Loading...
HomeMy WebLinkAboutMINUTES - 03161999 - C19 CLAIM BQA$O OF SIIP MSQRS QE CQTURA-QQSTA CD-1115 V, CAI IEQBNl A igD AC*n March 16, 1999 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, } NOTICE TO CLAIMANT and Board Action. All Section references arThe copy of this document mailed to you is your Cali# nia Govern ;nt Codes. 3 <, 3 f notice of the action taken on your claim by the � � .w ,-. , ., Board of Supervisors. (Paragraph 111 below), given D ' > pursuant to Govern hent Code Section 913 and o NTY 00WNSE-L 915.4. please rote all "Warnings". AMOUNT: Past and future Medical Costs of $5,000.00 to $10,000.00 Pain and suffering damage of $15,000 to $500,000 CLAIMANT: Milchelle Edmondson ATTORNEY: IMark V. Murphy DATE RECEIVED: February 10, 1999 Attorney at Law ADDRESS: 18 Crow Canyon Court, #380 BY DELIVERY TO CLERK ON: February 10, 1999 San Ramon, CA 94583 BY MAIL POSTMARKED: February 9, 1999 L 1ERO.?*E Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATt;14ELOR, Clerk Dated: February 10, 1999 By: Deputy �Y IL FRO:N: County Counsel TO: Clerk of the Board of Supervisorf (� 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). ( ) tither: rZ Dated: s : `° y: puty County Counsel f !. M. FROM- Clerk of the Board TO: 'ou y 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: ( A 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 E ` 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. AFFIIJAVIT 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 = v �t% `Lieputy Clerk CC; County Counsel County Administrator Claim trio* BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY r INSTRUCTIONS TO CLAIMANT A. 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 before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Gov't Code 911.2. ) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By Reserved for Clerk's filing stamp MICHELLE EDMONDS©N } r REC .10 Against the County of Contra Costa) N" or ) _. OARD OF SUP nistrict} A C0 ST..A (Fill in name) } } The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ sed attached and in support of this claim represents as follows 1.. When did the damage or .injury occur? (Give exact date and hour) September 9, 1998 7 : 29 p.m. 2. Where did the damage or injury occur? (Include city and county) Intersection Contra Costa .Blvd and Concord Avenue, Pleasant Hill, Contra Costa County 3. How did the damage or injury occur? (Give full details; use extra paper if required) See attached 4. ghat particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? See attached. (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? Unknown 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ) SEE ATTACHED 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) SEE ATTACHED 8 . Names and addresses of witnesses, doctors and hospitals. SEE ATTACHED 9. List the expenditures you made on account of this accident or injury. DATE TIME AILOUNT SEE ATTACHED Gov. Code Sec. 910.2 provides "The claim must be signed by the claimant or by some person on his SEND NOTICES-TO-: , (Attorney) , behalf. " Name and Ad*dress of Attorney AAA Ma-rk V. Murphy Attorney at Law (Claimant-4 ignatu're) 18 Crow Canyon Court #380 Mark, V. Murphy San Ramon CA 94583 Attorney -for Claimant (Address) 18 Crow Canyon Court #380 Fax (925) 831-8483 San Ramon CA 94583 Telephone No. (925) 552-9900 Telephone No. (925) 552-9900 NOTICE Section 72 of the Penal Code provides: Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fine of not exceeding one thousand ($1,000) , or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000, or by both such imprisonment and fine. Law Offices of MARK V. MURPHY Centerpoint Building • 18 Crow Canyon Court, Suite 380 • San Ramon, CA 94583 (925) 552-9900 • FAX (925) 831-8483 F February 9, 1999 ���'` :. f Clerk of the Board of Supervisors County Administration Bldg Room 106 JOARDOF SU 651 Pine Street Martinez CA 94553 Re: My Client: Michelle Edmondson Date of Lass: 9/9/98 Dear Clerk: Please be advised that this office represents Ms. Edmondson regarding an automobile collision which occurred on September 9, 1998 in Pleasant Hill, California. Enclosed is a claim regarding this matter. We request that a filed-stamped copy be returned to this office in the enclosed return envelope. Thank you for your assistance in this matter. Very truly yours, ry MARK V. MURPHY MVM:lrl Enclosure (as stated) cc: Client G:Tdvnondson,Michelfe\County I I-- REPLY rREPLY TO SAN RAMON OFFICE ANTIOCH OFFICE CONCORD OFFICE LIVERMORE OFFICE PLEASANT HILL OFFICE WALNUT CREEK OFFICE 1104 Buchanan Rd#B5 2045 Mt.Diablo Rd#104 197 South S Street 101 Gregory Lane#42 1806 Bonanza Antioch CA Concord CA Livermore CA Pleasant Hill CA Walnut Creek CA Claim Presented to Centra Costa County_ Continued 3. Michelle Edmondson was a passenger in an automobile driven by Sandra Edmondson. Ms. Edmondson was stopped in the #2 south bound left turn lane at the intersection of Contra Costa Blvd and Concord Avenue waiting her turn to turn left onto Concord Avenue. She realized the traffic signals were non-operative and when it was safe to do so, she entered the intersection. When she entered the intersection, Samantha Nicole Apsey did not stop and struck Ms. Edmondson's automobile. 4. The intersection is controlled by traffic signals which were not functioning at the time of the collision. The traffic signals were inoperative as a result of a previous collision earlier the same date. 6. Ms. Edmondson suffered headaches, neck pain, bruise on right shin 7. fast and future medical costs of$5,000 to $10,000 (estimate) Pain and suffering damage of$15,000 to $500,000 (estimate) 8. Sandra Edmondson 2985 Clay Street Placerville CA Michelle Edmondson 225 Mayhew Way#12 Walnut Creek CA 94596 Samantha Nicole Apsey 447 Camelback Road Pleasant Hill CA 94523 Christine Lea Vonderlieth 4953 Thatcher Dr Martinez CA 94553 Widenbaum Chiropractic Clinic 7450 San Ramon Road Dublin CA 94568 9. Widenbaum Chiropractic Clinic - $651.75 CERTIFICATE OF SERVICE BY MAIL 2 The undersigned at San Ramon, California, certifies the following to be true under penalty of perjury: 3 That she is a citizen of the united States, is employed in Contra 4 Costa County, California, is over the age of 18, and is not a party to the within action or proceeding. 5 That her business address is 18 Crow Canyon. Court, Suite 380, San 6 Raman, California 94583. 7 That she served a copy of the attached: 8 CLAIM 9 by placing saiu copy sealed in an envelope (s) , addressed as follows : 10 Clerk of the Board of Supervisors County Administration Bldg Room 106 11 651 Fine Street Martinez CA 94553 " 2 with postage thereon fully prepaid, and thereafter was deposited in the 1.3 united States mail at San Ramon, California. That there is a delivery service by the United States mail at the dace so addressed. 4 That the date of deposit in the mail and date of execution of this 15 certificate was February 1999. 17 LINDA R. LAZARO 18 19 G:\Edmondson, Sandra\Pldg\POS Mail 3.wpd 20 21 9 22 23 24 25 26 27 28 W fE. K *004 ol�C-' 00 .n ': t ..:.<.. ..... 'o so }............ �f a � :. ...................... " t ' j � Nei• CLAIM OARS OF SU-ERVISOR OF CMIRA COSTA CO=s CALIEQEN,TA BOARD A f21 March 16, 1:999 Claim Against the County, or district Governed by ? the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action, All Section reference� � The copy of this document mailed to you is your California Goverranent Codes. f :` ) notice of the action taken on your claim by the FEB Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and gka- G =q'� ct" w; 915.4. Please note all "Warnings". AMOUNT: past and Future medical costs of $5,000 to $10,000 Pain and Suffering damage of $15,000 to $500,000 CLAIMANT: Sandra Edmondson ATTORNEY: Mark V. Murphy DATE RECEIVED; February 10, 1999 Attorney at Law ADDRESS: 18 Crow CAnyon. Court, X6380 BY DELIVERY TO CLERK. ON: February 10, 1999 San Ramon, CA 94583 BY MAIL POSTMARKED: February 9, 1999 L FROM: Clerk of the Board of Supervisors M County Counsel Attached is a copy of the above-noted claim. PHIL BAT Lrk Dated: February 10, 1999 By; Deputy IL FROM County Counsel 'I`O: Clerk of the Board of Superviso s 1/X This claim complies substantially with Sections 910 and 910.2. ( This claire 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 claire (Section 911.3). ( ) Other: Dated:WwAZZZ� a B :, ' , � _,__ eputy County Counsel IIL FROM Clerk of the Board T+CIw linty 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 sectio 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 1VL4D.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: � � 6 I' 7 By: PHIL BATCHELOR By ' Deputy Clerk - i CC. County Counsel Counry Administrator Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CXAIbiAN' A. 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 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 ether cause of action must be presented not later than one year after the accrual of the cause of action. (Gov't Code 911.2. ) B. Claims must be filed with the Clerk of the Burd 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. Eraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this fora. RE: Chaim By Reserved for Clerk's filing stamp SANDEA EDMONDSON ) Against the County of Contra Costa) or ) ) District) (Fill in name) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sun of gee attached and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) - September 9, 1998 7 :29 p-m 2. Where--did the damage or injury occur? (Include city and county) intersection Centra Costa. Blvd and Concord Avenue, Pleasant Hill, Contra. Costa County 3. How did the damage or injury occur? (Give full details; use extra paper if required) See attached 4 . What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? See attached (over) 5. What are the names of county or district officers, servants or employees causing the damage or injury? Unknown 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage. ) SEE ATTACHED 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage. ) SEE ATTACHED 8. Names and addresses of witnesses, doctors and hospitals. SEE ATTACHED 9 . List the expenditures you made on account of this accident or injury. DATE TIME AMOUNT SEE ATTACHED Gov. Code Sec. 910.2 provides "The claim must be signed by the claimant or by some person on his SENI3 NOTICES TO: (Attorney) ) behalf. " Name and Address . of Attorney ) Mark V. Murphy Attorney at Law ) (Claimant) gnature) 8 Craw Canyon Court ##380 ) Mark._ V. Murphy San Berzon CA 94583 ) Attorney for Claimant (Address) 1.8 Crow Canyon Court #380 Fax (925) 833®8483 ) San Raman CA 94583 Telephone No. (925) 552-9900 Telephone No. (925) 552-9900 NOTICE Section 72 of the penal Code provides: Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or : writing, is punishable either by imprisonment in the county jail- for a period of not more than one year, by a fine of not exceeding one thousand ($1,000) , or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding -ten thousand dollars ($10,000, or by both such imprisonment and fine. Law Offices of MARK V. MURPHY Centerpoint Building 18 Crow Canyon Court, Suite 380 • San Ramon, CA 94583 (925) 552-9900 • FAX (925) 831-8483 February 9, 1999 Clerk of the Beard of Supervisors , BOARD County Administration Bldg Room 106 IA.CO 651 Pine Street Martinez CA 94553 Re: My Client: Sandra Edmondson Date of Loss: 9/9/98 Dear Clerk.: Please be advised that this office represents Ms. Edmondson regarding an automobile collision which occurred on September 9, 1998 in Pleasant Hill, California. Enclosed is a claim regarding this matter. We request that a filed-stamped copy be retumed to this offer in the enclosed return envelope. Thank you for your assistance in this matter. Very truly yours, MARIA V. ML URPH'Y MV? :Irl Enclosure (as stated) cc: Client G'Wmosdson,SendraZounty S Itr REPLY TO SAN RANI©N OFFICE ANTIOC.H OFFICE CONCORD OFFICE LIVERMORE OFFICE PLEASANT HILL OFFICE WALNUT CREEK OFFICE 1104 Buchanan Rd#IIS 2445 Mt,Diablo Rd#104 199 South S Street 101 Gregory Lane#42 1806 Bonanza Antioch CA Concord CA Livermore CA Pleasant hill CA Walnut Creek CA Claim Presen#ed to Contra Costa Counly - Continued 3. Sandra Edmondson was stopped in the #2 south hound left turn lane at the intersection of Contra Costa Blvd and Concord Avenue waiting her turn to turn left onto Concord Avenue. She realized the traffic signals were non-operative and when it was safe to do so, she entered the intersection. When she entered the intersection, Samantha Nicole Apsey did not stop and struck.Ms. Edmondson's automobile. 4. The intersection is controlled by traffic signals which were not functioning at the time of the collision. The traffic signals were inoperative as a result of a previous collision earlier the same date. 6. Ms. Edmondson suffered headaches, shoulder and back pain, pain at site of seatbelt. 7, Past and future medical costs of$5,000 to $10,000 (estimate) Pain and suffering damage of$15,000 to $500,000 (estimate 8. Sandra Edmondson 2985 Clay Street Placerville CA Michelle Edmondson 225 Mayhew Way#12 Walnut Creek CA 94596 Samantha Nicole Apsey 447 Camelback Road Pleasant Hill CA 94523 Christine Lea Vonderlieth 4953 Thatcher Dr Martinez CA 94553 Kaiser Martinez 9. Kaiser Martinez - $902 Physical Therapy - $unknown CERTIFICATE UE SERVICE BY MAIL 2 The undersigned at San Ramon, California, certifies the following . to be true under penalty of perjury: 3 That she is a citizen of the United States, is employed in Contra 4 Costa County, California, 4s over the age of 8, and is not a party to the within action or proceeding. That her business address is 18 Crow Canyon Court, Suite 380, San 6 Ramon, California 94583 . 7 That she served a copy of the attached: 8 CLAIM 9 by placing said copy sealed in an envelope (s) , addressed as follows : 1.0 Clerk of the Board of Supervisors County Administration Bldg Room. 1.06 11 651. Pine Street Martinez CA 94553 12 with postage thereon fully prepaid, and thereafter was deposited in the 13 United States mail at San Ramon, California. . That there is a delivery service by the United States mail at the place so addressed. 14 That the date of deposit in the mail and date of execution of this 15 certificate was February , 1999. 16 17 LIN A R. LAZARO / 19 G:\Edmondson, Sandra\Pldg\POS Mail 3.wpd 206 21 22 23 24 25 26 27 28 + 00 e o oa ; � . cn 'fb a 00 ; C0c. � . . a �' �► ( r . : �► f� �=� . � _ - 'ate 004. Ln CL Fr' + ► ON ts 000 cw 00 10 L W�O L CLAM ,BOA„ ( OF KT XJ3UCORS OF CONTRA COSIA► COUN`YsC&LIE()R`IA BARD ACT1tIhE March 16, 1.999 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 dent mailed to you is your California Governrnent 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.- Exceeds $10,000.00 CLAIMAN-r: Joyce Mullan ATTORNEY: Steven H. Larrabee DATE RECEIVED: February 8, 1999 John W. Larson & Associates ADDRESS: 1655 North Main St. , Ste. 200 BY DELIVERY To CLERK ON: February 8, 1999 Walnut Creek., CA 94596 BY MAIL POSTMARKED: Februarv. 4, 1999 L FROTNE Clerk of the Board of Supervisors M. County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk Dated: February 9, 1999 By: Deputy IL FEtOM: County Counsel TO: Clerk of the Board of Supervi . rs 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: `- B xt `; i w Ilet}' ty u Coun Counsel f y��---�.� � p .. r III. FROM Clerk of the Board `I'Qe Coiihly Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDM— By unanimous vote of the Supervisors present: This Claim is rejected in full. y Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated:.2!d�- PML BATCHELOR, Clerk, By Deputy Clerk a Ile WARNMG (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 N141LING 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. Date � ' `� , By: PFIIL BATCI-IELOR By Deputy Clerk CC: County Counset County Administrator 1 ' STEVEN H. LARRABEE (State Bar No. 138953) REGE' - JOHN W. LARSON & ASSOCIATES 2 1655 North Main Street, Suite 200 �. Walnut Creek, CA 94596 3 Telephones (925) 934-7821 Facsimile: (925) 934-0663Da AR--0 OF�#> 4 __ '' . Attorneys for P�aintiff, 5 � Joyce Mullan 6 7 IN RE THE MATTER OF i 91 In The Matter Of JOYCE MULLAN NOTICE OF PUBLIC ENTITY CLAIM 10 (Government Code Section 910) Claimant 11 VS . 12 ' COUNTY OF CONTRA COSTA; 13 SAN RAMON PUBLIC LIBRARY. 14 Respondents. 15 TO: COUNTY OF CONTRA COSTA AND THE SAN RAMON PUBLIC 16 LIBRARY 17 JOYCE MULLAN, Claimant, hereby presents the following Public 18 Entity Claim to Respondents COUNTY OF CONTRA COSTA and SAN RAMON 19 PUBLIC LIBRARY, as provided by Government Code Section 91-0 as 20� f011ows . i 21I (a) Name and Past Office fAddress of Claimants Joyce Mullan 22 � 407 San Roberto Place f San Ramon, CA 94583 231 (925) 829-1839 24 (b) Send All Notices To: Steven H. Larrabee, Esq. John W. Larson & Associates 251 1655 N. Main St . , Suite 200 Walnut Creek, CA 94596 26 (925) 934-7821 27 28 - 1 _ (c) Date, place and other circumstances of the occurrence or transaction giving rise to the claim asserted: Date : August 10, 1998 3 Time : 6 : 30 p.m. Location of Accident : San Ramon Public Library 4j 100 Montgomery San Ramon, CA 94583 5 Circumstances of Claim: Claimant was at the SAN RAMON 6 PUBLIC LTBRARY and exited out the front door. She stepped off the concrete onto the pavement of the 71 parking lot and, in so doing, her right foot stepped into a large hole which caused her to fall to the 8 ground. This large depression in the pavement was not noticeable to patrons stepping from the library 9 entrance walkway onto the parking lot . As a result of this incident claimant chipped a bone in the right side 101 of her right foot and also suffered torn tendons and ligaments in her right toe (next to her big toe) . She 11 was required to seek emergency medical care and ultimately underwent surgery to her right foot on 12 October 20, 1998 . 113 (d) General description of indebtedness, obligation, injury, damage or loss incurred so far as known at the 14 time of the presentation of this claim: 15 Claimant suffered a bone chip in the right side of her foot, torn ligaments and tendons in the right toe and 16 ' required surgery to her right foot as well as post- operative follow-up medical care . 17 (e) Name of public employee or employees causing injury: 18 Unknown. 19 (f) Amount of claim if total is less than $10, 000 . 00 as of 20 the date of presentation of claim, etc. : 21 The amount of the above claims exceeds $10, 000 . 00 . Jurisdiction would rest in the Superior 'Court . 22 23 Dated: February 5, 1999 STEVM llnt. LAR BEE 24 ! Attarney for Claimant 25 261 27 2811 - 2 - m to X t�Ya g74 10 + � ,a' 0 004 4 00 o 004 4011 00 f iri 04 cr K0) 00 = .rt cr ru Z) O in (D0 -j (} Cl) 0 +.. CD > fes ` a (JI A W C3 C co tn' C7 J` � r?I r 'y. 10It aLQ � i { �' ' i 40 C- 00 ( # c to 0 (!4 11 is .-- ' r of 0 5 CIALM BOARD QE S TPEMSOM OF CO'N'TRA_ CQST`A_CUL'h"�Yi*_CALUIMNIA BoARtt Acno March 16, 1999 Nairn 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 ttis docornent mailed to you is your California Government Codes. notice of the action taken on your claim by the `z t x•mat r w�€ Board of Supervisors. (Paragraph IV below), given pursuant to Goverment Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: $2)279.07 WART' v E ZQ OF CLAIMANT: Progressive Insurance Company on behalf of Victoria Garcia ATTORNEY: DATE RECEIVED: February 11, 1999 ADDRESS: c/o Progressive Insurance Co. BY DELIVERY TO CLERK ON: February 11, 1399 P. 0. Box 2030 Rancho Cordova, CA 95741 BY MAIL POSTED: Interoffice Transmittal L FRONS Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATC LOR, Clerk Dated:_ February 11, 1999 By: Deputy, di IL FROM County Counsel TO: Clerk of the Board of Supervisor ( Phis claim complies substantially with Sections 910 and 910.2. This claire TAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other. Dated: ° < , ' y: County Counsel i s v i DI FROM: Clerk of the Beiard M County Counsel (1) County Administrator (2) ( - Claim was returned as untimely with notice to claimant (Section 911.3). TV. BOARD ORDS 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 inail 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. *Por Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF A1A11XVG I declare under penalty of perjury that I ate 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 Carder and Notice to Claimant, addressed to the claimant as shown above. Dated: t. ' 3 f By: PHIL BATCHELOR By ';� ,.•b-�°� -Deputy Clerk a CC: County Counsel County Administrate: 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 personal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100`h day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt Corte§911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building,651.Pine Street,Martinez,CA 94553. C. If Claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity,separate claims must be filed against each public entity. E. Fraud. See penalty f;m°fraudulent claims, Penal Code Sec. 72 at the creel of this fomes. RE: Claim by ) Reset�ved-for...-Clerk!iFiling,Stamp '4- ) Against the County of Contra Costa or District) (Fill in Name) The undersigned claimant hereby makes claim against the County of Contra Costa or the above named District in the sum of S 27 7,07 and in support of this claire 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. Ido did the damage or injury occur? (Give fun detaiix;use e£tra 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? .,z'•-er '�'e oz,r✓ �:-'e n 1°';tr '2'"''✓� g (Over) 5. What are the names of county or district officers,servants,or employees causing the damage or injury" d. What damages or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) 7. How was the above claimed amount computed? (include the estimated amount of any prospective injury or damage.) Ile --------------- 8. Names and addresses of witnesses,doctors,and hospitals. 9. List the expenditures you made on account of this accident or injury: BATE ITEM AMOUNT it fa �S a� dt !e it is * to � * � �k # a ft a x4 !t st is * at sk * a � # it rt tt sk * � is � rt s§ tt � * rt aY fr # to � sk 3s at * is a s• Gov. Code Sec.914.2 provides: "The claim must be signed by the claimant SENT!NOTICES TO: (Attorney) or by some person on his behalf." Dame and Address of Attorney f j (Cl ant's Signature) }€w %? (Address honeNo. a Telephone No. Tele p NOTICE Section 72 of the Venal 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 claire,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 dollars ($1,444),or by both such imprisonment and fine,or by imprisonment in the state prisons,by a fine of not exceeding ten thousand dollars($10,000), or by both such imprisonment and fine. CLAIM BOARD QF SIMERY CURS CMIR A COSIA C2U1ilysCALHDIfflA Bt#ARD A OI' March 16, 1999 Crim Against the County, or District Governed by y the Board of Supervisors, Routing Endorsements, 4 NOTICE TO CLAIMANT and Board Action, All Section references are toThe copy of this document mailed to you is your California Goverment Codes, ) €t , N notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Govert rmnt Code Section 913 and 915.4. Please note all '"Warnings". AMOUNT: Jurisdiction oy the Federal and./or Superior Court CLAIMANT: Trudie Rogers ATTORNEY: DATE RECEIVED: February 9, 1999 ADDRESS: P. 0. Box 4646 BY DELIVERY TO CLERK ON: February 9, 1999 .Antioch, CA 94531 BY MAIL POSTMARKED: Interoffice Transmittal L FRONIL Clerk of the Board of Supervisors TU: County Counsel Attached is a copy of the above-noted claire. PHIL BATjC,�ELOR, Clerk Dated: February 9, 1999 _ By: Deputy L ': � IL LOON County Counsel TO: Clerk of the Board of Supervis drs {� } This claire 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 411.3). { ) Other: AzI le" Dated: '� y: putt' County Counsel M. FROM Clerk of the Board TOr 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: {-74_ 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. PHIL BATCHELOR, Clerk, By ° D , Deputy Clerk WARNING (Gov. code section 3) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to fit; a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of yon, choke to 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 NtAILJNG 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: > , a 1"` `a' By: PHIL BATCHELOR BDuty Clerk 17 CC: County Counsel County Administrator Office of the County Counsel Contra Costa County 851 Fine Street, 9th Floor Phone: 335-1800 Martinez, CA 94553 Fax: 646-1078 d Date: February 8, 1999 = r To: Ann Cervelli, Clerk of the Board of Supervisors } From: Victor J. Westman, County Counsel y by: Gregory C. Harvey, Assistant County Counsel � Subj: Claim of Trudie Rogers Please check the attached and treat it as a claim. Thanks. H:\GROUPS\TORT\CASES\FOR.MS\MEMO\MEM,-STNd.WWPE, CONFIDENTIAL ATTORNEY CLIENT COMMUNICATION FEB--09-1999 14:10 CCC SOC I rAL. SERV I CSS F.02/08 IMss trudie ropers P Q Box 4646 . Attkioch CA OAS31 Possessed of the Peat of a ready W4ter. Psabn as:3 CLAIM FOR DAMAGES AGAINST CONTRA COSTA COUNTY SOCIAL SERVICE DEPARTMENT STATE OF CALIFORNIA DrpARTMENT OF SOCIAL SERVICES (uuder separate cover) Per Govt.Clyde §§ goo; 905; 906 ; 910-910.2 ; 911.2 ; 911.6; 913-915.2 JOHN B. CULLEN, Dlrector Contra Costa County Social Service Dep wtment C t o SHE"LDA BURK , Executive Serr+etary 40 Douglas Drive Martinez CA 94553 510-313-1579177,- R6113-1575 (&x) Mr.Cullen s I Ytrirtie urgers aka clam make t:tczirrt this day F&n.iary 3,1999 prior to fift a Compiairtd for hazy gess in a Court of law. The total amount of my claim is within the jurisdiction of the Federal and/or Superior Court (grater than$25,000). The address to which all notices are to be sent is F 0 Box 4646 Antioch CA 94531. The tis of my lass include Th=day Aust 13, 1998 and on-going; friday August 14,1995 and on-going; Monday August 17,1998 th=gh to the preset and still on-Virg. The location of the loss i have suffered is within the C=q of Contra Costa and includes the city of A,ndoch, The natural persons and fictitiously-named entities who have caused my injuries and damages and losses Include John E.Cullen,director of the Contra Costa County Social Service Department; the Conn Costa County Social Service Department; the Contra Costa County Board of Supervisors; State of California Department of Social Services ;Vinod Maharaj,supervisor; T. Becerra,public service officer; K. Borrow,public service officer; tall Gwaltney,eligibility worker; Frances Kelly,eligibility worker: and Does I through SCI,inclusive. Now Go, wrks it before tbam in a tabis, � and it ii a Book, that it miry ba ibr the tittle W oas�e CRISE Far evae and Oyer. Taub lol page ane at W"n FEB-08-1999 1-4'11 CCC S0C i WL SERtJ i CES P.03/08 Ittiss trudie Vogers P O Rox 46461 - 8ntloch CA 94531 Parsrsed of I/W Pen sof a ready Writer. Psalms 45!1 CLAIM FOR DAMAGES AGAINST STATE OF CAwg)RNIA DEPA1t, ENT OF SOCIAL SERVICES CONTRA COSTA COUNTY SOCIAL. SERVICE DEPARTMENT (under separate cover) Per Govt.Code if 940; 903; 906 ; 910-910.2 ; 911.2 ; 911.6; 91S-915.2 ELADISE ANDERSON Director, State of California Department of Social Servitts 744 "P" Stmt . MS 17-11 Samame nto CA 95814 916-657-2599 c% / via JOHN B. CULLENDirector Contra Costa County Social Service Department 40 Douglas l!Oye Mszz CA 945.53 510313-1579/77;,,SdZ-3313-1575 (fu) Director Anderson: I trrttt`te mgen aka claimant mage Claim this day February 3,IM prior to filing a CompTx X for Damges In a Court of law. The total amount of my claim is within the juri FEB-08-1-999 14111 SOv I AL SERV I-ES P.04/0e CLA14f February 3,1949 Page three of seven I believe I am the object of Discrimination and Harassment by Solite members of the staff and employees at tate Social Serrlsc went,especially the Antioch office. I have personally spoken with persons -genuinely homeless eligible persons,as I myself am- who relate nightmare stories in their dealings and frustrations with your department,thus my utter reluctance to--yen apply to you for any benefits at all. I suffered horrendously (and continue to do so) clue to actions and inactions by your staff and employees and agents at the Antioch office. The"optured on Thursday August 13,IM and again on Friday August 14,1998 and again on Monday August 17,1998. These avis and failures to act have caused me extreme emotional distress,which symptoms include but are trot limited to : humiliation,embarrassment,shame,feelings of worthlessness,disgrace,confusion,having to expexiete threats and fegr of my immineatt arrest,my fear of lass of liberty,oily being utterly overwhelmed by this most intimidating dilemna,wanting to withdraw from society,and periodic crying spells. Additionally,I suffered physical pains as well,which include horrible headaches,constant coughing from sleeping outside and the fear which that entails,being cold at night and awakening several times throughout the night in It cold and dam,and. eventually wet with the heavy dew in the.mornings,and loss of weight and appetite. People who know me say somedihng is wrong,that I am sWedn a lingering deep depresdon. I aria a meticulous pemon yet I have not cared about my appearance. I was tyro emotionally distraught and physically ill to represent myself at the appeals hearings. I could not find an anorixey to represent me. It has taken me almost six months to preparan-thea papers,sometimes being able to work on them just once a week,five minutes at a time,the memories stir up so much anguish and shame. Since August 12, 1998 rve learned stuff and experienced things Iabout which I was never curious. I know things today which I don't even want to know. Additionally,I have had to sufft the fear and anxiety of being out in this least County community which has been plagued by a mad person who is serially killing women (whom I suspect he believes to be homeless) t four thus far x urdemd and another so savagely and viciously beaten that she remained comatose for a month, I am a citizen of the United States of Ameri= I have been a resident of Contra Costa County continuously duce Prlday January 28,1986,the day the Chalkuger weat'up I became homeless the might of Wednesday August 12,1998,my birthday. On the afternoon of Thursday Aug=13,1998,I let go of most of my pride,got on a bus, and went to the welfare office in Antioch. 1 wanted to receive eanergeucy cub and food stuaps and housing aid (for example,a motel room), as well as to enroll in the out-time-only Voucher Program. Gloria at the West Rweption Wladow gave ecce a single parse form to complete,and a taped-over plastic number 53 (originally#93). I was staving difficulty with the,form and approached Gloria again to ask her what the boxes in addition to GA&FS represented and if I should check them, I had already checked the FS and GA plus the Meda-C:acl box. She told nae witat they were and said I was not eligible for those and to do only the F'S a GA boxes. I told her I definitely wanted to apply for the one4sm"nfy Voucher program but was told by Gloria that it is only for people with chisdsen. FEB-08-2959 24r22 CCC SOCIAL. SERVICES P°05/08 CLAIM Febuary 3,1999 rage four of seven I have no children -by choice- and am quite fertile. I have had one abortion. My mother told me that if I didul have a husband and my own money in my own pocket,not to give birth. I was married in 1974 and have been,legally divorced since February 1975,over 20 years - Zl years,as a matter of fact. When I was homers In 1989,I applied for and received General Assistance&Food Stamps for 90 days. I made a duplicate of the form,for myself and retuned the other one to her. ,After a while,Gloria called me over to complete the yttlow-highlighted areas of awthar fors and to sign it. I completed box numbers I and 2 and 15 and 19 on the Application; this remainder of the form was filled-out ( INCORUCILY. ) by Frances.Kelly, eligibt'ilty worrker. SITE MADE NO MICATION WHATSOEVER ONE TIMFORM OF nM GWC;Y NATURE E GIc MY F'L1G[T! Sho said there were no beds for women at the shelter and that motel vouches were only available, for people with children (may of whom are stm Ming physically healthy umnarried suet 1). She told rata to oomes babe Friday and Monday and gave me the pink copy of the form,as well as a padmt of firms to have completed upon my re#srn. I trade it very clear to her that I had no money,no food, and no place to sleep that Wit,that my situation, was dire. I moved no help whatsoever. My enum experience at the welfare degartniestt made me feel r€diculous and lie a naive fool -among other things- to honestly have hoped that those uncaring,untrustworthy people would helix me in any way. I was NEVER givm nor cid.I EVER receive the list of resources for the homeless during any of my thm vssrts to the welfare office. Days after try last trip to the welhm office,I finally saw the 1997 list,which a homeless man showed me. It was woefully outdstrA and dna dequate. I returned early the next morning.The front door was opened at SO o'clock. I blacked in at the front desk and waited ahalf hour to be called by Mrs,W.Munuy pato a roans with other applicants to go over the forms. I told Mn.McMurray that she was,going much too fast for me to keep ups After some back-and-fords disagreesment,she finally slowed down so that I could keep up as we moved from.paper to paper. I also asked for copies of everything I was being told to sign. I was told these;would be provided. Mrs.McMurray asked us to indicate our mailing address on some of the forums. I said I was homeless and had no address. She told its to use an address in Pittsbmg which Is a check-mshtag place. I did not want to do this but I wrote the address she gave us on tho forms. I consider Antioch my 4esicdmee such as It it. gine of the other applicants suggested I use the Antioch Plast Office is Andoch and.indime`General Dellvery: This is wbat I dr Aded h,do. Our time was up with the forms aid I was told to make that address chanp with the Eligibility Worker who was to interview tete. We left the mom and waited far our names to be called. I went outside and met a woman who was distraught about her recently deceased mother and the possibility of her aged father being denied help. I anempteid to comfort her. She had nothing but fear of and anger for the wddfam die at staff for the totally unoompassionate manner in which she and her cad were ung gated.. I could not say anything Inthadepartmeaft defense,as my expxi=ce thus far had not been pleasam and was soon to bwome even,worse. There is a loudspeaker auside and I thought I head my name,called but I wu not oatalu, 1 was yet consoling Cawl(7). I left her for a moment and went In,gave my name, and asked if I had been caped.. This'Went on for at least ten minutes,with ase asking various people:,being referred to a phone,speaking with some man who had no ,.PSB-08-1999 14:12 CCC SOCIAL. SE UICIS P.06/06 CLAIM February 3,1999 page rive of severs idea what I was talking about. I finaslly asked some woarW Who seemed WPefvisvriar and who emerged from an office doers. She approached the reoeptiOn deck and asked if my nanse had been called and was told'no: I thauked her. I pecked outside and Carol had govt, I waited at least a half hour between Mrs.McMurmy and the person who fianaally called sire,Gall Gwaltney, when started our'interv'sew`all wrong. Mrs. Gwaltney escorted me to a cubicle inside a groom and began our convcrsation by telling me that If I did not behave,she was going to call security and have the removed. I asked her what she was talking about. She remained silent• I bald bra'that she would not speak to me in this manner. She told we to lower my voiw. I told her that my voice was not raised and that thus far her comments all smacked of ugly racism„ She again mentioned the pollee, I asked her If she were threatening me. She said net. I asked her why she was conducting heamelf in this totally unprofessional wary. She told me to cooperate. I told her I was not a child and that she was not my mots= For a while,we simply stared at one agodaex, Such provocative behavior on her part was motel and totally unnecessary. Was I not shuffling and ignorant and childish and scraping and dependent enough? Apparea ly notl She moved on to the inter iew. She had me,sign several mom forms,including one indicating my address. I told her I wanted copies of everything I had already signed,as well as copies of everything which I was to sign with her. I told her that I wanted any mail ftom the welfare department to comic to me cam of t Yeneal Delivery at the Tie atlas Road brash of the Antioch post Office,which sip co&is 94531. Mrs.Gwaltney bean to argues about how she didn't know if the lost Office would do that and that the zap code was not what I said it was but that the Zip code for Antioch was 94509. we went back and Rath,with my sug estit g she phone the Post Office. She aid she didnt have a phone book She dict not mule any attempt to fund one. Another wooers walked by and I asked her for it phone book. She brought one and Mrs.Gwaltney took it from.her. She finally verif cd everything I had said. I asked when I could expect some help. She then told me that there was another problem. She said that because I was born in O many that I had to prove I was a citizen. I told her the my father was is the military and it was he who brought me to this country,that my dad was born Ith Virginia and had served in World War II and Kone a,that NO ONE had EV= questioned my citizenship In my ENTIRE life l Flow was I possibly to prove my citiZeahship? At that moment,I didn't even have rosy Driver I.ocm&Social Semdty Card in my possession. I wras homelessl She told me to go to the '�'and the `VA.' I told Mas.Gwaltney that I had never reported to these agencies nor ever been to these places in my life,that I did not know where @hey were,that I did not have the finano€aal resources to under such a wild-goose,chose.,and treat the only place I was going was to ahuzr, She told me I could call these places, I asked herr for the phone numbers and.if I could use her phone. She weld she dida't know the phone numbers and that I could not use her phone. I told be I did not have 350 and that if I did I would"ad it on food not on what mart obviously be a 20-minute,non-productive long db phone call costing some dollaas. I asked to speak with her supervisor.I#'bit that YAw was happening was not reel. She phoned the supervisor,who told me to go to the 'IM' do 'VA.' She theen told site that If I did not prove my citizaasThip by Moa&y-week brat I would be formally denied. I asked for the denial&appeal pq-.)=now. Mrs.Gwalttsesy said they w>ert not available. I risked her to write down what she had just told uses. She completed a form indicating my pending denial. I asked herr if I should still keep PEB-08--1999 14:12 CCC SOCIAL SERVICES P.O7i08 CLALM Februstry 3,1999 Pagc° six of seven my appointment for Monday,since I was being dewed. She said yes. It took every ounce of my pride to go to the welfare department in the first plan; it took MORE than that to ftn= I was encouraged by others not to simply walk the streets homeless. Peoples could we that I was obviously homeless and eligible for help. My experience at the Antioch welfare,office on Monday was worse than the other two days. I arrived at 12.30 Fm and chemo in at the raceptopa elk at one o'clock A group of us waited a while and were called into a room. We wem given the four-page RSI test to complete. I asked for a copy of the test,which during my preliminary per,I found QUITE disturbing. Such questions as rtW a to suicide were included,as well as other questions inquiring about one's potentialy fragile psychological tette.The permons to whom.I had spoken and been exposed thus far haat neither the compassion nor the training nor the sensitivity*tor the trustworthiness to deal with the upset which taldtg this test could potentially cause. Themes people inspired no trust whatsoever. I was told I could not have a copy of the test because of exspyrlght laws. I later got a copy of the test off`the IntarNe!t,as well as dist overizig teat the test was dosignad using fewer than IOW persons,the majority ofwhom were shale,winner,married, I am none of the*l Ther test was horribly invasive and totally dbzespected ray(right to) privacy.I found it terribly upsetting t4 eveat ickofhow to answer some of thoquestions. I was ready to andavallable for work. I did not complete the test "There was/were NO Medical personnel on hand at the welfare department to deal with the etmotlowl chaos and upset which this test cmacd forme. I was bald to step outside the room by the test giver,who accompanied me. She was sympathetic and tom up the test with my name orn it,at my request. She had indicated earlier that site was gust a cierk and had a routine to follow, I was led to Mn.Twyla $ ,who called the County Counsel. She told her to have me sign a form itndicatk g I was re Wbg to take the.test. I did not sign thea'reftmal'forst. I told her again -as I had indicated to the clerk administering it- Haat I was not refusing to take the test I said I wanted a copy of the test. I W to say this several times throughout our discussion. As I stood there I began to write a letter to that effect and offered it to.Mrs.Twyla. M, m Twyla said this was not suffficle a We spoke some more when tic two police offloers came from wound the glass enclosum and desk. They stood over me and ordered sue.off the promises and out of the:building. Up to that time,Officer K Barrow had beetpr playing a 'solitaire'card game on the personal e;ompuW screen sitting on the desk before him, Although I feared for nay safety and feared immimmut arrest and jail because of their threstening and intimidating ,I mush up the courage to ask them for their cards* they m' se& I elated the officers, names&badge nun ben. 1 was not allowed to complete the a pp#c'adon-process, I left,as orderad. I had cone nothing to be tried in this shamdful manner. I had originally gorse to the welfare department with some semblance and sense of self esteem i I lett fouling like a worm . » • lower than a worn. I sero yet homeless. I have;'sle pt!in the min in driveways between parked cog in lawn chairs in peoplies backyards; in b usisresses before opcairarg&aft=clodur, in all-night re wt its; on the lam. The Oamagers I have sustained Include obvious violations of my civil rights,including but not limited to> stay light to privacy,skim 'discrimination,as well as discrimination based upon say national origin,ages,gender,and religious and political FEB-08-1999 14:13 CCC SOCIAL SEROICES P.08/08 CLAM February 3,1999 page seven of seven beliefs: harassment; negligent Infliction of emotional distre3s; and intentiotiai infliction of emotional distau, I KNOW of at least one spwif lo instance in which a married couple -neither of them U.S.citta- obtained government-subsidized housing,as well as possibly additional benefits. This cannot possibly be an isolated lone Cue. I -and no other single childlass woman- rued have to endure the Social Service Department,0 routine, calculated,orchestmted,no-doubt successful,campaign of denying us acoess to services and benefits and the opportunity to improve cue's self in one`s profession - the opportunities which.my Afticau father brought me to this country to enjoy and for which he fought to guarantee me, In World War Tivo EVtrFe,as well as in Kom during that conflict. He had soft hands and loved books,was a gentle man and always reading,even the cereal box. The last thing in the world i rest imagine him doing is hurting someone,although I would ask him about what happened during and his vole in these international hostilities. He would never say a word. His cycs would.just water. For me to do nothing about these ugly goings-on taking place throughout the California county and state Social Services Department would mean his life as a career soldier - the only 'job' he could get - means nothing., My mother could not read nor could she write. A formal education was purposely withheld from,her. When she left our home,it was da*; when she got back,it was dark again. She cleaned a diffe=house every day. She taught ffie - not About values, ever-changeable and cultural and whatever's normal at the moment and open to Interpretation - but about Virtue,, tuneless and natural,everlasting and global,whin right,is-right and wrong- is-wrong. She brought rue her employers'thtow-a-way books and told me to read them. She didn't even know what they were about or what lay between their At night,as tired as she was,she would have me read to her from our old raggedy black .King lames Bible. Mommy knew many,many of the passages of old testament scripture In her head,and would silently mouth the sacred words even before I spoke the verses aloud. Should I do nothing about the outrageously ugly,malicious,vicious,oppmsive,vea pfal things which to rot at the welfam officp,then my mother's inspiration,her courage,herr daily dusk-#a dawn sample of hard work,her quint virtue would be meaningless. I shall not allow my own sense of myself to be taken from me. I shall not allow it without the utmost resistanoe. I shall not participate in the promotion of wrongdoing and littleness,evil and envy,racism and sexism via my own passivity and inaction. Subsequent to your routine pend I shall be gling a ford Compjdv for Ams in the apprcpr'sase Court of law. Thank you bisector,for your attention to this matter. i y, - TOTAL P.Oe AMEN- DED CILAFq OA��tTJ �J►F �U�" � . (�►R� C1F CC7►N'�'�A Ct7STA CC3i.T�T'TY, A�T�'�t*21�iA BOARD A [I March 16, 1999 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 s pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: $64.99 MAR ) 1 "-.-S` CLAIMANT: Shirley Gilmore °AR 3''�EQ� �r ATTORNEY: DATE RECEIVED: March 1, 1999 ADDRESS: 1040 Clearland BY DELIVERY TO CLERK ON: March 1, 1.999 Bay Point, CA 94565 BY MAIL POSTMARKED: Hand-delivered L FRO.NE Clerk of the Board of Supervisors TU: County Counsel Attached is a copy of the above-noted claim. PHIL BA LOR, Clerk , Dated: March 1, 1999B y: Deputy w II. FROI 1 County Counsel TO: Clerk of the Board of Supervi s ( ' This claire 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). ( ) Claire 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: ILM�2 Deputy County Counsel _LV III. FROM: Clerk of the Board T4: Minty Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDM— By unanimous vote of the Supervisors present: (� This Claire 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 1W PHIL BATCHELOR, Clerk, By , eputy Clerk 41 WARNING (Gov. code section 13) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. "A1 A'VIT 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: 'r L"? i By: PHIL BATCHELOR B a � ° M' , By � . -Deputy Clerk CC: County Counsel County Administrator ,Office of the County Counsel Contra Costa County 651 Fine Street, 9th Floor Phone: (925) 335-1800 lartinez, CA 94553 Fax: (925) 646-1078 Efate: March 1, 1999 To: Joan Staley Office of the Clerk of the Board From: Victor J. Westman, County Counsel f� By: Janet L. Holmes, Deputy County l� s Re: Amended Claire of Shirley Gilmore Please process the attached as an amended claim. If you have any questions, you may reach me at 335-1823, : Fel H.WHOLMh MEND-STDWEN!O-SYD.WPCD ..:.,, .... '. t 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 personal property or growing crops and which accrue on or before December 31, 1987,must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988,must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building,651 Pine Street,Martinez, CA 94553. R E- C. If claim is against a district governed by the Board of Supervisors,rather ffitlt-- County,the name of the District should be filled in. OR D. If the claim is against more than one public entity; separate claims must bei1ec(. -. 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 Shirley Gilmore ) RECENEU Against the County of Contra Costa FEB or LEoaac�0�su RVISORs � CCJNTFtA Co$7A-SCD. ,,,_, The Housing Authority of Contra Costa (District) (Fill in name) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of$ and in sup ort of this claim 's 2,clv represents as follows: /� `` ✓"` ° 1. When did e a or mlury occur? (Give exact date and hour) 2. Where did the ge or injury occur? (Include city and eo ) k,01,601n ulapf UP-4L5 Aavw j,4-) 3, How did the damage or injury occur? (Give full details;ude 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?� -� j clmfonn 1 -- ' -�,e. 'jl✓� P/ e--e"'O." 5. What are the names of county or district officers, servants or employees causing the damage or injury? AO C- 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attached two estimates for auto damage.) t9 5 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors and hospitals. 9. fist the expenditures you made on account of this accident or injury: BATE I Ni AMC?'i.l'NT Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICE TO: (Attorney) or by some person on his behalf." Name and Address of Attorney (Cl s Signature) (Address) 4 Telephone No. Telephone N f' a NOTICE Section 72 of the Penal Cade provides: "Every person who,with intent to defraud,presents for allowance or for payment to any state board or officer,or to any county,city or district board or officer,authorized to allow or pay the same if genuine,any false or fraudulent claim,bill,account,voucher, or writing,is punishable either by imprisonment in the county jail for a period of not more than one year,by a fine of not exceeding one thousand($1,000),or by both such imprisonment and fine, or by imprisonment in the state prison,by a fine of riot exceeding ten thousand dollars($10,000) or by both such imprisonment and fine." clmform is Joe 904 00 , 004 z /M . 'lam �` ���� ��' �'�"" �''`-�,.,..,► Xv ' -� 00 r 4F ... / .y � � �y■�",4✓ yC,-.I y( ��ff ,V ,4�� � _j /�/J�Jj/��jj�j(/// �'/�4II set, e CLAIM BOARD OF SETE&USMS OF CMIR&COSIA CQ12M� !CAI T IA II March 16, 1999 Claire 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 documant mailed to you is your California Government Odes. l notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given Y h � pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". 4.: AMOUNT: $64.99 CLAIMAIv'T: Shirley Gilmore i14E � ATTORNEY: DATE RECEIVER: February 10, 1999 ADDRESS: 1040 Clearland BY DELIVERY To CLERK ON: Feb-ruary 10, 1999 Bay PC}?T3t, CUA 9455 BY MAIL POSTMARKED: Unknown L FRONL- Clerk of the Board of Supervisors T`C3h County Counsel Attached is a copy of the above-noted claim. PML BATC-);ELGR, Clerk , Dated: February 10, 1999 By: Deputy . . IL 'FRO1K: County Counsel M. Clerk of the Board of Supervis`rs ( 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: ' puty County Counsel � { V I - f ' III. FROM: Clerk of the Board TO: .`Co. my Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with noijto claimant (Section 911.3). IV. BOARD ORDEFL 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: P1111, BATCHELOP, Clerk" By , Deputy Cierk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (£) 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 Siete of This Notice. AFFIDAVIT OF WL4I N 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 Carder and Notice to Claimant, addressed to the claimant as shown above. Dated: , By: PFHL BATCIIELOR By Deputy Clerk CC: County Counsel County Administrator 1/IC aR J.WESTMAN DEPUTIES: COUNTY COUNSEL JANICIE L.AMEN A� S.REBECCA SYRNES DY S1VANO S.MARCHES! CONTRA COSTA COUNTY MONI AL COOPER ASSISTANT COUNTY OUNSELVICKIE L.DAWES OFFICE OF THE COUNTY COUNSEL MARKE S.ESTIS MICHAEL D.FARR SHARON L.ANDERSON COUNTY ADMINISTRATION BUILDING LILLIAN T.FUJI! ASSISTANT COUNTY COUNSEL) �� r� 'y t� � DENNIS C.GRAVES JANET L.HOLMES GREGORY C.HARVEY MARTINEZ,CALIFORNIA 94553-1229 BERNARD flKNAPP ASSISTANT COUNTY COUNSEL EDWARD V.LANE,JR. MARY ANN MASON PAUL R.MUNIZ GAYLE MUGGLi PHILIP J.NORGAARD OFFICE MANAGER VALERIE J.RANGE DAVID F.SCHMIOT DIANA J.SILVER PHONE(925)335-1800 BARBARA N.SUTUFFE FAX(925)646-1078 JACQUELINE Y.WOODS NQIICE OF INSUFFICIENCY ANDZQR NQN-ACCPANCE OF CLAN TO: SBIR.l_,EY GII-MORE 1040 Clearland Bay Point, Ca 94565 RE: CLAIM OF: Shirley Gilmore 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. [ 2. The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. [ 3, The claim fails to state the date, place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. ] 4. The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. [X] 5. The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000). If the claim totals less than ten thousand dollars ($10,000), the claire 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 claire would rest in municipal or superior court. [X] 6. The claim is not signed by the claimant or by some person on his behalf. Page 3. i. 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: uty County Coi set CERTIFICATE OF SERVICE B)LMATL (C.C.P. §§ 1012, 1013a,2015.5;Evidence Code§§641,564) I declare that my business address is the County Coumel`s Office of Conga Costa.County,651 Pine Street,Martinez,California 94553;1 am a citizen of t.[tie United States,over 18 years of age,employed in Contra Costa County,and not a party to t1his action. I sewed 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 Maninez,California. I certify under penalty of perjury that the foregoizng is true and correct. Dated: February 12, 1999,at Martinez,California. 1 cc: Clerk of the Board of Supervisors(original) Risk Management (NOTICE OF INSLTKCIENCY OF CLAIM:GOVT.CODE§§910,91o.2,92©.4,910.8) Page 2 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 personal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988,must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2..) B. Claims must be filed with the Clerk of the ward of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, :Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors,rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity; separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RB: Claim By ) Reserved for Clerk's ding stamp Shirley Gilmore ) �= - Against the County of Contra Costa or T The housing Authority of Contra Costa (District) (Fill in name) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of$ and in support of this claim represents as follows: v 1. When did t e damn or injury occur? (Give exact date and hour) Za Where did the damage or injury occur? (Include city and county) e_> ,1, .- " , —/ 3. Flow did the damage or injury occur? (Give full details, use extra paper if required) ,12 4, What particular act or omission on the part of county or district officers, servants or employees caused the injury or damage? Z e'mfoT7% 1, 5. What are the names of county or district officers, servants or employees causing the nage or injury? 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attached two estimates for auto damage.) 7. Mow was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. Names and addresses of witnesses, doctors and hospitals. 9. List the expenditures you made on account of this accident or injury: DATE ITEM }� g �AMO4UNT - r Gov. Code Sec. 910.2 provides: "The claim must be signed by the claimant SEND NOTICE TO: (Attorney) or by some person on his behalf." Marne and Address of Attorney (Claimant's Signature) (Address) Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account,voucher, or writing, is punishable either by imprisonment in the county jail for a period of not more than one year,by a fine of not exceeding one thousand($1,000), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars($10,000) or by both such imprisonment and fine." dmform Ile fi iea• rfi d _A J:�:S•. } FFF H. fi d �.