HomeMy WebLinkAboutMINUTES - 06091998 - C18 CLAIIVI
Qf R A�QI „dune 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. ) 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 allTPOW"WMID
AMOUNT: $50,000 MAY 1 1 1998
CLAIMANT: Derek Ellington COUNTY COUNSEL
MASTINEZ CAUF.
ATTORNEY: DATE RECEIVED:
ADDRESS: 2525 Maricopa Ave #B BY DELIVERY TO CLERK ON:
Richmond CA 94804
BY MAIL POSTMARKED: May 8, 198
L FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
PHIL BATCHE , Clerk
Dated: May 11, 1998 By: Deputy
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 claire 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: f 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 t t this is a true and correct copy of the Board's Order e red in its minutes for this date.
Dated: - /r •�' 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 NLAB ING
I declare under penalty of perjury that I ale 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 c rd ie"
copy of this Board Order and Notice to Claimant, a9lessed to the claimant as shown above.
Dated: ,/ ' By: PHIL BATCHELOR B eputy Clerk
CC: County Counsel County Administrator
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CLAIM
CALMDENIA
BOARD A00111: June 9, 1998
Claim Against the County, or District Governed by )
the Board of Supervisors, Routing Endorsements, ) NOTICE i 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 1V below), given
pursuant to Government Code Section 913 and
915.4. Please note 11 "Warnings".
AMOUNT: $233.95
law
� 1
CLAIMANT; Joyce Pedersen MAY 1998
COUNTY COUNSEL
ATTORNEY: DATE RECEIVED: MARTINEZ CALIF.
ADDRESS: 3544 Morningside Drive BY DELIVERY TO CLERK. ON:
El Sobrante CA 94803
BY MAIL POSTMARKED: May 7, 1998
L FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
PHIL BATCHE OR, Clerk
Dated: May 11, 1998 By: Deputy
H. FROM: County Counsel TO. Clerk of the Board of Super isors
{ 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: ak� U By: eputy County Counsel
LIL 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 t t this is a true and correct copy of the Board's Order ente d 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.
AFFIDAVrr 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, a dressed to the claimant as shown above.
Dated: , t}' By: PHIL BATCHELOR By 'uty Clerk
CC: County Counsel County Administrator
Maim to: BOARD OF SUPERVMRSOF CONTRA COSTA COUNTY
INSMUCTIONS TO CLADiANT
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 that 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 strops and which aom ue on or after'.,January 10
1988, must be presented not later than six mores after the accrual of the rause
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. .( ovt. Code §911.2.)
B. Claims must be filed with the Clark of the Board of Supervisors at its .offioe in
Room 106, County Administration Building, 551 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 See. 72 at the end of this
form.
BE: Claim By Resery Clerk's filing stamp
"may j
C
ga 'nst the County of tm— -sea ;. }
or } Ci.EIS
FIX E�OAR OF S t
Cot
District)
(F111 in name
The undersigned claimant hereby makes claim against the County of Contra Costa or
the above-named District in the sum. of $ �a�_9� and in support of
this claim represents-as 'follows
1. When did the damage or injury occur? (Give exact date and hour)
1--19-98 at 8:00 P.M.
2. Where did the damage'or injury occur? (Include city and county)
Unincorporated Contra Costa County in El Sobrante --
Southbound lar,, of Appian Way between Fulton and Allview
3. Haw did the damage or injury occur? (Give full details, use extra paper if
required)
Hit pothole
4. What particular act or omission on the part of county or district officers,
servants or .employees caused the injury or damage?
This pothole had been reported by neighbors early in the day, with no attempt by
county transportation officials to cover it or even put up warning signs. Cars had
been destroying their tires all day on it -- 4 other cars blew tires on that pothole
during the time it took us to put on a spare tire.
(over)
wtiat are the names of county or district officers, servants or employees causing
the damage or injury?
Unknown
....�,.. ......»................. .... ........ .....____ ....._....... ..».,».......»,....._.. ......_._..»......,..........----------
6.
----....___5. What damage or injuries do you claim resulted? (Sive full extent of injuries or
damages claimed. Attach two estimates for auto damage.
Destruction of tire, rim and hubcap and spare
7. How was the amount claimed above computed? (Include the estimated amount of any
prospective injury or damage.)
Receipts for replacement
B. Names and add,-----3r-as of vltnesses, doctors and spitaL.-
Unknown
9. List the expenditures you made on account of this accident or injury:
DA'T'E ITS AMOUNT
1-20-98 Replacement rim $ 81..17
1-22-98 New tire 100.33
1-23-98 Tire installation 20.00
3 2 -�8* :* Jcy;%p�a req fit*. * J2*4 +
Gov. Code Sec. 9M2 provides%
"The claim must be signed by the claimant
SEND NOTICES TOO (Attorney) or PY some 2ersonon his.behalf."
Name and Address of Attorney
la.iaw* ignature
3544 Morningside Drive
Address
El Sobrante, 0a. 94803
Telephone No. Telephone No. (510)
9 T It IF
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.genune, 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 orut, gear, by a rine of not exceeding
one thousand ($1,000), or by both such imprisonment,>and fine,- or by imprisonment in
the state prison, by a fine of not exceeding ten thousand .dollars ($10,000, or by
bath such imprisonment and fine.
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CLAIM
.
BOARD OF S URYYISORS OF CONTRA COSTA COUNTY. CALIFORNIA__
BOARD AIM Jerre 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. ) 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 R
AMOUNT: exceeds $10,000
�►
MAY 13 1998
CLAIMANT: Carl Anthony Plummer
t0i1N'rY Cl�UNBEI.
MARTINEZ CALIF.
ATTORNEY: DATE RECEIVED:
ADDRESS: 4840 Discovery Point BY DELIVERY TO CLERK ON: May 12, 1998
Byron CA 94514
BY MAIL POSTMARKED:
I. FROM. Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
PHIL BATCHELO , Clerk
Dated: May 13, 1998 By: Deputy
II. FROM- County Counsel TO: Clerk of the Board of Supervisors
(k This claim complies substantially with Sections 910 and 910.2.
( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The
Board cannot act for 15 days (Section 910.8).
( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of
claimant's right to apply for leave to present a late claim (Section 911.3).
{ } Other:
Dated: ,�� By: Deputy County Counsel
III. FRON1 Clerk of the Board TO: County Counsel (1) County Administrator (2)
( ) Claim was returned as untimely with notice to claimant (Section 911.3).
OARD ORDER: By unanimous vote of the Supervisors present:
This Claim is rejected in full.
{ ) Other:
I certify t 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
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
prepAartified copy of this Board Order and Notice to Claimant, dressed to the claimant as shown above.
Date �' 4&e By: PHIL BATCHELOR By eputy Clerk
CC: County Counsel County Administrator
CLAIM ss oLr ?A
1 CO C i F'
2
3
(a) Name ate .. dd46A gf, �3_a_ t: Carl .Anthony Plummer
4 4640 Discovery Point
5 Byron, CA 94514
6 (b) S_erxi Ill eg s toy: Carl Anthony PlummeRECEIVE
7 4844 Discovery Poin
Byron, CA 94514 r ,01{ Z 1.' q Ee a_.,m.
(c) DUZ ofwe�••ren -, NQvemb12, 1997 CLERK BOARD OF SUPERVISC RS
9 .-g` ` --- r �sr CONTRA CO-gTA CO,
10 place f Qcc rrgrace: West 10th Street and Bailey Road in
11 the City of -pitts' urg, County of Contra Costa, State of
12 California.
13 Cirotmcsi tLar. of a c=ones: Claimant was inn fired after
14 being chaser) in his vehicle by officers of the City of Pittsburg
15 Police Depaitment ;and deputies of the Contra. Cvr3ta County
18 Sheriff's Department.
17 (d) Qlaeral das ,;;nti.po of iniu,�-, dA i a or. Qsgj_inrUr4 =
18 The full extent o clait*ant's injuries are not f+ 7 Yet krec>wiz.
19 However, cla±immant :suata4ned abrasions and lacerations to his
20 right shoulder/arm area ,and right buttock as the result of. dog
21 bites, a dis'locatgd right thumb requiring surgery, and injury
22i above his left eysi as a result of claimant 's head being struck o
23 J the pavement.
ry
24 (e) MAMM 09 Zjjbi! daMAggrgOf F icor Ungar
25 (Badge #205) „ Ofti.icer Virgas (Badge #181) , Sergeant. Sarbanica
26
(Badge #138) :, officer Tdgonon (Badge #200) , office?r Beyer
27 (Badge #206) . Offilcer Detheran (Badge #184) , O€i_icp�r Lambert
28
...
toi-,1-U0 ,ie n ,4.iU -r AX NO. P.03
1 (B�dge #1.85)1, officer Steiner (Badge #162) aid of r-he Pittsburg
2 Police Depaetment, and Deputy Blumberg and Deputy Souza <,f the
3 Cobtra Costa County Sheriff's Department. ?osis i t7 IL y othf&r,s whose
4 nares are not; yet known.
5 (f) A=unt: 2f e. laand basin ef cqMutati,Qa: Pursuant to
6 GoVernmeht Code f910, the amount of general and alsec is I damages
7 ex0eed $10, 000 .and are therefore not further spac:i f icd. �
$ Ju$isdictionjover this Claim would rest with thci Supexior Court .
9
1f! DAtED. �� 199$ r - ----- - -
Car A. Plummer
12 Receipt; of a copy of the: within claim is hereby arksiowledge4
13 this � d4y of may 1998 . �
14 By _ . ._.._ .. _. .. ... .
15 Title _._. . _ .__»... ..
16
17
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CLAIM .I
BOARD OF SUPERY15ORS Of Cam 'A 00SIA C—QUNTYs CALROMIA
AO June''9, 1998
Claim Against the County, or District Governed by ►
the Board of Supervisors, Routing Endorsements, ) NOTICE i 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: $548.03 RMC33VT13)
CLAIMANT: Dewayne L. Williams
MAY 13 1998
ATTORNEY: DATE RECEIVED: MART N0Z CALIF,
ADDRESS: P.O. Box 844 BY DELIVERY TO CLERK ON: May 13, 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 BATCHE R, Clerk
Dated: May 13, 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 310.8).
( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of
claimant's right to apply for leave to present a late claim (Section 911.3).
{ ) Other:
Dated:
By: Deputy County Counsel
III. FRONL• 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 th this is a true and correct copy of the Board's Order en ed in its minutes for this date.
Dated: . . 'c PHIL BATCHELOR, Clerk, .By putt' 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.
AFFMAVIT 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 rtified copy of this Board Order and Notice to Claimant, dressed to the claimant as shown above.
Dated: ' By: PHIL BATCHELOR Byuty Clerk
CC: County Counsel County Administrator
Claim to; BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
INSTRUCTIONS M CLATMAHT
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 clay after the accrual' of the cause of
action. Claims relating to causes of action for,death or for injury to person
or to personal property or growing crops and which accrue on or after January 1,
1988, must be presented not later than six months after the accrual of the cause
of action. Claims relating to any other cause of action must be presented not
later than one year after the accrual of the cause of action. (Govt. Cade 5911..2.)
B. Claims must be filed with the Clerk of the Board of Supervisors at its office in
Room 10 6,, 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 Sea. 72 at the end of this
form.
RE: Claim By ) Reserved for Clerk's filing stamp
Agar nst Ure County of d3ntra Costa }
or { MAY -1<3 M
District) 11111 1 WIN
(FIll n name
The undersigned claimant hereby makes claim against ,the Cou�fy of Contra Costa or
the above-named District in the sum of $ S ,, and in support of
this claim represents ,as follows:
1. When olid the damage.or injur-1 occurs (Give exact date and hour)
2. Whore did the damage or injury occur? (Include city and county)
3. Flow did the damage or injury occur? (Give full details; use extra paper if
required)
4. What particular act or omission on the part of county or district officers,
servants or .employees doused.the injury or damage?
t4
(over)
.....
.
rmat are the names of county or district officers, servants or employees causing
the damage or injury?
t.
5. What damage or injuries do you claim resulted? (Give full extent of injuries or
damages claimed. Attach two estimates for auto damage.
♦ teqr". ,.,� � t
?-.- -*How was the amount claimed above computed? (Include the estimated amount of any
s*-,�prospective injury or damage.)
;c.
$. Namesand addresses of witnesses, doctors and hospitals.
i
i1 lr
9. List the expenditures you made on account of this accident or injury:
r ATE ITEM AMOUNT
Gov. code Sec. -91M provides
e im must be signed by4he claimant
SEND NOTICES TO: (Attorne ) ot by s his AftaZf.".;
Name and Address of Attorney
i
aimant's 5igytre ;
'A' ess
c"
�'�Cct� c..i rte--. � "C�t�..,`�►*- — �i`�S 1
Telephone No. s ��
Tele '
F Telephone No.
est :E * V I V I I 1 9 1 T W :Feeae
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 .gsnuine, any false or fraudulent
claim, bill, account, voucher, or writing, is punishable either by imprisonment in>
the county jail-for a period of not more than one-year, by a fine of not exceeding,
one thousand ($1,000), or by' both such imprisonment and fine,-or by imprisonment in
the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by
both such imprisonment and fine.
l
Answers to questions 1-9
1) When did the damage or Injury occur?
a)On 23 February 1998 at 4:00pm.
2)Where didthe damage or injury Occur?
a)In front of 933 Appian Way, ElSobrante, Contra Costa County
3)Haw did the damage or Injury Occur?
a)I was traveling east bound in the 900 block of Appian Way, at a
speed of approximately 20-30 mph, when both the right front tire
and rim,also the right rear tire and rim struck a large steel "hole"
covered plate.
4) What particular act or omission on the part of the county or district
Officers, servants or employees caused the injury or damage?
a)The employees who were employed to repair this particular"Hole",
did not place this steel plate: (approx. 6' X 9' )level with the road.
it was a slight angle upwards and there were square pieces of wood
sticking out from underneath this plate (view pictures submitted).
Had this plate been level with the road way I traveled, the damage
would not have occurred.
5)What are the names of county or district officers, servants or employees
causing the damage or injury?
a) The Contra Costa County Public Works Maintenance Division,
2475 Waterbird Way, Martinez.
b)What damages or injuries do you claim resulted?
a) Damages to the right front and right rear rims (see the 3
Attached estimates).
7)How was the amount claimed above computed?
a)Team Chevrolet-----------damage evaluation-----5 42,50
Larry's Tire Service---Original Cost of front rim--$209.00
" " Original Cost of rear rim--$258.00
Subtotal cost of rims--4467.00
Tax at 8.25%---5j&W
r
Total cost of rims-------$505.53
Total cost of Damages--------$548.03
8) Names and address of witnesses, doctors and hospitals.
a) None
9) List the expenditures you made on account of this accident or injury.
a) -ate Item Amount
03131198 Chevrolet Damage Evaluation $42.50
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