOTICE . BOX Antioch,CA 94531 Section 72 of the Penal. Code provides: 510-754-5418 "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 cne.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 b fine of not exceeding ten txsu d .dollars ($109000, or by. both such imprisonment and fine. �, ft wrnat are the names of county or district officers, servants or employees causirig the damage or injury? , r�r`r`rastit 0& 9-401 5. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two es imates for auto damage. , 444�2_01a 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) r rte , tZ, f'. Names and fQaddresses of witnesses, dyyo.�ctors ♦a�ndy �hospitals. � t""`! ,^-,�' D-e J_V0 b0.11V Gv 3 9. List the expenditures you made on account of this accident or injury: DATE I'T'EM AMOMT 2, bv I- S54 Gov. Code Sec. 91W provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by ,.some person on is.behalf." Name and Acidness of Attorney (Claimant's Si tyre Telephone No. Telephone No. + I T eaaeA * 8g! Mana 111ln * �t NOTICE 'Pil Ant►och,CA 94531 Section 72 of the Penal. Cale provides: 510-754-5418 "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 ons-year, by a fire of not exceeding one thousand ($1,000), or by both such. imprisonment and fine,- car by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by. both such imprisonment and fine. ........................... .............I...... wnat are the names of county or district officers, servants or employees causinj the damage or injury? 11 CV 9 Oa-s-e (5 7 7 9-70091k4P 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two esimates for auto damage. 20 Sr A- .may 4o, ME D�s�Ialla-cl 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) I )21 Names and addresses of wiltneases, doctors and hospitals. c, 7- -771 gl -e 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT 4,P Vvvr GoV. Code See. '91M provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some Rerson an is.behalf*" Name and Address of Attorney 111. / (Claimant's s i 96 ;A ess) t 's Telephone No. Telephone No. V 9 Aea banale"M I N 0 T I C E 'P. 1 205 Section 72 of the Penal Code provides: Antioch,CA 94531 .610-754-5418 "Every person whop with intent to defraud,, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if ,genuine, any false or fraudulent claim, bin.. account, voucher, or writing, is punishable either by imprisoiiment in the county Jail,for a period of not more than one.yearp by a fine of not exceeding one thousand ($ItOOO), or by both such' imOrisonment 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 Y It Li�RNTA BOARD ACTI19, 1998_ Claim Against the County, or District Governed by 1 the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action. All Section references are to } The copy of this document mailed to you is your California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors'. (Paragraph IV belov4, Oven pursuant to Government Code Section 913 and 915. 1. Please note all "Warnings". AMOUNT: $64.95 FpcialtwT CLAIMANT: Joyce A. Rodrigues APR 2 7 1998 ATTORNEY: DATE RECEIVED: TMST NL2C L 8 ADDRESS: 42 Pipps Place BY DELIVERY TO CLERK ON: Brentwood CA 94513-1430 BY MAIL POSTMARKED: April 23, 1998 L FRONT: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR;"Clerk -51 r Dated: April 27,1998 By: Deputy- IL eputyIL FROM- County Counsel TO: Clerk of the Board of Supervisors This claim complies substantially with Sections 910 and 910.2. { } This claim PAILS 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 M. FROM- Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: This Claim is rejected in full. { ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated; �L ,L PHIL BATCHELOR, Clerk, By r-2/ 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. *For Additional Warning See Reverse Side of This Notice. .AFFEDAVIT OF MAH.JNG 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: 9�'�, By: PHIL BATCHELOR By puty Clerk CC: County Counsel County Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA ODSTA 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 nth or for injury to person or to personal property or growing crops and which acocrue 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 fine 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 firm. RE.- Claim By } Reserved for Clerk's '.filing stamp c RE CIVEDA�the County of Contra Costa District) CLERK BOARD OF SUPEAVI-0 MIT in __ } CONTRA COSTA CO3 The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ t'i41, eZ_5 and in support of this claim represents as follows: 1. - en did the damage or injury occur? (Give exact date and hour) Aave ` 2. Where dial' the damage or injury occur? (Include city and county) 3. Row did the dam4e or injury occur? (Give full details; use extra pa :W if required) 4. Whati ar act or s county district officers part fon on the, pari of Co y , servants or ,employees caused.the.injury or.damage? (oven) ............................................. .. ......... ......... _ . ... ......... ......... _ _ ........ ......... _. _.................................................................................... ................................................. _................. �. Wnat are the names of county or district officers, servants or employees causing the damage or injury? .cy`7- 5. What damage or injuries do you claim resultdi (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.) 3. Names d addresses of wi nesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE ' ITEM i AMOUNT µ Gov. Code See. '910;2 provides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorne j or by some personon .his.behalf," Name and Address of Attorney,..., .. laimant's Sgnat �Adddrp_ss) 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;imprisoximent in the county Jail-for a period of not more than one year, by a fine ofnotexceeding one thousand ($1,000)9 or by both such imprisonment and fine;-'or by imprisonment in the state prison, by a fine of not exceeding ten thousand .dollars ($].0,000, or by both such imprisonment and fine. .......:..::,�...:...............:::.:,.:A., _....... ......... ._....... ......... ......... ...._..... ............... ............. .......__. .......... ...._......... .......... w ' o CA ae3 W ? Q p !i R' ST 3! ,� N a 0 6'k ......... ......... .............._. ..............._._....... ...._....... ......... ..._..._. ......... ......... ......... ......... _. .... ......... ......... ................... ........................ CLAIM , ry BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD AC710I� ! X995 Claim Against the County, or District Governed by the Board of Supervisors, Routing Endorsements, ? NOTICE TO CLAIMANT and Board Action. All Section references are to y The copy of this document mailed to you is your California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: S270,000 2T { gam` ► CLAIMANT: George Soehngen MAY — 1 1998 NS ATTORNEY: DATE RECEIVED: MART NEZ CALIFL ADDRESS: 92 Carlisle Way BY DELIVERY TO CLERK ON: _May 1, 1998 Benicia CA 94510 BY MAIL POSTMARKED: L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk Dated: May 1, 1998 By: Deputy H. 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). e/I , L "Illf7, ( j Claim is not timely filed.AThe 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: /Lt,40 d&i~ AZAbt.4.r s� � ,r�uc-fir+" j f /�`f 7 of', Dated:__-- By: Deputy County Counsel JHy FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) Claim was returned as untimely with notice to claimant (Section 911.3). 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: PHIL BATCHELOR, Clerk, BY �,t� 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILLNG 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, ddressed to the claimant as shown above. Dated: }' By: PHIL BATCHELOR BY Deputy Clerk CC: County Counsel County Administrator C.;/I The Board of Supervisors Contra Of ft BMW ano County Administration Bt3#ding �✓ t County Ndrr Womikx 6151 mine Street,Room 106 (510)335-19W Martinez,California lig%3.1293 County JGn tic"*.tet Diatrtot a G rAo D.Wil"m,2nd D"id Donna t3~,3rd Dis4tr icier Mwk Dr ftukyAw,4th Dtabiot (( _ Joe canclemills,5th Distft l May 6, 1998 TO. George Soehngen 92 Carlisle Way Benicia, CA 94610 N_QTICETO CLAIMANT (Of Late-Filed Claim) (Government Code Section 911.3) The claim you presented to the Board of Supervisors of Contra Costa County, California, as governing body of the County of Contra Costa on May 1, 9998, has been reviewed by County Counsel and is being returned to you herewith because: _„ Your claim for an injury to person or personal property which arose on or before December 31,, 1987 was not presented within 100 days after the event or occurrence as required by law. (See Government Cade sections 901 and 911.2) X Your claim for an injury to person or personal property which arose on or after January 1, 1988 was not presented within six months of the event or occurrence as required by law. (See Government Code sections 901 and 911.2) ,.._. Your claim relating to a cause of action other than injury to person, personal property or growing crops was not presented within one year after the event or occurrence as required by law. (See Government Code sections 901 and 911.2) Because the claim was not presented within the time allowed by law, no action was taken on the claim. Your only recourse at this time is to apply without delay for leave to present a late claim. (See Government Code sections 911.4 to 912.2 and 946.6) Under some x,\GROUPS\TORT\RISK-MGT\CLA IMs\r.ATE\soehnyn2.wpd t./tfE circumstances leave to present a late claim will be granted. (See Government Code section 911.8) * The claim is not timely filed as to allegations before 1111197. Any claims arising before November 1, 1997 are untimely and claimant is hereby notified. You may seek the advice of an attorney of your choice in connection with this matter. If you desire to consult an attorney, you should do so immediately. PHIL BATCHELOR, Clerk of the Board of Supervisors and Co my Admini rator 61- Deputy Clerk Dated: Enclosure 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 copy of the above Notice to Claimant (of Late Submitted Claim), addressed to the claimant as shown above. Date: — By Phil Batchelor by Deputy Clerk 14:\GROUPS\TORT\RISK-MGT\CLAIMS\LATE\®oehngn2.wpd CLAIM BOARD f BOARD AMOlit t,.` Nlay 11995 Claim Against the County, or District Governed by the Board of Supervisors, Routing Endorsements, 1 NOTICE TO CLAIMANT and Board Action. All Section references are to The copy of this document mailed to you is your California Government Codes. 1 notice of the action taken on your claim by the Board of Supervisors. {Paragraph IV below, given pursuant to Government Code Section 913 and 915.4. Please note all 'timings". AMOUNT: 5270,000 CLAIMANT: George Soehngen ATTORNEY: DATE RECEIVED: ADDRESS: 92 Carlisle Way BY DELIVERY TO CLERK ON: ____May 1, 1998 Benicia CA 94510 BY MAIL POSTMARKED: L FRONE Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BAT LOR, Clerk Dated: May 1, 1998 By: Deputy f .' e IL FROA- County Counsel TO: Clerk of the Board of Sti ervisors { ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim PAILS 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 filedlate 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. Dated: 7 - L� PHIL BATCHELOR, Clerk, By Q a 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. *For Additional Warning See Reverse Side of This Notice. 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: �, /� By: PHIL BATCHELOR B puty Clerk CC: County Counsel County Administrator Claim to: Board of Supervisors of Contra _Costa County RECEIVED ItH: Claim BY: George Bp-ah-n len MAY 11998 Against ] the County ,of Contra Costa CLEi KBOA0ofSUPE" f-SORS CoNnA COSTACO,_ The undersigned claimant hereby makes a claim against the County of Contra Costa or the above - named District in the sum of $4,275,000 and in support of this claim represents as follows: 1 When did the damage orinjury ury occur? from 1980 to approximately February 22, 1998 including a payment of $`120 K in Feb. 1998, in property "taxes" 2. Where did the damage or injury occur? in Martinez 3. Bow did the damage or injury occur? excess charges paid for "Property Taxes" for APN 362--140-007, and all County actions related thereto County's fraud in addressing the "tax" issues presented contemptuous?? demurrer to Complaint of 1/98, in response to 11/97 claim to county time loss due to research of tax laws, the attempted communications with the county, the claim and the complaint, the emotional and related stress, and exacerbation's of heart condition exceeding the statute of limitations for a cause of action because I had to deal with this action 4. What particular act or omission on the art of the county of district offices sery#nts or em2l0yees caused the iniury of damu e? County failed to follow "non--judgment as to value" procedures in establishing the 1980 base year tax value 1 County failed to correct "non-judgment as to value" procedures of the 1980 base year tax value in 1997, the year of the discovery of the "non-judgment as to value errors County charged and collected sums billed as taxes owed, from 1980 until 1998. County proceeded with a tax default sale until two days before the scheduled sale, forcing the payment of "taxes" which were not owed, as an abuse of process. County's actions were such that they were fraudulent, vexatious, contemptuous, malicious, corrupt, circumventions of the real issue presented. I presented the issue where the county failed to establish a base year tax value and that subsequent tax proceedings were therefore all void, and for which I requested corrections, but the County acted as if I sought a reduction in the base year assessment and/or present "assessment", which I could not and did not seek since a reduction of an assessment is not possible from a non-assessment! 5 COUNTY OFFICIALS ACTIONS -CAUSING DAMAGES: Assessors office: Gus ]Kramer, Ed Cozens, Steve Dawkins and. Louis Rivara Supervisors office: Gail Uilkema and all County Supervisors from February 1997 until March 1998. Tax Collector: Alfred Lomelli County Counsels: Victor Westman, Graves 6. what 44mages or iniuries do you claim resulted? all amounts paid as taxes from 1980 until present, plus interest at 10% annually, compounded annually. lost work time now in excess of 1000 hours attempting to deal with the non-responsive county, legal research and legal actions, and this damage is still accruing. lost case due to a time bar at $3.5 million, because I had to spend that time dealing with this "tax" issue apprehension, fear, anxiety, worry, ordeal, nervousness and all related problems, exacerbation of a heart problem and impairment of my other work. 7 . Now was the amount claimed above computed? computed the tax value "assessed" annually, estimated the taxes paid, plus various additions, + interest on refunds compounded at 10% annually $270,000 lost time, or time spent on this issue, at $100/hour times 1050 hours or $105,000 2 lost cause of action due to time spent on this "tax" issues, loss of $3.5 for that cause and all its consequential damages. medical expenses at $100,000 for heart surgery, exacerbated condition caused by county actions. all emotional and physical problems resulting in loss time to work and enjoy life, for two more years, part time, at $300,000. 8 MaasaRA addreass Qg tresses doctors and hos tale. "taxes" spent are in the county records, all parties will be identifiedwhen county requests such parties for specific issues. 9 List :then jUjndjturas you made on account of this Agoldelat z u ZIME: MOOT: not claiming actual dollar expenditures except the "taxes paid, but I am claiming time expenditures at an hourly rate, as spent and will be spent as will be necessary henceforth to bring this matter to conclusion. Claimants signature: George Soehngen mailing address: 92 Carlisle Way Benicia, Ca, 94510 tel./fax 510-372-0517 residential address {no mail pleasel : 2000 Pereira Ave Martinez, Ca. tel./fax 510-372-0517 PLEASE SEND NOTICES TO: Complainant's mailing address 3 CLAIM BOARD OF SUPERM OF CONIRA + SIA COU CAI HAMIA IM 'A Q y 1 , 1 Claim Against the County, or District Governed by the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action. All Section references are to The copy of this document mailed to you is your California Government 'Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph lU below), given pursuant to Government Code Section 913 and 815.4. Please note all "Warnings" AMOUNT: $4613.36 APP 2 7 1998 CLAIMANT: State Farm insurance Companies Claim #05-4046-549 COUNTY COUNSEL ATTORNEY: DATE RECEIVED: MART'INFEZGALIF. ADDRESS: 6400 State Farm Drive BY DELIVERY TO CLERK ON: Rohnert Park,'CA 94926-0001 BY MAIL POSTMARKED: April 23, 1998 L FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATC LOR, Clerk Dated: April 24, 1998 By: Deputy H. 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: w Deputy County Counsel Ili. FROn- 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: IY_Z2;�E PHIL BATCHELOR, Clerk, By - ;Deputy Clerk WARNING (Gov. code sect►on 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. *For Additional Warning See Reverse Side of This Notice. AF1ti€3AVIT OF MAH ING 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: By: PHIL BATCHELOR B eputy Clerk CC: County Counsel County Administrator VICTOR 1 WESTMAN /� ^�/� + DEPUTIES: COUNTY COUNSEL CONTRA COSTA COUNTY PHILIP S.ALTHOFF OFFICE OF`�HE COUNTY COUNSEL SHARON L.ANDERSON ANDREA W.CASSIDY ARTHUR W.WALENTA,JR. COUNTY ADMINISTRATION BUILDING VICKIE L.DAWES ASSISTANT COUNTY COUNSEL 651 PINE STREET,9th FLOUR MICH E MS.ESCHAEL D.FAS RR MARTINEZ,CALIFORNIA 94553-1229 LILLIAN T.FUJII DENNIS C.GRAVES SILVANO B.MARCHESI GREGORY C.HARVEY ASSISTANT COUNTY COUNSEL JANET L.HOLMES KEVIN T KERR GAYLE MUGGLI BERNARD L.KNAPP OFFICE MANAGER EDWARD V LANE,JR, MARY ANN MASON PAUL R.MUNIZ PHONE(925)335-1800 PHILIP J.NORGAARD VALERIE J. FAX(925)646-1078 DAVID F SCHMIDT RANCHE DIANA J.SILVER BARBARA N.SUTLIFFE JACQUELINE Y.WOODS NOTICE F INSUFFICIENCY AND NON-ACCEPTANCE OF CLAIM TO: State Farm Insurance Companies Claim#05-4046-549 6400 State Farm Drive Rohnert Park, CA 94926-0001 RE: CLAIM OF: Jerry Ward 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: [ D. 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. [XX] 3. The claim fails to state the date,place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. [XX] 4. The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. [ ] 5. The claim fails to state whether the amount claimed exceeds ten thousand dollars($10,000). If the claim totals less than ten thousand dollars ($10,000), the claim fails to state the amount claimed as of the date of presentation,the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ($10,000), the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court. Page 1 [ J 6. The claim is not signed by the claimant or by some person on his behalf. [XXJ 7. Cather: The claim fails to describe any duty or obligation of the public/entity and any action giving rise to the claim. VICTOR J. WESTMAN,County Counsel By: - 4 Deputy County Counsel CERTI LATE pF SERVICE BY MAID (C.C.P.§§ 1012, 1013a,2015.5;Evidence Code§§641,664) I declare that my business address is the County Counsel's Office of Centra Costa County,651 Pine Street,Martinez,California 94553,1 am a citizen of the United States,over 18 years of age,employed in Contra Costa County,and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non-acceptance of Claim by placing it in an envelope addressed as shown above,sealed and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S.Mail at Martinez,California. I certify under penalty of perjury that the foregoing is true and correct. Dated: April 29, 1998,at Martinez,California. cc: Clerk of the Board of Supervisors(original) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM:GOVT.COBE§§910,910.2,920.4,910.8) Page 2 ''I'll'',.......................................................................................................... .........I................ ............................................................................... SaTATI 1AAM State Farm Insurance Companies INSURANCE North Coast Office April 21, 1998 6400 State Farm Drive Rohnert Park,California 94926-0001 Contra Costa County 651 Pone St. , Ste 106 RECEIVED Martinez, CA 94553 APR 2 4 7998 CLERK'BOARD OF SUpEAV,Sop CONTRA COSTA Co. a RE: Claim Number: 05-4046-549 Date of Loss: February 16, 1998 Our Insured: Jerry Ward Dear Sirs: State Farm Mutual Automobile Insurance Company, on behalf of Subrogee, Jerry Ward hereby makes claim for $4,613. 36 and makes the following statements in support of claim: 1. Notices concerning this claim should be sent to: State Farm Insurance companies 6400 State Farm Drive Rohnert Park, CA 94926-0001 2. The date of the accident occurring on February 16, 1998 Clayton Rd. and Ellis, Concord, Ca. 3 . The circumstances giving rise to this claim are as follows: City of Concord responsible for failure to maintain potholes on street surfaces. 4. The injuries reported consisted of none. 5. Our total claim is as follows: Company's Net Payment $4, 513 .36 Insured's Deductible Int $ 100.00 Total Property Damage $4,613 .36 HOME OFFICES: BLOOMINGTON, ILLINOIS 61710-0001 ...............I...... .................. ..................I.................. 0'// STAU FARM State Farm Insurance Companies a Contra Costa County INSURANCE Page 2 April 21, 1998 North Coast Office 6400 State Farm Drive NOTICE: Rohnert Park,California 94926-0001 This form is to provide notice of our claim for damages in accordance with the 180 day statute. If this form is not acceptable for compliance with the statute, please rush the necessary form to my attention for proper filing. State Farm utual Automobile Insurance Company Dated: By: -----E7_7� Employee Nae- ,89U$an FUZpabjcA Claim SPecialist Employee Title Employee Phone Number Sincerely, Susan Fitzpatrick Claim Specialist (707) 588-6483 State Farm Mutual Automobile Insurance Company bjg cc: 2637 HOME OFFICES: BLOOMINGTON, ILLINOIS 61710-0001 TOTAL. LOSS WORKSHEET Base price: $ 5 j G 4 + Tax& License: $ ' ' , c 0 .- Actual Cash Value: $ t C C1j s �Ye Deductible: $ 0 a,CI SETTLEMENT AMOUNT: $ 7 + Advanced charges (ALL): $ �'` ` � 0 Total paid out for T/L: $ 75/ 3 ' 3 GROSS Salvage: • DMV license refund: $ '` _ 0 SUB TOTAL: + Rental paid by State Farm: $ + Other{UM-Bl}: $ TOTAL PAID BY COMPANY: + Deductible: $ /00 + Rental Paid:by Insured: $ TOTAL AMOUNT€3F CLAIM: $ 41 4-19-98 q f lF z Ctf { * Y r C!C! ~ L1 70 w77©G r" r `d N m co CT1Qw ky � 3: � N a* io, V�7 � C-14 � tTf o � � tr .•. co x ` >A r" Z3 me 3' r cy �< m m � v v N 4 �} -e 4 �d co -' C,m = CD c� co b r _ � D {(} x^ Inze I. p z r m O m -FWE 0 _W v y C7! toiol CEJ W CO ir! Od a co .Wa %•.,.,.sem% � C_ _ _ } M & T AU TOB DY PAINT, INC. (51o) 6 .TERRY WARD FEB 24, 1998 R. €, 4660.2 C A.353 RNIXER 1I-0 1987 DW N STATE FAM INSURANCE U t'lgj lm V VAN -RED/WHITE S P.0, BOX 011 S iF 452i. E LICEWE: 3T1 3e U CONCIRD T t510) ! "f,, H VIN NQ.: 2B1O- 3TRK29o72 R CA. 94524 O (51 QX t+ A F P0 PR.DATE, 08/87 A POLICY No. M { 1 EXT. C PT.COM- N CLAIM No � _r 5tfgk'!1 REFERRED U: STATE FARM. E ';P9.i�1�4 : � INSIDE ADJ. J1�.II= I I Et'�gENSTFIN ESfIMATC3R s CMIN 1(EP)L}ALLBB STYk SUT5iI1C ADJ. INDEPOWT : 1tlld i 1611 DmTI&l %.a W tt OF LMS: Oe/1619g 1 Na. t (510) 680-4149 i V�SUAL DAMAGE REPORT a 4Z11011�1 TEARDOW FOR EST 1MATE � I i - i � l t IR r h j rf 1 TOTALS 40..W 0 Ped.ID#W0133657 I inibody&Franx Paint&Body Specialists WorkSl IPdAI1w SILItf _--RENT II 0,9l61 l�,0� . PAINT/MISC 7�,� gg►�v + #� -� 7 � r INC. ET 0.1 0.00 0,00 M& 1 A i O1�OD 1 PALW,, S,,,+ BODY LABOR 40 k" 40 N MAI- AMERICAN&FOREIGN CAR REPAIR FAINT LABORWH ,0.� �15�.� 0.00 0.00 --Insurance Work Accepted-- TMEC LABOR B.00 051te 1.00 0.6 3 (510) 685-2294 sTdl�aE. �� DETAIL 5 LI FA, (51o) 685-7295 TALC #I OTAI,ESI �► j�;� �.I�ri II.I 2291 Via deMercaos Mark Cusack DEDUCTIBLE dMk _. - _ mow, s: ;n M rt r7 G .0 i1 :J k t? 'P0 m o In o �... - v (D IM Q zco X 04 oISC v CC> LC C0 1> 4) .a z r t M, x cr, 3> # +� ` • _4 D o < .. � 1 `s -r 0 CD CD Lo r `@ ,r Cb OC z. 00 _._..... .. �....- A,.q 44t•i.... <'wC"3. 1 'f' fj niY^ p.., t ,t411' .« 1sd :::i ? k. h. ?I .'i. `LfH i'thM j'41.....!.. -. 7,U 1-1 sl-.V a ? { i` s . . t,. _} Mrj' yT Fi" : i.1 't rt:: :t C3•�' .}.et'T•.C? t `'� °Ci 7.IS'?-r cl t 3,r)r. e`r d J. .0 s l.t a T2?:::Ccs�� '-..i;.:�e `_�i• `;r�%' c?."i e•» ._ t it -i e i`. "j s i o €,.p r t 2'4 1 c a k": 3 s:_t iii 1 f C:i' -.el t:.2.c t,r at 3.0'!'•? k*., 1'i 1 #_a *'...}t.y D tR %? .,_i`I !.C:+ (_�E,Y f!_3i_i r i_'+ .. s,' 'r .-<. .,,. �..:.�L-t'';=.� {p.w'. i ....,M L.i:`• ... # ;!„?';' tLL L:>III”G CEPRT V'}til«_ r� idw 1,'-�'� '"i i :+1 1 pp t•;y t--s.-} r 5:, 'C-,"' _ :,r.t, ,r.1" .`I�"" _ h_."D C .. .. _...•...x. .. ... .. L. .. .. 1 .. .... ... .. ... . ,._ f 1. I_ .., h .. .11nensa Plate, .. .: TYE SAWA wig a.2 oz. CLAIM REFTEPT XOR CLAIM PUPPOSEG ONLY — vin : .,w_.. _}A B._...-sem 6 H K.,,,.'7'6 722 aa!'", S7 ;i e7": i t i::Y _. ..7 GW 1iA' r : WARD t i1".{. N jERRY 4953 BOXER BLVD CONCORD 1..i:..D ononrv� CONTRA COSTA Z10. 54521. Date oj latest Registration Card issuance; 02/23/10 3i. t_e of latest i_wnershio Certificate issuances 03/05/9E3 - Registration Emiration Date: 04/081Q,' 1r`ee:'v e 1 ''i vei i, 12 Bod s. . ..iwr . 6 Fee: 0 Aa.k) tom:.., .. STATUS,- 02/25/98 NO MAILING ADDREV.`� RNO-REGISTRATION DEFERRED WARNING 700K loss o : l1 : i . : . I . ! Roast- e _ . . s r i o! cart ... ............. 7.. .., ' WARNING loss C.+..r0._S r e":_ L.e =:+ e latest Ownersnio Centi0rate issuance --- END at LUS Printom WARNING! Total loss orior to PCID. WARNING ! Total loss prior to OCID, Transactions Total loss ELP status: N o n nast req oerica: 04/06/97 pass Cal Emmt � Yes tossdate: 02116/98`Y"8 w,urr Res E#"1'Cye CONTRA f'S'A C S}..A NOTICE 7atal lots date is within 60 cava of expiration These totals co not reflect an- registration renewal Transfer Fee 12. Q:�- try "?:i'i r a n i'1 e r Ve' L c .1. nicense Fee used 1 16. 0-.) Registration Tee 27. 00 CHP Fee 2. "icense Fee 126. 00 i=`'!%:< iaiu a l i'f:.:fir' Fee 4. r^ , Safe Fee I OC') Anandoned Vehicle Pee 1 . 00 TOTAL: S 162. 00 License Pee 12 6.0 C'j License Fee used .... 116. 0) DMV Administration Fee 7. 00 4 TL..tT M M 3. 0i:) _. _ . F i i_ -� t . G a s r. j_ X Fee r':a+.�`�Lt 1;::t'1':.1.f.?*;;a I;tC s. "'��». e�.z 3 _. i._ `�:I�?::'.. .. END ...•.a_ FeeCalculation o � 3s gm z Io o fj tc) m A IF 3 m 1-mw h Ix Ua e sxaxx tazr VEHICLEINSPECTIONAEPORT'l TOTAL.LOSSSETTLEMENT REP10AT _ ., Claim Number Claim Representative '.tlriit__._ ++svuu� Owner Phone Number FAX Number Insured Loss Cade Date of Loss Date Reported Location Address ;Phone Number Towing$ } Storage$ Per Day+ Cause of Loss 3 ❑ Collision ❑Theft ❑ Flood ❑ Vandalism ❑ Hall ❑ Fire ❑ Omer VEHICLE DESCRIPTION ! Year Make Model Series Bodystyle License Plate Number xpiration:Ltate Slate; I I Exterior ;interior _7 VIN I I Cotar En Disp. No. Cyi. ❑ Gas 13 Diesel ❑Turbo Trans.: ❑ Auto.(3-4) ❑ STD. (3-4-5-6) El 4WD %of Wear Mileage Tires: Mf2- ❑Steel Baited ❑aja ❑WW ' LF LR RF.._.. RR_.,..... SP EQUIPMENT/ACCESSORIES SEATS STEERING BRAKES ROOF CLASS WHEELS ❑ Power ❑ Power ❑ Power ❑ vinyl ❑ Tinted (OEM/Nor/-OEM) ❑.Standard ❑ split ❑ Tilt ❑ 4 Wheel Disc ❑ Sun(Power/Manual) ❑ Shaded ❑ Alum/Mag Airy ❑ Bucket ❑ 4 Wheel ❑ ABS ❑ T-Top ❑ Heated(Frt./Rear) (OEM/Non-OEM) ❑ Cloth steering ❑ Convertible ❑ Heads-Up Display; ❑ Chrome Vinyl ❑Telescoping (Power/Manual) ❑ Power Windows ❑ Wire C7 Leather ❑ Luggage Rack ❑ Rear Glass Wiper ❑ Full Wheel Cover(Wire) ❑ Heated ❑ Hub Caps © Lumbar Adj. RADIO: ❑ OIwM Ndrr-OEM Brand Model No. 1.7 AM-FM Stereo Tape' A ❑ Amplifier ❑ Equalizer „( D Player ❑ Power Antenna CB. ❑ OEM loon-OEM Brand Model No. CELLULAR PHONE: ❑ OEM ❑ Non-OEM Brand Model No. OTHER INTERIOR OTHER EXTERIOR PICKUPIVAN- EQUIPMENT/ACCESSORIES ❑ Power Locks ❑ Cruise Control ❑ Power Mirrors ❑ Step Bumper ❑ Winch ❑ Aux.Fuel Tank ❑ Trunk Release (OEMINon--OEM) ❑ Special Midgs. ❑ Siiding Rear,Window ❑ Tool Box ❑ Fog Lights ❑ A/C [I Air Sag: ❑Ground Effects ❑ Removeabie ❑ Fled Liner ❑ Trailer Tow Pkg. ❑ Rear A/C ❑ Driver ❑Pass. ❑ Luggage Rack ❑Soft Top ❑ Hard Top ❑ Roll Bar ❑ Camper Shell + ❑ Digital Dash ❑ 3rd. Seat: ❑ Spoiler ❑ Running Boards ❑ Light Bar Captain Chairs ❑Trailer Hitch ❑ Grille Guards 2 ❑4 ❑ 6 ❑Theft Alarm Paint; ❑ Original ❑ Repaint(+/_)$ ❑ Pinstripes/Graphics ❑ 2-Tone ❑Custom ❑ Woad Grain Motorcycles: ❑Fairing(Full) ❑ Fairing(Handle Bar-) ❑ Luggage Carrier ❑ Saddle Bags ❑ Headers ❑ Side Car ❑ Crash Bars Use this space to explain or describe Equipment/Accessories listed above and/or list and describe additional Equipment/Accessorles. SEE CPG. 2700-270 CONTINUE ON REVERSE SIDE Page# G-5326a Printed in U.S.A. '°' INTERIOR: fE)q%an if other than overags candlflon for year,make and modal vshkb). _._. ___.. - Above Aug. , Avit Below Avg. Seats: _. ❑. Carpets: _ ❑ lie ❑ Glass: ❑ ❑ Dash: ❑ � ❑ Headliner: © { ❑ A EXTERIOR: (Explain if other than average condition for year,make and model vehicle} Sheet Metal: ❑ Paint: ❑ DIr ❑ i Trim: ❑ , ❑ 1 MECHANICAL: (Expain if other than average condwon for year,make and model vehicle} Engine: ' __, Transmission: _ ❑ ❑ Prior Damiage PRIOR DAMAGE: © Yes LX(No Estimate Written: ❑ Yes ❑ No Amount$ Damage Location: F-S-R -A OVERALL CONDITION:❑ Above Avg. rVAvg, ❑-Below Avg. Salvage will be: ❑ kebuft ❑ Bold for parts C Scrapped Ivsp cmc BY 01; TOTAL. LOSS SETTLEMENT Method used to determine base price. (Check 0M) �Corrtputerized Evaluat�i ❑-Comparable Vehicles Book Value' Evaluation Name of Vendor _ rt7ourrt.$.. Did pay the computerized evaluation amount? ❑ Yes.--- No . If No,a aIn _. VF jo Adjusted Amount$ 7 Source&Telephone Number Quote By Date Make &Model Available Selling/Sold YES< NOedce 2. 3. Circle vehicle numbers}used to determine base price:( 1. 2. .3.}Explain any adjustments for difference in mileage,equipment,condition, prior damage,etc.: ,k : Adjusted Amount$ Book(s) used: Basic Book Price$ List additions or deductions for equipment, mileage, etc. and prior damage, Adjusted Amount$ Did you pay this amount? ❑ Yes ❑ No If No, explain: Base Price , 60 SALVAGE name of Purchaser. / DISPOStT- fON .Tax. ,. ..�....�._. Fees 1 ,t51 Date Sokf 1 Rem$rkr:(C) '..Z1 T��t 6 LA Actual Cash Value Date Remittance Received Owner Retained Salvage . NA r High salvage Bid Deductible '" ! t I.lenholderPayoff -- F Towingsense Amount Paid Owner storage Expense - Disposition of Title: Date Settled Miscellaneous Expense c� ClA1M REP.3tQNAtuftl; Net Salvage,P ' S Date See CPG 2700-271 Page 2 .,......,v.�.a APPLICATION FOR TRANSFER BY NEW OWNER (Please print or type.) Any change of registered owner or Ifenholaer must be recorded with the Department of Motor Vehicles (DMV) within ten(10)days. The title,transfer tee and in most instances,use tax and a smog certificate must be presented to DMV to record the ownership change. 3e.TRUE FULL NAME(Ss OF NEW RE&STEREU OWNERIS)(:AST,RBST,MIDDLEI AS li APPEARS ON DRIVERS UCsNSE OR I.D. CARD C11 6141ALINI i K a I I �]f N AND r _ ! E "t c,: W a. E xN f R - � "" Y olk © I C' I e.Mf ILM ADDRESS STREET OR Pd BOX NUMBER EDC NBT COMPLETE+F SAME AS RESIDENCE ABUIvE, S T E w. R 1 GURHtS _ OCki :K t D I ! _ I I It I tI I I I I i I I I I I I I I I I I I I I I -_l O f certify under penalty of perjury unoor the laws of the Stat:,of California that the information entered by me on this document is true and W correct an,:acknowledges the odcm to mileage recorded by the seller.If there is a mailing address entered on this form,ii Ls a valid,existing N and accurate a0ur ss i corise ti ery: service of process at this mailing address pursuant to CJivH Proc?�P6`RICHA'S.S s Se 15.20(b), E -!�.3Cfa1and41691 dp �{GI�. R La.DATE SK NAT _ NE+Rcu x, F.c:�' "R Soct sia Y OR FEDERA6 TAX ID D T $b.OAT. .URC N ERs.^t.VNc< S.: r E STATE OF CALIFORNIA 52392061868 CERTIFICATE OF TITS. AUT OMI LE .1 __ YR VENECI.E e)SAJhr33ER MODEL MAKE PLATE NNW 286H823T6HK296722 a7 DOOG 2HWY947 UNLADEN REGISTRATION 800Y TYPE MODEL AX WEWT FUEL TRANSFER DATE RAS PAID MRATION DATE VC G 06/16/92 $916 04/08/'93 YR IST SOLD CLASS "YR Mo EOUIPMTITRUST NUMBER ISSUE DATE 88 CP 92 XF 06/28/92 i MOTORCYCLE e"NUMBER ODOMETER DATE ODOMETER READING RP,(?1STERED OWNER(S) LARSON KARLAN �.._.._ 155 ARKINLANDER LN .... j MARTINEZ CA 94553 'irl FEDERAL LAW REQUIRES that you state the mileage upon transfer of ownership. Failurelo complete or making a false statement may result in fines and/or imprisonment. , Odometer reacift is: I (no tenths)which is the actual mileage of to vehicle unless one of the following statements I 3 is checked. WAANING . Mileage 0 is not the actual mileage. Exceeds the odometer mechanical limits. tuft. I certify urxier parrs y of perjury under the laws of the State of California, that the sigrrature(s)below releases interest in the ehicle nd certifies to the truth and accuracy the mileag information entered above. 1a 1 x Ka&wi TE SIGNATURE OF REGISTERED(OWNER " r .1b. � DATE SIGNATURE OF REGISTERED OWNER a IMPORTANT READ CAREFULLY Any, change of Lienholder(holder of security interest)must be reported to the Department of Motor Vehicles Within t t 10 days. ' t;i)c�'Gi URAL CRE7 T #NWON a LENNOLOER(S) 1 �,• CHEVRON FCU 2. 555 MARKET STREET LOBBY Signature releases interest SAN FRANCISCO CA 94105 Release date � 1 021658 ET 19 9 3 4 7 MCI.17.30(RE:11;1019 V r VICTOR J.WESTMAN DEPUTIES- CONTRA COSTA COUNTY ALT PHILIP S. COUNTY COUNSEL MENTA OFFICE OFTHE COUNTY COUNSEL SHARON L.ANDERSON ANDREA W.CASSIDY ARTHUR W.WALENTA,.IR. VICKIE L.DAWES COUNTY ADMINISTRATION BUILDING MARKS S.ESTIS ASSISTANT COUNTY COUNSEL 651 PINE STREET,9th FLOOR MICHAEL D.FARR MARTINEZ, CALIFORNIA 94563-1229 LILLIAN T.FUJII DENNIS .GRAVES SILVANO B.MARCHES[ GREGORY EY ASSISTANT COUNTY COUNSEL JANET NEE L.HOLMES KEVIN T.KERR GAYLE MUGGLI BERNARD L.KNAPP OFFICE MANAGER EDWARD V.LANE,JR. MARY ANN MASON PAUL R.MUNIZ PHONE(925)335-1800 PHILIP J.NORGAARD FAX(925)646-1078 DAVID F SCHMIDT RANCHE DIANA J.SILVER BARBARA N.SUTLIFFE JACQUELINE Y WOODS NOTICE OF INSUFFICIENCY ANDLORR NON-ACCEPTANCE OF CLAIM TO: Enterprise Rent-a-Car RE: CLAIM OF: Enterprise Rent-a-Car #CX23071314 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: j ] I. 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. j X ] 3. The claim fails to state the date, place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. [X ] 4. The claim fails to state the name(s)of the public employee(s)causing the injury, damage, or loss, if known. [ ] 5. The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000). If the claim totals less than ten thousand dollars ($10,000), the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. If the amount claimed exceeds ten thousand dollars ($10,000), the claim fails to state whether jurisdiction over the claim would rest in municipal or superior court.' [ ] 6. The claim is not signed by the claimant or by some person on his behalf. Page 1 ti [ ] 7. Other: The claim fails to describe any duty or obligation of the public entity and any action giving rise to the claim. VICTOR J. WESTMAN, County Counsel By: Andrea W. Cassidy Deputy County Counsel CERTIFICATE OF SERVICE BY MAIL (C.C.P. §§ 1012, 1013a,2015.5;Evidence Code§§641,664) I declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California 94553;I am a citizen of the United States,over 18 years of age,employed in Contra Costa County,and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non-acceptance of Claim by placing it in an envelope addressed as shown above,sealed and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S.Mail at Martinez,California. I certify under penalty of perjury that the foregoing is true and correct. Dated: April 29, 1998,at Martinez,California. Carole Brown cc: Clerk of the Board of Supervisors(original) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM:GOVT.CODE§§910,910.2,924.4,910.8) Page 2 ....11...................................................................................................................................................................... . ......... ....._.... ......... ......... ......... ......__. ......... ....._..... .._......_. ......... ._.........._......_. ® rent-a-car 2550 Monument Blvd. April 7, 1998 Concord, CA 94520 510-603-9300 C.C.C. RISK MANAGEMENT RECEIVED 651 Pine Street 6th floor . Martinez, CA 94553 ��� � �oe.'%tF#1 r tj vh-t � Attn: Julie Aumock Fi CLERK 80AA5 OF SUAERv#SORS Our File Number: DX23071314 CONTRA,CO TA CO Date of Loss: 03/18/98 Your Insured: Comm Serv/Rick Rangec Your Claim Number: None Dear Ms Aumock: Please be advised that damage was sustained to our vehicle during the termm of your insureds rental. At the time of the rental, your insured accepted responsibility for the rented vehicle. Accordingly, Enterprise Rent-A-Car would like to present a claim for the amount indicated below: Damages $267.98 Loss of Use: 1 day(s) @ $89.99/day 89.99 Administrative Fee 50.00 Less Amount Paid <00.00> Total Amount Due $407.97 Documentation of our claim is enclosed for your review. Please contact me' at (925) 609-6900 Ext. 252 if you have any questions or wish to discuss this matter further. I look forward to hearing from you soon. Sincerely, 1 Kevin Kittredge Loss Control Administrator KK/mm Encl. .11,111.11,111,111.1...................................................................................................I.................................................... ................................................................................................. ...... ...... G'i ll tom P? 00'22 VISTAR S/C 537 510 7117 9620 P.011101 Customer Service Center 1-800-835-2257, ;ArELITE AUTOGLASS On DATEt 03-19-98 STORE WO# ;670 DELTA BLVD. 03-19-48 12108142 VS It4rIOCH, CA. 94509 Addr Aso SIR / MA' AM SENVICF- QUESTIUNS CUSTOMER ENTERPRISE RAC 42307 CALL 510 777-5600 Baa 2550 MONUMENT BLVD CONCORD, CA 945eO HUME a 510-688-8900 WORK t EXT 00 ENrERPRISE RENT A CAR POLICY #t 2307DXWC3855 PO Box 5666 CLM#1 WC3855 CONCORDICA 94520 0000 ATH/VERt AMY PD#/REFt DX2307BI4 LOSS LOCI 610 6o9-6900 LOSS DATE/CAUSES 03-18-96 e0449:6-101209-004493 VASE I UNKNOWN YEAk MAKE MUDEL BODY STYLE MILEAGE LICENSE ST STOCK # 1918 FORD UTILITYIVAN ECONULINE 11991}-92 VAN 13008960 VEHICLE ID # # I I I I I I I I I I I I I I I I I VERIFIED BY OT PANT # LIST SELL INO LABOk 2PRT KIT MT RL. EXTENSION I OWelege G8YtAR%)E 1488, 8e 267. 98 267. 98 000933 — WINDWILLD NABS/HR-. 3. 60 i:,D#ltei491. .LtJC#/VNDR#2944625. . DELI VERY DATE/TIMEtUNKNOWN bbl Nq THIS IS A WURK UkDLR ONLY. PART SUE TOTAL 267. 98 PAY THE AMOUNT TO COLLECT LABOR SUE TOTAL O. Oth A FINAL INYUME WILL FOLLUW. SUB TOTAL 267. 98 SALES TAX 0. 00 A30-641094 TOTAL ESTIMATE 257. 9E ==w=wftwwww===INSTALLER MOBILE. 03-19-98 LIEL(Ste saniffst) *NO—CDVLR* I AVAIL TIMES .121eOPM , NEEDED BY 0.310OPM ADDkL9Ss 2550 MONUMENT BLVD CITYi CONCORD BLOSs SUITE$ ZIP: 94520 I XSTI : XST2-. ------------------------- cmrl WS REPAIR POSSiBLE i YEt L NO _ GUST INITIALS t ACCEPTED_ DECLINIED p"I tl grit #2 AMOUNT TO COLLECTS 0. 130 TENDER I hereby Adhorin WLM Blass Coroordin (IMLIM) to Providt the awt-"fervnd peds am services and further arte to authorize payint totELIlt for those fpbds and servins Amordal to the tem bmin stated. Sufi tens art tett thirty days t"I the dal of the in"tat. I W SW VAltntand th,Tfti 7 ,Finj�&6sivt core tines on tht bach of this fors. 03ttAs�rf sad sipd./Ill) y A grillrAl utival i Adhorilld by Moot ktt Tire I khalwil notice and orm lw4val of in incroall in tht original Wivatto prictl X Wild Mute I bit" fdditinal test I kthorited by — In person — ph"I Date 71111 011 wh. m4 im iplm. 0hemist swifftd. 11 _ __ _. . ....._ ........... _._... ......... ......... ......... .. ..._.._ ...._.__. _. . . ...._.... ......... .......... ....._._.........._....... ............ ._......_._. ....___... _........ ......... ......... Enterprise I Boo rent-a-car "Itor----�'rr EfiAC.48 5197 ,� . .,j''� iIG 7:300— r,:t:0P TU 7:3OA— 6:1-0P xs I;�ITERt"`k15E RENT—A--CAR`COMPANY OF SAN FRANCISCO WE 7::3(A— 6t#Crl•' TH 7:3(sA— 6-OOP 25 0 MONUMENT BLVD 925--6BB-9900 6i"OP SA 9:00A-12:OOP 6AY CONCORD CA 94520 YEAR ... I RENTAL souRCE IS t.o.a ry N TYPE C R-v3131 ya y - W 266739 YEAR O lIENTEA mus d9 0"=�AM 3/18/98 u, COMM CERV/RANGEr°* R1,Q-`..1CC CC'* .20 ISTAflT CHARGIS W DIFFEREW $ HOM PHO14E f.. .... 4. 19LEDGEW001) DR � 1 =r �c:sl s t I I FF1E" r'f UAY T MATE Z1P OFFRIF PHONE ,�.{,;��y}} ry PYTTB i.tl•'iC is.} �,. _rt6b .`. r` :�,-s- �i ,WCI�A '. I+tX + ". LOCM.AO01T S OTHER PHONE L R 1 TATE E%PIRF, HgJR$i . e N€IOHTWEItiH7 EYES HAIRD Y$4• e 9/9 �8 9.99 .: �f SOCIAL SECURITY! F,(NP1.OrFg v ,j.ccs. c N�orru>t,xa n', ' 8TO ®M47RA COSTA COUNTY**tis :y'+'✓. -_ , • TL E►iTETT WATERBIRD WAY P LIC FEE $TAt�,r 1 "„L Y r FRANCIS— pi°"� ext`�•� L........J DAMAGE ACCEPTS --ER QAJLY F nva,ESN ADJOt w,Hvew MR AT RENTER - - RIESPO "AVE FEE MNOMM IN Abxx Mo NoruNAH aFE -.74,99,/DAY RESP63NStSNJTY NEYEi4aE.iHl$151gT%13tIKAtIGE. RENTER DECL NES a%MTFa ntOLAST8 MMO NAt ACT:O[NT#1%JN- RENTER r /DAY •� Tt �• ANOE NAR AT DRAY fat aHaNM M ADARCfMT 7F: .00 f DAY YS Y4 75 76 T4 /t '• ACM84T WSURANC COINIMI/uYI MAS NrEAtl N1f,'1•b1.1LY CXRYIVIGAiE F'{ {� ■� jVp Nm OEOIINEfN t7ENTER MEUUESTf'T%ptAt. 4,E1.HTAL RENTER r ' }� +/N! 75 {% 77 Tt T/'S TJPt1pNM.511IW1.((ANENTJy U.01'" POOTUMI ASLMt AT bAa.Y BATE �._�- c3: S7f~iAY LIMPLflY FTKTtECHDR ftAPI .SHOWN I�NC57N1FAN.8EE frEYEH5E XC <11-4 ADDITtC3tJAL DRIVE -f4OaE PEPWR VAltipyT E uT��; sE'$. q xc.,.. ;'Z4,r.A 7,N,'< 1 N•6aSH EMoePrtee'•A•H+�••tda to euaw t_ {{u i. N. � A0E LICEH$E NO. iu 25 WITH VA3__TD 1-1 CENSE STATE ExP. "£1X 173.25 ; � COLOR LiCKNSE NO. vvho it undo actowfol aNd dnedi to pri» Him IS vehicle for mo and in my bobsp. I am mspansibte FUEL CHARLIE Poor lndtr s arey're d,w ne aIor t•Nms and comttoons of this"Homonl MODEL SCAR• ' �.�o AUTI}.8Y X4 NTER ENTERPAISE'S RFP WLE- IN ERM GRANTED FOR 1EHICLE T6 LEAVE THE STATE. AoEfJF1T YES STATES AUTH BY oglvEta x 1 TOTAL CHARGES CONbi'f ON ADAM TO X /-� RENTER ��2Q DEPC1srTs AEN ` OATE REFUNDS s s SE EAAPL :-1..,...Cy k 1NILL A pEp(;- AM 8Y TYPE OATS Pb- pi1TH I GLOSEO$Y... T t/$ '!< % 'A a/a 1/e TA F AETt�3 DEP. L $ % '/t iv. 'A 4'i 34 Th F EXT. AWT"L PAID CA$H cflECK f R CAfitt cNM T4 DEP. gy EXT Awn RECEIPT FOR CASH REFUND TO DEP. I , F,XT. t ADOT1 TATE AMOUNT "TC) DEP. By X T ADDI'L _ CLAIM INFORI�AATI©N TTO , PDL.oA MANUFACTURER 5 REcOm,,jE,qLy,,,r tnNS �� ,E '�C?" +LIF FOLLOWED. SEE COUNTER NO,r EF r T { �L' sr�LLr nE+ T( Ir t "T t/, H Efv Ilr+i-I ..._.. �`rf1—! y ,if Ew 1..085 (ZANGINC Fs JM s''3� t!<Y — a,; ,Gt< t?'r ra' , DATE THEFT �.tccxaEUT.�...... !• Pilot* NA R RESPON � #-A REPAIR SHOP ORE C FIC TYPE CAR Vic - ' '' AUDITOR'S COPY y CI.,Arn» % r SUPFRVIS QE �'-'ONIRA CO'S'TA COUNTY, C:ALLtFORNU 101 ACTe 19, Claim Against the County, or District Governed by } the Board of Supervisors, Routing Endorsements, } NOTICE TO CLAIMANT and Board Action. All Section references are to } The copy of this document mailed to you is your California Government Cedes. i notice of the action taken on your claim by the Board of Supervisors. {Paragraph IV below}, given pursuant to Government Cod Section 913 and 515.4. Please note all "Warnings". AMOUNT: Unknown CLAIMANT: Federal Express Corporation APR 2 0 1938 and Noel Hansen COUNTY COUNSEL ATTORNEY: Lawrence A. Bennett& DATE RECEIVED: MARTINEZ CALIF. Stanley M. Wessels ADDRESS: Law Offices of Bennett & Rowland LLP BY DELIVERY TO CLERK ON: BY MAIL POSTMARKED: _April 20, 1998 L FROMz Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELORLlerk Dated: April 20, 1998 By: Deputy ZZ H. FROM: County Counsel TO: Clerk of the Board of Supervisoff ( ) This claim complies substantially with Sections 910 and 91.0.2. P<,) 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: 70 By: Deputy County Counsel M. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). BOARD ORDER: By unanimous vete 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: „ / 1 ' ', 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. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAUJNG 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, ddressed to the claimant as shown above. Dated, / /r`!��! By: PHIL BATCHELOR B uty CIerk CC: County Counsel County Administrator